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  Contagion!<br>Emerging diseases: Unraveling the mystery      

 

Scientists at WSU and elsewhere have put in a lot of good work tracking pathogens and learning their ways. But even with all the progress of recent decades, we have just a fragmentary understanding of what we’re dealing with and where the next outbreak might come from. It’s a sure bet that other pathogens are out there, chugging along in their animal hosts and fully able to move into humans if they get the chance.

“Diseases often emerge in strange ways, often as a result of human activities that bring species together that don’t normally come together,” says ecologist Storfer. He describes the combination of events that led to an outbreak of Nipah (NEE-puh) disease in Malaysia in 1998-99. Over the course of a few months, the newly recognized disease afflicted 265 people with fever, headache, convulsions, and coma. It killed 105 and left many others with persistent neurological problems.

Storfer says the virus that causes the disease is carried by fruit bats, which themselves aren’t much affected by it. As forests were cleared to make room for the expanding human population, the bats began to forage into orchards and other human establishments, such as pig farms. The fatal chain of events sounds like a biological Rube Goldberg machine: a bat grabs a piece of fruit from the orchard; after taking a few bites, it drops the fruit within reach of the pigs; a pig eats it, picking up the virus from the bat’s saliva on the fruit; the virus gives the pig a flu-like respiratory disease; when the pig coughs or sneezes, its human handler catches it.

“Humans cannot get it from the bat,” says Storfer. “It has to go through the pig, mutate inside the pig, and then it’s infectious to the pig workers. You have to bring bats, pigs, and humans all together in the same place in order for this thing to go from bats to humans. Because you could lick the bat saliva and not get it. It’s got to go through the pig.”

Tom Besser suspects the Nipah virus has spread to humans and domestic animals before, but not in such large numbers. Encroachments into forested lands, coupled with skyrocketing density of people and livestock, have created conditions that could allow the virus to attain epidemic proportions. The Malaysian government squashed its budding epidemic by killing nearly a million domestic pigs in the affected areas. No cases of Nipah disease have been reported there since, but a few appeared in Bangladesh and India in 2001. That suggests the Malaysian outbreak might have been just a warm-up for a main event yet to come. Fruit bats range throughout south and southeast Asia, and everywhere they’ve been tested, they are positive for the virus; and human and pig populations in the region continue to expand.

The issue of diseases passing from wildlife and domestic animals to people is “one of the most important challenges we’re going to face, I think, over the next century,” says Storfer. Surveillance of humans and livestock is spotty; monitoring of wild species is nearly nonexistent. Nobody is really watching the wildlife from which new diseases might emerge. Even a disease that causes severe problems in wild animals can go unnoticed for years. How bad does an outbreak in wildlife have to be for someone to send up a flare and say, hey, we’ve got a problem here?

“That’s the $100 million question,” says Storfer. “One of the concerns is this idea that there’s a surveillance bias, that we’re only seeing really nasty things, because then you see a big die-off of something. But we’re not seeing a lot of the pathogens that jump hosts, that might get worse someday.

“How do you prepare yourself? I don’t really know. You try to pick the one that’s going to be the worst one, and do something about it.”


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Land-use changes that bring people and livestock into contact with wildlife are exposing us to pathogens we may not have encountered before. And in an age of global trade and travel, one infected person or animal can carry a disease across continents.

 

Batspigpeople

 

 

Wild animals are a source of many pathogens that might infect us, but the reverse is also true: we and our domestic animals harbor diseases that can devastate wild populations.
Continued