South China Morning Post, March 1, 2017. Experts said signs of resistance in a new strain of the deadly H7N9 bird flu virus against a drug used to treat people with the infection needs swift investigation to clarify how to handle the mutation.
Two patients in Guangdong province with a new and more virulent strain of the virus have shown signs of failing to respond to the drug Tamiflu, the Nanfang Daily reported this week, citing Zhong Nanhsan, an expert in respiratory diseases.
Virologists said the finding did not mean the drug was ineffective against bird flu, but a swift investigation was needed to assess how to handle the situation. There have been over 1,200 laboratory confirmed cases of human infection for bird flu in mainland China since the first was reported in 2013.
As of Sunday, 94 people have died from the illness on the mainland this year. The number of deaths so far this year have already surpassed the total number of H7N9 fatalities last year, which was 73.
Mutation of H7N9 bird flu strain found in Guangdong patients
The drug resistance was found in two patients found to have the mutation of the virus, the report said. The new strain was identified by the China Centre for Disease Control.
Taiwan’s Centre for Disease Control announced earlier this month that gene sequence analysis of a H7N9 bird flu patient, who fell ill after visiting Guangdong, found the virus had a mutation that was resistant to antiviral drugs such as Tamiflu and Relenza. The patient, a 69-year-old businessman, died earlier this week.
Zhong was quoted in the Nanfang Daily as saying most patients on the mainland were responding to Tamiflu treatment, suggesting the mutated strain of H7N9 was not the dominant virus, or “a considerable amount of viruses” did not mutate.
He Jianfeng, chief expert in infectious diseases at the Guangdong Provincial Centre for Disease Control and Prevention, told the newspaper both patients with the new strain had taken Tamiflu before and it was not clear whether the drug resistance was caused by previous use of the treatment or the virus mutation.
Professor Malik Peiris, a virologist at the University of Hong Kong who published a paper in the medical journal The Lancet four years ago saying H7N9 patients in Shanghai had previously shown antiviral resistance, said Tamiflu resistance occurred occasionally in bird flu patients treated with the drug before.
China’s H7N9 bird flu measures came too late, experts say
His further work showed these patients can be treated with alternative antiviral drugs. Professor Peiris called for a quick investigation into the latest H7N9 virus mutation.
“We need more information on how widespread this resistance is in recent viruses, especially those with the high pathogenic mutation,” he said.
Tamiflu can still be useful for treatment and early use of the drug will reduce the chance of resistance developing and increase the chance of a cure, he added. Patients who have begun antiviral treatment need to be monitored to see whether there was a good response and to change to alternative drugs if there was no improvement, he said.
High expansion foam
The Anoxia technique is unique for creating an environment without oxygen under atmospheric circumstances. High expansion foam is produced by mixing nitrogen, a mixture of water and specially developed high expansion detergent. The expansion rate is upto 1:1000, meaning that 1 litre of water/foam agent mix expands up to 1 m3 foam. Due to the specially designed foam generator, the high expansion foam bubbles are filled with a > 99% concentration of nitrogen. Therefore, the oxygen level surrounding the animal drops from 21% in atmospheric air to < 1 % once the animal is submerged in the foam.
Convulsions, but no stress or pain
The animals need a constant supply of oxygen to the brain. Applying Anoxia foam, the oxygen is replaced by nitrogen. As a result the nitrogen level is raised to > 99% and the oxygen level is lowered to < 1%. Considering the natural reaction to sudden lack of oxygen the animal is rendering quickly into unconsciousness. As a consequence, behavioral indicators like loss of posture and convulsions will appear. With this in mind, unconscious animals are insensitive to perceive unpleasant sensations like pain.
How Anoxia foam is created
First of all, a mixture of 97% water and 3% high expansion foam agent is sprayed into the Anoxia foam generator, creating a thin film on the outlet of the generator. At the same time, nitrogen is added with overpressure into the foam generator. The nitrogen expands when it exits the generator. This creates a robust high expansion foam. The high expansion foam bubbles are filled with > 99% nitrogen.
Single foam generator systems
In practice, one Anoxia foam generator creates a volume of up to 750 liter of high expansion foam per minute. This volume is more than sufficient to fill a wheelie-bin container within 30 seconds. The most common container volumes are:
- M size – 240 liter;
- L size – 340 liter;
- XL size – 370 liter
The choice of the volume of the container depends of the size of the animal and/or the number of animals that need to be stunned/killed. A lid with a chiffon seals the container. As soon as the foam exits the chiffon, the gas supply is stopped and the chiffon is closed. The nitrogen gas concentration in the container remains at 99%.
Animal Euthnanasia and its challenges
Although commonly used in other settings, defining animal welfare as part of a CSR (corporate social responsibility) setting is not new.
There are many ways to define CSR. What they have in common is that CSR describes how companies manage their business processes. This is to produce an overall positive impact on society. The phenomenon CSR is a value concept that is susceptible to particular ideological and emotional interpretations. Different organizations have framed different definitions – although there is considerable common ground between them.
Some important national players of the food chain at different steps (mainly food retailers and food services) have included animal welfare in their CSR.
The anoxia technique
An explanation of the anoxia principle
The Anoxia technique is developed as alternative for existing animal stunning methods that are based on the use of CO2, electrocution, neck dislocation, captive-bolt, as well as killing methods like de-bleeding and maceration.
In the past 10 years, Wageningen University and University of Glasgow conducted several studies that proved that the technique could be applied successfully for culling poultry (Proof of Principle Anoxia Technique). This was the start of the development of several applications based on the Anoxia principle, using high expansion foam filled with >99% Nitrogen.
The technique has now been introduced in:
- Stunning and killing of sick and cripple killing piglets less than 5 kg
- Stunning and killing of sick or cripple poultry (especially poultry > 3kg) who need to be killed on the farm by the staff for welfare purposes (avoiding unnecessary stress or pain)
- Stunning and killing of poultry that arrives on the slaughterhouse but that are unfit to be slaughtered (due to injuries occurred during transportation – providing signs of possible illness etc.)
- Stunning and killing of male pullets at the hatchery
- Stunning and killing of half-hatched chickens and embryos in partly-hatched eggs, before destruction
- Stunning and killing parent stock poultry
- Killing of animals that have been stunned (captive bolt – blow-on-the-head method, etc.) replacing killing by de-bleeding
- Culling of ex-layers
- Culling of poultry for disease control purposes
Last November 2016 the campaign started the launch of the commercialization of the Anoxia applications in Holland, Germany and Sweden, focusing on the areas where a solution is most needed: piglets (< 5kg) and poultry (> 3kg) on farms.