Los Angeles Times

Can we end the flu for good?

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Nasty viruses that deliver gruesome death (Ebola) or cause horrific birth defects (Zika) understand­ably get the big headlines when they flare up. The outbreaks are followed by calls for action and furious scrambling to come up with a cure. And while that’s reasonable, it contrasts sharply with the oddly ho-hum attitude humans seem to have developed toward a deadlier viral killer — influenza — that shows up every year to inflict widespread sickness and claim the lives of 290,000 to 650,000 humans, most of them old or infirm.

The 2017-2018 flu season is shaping up to be one of the deadliest in recent history. The illness hit hard and early, killing an unusually high number of young and healthy people (30 children had died in the U.S. by midJanuary), causing a shortage of antiviral medicine and prompting some overwhelme­d hospitals to take drastic action, such as treating sick people in parking lots. The dominant strain this go-around is unusually lethal, and the vaccine prepared for this season is particular­ly ineffectiv­e at preventing people from getting sick. These developmen­ts signal that it’s time for the nation to focus its efforts on developing universal flu vaccines that provide long-term protection from all strains.

The current method of developing seasonal flu shots is little more than guesswork. Scientists do the best they can to predict the strain that will be circulatin­g the following year. Even at their most effective, these short-term vaccines rarely protect half the population from infection. We can do better. It may sound like fantasy, but universal vaccines are well within the realm of possibilit­y.

Last week, a UCLA-based team of researcher­s reported in the journal Science that they have found a novel way to protect mice and ferrets from some influenza strains, and the technique may well be applicable to other viruses and to humans. Influenza is able to make people ill because of its ability to hide from the immune system’s initial defenses. The UCLA team found it could disable this ability so the virus could be killed off before it can do harm.

Granted, before a cure can be declared, the data must be replicated and human trials must be conducted successful­ly — a set of hurdles that won’t be cleared for years, if ever. Still, the UCLA results are a tremendous­ly promising step that has scientists and epidemiolo­gists hopeful it could lead to a vaccine that offers full protection from deadly flu in the coming decades.

There’s also hope for improved if not quite universal vaccines as soon as five years from now. That prospect is why the National Institute of Allergy and Infectious Diseases has made it a priority to push for better vaccines. Another motivating factor: the possibilit­y of a devastatin­g flu pandemic. It’s been a century since the Spanish Flu wiped out as much as a third of the global population, and epidemiolo­gists say humanity is due for another “Big One.”

Because pandemics happen when influenza viruses make huge mutations, rather than small shifts, seasonal flu shots would offer little to no protection. Let’s not wait until then to stop treating the flu like a familiar, if troublesom­e, annual houseguest. Finding a better way to fight this serial killer needs to be given at least as much urgency as attacking the next sexy virus that pops up in the news.

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