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Infecting mosquitos with bacteria could block malaria

Mosquito bites kill an estimated 1-2 million people every year. It is not the mosquitoes’ fault, though—it's the pathogens they transmit that are lethal, not the bites themselves. Nets and insecticides can help, but they can also be costly, logistically difficult to distribute, and not particularly green. So alternative strategies to prevent disease transmission are needed.

Wolbachia are bacteria that reside in insect cells and have a very complicated relationship with their hosts. They can render mosquitoes resistant to certain pathogens, and they can reduce mosquitoes' lifespans, which is significant because it is often the older mosquitoes that transmit the pathogens that make us sick. Wolbachia infect up to 76 percent of the 2-5 million insect species on Earth—but not, of course, the mosquito species that carry dengue fever or malaria. That would be far too convenient.

So researchers have been trying to infect disease-carrying mosquitoes with Wolbachia in the lab and then let these infected mosquitoes out into the wild to mate with and infect disease-carrying strains in order to reduce disease transmission. This has in fact already happened in northeastern Australia, where researchers spent four years maintaining Wolbachia in mosquito cells in the lab before letting infected mosquitoes loose in January 2011 to infect wild Aedes aegypti, the mosquitoes that transmit dengue fever. The trial is going so well that it is being repeated in Vietnam.

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“Vaccine” against heroin keeps it out of the brain

This is your brain on drugs, placed in a brain-shaped mold, and refrigerated overnight.

Under normal circumstances, antibodies recognize things that (in molecular terms) are big, like parts of bacteria and viruses that invade our bodies. That's largely because of the way that antibodies are selected for during an immune response. But by playing a bit of a trick on the immune system, it's possible to generate antibodies that attach to smaller molecules, ones that contain only a few dozen atoms. This has been used to do things like create antibodies that act like catalysts for chemical reactions.

The ability to create antibodies that specifically bind to small molecules has raised hopes that they'll prove useful for a very challenging medical problem, namely drug addiction. Antibodies that latch on to drugs could keep them away from their sites of action in the brain, blocking any rewarding high. So far, the results haven't been as promising as the idea, but a new vaccine against heroin appears to do better specifically because it's designed to work with how the drug is processed by the body.

The immune system is able to produce many antibodies that recognize the pathogens it is currently facing for a simple reason: antibody-producing cells can sense when their antibodies are sticking to something. This process works because these cells stick a lot of antibodies on their surface. When they stick to an invader like a virus, it creates a cluster of antibodies in the same area on the cell's surface, all of them stuck to a single virus. This clustering is enough to trigger a signal that tells the cell that its antibody is working.

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H7N9 bird flu still spreading in China, worrying WHO

Three weeks ago, there were only nine confirmed cases of the new H7N9 bird flu, three of which ended in the death of the infected individual. At the time, there were far more questions than answers about the risk posed by the virus. Since then, testing in China has greatly expanded, and the World Health Organization's (WHO) daily updates have seen a steady flow of new cases diagnosed—typically around five a day. As of the latest update, that flow has brought the total of confirmed cases up to 108, with 22 deaths.

At the moment, the WHO does not recommend any travel restrictions or special screening for the virus. Travel, however, seems to be the source of the first infection outside of China, which was found in a Taiwanese businessman who had recently visited the Chinese city of Suzhou.

Although the total number of infections remains low, a BBC report quotes a WHO member who recently visited China and returned a bit worried. The combination of a relatively high lethality and relatively easy transition from birds to humans makes it "an unusually dangerous virus," according to Dr. Keiji Fukada, who spoke at a WHO press conference. That's not to say, however, that we're on the verge of a new pandemic. So far, there's no clear evidence that the virus can spread among humans. Given the intensity with which it's now being studied, it's likely we'll have a much clearer picture of the threat in the coming weeks.

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Making HIV tests visible to the naked eye

One of the recurring themes in healthcare is that a lot of what works in the developed world doesn't work in the developing world. There may be limited access to basics like power or communications facilities, never mind the medical technologies that make a hospital one of the modern wonders of the world. Beyond simple access to expensive technologies and medicines, even something as basic as a diagnostic test might be too expensive or require skilled technicians to use.

Though cures might remain expensive—drug companies like their profits—every dime saved on diagnosis is a dime more for prevention and cure. That makes cheap, accurate, and simple diagnostic tests very, very desirable.

I was thinking about this when I came across an older paper that somehow didn't attract any attention when it came out. Last year, a group of researchers showed that they could detect HIV at extremely low concentrations. That by itself is nothing special: people are always improving diagnostic tests. What is special is that the test is very much like a pregnancy test, in that a simple visible color change indicates a positive result. Even better, it seems to work in real-life tests.

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When it comes to vaccination, bad news is contagious

In recent years, the controversy about vaccine safety has exploded online. Fueled by pseudoscience, conspiracy theories, and ignorance, a surprisingly large number of people today refuse to vaccinate themselves or their children. According to a 2011 poll, nearly a quarter of Americans have changed their opinion on vaccination in the last five years, and for the vast majority of these people, that change has been in a negative direction.

There’s no better tool than social media to spread information—and misinformation—about controversial topics quickly and efficiently, and there has been speculation that these outlets have played a role in heightening concerns about vaccination. But how do opinions about health-related behaviors spread over social media?

A group of researchers from Penn State used Twitter to answer this question, and their findings were published in EPJ Data Science last week.

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New strain of bird flu hops to humans in China

A Chinese worker tends to chickens, a potential source of the new virus.

Even as global health experts were nervously eyeing a new coronavirus that has caused more than 10 deaths, word has arrived that China may be facing a new threat from an influenza virus typically limited to birds. Currently, there have been nine confirmed infections that resulted in three deaths. However, there may be other infections that haven't come to the attention of health authorities, and the original source of the infections remains unknown.

This particular strain is called H7N9 (for more on the H/N nomenclature, see our influenza primer). It's typically confined to birds, although CNN notes that H7N9 has infected humans a number of times in the past. Those infections, however, have rarely resulted in deaths. According to the Associated Press, Chinese health authorities say this virus is infecting birds without causing obvious symptoms, making it harder to track than past avian flu outbreaks, notably the H5N1 flu.

The World Health Organization's FAQ on the outbreak indicates that there is no evidence so far that the virus can spread among humans. That said, there are a couple of worrying indications. Chinese health authorities have published the DNA sequence of the virus, and one flu expert contacted by the Canadian Press notes that some of the genetic differences between this H7N9 strain and other avian influenza viruses could be an indication that this virus has adapted to mammals. A different report from the Associated Press says that an individual who died from the virus had two children who also came down with severe respiratory illnesses.

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Nanoparticles formed using human viruses, to fight human viruses

This is the sort of thing they're making a mold of.

Biology and nanotechnology are moving ever closer together. Ars recently wrote about the use of nanoparticles to aid delivery of stem cells in cardiac therapy. Now, Swiss researchers have developed nanoparticles that can detect, and one day could combat, viruses.

When viruses enter the human body, the immune system responds to their presence. This triggers a sophisticated chain of events that leads to production of antibodies specific to the virus. Depending on the swiftness and effectiveness of the response, there are usually three possibilities: viruses are eliminated before they cause damage, they are eliminated after the person suffers a bout of sickness, or, in the worst case scenario, the virus spreads uncontrolled.

One option for combating viral infections is to develop “artificial” antibodies. These antibodies can have two uses: they can be used to detect infections and, if produced at large enough scale, they can be used to combat infections.

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Doctors track stem cells with nanoparticles during cardiac therapy

Heart-related diseases are the leading cause of death in the industrialized world. Cardiac stem cell therapy is a promising new way of reducing those numbers, but its application has proven to be less effective than hoped. Now researchers at Stanford University have developed nanoparticles that can be used to image stem cells implanted into the heart. They claim this will help improve the efficiency of these transplants drastically.

Stem cell therapy uses cells that have the ability to transform into a wide variety of mature cell types. When implanted in the heart, for instance, they can transform into heart cells. This ability can be used to repair injured or diseased parts of the heart. Sadly, current methods of introducing stem cells rely on trial and error.

Let’s say, for instance, that a patient suffers a heart attack, which leaves some of his heart cells injured. To help the heart heal, the patient is first put into an MRI scanner to locate the areas of the heart that need repair. Once those are determined, doctors use the scan to implant new stem cells into these regions. After implantation, the patient is returned to the MRI to determine the location and number of implanted cells—if they’re not where they need to be, the patient is returned to surgery. This is exhaustively repeated.

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Early treatment sometimes lets the body keep HIV in check

HIV, the virus that causes AIDS, belongs to a class of viruses that insert a copy of themselves into the genomes of the cells they infect. As long as some infected cells are alive, it is impossible to completely eliminate the virus. As a result, medical research has focused on two areas: vaccines that can prevent infection in the first place, and antiviral medications that keep the infection in check once it's established. Despite incredible successes in the development of antivirals, they'd still be needed for the rest of an infected individual's life, as a lapse could allow the virus to return from cells in which it had established a long-term infection.

Recently, however, came a report that early treatment with antivirals has allowed one individual to keep an HIV infection limited for extended periods of time without treatment. Now, a report in PLOS pathogens suggests that this case may not be as exceptional as we might have thought. In a small population of people treated immediately after infection, about 15 percent managed to keep the virus in check after they discontinued other treatments.

There have been a number of individuals who show a more complicated infection, one in which they never progress to full-blown AIDS. Many of these have a mutation in a gene that the virus uses to latch on to and enter cells. Bone marrow transplants using cells from people with this mutation have now been used in procedures that seem to have eliminated the virus from at least three individuals. Bone marrow transplants are drastic and carry risks (these patients needed them for other reasons), so this doesn't represent a general cure, but it did suggest that the virus might not necessarily get established widely in the body.

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Majority of doctors opposed to full access to your own electronic records

Technology is making transparency easier than ever and with the advent of electronic medical records, you might think doctors and other caregivers would embrace transparency for patients. After all, in the US and most modern counties, you have the right to review your own health records.

Yet a recent survey by Harris Interactive reported first at Computerworld reveals that doctors aren't big fans of full transparency. A survey of 3,700 doctors in eight countries revealed that only 31 percent believe that patients should have full access to their own medical records via electronic means. That's less than one in 3. The majority of those surveyed, some 65 percent, supported "limited access," while the remaining 4 percent believe there should be no access granted to patients. So, despite the fact that we have rights to review and amend our records, doctors don’t want it to be easy for us to do so via electronic means.

I find these numbers incredibly disappointing, although not surprising. While there might be many motivations for wanting to deny patients full access to their medical records, I know firsthand one such motivation: these documents can be terribly inaccurate. Mistakes can run from the serious to the banal. Ars’ own Casey Johnston told me her medical records reported the wrong birthdate for her. Not a huge deal, but also, sort of a silly mistake to make.

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