| A West
Nile virus (
news -
web sites) vaccine to protect against the sometimes fatal infection
could be ready in as little as three years, federal scientists told
Congress.
A way to test the nation's blood supply against the virus might be in
place next summer, the scientists said Tuesday.
The mosquito-borne virus has infected 2,000 people in 32 states so far
this year and killed 98. Particularly worrisome are recent discoveries that
West Nile apparently can be spread through blood transfusions if someone
donates blood shortly after becoming infected, and that it occasionally
causes a polio (
news -
web sites)-like paralysis.
Still, public health specialists are expressing cautious optimism. While
West Nile virus is here to stay, they expect infections to fall sharply
possibly as early as next year as more people become immune and
communities act quickly each spring to destroy mosquito eggs and breeding
grounds.
There even are hints that immunity against cousins of West Nile such as
yellow fever, dengue fever and St. Louis encephalitis might provide
protection against the new virus too.
In experiments, genes from the West Nile virus were added to the
structure of the yellow fever vaccine, and proved protective in animal
studies, said Dr. Anthony Fauci of the National Institutes of Health (
news -
web sites).
A biotechnology company, Acambis, plans to begin tests in a few dozen
people soon to see if the experimental vaccine is safe, and if later testing
proves its effectiveness, it could be available in three years, Fauci told a
Senate hearing.
Also, the NIH this winter will test people vaccinated against yellow
fever inoculations required for travel to certain parts of Africa and
South America for signs that it provided cross-protection against West
Nile.
"This is a disease we need to take seriously," Fauci told senators who
wondered why West Nile, which first hit the United States in 1999, spread so
fast. But "it's extraordinarily unlikely that West Nile will ever get on the
same radar screen" as, say, flu epidemics in terms of the harm it causes, he
said.
For one thing, only 20 percent of people who become infected with West
Nile have even mild flulike symptoms; one in 150 to 200 get seriously ill.
Better, if you survive a West Nile infection even if you had no symptoms
you're considered immune for life.
So today's children and young adults probably will become immune by the
time they reach 60, important because older people are most at risk of death
from West Nile, Fauci explained.
The Food and Drug Administration (
news -
web sites) hopes to have blood banks testing for West Nile virus in
donations even if it means using an experimental test next summer, said
FDA's Dr. Jesse Goodman.
While West Nile apparently can be transmitted through blood, the virus
stays in the bloodstream for only a short time suggesting the risk to the
blood supply is very low, he said. Still, a blood-testing technology called
nucleic acid testing can detect low levels of other viruses in blood, and
FDA is optimistic that tweaking that technology eventually could allow West
Nile detection too.
Meanwhile, mosquitoes don't disappear during the winter in the South. So
people should continue to wear DEET-containing mosquito-repellant and should
not let water stand in flower pots or buckets near their homes, stressed Dr.
Julie Gerberding, director of the Centers for Disease Control and Prevention
(
news -
web sites).
___
On the Net:
West Nile virus site:
http://www.cdc.gov/ncidod/dvbid/westnile/index.htm
|