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	<title>Survival Machine &#187; epidemiology</title>
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		<title>&#8220;It is time for us to lead once again&#8221;</title>
		<link>http://www.survivalmachine.org/2009/04/28/it-is-time-for-us-to-lead-once-again/</link>
		<comments>http://www.survivalmachine.org/2009/04/28/it-is-time-for-us-to-lead-once-again/#comments</comments>
		<pubDate>Tue, 28 Apr 2009 07:41:21 +0000</pubDate>
		<dc:creator>simian</dc:creator>
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		<guid isPermaLink="false">http://www.survivalmachine.org/?p=160</guid>
		<description><![CDATA[I regret having just set a personal record for the longest period of time between posts.  But let&#8217;s forget about that right now, because today there are a couple BIG events to talk about.
Swine flu: Having very recently mutated to allow human/human transmission, it has already spread around the globe, leading to fears of a [...]]]></description>
			<content:encoded><![CDATA[<p>I regret having just set a personal record for the longest period of time between posts.  But let&#8217;s forget about that right now, because today there are a couple BIG events to talk about.</p>
<p><strong>Swine flu:</strong> Having very recently mutated to allow human/human transmission, it has already spread around the globe, leading to fears of a global pandemic.  To be fair, I think the mainstream news media have been doing more to fan the flames of fear (while sanctimoniously denying any intent to do so) than the flu itself.  As of <span style="text-decoration: line-through;">this evening</span> early Tuesday morning, only <span style="text-decoration: line-through;">40</span> 50 cases had been reported inside the United States, and not a single fatality. CDC laboratory tests thus far indicates that the infection <a title="CDC site on swine flu antivirals" href="http://www.cdc.gov/swineflu/antiviral_swine.htm" target="_blank">responds well to antiviral drugs</a> such as oseltamivir (Tamiflu) and zanamivir (Relenza), which are being stockpiled in a number of states.  <a title="Washington Post: Local Officials Prepare For Arrival of Swine Flu" href="http://www.washingtonpost.com/wp-dyn/content/article/2009/04/27/AR2009042702811.html" target="_blank">Maryland has already opened a swine flu command center</a> right in my home city of Baltimore, in anticipation of likely infections occurring in the Baltimore-Washington metropolitan area.  CDC lab tests have also indicated that the other two FDA-approved antiviral drugs for flu, amantadine (Symmetrel) and rimantadine (Flumadine), are ineffective against the swine flu.  Both oseltamivir and zanamivir are neuraminidase inhibitors, which work by blocking the action of the viral neuraminidase protein.  This is the protein on the surface of influenza viruses that allows it to be released from the host cell in the process known as &#8220;budding.&#8221;  Amantadine and rimantadine are both M2 protein inhibitors, drugs whose mechanism of action involves blocking the ion channel that removes a virion&#8217;s coating and releases its genetic content into the cytoplasm of the host cell.  It is worth noting that <a title="NewScientist.com: China to stop using human flu drug on poultry" href="http://www.newscientist.com/article/dn7565-china-to-stop-using-human-flu-drug-on-poultry.html" target="_blank">poultry farmers in China used amantadine</a> to guard againt the H5N1 avian flu in chickens, an ill-advised practice (H. sapiens as an agent of natural selection!) that has led to the abundance of influenza strains resistant to amantadine.</p>
<p>It&#8217;s too early yet to tell whether the swine-flu fatalities in Mexico will be seen here in the United States or elsewhere around the world, but we probably won&#8217;t have to wait very long to find out.  As the eccentric chaotician Ian Malcolm said in <span style="text-decoration: underline;">Jurassic Park</span>, &#8220;<em>life finds a way</em>&#8221; &#8211; we had better work hard to ensure that it&#8217;s human life that finds a way this time.  If you&#8217;re wondering what you can do, look at <a title="PandemicFlu.gov: Planning &amp; Response" href="http://www.pandemicflu.gov/plan/index.html" target="_blank">this guide</a> on the US Department of Health and Human Services&#8217; <a title="PandemicFlu.gov" href="http://www.pandemicflu.gov/" target="_blank">PandemicFlu.gov website</a>.  And, of course, you can follow the <a title="CDC swine flu updates on Twitter" href="http://twitter.com/cdcemergency" target="_blank">CDC&#8217;s swine flu updates on Twitter</a>.</p>
<p>In that vein, I lastly want to commend President Barack Obama, who, speaking today before the National Academy of Sciences, made a remarkable (and badly needed) <a title="The White House Blog: The Necessity of Science" href="http://www.whitehouse.gov/blog/09/04/27/The-Necessity-of-Science/" target="_blank">commitment to the advancement of American science</a>. After describing how the current swine flu emergency should remind us of the necessity of science, and among many breaks for applause, Obama said:</p>
<blockquote><p>I believe it is not in our character, the American character, to follow.  It&#8217;s our character to lead.  And it is time for us to lead once again.  So I&#8217;m here today to set this goal:  We will devote more than 3 percent of our GDP to research and development.  We will not just meet, but we will exceed the level achieved at the height of the space race, through policies that invest in basic and applied research, create new incentives for private innovation, promote breakthroughs in energy and medicine, and improve education in math and science.</p></blockquote>
<p>That&#8217;s why I campaigned for this guy. Let&#8217;s all make sure we hold him to this promise.</p>
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