Smallpox virus retention debate

Source: Wikipedia, the free encyclopedia.

The smallpox virus retention debate has been going on among scientists and health officials since the

bio-weapon
.

Background

In 1981, the four countries that either served as a WHO collaborating center or were actively working with variola virus were the United States, the United Kingdom, the Soviet Union, and South Africa. The last cases of smallpox occurred in an

BSL-4 facilities—the Centers for Disease Control and Prevention (CDC) in the United States and the State Research Center of Virology and Biotechnology VECTOR in Koltsovo, Soviet Union.[4] Since 1984, these two labs have been the only ones authorized by the WHO to hold stocks of live smallpox virus.[citation needed
]

In 1986, the WHO first recommended destruction of all smallpox samples, and later set the date of destruction to be 30 December 1993. This was postponed to 30 June 1999,[5] then again to 30 June 2002. Due to resistance from the U.S. and Russia, in 2002 the World Health Assembly agreed to permit temporary retention of the virus stocks for specific research purposes.[6] Destroying existing stocks would reduce the risk involved with ongoing smallpox research; the stocks are not needed to respond to a smallpox outbreak.[7] Some scientists have argued that the stocks may be useful in developing new vaccines, antiviral drugs, and diagnostic tests.[8] A 2010 review by a team of public health experts appointed by the WHO, however, concluded that no essential public health purpose is served by the American and Russian laboratories continuing to retain live virus stocks.[9] The latter view is frequently supported in the scientific community, particularly among veterans of the WHO Smallpox Eradication Program (1958–1979).[10]

History

Ad Hoc Committee on Orthopox Infections

An

U.S. Army scientist Peter Jahrling has argued against it on the basis that further research is needed, since he believes that smallpox almost certainly exists outside of the repositories.[11] Other scientists have expressed similar opinions.[12]

U.S. pro-retention argument (2011)

In 2011,

New York Times
op-ed piece. She said, in part:

The global public health community assumes that all nations acted in good faith; however, no one has ever attempted to verify or validate compliance with the WHO request.... Although keeping the samples may carry a minuscule risk, both the United States and Russia believe the dangers of destroying them now are far greater.... It is quite possible that undisclosed or forgotten stocks exist. Also, 30 years after the disease was eradicated, the virus' genomic information is available online and the technology now exists for someone with the right tools and the wrong intentions to create a new smallpox virus in a laboratory.... Destroying the virus now is merely a symbolic act that would slow our progress and could even stop it completely, leaving the world vulnerable.... Destruction of the last securely stored viruses is an irrevocable action that should occur only when the global community has eliminated the threat of smallpox once and for all. To do any less keeps future generations at risk from the re-emergence of one of the deadliest diseases humanity has ever known. Until this research is complete, we cannot afford to take that risk.[13]

Post-1984 discovery instances

  • In 2013, cloned variola major (smallpox) DNA fragments were found in a South African laboratory. The WHO arranged to oversee their destruction, which took place in January 2014.[14][15]
  • On July 1, 2014, the U.S.
    Ebola outbreak in parts of Africa around the same time, the WHO were overstretched and stated they had no one locally with sufficient security clearance to enter a BSL-4 laboratory. Due to this the WHO were planning to fly an official into Atlanta to oversee the destruction at a future date.[15] The vials were finally destroyed on February 24, 2015, under the supervision of WHO officials.[17]

WHO 2018 position

As of May 2018, based on the latest (19th) meeting of the WHO Advisory Committee on Variola Virus Research (1–2 November 2017), the question remained as to whether the use of live variola virus for their further development was "essential for public health."[18]

2019 lab explosion

In September 2019, the Russian lab housing smallpox samples experienced a gas explosion that injured one worker. It did not occur near the virus storage area, and no samples were compromised, but the incident prompted a review of risks to containment.[19]

2021 Pennsylvania discovery

In November 2021 the CDC announced that several frozen vials labeled "Smallpox" were discovered in a freezer in a Merck & Co. vaccine research facility at Montgomery County, Pennsylvania.[20][21][22] The vials were determined to contain the vaccinia virus, used in making the vaccine, not the variola virus, which causes smallpox.[23]

References

  1. ^ "Smallpox". WHO Factsheet. Archived from the original on 21 September 2007.
  2. ISBN 978-1-920942-62-5.{{cite book}}: CS1 maint: location (link
    )
  3. .
  4. ^ Connor, Steve (2002-01-03). "How terrorism prevented smallpox being wiped off the face of the planet for ever". The Independent. London. Archived from the original on February 11, 2009. Retrieved 2008-10-03.
  5. ^ Altman, Lawrence (1996-01-25). "Final Stock of the Smallpox Virus Now Nearer to Extinction in Labs". The New York Times. Retrieved 2007-11-23.
  6. ^ MacKenzie, Debora (2002-01-26). "Stay of execution". New Scientist. Retrieved 2007-11-23.
  7. PMID 17431261
    .
  8. .
  9. ^ Comments on the Scientific Review of Variola Virus Research, 1999‐2010. Advisory Group of Independent Experts to review the smallpox research program (AGIES) WHO document WHO/HSE/GAR/BDP/2010.4
  10. PMID 21376120
    .
  11. ^ Preston, Richard (2002), The Demon in the Freezer.[page needed]
  12. PMID 24789223
    .
  13. ^ Sebelius, Kathleen, (2011), "Why We Still need Smallpox", The New York Times (25 April 2011).
  14. ^ "Smallpox eradication: destruction of variola virus stocks Report by the Secretariat" (PDF). World Health Organisation Executive Board EB134/34 134th session. 20 December 2013. 134th session.
  15. ^
    PMID 25355337
    .
  16. ^ a b Centers for Disease Control and Prevention "CDC Media Statement on Newly Discovered Smallpox Specimens" (July 8, 2014).
  17. ^ "FDA Review of the 2014 Discovery of Vials Labeled "Variola" and Other Vials Discovered in an FDA-Occupied Building on the NIH Campus" (PDF). Director of Laboratory Science and Safety, FDA. 13 December 2016. Retrieved 21 May 2017.
  18. ^ "WHO Advisory Committee on Variola Virus Research Report of the Nineteenth Meeting". World Health Organization. May 2018. Archived from the original on May 5, 2018. Retrieved May 31, 2018.
  19. ^ Kritz, Fran (September 19, 2019). "Russian Lab Explosion Raises Question: Should Smallpox Virus Be Kept Or Destroyed?". NPR.
  20. ^ "Vials labeled 'Smallpox' found in Pennsylvania lab freezer". The Associated Press. 2021-11-17. Retrieved 2021-11-18.
  21. ^ Fox, Maggie (17 November 2021). "Vials labeled 'smallpox' found at vaccine research facility in Pennsylvania, CDC says". CNN. Retrieved 2021-11-18.
  22. ^ Fieldstadt, Elisha (17 November 2021). "Vials labeled 'smallpox' found by lab worker cleaning freezer in Pennsylvania". NBC News. Retrieved 18 November 2021.
  23. ^ Maggie Fox (19 November 2021). "Vials marked "smallpox" contained virus used in vaccine, not smallpox virus, CDC finds". CNN. Retrieved 2021-11-19.

External links