Avian flu By Sona Hamelin History The human influenza A virus was discovered in 1933 soon after Shope succeeded in isolating swine influenza A virus in 1931 Influenza outbreaks were noticed as soon as 1899 Influenza outbreak Viruses Obligatory intracellular parasites Contain single type of nucleic acid (either DNA or RNA) Contain protein coat, some contain envelop and spikes. Structure of Influenza virus N and H spikes H spikes stand for hemagglutinin N spikes stand for neurominidase Influenza types Influenza viruses are classified into major groups according to the antigens of their protein: A, B, C The A-type viruses are responsible for major pandemics Avian influenza is influenza carried by the birds Viral infection can be blocked by neutralizing antibodies Virus-infected cells Function if the type 1 interferons Effector T cell Antigenic drift Antigenic shift T and B cells interactions Two disulfide –linked subunits: HA-1, and HA-2 T cell specific for the M protein can help B cells specific for HA, so that the relative lack of HA-specific T cells may not limit the level of help delivered to HA-specific B cells Sites of recognition Transmission from birds to human Infected birds shed flu virus in their saliva, nasal secretions, and feces. Transmission to humans happen through Direct contact with secretions from infected birds Contaminated food, water, equipment and clothing Clinically normal waterfowl and sea birds may introduce the virus into flocks Broken contaminated eggs may infect chicks in the incubator Symptoms High fever Pneumonia Eye infection Acute respiratory distress Influenza like symptoms Cough Sore throat Muscle ache Laboratory findings Leukopenia (particularly lymphopenia) Mild to moderate thrombocytopenia Slightly or moderately elevated aminotransferase levels Hyperglycemia Elevated creatinine levels immunization The "flu shot“ - an inactivated vaccine (containing killed virus) that is given with a needle, usually in the arm. The nasal-spray flu vaccine - a vaccine made with live, weakened flu viruses that do not cause the flu Treatment Antiviral medications (oseltamivir and zanamivir) that will: Reduce the severity and duration of symptoms caused by infection with influenza A or B virus Shorten the length of the illness Control outbreaks of the flu in nursing homes Reduce the spread of the virus to people at high risk for severe complications of the flu Reduce complications from the flu Summary Avian flu is a virus carried by birds Avian virus contain H and N spikes on their surface Avian virus interact with T and B cells There is not a permanent vaccine since influenza virus A changes its structures Antiviral drugs can reduce symptoms Work cited Villarreal, Luis P. (2005). Viruses and The Evolution of Life. Washington, D.C.: ASM The Writing Committee of the Health Organization. (2005). Avian Influenza A (H5N1) Infection in Humans. The New England Journal of Medicine, 353, 1374-1385. Retrieved October 11, 2005 from the World Wide Web: http://content.nejm.org/cgi/content/full/353/13/1374 Male, D., & Champion, B., & Cooke, A. (1989). Advanced Immunology. Hong Kong: Mandarin Offset. Kolata, G. (1999). Flu: The Story of The Great Influenza Pandemic of 1918 and The Search for The Virus That Cause. New York : Farrar, Straus and Giroux. Ahmad, K. (2004). Increased Asian Collaboration in Fight against Avian Flu, Science Direct, 5, (1), 9. Retrieved October 11, 2005 from the World Wide Web: http://www.sciencedirect.com Appenzeller, T. (2005). Tacking The Next Killer Flu. National Geographic, 208, 2-31. Avian Influenza Frequently asked questions. (2005). World Health Organization. Retrieved September 30, 2005 from the World Wide Web: http://www.who.int/csr/disease/avian_influenza/avian_faqs/en/index.html