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General Category => Off the Record => Topic started by: jimmy olsen on September 26, 2011, 10:57:59 PM

Title: Polio Returns to China
Post by: jimmy olsen on September 26, 2011, 10:57:59 PM
Very bad news :(

http://www.wired.com/wiredscience/2011/08/polio-returns-china/

Quote

Borders are Irrelevant: Polio Returns to China

    * By Maryn McKenna Email Author
    * August 29, 2011  |
    * 3:30 pm  |
    * Categories: Science Blogs, Superbug

Very bad news from China, as reported by Xinhua and confirmed by the World Health Organization: For the first time in 12 years, polio paralysis has surfaced in China. Four children, the oldest 2 years old, were diagnosed with polio in mid-July. They all live in Hotan prefecture in Xinjiang province (by weird coincidence, also the site of the latest Chinese food-safety scandal).

The generally accepted math, in polio detection, is that one verified case of polio paralysis represents up to 200 cases of silent infection. Those 200 undetected cases may not experience symptoms, but they can pass on the disease to others. As a result, one case of polio in an area that has been considered polio-free is an emergency. Four cases, as you can imagine, is much worse.

The WHO and Global Polio Eradication Initiative say that the virus in the four children has been sequenced, and is closely related to poliovirus type 1 that is currently circulating in Pakistan. Pakistan is one of the four countries where circulation of poliovirus has never been interrupted.

Here's what the area looks like (map adapted from this one); the green area is Xinjiang province and the red is Hotan prefecture. (Yes, I admit it, I suck at Photoshop. Cut me some slack, this is breaking news.) The important point on this map is that three of the four countries where polio virus continues to circulate freely — Nigeria, Afghanistan, Pakistan and India — share borders with Xinjiang province. Two of them, Pakistan and India, border directly on Hotan. (Exactly where India's border with Xinjiang falls is a matter of long-standing dispute.)

The conclusion is very clear — the indispensible listserv ProMED made it explicit — that this infection was carried over the border from Pakistan into China. ProMED suggests that polio may have been circulating in the area for at least two years before being detected via these new cases.

There are micro and macro meanings to this development, and none of them are good.

At the micro level: Of the four endemic countries, Pakistan is considered the most problematic, because it shares not only the biological barriers that make eradication difficult in neighboring India, but also profound political unrest. But Xinjiang is an area of political unrest too; it is 45 percent Uighur, the Muslim ethnic group who have been pressing for independence from China. In 2009, the province rioted and the riots were brutally suppressed; sporadic violence continues there, most recently a few weeks ago. The Chinese government considers the area "under terrorist threat" from the separatist movement, and last week announced a 2-month crackdown on political activity and also on communication with the outside world. In other words, the area where polio has reappeared is in the midst of conditions in which access to health care for speedy diagnosis, and also free communication with public health authorities, are likely to be impeded.

At the macro level: Most of the increased incidence in polio infection now is not in the four endemic countries, but in other countries which those four are causing to be reinfected. This has happened repeatedly in Africa; worldwide, of the 333 polio cases so far this year, 222 have been in areas where polio transmission had been interrupted but that then were reinfected. (The WHO's current tally is here, but they do not use static links, so at some point the numbers behind that link will change.) Just about a month ago, an independent monitoring board said that reinfections of formerly cleared areas are one of the most pressing challenges facing the 23-year eradication initiative.

China is a formerly cleared area: Its last indigenous case was in 1994, and its very last case — imported that time from India — was in 1999. That importation was quelled by wholesale vaccination. The Chinese government has announced more of the same this time: Between now and the middle of September, it plans to immunize 4.5 million children in Hotan and neighboring prefectures.  But if the borders of western China are as porous as these four cases suggest, then China and the international eradication effort will have a substantial and dismaying new challenge on their hands.

Title: Re: Polio Returns to China
Post by: HisMajestyBOB on September 26, 2011, 11:10:35 PM
Won't be long before it returns to America, thanks to Bachmann and other anti-vaccine idiots.
Title: Re: Polio Returns to China
Post by: Ideologue on September 27, 2011, 12:49:37 AM
I don't blame him.  After that long away, Venice probably seemed kind of boring.
Title: Re: Polio Returns to China
Post by: Razgovory on September 27, 2011, 12:51:35 AM
Quote from: HisMajestyBOB on September 26, 2011, 11:10:35 PM
Won't be long before it returns to America, thanks to Bachmann and other anti-vaccine idiots.

This is a very frighting thought.  I honestly can't believe the anti-vaccine crowd has gotten mainstream.
Title: Re: Polio Returns to China
Post by: The Brain on September 27, 2011, 01:00:31 AM
Quote from: Ideologue on September 27, 2011, 12:49:37 AM
I don't blame him.  After that long away, Venice probably seemed kind of boring.

:mad:
Title: Re: Polio Returns to China
Post by: Martinus on September 27, 2011, 01:16:26 AM
Quote from: Razgovory on September 27, 2011, 12:51:35 AM
Quote from: HisMajestyBOB on September 26, 2011, 11:10:35 PM
Won't be long before it returns to America, thanks to Bachmann and other anti-vaccine idiots.

This is a very frighting thought.  I honestly can't believe the anti-vaccine crowd has gotten mainstream.

Hey, they are just listening to their bodies.
Title: Re: Polio Returns to China
Post by: 11B4V on September 27, 2011, 04:39:20 AM
"I will tell you that I had a mother last night come up to me here in Tampa, Fla., after the debate. She told me that her little daughter took that vaccine, that injection, and she suffered from mental retardation thereafter," Bachmann said.

She continued: "The mother was crying what she came up to me last night. I didn't know who she was before the debate. This is the very real concern and people have to draw their own conclusions."

(https://languish.org/forums/proxy.php?request=http%3A%2F%2Fwww.outsidethebeltway.com%2Fwp-content%2Fuploads%2F2011%2F09%2Fmichelle-bachman-tea-bag.jpg&hash=bda7e89ff1413d5f09f8fd32a9a7cc21f5f5ccc8)

(https://languish.org/forums/proxy.php?request=http%3A%2F%2Fwww.outsidethebeltway.com%2Fwp-content%2Fuploads%2F2011%2F09%2FBachmann_CPAC_550.jpg&hash=b7002eeb5a082da4e512c5ff3cbd5d5f655de1ad)
Title: Re: Polio Returns to China
Post by: Brazen on September 27, 2011, 05:28:42 AM
Quote from: Razgovory on September 27, 2011, 12:51:35 AM
Quote from: HisMajestyBOB on September 26, 2011, 11:10:35 PM
Won't be long before it returns to America, thanks to Bachmann and other anti-vaccine idiots.

This is a very frighting thought.  I honestly can't believe the anti-vaccine crowd has gotten mainstream.
It's terrifying reading on other forums how many parents are dodging vaccines. "It's all right, we're home-schooling." That's OK then, they'll be crippled idiots.
Title: Re: Polio Returns to China
Post by: CountDeMoney on September 27, 2011, 05:49:58 AM
Hey, if they don't want to give their kids vaccines, that's on them, and thanks for doing their part in the population boom. Honestly, the earth could use the help.

As for China: :nelson: overrated trogs, still living in the 19th century, regardless of how well the coast is doing.
Title: Re: Polio Returns to China
Post by: Ideologue on September 27, 2011, 05:52:42 AM
I don't remember ever getting a polio vaccination; I thought they were discontinued, but I may be thinking of smallpox.
Title: Re: Polio Returns to China
Post by: CountDeMoney on September 27, 2011, 05:54:33 AM
Quote from: Ideologue on September 27, 2011, 05:52:42 AM
I don't remember ever getting a polio vaccination; I thought they were discontinued, but I may be thinking of smallpox.

Yeah, smallpox went out of fashion in the late '60s, early '70s.  Polio vaccines were still going strong even with your shitty generation.
Title: Re: Polio Returns to China
Post by: Richard Hakluyt on September 27, 2011, 05:55:35 AM
The polio vaccine is usually administered orally, so not as memorable as some other vaccinations.
Title: Re: Polio Returns to China
Post by: Brazen on September 27, 2011, 07:34:36 AM
Quote from: Richard Hakluyt on September 27, 2011, 05:55:35 AM
The polio vaccine is usually administered orally, so not as memorable as some other vaccinations.
Don't know about you, but I found being encouraged to eat a sugar cube by a doctor very memorable :)

My next door neighbour growing up was crippled through contracting polio as a child. It's really rather unpleasant.
Title: Re: Polio Returns to China
Post by: PDH on September 27, 2011, 07:49:38 AM
Thank god I am a child of the 1960s. I got vaccinated for everything: polio, small pox, whooping cough, aids, dancing mullato syphillus, even including radiation if I remember correctly.
Title: Re: Polio Returns to China
Post by: Neil on September 27, 2011, 08:06:41 AM
It's hard to feel bad for them, given that they're our enemies.

As for the anti-vaccine people, their kids should be taken from them and they should be executed.
Title: Re: Polio Returns to China
Post by: crazy canuck on September 27, 2011, 03:23:43 PM
Quote from: Ideologue on September 27, 2011, 12:49:37 AM
I don't blame him.  After that long away, Venice probably seemed kind of boring.

That is how I read the thread title... :D
Title: Re: Polio Returns to China
Post by: Malthus on September 27, 2011, 03:25:18 PM
Quote from: Ideologue on September 27, 2011, 12:49:37 AM
I don't blame him.  After that long away, Venice probably seemed kind of boring.

:lol:

Title: Re: Polio Returns to China
Post by: The Minsky Moment on September 27, 2011, 05:02:58 PM
Quote from: CountDeMoney on September 27, 2011, 05:49:58 AM
Hey, if they don't want to give their kids vaccines, that's on them, and thanks for doing their part in the population boom. Honestly, the earth could use the help.

Wrong - the danger is that the diseases in question continue to thrive and mutate until resistant strains develop.
These nutters are menace to the general public.   That a supposedly serious Presidential candidate is promoting such nonsense is horrifying.  At least Rick Perry's rain dances don't harm anyone.

Though if personal experience is a valid source of knowledge, I guess Bachmann should know a thing or two about mental retardation.
Title: Re: Polio Returns to China
Post by: Neil on September 27, 2011, 05:23:40 PM
I thought that Bachmann's numbers had collapsed and that she's no longer in 'serious' territory?
Title: Re: Polio Returns to China
Post by: DGuller on September 27, 2011, 05:34:01 PM
Quote from: Razgovory on September 27, 2011, 12:51:35 AM
Quote from: HisMajestyBOB on September 26, 2011, 11:10:35 PM
Won't be long before it returns to America, thanks to Bachmann and other anti-vaccine idiots.

This is a very frighting thought.  I honestly can't believe the anti-vaccine crowd has gotten mainstream.
What do you expect?  If you're going to vaccinate a whole lot of people, you have to expect a whole lot of people to be retarded.
Title: Re: Polio Returns to China
Post by: Razgovory on September 27, 2011, 05:50:47 PM
Quote from: DGuller on September 27, 2011, 05:34:01 PM
Quote from: Razgovory on September 27, 2011, 12:51:35 AM
Quote from: HisMajestyBOB on September 26, 2011, 11:10:35 PM
Won't be long before it returns to America, thanks to Bachmann and other anti-vaccine idiots.

This is a very frighting thought.  I honestly can't believe the anti-vaccine crowd has gotten mainstream.
What do you expect?  If you're going to vaccinate a whole lot of people, you have to expect a whole lot of people to be retarded.

When Bachman told the story about how a mother thought her daughter became retarded from the cervical cancer vaccine, my thought ears perked up really quick.  Although, I'm not a doctor or medical student that sounded impossible.  Unless the vaccine was administered through a heavy blow to the head.
Title: Re: Polio Returns to China
Post by: CountDeMoney on September 27, 2011, 08:30:46 PM
Quote from: The Minsky Moment on September 27, 2011, 05:02:58 PM
Quote from: CountDeMoney on September 27, 2011, 05:49:58 AM
Hey, if they don't want to give their kids vaccines, that's on them, and thanks for doing their part in the population boom. Honestly, the earth could use the help.

Wrong - the danger is that the diseases in question continue to thrive and mutate until resistant strains develop.

I'll defer to your statement, as epidemiology falls within your relevant Jew KSAs.
In addition to your legal acumen, I'll also accept your posts on dentistry.
Title: Re: Polio Returns to China
Post by: citizen k on September 27, 2011, 08:52:46 PM
Quote from: CountDeMoney on September 27, 2011, 08:30:46 PMI'll defer to your statement, as epidemiology falls within your relevant Jew KSAs.
In addition to your legal acumen, I'll also accept your posts on dentistry.

... and accounting and Hollywood scriptwriting.

Title: Re: Polio Returns to China
Post by: dps on September 27, 2011, 09:19:14 PM
Quote from: The Minsky Moment on September 27, 2011, 05:02:58 PM

Wrong - the danger is that the diseases in question continue to thrive and mutate until resistant strains develop.
These nutters are menace to the general public.   That a supposedly serious Presidential candidate is promoting such nonsense is horrifying. 

Agree, though I still don't consider her a serious candidate.  But, at this point in 1991, I wouldn't have considered Bill Clinton a serious candidate, either.
Title: Re: Polio Returns to China
Post by: Fate on September 27, 2011, 10:20:38 PM
Quote from: Richard Hakluyt on September 27, 2011, 05:55:35 AM
The polio vaccine is usually administered orally, so not as memorable as some other vaccinations.
Not necessarily. In 3rd world countries the oral (live, attenuated) version is used, but in countries where polio is no longer endemic the injectable (killed) version is preferred. The UK discontinued use of the oral version in 2004. The US has been using the injectable form for quite a long time.
Title: Re: Polio Returns to China
Post by: Richard Hakluyt on September 28, 2011, 04:39:22 AM
Quote from: Fate on September 27, 2011, 10:20:38 PM
Quote from: Richard Hakluyt on September 27, 2011, 05:55:35 AM
The polio vaccine is usually administered orally, so not as memorable as some other vaccinations.
Not necessarily. In 3rd world countries the oral (live, attenuated) version is used, but in countries where polio is no longer endemic the injectable (killed) version is preferred. The UK discontinued use of the oral version in 2004. The US has been using the injectable form for quite a long time.

Ok.
Title: Re: Polio Returns to China
Post by: Scipio on September 28, 2011, 06:33:49 AM
Quote from: Razgovory on September 27, 2011, 05:50:47 PM
Quote from: DGuller on September 27, 2011, 05:34:01 PM
Quote from: Razgovory on September 27, 2011, 12:51:35 AM
Quote from: HisMajestyBOB on September 26, 2011, 11:10:35 PM
Won't be long before it returns to America, thanks to Bachmann and other anti-vaccine idiots.

This is a very frighting thought.  I honestly can't believe the anti-vaccine crowd has gotten mainstream.
What do you expect?  If you're going to vaccinate a whole lot of people, you have to expect a whole lot of people to be retarded.

When Bachman told the story about how a mother thought her daughter became retarded from the cervical cancer vaccine, my thought ears perked up really quick.  Although, I'm not a doctor or medical student that sounded impossible.  Unless the vaccine was administered through a heavy blow to the head.
My first thought was, if the vaccine is only administered to females 9 years of age and older, and her daughter suddenly developed mental retardation AT AGE 9 immediately after the vaccine was administered, then, holy shit, that's a scientific anti-miracle.  Like developing a congenital heart defect at age 50.
Title: Re: Polio Returns to China
Post by: Razgovory on September 28, 2011, 08:48:09 AM
Quote from: dps on September 27, 2011, 09:19:14 PM
Quote from: The Minsky Moment on September 27, 2011, 05:02:58 PM

Wrong - the danger is that the diseases in question continue to thrive and mutate until resistant strains develop.
These nutters are menace to the general public.   That a supposedly serious Presidential candidate is promoting such nonsense is horrifying.

Agree, though I still don't consider her a serious candidate.  But, at this point in 1991, I wouldn't have considered Bill Clinton a serious candidate, either.

Well she did make Perry apologize for it, so she is certainly affecting serious candidates.
Title: Re: Polio Returns to China
Post by: Camerus on September 28, 2011, 08:56:37 AM
Quote from: Ideologue on September 27, 2011, 12:49:37 AM
I don't blame him.  After that long away, Venice probably seemed kind of boring.

:yes:
Title: Re: Polio Returns to China
Post by: The Minsky Moment on September 28, 2011, 09:01:09 AM
Quote from: CountDeMoney on September 27, 2011, 08:30:46 PM
I'll defer to your statement, as epidemiology falls within your relevant Jew KSAs.
In addition to your legal acumen, I'll also accept your posts on dentistry.

:D
Of course, my father was a dentist.
Title: Re: Polio Returns to China
Post by: CountDeMoney on September 28, 2011, 09:21:01 PM
Quote from: The Minsky Moment on September 28, 2011, 09:01:09 AM
Quote from: CountDeMoney on September 27, 2011, 08:30:46 PM
I'll defer to your statement, as epidemiology falls within your relevant Jew KSAs.
In addition to your legal acumen, I'll also accept your posts on dentistry.

:D
Of course, my father was a dentist.

Of course he was.