Is swine flu 'the big one' or a flu that fizzles?

27 Apr 2009, 9:24 am   -   Source: AP
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As reports of swine flu erupt around the world, the inevitable question arises: Is this the big one?

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As reports of swine flu erupt around the world, the inevitable question arises: Is this the big one?
   
Is this the next big global flu epidemic that public health experts have long anticipated and worried about? Is this the novel virus that will kill millions around the world, as pandemics did in 1918, 1957 and 1968?
   
The short answer is, it's too soon to tell.

"What makes this so difficult is we may be somewhere between an important but yet still uneventful public health occurrence here - with something that could literally die out over the next couple of weeks and never show up again - or this could be the opening act of a full-fledged influenza pandemic," said Michael Osterholm, a prominent expert on global flu outbreaks with the University of Minnesota.
   
"We have no clue right now where we are between those two extremes. That's the problem," he said.

Health officials want to take every step to prevent an outbreak from spiralling into mass casualties. Predicting influenza is a dicey endeavour, with the US government famously guessing wrong in 1976 about a swine flu pandemic that never materialised.

"The first lesson is anyone who tries to predict influenza often goes down in flames," said Dr Richard Wenzel, the former president of the International Society for Infectious Diseases.

But health officials are being asked to make such predictions, as panic began to set in over the weekend.

The epicenter was Mexico, where the virus is blamed for 86 deaths and an estimated 1,400 cases in the country since April 13.
   
International concern magnified as health officials across the world on Sunday said they were investigating suspected cases in people who travelled to Mexico and come back with flu-like illnesses. Among the nations reporting confirmed cases or investigations were Canada, France, Israel and New Zealand.
   
Meanwhile, in the United States, there were no deaths and all patients had either recovered or were recovering. But the confirmed cases around the nation rose to 20 by Sunday afternoon.

Public health emergency
   
The concern level rose even more when federal officials on Sunday declared a public health emergency - a procedural step, they said, to mobilise antiviral medicine.
   
US Centres for Disease Control and Prevention officials say that so far swine flu cases in the US have been mild. But they also say more cases are likely to be reported.
   
And, troublingly, more severe cases are also likely, said Dr Richard Besser, the CDC's acting director.
   
"As we continue to look for cases, we are going to see a broader spectrum of disease," he predicted. "We're going to see more severe disease in this country."

Besser also repeated what health officials have said since the beginning - they don't understand why the illnesses in Mexico have been more numerous and severe than in the United States. In fact, it's not even certain that new infections are occurring. The numbers could be rising simply because everyone's on the lookout.

Genetic segments from human, bird viruses

The new virus is called a swine flu, though it contains genetic segments from humans and birds viruses as well as from pigs from North America, Europe and Asia. Health officials had seen combinations of bird, pig and human virus before - but never such an intercontinental mix, including more than one pig virus.
   
More disturbing, this virus seems to spread among people fairly easily - a characteristic not generally seen in the swine flus that have occasionally jumped from pigs to people in recent years.

Worrying history of flu pandemics

Flu pandemics have been occurring with some regularity since at least the 1500s, but the frame of reference for health officials is the catastrophe of 1918-19. That one killed an estimated 20 to 50 million people worldwide.
   
Disease testing and tracking were far less sophisticated then, but the virus appeared in humans and pigs at about the same time and it was known as both Spanish flu and swine flu. Experts since then have said the deadly germ actually originated in birds.

But pigs may have made it worse. That pandemic began with a wave of mild illness that hit in the spring of 1918, followed by a far deadlier wave in the fall which was most lethal to young, healthy adults. Scientists have speculated that something happened to the virus after the first wave - one theory held that it infected pigs or other animals and mutated there - before revisiting humans in a deadlier form.
   
Pigs are considered particularly susceptible to both bird and human viruses and a likely place where the kind of genetic re-assortment can take place that might lead to a new form of deadly, easily spread flu, scientists believe.
   
Such concern triggered public health alarm in 1976, when soldiers at Fort Dix, New Jersey, became sick with an unusual form of swine flu.
   
Federal officials vaccinated 40 million Americans. The pandemic never materialised, but thousands who got the shots filed injury claims, saying they suffered a paralysing condition and other side effects from the vaccinations.
   
Health officials don't know why the 1976 virus petered out.
   
In the last several years, experts have focused on a form of bird flu that was first reported in Asia. It's a highly deadly strain that has killed more than 250 people worldwide since 2003, but to date that virus has not gained the ability to spread easily from person to person.
 

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