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Monkey Virus Infects Workers

Emergency meeting called for 81 Tunney's Pasture workers; 'Virus in search of a disease' strikes fear into employees of Health Canada

Source: http://www.ottawacitizen.com/national/010629/5027025.html
Friday 29 June 2001

Matthew Sekeres
The Ottawa Citizen

At least two workers at a Health Canada research centre in Ottawa have been infected with a mysterious and rare virus from lab monkeys.

Eighty-one employees from the Sir Frederick Grant Banting Research Centre in Tunney's Pasture were called to an emergency meeting on Wednesday during which they were told that two workers -- and possibly a third -- tested positive for Simian Foamy Virus during a study last month of 46 anonymous blood samples.

Employees at the centre, who were described as shocked by the announcement and fearful of the consequences, were also bluntly warned not to donate blood, tissue or organs until further tests pinpoint exactly which workers are infected with SFV and how many more might have been exposed.

A spokesman from Canadian Blood Services said last night that Health Canada informed the agency about the SFV infections on Wednesday and suggested that potential blood donors who work with lab animals may have to be subject to special screening in the future.

Health Canada has also offered to test the spouses and family members of any infected individuals.

The ministry discovered the virus in 80 per cent of its macaque monkey colony following tests completed in April 2000. Last month, the department conducted a blind study with 46 of the 81 employees who volunteered. The two positive samples were discovered June 11 and 12, while a third sample is being re-evaluated.

The third sample is "not yet known to be positive (and) not clear that it is negative," said Karen Dodds, director general of Health Canada's Food Directorate.

"The purpose of the original (blood tests) was to determine whether there was any risk of Simian Foamy Virus in animal handlers and to determine what impact, if any, it might have on Canada's blood supply," she said. "We're recommending that any staff who have had contact at the present time or in the past -- either with the animals themselves or with their blood, organs or tissues -- that they enroll in the link study."

"There are likely more staff who have had exposure" to the monkeys, Ms. Dodds added.

At the emergency meeting two days ago, employees were given information packages -- a copy of which has been obtained by the Citizen -- explaining the study, providing information on SFV, listing interim recommendations and outlining the ministry's next steps.

A second staff meeting will be held today, in which the ministry will present its plan for the follow-up test.

SFV has been referred to as the "virus in search of a disease" because it has the capacity to incorporate itself into DNA and because it is transmitted routinely between non-human primates.

Dr. Jonathan Allan, a virologist at the Southwest Foundation for Biomedical Research in San Antonio, Texas, says SFV "has been called 'the virus in search of disease' because it's a retrovirus -- so you think, in the right circumstances, it might do something. If it ever got into the population, since it's a retrovirus, it's something you would prefer not to have happen."

SFV has been around since the 1950s and is present without symptoms in almost all non-human primates, said Dr. Allan. It is transmitted orally between monkeys, baboons and other primates.

"Retrovirus integrate their genetic material into your chromosome, so they essentially become part of you," he added. "If they incorporate themselves in the right place, they can induce cancer genes. And that's happened in animal models."

But there have been less than 20 documented cases of human infection worldwide, and none of the people infected has shown symptoms of any disease. The Health Canada results also represent the first transmission between macaque monkeys and humans.

"What we do know about this particular virus is that it is unlikely to have any negative effects on people," said Dr. Allan. "For whatever reason, and we don't even know why, it doesn't appear to be one of these disease-causers. But you have to be cautious. You can't say, 'Well it's only Simian Foamy Virus, don't worry about it'.

The ministry does not yet know exactly how many employees could have had contact with the animals or their organs and fluids. Some employees have since moved to a research facility in Winnipeg, while others have retired or taken other jobs.

"The information that we have so far is that Simian Foamy Virus causes no adverse health effects, either in the animals or in the humans known to be infected," Ms. Dodds said. "But we know that retroviruses, when they do cause adverse health effects, have a long latency period, so we will continue to monitor those individuals who we know to be positive."

Two previous studies of foamy virus infection by the U.S. Centre for Disease Control and Prevention did not find any transmission between human spouses on a pool of five subjects.

"There hasn't been a lot of work in this area. As far we know, there doesn't appear to be any kind of association, at least in the monkeys, with disease," Dr. Allan said.

There are three groups of retroviruses known to infect humans. Foamy viruses are not linked to any human or animal disease but others, like Human T Cell Lymphotropic Virus (HTLV) are know to cause cancer in a small percentage of people while others are linked to HIV, the retrovirus causing AIDS.

The fact the virus originated with macaque monkeys is also significant, Dr. Allan said. "There are different strands that could be transmitted to humans. It's always possible that one of the monkey strains is more pathogenic (disease-causing) than another."

Previous positive tests have come from individuals with high levels of exposure to primates -- typically 20 years, according to Dr. Allan. He added that laboratory precautions over the last 20 years have also been designed to prevent transmission of primate viruses to humans, meaning that those employees with longer tenures in the research centre would be more at risk.

The Health Canada colony of roughly 275 macaque monkeys is located in the animal wing of the research centre. It was being bred from 1982 until 1997, when a report by the Royal Society of Canada recommended that the practice be stopped. The animals are available to scientists who meet ministry criteria for research purposes. At the moment, the animals are not being used.

Health Canada Study

The following contains excerpts of a memo distributed to Health Canada employees at the Sir Frederick Banting Research Centre at Tunney's Pasture:

  • Foamy viruses are a family of viruses commonly found in non-human primates, cows, cats and other organizations. Infected animals do not display symptoms or become ill due to the infection.

  • Simian Foamy Virus (SFV) is a retrovirus endemic in non-human primates.

  • The U.S. Centres for Disease Control (CDC) established SFV infection in up to 3% of workers exposed to non-human primates -- first detected in 1997, published in 1998, 1999.

  • No illness has yet been identified by CDC but numbers of infected individuals are very low. A long-term follow-up is under way.

  • About 80% of the animals in the Health Canada macaque colony are infected.

  • A blind study to look for SFV infection in HC animal workers was undertaken as a result of the CDC studies; two previous CDC studies in 1998, 2000, failed to show any human infection from macaques.

  • Blood samples were taken from 46 HC workers, individuals who handle primates or come into contact with blood or tissues from the primates, between May 14 and 17, 2001.

  • - Two samples were found to be positive for SFV infection by serological tests on June 11 and 12, 2001. Results of one sample require molecular tests for confirmation. All others are negative.

Information on SFV

  • Retroviruses are a specific class of viruses that cause lifelong infection.

  • They cause infection by integrating into the host's genome.

  • There are three groups of retroviruses known to infect humans: Foamy virus has not been linked to human or animal disease to date.

  • To date, foamy virus infection in humans has only been found in persons occupationally exposed to nonhuman primates or the body fluids or tissues from nonhuman primates (less than 10 individuals in published papers, six in unpublished studies.)

  • Most retroviruses, if they cause disease, have a long latency period.

We recommend you:

  • Provide a blood sample in order to receive individual results.

  • Talk to counsellors -- it will be important to understand the potential implications before further testing.

  • Talk to your partner, your doctor.

  • Please, do not donate blood, organs or tissues until a negative result is received.

Health Canada: Next Steps

  • Perform linked study as soon as possible.

  • Provide counselling as requested -- both immediately and after linked study.

  • Follow-up with other HC staff who may have had exposure.

  • Follow-up with families, as appropriate.

  • Consider any required changes to handling practices.

  • Consider long-term health monitoring for infected employees.

  • Consider implications for blood supply.


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