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Pneumonic Plague


Bruno Di Gradi

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Pneumonic plague reported in remote western ChinaThree deaths and several illnesses are attributed to the disease. Health officials close access to Ziketan, a town of 10,000 in Qinghai province that is mostly populated by Tibetans.By Barbara Demick and Joshua Frank10:15 AM PDT, August 3, 2009Reporting from Beijing -- Chinese health officials have cordoned off a remote western town after three deaths caused by the rare but deadly pneumonic plague.The victims all lived in Ziketan, a town of 10,000 in Qinghai province that is mostly populated by Tibetans.The first victim was a 32-year-old herdsman who died Thursday, four days after falling ill with a fever and cough. State radio reported that the man contracted the illness from his dog, which apparently was infected after being bitten by a flea. The herdsman's 37-year-old neighbor died Sunday and a 64-year-old man died today.Another nine people were reported to be ill or under observation, one of them in critical condition, at the Tibetan Hospital of Xinghai county."Experts continue to carry out disinfecting and pest control work and are tracing people in contact with victims for quarantine purposes," the New China News Agency reported today.Pneumonic plague is the even deadlier relative of the notorious bubonic plague, which killed millions in Europe in the Middle Ages. Spread person to person through the air, it usually kills all its victims unless they are treated with antibiotics.In recent years, there have been sporadic outbreaks of the pneumonic plague, most of them in Africa. The few cases in China have been mostly in Tibetan areas in the west."In the 1980s, there were a series of plagues in Tibet, but recently not so many," said Tseten Dargye, a physician in Dawu, another Tibetan town in Qinghai province. He said the disease was spread by ticks living on marmots, which are indigenous to the mountainous Tibetan region.Zhang Changmin, a driver from Qinghai, said that all roads in and out of Ziketan had been closed off since last week to prevent the spread of the disease.So far the disease does not appear to be causing the panic brought on by the far less deadly swine flu, the threat of which has prompted Chinese authorities to put thousands of people into quarantine, among them U.S. tourists.Vivian Tan, spokeswoman for the World Health Organization in China, said today that Ziketan's remote location and the low population density reduces the threat of the disease spreading."At this point I don't think there's a reason to be alarmed," she said. "Authorities seem to have taken the right measures."According to Tan, this is the first time the Chinese government has officially notified the WHO of cases of pneumonic plague. But she noted there have been sporadic reports of the disease in the country before.There had been two other cases in Qinghai in recent years, once in 2001 and again in 2004. Last year, pneumonic plague killed a couple in Tibet, according to the Ministry of Health.
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WASHINGTON – A new strain of the virus that causes AIDS has been discovered in a woman from the African nation of Cameroon. It differs from the three known strains of human immunodeficiency virus and appears to be closely related to a form of simian virus recently discovered in wild gorillas, researchers report in Monday's edition of the journal Nature Medicine.The finding "highlights the continuing need to watch closely for the emergence for new HIV variants, particularly in western central Africa," said the researchers, led by Jean-Christophe Plantier of the University of Rouen, France.The three previously known HIV strains are related to the simian virus that occurs in chimpanzees.The most likely explanation for the new find is gorilla-to-human transmission, Plantier's team said. But they added they cannot rule out the possibility that the new strain started in chimpanzees and moved into gorillas and then humans, or moved directly from chimpanzees to both gorillas and humans.The 62-year-old patient tested positive for HIV in 2004, shortly after moving to Paris from Cameroon, according to the researchers. She had lived near Yaounde, the capital of Cameroon, but said she had no contact with apes or bush meat, a name often given to meat from wild animals in tropical countries.The woman currently shows no signs of AIDS and remains untreated, though she still carries the virus, the researchers said.How widespread this strain is remains to be determined. Researchers said it could be circulating unnoticed in Cameroon or elsewhere. The virus' rapid replication indicates that it is adapted to human cells, the researchers reported.Their research was supported by the French Health Watch Institute, the French National Agency for Research on AIDS and Viral Hepatitis and Rouen University Hospital.A separate paper, also in Nature Medicine, reports that people with genital herpes remain at increased risk of HIV infection even after the herpes sores have healed and the skin appears normal.Researchers led by Drs. Lawrence Corey and Jia Zhu of the Fred Hutchinson Cancer Research Center found that long after the areas where the herpes sores existed seem to be clear, they still have immune-cell activity that can encourage HIV infection.Herpes is marked by recurring outbreaks and has been associated with higher rates of infection with HIV. It had been thought that the breaks in the skin were the reason for higher HIV rates, but a study last year found that treatment of herpes with drugs did not reduce the HIV risk.The researchers tested the skin of herpes patients for several weeks after their sores had healed and found that, compared with other genital skin, from twice to 37 times more immune cells remained at the locations where the sores had been.HIV targets immune cells and in laboratory tests the virus reproduced three to five times faster in tissue from the healed sites as in tissue from other areas."Understanding that even treated (herpes) infections provide a cellular environment conducive to HIV infection suggests new directions for HIV prevention research," commented Dr. Anthony S. Fauci, director of the National Institute of Allergy and Infectious Disease.That study was funded by the National Institutes of Health and the Tietze Foundation.
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WASHINGTON – A new strain of the virus that causes AIDS has been discovered in a woman from the African nation of Cameroon. It differs from the three known strains of human immunodeficiency virus and appears to be closely related to a form of simian virus recently discovered in wild gorillas, researchers report in Monday's edition of the journal Nature Medicine.
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