BERLIN, March 27, 2009

Experimental Ebola Vaccine Used On Human

Scientist Accidentally Pricked Her Finger With Needle Containing Deadly Virus; Outcome Will Be Known Thursday

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    An electron microscope photo of the deadly Ebola virus.  (AP)

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(AP)  It was a nightmare scenario: A scientist accidentally pricked her finger with a needle used to inject the deadly Ebola virus into lab mice.

Within hours, members of a tightly bound, yet far-flung community of virologists, biologists and others were tensely gathered in a trans-Atlantic telephone conference trying to map out a way to save her life.

Less than 24 hours later, an experimental vaccine - never before tried on humans - was on its way to Germany from a lab in Canada.

And within 48 hours of the March 12 accident, the at-risk scientist, a 45-year-old woman whose identity has not been revealed, was injected with the vaccine.

So far, so good. If the woman is still healthy by Thursday, she can consider herself safe.

Ebola hemorrhagic fever, seen mostly only in Africa, is one of the world's most feared diseases. It begins with flu-like symptoms, followed by bloody diarrhea and vomiting. Days later, some victims begin bleeding through the nose, mouth and eyes. Depending on the strain of virus, it can kill up to 90 percent of victims.

There is no cure. The virus is spread through direct contact with the blood or secretions of an infected person.

Dr. Stephan Guenther, head of the Bernhard Nocht Institute for Tropical Medicine in Hamburg, where the researcher was working, said tests so far show the scientist is healthy and free of the virus.

The peak period for an outbreak during the 21-day Ebola incubation period passed this week, he said.

"We are now on the downside," Guenther told The Associated Press, noting that with each passing day the chance of infection taking root diminishes.

It's not entirely clear the researcher was actually infected with the virus. At the time of the accident, she was wearing three layers of protective gloves, and though the needle stuck her, the plunger of the syringe was not pushed so it's not certain the virus entered her bloodstream.

That means scientists may never know if the vaccine worked or she was just lucky.

There are two other known accidents involving researchers who came into direct contact with a similar strain of Ebola. A Russian researcher died, and a British scientist became ill but survived.

After the needle stick, Guenther knew he had to act swiftly.

He rushed an e-mail to fellow scientists in the Ebola research community. One was Dr. Heinz Feldmann, chief of the virology laboratory at the Rocky Mountain Laboratories, a U.S. National Institutes of Health research facility in Hamilton, Mont.

"We considered this as serious as (the Russian) case, in terms of the exposure," Feldmann told the AP in a telephone interview last weekend.

Dr. Stephan Guenther, head of the Bernhard Nocht Institute for Tropical Medicine, said tests so far show the scientist is healthy. The peak period for an outbreak during the 21-day Ebola incubation period passed this week, he said.

Feldmann was part of an international group of experts from the U.S. Centers for Disease Control and Prevention, the U.S. Army Medical Research Institute of Infectious Diseases, the Canadian Public Health Agency, Boston University and the University of Texas Medical Branch.

Feldmann, Guenther and several other experts took part in the teleconference debating the options. These included a live vaccine never before tried on humans, another treatment designed to interfere with the virus' ability to multiply, or an anticoagulant that Army research found had saved the lives of monkeys exposed to Ebola.

The option that emerged as the strongest was the vaccine, which had been developed by Feldmann and collaborating researchers at several institutions. Much of the key work was done about nine years ago at a microbiology research lab run by the Canadian government in Winnipeg, Manitoba, where Feldmann worked at the time.

Although the vaccine is based on a different kind of virus, researchers used genetic engineering to make the virus look like Ebola, triggering an immune system response.

In a 2008 study, Feldmann and other researchers showed that when given 20 minutes after a lethal dose of Ebola virus, four of eight monkeys survived. There were no side effects, Feldmann said.

"The group came very swiftly to agreement that this vaccine would be the best ... because it had showed an effectiveness when used after exposure," Guenther said.

In the end, the scientist whose life was at risk made the decision herself. She took the vaccine about 48 hours after the accident. Within 12 hours, she had a headache, muscle pain and a fever, but recovered quickly.

"Those are normal reactions to live attenuated vaccines," Feldmann said.

While future study of the woman's immune response may help to clarify whether the vaccine saved her life or she was never infected with Ebola in the first place, it will most likely remain open to interpretation.

Either way, Feldmann said scientists cannot draw conclusions about the experimental vaccine's safety or effectiveness.

There's a long history of researchers testing vaccines on themselves or people close to them. Edward Jenner, the English physician who first invented a smallpox vaccine, included his own son among the children he first gave the immunization. And Jonas Salk, an inventor of polio vaccine, reportedly gave the vaccine to himself and his entire family before making it public.

This case is somewhat different. Using the experimental vaccine, "was to save her life, that was the priority," Feldmann said. It might have been five years or more before it was tried on humans because of additional animal studies and production issues, he added.

Guenther expressed hope the case would attract funding for more research in the field of such vaccines.

"Of course, we can't just go to Africa, now that we have seen such a vaccine went well when used on a human," Guenther said.

"Perhaps this will be like a little push, where one says, yes, it's possible. Everything that we are doing on an experimental level can actually be put into practice."

© MMIX The Associated Press. All Rights Reserved. This material may not be published, broadcast, rewritten, or redistributed.
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Add a Comment
by LadyParts March 31, 2009 9:23 AM EDT
Ebola, like all disease, is a punishment from God sent to sinners and the unfaithful. If she renounces her sinful ways and humbly prays for forgiveness, she will be fine.
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by mecanik-2009 March 29, 2009 11:51 AM EDT
I think this story would make a great horror movie. Think how we could twist the story around. Scientist working for the military on a top secret project gets her finger pricked and turns into a alien that sucks the blood of people and farm animals. Then the military clones her and they create an Army of blood sucking GI's and attack Iran or Afghanistan and they scare the living daylights out of the entire Muslim world then they mutate into blood sucking frogs or flies and they wipe out the human race.

But then again how would we train all those frogs and flies to play there parts. And the farm animal scene would upset the Peta people. There's probably a frog protection thing out there too. I don't know now. Maybe we can just film some flies on a dead cat and call it good.
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by philabias March 29, 2009 2:38 AM EDT
Acyually folks they wherent trying to save people she was working on the virus for military application. weaponizing a strain of the virus does not merit all the praise. NO WONDER OBAMA CAN LIE ABOUT EVERYTHING HE DOES > YOU FOLKS ARE JUST GULLIBLE
Reply to this comment
by pensacola8-2009 March 28, 2009 11:45 AM EDT
I send my respect to the researchers and developers who dedicate their lives to saving humans from dying of disease. My heart pours out to all who give hope to others in any type of serious or desparate situation. I also commend them for the huge risk they take in their work.
Reply to this comment
by mecanik-2009 March 27, 2009 8:48 PM EDT
Unfortunately there's only a few side effects. You will get an urge to eat bananas and hang by your new tail in trees. But hey, nothings perfect.
Reply to this comment
by brainteaser2 March 27, 2009 8:36 PM EDT
Was House consulted.
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