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NEW
YORK TIMES, Article, "Seeing Terror Risk, U.S. Asks Journals to
Cut Flu Study Facts" By Denise Grady and William J. Broad. Dec.
20, 2011.
December
20, 2011.
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For
the first time ever, a government advisory board is asking
scientific journals not to publish details of certain biomedical
experiments, for fear that the information could be used by
terrorists to create deadly viruses and touch off epidemics.
In
the experiments, conducted in the United States and the Netherlands,
scientists created a highly transmissible form of a deadly flu virus
that does not normally spread from person to person.
It
was an ominous step, because easy transmission can lead the virus to
spread all over the world.
The
work was done in ferrets, which are considered a good model for
predicting what flu viruses will do in people.
The
virus, A(H5N1), causes bird flu, which rarely infects people but has
an extraordinarily high death rate when it does. Since the virus was
first detected in 1997, about 600 people have contracted it, and
more than half have died.
Nearly
all have caught it from birds, and most cases have been in Asia.
Scientists
have watched the virus, worrying that if it developed the ability to
spread easily from person to person, it could create one of the
deadliest pandemics ever.
A
government advisory panel, the National Science Advisory Board for
Biosecurity, overseen by the National Institutes of Health, has
asked two journals, Science and Nature, to keep certain details out
of reports that they intend to publish on the research.
The
panel said conclusions should be published, but not
"experimental details and mutation data that would enable
replication of the experiments."
The
panel cannot force the journals to censor their articles, but the
editor of Science, Bruce Alberts, said the journal was taking the
recommendations seriously and would probably withhold some
information - but only if the government creates a system to provide
the missing information to legitimate scientists worldwide who need
it.
The
journals, the panel, researchers and government officials have been
grappling with the findings for several months.
The
Dutch researchers presented their work at a virology conference in
Malta in September.
Scientists
and journal editors are generally adamant about protecting the free
flow of ideas and information, and ready to fight anything that
hints at censorship.
Dr.
Alberts said: "I wouldn't call this censorship. This is trying
to avoid inappropriate censorship.
It's
the scientific community trying to step out front and be
responsible."
He
said there was legitimate cause for the concern about the
researchers' techniques falling into the wrong hands.
"This
finding shows it's much easier to evolve this virus to an extremely
dangerous state where it can be transmitted in aerosols than anybody
had recognized," he said.
Transmission
by aerosols means the virus can be spread through the air via
coughing or sneezing.
Ever
since the tightening of security after the terrorist attacks on
Sept. 11, 2001, scientists have worried that a scientific
development would pit the need for safety against the need to share
information.
Now,
it seems, that day has come.
The
A(H5N1) virus largely affects birds and rarely infects people, but
it is highly deadly when it does.
"It's
a precedent-setting moment, and we need to be careful about the
precedent we set," Dr. Alberts said.
Both
studies of the virus - one at the Erasmus Medical Center in
Rotterdam, in the Netherlands, and the other at the University of
Wisconsin-Madison - were paid for by the National Institutes of
Health.
The
idea behind the research was to try to find out what genetic changes
might make the virus easier to transmit.
That
way, scientists would know how to identify changes in the naturally
occurring virus that might be warning signals that it was developing
pandemic potential.
It
was also hoped that the research might lead to better treatments.
Dr.
Anthony Fauci, head of the National Institute of Allergy and
Infectious Diseases, said the research addressed important public
health questions, but added, "I'm sure there will be some
people who say these experiments never should have been done."
Dr.
Fauci said staff members at the institutes followed the results of
the research and flagged it as something that the biosecurity panel
should evaluate.
The
lead researcher at the Erasmus center, Ron Fouchier, did not respond
to requests for an interview.
The
center issued a statement saying that researchers there had
reservations about the panel's recommendation, but would observe it.
The
Wisconsin researcher, Yoshihiro Kawaoka, was out of the country and
"not responding to queries," according to a spokesman for
the university.
But
the school said its researchers would "respect" the
panel's recommendations.
David
R. Franz, a biologist who formerly headed the Army defensive
biological lab at Fort Detrick, Md., is on the board and said its
decision to intervene, made in the fall, was quite reasonable.
"My
concern is that we don't give amateurs - or terrorists - information
that might let them do something that could really cause a lot a
harm," he said in an interview.
"It's
a wake-up call," Dr. Franz added.
"We
need to make sure that our best and most responsible scientists have
the information they need to prepare us for whatever we might
face."
Amy
Patterson, director of the office of biotechnology activities at the
National Institutes of Health, in Bethesda, Md., said the
recommendations were a first.
"The
board in the past has reviewed manuscripts but never before
concluded that communications should be restricted in any way,"
she said in a telephone interview.
"These
two bodies of work stress the importance of public health
preparedness to monitor this virus."
Ronald
M. Atlas, a microbiologist at the University of Louisville and past
president of the American Society for Microbiology, who has advised
the federal government on issues of germ terrorism, said the hard
part of the recommendations would be creating a way to move forward
in the research with a restricted set of responsible scientists.
He
said that if researchers had a better understanding of how the virus
works, they could develop better ways to treat and prevent illness.
"That's why the research is done," he said.
The
government, Dr. Atlas added, "is going to struggle with how to
get the information out to the right people and still have a
barrier" to wide sharing and inadvertently aiding a terrorist.
"That's going to be hard."
Given
that some of the information has already been presented openly at
scientific meetings, and that articles about it have been sent out
to other researchers for review, experts acknowledged that it may
not be possible to keep a lid on the potentially dangerous details.
"But
I think there will be a culture of responsibility here," Dr.
Fauci said. "At least I hope there will."
The
establishment of the board grew out of widespread fears stemming
from the 2001 terrorist attacks on the United States and the ensuing
strikes with deadly anthrax germs that killed or sickened 22
Americans.
The
Bush administration called for wide controls on biological
information that could potentially help terrorists.
And
the scientific community firmly resisted, arguing that the best
defenses came with the open flow of information.
In
2002, Dr. Atlas, then the president-elect of the American Society
for Microbiology, objected publicly to "anything that smacked
of censorship."
The
federal board was established in 2004 as a compromise and is
strictly advisory.
It
has 25 voting members appointed by the secretary of health and human
services, and has 18 ex officio members from other federal agencies.
Federal
officials said Tuesday that the board has discussed information
controls on only three or four occasions.
The
first centered on the genetic sequencing of the H1N1 virus that
caused the 1918 flu pandemic, in which up to 100 million people
died, making it one of the deadliest natural disasters in human
history.
"We
chose to recommend publication without any modifications," Dr.
Franz, the former head of the Army lab, recalled.
"The
more our good scientists know about problems, the better prepared
they are to fix them."
This
fall, federal officials said, the board wrestled with the content of
H5N1 papers to Science and Nature, and in late November contacted
the journals about its recommendation to restrict information on the
methods that the scientists used to modify the deadly virus.
"The
ability of this virus to cross species lines in this manner has not
previously been appreciated," said Dr. Patterson of the
National Institutes of Health. "Everyone involved in this
matter wants to do the proper thing."
(A
version of this article appears in print on Dec. 21, 2011, Section
A, Page 1 of the New York edition with the headline: "Journals
Asked To Cut Details Of Flu Studies.")
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