GOVERNMENT & POLICYbell.” Any<strong>on</strong>e seeking the informati<strong>on</strong>,for any purpose, could readily find it, hepointed out.And while research journals and federalagencies are under no obligati<strong>on</strong> to followNSABB’s recommendati<strong>on</strong>s, the advisoryboard and its decisi<strong>on</strong>s do carry weight inthe scientific community. The board wascreated in light of a recommendati<strong>on</strong> inthe 2004 Nati<strong>on</strong>al Research Council report,“Biotechnology Research in an Age ofTerrorism.”NSABB members came to the tableto discuss the H5N1 papers withdiffering opini<strong>on</strong>s, recalled memberArturo Casadevall, a professor ofmicrobiology at Albert Einstein Collegeof Medicine. Initially, he said,he was opposed to the recommendati<strong>on</strong>for publishing <strong>on</strong>ly redactedversi<strong>on</strong>s of the research papers.But “the process is deliberative andpeople can change their minds,” hesaid. “I changed mine.”But other NYAS panel membersare alarmed by the NSABB recommendati<strong>on</strong>,which they see as aneffort to shut down productive linesof research and censor experimentalresults.“WE NEED TO specifically address the situati<strong>on</strong>of H5N1,” said Peter Palese, chair ofthe department of microbiology at MountSinai School of Medicine. The Fouchier andKawaoka research groups, he said, “are passagingan H5N1 virus in ferrets. This is perfectlylegitimate,” and many other groupshave d<strong>on</strong>e similar work, he noted, referringto the experimental method in which viraladaptati<strong>on</strong> is achieved by repeated passagein cells or in naive animal hosts. He said theexperiments are necessary because theyhelp researchers identify the very mutati<strong>on</strong>sthey should be m<strong>on</strong>itoring in wildstrains of the virus that could signal <strong>on</strong>setof a human pandemic.Palese went <strong>on</strong> to questi<strong>on</strong> the casefatality rate of H5N1 infecti<strong>on</strong> in humans,which is estimated to be in the range of50 to 80%. He explained that this rate iscalculated <strong>on</strong>ly from documented cases ofhuman H5N1 infecti<strong>on</strong> as defined by WorldCYNTHIA GOLDSMITH/CDCHealth Organizati<strong>on</strong> (WHO) guidelines.The overwhelming majority of infecti<strong>on</strong>s,including those that do not result in deathor that create asymptomatic H5N1 carriers,are not likely to be reported to WHO, hesaid. These undocumented infecti<strong>on</strong>s occurin poor, rural areas where medical care,including access to advanced laboratory diagnostics,is not likely. Because the numberof n<strong>on</strong>lethal cases is being underreported,Palese said, “the case fatality rate is muchlower than what WHO is putting out.”The questi<strong>on</strong>ing of thecase fatality rate by Paleseled to a testy exchangewith NSABB memberOsterhelm, who accusedPalese of putting forwardfalse informati<strong>on</strong>. “Thestudy you c<strong>on</strong>tinue to cite is the worst<strong>on</strong>e of all,” Osterhelm said, referring to aJanuary Proceedings of the Nati<strong>on</strong>al Academyof Sciences article cowritten by Palese andMount Sinai School of Medicine colleagueTaia T. Wang, titled “H5N1 influenzaViruses: Facts, Not Fear” (DOI: 10.1073/pnas.1121297109 ).Casadevall chimed in <strong>on</strong> the exchangeand said, “The [fatality] numbers areunbelievable no matter any way you lookat it. When these things [the experimentalviruses] get out and combine with existingstrains, the situati<strong>on</strong> becomes completelyunpredictable.”Palese c<strong>on</strong>tinued to draw fire when heDUAL USE A colorizedTEM image showsH5N1 (gold) avian fluvirus growing am<strong>on</strong>gkidney cells (green).questi<strong>on</strong>ed the use of ferrets in the experiments.“People are equating transmissi<strong>on</strong>in ferrets with ease of transmissi<strong>on</strong> inhumans,” he said. The animals are indeeda model, he c<strong>on</strong>tinued, but the implicati<strong>on</strong>sfor human disease are unknowableat this time. “In fact, the ferret is much toosensitive” to make good predicti<strong>on</strong>s abouthuman infecti<strong>on</strong>, Palese said. “An animalmodel is just that—a model.”“But then what would be a good model,sir?” fellow panelist Laurie Garret, a seniorfellow at the Council <strong>on</strong> ForeignRelati<strong>on</strong>s and a former journalistwho has written extensively <strong>on</strong>emerging diseases, shouted acrossthe table.A visibly shaken and angry Paleseresp<strong>on</strong>ded: “These are not c<strong>on</strong>clusiveexperiments, they are notcompelling, and we are using them toshut down a lot of science.”Other panelists also raised questi<strong>on</strong>sabout how to advance importantbut risky research. Jasny tried to get ata root questi<strong>on</strong>: “What is it that causesvirus to jump from species to species—to become more virulent?” Getting theanswer to this and other importantquesti<strong>on</strong>s in virology requires dualuseresearch, she said. “Any kind ofresearch can have risk associated withit—it doesn’t mean we ignore the risk.How do we move ahead?”Panel member Alan S. Rudolph,director of the joint science and technologyoffice for the government’s<strong>Chemical</strong> & Biological Technologies Directorate,noted c<strong>on</strong>cerns about including internati<strong>on</strong>alperspectives <strong>on</strong> the research—some of which did occur outside the U.S.“The problem extends well bey<strong>on</strong>dour borders,” Rudolph said. He notedthat quite a lot of activity <strong>on</strong> the H5N1experiments is starting to happen abroad,including a closed-door meeting at WHOheadquarters in Geneva scheduled for Feb.16 and 17. No agenda has been posted, butthe invitati<strong>on</strong>-<strong>on</strong>ly c<strong>on</strong>ference is likely totouch <strong>on</strong> data sharing and other issues,including the possibility of distributingthe mutated experimental viruses to otherresearchers.“Any kind of research can haverisk associated with it—it doesn’tmean we ignore the risk.”WWW.CEN-ONLINE.ORG 12 MARCH 2012GARRETT N OTED that internati<strong>on</strong>al views<strong>on</strong> how to handle this research may be verydifferent than the c<strong>on</strong>sensus in the U.S.She said it is important to note that, whenpeople discuss what is ultimately a healthcare issue, the U.S. is often criticized in the
internati<strong>on</strong>al community. The U.S. insistence<strong>on</strong> intellectual property protecti<strong>on</strong>sfor prescripti<strong>on</strong> drugs, she said, is oftenseen as an uncaring obstacle to health carefor people in the developing world.As for H5N1, Garrett pointed out anewspaper editorial in Ind<strong>on</strong>esia that hailsFouchier as a hero for achieving breakthroughs<strong>on</strong> H5N1 research that could leadto new protecti<strong>on</strong>s for people in a countrywith potentially huge reservoirs of the virusin domesticated birds.NSABB’S RECOMMENDATION to redactinformati<strong>on</strong> prior to publicati<strong>on</strong> of thepapers, however, comes a bit late, severalpanelists noted. This is because theFouchier and Kawaoka papers—includingmethodology and results—have alreadybeen discussed at a meeting in Malta lastyear. What’s more, the eyes of many expertsin influenza research have seen thepapers during peer review. Some panelistsestimated that about 1,000 people aroundthe world have read the papers or have directknowledge of the work, leading to furtherspeculati<strong>on</strong> about the value of at least“We need to maintain the integrityof the scientific process.”some limited censorship of the data now.If the papers do appear in Science andNature in redacted form, which seems allbut certain, the panelists agreed that sharingthe full data sets and deciding whichresearchers are qualified to receive themwill be fraught with difficulty.“We need to maintain the integrity ofthe scientific process,” said panelist Vér<strong>on</strong>iqueKiermer, executive editor for Natureand the Nature journals. She said the rolesof serendipity, interdisciplinary attenti<strong>on</strong>,and other factors in scientific research cannotbe underestimated for sparking “thingsthat can be field-changing.” In any systemto limit distributi<strong>on</strong> of the redacted datasets, “we need to be very careful about howto establish these criteria and decide whothese people will be,” she said.So far Nature has made no public statementabout its plan for the H5N1 paperunder its c<strong>on</strong>trol. Science Editor-in-ChiefBruce M. Alberts has stated his supportfor the NSABB recommendati<strong>on</strong> but hasalso suggested that the journal wait for acredible plan for data sharing from the U.S.government before publishing the paper itc<strong>on</strong>trols.As the forum c<strong>on</strong>cluded, the panelistsremained split in their opini<strong>on</strong>s. Allseemed to agree that biology was at anothercrossroads, especially with the growingbody of research in synthetic biology,and that resp<strong>on</strong>sibility for the safety andwelfare of the general public should be ofparamount c<strong>on</strong>cern.“But we can’t be wr<strong>on</strong>g,” said Osterhelmof the H5N1 research. “There’s no goingback. We have no choice but to act <strong>on</strong> this<strong>on</strong>e.”Palese asked perhaps the ultimate questi<strong>on</strong>about H5N1 and any dual-use research:“Where do you stop being afraid?” ◾Reprinted from C&EN, Feb. 20, 2012D<strong>on</strong>’t Miss C&EN’s Life Sciences Focused IssuesC&EN Editorial CalendarFrom display advertising to cover tips, deliveryour message al<strong>on</strong>gside our <strong>life</strong> <strong>sciences</strong>-specificeditorial c<strong>on</strong>tent for high-impact exposure.June 4June 18July 23August 6September 3September 17October 22November 5December 3NanotechnologyCancer Drug ResearchDiagnosticsBiobased <strong>Chemical</strong>sPharmaceutical ChemistryBiofuels & EnergyLife SciencesPharmaceutical PartneringProteomics & GenomicsInterested in receiving a printcopy of C&EN? C<strong>on</strong>tact ElaineJarrett at jarrett@acs.org toreceive a complimentary copy.Visit cen-<strong>on</strong>line.org/advertisefor informati<strong>on</strong> about C&EN’sadvertising opportunities.WWW.CEN-ONLINE.ORG 13 MARCH 2012