Newly Discovered Memory in Our Bones: Keeping a Record of Previous Infections to Boost Immunity – SciTechDaily

Immune cells by fluorescence microscopy: Blood stem cells remember a previous attack and produce more immune cells like these macrophages to fight a new infection. Credit: Sieweke lab/CIML

These findings should have a significant impact on future vaccination strategies and pave the way for new treatments of an underperforming or over-reacting immune system. The results of this research are published in Cell Stem Cell on March 12, 2020.

Stem cells in our bodies act as reservoirs of cells that divide to produce new stem cells, as well as a myriad of different types of specialized cells, required to secure tissue renewal and function. Commonly called blood stem cells, the hematopoietic stem cells (HSC) are nestled in the bone marrow, the soft tissue that is in the center of large bones such as the hips or thighs. Their role is to renew the repertoire of blood cells, including cells of the immune system which are crucial to fight infections and other diseases.

Until a decade ago, the dogma was that HSCs were unspecialized cells, blind to external signals such as infections. Only their specialized daughter cells would sense these signals and activate an immune response. But work from Prof. Michael Siewekes laboratory and others over the past years has proven this dogma wrong and shown that HSCs can actually sense external factors to specifically produce subtypes of immune cells on demand to fight an infection. Beyond their role in an emergency immune response, the question remained as to the function of HSCs in responding to repeated infectious episodes. The immune system is known to have a memory that allows it to better respond to returning infectious agents. The present study now establishes a central role for blood stem cells in this memory.

We discovered that HSCs could drive a more rapid and efficient immune response if they had previously been exposed to LPS, a bacterial molecule that mimics infection, said Dr. Sandrine Sarrazin, Inserm researcher and senior-author of the publication. Prof. Michael Sieweke, Humboldt Professor at TU Dresden, CNRS Research Director and last author of the publication, explained how they found the memory was stored within the cells: The first exposure to LPS causes marks to be deposited on the DNA of the stem cells, right around genes that are important for an immune response. Much like bookmarks, the marks on the DNA ensure that these genes are easily found, accessible and activated for a rapid response if a second infection by a similar agent was to come.

The authors further explored how the memory was inscribed on the DNA, and found C/EBP? to be the major actor, describing a new function for this factor, which is also important for emergency immune responses. Together, these findings should lead to improvements in tuning the immune system or better vaccination strategies.

The ability of the immune system to keep track of previous infections and respond more efficiently the second time they are encountered is the founding principle of vaccines. Now that we understand how blood stem cells bookmark immune response circuits, we should be able to optimize immunization strategies to broaden the protection to infectious agents. It could also more generally lead to new ways to boost the immune response when it underperforms or turn it off when it overreacts, concluded Prof. Michael Sieweke.

The research group of Prof. Michael Sieweke works at the interface of immunology and stem cell research. The scientists focus on the study of hematopoietic stem cells and macrophages, long-lived mature cells of the immune system that fulfil an important role in tissue regeneration. In 2018, Prof. Michael Sieweke received the most valuable research award in Germany: the Alexander von Humboldt Professorship, which brings top international researchers to German universities. In addition to his position as Research Director at the Centre for Immunology at the University of Marseille Luminy, he now acts as Deputy Director at the Center for Regenerative Therapies at TU Dresden (CRTD). CRTD is academic home for scientists from more than 30 nations. Their mission is to discover the principles of cell and tissue regeneration and leveraging this for recognition, treatment and reversal of diseases. The CRTD links the bench to the clinic, scientists to clinicians to pool expertise in stem cells, developmental biology, gene-editing and regeneration towards innovative therapies for neurodegenerative diseases such as Alzheimers and Parkinsons disease, hematological diseases such as leukaemia, metabolic diseases such as diabetes, retina and bone diseases.

Reference: C/EBP-Dependent Epigenetic Memory Induces Trained Immunity in Hematopoietic Stem Cells by Brengre de Laval, Julien Maurizio, Prashanth K. Kandalla, Gabriel Brisou, Louise Simonnet, Caroline Huber, Gregory Gimenez, Orit Matcovitch-Natan, Susanne Reinhardt, Eyal David, Alexander Mildner, Achim Leutz, Bertrand Nadel, Christophe Bordi, Ido Amit, Sandrine Sarrazin and Michael H.Sieweke, 12 March 2020, Cell Stem Cell.DOI: 10.1016/j.stem.2020.01.017

This study was funded by TU Dresden / CRTD through the German Excellence Initiative, the German Research Foundation as well as through an ERC Advanced Grant from the European Research Council and the Alexander von Humboldt Foundation. The study was further supported by funding from the Institut National de la Sante et de la Recherche Medicale, the Centre National de la Recherche Scientifique, Aix-Marseille University, the Agence Nationale de la Recherche, the Foundation ARC pour la Recherche sur le Cancer, an INSERM-Helmholtz cooperation programme and the Einstein Foundation.

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Newly Discovered Memory in Our Bones: Keeping a Record of Previous Infections to Boost Immunity - SciTechDaily

Disabled and out of money in North Korea – BBC News

Londoner Jite Ugono never expected to find himself playing blackjack in a North Korean casino having run out of cash, but a few life-changing moments had led him there.

In his 30s he was diagnosed with multiple sclerosis (MS), then 10 years later in 2019 he was offered rare stem cell therapy, involving chemotherapy, on the NHS to help stall the progress of the condition.

It was hopeful, but he didnt want this complex treatment to become the main topic of conversation for friends and family so he decided to "do something equally rare, but opposite" and booked his trip to North Korea.

But would the country be ready to accept a traveller in a wheelchair and would his guides even turn up?

Presented by Beth Rose. A full transcript is available here.

Subscribe to Ouch Disability Talk podcast on BBC Sounds or say "Ask the BBC for Ouch" to your smart speaker.

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Disabled and out of money in North Korea - BBC News

HELP ME HAYLEY: Spokane father of six receiving life-saving cells from Poland donor – KHQ Right Now

UPDATE:

SPOKANE, Wash. -- Life-saving cells for alocal father of six are on their way to him from Poland. His family has been panicked after a travel ban was put in place by the Polish Government. They say they were told the status of the transport was stalled, and with time slipping away, they needed immediate action.

Jared Weeks was diagnosed withAcute Myeloid Leukemia back in October. His wife Janet contacted 'Help Me Hayley' on Saturday. On Sunday morning, Janet got word that the cells were on their way. She reached out to many government officials and is still trying to sort how and who helped make this happen for her husband.

"I heard that relief in (my husband's) voice and that's all I needed," she said. "I'm so thankful to everyone who shared the story, sent us prayers. I felt it. I really did. People are so overwhelmingly beautiful."

Janet says her husband will have the stem-cell transplant on Tuesday.

"I will be traveling over to Seattle on Monday evening to be there for his 're-birthday,'" she said of the procedure. "I'm so grateful."

PREVIOUS COVERAGE:

SPOKANE, Wash. -- A local father of six desperately needs help receiving life-saving cells provided by an overseas donor. His family says his life depends on it.

His wife Janet sent our Hayley Guenthner this 'Help Me Hayley' request:

"Dear Help Me Hayley,

My children and I are desperate to save my husband. He was diagnosed with Acute Myeloid Leukemia on 10/15/2019 (on his 42nd birthday of all days) since then he has been in the hospital. At the beginning of February we started our journey to the west side of the state to be under the care of Seattle Cancer Care Alliance and to make a long story short, we are now in the transplant stage of his disease.

My husband, Jared Weeks, went inpatient to the University of Washington Medical Center (UWMC) on behalf of the Seattle Cancer Care Alliance. He started his myeloablative chemo regimen on March 10th with the expectation of receiving an Unrelated Allogeneic Peripheral Blood Stem Cell transplant. He had the highest dose of chemotherapy to eliminate his disease and replace his immune system with a 38-year-old female peripheral blood stem cell donation from Poland. Because of the travel ban put in place by the Polish Government in response to the outbreak of the Novel COVID-19 virus, it is becoming impossible to transport these LIFE-SAVING cells that have been extracted from my husband's donor and brought back to the United States. I have left messages for Senator Cathy McMorris-Rodgers, Governor Jay Inslee, Mayor Woodward and Senator Maria Cantwell. I was able to speak personally with State Senator Shelly Short who is passing on this to some of her contacts in the cabinet. I reached out to the Polish Government agency handling the travel ban restrictions and have spoken with an Overseas Citizen Services Safety Officer out of Krakow Poland at the US Embassy-State Department. The travel ban has been put in place but I have been told that roads are still open as well as trains and planes, but as of midnight tonight (not sure if our time or their time) the borders will be closed until March 25th, and maybe extended depending on the COVID-19 outbreak. The cells have been collected from the donor and we are desperate to get them here. Please help us!! God help us.

My husband, Jared Weeks, was diagnosed with Acute Myeloid Leukemia on October 15, 2019 and is in DIRE need of these stem cells to survive.

We need some assistance from the "powers that be" to get these life-saving stem cells to my husband in Washington State ASAP.

His life depnds on it."

There have many people offering to test to see if they are a local match for Jared. Unfortunately, the family doesn't have the kind of time required to find a new donor.

"They would need to go to bethematch.org , however, it is too late in the game to be a donor for Jared but there are hundreds of others that need this life-saving donation as well," Janet said. "The HLA TYPING that is done can take weeks to complete and for Jared, we don't have that kind of time."

Janet is currently in Spokane with their children. She said she is doing everything she can to stay strong for her husband.

"(Jared) is one heck of a dad," Janet said. "He is hardworking, loves the outdoors, fishing, boating and taking his kids on adventures. He is amazing to us and is the center of gravity for our rather large family. He has been through hell and back with this cancer, and is still trusting God completely."

Seattle Cancer Cancer Care Alliance sent KHQ a statement on Jared and other cancer patients relying on life-saving bone marrow transplants during the COVID-19 outbreak.

"The COVID-19 outbreak is an evolving and fluid situation, and the global medical community is collaborating to address the needs of people who are relying on bone marrow transplants for their treatment and survival.

"Seattle Cancer Care Alliance is evaluating every patient who is currently connected with an international or USA-based donor to ensure we have an alternative solution for their treatment should the need arise.

"We are committed to continuing to coordinate with the National Marrow Donor Program and the World Marrow Donor Association, along with donor representatives in various countries, to prevent potential disruptions of critical medical transport so that every cancer patient has access to the life-saving treatment they need.

"SCCA is dedicated to providing the highest-quality cancer care, and we take that responsibility very seriously. We continue to work very closely with our alliance partners -Fred Hutch, UW Medicine and Seattle Childrens- and sharing our approach and best practices with other transplant centers around the country who may face similar unprecedented challenges."

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HELP ME HAYLEY: Spokane father of six receiving life-saving cells from Poland donor - KHQ Right Now

Here’s how to treat coronavirus, according to research – Daily Nation

By XINHUAMore by this Author

China has released the seventh version of the diagnosis and treatment guideline on the novel coronavirus disease (Covid-19).

Here are some drugs and therapies that have been recommended by the guideline, and some medicines that have been found to have the potential to defeat the virus and have entered clinical trials.

Chloroquine Phosphate, a widely used anti-malaria and autoimmune disease drug, has been used for more than 70 years.

The drug has been used in treating 285 critically ill Covid-19 patients in a hospital in Wuhan, and no obvious adverse reactions have been found so far.

In the latest version of the treatment guideline, Chloroquine Phosphate is recommended for Covid-19 patients from 18 to 65.

The amount for patients over 50 kg is 500 mg per dose twice a day for seven days.

The guideline also noted that patients should take less than three antiviral drugs.

Tocilizumab, with the common brand name Actemra, is an injectable synthetic protein that blocks the effects of IL-6 in patients with rheumatoid arthritis.

IL-6 is a protein that the body produces when there is inflammation.The latest version of the guideline suggests the use of Tocilizumab in patients with an increasing level of IL-6 and with extensive lesions in both lungs or severe symptoms.

Chinese researchers have found that a cause of death for severe and critically ill patients infected with the novel coronavirus is cytokine storm, an overreaction of the immune system.

These patients are found with a higher level of IL-6 in their blood.

Last month, the increasing level of IL-6 was recommended as a warning sign that the patient's situation could possibly deteriorate.

Currently, the drug is under clinical trials in 14 hospitals in Wuhan and a total of 272 severe patients had been treated with Tocilizumab as of March 5.

Convalescent plasma, processed from the plasma collected from recovered Covid-19 patients, contains a large number of protective antibodies.

As of February 28, 245 Covid-19 patients have received the therapy and 91 cases have shown improvement in clinical indicators and symptoms.

According to health authorities, plasma therapy has proved safe and effective.

4. TRADITIONAL CHINESE MEDICINE

Traditional Chinese Medicine (TCM) has been proven effective in treating Covid-19 patients.

With TCM treatment, patients with mild symptoms have seen their fever or cough alleviated, according to medical experts.

For severely ill patients, TCM helped relieve symptoms and restore blood oxygen saturation, preventing the patients' conditions from developing into critically ill cases.

TCM decoction Qingfei Paidu Soup has been recommended to medical institutions nationwide on February 6 after data analysis on 214 cases.

As of February 29, the decoction is used in 66 designated hospitals in 10 provincial-level regions in China.

Favipiravir, an influenza drug available on overseas markets, has been put in a parallel controlled study in Shenzhen, Guangdong Province, with 80 patients enlisted.

The initial outcome of the trial shows the drug has relatively obvious efficacy and low adverse reactions.

Experts have suggested expanding the trial to further observe and study its effect.

Remdesivir, developed against Ebola infections by American pharmaceutical company Gilead Sciences, has shown fairly good antiviral activity against the novel coronavirus at the cellular level.

Cao Bin, a respiratory expert who is leading the Remdesivir programme, said on Wednesday that two trials for Remdesivir are going on smoothly and China will share the data with the international community after the programme is completed.

Clinical studies on stem cell therapy, which can inhibit the overreaction of the body's immune system, have also been carried out to treat severe patients.

As of February 21, four patients who have received the therapy have been discharged from hospital, and the trial is expected to be further expanded. Currently, three kinds of stem cells mesenchymal, lung and embryonic stem cells are used in treatments.

Researchers usually inject stem cell products into the lungs.

Meanwhile, the Chinese Academy of Sciences has developed a new stem cell drug, CAStem, which has shown promising results in animal experiments.

The research team has applied for urgent assessment by the National Medical Products Administration.

Approvals by the ethics committee, and clinical observation and evaluation, are in progress.

Several research and trials on applying stem cells to treat Covid-19 patients have been carried out in the country.

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Here's how to treat coronavirus, according to research - Daily Nation

Century Therapeutics Announces Opening of Seattle Innovation Hub – Business Wire

PHILADELPHIA--(BUSINESS WIRE)--Century Therapeutics, developer of induced pluripotent stem cell (iPSC)-derived allogeneic cell therapies for cancer, today announced the opening of its Seattle-based Innovation Hub to develop next-generation product candidates that overcome barriers that have limited the effectiveness of cell therapies in solid tumor cancers.

The site will advance the companys novel iPSC science and allogeneic cell products by establishing expertise in data sciences and machine learning, synthetic biology, cancer biology and immuno-oncology. Centurys President of R&D, Hy Levitsky, M.D., will be based at the Seattle site, and together with Philadelphia-based Chief Scientific Officer Luis Borges, PhD., will oversee site operations and integration with the pipeline programs centered at Centurys Philadelphia headquarters.

The Innovation Hub supports not only Centurys continued pipeline growth and development, but also our expansion into Seattle, a center of excellence in cell therapies, said Lalo Flores, Chief Executive Officer of Century Therapeutics. I look forward to seeing the Century team grow, and am excited to have Luis and Hy leading the charge into this exciting new chapter.

Dr. Levitsky has extensive biotech industry experience, having previously served as Chief Scientific Officer at Juno Therapeutics in Seattle, as well as Head of Cancer Immunotherapy at Roche Pharma Research and Early Development. In addition, Dr. Levitsky earned his M.D. from Johns Hopkins University and has spent over 20 years on their faculty.

Dr. Borges has extensive cancer immunotherapy and cell therapy experience, having worked at Immunex, Amgen, Five Prime Therapeutics and Cell Medica, where as CSO he led the development of off-the-shelf CAR-cell therapies for the treatment of cancer in collaboration with the Baylor College of Medicine.

Centurys new Seattle Innovation Hub will provide the infrastructure needed to conduct in-depth analytics of product candidates in preparation for entry into the pipeline portfolio, said Dr. Levitsky.

The Hub will be key in realizing the potential of Centurys science to overcome limitations of first-generation cell therapies. Dr. Borges added, The Seattle and Philadelphia research laboratories will complement each other. With our current deep expertise in iPSC biology, immunology, cell and protein engineering, the new group in Seattle will help us transition to future generation products designed to have potent anti-tumor efficacy and robust safety windows.

About Century Therapeutics

Century Therapeutics is harnessing the power of stem cells to develop curative cell therapy products for cancer that overcome the limitations of first-generation cell therapies. Our genetically engineered, universal iPSC-derived immune effector cell products (NK, T, DC and macrophage) are designed to specifically target hematologic and solid tumor cancers. Our commitment to developing off-the-shelf cell therapies will expand patient access and provides an unparalleled opportunity to advance the course of cancer care. Century was launched in 2019 by founding investor Versant Ventures in partnership with Fujifilm and Leaps by Bayer. For more information, please visit http://www.centurytx.com.

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Century Therapeutics Announces Opening of Seattle Innovation Hub - Business Wire

Gene Therapy Reverses Heart Failure in Animal Model of Barth Syndrome – BioSpace

Boston Children's Hospital researchers used an investigational gene therapy to treat heart failure in a mouse model of Barth syndrome. Barth syndrome is a rare genetic disorder in boys that results in life-threatening heart failure. It also causes weakness of the skeletal muscles and the immune system. The disease is caused by a mutation of a gene known as tafazzin or TAZ.

In 2014, William Pu and researchers at Boston Childrens Hospital collaborated with the Wyss Institute to develop a beating heart on a chip model of Barth syndrome. It used heart-muscle cells with the TAZ mutation that came from patients own skin cells. This was able to prove that TAZ was the cause of the cardiac problems. The heart muscle cells did not organize normally and the mitochondria, the cells energy engines, were disorganized, resulting in the heart muscle contracting weakly. By adding healthy TAZ genes, the cells behaved more normally.

The next step was an animal model. The results of the research were published in the journal Circulation Research.

The animal model was a hurdle in the field for a long time, Pu said. Pu is director of Basic and Translational Cardiovascular Research at Boston Childrens and a member of the Harvard Stem Cell Institute. Efforts to make a mouse model using traditional methods had been unsuccessful.

Douglas Strathdees research team at the Beatson Institute for Cancer Research in the UK recently developed animal models of Barth syndrome. Pu, research fellow Suya Wang, and colleagues characterized the knockout mice into two types. One had the TAZ gene deleted throughout the body; the other had the TAZ gene deleted just in the heart.

Most of the mice that had TAZ deleted throughout their whole bodies died before birth, likely from skeletal muscle weakness. Of those that survived, they developed progressive cardiomyopathy, where the heart muscle enlarges and is less able to pump blood. The heart also showed signs of scarring similar to humans with dilated cardiomyopathy, where the hearts left ventricle is dilated and thin-walled.

The mice that lacked TAZ only in their heart tissue that survived to birth had the same features. Electron microscopy indicated that the heart muscle cells and mitochondria were poorly organized.

Pu and Wang and their team then used gene therapy to replace TAZ in the newborn mice and in older mice, using slightly different techniques. In the newborn mice the engineered virus was injected under the skin; in the older mice it was injected intravenously. The mice who had no TAZ in their bodies and received the gene therapy survived to adulthood.

In the newborn mice receiving the gene therapy, the therapy prevented cardiac dysfunction and scarring. In the older mice receiving the therapy, it reversed the cardiac dysfunction.

The study also showed that TAZ gene therapy offered durable treatment of the cardiomyocytes and skeletal muscle cells, but only when at least 70% of the heart muscle cells had taken up the gene via the therapy. Which the researchers point out that when the therapy is developed for humans, that will be the most challenging problem. You cant just scale up the dose because of inflammatory immune responses, and multiple doses wont work either because the body develops an immune response. Maintaining the gene-corrected cell is also a problem. In the heart muscles of the treated mice, the corrected TAZ gene stayed relatively stable, but slowly dropped in skeletal muscles.

The biggest takeaway was that the gene therapy was highly effective, Pu said. We have some things to think about to maximize the percentage of muscle cell transduction, and to make sure the gene therapy is durable, particularly in skeletal muscle.

Link:

Gene Therapy Reverses Heart Failure in Animal Model of Barth Syndrome - BioSpace

As COVID-19 Spreads, Here Are Disease-Modifying Therapy Guidelines – Multiple Sclerosis News Today

People with multiple sclerosis have unique concerns about the new coronavirus and the COVID-19 disease that it causes. Many of us use disease-modifying therapies (DMTs) that suppress our immune systems and give us an extra element to worry about when we plan our defense against this virus.

To help us make wise decisions, the U.K.s MS Trust and the Italian Society of Neurology have created COVID-19 guidelines related to DMTs, and both organizations recommendations are similar. They balance concerns of abruptly ending any MS treatment with those of possibly being more susceptible to this illness because some DMTs suppress the immune system.

According to BartsMS Blog, the Italian neurologists wrote that Given the lack of knowledge or data on the COVID-19 disease course in MS patients receiving DMTs, at present there is no recommendation to stop the different DMTs and therefore expose MS patients to the risk of MS exacerbations. We, therefore, recommend continuing the current DMT specifically with [the following possible modifications]:

DMTs that can be prescribed and used as usual:

DMTs whose start or continuation might be delayed, based upon individual circumstances:

A full translation of the Italian guidance by neurology professor Gavin Giovannoni can be found here.

The MS Trust adds to its guidance Mayzent (siponimod) and Arzerra (ofatumumab), which are available by private prescription in the U.K. According to the Trust, using these DMTs could also affect your risk regarding COVID-19 and should be discussed with your neurologist or healthcare professional.

It also cautions that Gilenya (fingolimod) may increase your chances of having more severe viral and other infections, including COVID-19. However, if you are already taking fingolimod, stopping can lead to rebound MS disease activity, which in many cases would outweigh the risks of the virus. If you are considering beginning a course of fingolimod in the near future, you and your neurologist could consider an alternative DMT for the time being.

Finally, it adds that Haematopoietic stem cell transplantation (HSCT) is an intense chemotherapy treatment for MS. It aims to stop the damage MS causes by wiping out and then regrowing your immune system, using your stem cells. This treatment greatly hampers your immune system for a period of time and you and your neurologist or healthcare professional should consider delaying this treatment.

The National MS Society in the U.S. is much less specific about DMTs, saying only: People with MS should continue disease-modifying therapies (DMTs) and discuss specific risks with their MS healthcare provider prior to stopping a DMT. Neither MS Australia nor the European Multiple Sclerosis Platform offers any DMT-specific guidance.

My wife and I were planning to join our son and his family on a short cruise at the end of April. Two days ago we were still considering making this trip. Even though Im 71 and have been treated with Lemtrada, I thought that with proper precautions the risks would be minimal.

However, Dr. Anthony Fauci, the top infectious disease expert in the U.S., says that elderly people shouldnt take a cruise. Period. Dr. Fauci is a man whom I reported on for many years when I worked as a journalist I highly respect his judgment and knowledge.

Additionally, the U.S. Centers for Disease Control and Prevention has issued guidance recommending that travelers, particularly those with underlying health issues, defer all cruise ship travel worldwide. The U.S. State Department has issued the same message. Former Food and Drug Administration head Scott Gottlieb says that Everyone over 60 should become a hermit for a month.

Since then, things have become even more serious.

So, no cruise with the grandkids this year. Were postponing it until 2021. Lets all hope were out of the coronavirus woods by then. Lets hope that a vaccine for this coronavirus has been developed. Lets also hope that people who think that vaccines harm, rather than help, will see the light and get themselves and their children vaccinated for influenza, measles, and other diseases for which prevention is available. Lets do what we can to hold the line on all infectious diseases.

Youre invited to visit my personal blog at http://www.themswire.com.

***

Note: Multiple Sclerosis News Today is strictly a news and information website about the disease. It does not provide medical advice, diagnosis, or treatment. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. The opinions expressed in this column are not those of Multiple Sclerosis News Today or its parent company, BioNews Services, and are intended to spark discussion about issues pertaining to multiple sclerosis.

Ed Tobias is a retired broadcast journalist. Most of his 40+ year career was spent as a manager with the Associated Press in Washington, DC. Tobias was diagnosed with Multiple Sclerosis in 1980 but he continued to work, full-time, meeting interesting people and traveling to interesting places, until retiring at the end of 2012.

Link:

As COVID-19 Spreads, Here Are Disease-Modifying Therapy Guidelines - Multiple Sclerosis News Today

Is biological warfare raising its ugly head? – citytoday

History tells us that bio-agents were restrictively used in both the World Wars (WWs). However, since then, biological warfare (BW) has largely been avoided and though a few attempts were made by some non-State actors during the 1970s-80s, by and large BW has been kept in abeyance. But of late, covert and clandestine research and development by various countries and the production of bio-agents during the post-WW-II era have brought it closer to, if not at par with its close cousins nuclear and chemical weapons. Known by different pseudonyms such as the poor mans atom bomb or germ warfare, BW is broadly defined as, The use of biological toxins or infectious agents like bacteria, virus and fungi, with the intent to kill or incapacitate humans, animals or plants as an act of war. These are primarily meant to cause mass casualties, infect a large number of people, natural resources and above all, spread panic among the rival armed forces. Devastating agents like Bacillus Anthracis, Botulism and Variola are used to spread epidemics like anthrax, cholera, plague and smallpox.

Mustard gas, a primitive bio-agent, was used during the WW-I, leading to a global outrage, which culminated in an unratified treaty banning bioweapons in 1925. Similarly, during WW-II, the Japanese allegedly used bioagents against Chinese prisoners, while the Russians did the same with the Germans. Thereafter, no major use of bio-agents was reported, except for the Sarin gas attack in 1995 by the Japanese cult Aum Shinrikyo in a Tokyo subway. A few treaties banning the use of BWs were initiated but did not make any headway as some countries refused to sign on the dotted line. The result is that a number of countries, to be precise 16, including major powers like Canada, Cuba, Israel, Iran, Iraq, Libya, Syria and North Korea are reportedly maintaining and expanding their BW inventory. As per Steven Block, a bio-physicist, the US and Russia are reportedly keeping frozen stocks of smallpox along with conventional bio-agents like anthrax and typhus.

China, under its advanced bioweapons programme, launched a few years ago, is not only trying to gain parity with the US and Russia but is aggressively working towards engineering new virus spores. One may call it a coincidence but the sudden outbreak of Coronavirus, perhaps the most potent and devastating in recent times, from Wuhan, China in December 2019, has given credence to these claims.

This pandemic has already spread to 85 countries and claimed 3,400 lives with over 1,00,000 confirmed cases that are growing by the day. India, too, has seen 30 cases and this has led to the cancellation of Prime Minister Narendra Modis visit to Brussels for an India-European Union summit.

In the meantime, US Republican Senator Bob Cotton has asserted that the Coronavirus originated from a high-security laboratory in Wuhan. This claim further substantiates global fears against Chinese designs as the country is also said to be working on gene-editing technology a targetted bio-weapon that was successfully tested in 2018.

To coin new terminology, the geo-biological scenario is becoming alarming and of late, virus, outbreaks have become rampant. First, it was the Ebola in Kenya followed by the Zika virus attack in Nigeria in October 2019 and then came the Nipah virus in Asia, particularly Kerala. Going by the suspicions over the origin of the Coronavirus, we cannot rule out that other countries are also engineering new bioweapons, the likes of which have never been seen before.

Going by the suspicions over the origin of the Coronavirus, we cannot rule out that other countries are also engineering new bioweapons, the likes of which have never been seen before

This pandemic has already spread to 85 countries and claimed 3,400 lives with over 1,00,000 confirmed cases that are growing by the day. India, too, has seen 30 cases and this has led to the cancellation of Prime Minister Narendra Modis visit to Brussels for an India-European Union summit. (MR, Inputs: Agencies).

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Is biological warfare raising its ugly head? - citytoday

Rab McNeil: Stocks wiped out as germ warfare sees panic buyers rolling in the aisles – HeraldScotland

I WILL be quite candid with you here and confess that I wont be of much use to you if you are looking for someone to panic. I dont say this in any self-laudatory way. Its a failing on my part. Slow on the uptake, dyou see? Slow to react.

At the football, for example, something happens on the pitch and all the other spectators around me stand up and shout angrily at the transgressor, be it an opposing player or the referee. But I remain seated, not sure what all the fuss is about.

Then I think, Id better stand up with all the other chaps and shout something, so I get to my feet just as everyone else is sitting down, so that when the player or referee looks over at the source of the abuse, all they see is me standing and shouting in their direction, And youve got a big nose!, or whatever are the worst terms of abuse I can dredge up from the nastiest depths of my mainly lily-white soul.

Given that CV, Im afraid Im not going to be much use in the coronavirus crisis. Like most decent ratepayers, Ive been bewildered by the run, if that is the word I am looking for, on toilet paper. Is that the most important thing in peoples lives?

Surely, it wasnt that long ago that there was no such thing? True, everybody died of diseases, but at least they were happy. What was the old rhyme? In days of old/When knights were bold/And paper wasnt invented/They somethinged their something upon the grass/And went away contented.

People are panic-buying. There are videos on YouTube of fist-fights, sometimes involving old ladies, in the loo roll aisle. At the time of going to press, the virus hasnt yet reached my corner of the Empire, but even at my local Co-op, the loo-rolls had been largely emptied (only own brand ones for the leather-bottomed remaining).

The tatties were also severely depleted, though even I would own that, without these, life would be intolerable. I would not, however, punch an old lady for the last Maris Piper. Id use the Vulcan death grip.

No dignity, dyou see? Thats the problem with a lot of you Earthlings. On paper, youre fine. Take away your paper, and you become demented.

Of course, you could always use newspapers, which many folk boast of not buying any more. Thatll learn em! The retro revival is already under way, and this should give it a boost. Only this week, the influential Daily Star newspaper provided cut out and keep sections of emergency loo roll.

A couple of things are worrying me, however. Although Ive two rolls in at the moment, what happens when these run out? If I buy another pack, itll look like Im panic buying. That said, in the Co-op the other day, I noticed I was the only who didnt have loo roll in their basket so perhaps they thought there was something wrong with me (Certainly, his bottom looks peculiar).

In Australia, a mother of 16 no kidding was lambasted by other shoppers for panic-buying multiple loo rolls when it was just her usual shop.

The other thing is, I have a permanent cough, which I think is caused by mould in the bedroom (beginning to regret planting it now), so everyone will think Ive got the virus and point, shouting: Unclean! Unclean!

And then there are your friends. Are you sure theyre not evil carriers? I think we all know folk who happily donate their lurgie as if it were a gift. Hi, thanks for coming. Weve both got the lurgie. Heres some food weve prepared for you.

Youll have to be careful with folk, I fear. Its as much for their own good as yours. Remember, where the lurgie is concerned, its always better to receive than to give. Consideration, thats the thing. Ergo, were all doomed.

Waste of space programme

THERES always been something a bit Titfield Thunderbolt about Britain having a space programme. Im a connoisseur of 1950s and 1960s classic space audio dramas dont judge me and even our fictional efforts seem a little parochial and understated.

I say, is that one of these Martian johnnies behind that rock? I wonder if he has any pipe tobacco?

Americans: theyre the folk to be going into ooter space. Brash, self-confident, outward-going, able to shoot off a tentacle at 100 yards. Even the Russians should go, to provide a little evil.

I dont know if youre familiar with the human race. If you are, you just know theyre going to make a bags of ooter space, squabbling, profiteering, misgendering the aliens and leaving litter all over the shop.

At the time of going to press, Prime Minister Bertie Johnson is being urged to make good on his rash promise of a British space strategy. But, for my money, we should stay well out of it. It cant be right that were thinking about sending spacecraft into yonder cosmos when our roads are full of potholes.

Poops my pet peev

IM not a pets person as the phenomenon plays to two of my deepest phobias: commitment and poop. But even Im starting to weaken, particularly where golden retrievers are concerned.

Are they the best dogs or what? Theyre all over YouTube, playing lovingly with budgies, rabbits and cats, ostensibly smiling and having a bright and intelligent look in their eyes.

In fact, an odd revelation from YouTube is that all animals, from the wicked (lions, birds of prey etc) downwards love to be cuddled. Its what happens when a source of food is sorted. Only when thats done can creatures relax, cuddle, philosophise and create art. Deprived of ready-supplied supermarket food, humankind would soon resort to killing budgies and even golden retriever if it filled a hole.

Everything in the world will get better when meat is produced in laboratories. Nothing will need slaughtered again. Every creature will be able to breathe freely. The lion will cuddle the budgie.

From my perspective, however, as much scientific endeavour should be directed towards eliminating poop. For, without poop, the world would be a better place.

Chant be bad

ITS intriguing to think of playing footer tournaments without crowds. These days, the crowd is accorded as much importance as the players in winning games, which is technically a miscalculation.

There are people now who stand with their backs to the pitch as they exhort via megaphone the other fellows (its nearly all men in these ultras sections) to chant tunes that are largely a variation of My favourite team, cha-cha-cha!

In Scotland, when a team goes out of a European competition in the traditional manner, the interviewer asks the foreign manager: Aye, never mind the result, whit aboot a the singing, eh?

The funny thing is, people post videos on YouTube of fans singing and no one around the poster is doing so. Its the same whenever I go to a match. No one near me ever sings, possibly out of deference to my dignity.

Whether its on YouTube, television or reality-style life, the singing is always elsewhere. Im beginning to think its pre-recorded. Meanwhile, Im sure the players will be glad of the chance to concentrate on the game without all that distracting racket.

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Rab McNeil: Stocks wiped out as germ warfare sees panic buyers rolling in the aisles - HeraldScotland

Exasperating Farrago of Distortions! Coronavirus and the Pandemic of Conspiracy Theories – News18

New Delhi: Is the novel coronavirus a biological weapon? Did it originate in China and escaped from a Wuhan laboratory or is it an American one inflicted on Wuhan? As there is much uncertainty regarding the transmissibility and virulence of this severe socio-political crisis, a spate of conspiracy theories is undermining the efforts to contain the pandemic.

Yanzhong Huang, a senior fellow for global health at the Council on Foreign Relations, directing the Global Health Governance Roundtable, has written an exhaustive article titled, 'US -Chinese Distrust Is Inviting Dangerous Coronavirus Conspiracy Theories And Undermining Efforts to Contain the Epidemic', published in Foreign Affairs.

In Huangs article, it is emphasised that rumours thrive on fear and uncertainty, and the outbreak of COVID-19, as the disease has been named, offers plenty of both. It was observed that as soon as the pathogen surfaced, social media was abuzz with suggestions that the virus was a biological weaponeither a Chinese one that had escaped from a laboratory in Wuhan or an American one inflicted on Wuhan. While such rumours are not credible, given that neither the United States nor China has incentive to develop biological weapons, they are difficult to dispel, because military officials on both sides still view with suspicion each others motives in building biosecurity programs, wrote Huang.

And the lack of trust between the two nationsas evidenced by Chinas initial refusal to allow US disease experts to visit Wuhanis undermining efforts to contain the viruss global spread, said the author in the article.

The India connection

Huang has pointed out in the article that there is also an unpublished paper authored by Indian scientists that suggested the viruss protein sequence included elements of HIV, the virus that causes AIDS. The authors withdrew the paper but the proposed linkage caught the attention of websites such as Zero Hedge, and they claimed that the novel coronavirus was weaponized by Chinese scientists. Speaking on Fox News, Tom Cotton, the Republican senator from Arkansas, suggested that it could not be ruled out that the virus originated in a lab in Wuhan that is used to handle the most dangerous pathogens, said the article.

In China, social media is full of conjecture that the virus was engineered by the United States as an agent of biological warfare. One widely shared conspiracy theory suggests that American soldiers participating in the 2019 Military World Games in Wuhan deliberately shed the virus at the Hunan Seafood Market, wrote the author. A retired People's Liberation Army general called for building a permanent biodefence force in China.

This trouble of rumours is not new in China. The author recalled that during the 2002-3 SARS epidemic, a Russian scientist claimed that the virus was a mixture of measles and mumps that could be made only in the lab. Many Chinese seized on this notion and speculated that SARS was a genetic weapon developed by the United States to target them alone.

The article in Foreign Affairs said the official China Youth Daily linked a National Institutes of Health-sponsored genetic study in China to the US genetic warfare programme. In the United States, meanwhile, a China expert suggested that the virus was linked to Chinas biowarfare program. Yet SARS was by no means a genetic weapon. According to the US Centers for Disease Control and Prevention, of the 166 reported SARS patients in the United States in 2003, 58 percent were white and 32 percent were Asian, said the article by Huang.

Bio battle

The author read chapters from history to figure out how likely is either the United States or China developing deadly biological weapons for use.

It has been published in the article in Foreign Affairs that during World War II, the United States developed biological weapons but never used them. Biological agents had certain liabilities for battlefield use: they didnt take effect right away, they could infect ones own forces, they were sensitive to environmental and meteorological conditions, and they could conceivably contaminate an area for longer than intended. Nonetheless, the United States continued to stockpile and develop biological weapons into the post-war era.

In 1969, the United States got rid of its offensive biological warfare programme and played a crucial role in successfully negotiating an international treaty known as the Biological Weapons Convention (BWC). The treaty prohibits the development, production, and stockpiling of biological agents and related delivery systems intended for hostile use. In explaining the US decision, President Richard Nixon commented in 1970 that 'well never use the damn germs, so what good is biological warfare as a deterrent? If somebody uses germs on us, well nuke em', wrote the author.

He added that compared with the United States, China came late to the game. China had been on the receiving end of germ warfare, on the part of the Imperial Japanese Armys bio-warfare Unit 731 during World War II, and proceeded to write, As a result, China felt an imperative to build research facilities devoted to defensive biological warfare. In August 1951, Premier Zhou Enlai set up the Academy of Military Medical Sciences (AMMS) to conduct research on biodefense against 'wartime special weapons'.

Since China did not possess nuclear weapons until the mid-1960s, it may indeed have explored developing biological weapons as a weapon of last resort or a strategic deterrent similar to nuclear weapons. But by 1982, China had acquired a largely invulnerable retaliatory nuclear arsenal. Two years later, China acceded to the BWC. The timing indicates that China, like the United States, found nuclear weapons to be the more credible and effective deterrent, said the author.

There was a shift in China towards economic development and funding for biodefence research facilities dwindled. They began developing products for civilian rather than military purposes. The Academy of Military Medical Sciences (AMMS) became something of an analog to the US Army Medical Research Institute of Infectious Diseases and developed a pan-anti-malaria drug called compound benflumentol and registered patents in more than 50 countries. During the 2014 Ebola virus outbreak, AMMS collaborated with Chinese pharmaceutical companies to develop two drugs [20] for treating the deadly disease, said the author, giving a challenge to conspiracy theories.

Mutual mistrust

China and the United States are both parties to the Biological Weapons Convention (BWC), yet they look upon each other with suspicion. Many people in China also perceive the United States as a potential biological warfare threat. Going by the past US government reports, allegations have been made that China continued to possess an offensive biological warfare capability based on technology developed prior to its accession to the BWC.

There have been various accusations, which the author said have not been substantiated by open-source evidence. In 2007, Chinese military researchers published an article accusing the United States of using new technologies to develop novel biological weapons agents and claiming that it was extremely likely that anthrax spores in the 2001 attacks on Democratic senators offices came from US military labs. Such suspicions might explain why the Chinese government later tightened regulations on foreigners using human genetic material and made it more difficult to pass the material abroad, wrote Huang.

Mutual distrust has been the legacy of big powers. During World War II, the United States, Canada, and the United Kingdom all developed biological weapons because they thought Hitlers Germany would develop them (it didnt), said the author.

In the context of frigid bilateral relations, a naturally occurring disease outbreak caused by an unknown pathogen can be easily framed as a bioweapons attack, said the author and quoted the historian Alfred Crosby who noted that the 1918 Spanish flu pandemic was suspected to have been started by German agents. His article mentioned that in 2004, the Indian government accused promiscuous Pakistanis of conducting Islamic jihad terrorism by deliberately spreading HIV in Kashmir. When H5N1 (bird flu) became a major concern worldwide in 2008, Indonesias then-health minister, Siti Supari, accused the United States of using virus samples to develop biological weapons and suspended the operation of a US navy medical research unit in Jakarta

Global cost

At a time of deteriorating relations between the United States and China, misperceptions of a hostile origin of COVID-19 have undermined global efforts to tackle the pathogens spread. That is a big concern.

The author pointed out that For weeks, China ignored offers of help from the US Centers for Disease Control and Prevention.

He has quoted a blog post published on a website affiliated with Jiefang Daily (the official newspaper of the Shanghai Committee of the Communist Party of China). Some US CDC experts might be on a military mission to spy on Chinas virologic research capacity, it says. Interestingly, the author pointed out that two US experts finally joined the World Health Organizations delegation to China in February, but the delegations field visit did not include the Wuhan Institute of Virologyindeed, Wuhan, the epicentre of the outbreak, was initially not even on the groups itinerary.

The author has discredited the conspiracy theories saying in the article that the claim that the novel coronavirus is a biological weapon is not only harmful but also scientifically unsupported. Scientists have pointed out that mutations [31] in the virus are completely consistent with natural evolution. According to The Lancet [32], scientists from multiple countries have overwhelmingly concluded that the novel coronavirus originated in wildlife, he wrote.

The author said that the conspiracy theories have poisoned the atmosphere for US- Chinese collaboration in addressing the outbreak, which might otherwise have presented an opportunity to reset the soured relationship.

In order to dispel misperceptions and minimalize the damage to future relations, the two countries should consider expanding their military-to-military exchanges, such that they might visit each others sites for conducting government-sponsored biodefense work. And the United States should explore channels for helping China improve its laboratory biosafety. The beginning of either measure is dialogue, Huang signed off in the article published on March 5.

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Exasperating Farrago of Distortions! Coronavirus and the Pandemic of Conspiracy Theories - News18

Coronavirus and what we can learn from the 1918 flu’s hidden history – Mashable

Humanity's greatest predator: A laboratory recreation of the H1N1 virus that killed untold millions in 1918.

Image: BSIP / Universal Images Group via Getty

The coronavirus is nothing next to the supremely deadly flu virus of 1918, at least not yet. But when you delve into the history of that epidemic, the main comparison with today becomes clear. It's in our "it can't happen here" attitude.

In 1918, modern medicine had made the world seem clean and safe. Scientists had discovered and defeated the bacterial pathogens behind many of history's biggest killers. We hadn't figured out what influenza was, exactly, but it was a known quantity, a seasonal annoyance, really deadly only to the elderly. Doctors weren't required to report it. There hadn't been a global flu outbreak in 25 years, not since the Russian flu of 1891. There was a war on, but the U.S. was congratulating itself on how disease-free its military camps were.

That mindset persisted even after what we now know as the H1N1 flu virus made itself known, likely starting in the U.S. Though its first wave, in the spring, was fast-moving, this flu's effects were relatively mild. Summer stopped it in its tracks.

There was no warning whatsoever that it would come roaring back in the fall, having mutated like an X-men villain into a terrifying killer of the young and healthy. It was a supervirus that seemed nothing like the flu, one that might, within hours of infection, make you collapse in the street, your lungs filling with fluids, gasping for air as your face turned purple and you slowly, literally, drowned.

Fluid on the floor: One of the few 1918 photos to show the victims, here in a makeshift volunteer Red Cross overflow hospital in Oakland.

Image: Underwood Archives / Getty Images

This is the true and still largely unknown story of the flu pandemic of 1918-19, the world's deadliest medical holocaust to date. Unknown? Well, if you're reasonably well up on your history, you probably recall a few facts.

First, that it happened, which is a step up from the 20th century, when it wasn't even taught in college. ("I took a course in virology," says New York Times science reporter and microbiology major Gina Kolata in her book Flu, "but the 1918 flu was never mentioned.") Second, that it struck at the end of World War I and was spread in part by troop movements. And third, that it killed between 50 and 100 million people or more than the combat death toll of World War I and World War II combined in little over a year.

But you probably don't know the difference between its three waves. Or that the "Spanish flu" name that clings to the pandemic is fake news; it's far more likely to have started in Kansas. Or that it killed more thirtysomethings than sixtysomethings. And while it is true that medical science and practice has advanced significantly since then, it is absolutely terrifying to discover that even though we have nailed down its DNA, we still can't figure out how, where or why that virus mutated.

The defining feature of 1918 flu history is how little we truly know and how powerless we would be, even now, to stop a successfully mutated virus like that one from killing millions. Here's what we most need to remember right now.

U.S. newspapers belatedly begin to report on the flu in November 1918 with a positive post-racial spin.

Image: Fototeca Gilardi / Getty Images

Remember this next time you hear a talking head on cable news bloviating about how the disease caused by the new coronavirus, or, officially, COVID-19, came from bat soup in China: We've had over a century to try to figure out where and how the 1918 flu started, and we're still arguing about it. But theories that it began in Vietnam or China in 1915 or 1916 lost ground in recent years to a theory that it began in...the very middle of America.

A January 1918 doctor's report to the government from Haskell County, Kansas, stands as the first testament to any unusual flu activity in the world that year. Remember, this reporting wasn't required, so it had to be a big deal. Haskell had many migratory birds and hog farms; we now know that bird and human viruses like to meet and mutate inside the cells of pigs. And Haskell men visited nearby Camp Funston, which reported the first of 24 U.S. Army outbreaks in March 1918. The doughboys then took the virus to Europe.

One place we can be sure the virus didn't come from is Spain. So why did countries around the world immediately start calling it "Spainish Flu" or "The Spanish Lady?" For the simple reason that Spain was neutral in World War I. It had no reason to censor its press, whereas newspapers in the U.S. and Europe were prevented by their governments from printing anything that might lower morale for the war effort.

That, publishers thought, included flu outbreaks. Even when U.S. newspapers started paying attention to the epidemic by listing numbers of new cases, they often put a positive or admonishing spin on their stories. "Worry is useless," advised the Philadelphia Inquirer. "Talk of cheerful things instead." One columnist in another paper took to task "nervous and excited people who think every pain is a symptom of the flu."

So irresponsible rumors crept into the gaps left by official reports, as they always do. When the deadly fall wave of mutated flu began in Boston, wild (and false) stories spread that it was a germ warfare attack by Germany. Or that agents of the Kaiser had somehow embedded the sickness in aspirin tablets, made by German company Bayer. Which was, ironically, about the only thing people could take at the time to reduce fever.

And what did Spain get for sounding the alarm and reporting accurately? It got saddled with the supposed origin and the very name of the disease for a century or more. No good deed goes unpunished.

U.S. president Woodrow Wilson arrives in Paris for peace talks, 1919. He may already have flu in this photo.

Image: HULTON archive / Getty Images

In April 1919, U.S. President Woodrow Wilson came down with the flu during its third and final wave which was deadlier than any outbreak in history except the wave that had preceded it. Wilson survived, but exhibited signs of neurological damage from the sickness and was never the same again. Unknown to anyone at the time, the flu had set Europe on course for World War II.

That's because Wilson got sick in the middle of the Versailles peace conference that officially ended World War I. Now, Wilson may have been an avowed racist, but at least he went to France planning to forge a global peace that didn't involve France trying to bankrupt Germany. Without Wilson as an effective presence, that's exactly what happened. The Versailles treaty was ridiculously punitive and, well, hello, Hitler.

Ironically, Wilson had set the wheels of his own destruction in motion. He had been responsible for many of the previous year's troop movements that spread the flu in the first place. He agreed with his generals that "the shipment of troops must not be stopped for any reason." His surgeon general said "the present generation" had been "spoiled" by excellent medical care, and shouldn't rush to their doctors with "mild cases" of flu.

Wilson was far from the only luminary to have a life-threatening flu encounter. Kaiser Wilhelm II celebrated news of the "Flanders fever," as the Germans called it, because it attacked French troops first. But flu easily crossed trench lines, and the kaiser fell sick before he was forced to abdicate. British Prime Minister David Lloyd George, whose government censored flu reports, got so sick that he had to wear a respirator. This news, too, was censored.

Unnamed baseball players wearing masks while perfectly healthy, 1918.

Image: George Rinhart / Corbis via Getty Images

It's the one defining feature when you look back through 1918 archives: Everyone, it seems, wore masks. There are pictures of public officials wearing masks, barbers wearing masks, men who didn't wear masks being barred by an officious bus conductor. There are local laws about wearing masks in public, determining the exact thickness of gauze, or cheesecloth, that your mask had to be.

But then as now, the mask craze didn't do much to slow the spread of the virus. Then as now, there was little point in uninfected people wearing them. Then as now, mask use should have been confined to those who were actually sick, and to medical workers.

What might have helped? Obviously, a greater emphasis on hand hygiene. More and faster reporting of flu locations, and a more robust government response. Cutting down on those troop movements as much as possible, and on large gatherings such as the infamous Liberty Bond rally in Philadelphia that infected thousands at once. Within 72 hours, every hospital bed in the city was filled.

But humans will be humans, and they will gather together. How were authorities supposed to stop them from celebrating the end of World War I in the streets that November? What public health campaign could prevent entire villages around the world from coming out to celebrate the joyful return of their soldier boys, dooming themselves in the process? This, perhaps, is why the 1918 flu was rarely taught in schools: It had a grim inevitability to it, one that showcased how powerless we are to prevent catastrophe coming at us from all angles.

It is in these stories that we can glimpse the seeds of inevitable future pandemics. No modern medical system can withstand an influx of flu victims on the scale of 1918. If hospitals get overwhelmed, that's a force multiplier for all kinds of casualties. And unless you ban every conference and concert, or shut down every movie theater, successful viruses will do what successful viruses will do: spread faster than you can stop them.

The best we can do is not be as complacent as the people of 1918 and choose leadership that offers reality-based responses.

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Coronavirus and what we can learn from the 1918 flu's hidden history - Mashable

We clean freaks will stand and scrub together | Sam Venable – Knoxville News Sentinel

Sam Venable Published 6:00 a.m. ET March 11, 2020

The risk of developing severe illness from the new coronavirus, COVID-19, is low for most people, according to the Centers for Disease Control and Prevention. The CDCrecommends taking simple steps to avoid catching or spreading respiratory diseases, including COVID-19. These include covering your cough or sneeze, disinfecting commonly used surfaces, and thoroughly washing or sanitizing your hands. Call your doctor and stay home if you are sick. Get more information atCDC.gov/coronavirus.

Knox News is making this coverage of the coronavirus available to all readers, including nonsubscribers, to help people stay safe.

I come to you today in my role as executive director of the PGA (Prudish Germaphobes of America).

With full copycat malice aforethought, I shamelessly hijack the tune of a jukebox hit by Connie Francis: Whos Sorry Now?

Whos washing now? Please take a bow!

Whose hands are sterile before eating chow?

Whos clean anew, like morning dew?

Just like I was when chided by you.

Yet I do commend; youve joined the trend.

Youre staying spotless somehow.

With soap and spray, you dont delay.

Im glad that youre washing now.

Sam Venable, KNS columnist.(Photo: NEWS SENTINEL FILE)

OK, enough nonsense. I dont mean to make light of the coronavirus outbreak rapidly circling the globe.

Unlike a certain resident of 1600 Pennsylvania Ave. or the first tee at Mar-a-Lago, as the case may more accurately be my hunch says weve only just begun to feel the full wrath of this pestilence.

Gulp. Heaven help us. Literally.

But just as theres nobody more obnoxious than a born-again nonsmoker (been there, done that, too), rest assured we reformed dirtbags preach the same insufferable brand of told-you-so.

Not unwashed dirtbags like Pig-Pen, the cartoon character. I speak more on the microbial level.

For perhaps the first three decades of my existence, I gave little thought to the intricacies of germ warfare.

A dropped morsel of food? The five-second rule applies.

Throat parched on a mountain hike, hunt or fishing trip? Any cold, babbling stream should be clean enough.

That kind of germ warfare.

Then I got disease religion. It was the pathogenic equivalent of Sauls conversion on the road to Damascus.

Except Saul was a quick study.

It took not one, but two, emergency hospitalizations the second in isolation until the particular cootie could be identified for me to see the light.

Ever since, theres never been such a hand-washing, Purell-squirting, water-carrying, cough-and-sneeze avoiding, paper towel door-opening zealot than yours truly. Back when I was a full-time staffer at the News Sentinel, colleagues often teased about my clean-freak coffee pot practices.

Will devotion to disinfectants protect against the coronavirus? Who knows?

News about this disease changes by the hour. Questions and conspiracy theories abound. Vaccine research continues 24/7. Maybe it wont be as bad as predicted. Or maybe were in line for a sure-nuff pandemic.

At least I aint going down without a suds-and-scrubbing fight.

Sam Venables column appears every Sunday. Contact him at sam.venable@outlook.com.

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We clean freaks will stand and scrub together | Sam Venable - Knoxville News Sentinel

Corbella: Don’t spread the virus or fake news – Calgary Sun

On Friday, a good friend of mine sent me some viral information, purportedly from Stanford University about how to self-diagnose COVID-19, prevent it and kill it. I was suspicious immediately.

First, it was rife with comma abuse, awkward phrasing and spelling mistakes and it made really outrageous claims.

Serious excellent advice by Japanese doctors treating COVID-19 cases, it declared. Now, thats some seriously terrible phraseology.

The post claims that if you drink water every 15 minutes, the virus will go down through your throat and into the stomach. Once there, your stomach acid will kill all the virus. If you dont drink enough water regularly, the virus can enter your windpipe and then the lungs. Thats very dangerous.

If it were that simple, would there be a pandemic now killing thousands of people, closing down professional sporting events, emptying schools, turning bustling cities into ghost towns and affecting the entire worlds economy?

A quick Google search showed that the Info from Stanford University was fake.

Misinformation about COVID-19 is potentially dangerous as it can give people a false sense of security or it might entice them to spend their money on false cures that at best do nothing good and at worst do damage.

A medical worker checks the temperature of a visitor at the city hall in Kiev on Friday.SERGEI SUPINSKY / AFP via Getty Images

It seems that as fast as the coronavirus spreads, so too does misinformation.

Fake news is rampant in the U.S. as its been coming straight from the top.

U.S. President Donald Trump has been commander-in-chief of coronavirus misinformation to the American public for weeks until Friday. Thats when he declared it a national emergency.

As one of my newsroom colleagues quipped: Trump finally understood the gravity of the situation after he learned that the Masters had been suspended.

The amount of misleading, made up and outright lies being spread like germ warfare by Trump has been astonishing and disturbing.

On Feb. 28, for instance, Trump said that coronavirus will disappear like a miracle while speaking at a media conference for his coronavirus task force. The following week he told reporters that the coronavirus will go away. He also speculated that warm weather would kill the virus and stop its spread. Experts have debunked all of those claims, saying that while some illnesses like the seasonal flu do decline in warmer weather, there is no evidence COVID-19 will diminish in the spring or summer.

Again on Feb. 28, during one of his rambling speeches to his base in South Carolina, Trump likened the Democrats criticism of his administrations response to the coronavirus to their attempts to impeach him, saying this is their new hoax.During that speech he also downplayed the severity of the outbreak, comparing it to the common flu.

Astonishingly, during a press conference last week in Atlanta about COVID-19, Trump said that he didnt know people died of the flu. According to Trump biographer Gwenda Blair, his grandfather died of the flu in 1918. How can someone reach the age of 73, never mind the most powerful office in the world, and not know such widely understood facts?

U.S. President Donald Trump stands with members of his coronavirus task force as he declares the coronavirus pandemic a national emergency in Washington on Friday.JONATHAN ERNST / REUTERS

Others are trying to profit off of the misinformation.

On Thursday, New York Attorney General Letitia James was forced to order radio host Alex Jones to immediately cease and desist selling and marketing products as a treatment or cure for the coronavirus.

Alex Jones through his website http://www.InfoWarsStores.com has been marketing and selling toothpaste, dietary supplements, creams, and several other products as treatments to prevent and cure the coronavirus. Jones fraudulently claims that these products are a stopgate against the virus and that the United States government has said his Superblue Toothpaste kills the whole SARS-corona family at point-blank range.

Mr. Jones public platform has not only given him a microphone to shout inflammatory rhetoric, but his latest mistruths are incredibly dangerous and pose a serious threat to the public, James added.

Other things are putting the populace at risk too. People who are hoarding bottles of hand sanitizer, face masks and other personal protective items are bad enough. Those who then go online to sell the products for grotesque profits feeding on the fears of vulnerable people are truly disgraceful.

So, here are some facts: There is no cure for COVID-19. A vaccine has not been created yet and wont be for some time. If someone claims to have a cure and it costs money, dont believe them. They are charlatans trying to enrich themselves on your fear.

This is how you can avoid catching the virus: wash your hands frequently; dont touch your face; avoid crowds; try to keep a social distance from people if you must be in a crowd; dont travel overseas unless its absolutely necessary; if you sneeze or cough, do so into the crook of your elbow or into a tissue and then throw it away in a bag-lined garbage pail.

If you fear that you may have the virus, it is recommended by health authorities that you do NOT go to the emergency department or even your doctors office as you could spread the disease.

If you have the symptoms of COVID-19 fever, cough, difficulty breathing Alberta Health recommends you call HealthLink at 811. Your symptoms will be assessed and triaged and, in the Calgary or Edmonton areas, if they think you need to be tested you will be directed to an assessment centre. In other parts of the province, someone may come to your home to do a swabbing. You may have to wait a bit on the line as call volumes are high.

Reach out to your elderly neighbours, give them your cellphone number if they dont already have it, and let them know that you are available to help them.

Dont spread the virus and, just as importantly, dont spread misinformation about the virus. Some vulnerable persons life could depend on it.

Licia Corbella is a Postmedia columnist in Calgary. lcorbella@postmedia.com

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Corbella: Don't spread the virus or fake news - Calgary Sun

STERAMIST IS MOBILIZED TO AID IN THE CONTROL SARS-CoV-2 IN DAEGU-KYUNGBUK PROVINCE, SOUTH KOREA – Yahoo Finance

BEVERLY HILLS, Calif., March 10, 2020 (GLOBE NEWSWIRE) -- TOMI Environmental Solutions, Inc. (TOMI) (TOMZ), is a global company specializing in disinfection and decontamination, utilizing its premier Binary Ionization Technology (BIT) platform through its SteraMist products - a hydrogen peroxide-based mist and fog composed of ionized Hydrogen Peroxide (iHP). GDscience Co., Ltd. announced that the latest sterilization equipment, SteraMist, exclusively supplied by TOMI Environmental Solutions, Inc., was mobilized for the protection of Kyungpook National University and ROK Daegu Hospital related to SARS-CoV-2.

Developed by DARPA, a research institute under the US Department of Defense, as a defense equipment for chemical and biological warfare (such as anthrax and nerve gas), SteraMist is a product now commercialized by TOMI Environmental Solutions, Inc.

In Korea, GDscience supplied SteraMist decontamination to the Korea Armed Force CBR Defense Command, a specialized team for the protection of life and death. It was used in special areas such as hospital negative pressure isolation rooms, operating rooms, and pharmaceutical sterile rooms. According to a statement issued by President Moon Jae-in, "Utilize the full national resources to supportDaegu-Kyungbuk area" for both military personnel and chemical vehicles. SteraMist, the special sterilization equipment owned by the ROK Armed Force CBR Defense, was used to protect the Kyungpook National University and the ROK Army Daegu Hospital, two areas selected as first priorities under the cooperation of Daegu City and Army 2 Operation Command.

An official of GDscience, the exclusive supplier of SteraMist in Korea, said, At the time of the outbreak of MERS CoV (Middle East Respiratory Syndrome), which occurred in Saudi Arabia and has been on the rise in Korea since 2015, the official termination of the pandemic was announced after the decontamination by SteraMist. In the Ebola crisis in Africa, it [SteraMist] was designated as the official decontamination equipment to eradicate Ebola from all over the world.

TOMI Environmental Solutions, Inc.: Innovating for a safer world

TOMIEnvironmental Solutions, Inc. (OTCQB:TOMZ) is a global decontamination and infection prevention company, providing environmental solutions for indoor surface disinfection through the manufacturing, sales and licensing of its premier Binary Ionization Technology(BIT) platform. Invented under a defense grant in association with the Defense Advanced Research Projects Agency (DARPA) of the U.S. Department of Defense, BITsolution utilizes a low percentage Hydrogen Peroxide as its only active ingredient to produce a fog of ionized Hydrogen Peroxide (iHP). Represented by the SteraMist brand of products, iHP produces a germ-killing aerosol that works like a visual non-caustic gas.

TOMIproducts are designed to service a broad spectrum of commercial structures, including, but not limited to, hospitals and medical facilities, cruise ships, office buildings, hotel and motel rooms, schools, restaurants, meat and produce processing facilities, military barracks, police and fire departments, and athletic facilities.TOMIproducts and services have also been used in single-family homes and multi-unit residences.

TOMIdevelops training programs and application protocols for its clients and is a member in good standing with The American Biological Safety Association, The American Association of Tissue Banks, Association for Professionals in Infection Control and Epidemiology, Society for Healthcare Epidemiology of America, America Seed Trade Association, and The Restoration Industry Association.

For additional information, please visithttp://www.tomimist.com/or contact us atinfo@tomimist.com.

Safe Harbor Statement under the Private Securities Litigation Reform Act of 1995

Certain written and oral statements made by us may constitute forward-looking statements as defined in the Private Securities Litigation Reform Act of 1995 (the Reform Act). Forward-looking statements are identified by such words and phrases as we expect, expected to, estimates, estimated, current outlook, we look forward to, would equate to, projects, projections, projected to be, anticipates, anticipated, we believe, could be, and other similar phrases. All statements addressing operating performance, events, or developments that we expect or anticipate will occur in the future, including statements relating to revenue growth, earnings, earnings-per-share growth, or similar projections, are forward-looking statements within the meaning of the Reform Act. They are forward-looking, and they should be evaluated in light of important risk factors that could cause our actual results to differ materially from our anticipated results. The information provided in this document is based upon the facts and circumstances known at this time. We undertake no obligation to update these forward-looking statements after the date of this release.

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STERAMIST IS MOBILIZED TO AID IN THE CONTROL SARS-CoV-2 IN DAEGU-KYUNGBUK PROVINCE, SOUTH KOREA - Yahoo Finance

COVID-19 and Us OrissaPOST – Wink Report

India and the world is effectively in an emergency mode. Due to COVID-19, flight services are disrupted, businesses have landed themselves in slow mode and public assembly is increasingly getting prohibited. Shopping malls and cinema halls have been asked to down shutters in many states.

With COVID-19 tolls overshooting SARS and spreading to over a hundred nations in a matter of three months, the world is now faced with a grim situation. Over 1,61,000 cases have been detected around the globe, and the death toll at about 6,000. As yet, there is no known cure or vaccine to treat the disease.

Even rich and powerful countries such as the USA, which have proved inefficient in the face of this particular crisis, have declared national emergency. Mainland Europe is reportedly worst affected. India, thankfully, has not yet seen the disease go out of control. It may not be because the healthcare system is robust and has not let the disease spread in the country; it could just be sheer luck. On the other hand, we Indians may have been spared the full brunt of the virus because of our filthy living conditions, which may have helped create a better immune system. Also, some claim, the rising temperatures due to onset of summer in the subcontinent may help keep cases of COVID-19 relatively under control. The most worrying factor about spread of the pandemic in India is the insensitivity of people who return to the country from the coronavirus affected places such as Italy. In Kerala, one set of travellers who returned from Italy went around spreading the infection among their kith and kin. Their irresponsible behaviour has led to rise in the number of people infected by the virus in the southern state. Although COVID-19 has not claimed many lives in India, it is no reason to drop guard. It roughly has a 3% mortality rate, according to reports. In this case, the asymptomatic infected person becomes a carrier and can thereby infect others without detection, posing a huge threat to a society such as India. In the context of COVID-19, India is presently considered to be at Stage-2, as described by World Health Organization. That means, infections could now be locally transmitted after getting introduced from other geographical locations. Stage-3 would imply community transmissions, in which case the infection crisis would affect larger geographical areas. With a massive and close-living population, the spread would become truly pandemic if social isolation goes unheeded in India.

At a time when the disease has already dragged the world into economic turmoil, Indians will have to act extremely carefully in the larger interests of the country. The state alone cannot be held responsible for preventing the outbreak of a pandemic. People are equally responsible and need to behave responsibly to avert a crisis. It is understandable that there is much fear about the disease and no one wants to contract it.

Another equally important measure in the fight against the infection is preventing scare mongering. Several instances of rumors spreading panic among people have been reported. In countries such as Italy, even national leaders have led to the spread of perceptions that immigrants were responsible for the spread of the disease. Such actions will have deeper consequences on the world in the days to come. It will lead to cornering of the marginalised and possibly lead to further deterioration of their conditions. Every single individual action will matter in how the disease is contained. In a globalised world, it is next to impossible for any nation to be excluded from the impacts of a pandemic. The only way out is having a sensitised and sensible population where people behave responsibly in the interest of both themselves and the society. It is important that persons suspected of the disease keep their social interactions to bare minimum. If and when family or friends travel and come from infected areas, they should quarantine themselves for the requisite amount of time while waiting to be tested by appropriate health authorities. Refraining from socializing and maintaining distance from family and friends goes without saying. These are not matters that are entirely in the control of the state. It is important particularly in countries such as India, where the healthcare infrastructure is not strong and wide enough to contain an outbreak on a larger scale. It is doubtful whether India could keep an outbreak of the dimensions that China has witnessed if it was faced with such a misfortune. While saying this, one must take note of the conspiracy theory about coronavirus spreading from Wuhan, which pointed to a germ warfare experiment gone wrong. Luckily, India is incapable of such high level research and development. This may remind many of the heated debates that took place during the Indo-US Nuclear Treaty in 2009. Every sensible Indian was concerned at that time about possible nuclear accidents and whether we, as a nation, were prepared to face a calamity of that level while at the same time controlling the atmospheric damage. General conclusion of informed people at the time was that India was totally unprepared and would create a global catastrophe if faced with a situation similar to the Fukushima Daiichi nuclear power plant disaster.

Even if the country were to be well-equipped to handle a pandemic, it will be helpless if pitted against careless behaviour of its citizenry.

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COVID-19 and Us OrissaPOST - Wink Report

On the front line in the battle against Swindon’s shoplifters – Swindon Advertiser

HIGH above the Brunel Centre CCTV operators sit in front of a wall of computer screens.

Each of the 21 screens shows a different view of the Swindon shopping centre, beamed from one of the 70 odd cameras installed in and around the Brunel. The camera feeds are shared to Swindon Borough Councils own CCTV hub at Waterside, Cheney Manor.

CCTV operator Yvonne Booth has been doing the job for 11 years.

I love my job, she beams. When I first went in there they said I was going to be pretty rubbish. The opposite was true and over the years she has caught hundreds of shop thieves.

Shes part of the town centres effort to counter the shoplifters.

Those on the front line meet regularly at inSwindons Fleming Way offices. The 14 people at the briefing include police officers, inSwindons street team and representatives from the towns bigger shops.

For PC Paul Bezzant, beat manager for the town centre, and street team manager Kev Saunders its a chance to brief stores on the latest prolific offenders, court results and anti-social behaviour.

When the Adver joined the Tuesday meeting the hot topics included wheelie-pulling youngsters and a prolific shoplifter due before the magistrates that morning.

One security guard told the Adver: Were more aware of the problems now. Another added: It doesnt go away, but we seem to be keeping on top of it.

Meeting over, Kev Saunders and PC Bezzant head over to the state-of-the-art CCTV room at the top of the Brunel Centre.

The pair have known each other for years. Kev said: Ive worked in the town centre for 17 and a half years. I started at Millets, the camping shop.

They used to give me a radio to stand at the front and meet-and-greet. I sort of fell in love with security there.

I did security for 15 years before I came over to this job.

PC Paul Bezzant and Kev Saunders in The Brunel

Shops were changing their ways. For me, my passion was detaining shoplifters, getting them arrested and dealt with. Policies with shops changed and it was all about deterring. It killed the joy out of my job a bit.

When this role came up with inSwindon it was a chance to support the town with my wealth of knowledge of all the shoplifters I know.

All the shops in the town centre as well as outlets like the Orbital and Greenbridge are covered by the business improvement districts DaySafe system a radio network that connects shops, council CCTV operators and the police.

There is also an app, with police uploading images of prolific shoplifters and Swindons most wanted criminals.

At the last count there were around 300 faces on the app.

Its the knowledge, Kev said of the benefits of DaySafe.

Its the collaborative work with everybody. If you all join together youre a bigger force to fight crime as opposed to a single person on your own.

As times change different stores get targeted for different goods.

But a cursory glace at the magistrates court lists or a shoplifters shopping list found in a Swindon pub in December 2018 show that the basics remain the same: food, make-up, clothes and toys.

PC Bezzant said: People steal things they think people want, such as cheese, coffee, joints of meat.

He said the strangest shoplifted item hes come across was a sex toy from Regent Street Anne Summers.

Both the constable and the street team manager stressed that thefts from shops were far from victimless crimes, as thought by some.

Kev said: Its not a victimless crime. To recoup that money the shops put the prices up. At the end of the day it affects all of us.

For the independents it has a massive affect. You can tell it really hits home for them. Its personal for them because its their business, he explained.

Training for stores was last year said to have saved businesses 100,000 - up from 72,000 the year before.

The cash was saved thanks to a combination of better training in stopping shoplifters and better information sharing between businesses.

Some of the town's recent prolific shoplifters

Martin Morgan

Martin Morgan, 34, was spared prison last month despite having around 150 theft offences to his name.

Swindon magistrates heard Morgan took alcohol and meat worth 109 from Marks and Spencer on January 25, returning 16 days later to take an unknown number of steaks.

On February 13 he was spotted by staff at the Waitrose store in Wichelstowe taking Jack Daniels and Bells whiskey.

Prosecutor Kate Prince said: He was asked by a member of staff to put them back, to which he said no. He then left the store with his coat pockets bulging.

Anna Burns

Anna Burns, 34, was described as a persistent thorn in the side of Swindon shopkeepers by a crown court judge.

She was jailed for another 10 weeks earlier this month after stealing from a Bristol shopping centre shortly after being released from womens prison Eastwood Park on licence.

The Swindon woman had been given a five month stretch at the crown court in early February for a spree that saw her steal from Greggs, Lush, a Polish deli, Sainsburys and Mothercare.

On one occasion she stole make up from Boots just hours after she was released on bail.

Christopher Simpkins

Christopher Simpkins, 41, vowed to go clean last month.

Its not before time for the veteran shoplifter with more than 100 theft offences on his record.

The Pinehurst man admitted five shoplifting charges, stealing almost 550-worth of meat from the Co-op in October, November and December.

He had stashed steaks in his pockets, but was identified from CCTV.

Emma Hillier, defending, told the justices her client was keen to make a change having spent recent years in-and-out of jail.

He feels he is wasting his time in prison, she said.

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On the front line in the battle against Swindon's shoplifters - Swindon Advertiser

Gene Therapies: Overcoming the Biggest Hurdles in… – Labiotech.eu

By 2024, the gene therapy market is expected to reach an estimated worth of $13B (11.6B). With several therapies approved and hundreds of clinical trials underway, the sector is booming. However, its sudden and fast growth and the complexity of the therapy itself have resulted in a number of hurdles that need to be overcome.

Especially during manufacturing, researchers face challenges at different stages, including process development, safety testing, vector characterization, and when it comes to regulatory guidelines. One of the key issues is the highly compressed timeline researchers have to work with. Instead of the average eight to ten years that it takes to develop a drug, gene therapies are usually developed within three to five years.

Another challenge resulting from the rapid growth of the sector is the increasing demand for plasmids. As the key building blocks for the development of viral vectors, plasmids are needed for gene therapy development. Currently, the industry is struggling to meet the demand for plasmids, forcing companies to think outside the box. This bottleneck has resulted in the development of nonviral vector solutions, which we will see more of in the future.

But compressed timelines and viral vector bottlenecks are not the whole story. This infographic discusses the challenges at various stages of gene therapy manufacturing; what you can do to ace the manufacturing process; and what we can expect in the future.

We developed this infographic in collaboration with Merck. With decades of experience, Merck has already developed three gene therapy products through to commercialization; tested over 10,000 cell and gene therapy samples in one year; and has over 500 batches of different viruses to ensure a smooth manufacturing process.

Author: Larissa Warneck, Science Journalist at Labiotech.eu

Design: Elena Resko

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Gene Therapies: Overcoming the Biggest Hurdles in... - Labiotech.eu

Almost 400 cell and gene therapies in US pipeline, finds report – European Pharmaceutical Review

New research has found that there are 362 cell and gene therapies in clinical pipelines in the US, an increase from 2018.

A new report from Americas Biopharmaceutical Companies has revealed that there are 362 cell and gene therapies in development in the US. Roughly a third of the therapies, 132, are potential treatments for rare diseases.

The research also highlights that the rate of R&D in this field is growing, as in 2018, a Pharmaceutical Research and Manufacturers of America (PhRMA) report on the cell and gene therapy pipeline found 289 therapies in clinical development in the US.

There are currently nine cell or gene therapy products approved by the US Food and Drug Administration (FDA).

Cell and gene therapies represent two overlapping fields of biomedical research with similar aims, which target DNA or RNA inside or outside the body. Gene therapies use genetic material, or DNA, to alter a patients cells and treat an inherited or acquired disease, whereas cell therapy is the infusion or transplantation of whole cells into a patient for the treatment of an inherited or acquired disease.

According to the report, the novel cell and gene therapies range from early to late stages of clinical development and are focused on a variety of diseases and conditions from cancer, genetic disorders and neurologic conditions.

Some of the cell and gene therapies in the pipeline include:

Another finding highlighted by the report is the 60 RNA therapeutics in development. Whilst not a kind of cell or gene therapy,RNA interference (RNAi) and antisense RNA use a genes DNA sequence to turn it off or modify the gene expression. So, these treatments can potentially inhibit the mechanism of disease-causing proteins.

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Almost 400 cell and gene therapies in US pipeline, finds report - European Pharmaceutical Review

Homology Medicines Announces Peer-Reviewed Publication of HMI-102 Investigational Gene Therapy Demonstrating Restoration of Normal Metabolic Pathway…

- Data Package Supported Initiation of Ongoing pheNIX Clinical Trial forAdults with PKU -

BEDFORD, Mass., March 16, 2020 (GLOBE NEWSWIRE) -- Homology Medicines, Inc. (Nasdaq: FIXX), a genetic medicines company, announced today the peer-reviewed publication of preclinical data that supports Homologys HMI-102 investigational gene therapy program for the treatment of adults with phenylketonuria (PKU). HMI-102 is currently being evaluated in the pheNIX Phase 1/2 clinical trial, and the Company plans to provide an update on the trial when selecting the dose for the expansion part, which is currently anticipated in mid-2020.

The published data shows that a single administration of HMI-102 (AAVHSC15-PAH) produced a sustained reduction in phenylalanine (Phe), the key biomarker in the diagnosis and management of PKU, for the lifespan of the established murine model for PKU. The data also demonstrated a concomitant increase in tyrosine (Tyr), a metabolite of Phe and precursor to neurotransmitters, indicating enzymatic activity. Additionally, brain levels of Phe, 5-HIAA (downstream serotonin metabolite) and coat color were normalized, further indicating restoration of the Phe metabolic pathway.

We developed a robust preclinical data package for our investigational HMI-102 gene therapy, which supported the initiation of our ongoing Phase 1/2 pheNIX clinical trial for adults with PKU, stated Albert Seymour, Ph.D., Chief Scientific Officer of Homology Medicines. These published data demonstrated that a single dose of HMI-102 was able to restore the normal biochemical pathway in the established PKU model on normal protein diet. Initial data from the pheNIX trial suggests that the increased PAH enzymatic activity after administration of HMI-102 seen in the preclinical model was also observed in the clinical study.

Key data in the publication include:

The publication, Sustained Correction of a Murine Model of Phenylketonuria Following a Single Intravenous Administration of AAVHSC15-PAH, was peer-reviewed and published in the journal Molecular Therapy: Methods & Clinical Development. For more information, please visit http://www.homologymedicines.com/publications.

About the Phase 1/2 pheNIX Clinical Trial in Phenylketonuria (PKU)The pheNIX trial is the first gene therapy clinical trial ever conducted for people with PKU. pheNIX is designed to evaluate the safety and efficacy of a single intravenous administration of HMI-102 in adult patients with PKU aged 18-55. The study design allows for expansion of the number of patients in any dose cohort pending review by the Data Monitoring Committee and the Homology Internal Data Review Team. A decision to expand would trigger the addition of the randomized, concurrently controlled Part B of the trial, which has the potential to be converted to a registrational trial. The primary efficacy endpoint of the expansion part is incidence of sustained plasma Phe concentration 360 mol/L as demonstrated by two measurements 360 mol/L between 16 and 24 weeks.

About Homology Medicines, Inc. Homology Medicines, Inc. is a genetic medicines company dedicated to transforming the lives of patients suffering from rare genetic diseases with significant unmet medical needs by curing the underlying cause of the disease. Homologys proprietary platform is designed to utilize its human hematopoietic stem cell-derived adeno-associated virus vectors (AAVHSCs) to precisely and efficiently deliver genetic medicinesin vivoeither through a gene therapy or nuclease-free gene editing modality across a broad range of genetic disorders. Homology has a management team with a successful track record of discovering, developing and commercializing therapeutics with a particular focus on rare diseases, and intellectual property covering its suite of 15 AAVHSCs. Homology believes that its compelling preclinical data, scientific expertise, product development strategy, manufacturing capabilities and intellectual property position it as a leader in the development of genetic medicines. For more information, please visitwww.homologymedicines.com.

Forward-Looking Statements This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. All statements contained in this press release that do not relate to matters of historical fact should be considered forward-looking statements, including without limitation statements regarding our expectations surrounding the potential, safety, efficacy, and regulatory and clinical progress of our product candidates; plans and timing for the release of clinical data from the Phase 1/2 pheNIX trial, including the Part B expansion; plans and timing for the release of clinical data; our beliefs regarding our manufacturing capabilities; advancing our novel platform and pipeline; our goal of delivering potential cures to patients; beliefs about preclinical data; our position as a leader in the development of genetic medicines; the sufficiency of our cash, cash equivalents and short-term investments; and our participation in upcoming presentations and conferences. These statements are neither promises nor guarantees, but involve known and unknown risks, uncertainties and other important factors that may cause our actual results, performance or achievements to be materially different from any future results, performance or achievements expressed or implied by the forward-looking statements, including, but not limited to, the following: we have and expect to continue to incur significant losses; our need for additional funding, which may not be available; failure to identify additional product candidates and develop or commercialize marketable products; the early stage of our development efforts; potential unforeseen events during clinical trials could cause delays or other adverse consequences; risks relating to the capabilities and potential expansion of our manufacturing facility; risks relating to the regulatory approval process; our product candidates may cause serious adverse side effects; inability to maintain our collaborations, or the failure of these collaborations; our reliance on third parties; failure to obtain U.S. or international marketing approval; ongoing regulatory obligations; effects of significant competition; unfavorable pricing regulations, third-party reimbursement practices or healthcare reform initiatives; product liability lawsuits; failure to attract, retain and motivate qualified personnel; the possibility of system failures or security breaches; risks relating to intellectual property and significant costs as a result of operating as a public company. These and other important factors discussed under the caption Risk Factors in our Annual Report on Form 10-K for the year ended December 31, 2019and our other filings with theSECcould cause actual results to differ materially from those indicated by the forward-looking statements made in this press release. Any such forward-looking statements represent managements estimates as of the date of this press release. While we may elect to update such forward-looking statements at some point in the future, we disclaim any obligation to do so, even if subsequent events cause our views to change.

Company Contacts:Theresa McNeelyChief Communications Officer and Patient Advocatetmcneely@homologymedicines.com781-301-7277

Media Contact:Cara MayfieldSenior Director, Patient Advocacy and Corporate Communicationscmayfield@homologymedicines.com781-691-3510

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Homology Medicines Announces Peer-Reviewed Publication of HMI-102 Investigational Gene Therapy Demonstrating Restoration of Normal Metabolic Pathway...

Gene therapy giving Flames executive Snow hope in ALS fight – NHL.com

He swipes once. Twice. Three times.

The lidocaine goes in, to freeze the skin. Then the needle.

Slowly, precisely, Rasquinha removes spinal fluid through the lumbar puncture, commonly known as a spinal tap. He then gives him the injection that Snow and his wife, Kelsie, believe is saving his life.

They believe because they want to, because they have to, and because -- against every single odd, against every single thing you've ever heard regarding amyotrophic lateral sclerosis, or ALS -- it just might be working.

Snow, a 38-year-old assistant general manager for the Calgary Flames, was diagnosed with ALS on June 17. It was not a surprise. His family has been ravaged by the familial form of the disease, with his father, two uncles and a cousin having died from ALS caused by the SOD1 genetic mutation.

ALS affects motor neurons, the cells that control muscle movement. As ALS progresses, the motor neurons die, the muscles become weaker, and eventually movement slows or becomes impossible.

It's what Snow saw happen in his right hand, how he began to suspect that the disease had come for him too. But almost immediately after his diagnosis, which usually carries a life expectancy of between six and 18 months, Snow enrolled in a phase 3 clinical trial at Sunnybrook Health Sciences Centre in Toronto for those with the SOD1 mutation, which affects 2 percent of ALS patients.

In this, he was lucky, both that it was available and that he qualified.

He has made the trip to Toronto with Kelsie every four weeks since then, though initially there was a two-in-three chance that every trip brought him an injection of tofersen, a drug that doctors and researchers hoped could slow the progression of the disease.

For the first six months of the trial, two-thirds of the study participants are given the actual drug. One-third are given a placebo.

He does not know for sure whether he was in the group given the medication or the placebo. The Snows believe he was one of the lucky ones, one of those given tofersen. They believe because they, remarkably, have not seen a progression of the disease since he entered the trial. He still does not have use of his right hand. He has use of everything else, all the things they feared might slip away from him in the weeks and months after they confirmed the diagnosis.

The injection takes two minutes, two minutes of silent meditation for Snow. He thinks about his mom, Linda, who committed suicide in 2012. "Because," as he says, "she'd be really happy and really sad if she were here. One of the things I got from her was a real joy for life. She always was happy that I was that way. So, I think about her and how I get to move on because of this." He thinks about his dad, Bob, who died of ALS in 2018, and his uncles and his cousin.

He wishes they had had the opportunity for these two minutes. For that two-in-three chance.

"I move through those thoughts fairly quickly," he says. "I usually say a prayer or two. For them. Probably in part for myself."

****

The Snows have already been at Sunnybrook for hours at this point, Feb. 20 marking their 11th visit to this hospital, his 10th lumbar puncture. At 9:15 a.m., the driver picks them up at their hotel for the 20-minute ride. When they walk in the doors at the hospital, a massive campus that looks like a small airport, Snow is on edge.

They find their way down to Room UG21, where Snow will undergo a battery of tests, all of them designed to determine whether the progress of the disease has slowed, whether it has stopped, whether it has -- God forbid -- picked up again.

They start with a detailed neurological assessment.

"Have you experienced any changes to your health since you were last here?"

"No."

"Have you noticed any difference in your speech?"

"No."

They test knowledge next, the year, the season, the province, the city. A series of words that never changes from visit to visit: apple, penny, table. He counts backward from 100 by seven.

These are the hardest weeks, when the anxiety sweeps up and the visit looms closer and the fear that "no change" might have turned into "some change" pierces the bubble they have formed around themselves.

"My bad hand, I don't have any expectations for it being better," Snow says. "It's more the opposite, that I'm always kind of concerned about and testing the good parts. The other hand, in particular. Living without one hand is not difficult. Living without two hands is difficult.

"It's testing my good hand, and then I overtire it. And then I convince myself something is wrong."

This is when Kelsie can sense his perpetual optimism faltering.

"None of the physical aspects of any of that, the lidocaine, the needle itself, I couldn't care less about those things," Snow says. "It's just the emotional anguish that you can put yourself through, with wondering, am I a little bit different? And if I'm a little bit different, what does that mean?

"Because that's totally unknown. But then you worry, that could be a slippery slope."

He does a breathing test, to determine lung capacity, and one to test muscle strength. That is the one that gives him the most anxiety, because they are testing his hand and his strength, and that is where the disease started to eat at him.

"This is our 10th time doing most of these tests," Snow says.

"And there has not been any changes," research coordinator Jahan Mookshah says.

"Those are our favorite words," Kelsie says.

Kelsie bends down and ties her husband's shoes. The testing is over, for the moment.

****

There is no blood test for ALS. It's only diagnosed by process of elimination, a factor that often can be problematic, as the disease progresses while the patient is still waiting for answers. Snow was told June 10 by an EMG technician in Calgary that it was likely ALS, a diagnosis that was confirmed a week later by Dr. Michael Benatar at the University of Miami.

It was the last answer they wanted in the world. It was a death sentence.

They crumbled, seeing an unknown present, a future robbed.

"I don't know how we did it," Snow said. "We did our days, and then we cried."

Back in Calgary, fellow assistant general manager Craig Conroy got the news on the phone from Snow, while looking at Snow's kids, Cohen and Willa, now 8 and 5, who were staying at his house while their parents were in Miami. As Conroy said, "That just breaks your heart."

But there was some good news.

Snow had the best-case scenario: a family history and a mutation of the SOD1 gene. He had pressed the issue with doctors, over and over again, after starting to feel the weakness in his right hand while lifting weights during the Stanley Cup Playoffs in April, even as he wanted to believe it was a pinched ulnar nerve, desperate for any answer but this. For Snow, that meant it was only a matter of months between the onset of symptoms and the diagnosis, as opposed to 1 1/2 to 2 years, which is the average.

Which was why when the Snows talked to Benatar on June 17, it was like being flattened and lifted up in the same moment. They confirmed Snow had ALS. They also learned there was a trial, with openings for those with a fast-progressing form of the disease, like him. There was something they could do. There was a place they could go. There was a medicine he could take, produced by Biogen, a company whose corporate headquarters are on Binney Street in Cambridge, Massachusetts, the exact street where Snow lived when he moved there to work at The Boston Globe, another career and another lifetime ago.

There was -- maybe, possibly -- hope. An impossibility in this world.

"It's just like someone believably telling you you're going to die, then telling you you might not die," Kelsie said. "You can't describe that in a more dramatic way than that. You feel like you got your life back. You've got a chance. Just a chance, right?"

Most of the time ALS is sporadic -- that is, not inherited. But in 5 to 10 percent of cases, there is a familial link, an altered gene that has folded. When Kelsie researched trials in the immediate aftermath of the diagnosis, she realized that the studies that were furthest along happened to be for SOD1, Snow's mutation, the second-leading cause of familial ALS.

They would head to Toronto every month, their kids left with a rotating selection of friends, off to get the injection that might -- or might not -- include the liquid hope that his future rested on.

They had six months in which he could have been receiving either the drug or the placebo, until last month, when they were finally assured he would be getting the medication from this point on.

They told their kids that they would have to have a summer to last a lifetime.

"Because we felt like it was maybe going to have to," Kelsie said.

They jammed in everything, all the bike rides and ice cream and pictures, the trip to Merrymeeting Lake in New Hampshire, Snow's family cabin. They jammed happiness in every moment, the tears reserved for private times, for when they couldn't hold it in any longer, wiped away when the kids approached. She wondered if he would make it to February and, if he did, whether he would want to hang around once he got there. She told him to just stay the way he was. They put one foot in front of the other and, still, they don't know exactly how.

By October, they had started to feel differently. Hopeful.

Snow got back on the ice, courtesy of a Flames equipment manager, who sewed his glove into a fist, enabling him to grip a hockey stick. He shot a puck. It rang off the crossbar. Kelsie took a video. It was evident to her that the disease had not progressed, not robbed him of any more strength.

That moment, that month, changed them.

"I felt like that was probably the first moment where I could really breathe," she said.

They went public on Dec. 18, and it ricocheted around the hockey community. Kelsie wrote a letter detailing their diagnosis and their hope, something she has continued to chronicle on her blog, kelsiesnowwrites.com, and recently, in a story that ran in Sports Illustrated.

It has become a piece of her every day, every thought, something that still fells her at a moment's notice. When she is asked if there's been a day that she hasn't thought about ALS since the diagnosis, tears start to flow down her face.

"These three letters are a part of my life forever," Kelsie says. "I sure wish they weren't. But I know that a lot of good things will come to us as a result of this. And I've seen a lot of good in a lot of people because of this.

"There's so much beauty in grief, and there's so much beauty in sadness and tragedy. Because you get to see the best in people. And that's not a small thing. But I wish I didn't have a byline in Sports Illustrated. I don't want a byline in Sports Illustrated. I don't want to be telling this story. But if this is what I'm here for, then I'm OK with that. It's not small. I know that. I know that being there for somebody you love is significant. It's enough for me."

She swipes at the tears, running her fingers underneath her eyes. She sniffles.

"This is because I know you, too," Kelsie says, starting to laugh amidst the tears. "That's the problem."

****

It has been 15 years since I met Kelsie and Chris, back when she was still Kelsie Smith and he was still a baseball writer. The summer of 2005 was one of those summers that's only possible when you are young and there is no responsibility, no ties, no worry. When a White Russian just before the bar closes seems like a good idea, and a shut-off car in a parking lot is the right place to bare a soul, for a friend to reveal she just might be falling in love.

As Kelsie texted me recently, "Honestly, best summer of my life."

They were too young, realistically, for it to work. She was 21. He was 23. They met in a bar, the White Horse Tavern, down the street from the apartment that Snow would buy in Allston, Massachusetts, and that I would later buy from him and live in for the next decade.

He was the Boston Red Sox beat writer at the Globe, she was an intern in the Globe's sports department out of the University of Kansas, and I would be hired into the sports staff that summer as a general assignment reporter.

They got engaged the next summer, and married in December 2007, on a frigid, 9-degree day in St. Paul, Minnesota, where they moved after he was hired as the director of hockey operations for the Minnesota Wild, an unorthodox move that would launch him on a career in hockey and give me a chance to succeed him on the Red Sox beat at the Globe.

She covered the Minnesota Twins for the St. Paul Pioneer Press. We spent spring trainings together in Fort Myers, Florida.

It's hard to think about that day in 2007, so many years ago now, when they promised a lifetime to each other. Because, as Kelsie said, "That I have extra months is not lost on me. I know that I've been already given a gift. It's just that I want what we all thought we were getting when we got married. That we are going to grow old together."

Kelsie has always trusted in Snow, something she has never been shy about expressing. She's always believed he would do what he said, that he would succeed despite all the odds: That he would make the unheard-of jump from baseball reporter to NHL front office member; that he would figure it out after the Wild let him go; that they could find their way on one income (first hers, then his) in a new city, in a new country with a new baby.

And he did. They did.

"It was always like, Chris will figure this out," she said. "And that's probably an unfair amount of pressure that I put on him, but I just believed in him. I've always believed in him that much."

She still does, even in a battle that, up to this point, has been unwinnable.

****

At 1 p.m., after a pizza lunch, it's time to head back to UG21 for the lumbar puncture. Snow laughs about the diet he has been instructed to stick to -- high protein, high fat, high carb -- because losing weight is a marker of the disease. It's one thing he doesn't mind.

This session, too, starts with some tests. Of reflexes. Hands. Ankles. Feet. Jaw.

"This might hurt," Rasquinha says. "Sorry."

Rasquinha flips his hands over, examines them, tells Snow to relax. This is not Snow's forte.

Snow acknowledges yet again that he cannot do anything with his right hand. That went in June, and the atrophy has set in up to his elbow. Kelsie -- or, if he's at work with the Flames, one of his colleagues -- makes sure to cut his food for him, if needed; they tie his skates and his shoes. "Tight, but not too tight," as she puts it.

Testing done, it's time for the lumbar puncture. Snow is now on the open-label extension of the trial. After this visit, he is assured that the fluid sent into his spine will be tofersen. This is a comfort, even as they believe he has been receiving the medication all along.

"All right," Snow says, "let's rock and roll."

The risks are read out, the warnings given, as they always are. The Snows know this nearly by heart. Rasquinha snaps on sterile green gloves and a baby blue face mask. The lidocaine goes in. "Mosquito bite," Rasquinha calls it. "A little burn. Sorry."

Lorne Zinman enters the room. He is part of the reason for their hope, a man who oozes sunshine as he talks, despite having devoted his life to a disease that to this point has claimed every one of its victims.

"This is exciting," says Zinman, the director of the ALS/Neuromuscular Clinic at Sunnybrook and an associate professor of neurology at the University of Toronto. "This is gene therapy for ALS. I've been talking about this for, like, two decades. The fact that it's a reality and we could be helping people like Chris, it's just the happiest thing. I always say -- apology to my children -- the happiest day of my life will be when we finally have something for this disease, because I've seen too many people go through it."

It is easy for Zinman to be joyful these days. He, like all those who work with ALS, has spent years and years in the darkness, and he somehow just might see a little light emerging, a speck that grows bigger with every day that Snow, and potentially others, are stable.

"It's been decades and decades of, really, failure after failure in ALS," Zinman said. "When I give lectures, I put up a slide and I call it the graveyard of failed trials. And it's just failure after failure. The big turning point came when we found the first gene for ALS in the early '90s."

Researchers put the gene into mice, and the mice started to show signs of disease. They thought a cure would come soon after. They were wrong.

Things started to turn when advances in gene therapy led the focus to shift. They knew SOD1 made a protein, and that the protein misfolded, leading to the killing of motor neurons that led to ALS. That became their target.

On Feb. 3, Kelsie posted a video to Twitter showing Snow lifting his right hand at his wrist. It was something he hadn't been able to do since the disease took hold. They don't know what it means, and they try not to read too much into it, but the idea of stability, let alone improvement, sometimes seems like a dream they do not want to end.

And that is what makes Zinman so excited.

"We don't usually see that in ALS trials," he said. "The objective is to slow things down, not to make things improved. It's really exciting when you hear something like that, where I'm actually able to do something that I couldn't do before. You always have to take it with a grain of salt it's just really exciting when you hear something like that."

He envisions a day when a patient like Snow or one of his family members could find out he has the SOD1 mutation, that they could start him on the drugs in the pre-symptomatic phase, as a preventative, similar to the way that doctors have been able to use PrEP to keep HIV from taking hold, or the way that doctors use vaccines to prevent diseases.

"We're diagnosing ALS about five to six times a week, and three to four of our patients die every week," Zinman said. "I've been doing this for 15 years now. I see the faces of these patients, not just them, their family members and what they went through, so to be able to offer someone something like this -- research is hope."

When Zinman and I exited the room, I later learned, Snow grew emotional. He cried. It was joy and relief and release. He had finished another session at Sunnybrook. There had been no change. He soon would be assured of getting more of the medicine that has given him more, where before, he expected there would be less and less.

Because these two minutes, every four weeks, might just be saving him.

"The first few times he was dosed I had full-on panic attacks," Kelsie said. "It was all about the fact that I didn't know what [he was getting]. They'd come in and they'd put this little Ziploc baggie on the desk in there and it had this syringe in it. I remember noticing right away that it was 15 milliliters of this clear fluid. And that was every ounce of hope I had in my life."

****

The appointment over for the month, Snow walks down the corridor, a drab, shabby, beige hallway. It is hardly inspiring, with its fluorescent lights and well-trod flooring. But Snow is nearly bouncing. This is the best he feels all month, his hopes confirmed, the medication, he assumes, flowing through his body.

"Every time I walk this hallway, it's a good feeling," he says. "Because you picture yourself being wheeled."

But he can walk. He can breathe. He can do his job, almost the same way he always has, with a few simple modifications. He wears a suit without a tie these days, because he cannot tie one and, really, who needs it? He has not yet transitioned to slip-on shoes, perhaps out of stubbornness.

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Gene therapy giving Flames executive Snow hope in ALS fight - NHL.com