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Animal-to-Human Organ Transplants
Riskier Than Ever
Group Cites Mounting Evidence of Viral Threats From Pigs and Primates
Evidence mounts, on a weekly basis, that we should not be transplanting
virally contaminated animal organs into humans. Baboons and pigs
are still designated organ "donors" for xenotransplants, despite warnings
by prominent virologists that they harbor several endogenous retroviruses,
some that can infect human cells. The swine flu of 1918 killed 20
million people worldwide; and both the Asian flu virus of 1957 and the
Hong Kong flu virus of 1968 mutated in pigs.
"We could have another AIDS-like epidemic on our hands," says CRT spokesperson
Murry Cohen, M.D.. The worldwide spread of HIV infection has been
linked to a virus that allegedly jumped from monkeys to humans. "Transplanting
organs from baboons and pigs into humans could make AIDS look like a party.
Responsible health authorities would ban xenotransplants outright," says
Cohen. Recent events are cause for alarm:
* Yesterday, the journal Nature reported that researchers discovered
a simian foamy virus (SFV) in the bloodstream of four laboratory workers
exposed to chimpanzees, baboons, and African green monkeys. The
Centers for Disease Control admits there is a risk of SFV transmission,
especially through donated blood. Virologist Jonathan Allan believes
that foamy viruses represent "the greates immediate threat to humans among
the known simian retroviruses." Their pathogenic potential may only
become known after they become well established in the human population
(Molecular Diagnosis, Vol. 1, No. 3, (September 1996): 211).
* Last month, Australian virologist Peter Kirkland discovered a previously
unknown virus in pigs (paramyxovirus) which caused deformities and stillbirths
in pigs and infected two piggery workers who developed flu-like symptoms.
Kirkland said there was no guarantee that the virus had been contained.
* In December 1997, a laboratory worker at the Yerkes Regional Primate
Research Center in Atlanta, died after she was splashed with body fluids
from a monkey infected with the deadly herpes B virus.
* In September 1997, scientists at the National Institute of Allergy
and Infectious Diseases in Bethesda announced that a previously unrecognized
strain of hepatitis E may be circulating in the US pig population, and
might explain the high prevalence of hepatitis E antibodies in healthy
individuals in the US.
Pigs and primates are likely to carry several unidentified infectious
diseases which could infect organ transplant recipients and their contacts.
Surveillance systems to guard against infectious diseases are inadequate.
The General Accounting Office recently faulted the Food and Drug Administration
for failing to track transplant patients who may have received human tissues
contaminated with HIV and other viruses. Can this agency be trusted
to monitor animal organ transplants?
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