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A28    SCIENCE
                        Friday 14 June 2019

            New gene tests for germs quickly reveal source of infections


            By MARILYNN MARCHIONE                                                                                               searches for 1,200 bacteria,
            AP Chief Medical Writer                                                                                             fungi, viruses and parasites
            Brian Jetter was on life sup-                                                                                       at once and gives a result
            port, a healthy 40-year-old                                                                                         within  two  days.  The  test
            suddenly battling pneumo-                                                                                           showed  high  agreement
            nia and sepsis, and a slew                                                                                          with  standard  lab  testing
            of  tests  had  failed  to  find                                                                                    in a study in the journal Na-
            the cause.                                                                                                          ture Microbiology.
            Mystery illnesses like this kill                                                                                    “The  biggest  issue  is  the
            thousands of people each                                                                                            cost”  —  around  $2,000  for
            year when germs can’t be                                                                                            the Karius test, said Ali Tork-
            identified  fast  enough  to                                                                                        amani, a San Diego scien-
            reveal the right treatment.                                                                                         tist  who  directs  a  genetics
            Now genetic tests are help-                                                                                         conference  that  featured
            ing to solve these cases.                                                                                           these tests in March. More
            One  finally  was  used  to                                                                                         competition may lower the
            search  Jetter’s  blood  for                                                                                        price  and  lead  to  wider
            bits of non-human genetic                                                                                           use, he said.
            material from viruses, fungi                                                                                        Karius has its own lab for its
            and  the  like.  It  detected                                                                                       test.  Other  companies  of-
            unusual bacteria that prob-                                                                                         fer software and tools that
            ably got into the Connecti-                                                                                         hospitals can use to devel-
            cut  man’s  lungs  when  he                                                                                         op  their  own  gene-based
            choked  and  accidentally    In this March 15, 2019 photo, Brian Jetter poses for a portrait in La Jolla, Calif.    tests. One of them, Arc Bio,
            inhaled  bits  of  a  burger                                                                       Associated Press  based  in  California  and
            weeks earlier.               fungus or some other things   but  also  found  others  that  rious or unusual cases.  Massachusetts,  offers  vi-
            With the right medicine, he  can take a long time.        standard tests missed.       “For   infectious   disease,  rus testing from blood and
            recovered and went home  Several  companies  and          In  all,  58  infections  were  you need to know the an-  gives an answer in less than
            to his 5-year-old son.       university  labs  now  offer   diagnosed.  The  gene  test  swer  today,”  because  a  two days.
            “I  realized  how  fragile  life  gene-based tests on blood   matched standard lab find-  patient’s risk of dying goes  IDbyDNA,  based  in  San
            is,” Jetter said. “No matter  or  spinal  fluid.  Once  frag-  ings in 19 cases, it found 13  up  the  longer  the  cause  Francisco,  uses  a  Utah  lab
            how  healthy  you  are,  the  ments  of  foreign  DNA  or   more that standard testing  isn’t  found,  said  Dr.  Asim  that  works  with  3,000  U.S.
            smallest  microbe  can  de-  other genetic material are   missed, and missed 26 that  Ahmed,  medical  director  hospitals. It gives an answer
            stroy you.”                  found,  their  code  is  ana-  the  standard  tests  eventu-  at Karius Inc.           in  about  48  hours  once  a
            Doctors  routinely  use  ge-  lyzed,  or  sequenced,  to   ally found.                 The Redwood City, Califor-   sample arrives, said its chief
            netic tests to spot inherited  identify  bacteria,  viruses,   Doctors  say  the  gene-  nia, company sells a blood  medical  officer,  Dr.  Robert
            diseases and guide cancer  fungi  and  parasites  caus-   based tests could be a fast,  test developed by Stanford  Schlaberg,  a  University  of
            treatment.  But  using  them  ing  sepsis,  meningitis,  en-  non-invasive first step for se-  University   scientists   that  Utah pathologist.q
            to detect infectious diseas-  cephalitis and other dead-
            es is so new that few doc-   ly illnesses.
            tors  and  even  fewer  pa-  “The key advantage of se-    Researchers: bitcoin’s carbon footprint
            tients  know  they’re  avail-  quencing is it can look for
            able.  A  study  of  one  test  everything at once” rather   equal to Las Vegas
            is  published  in  Thursday’s  than  doing  separate  tests
            New  England  Journal  of  for  each  virus  or  other  mi-  By FRANK JORDANS
            Medicine.                    crobe  that’s  suspected,    Associated Press
            They  are  modernizing  a  said Dr. Charles Chiu, a mi-   BERLIN  (AP)  —  The  virtual
            field  long  overdue  for  an  crobiologist  at  the  Univer-  currency  bitcoin  is  respon-
            overhaul.                    sity of California, San Fran-  sible  for  the  same  amount
            To  identify  bacteria,  labs  cisco.                     of carbon dioxide emissions
            still  rely  on  century-old  He  led  the  New  England   as  a  city  like  Las  Vegas  or
            techniques from Louis Pas-   Journal  study  that  tried  a   Hamburg and efforts to re-
            teur — putting a few drops  spinal fluid test on 204 chil-  duce  its  climate  footprint
            of blood or other sample in  dren and adults with men-    should  be  considered,  re-
            a lab dish and waiting days  ingitis or encephalitis, dan-  searchers said Thursday.
            or sometimes weeks to see  gerous  illnesses  that  aren’t   A  study  by  researchers  at
            what  germs  grow.  To  test  always caused by an infec-  the  Technical  University  of
            for a virus, a doctor usually  tion.                      Munich and the Massachu-
            has to guess what the pa-    The  gene  test  wasn’t  per-  setts  Institute  of  Technol-
            tient is sick with. Testing for a  fect. It missed some cases,   ogy,  examined  how  much   In this Feb. 12, 2014 file photo Bitcoin buttons are displayed on a
                                                                                                   table at the Inside Bitcoins conference in Berlin.
                                                                      power  is  consumed  by                                               Associated Press
                                                                      computers  used  to  gener-  tire  bitcoin  network  was  factors  contributing  to  cli-
                                                                      ate  bitcoins  and  process  responsible  for  22-22.9  mil-  mate  change,”  said  Chris-
                                                                      transactions.  Writing  in  the  lion  tons  of  CO2  per  year  tian Stoll, one of the study’s
                                                                      journal  Joule,  researchers  — similar to a large Western  authors. “However, the car-
                                                                      said  they  then  combined  city  or  an  entire  develop-  bon footprint is big enough
                                                                      the results with the carbon  ing  country  like  Sri  Lanka.  to make it worth discussing
                                                                      emissions  from  electricity  Total  global  emissions  of  the possibility of regulating
                                                                      production in the countries  the  greenhouse  gas  from  cryptocurrency  mining  in
                                                                      where the computers were  the  burning  of  fossil  fuels  regions  where  power  gen-
                                                                      located.  They  concluded  were  about  37  billion  tons  eration  is  especially  car-
                                                                      that,  in  late  2018,  the  en-  last year. “There are bigger  bon-intensive.” q
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