Doctor, is it true that

Can infectious threats capable of triggering pandemics arrive from the ice?

The National Medical Association's team of doctors and anti-fraud experts answers the most important health questions

4' min read

Translated by AI
Versione italiana

4' min read

Translated by AI
Versione italiana

From time to time we read about germs preserved in the ice or frozen ground (known as 'permafrost') of Arctic areas for thousands, sometimes even millions of years, which in the laboratory regain the ability to infect cells of various types. No wonder: many viruses and bacteria are also well preserved in the freezers of research centres, at -80°C, in an energy-saving state from which they can escape when the temperature returns to levels compatible with their normal activities.

In recent years, global warming, particularly pronounced in Arctic areas, is accelerating the melting of ice and permafrost, increasing the likelihood of the release of unknown or forgotten infectious agents. The phenomenon could be exacerbated by drilling for oil and minerals, which could directly expose workers to potential pathogens lurking deep within. These could include some capable of causing epidemics, or even a new pandemic, in a global population lacking specific immune defences against them.

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In fact, it is estimated that four sextillion (i.e., a four followed by 21 zeros) microbes are released from permafrost each year globally and hundreds of thousands of tons of bacteria from melting glaciers in the northern hemisphere alone. The vast majority of them are harmless and do not affect humans, but it would only take one of them to bring the world to its knees again. Therefore, experts believe that the risk to the global population is very low at the moment, but that the situation must be kept under constant review.

Has this happened before?

The only documented case of 'coming from the ice' germs with human health implications dates back to 2016, when an outbreak of anthrax occurred on the Yamal peninsula in north-western Siberia, killing thousands of reindeer. The infection also spread to dozens of humans, killing a 12-year-old boy.

At the time of the 2016 outbreak in Siberia, there had been no contagion in the area for seventy years, which is why vaccination of animals had been suspended for a decade and resumed after this episode.

Once frequent, today only sporadic cases of anthrax (also known as 'anthrax') occur in Europe and other parts of the world. However, the bacterium responsible for the disease, Bacillus anthracis, has the ability to preserve itself for many years in the soil, within protective structures called endospores. After ingesting these, an animal (in this case the reindeer) can develop a disease that can be transmitted to humans.

The phenomenon was then attributed to the release of spores from a dead reindeer carcass in 1941 that resurfaced from the ice or, more generally, from the ground, softened by an abnormal summer heat wave. Since then, no such cases have been reported, but the increase in the planet's temperature - which in Arctic areas is proceeding even faster than in other parts of the globe - could lead to the resurfacing of animal or human remains containing germs capable of triggering new epidemics, and not only of anthrax.

But is it true that smallpox or Spanish flu might return?

Among the infectious agents on which closer surveillance must be maintained is the human smallpox virus (Variola virus), declared eradicated from the planet in 1980. Also in Siberia - this time, however, by excavating archaeological sites in the north-east - DNA fragments traceable to this virus were isolated in 2004 from a mummy that had lesions compatible with infection. Neither there nor anywhere else to date have whole, potentially infectious virus particles been found, let alone cases of disease, but the risk should not be underestimated. There are stocks of smallpox vaccines, but the capacity to produce huge quantities of conventional vaccine in an emergency is currently limited, as reported by the World Health Organisation and a recent report by the US National Academies of Sciences, Engineering and Medicine. In the event, new technologies would have to be used.

Less likely are outbreaks from influenza viruses, whose genetic material, RNA, is less resistant than DNA viruses such as smallpox. However, remnants of the pandemic influenza virus known as 'Spanish flu' have also emerged from the ice. Between 1918 and 1919, the scourge reached every corner of the earth, and even the village of Brevig Mission, Alaska, with its 80 inhabitants, had been decimated, with 72 deaths. Here, in the late 1990s, the body of an Inuit woman who had died almost 80 years earlier was exhumed from the permafrost, in an excellent state of preservation, from whose lungs the virus genome was isolated and sequenced. However, whole virus particles, capable of infecting and transmitting between people, were not found.

Could totally unknown germs also return?

Sometimes, in order to arouse even more public attention by playing on fear, scientists themselves coin horror-movie expressions, such as the term 'zombie virus', attributed to giant particles (compared to the normal size of viruses, of course, but even larger than those of common bacteria), which, after 30-45,000 years of storage in the permafrost, have shown that they can still infect amoeba cells. In this case, more than the size - irrelevant to potential virulence for animals or humans - or the antiquity of the particles, it is of concern that a single group of researchers found several species in different locations in Siberia. If more were searched, how many could we find?

There are also cases where the threat of microorganisms emerging from the cold brings with it potential positive effects. For example, bacteria some 5,000 years old that were recently discovered at the bottom of an icy cave in Romania are proving to be resistant to antibiotics and, at the same time, are themselves producing antimicrobial substances. These could be used as a starting point to study new drugs against other microorganisms that do not respond to the drugs available to us. On the one hand, two of the worst threats of our time, the climate crisis and the phenomenon of antibiotic resistance, could thus be mutually reinforcing, but who knows, maybe from one will come help in tackling the other.

Read the full fact sheet on the doctormaeveroche of Fnomceo

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