Saturday, March 28, 2009

Study: (H5N1): Effects Of Physico-Chemical Factors On Its Survival

 

 

# 2949

 

 

Actually, the full name of the study which just appeared in the Virology Journal is:

 

Avian influenza virus (H5N1); effects of physico-chemical factors on its survival

Muhammad Akbar Shahid, Muhammad Abubakar1, Sajid Hameed2 and Shamsul Hassan

 

And before you turn away, this study is actually more interesting than it sounds.

 

The authors wanted to find out how long, and under what conditions, the H5N1 virus can survive intact in the environment, and the best ways to kill it.    

 

Answers to which are of interest to just about all of us.

 

Even if the virus never obtains pandemic capability, it still remains an environmental hazard (to poultry, and to people) in areas where it has become endemic.  

 

Right now, that includes countries like Egypt, Indonesia, China, India, Pakistan, and Vietnam . . . but someday it could also include the United States, Canada, and Europe.  

 

And the threat isn’t limited to just the H5 viruses, there are H7 and H9 viruses in circulation that are of concern as well.

 

Vaccination of poultry is considered, at best, to be a stopgap measure.  Eradication of infected birds and the disinfecting of contaminated environments is the preferred method of control.

 

Researchers in Pakistan isolated the H5N1 virus during an outbreak in 2006 and cultivated it in embryonated chicken eggs. 

 

They then harvested the allanto-amniotic (AAF) fluid containing the virus, and used it in a variety of environmental and chemical tests to see how long the virus remained viable.

 

The results are illuminating.

 

Some excerpts from the study follow, with the first regarding viability at various temperatures, and the effects of UV light:

 

Avian influenza virus H5N1 retained its infectivity at 4°C for more than 100 days although HA activity was decreased.

 

Virus lost its infectivity after 24 h  when kept at room temperature (28°C).

 

Virus tolerated 15 min exposure to 56°C however it was inactivated at 56°C after 30 min of exposure.

 

Ultraviolet light had no deleterious effect on the virus replicating ability even after 60 minutes of exposure (Table 1).

 

 

Virus samples were exposed to Acid (pH < 7) and Basic  (pH > 7) solutions to determine at what level of acidity or alkalinity were viruses inactivated.

 

 

It was observed that H5N1 subtype lost its viability when exposed to pH 1, 3, 11 and 13 after 6 h while it remained viable at pH 7 for all contact times (6, 12, 18 and 24 h).

 

It retained its virulence at pH 5 for 18 h but got inactivated after 24 h.

 

Virus retained its infectivity at pH 9 for more than 24 h (Table 2).

 

To give the lay person some idea of the relative acidity and alkalinity of various common substances, I’ve reproduced a chart from the Wikipedia.

 

image

 

 

The prolonged contact time required to inactivate the virus even at relatively high and low pH levels tends to makes their use problematic to control the virus.

 

With regards to commonly used disinfecting agents in laboratories and hospitals, better results were achieved:

 

 

H5N1 was inactivated with formalin (0.2, 0.4 and 0.6% after 15 minutes)

 

Iodine crystals (0.4 and 0.6% after 15 minutes)

 

Phenol crystals (0.4 and 0.6% after 15 minutes)

 

CID 20 (0.5% after 60 minutes and 1.0% after 15 minutes)

Virkon®-S (0.2% after 45 minutes, 0.5 and 1.0% after 15 minutes)

 

Zeptin10% (0.5% after 45 minutes, 1% after 30 minutes and 2% after 15 minutes)

 

KEPCIDE300 (0.5% after 30 minutes and 1% after 15 minutes) and KEPCIDE 400 (0.5 and 1.0% after 15 minutes) at 28°C.

 

And finally, soap and detergents were tested:

 

Lifebuoy, Surf Excel and Caustic soda inactivated the virus at 0.1, 0.2 and 0.3% concentration after 5 minutes contact time while a concentration of 0.05% was not enough to kill virus (Table 4).

 

The authors make it clear that:  Each commercial preparation is the result of careful formulation and any modification can reduce the efficacy.

In other words, use according to directions!

 

While the virus is relatively easily inactivated by commonly used disinfecting methods, left unchallenged, at low temperatures and in a suitable medium, the virus can remain viable for days, weeks, or even months.

 

All of this, right now, is mostly of concern to those charged with maintaining bio-security measures at farms and hatcheries in the wake of avian influenza virus outbreaks, it could someday have broader implications.

 

This study is another step along the path of understanding how avian flu viruses survive (or not) in the environment, and how to eradicate them.

5 comments:

Anonymous said...

Mike,

Your article reveals a very shocking discovery, at least for me. Accoridng to CDC and NIH, an effective surface disinfectant using bleach (sodium hypochlorite) may be obtained at a 0.01% solution, i.e., 1 part chlorine to 10 parts water. I discovered in my grocery a new ready-to-spray product from Clorox, at the effective 1:10 concentration, minus any detergent agent, that may be used as a simple surface disinfectant (without need for rinsing).

However, from your very useful guage of pH of various products *PURE*(UNDILUTED)HOUSEHOLD BLEACH has a pH of 13, and even at this concentration, the H5N1 virus remains viable AFTER 6 HOURS of exposure. Not having read the article, only your excerpts, it's not clear JUST HOW LONG *AFTER* 6 hours it IS rendered no longer viable for transmission.

If all this is true, don't you think this needs more widespread notice and publicity??..I imagaine a lot of folks will be depending on cheap and prevalently available household bleach as an effective disinfectant in the event of a pandemic, and at the usual recommended dilution, at that!

Have I gone off track somewhere, or does this study need either confirmatory repetition, or a WHOLE LOT OF RE-EDUCATION AMONG DOCTORS, HEALTH-CARE WORKERS, et al.?

Also, you didn't include plain old rubbing alcohol (70%) in your conversion graphic - or doesn't that even warrant mention?

Where may folks obtain these obviously more effective viricidal agents you list.
Paul

Anonymous said...

OOPs. My math was a little wrong, though that doesn't affect the gist of the main point. A 10% solution = 1 part bleach with 10 parts water - which IS the CDC,NIH recommendation.

I've got to contact Clorox company to understand what they intend to accomplish offering a spray solution of only 0.01% bleach (i.e., 1 part bleach to 10,000 parts water??) - could that be??

Anonymous said...

By the way, that was me, Paul, posting again - forgot to sign it.

FLA_MEDIC said...

Paul,

I'm afraid I don't have any definitive answers to your questions.



However, I'm guessing that whatever alkalai they used to test the effects of pH of 11+ - it was something other than bleach.


Unfortunately, that detail isn't given in the paper.


Chlorine is a powerful oxidizer, and is virucidal at very low concentrations.


It is effective even in minute concentrations such as in drinking water or a swimming pool, and the alkalinity of these are obviously nowhere near the upper pH scale.


I'm not a chemist, but I suspect bleach's ability to kill viruses isn't solely due to it's alkalinity. That is probably denatures the proteins of a virus, as alcohol does.


So, for now at least, I'm not assuming that this eliminates bleach as a disinfectant for avian viruses.


I'm hoping that someone with more knowledge on this subject than I will clarify this.

Anonymous said...

Actually, that's an excellent point, and probably answers my question. I'd just assumed it was its alkalinity, only after reading your post, though I'd never specifically read anywhere (that I can remember)that it was its alkalinity, per se, that made it such an effective agent. It probably isn't, which would explain what I perceived as a discrepancy.

By the way, I've done a little research on Clorox's website. Household bleach is only ~6% sodium hypochlorite, but the CDC is aware of this (obviously) and takes this into account with its 10% recommendation. Here is a concise explanation of that calculation and the distinctions CDC makes between non-porous surface disinfection, and those materials which require more thorough saturation - and thus the 10% recommendation -> 1 1/2 cups household bleach to one gallon water): http://www.cdc.gov/ncidod/diseases/hanta/hps/
noframes/bleach.htm

I do have a bone to pick with Clorox Co., however. On their products page at http://www.clorox.com/products/overview.php?prod_id=ahsds
they declare that their spray product (The one with a 0.01% concentration)kills 99.9% of all bacteria (not viruses, admittedly) and "sanitizes" all non-porous hard surfaces. In their FAQ section on this product, they claim a 2 minute effective exposure time.

However, on their same site, when you click on their Clorox Regular Bleach product, http://www.clorox.com/products/overview.php?prod_id=clb
all the way down the page, just before "Related Articles", they post in barely legible 7pt. font of an almost invisible shade of grey the following: "Only Clorox Regular Bleach, of all the bleaches mentioned on this Web site, is approved for sanitation and disinfection."

This is not only deceptive (concerning the their new "Clorox Anywhere Hard Surface Daily *SANITIZING* Spray," [my emphasis]), but I think, downright dangerous, in the context of panepidemic avian flu preparation. When I saw this stuff on the shelf, I thought, "Greatest thing since sliced bread!" They finally came out with a product that comes ready to apply, without dilution measurements. I'll bet a lot of folks will assume the same who don't look into the details as I finally did.

I think one of you more widely read flubloggers should call attention to this.

Paul.