Date: 24 Oct 2002 16:19:13 -0500
From: jcummins <jcumm...@uwo.ca>
Subject: millions infected with SV40 cancer virus from vaccines

We are far too slow in acknowedging that SV40 causes cancer in humans.
Science Oct 25 2002: 725-727
Creeping Consensus on SV40 and Polio Vaccine
Dan Ferber

At first it seemed impossible: The widely celebrated polio vaccine that
was given to millions of people in the 1950s was contaminated with a
monkey virus--a virus that causes cancer in animals.

Since the virus was discovered in the monkey kidney extracts used to
make the Salk vaccine some 40 years ago, concern has risen that the
vaccine, which wiped out polio in the United States, might have
triggered an epidemic of cancer (Science, 10 May, p. 1012). Now, at the
request of the U.S. Congress, an expert panel of the Institute of
Medicine (IOM) has issued the most definitive judgment to date, allaying
most--but not all--of those fears. The virus, known as SV40, has not
caused a wave of cancer, the panel concluded. But it might be causing
some rare cancers, and more research is needed to find out.

Since the contamination was detected, government researchers and others
have published epidemiological studies that they said proved that the
vaccine was safe. But questions remained, because the virus kept turning
cultured cells cancerous, and it kept causing tumors in animals. That
debate heated up in the past decade, after researchers began finding
SV40 DNA in four types of rare human cancers--the same kinds it causes
in animals--and press reports emphasized that tens of millions of people
could have been exposed.

The IOM committee examined the 4 decades of epidemiology to see whether
people exposed to SV40-contaminated vaccine have a higher risk of
cancer. Although the studies were flawed, the panel concluded, they were
good enough to show that no cancer epidemic has occurred. But millions
of people might have been infected with SV40 from the contaminated
vaccine, the panel wrote. And the evidence is strong enough to suggest,
but not prove, that the virus can sometimes cause human cancer. "We
acknowledge that SV40 at least could have a carcinogenic effect, but
epidemiological evidence does not suggest that it actually did," says
IOM committee member Steven Goodman, a biostatistician at Johns Hopkins
School of Medicine in Baltimore. Even so, he adds, "there's a body of
evidence [on SV40 carcinogenicity] that has to be taken quite
seriously."

The committee stressed the need for more reliable and sensitive tests to
detect SV40 in human tissue, especially tests for anti-SV40 antibodies
in human blood. Once those tests are devised, researchers could test
human tissue samples from before 1955 for the monkey virus to ascertain
whether it really came from contaminated polio vaccine. In addition, the
panel said, there's enough evidence that the virus is spreading in
humans that the issue should be studied further.

But overall, the IOM report "really closes the book on the discussion"
of past epidemiological work, says pediatric oncologist Robert Garcea of
the University of Colorado Health Sciences Center in Denver. Although
SV40 might yet turn out to cause cancer in humans, the risk, if any, is
"not remotely in the ballpark" of well-known carcinogens such as tobacco
smoke or asbestos, adds Goodman.

The report seems to have satisfied protagonists across the spectrum,
although they're drawing different conclusions. One reason, Goodman
explains, is that IOM took extraordinary precautions to prevent
conflicts of interest, excluding anyone who had ever sat on a government
vaccine panel or received money from government or industry for vaccine
research.

Virologist Janet Butel of Baylor College of Medicine in Houston, Texas,
is "gratified that they recognized the biological evidence" implicating
SV40 in cancer. Keerti Shah of Johns Hopkins School of Medicine, a
long-time skeptic, calls the report "a positive step," although he'll
need better assays before concluding that SV40 is indeed present in
humans. If the National Institutes of Health follows the panel's
suggestions, more money should soon be available to probe the link.


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