Tuesday, November 10, 2009

WHO Silence on Ukraine Sequences Raises Pandemic Concerns

This bothers me, and so I bring it to your attention. 

WHO Silence on Ukraine Sequences Raises Pandemic Concerns

Recombinomics Commentary 19:01
November 9, 2009

It has now been more than a week since samples from Ukraine were sent to the WHO regional lab, Mill Hill in London.  Although comments have been made that at least 15 samples were H1N1 confirmed, and the sequences showed no large changes or resistance to oseltamivir, there have been no updates.  The absence of additional information or release of sequences, increases concerns that small changes undergoing further analysis are causing delays.

In the days post shipment, cases in Ukraine have quadrupled to over 1 million and the reported fatalities have grown from 30 to 174. The clinical presentation of 90 of the fatalities was classical H1N1 linked hemorrhagic pneumonia, which led to the "total destruction" of both lungs.  These fatal cases were hospitalized 3-7 days after disease onset, highlighting the rapid progression of the infection in a large number of patients, suggesting genetic changes in the H1N1 virus.

Although politicians and media reports continue to downplay the significance by citing a small number of  lab confirmed cases or more traditional pneumonia deaths, the number of fatal hemorrhagic cases was unusually large.  These deaths involve hemorrhagic pneumonia in previously health young adults.  Most deaths were 19-40 years of age.  The age group with the second highest totals was 41-55.  Thus, the age profile of these cases parallels those seen in other countries in H1N1 infected patients.

Isolates from other countries, including recent isolates from samples from fatal cases In Sau Paula, Brazil had changes at position 225 in the receptor binding domain (D225G and D225N).  These recent changes in Brazil raise concerns that there are similar changes in Ukraine.

It is likely that a lack of suspect changes would have led to an announcement that no significant changes were found.  Instead WHO has remained silent since Thursday, as concerns increase.

Sequencing should have been largely completed last week and the presence or absence of regional markers should be clear.  Release of the sequences or a list of polymorphisms under further investigation would be useful.

The silence on the sequences continues to increase concerns.


  1. moron here: Shanky, frankly I'm shocked that the general media has not made one mention of this at all. Media runs clip after clip of a female soccer player playing dirty, but not one mention of a serious development of what appears to be a mutated flu strain. The general public are such sheep. Considering swine circled the globe in a mere 6 weeks, people should be demanding a full report from the WHO on what the changes to this strain may be. To date,the "swine" had been mild, but these cases of hemorrahgic symptoms in the Ukraine responsible for over 90 deaths is a serious situation. Can someone tell me why they think there has not been any reporting by mainstream media? Astounding. I really hope it turns out to be explainable and isolated because if its not, we could be in for a very rough winter.

  2. Well, if you want to go total conspiracy theory here - Eugenics baby! They need the population destroyed to save the earth. We are over populated and the trees need more room to grow. OK, that was a bit over the top, sorry, but some nuts do think that way. I don't know why the MSM has not picked this up. You'd think they'd have shut down the boarders and all flights out of the Ukraine before now to isolate it if it is something meaningful. Nah, screw it, let it spread. This is F'd up if you ask me.


Keep it civil and respectful to others.