Planning should have already commenced to deal with this potential pandemic.
This virus may yet turn out to be innocuous, but over six percent of the
world's population might be affected, based on realistic estimates. This is
calculated from combining the percentages of healthy people who are
infected, with percentages from those illnesses that are suspected to be
caused by it. The 6% figure could rise to 10% if certain worst case
assumptions are real, but this is unlikely. However, if over two million
Australians turn out to be infected with a potentially lethal retrovirus,
you can expect serious repercussions to Australia. Planning must commence
now, if it hasn't started already.
The best case scenario is, of course, that this virus turns out to be an
innocuous "passenger" virus, in which case only the cost of preliminary
planning will be wasted. I, and many others, are not yet advocating urgent
action, as the science isn't there yet. The need for urgent action may yet
arise before the end of the year, so your office should be tracking public
announcements from the USA regarding this virus.
As for treatment, a number of antiretrovirals have some efficacy in the lab,
although human trials have not commenced. If the risks are confirmed by
further research, then between 340,000 (using Japanese prevalence data) to
two million Australians will require urgent antiretrovirals at considerable
cost, as many of these people are disabled and could not afford commercial
purchase of these drugs at current rates. Of course, only mass screening
will enable all these people to be identified, so that has to be planned for
as well. As the potential cost to Australia for drug subsidy could easily be
in excess of twenty billion dollars a year, urgent attention to this problem
The good news is that with this treatment several hundred thousand disabled
Australians may be able to reenter the workforce.
Thank you for your attention,
The study's co-authors at the Whittemore Peterson Institute for Neuro-Immune Disease, the National Cancer Institute and the Cleveland Clinic, also found the virus in nearly 4% of 218 healthy people used as controls in the study.
Extrapolating from those numbers, public-health officials estimated that up to 10 million people in the U.S. and hundreds of millions of people globally could be infected with XMRV, or xenotropic murine leukemia virus-related virus.
Dr. M was quoted last year saying XMRV would be TEN time the incidence of HIV/AIDS. 34million people have HIV/AIDS globally, so it is easy to calculate how many people would have XMRV. In terms of numbers, XMRV could rank right up there with the historical diseases: the bubonic plague and small pox!!
I have just emailed all (yes, all - I may be asleep for some time) of the chapters of the US National Hemophilia Foundation with the following. They may not thank me for the mass mailing, but I will do anything I can to protect other people (and, particularly, future generations) from the risk of contracting this awful disease.
Are you aware that the Canadian Blood Service has banned donations of blood from people with ME as a precautionary measure to prevent potential contamination with XMRV (the new human retrovirus which is associated with ME and certain types of prostate cancer)?
"An AIDS-like virus that has been linked to chronic fatigue syndrome is causing Canadian blood officials to ban anyone who has suffered from the ailment from making donations."
OK, here's one for the Brits. This is the media and public relations number for the UK National Blood Service.
0117 969 2444
Try ringing them and asking if they're going to make a public statement in response to the Canadian Blood Service's ban on pwME *ever* giving blood as a precaution to prevent XMRV contamination.
You don't have to give your details - you can remain anonymous, if you wish.
Remember that (a) in the 80s/90s, UK blood was contaminated with HIV and Hep C (amongst other things) from blood imported from the US and (b) no (sensible) country in the world accepts blood donations from UK citizens because of the risk of vCJD (mad cow) contamination.
Even the Brits import their blood plasma from the US - and they still don't use the lastest methods for screening for vCJD prions.
The Brits don't have a great track record in protecting their blood supply - so you have a right to ask these guys 'what are you doing about XMRV?' and 'if Canada thinks there's an issue, why doesn't Britain?'.
I made the call and was asked 'What Canadian ban?'.
Oh, and if they say pwME are already banned from giving blood, you can say that they are allowed to donate when they are 'fully recovered' (according to Gillian Meron in the House of Commons) - but you don't 'fully recover' from a retrovirus. End of.
I've been on the UK blood site a couple of times and done the online screening questions, interesting when you dig a bit further and access the minutes of the advisory committee on screening blood donations and organ/tissue donation. I will post again later on that.
Thank you for your question. The World Federation of Hemophilia is closely following scientific developments with regard to XMRV.
The decision by Canadian health authorities to defer blood donors who have had chronic fatigue syndrome (CFS) is a precautionary measure taken when there is incomplete information about XMRV. All indications are that an enveloped virus such as XMRV is not a threat to plasma-derived products, such as clotting factor concentrates, as it would be inactivated by current pathogen reduction processes. The action in Canada ensures that recipients of fresh blood products (red cells, platelets, fresh frozen plasma) will also not be at risk. Furthermore the supply of donated blood should not be affected as most people with symptoms of CFS were not eligible to be blood donors even before this decision.
For more information, please contact the Canadian Hemophilia Society, a national member organization of the WFH, at email@example.com...
Canada bans blood donations from people with history of chronic fatigue syndrome
1 Calgary, Alberta
The first 150 words of the full text of this article appear below.
Canadas national blood service has announced that from next month it will ban blood donations from people with a medical history of chronic fatigue syndrome, as a precautionary measure. It is the first country in the world to do so.
"Canadian Blood Services takes the safety of the blood supply very seriously," said Dana Devine, the agencys vice president of medical, scientific, and research affairs. "Until recently Canadian Blood Services has accepted blood donations from donors who report a history of [chronic fatigue syndrome] but are now well. Donors who are not well may not donate blood."
Dr Devine cited a report published in Science last October (2009;326:585-9, doi:10.1126/science.1179052) suggesting a link between the syndrome and the presence of a retrovirus, the xenotropic murine leukaemia virus related virus (XMRV).
The study, which looked at peripheral blood mononuclear cells from patients with chronic fatigue syndrome, identified DNA from XMRV . . . [Full text of this article]
Several LibDems (including Norman Lamb, Paul Rowan, Annette Brooke) have raised the issue of protecting the blood supply from ME / XMRV on various occasions during the last six months - as has David Drew, Labour MP for Stroud.
Despite concerns being raised by these MPs (and The MEA and IiME), the UK Government maintains that pwME can donate blood when they are recovered.
Please consider sending the link at the beginning of this thread plus the simple question of 'when will the UK government follow the Canadians' precautionary measure?' to as many MPs as you can.
It is election time - they want your votes. We want our lives back.
The Health Secretary has been asked to give reasons why people with ME may not donate blood. The request came in a written question from David Drew, Labour MP for Stroud, who has asked a stream of other questions about ME in the past few weeks (type 'Drew' into the search box to see some of the others).
In a written answer provided on 10 March, Ann Keen (the parliamentary under-secretary of state for health) replied:
"People with myalgic encephalomyelitis (ME), also known as chronic fatigue syndrome (CFS), are not able to donate blood until they have fully recovered.
"The reasons for this are: first, blood donors need to be in good health, and people with ME/CFS often experience a range of symptoms which could be made worse by donating blood; and second, as the causes of ME/CFS are not currently fully understood, people with the condition are deferred from donating blood as a precautionary measure to protect the safety of the blood supply for patients."
The National Hemophilia Foundation is aware of reports concerning the Xenotropic Murine-Leukemia-Virus Related Virus (XMRV) that is being investigated as a possible risk to the blood supply. There are ongoing investigations into whether this virus causes Chronic Fatigue Syndrome and Prostate Cancer. The Canadian Blood Service is deferring individuals with Chronic Fatigue Syndrome due to the unknown issue whether this virus can be transmitted in the blood supply.
This virus is an enveloped retrovirus; this type of virus has been demonstrated to be inactivated through viral inactivation processes (heat-treatment, solvent-detergent) that are employed during the production of clotting factor products. Thus it is highly unlikely that this virus would pose a risk to users of clotting factor concentrates.
NHF is in communication with the FDA regarding their efforts to investigate this issue and will keep the community informed of any new developments.
A note on Hemophilia and Rare Blood Disorders organizations
Also an FYI on the hemophilia angle. In Canada at least, the Hemophilia Assoc is intimately involved with the whole National Rare Blood Disorders community. And and I would expect that might be the case in other countries too. So folks receiving various types of blood products (with potentially different levels of protection against XMRV) ARE in contact with hemophilia advocates, and vice versa. The contact for the National Rare Blood Disorders organization in Canada is here: http://www.hemophilia.ca/en/about-t...network-of-rare-blood-disorder-organizations/ . Hosted, as you can see, on the hemophilia.ca website.