Two studies showing how scientists mutated
the H5N1 bird flu virus into a form that could cause
a deadly human pandemic will be published only after
experts fully assess the risks, the World Health
Organization (WHO) said on Friday.
Speaking after a high-level meeting of flu experts
and U.S. security officials in Geneva, a WHO
spokesman said an agreement had been reached in
principle to keep details of the controversial work
secret until deeper risk analyses have been carried
out.
The WHO called the meeting to break a deadlock
between scientists who have studied the mutations
needed to make H5N1 bird flu transmit between
mammals, and the U.S. National Science Advisory
Board for Biosecurity (NSABB), which wanted the work
censored before it was published in scientific
journals.
Biosecurity experts fear mutated forms of the virus
that research teams in The Netherlands and the
United States independently created could escape or
fall into the wrong hands and be used to spark a
pandemic worse than the 1918-19 outbreak of Spanish
flu that killed up to 40 million people.
"There must be a much fuller discussion of risk and
benefits of research in this area and risks of virus
itself," the WHO's Gregory Hartl told reporters.
High fatality rate
The H5N1 virus, first detected in Hong Kong in 1997,
is entrenched among poultry in many countries,
mainly in Asia, but so far remains in a form that is
hard for humans to catch.
It is known to have infected nearly 700 people
worldwide since 2003, killing half of them, a far
higher death rate than the H1N1 swine flu which
caused a flu pandemic in 2009/2010.
Last year two teams of scientists - one led by Ron
Fouchier at Erasmus Medical Center and another led
by Yoshihiro Kawaoka at the University of Wisconsin
- said they had found that just a handful of
mutations would allow H5N1 to spread like ordinary
flu between mammals, and remain as deadly as it is
now.
In December, the NSABB asked two leading scientific
journals, Nature and Science, to withhold details of
the research for fear it could be used by
bioterrorists.
They said a potentially deadlier form of bird flu
poses one of the gravest known threats to humans and
justified the unprecedented call to censor the
research.
The WHO voiced concern, and flu researchers from
around the world declared a 60-day moratorium on
January 20 on "any research involving highly
pathogenic avian influenza H5N1 viruses" that
produce easily contagious forms.
Fouchier, who took part in the two-day meeting at
the WHO which ended on Friday, said the consensus of
experts and officials there was "that in the
interest of public health, the full paper should be
published" at some future date.
"This was based on the high public health impact of
this work and the need to share the details of the
studies with a very big community in the interest of
science, surveillance and public health on the
whole," he told reporters.
In its current form, people can contract H5N1 only
through close contact with ducks, chickens, or other
birds that carry it, and not from infected
individuals.
But when H5N1 acquires mutations that allow it to
live in the upper respiratory tract rather than the
lower, the Dutch and U.S. researchers found a way to
make it can travel via airborne droplets between
infected ferrets, which are considered good models
of how flu viruses behave in people.
Asked about the potential bioterrorism risks of his
and the U.S. team's work, Fouchier said "it was the
view of the entire group" at the meeting that the
risks that this particular virus or flu viruses in
general could be used as bioterrorism agents "would
be very, very slim."
"The risks are not nil, but they are very, very
small," he said.








