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A28    SCIENCE
              Wednesday 23 OctOber 2019
            Study points to virus as culprit in kids' paralyzing illness




            By LAURAN NEERGAARD                                                                    in the patients' spinal fluid,  of patients harbored them,
            AP Medical Writer                                                                      leaving  doubt  about  the  compared to less than 10%
            WASHINGTON  (AP)  —  Sci-                                                              link.                        of other children.
            entists  have  found  the                                                              Antibodies programmed to  Further work is underway to
            strongest   evidence    yet                                                            track  specific  germs  only  narrow  down  the  specific
            that a virus is to blame for                                                           wind up in spinal fluid if they  strains.
            a  mysterious  illness  that                                                           fought  infection  there  —  "Before we develop antivi-
            can start like the sniffles but                                                        what Wilson's team set out  rals  or  potential  vaccines,
            quickly paralyze children.                                                             to find.                     you  really  want  to  prove
            The  poliolike  syndrome,                                                              The  researchers  custom-    the viruses are causing dis-
            called acute flaccid myeli-                                                            ized  a  Harvard-developed  ease," said Dr. John V. Wil-
            tis or AFM, is very rare. Since                                                        tool to search for evidence  liams,  infectious  disease
            the first reports from Califor-                                                        of  hundreds  of  viruses  si-  chief at Children's Hospital
            nia in 2012, the U.S. has ex-                                                          multaneously  —  including  of Pittsburgh, who wasn't in-
            perienced  an  increasingly                                                            herpes,  measles,  chicken-  volved with the new study.
            bigger outbreak every oth-                                                             pox, Zika and a whole list of  "It's  pretty  compelling"  evi-
            er  year,  from  late  summer                                                          enteroviruses.    Add  some  dence.
            into fall.                                                                             spinal  fluid,  and  any  anti-  Mysteries  remain.  Enterovi-
            Doctors  have  a  chief  sus-                                                          bodies present would stick  ruses are hugely common,
            pect but proof that it's the                                                           to  their  target,  able  to  be  and  doctors  don't  know
            culprit germ has been frus-                                                            identified.                  why only a tiny fraction of
            tratingly elusive.                                                                     In tests of spinal fluid from 42  those infected develop the
            So researchers tried a new   This image made available by NASA shows a map of a hole in   AFM  patients  and  58  chil-  ailment, Williams said.
            trick:  They  checked  pa-   the ozone layer over Antarctica on Sunday, Oct. 20, 2019.   dren with unrelated neuro-  And  as  2020  approaches,
            tients'  spinal  fluid  for  signs                                    Associated Press   logic  illnesses,  only  entero-  specialists  are  girding  for
            the  immune  system  had  ment have been confirmed        spread respiratory illnesses.  virus-targeting  antibodies  another possible spike next
            fought  an  invading  virus.  in the U.S. since the Centers   The  problem:  Doctors  sel-  emerged  as  the  potential  summer.  "There's  a  lot  of
            Sure enough, kids who got  for  Disease  Control  and     dom  found  those  viruses  culprit. Nearly three-fourths  dread," Bove said.q
            sick  harbored  antibodies  Prevention  began  count-
            that  target  enteroviruses,  ing  in  2014.  Cases  spiked
            just the viral family special-  that year and in 2016 and  South Pole's ozone hole shrinks
            ists believe is to blame.    last year, with just a few in
            "This  is  circumstantial  evi-  the  intervening  years.  So   to smallest since discovery
            dence  that  this  is  what's  far, there have been 22 this
            going on, but it's a power-  year.                                                                                  only  United  Nations  treaty
            ful  piece  of  circumstantial  Bove's  son,  Luca  Waugh,                                                          ratified  by  every  country
            evidence," said Dr. Michael  illustrates  the  pattern:  His                                                        on  Earth  —  banned  many
            Wilson  of  the  University  of  whole  family  caught  a                                                           of the chlorine compounds
            California,  San  Francisco,  cold in the summer of 2014                                                            used  in  refrigerants  and
            who  helped  lead  the  re-  —  and  a  few  days  later,                                                           aerosols.  The  ban  resulted
            search.  His  team  reported  Luca  woke  up  with  weak-                                                           in  a  slightly  smaller  ozone
            the findings Monday in Na-   ness  in  his  neck  that  trav-                                                       hole  in  recent  years,  but
            ture Medicine.               eled  down  his  shoulder.                                                             this  year's  dramatic  shrink-
            Nailing  down  a  suspect  is  Despite fast hospitalization,                                                        ing  isn't  from  those  efforts,
            key to better diagnosis and  within  days  he  had  body-                                                           Newman said.
            eventually finding a way to  wide  paralysis  and  trouble                                                          Chlorine  in  the  air  needs
            prevent or treat the illness,  breathing.  He  recovered                                                            cold  temperatures  in  the
            said study co-author Dr. Ri-  gradually,  and  today  still   This image made available by NASA shows a map of a hole in   stratosphere and clouds to
            ley  Bove,  a  neurologist  at  has  some  paralysis  in  his   the ozone layer over Antarctica on Sunday, Oct. 20, 2019.   convert  into  a  form  of  the
            the  university  whose  own  neck, shoulder and arm.                                               Associated Press  chemical  that  eats  ozone,
            son developed AFM at age  Either a germ or the body's     BY SETH BORENSTEIN           NASA  scientist  Paul  New-  Newman  said.  The  clouds
            4.                           reaction  to  a  germ  was   AP Science Writer            man  said  Tuesday.  "That  go away when it warms up.
            "If you don't have a cause,  damaging  nerves  in  the    WASHINGTON  (AP)  —  The  means  more  ozone  over  But  this  September  and
            you can't have a vaccine,"  spinal  cords  of  patients   ozone hole near the south  the  hemisphere,  less  ultra-  October,  the  southern  po-
            Bove  noted.  Wilson  de-    like  Luca.  The  CDC  noted   pole  this  year  is  the  small-  violet  radiation  at  the  sur-  lar vortex — which just like
            veloped  "a  good  enough  that AFM spikes coincided      est since it was discovered,  face."  Earth's  ozone  layer  the  northern  one  is  a  swirl
            microscope, in a sense, to  with seasons when certain     but it is more due to freak-  shields  life  on  the  surface  of  cold  high-speed  winds
            find  things  they  suspected  strains  of  enteroviruses  —   ish Antarctic weather than  from  harmful  solar  radia-  around the pole — started
            were there."                 named  EV-D68  and  EV-      efforts to cut down on pol-  tion,  but  man-made  chlo-  to break down. At 12 miles
            Some 590 cases of the ail-   A71 — were causing wide-     lution, NASA reported .      rine  compounds  that  can  (20  kilometers)  high  in  the
                                                                      This  fall,  the  average  hole  last in the air for 100 years  atmosphere,  temperatures
                                                                      in  Earth's  protective  ozone  nibble at the ozone, creat-  were  29  degrees  (16  de-
                                                                      layer  is  3.6  million  square  ing thinning and a gap over  grees Celsius) warmer than
                                                                      miles (9.3 million square kilo-  the Southern Hemisphere.  average.  Winds  dropped
                                                                      meters). That's down from a  The  hole  reaches  its  peak  from a normal 161 mph to
                                                                      peak of 10.3 million square  in  September  and  Octo-    about 67 mph (259 kph to
                                                                      miles (26.6 million square ki-  ber  and  disappears  by  108 kph), NASA reported.
                                                                      lometers) in 2006.           late  December  until  the  This is something that hap-
                                                                      This  year's  hole  is  even  next spring in the Southern  pens  on  occasion,  occur-
                                                                      smaller  than  the  one  first  Hemisphere.               ring  in  1988  and  2002,  but
                                                                      discovered in 1985.          The    1987   international  not  this  extreme,  Newman
                                                                      "That's  really  good  news,"  Montreal  Protocol  —  the  said.q
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