Wednesday, 20 March 2013

Should remaining stocks of Smallpox be destroyed?

As part of the latest assignment we have to take part in an open discussion in response to the following statement-

One of the longest and most contentious international policy debates has swirled around the question of whether to destroy the last known stocks of smallpox (variola) virus, which are preserved at two World Health Organization (WHO)- authorized repositories in Russia and the United States. Although Smallpox was eradicated from nature more than three decades ago, concerns surfaced in the early 1990s that a few countries might have retained undeclared samples of the virus for biological warfare purposes. Because a smallpox outbreak would be a global public health emergency of major proportions, in 1999 the WHO approved a research program at the two authorized repositories to develop improved medical defenses against the disease.


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In preparation for the open discussion upon Smallpox I have researched the disease by reading; Mckay, B. (2011) Smallpox- Destruction Deadline Gets Delayed. New York: Dow Jones & Company. I felt this was a balanced article, reporting on what had happened at the World Health Assembly (WHA) meeting.
I then chose to read Hammond, E and Ching, L. (2011) Smallpox Virus Stocks at the 64th WHA: Implementing the Conclusions of the Major Review. Geneva: Third World Network. This report documented what was discussed at the WHA, The WHA are in favour of destroying the smallpox stocks. The document is almost anti Russia and USA, saying the only reasons why they would keep the stocks are political.
I then found two newspaper articles Brady, B (2013)£80m 'wasted' on smallpox terror threat. London: Independent print limited  and McNeil, D (2013) Wary of attack with Smallpox, US buys up a costly drug. New York: Arthur Ochs Sulzberger, Jr. Both articles were looking into the finance invested into buying smallpox vaccines, it was interesting to compare and contrast the articles being published by a British company and an American company. The British article (Brady, 2013) quotes scientists who believe that Smallpox would be of no use as a bio-weapon. The American article (McNeil 2013) looks at how much finance is currently being invested due to current fears of bio-terrorism.
I am in favour of keeping the remaining Smallpox stocks. There is potential for Smallpox to be used as a weapon, the possibility of this happening seems to depend upon which country and expertise are asked.
''It also required countries aside from the U.S. and Russia to declare to the WHO that they didn't hold stocks of live smallpox virus. Iran, China, Thailand and other countries objected to the resolution and wanted an earlier timetable'' (The Wall Street Journal, 2011). 
The original research programme in 1999 was to develop medical defences against the disease, there is still obvious concerns that countries hold undeclared stocks of the disease who have potential to use it as a weapon.
'' These viruses do not belong to Russia and the US. They are held by the WHO on behalf of the countries where they were collected and that deposited them'' (Third World Network, 2011, page 11).   
Having Smallpox stocks puts the countries in a very powerful political position, assuming that no other countries have undeclared samples.
"While the risk of smallpox outbreak may have reduced, there may still be a need for Smarts. However... a more appropriate and proportionate option would be to convene Smarts consisting of a registered cohort of unvaccinated or previously vaccinated healthcare workers who are willing to be (re-)vaccinated quickly in the event of an emergency." (The Independent, 2013) -The Joint Commitee on Vaccination and Immunisation.  
Whilst the scientists quoted within the article believe Smallpox would be of no use as a terrorist weapon, it is obviously of some significance that an advisory board could see the benefits to having a core group of people such as Healthcare workers who have been immunized against Smallpox should an emergency arise. Those who work in healthcare have policies and procedures in place for every eventuality and though there is not as much media attention to terrorist threats within Britain presently it would be unwise not to have a predetermined course of action should an attack take place. 
Having previously no knowledge of Smallpox, the articles I've read have made me aware of the wider implications the potential eradication of the virus could have. The political situation between the countries involved in holding the stocks has a long and complicated history, to understand why there is such animosity between the two countries further research had to be done to gain some understanding. Whilst the stocks are being held in laboratories in Russia and the US, it is giving them more of a political edge. There also concerns that undeclared samples could be held in countries other than the US and Russia. By allowing the approved laboratories to keep the stocks and research them further, this could help the scientific community and health professionals prepare for a terrorist attack. Though expert’s opinions differ on how likely this is to happen, there is potential.
I am in favour of keeping the smallpox virus, for further research to be carried out on the virus. There is potential for it to be used as a weapon, though different countries cant agree on how likely it is to happen-or where from.

Bibliography

  • ·         Bernard, K. and Danzig, R (2011) A deadly virus we may still need. New York: Arthur Ochs Sulzberger, Jr. [Online] Available from: http://www.nytimes.com/2011/01/06/opinion/06iht-edbernard06.html?_r=0 [Accessed 20 March 2013].
 This blog is still under construction, feel free to leave any comments.

Friday, 8 March 2013

Gathering & Using information

The first assignment looked at Gathering and using information, looking at how to use a different range of resources such as the internet, books, journals etc to source information upon Infectious Disease. It also looked how to evaluate the authenticity of specific sources.
The sources used for this task were:
  • G.Rowe, G.Hawkes and J. Houghton (2008) Initial UK public reaction to avian influenza: Analysis of opinions posted on the BBC website. Norwich: Institute of food research. [Online]. Available from: http://zsdh.library.sh.cn:8080/FCKeditor/filemanager/upload/jsp/UserImages/1307503663390..pdf. Accessed October 2012
  • J.E.Suk and J.C. Semenza (2011) Future Infectious Disease Threats to Europe. American Journal of Public Health. Vol no: 101.
  • H.Cody Meissner, P.M. Strebel and W.A.Orenstein. (2004) Measles Vaccines and the Potential for Worldwide Eradication of Measles. Illinois: American Academy of Pediatrics. [Online]. Available from: http://pediatrics.aappublications.org/content/114/4/1065.full. Accessed October 2012.
  • Anon (2012) Journals. Doncaster: Doncaster college. [Online]. Available from: http://www.don.ac.uk/mini_sites/learning_resource_centre/finding_journals.aspx. Accessed October 2012.
  • D.Gould (2011) The challenges of caring for patients with influenza. Nursing older people. Vol no: 23
  • J. Nicolson (2009) The war was over- but Spanish Flu would kill millions more. London: Telegraph media group. [Online] Available from: http://www.telegraph.co.uk/health/6542203/The-war-was-over-but-Spanish-Flu-would-kill-millions-more.html. Accessed October 2012
  • E.Callaway (2008) Bacteria were the real killers in the 1918 flu pandemic. London:Reed business information Ltd. [Online]. Available from: http://www.newscientist.com/article/dn14458-bacteria-were-the-real-killers-in-1918-flu-pandemic.html. Accessed October 2012

Reading & Note taking- Infectious diseases


The second assignment we were asked to complete as a group was a Reading & Note taking assignment, using selected articles about Swine flu and Bird flu. 
The articles included: 
  • Pallab Ghosh (2012) Bird flu 'could mutate to cause deadly human pandemic' . London: British Broadcasting Corporation [Online]. Available from: http://www.bbc.co.uk/news/science-environment-18534676. Accessed November 2012
  • Sharon Begley (2012) 2009 swine flu outbreak was 15 times deadlier: study. New York: Thomas Reuters [Online] Available from: http://www.reuters.com/article/2012/06/25/us-swineflu-idUSBRE85O1DF20120625. Accessed November 2012.
We looked at different note taking methods when studying these articles which included: Spider diagrams, linear notes and a general summary of the articles in prose, using abbreviations where possible. 
We also had to share and compare our notes with at least one other student, and comment on any similarities or differences

Picture above available from: https://www.google.co.uk/search?q=h5n1&oe=utf-8&aq=t&rls=org.mozilla:en-US:official&client=firefox-a&um=1&ie=UTF-8&hl=en&tbm=isch&source=og&sa=N&tab=wi&ei=FEo6UcT8ILOV7AbpkYGQDQ&biw=1366&bih=645&sei=Gko6UYDIGbON0wWi-IHIAQ#imgrc=phfMnTc5_BOgoM%3A%3BdA2UXfbIvT2qpM%3Bhttp%253A%252F%252F4.bp.blogspot.com%252F-eNlcEqtUENQ%252FTW1fXfXP00I%252FAAAAAAAAEqw%252FMAXyLHuh-zw%252Fs1600%252FH1N1-influenza.jpg%3Bhttp%253A%252F%252Fdarweeen.blogspot.com%252F2011%252F09%252Fhubungan-bakteri-dengan-lingkungan.html%3B1024%3B768

Wednesday, 6 March 2013

MMR

Recently we were asked to write an essay in response to the following statement:
Discuss the following statement: immunisation continues to be one of the key interventions in the prevention and control of infectious diseases.
Undoubtedly the most controversial and publicised vaccine in the United Kingdom in recent history has been the combined measles, mumps and rubella vaccination (MMR). Some of the key points covered in this essay included:
  • Because of the National Health Service, free healthcare is available to all.
  • The vaccination acts from 1840 to present day.
  • MMR, how it is transmitted and some of the life threatening complications it can have.
  • 'Herd immunity'
  • Moral implications of immunizing children who practise a faith or religion.
  • The MMR vaccine and its links to autism.
Bibliography for this essay:
·      British broadcasting corporation (2013). North east measles outbreak ‘serious’. London: British broadcasting corporation [Online]. Available from: http://www.bbc.co.uk/news/uk-england-21243345. Accessed 10 February 2013
·      Children’s immunisation centre (2013).  Home page. Cheshire: The children’s immunisation centre Ltd. [Online]. Available from: http://www.childrensimmunisation.com/. Accessed 11 February 2013
·      Health Protection Agency (2013) Measles at highest level for 18 years. London: Health protection agency. [Online]. Available from:  http://www.hpa.org.uk/NewsCentre/NationalPressReleases/2013PressReleases/130208Measlesathighestlevelfor18years/ . Accessed 11 February 2013.
·      J.L.Wile (2009) Vaccines do not contain fetal tissue. Unknown: Dr.Wile [Online]. Available from: http://www.drwile.com/lnkpages/render.asp?vac_abortion. Accessed 15 February 2013.
·      National Health service (2011). MMR. London: National Health Service [Online]. Available from: http://www.nhs.uk/conditions/mmr/pages/introduction.aspx?WT.mc_id=010902. Accessed 10 February 2013
·      The National Autistic Society.  (2012). What is autism? Blackburn: The National Autistic Society[Online]. Available from:  http://www.autism.org.uk/about-autism/autism-and-asperger-syndrome-an-introduction/what-is-autism.aspx. Accessed 12 February 2013
·      The telegraph (2012). MMR uptake rates finally recovered from Wakefield scandal figures show. London: Telegraph Media Group [Online]. Available from: http://www.telegraph.co.uk/health/healthnews/9705374/MMR-uptake-rates-finally-recovered-from-Wakefield-scandal-figures-show.html. Accessed 10 February 2013
·      Unknown (2012) What we believe. Utah: The Church of Jesus Christ Latter Day Saints [Online]. Available from: http://mormon.org/what-do-mormons-believe. Accessed 15 February 2013.
·      World Health Organization (2013) Measles. Geneva: World Health Organization[Online].Available from:  http://www.who.int/mediacentre/factsheets/fs286/en/. Accessed 10 February 2013
World Health Organization (2013) Mumps. Geneva: World Health Organization [Online]. Available from: http://www.who.int/ith/diseases/mumps/en/. Accessed 10 February 2013
·      World Health Organization. (2012) Rubella. Geneva: World Health Organization [Online]. Available from: http://www.who.int/immunization/topics/rubella/en/index.html. Accessed 10 February 2013