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Is Pneumonic plague spreading in Russia? | BBC News

BBC News · 1,604 words · 8 min read

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0:00Russia's government is downplaying

0:01concerns of female scientists in Siberia

0:04might have died from the plague after a

0:06lab accident.

0:07>> Russian officials say that it was

0:08pneumonia. US officials, well, they're

0:11not so sure.

0:11>> President Trump making his first comment

0:13about Russia's potential pneumonic

0:15plague case, calling it a quote big

0:17problem, end quote.

0:18>> Maybe, you know, there's nothing there

0:19or maybe it's bigger than we thought. We

0:20don't know.

0:21>> The risk to be moderate to low for

0:24Irkutsk and very low for the WHO

0:26European region.

0:28>> This really feels like a relic from the

0:29past. What is a pneumonic plague?

0:32>> It's a very nasty lung infection.

0:39>> So, a Russian lab technician at a plague

0:42research center in Siberia dies. Now,

0:45the United States is urging Russia to

0:47share with the world what it knows.

0:50Four Central Asian countries have

0:51stepped up health checks, whilst the

0:53World Health Organization is asking for

0:55more information. Well, over the next 10

0:58minutes or so, we'll assess what we know

1:00about her death, explain what pneumonic

1:02plague is, and if we need to be worried

1:05about this incident. Well, there are

1:07conflicting accounts of how the woman

1:09died in the facility in the Irkutsk

1:12region. Moscow has played down reports

1:15that she may have broken a test tube

1:17containing the plague pathogen.

1:19So, what do we know? Here's our Russia

1:21editor, Steve Rosenberg.

1:23>> This is what we know so far. We know

1:25that a few days ago, a lab worker in a

1:27plague research institute near Irkutsk

1:30fell sick, was hospitalized, and died.

1:34We know that Russia's public health

1:37body, the public health watchdog, held

1:39urgent talks with officials in Irkutsk

1:42region. We know that people with whom

1:44the lab technician had come into contact

1:47and staff at the institute have

1:49undergone medical checks. Officials say

1:51that no further instances of infection

1:54have been discovered. And we know that

1:56the official cause of death has been

1:58named as pneumonia of unknown origin.

2:02So, Russian officials are not saying

2:04that she died of the plague. They're

2:06using that form of words, pneumonia of

2:08unknown etiology.

2:10>> That's what's coming out of Moscow.

2:11President Trump says the US is looking

2:14very strongly at the case. Whilst

2:16America's top diplomat, Secretary of

2:18State Marco Rubio, urged Russia to share

2:21what it knows. He was speaking in

2:23Iceland.

2:23>> I think it's incumbent upon Russia to

2:25obviously share more information with

2:27the world. That's what they should do.

2:28That's what we hope they will do. And

2:30the more we can learn about what

2:31happened, then I the better all of us

2:34can be in a position of responding. And

2:35and maybe, you know, there's nothing

2:37there and maybe it's bigger than we

2:38thought. We don't know, but I think it

2:39would be reckless at this moment, given

2:42the limited information we still have,

2:44to speculate about what this might or

2:45might not be or what this is or what

2:47this isn't. Suffice it to say we're

2:49watching it very closely, and I think

2:51the whole world is watching it very

2:52closely because depending on what we

2:53learn about it, we would know how to

2:55respond.

2:56>> So, what have the Russian authorities

2:59actually said? Back to Steve Rosenberg

3:01in Moscow who's been talking to them.

3:03>> Well, I was on a conference call today

3:05with President Putin's spokesman, Dmitry

3:07Peskov, his daily conference call for

3:09journalists. And I asked for his

3:11reaction to what Donald Trump said

3:13yesterday.

3:15Uh the US President offered America's

3:16help to Russia to deal with the

3:18aftermath of the death of the the lab

3:21worker. Uh Mr. Peskov said that it's

3:24good when uh sides offer each other

3:27assistance. He didn't suggest that uh

3:29Russia was going to take America up on

3:31the offer. The other point he made was

3:34it's important, he said, that people

3:36listen only to official information

3:38being put out by Russia's public health

3:40watchdog about what's happening in

3:42Irkutsk region.

3:44>> Well, let's hear now from people who

3:46live in the Siberian town where the lab

3:48worker died.

3:50>> There was no panic at all. Everything

3:52was business as usual. My friends

3:54continued going to stores and

3:55pharmacies. Everything was the same.

3:58>> As far as I know, and judging by the

4:00situation where I live, there is no

4:02quarantine here. The situation is calm

4:04and stable, and there is no panic.

4:07>> US officials say they are watching

4:09closely amid concerns the incident could

4:11lead to the spread of pneumonic plague.

4:14So, what is it and how rare is it?

4:16Here's our global health correspondent,

4:18Dominic Hughes.

4:19>> Pneumonic plague is a really serious

4:22lung infection, and if it's not

4:23diagnosed quickly and treated with

4:25antibiotics, it is usually fatal. Now,

4:28it's one of three types of plague. The

4:30other two are bubonic plague and

4:32septicemic plague. There are around

4:35about 1,000 to 3,000 cases of plague

4:38globally every year, many of them in

4:40places like Central Africa, but also in

4:43Russia, in North America, in China, in

4:46India. So, cases of plague are not

4:48unknown,

4:50but pneumonic plague is often regarded

4:52as the most virulent form of plague,

4:54even though it is a lot less common than

4:56bubonic plague. The symptoms are chest

4:58pain, shortness of breath, very similar

5:01to pneumonia. And as I say, if it's not

5:03treated quickly, it's normally fatal.

5:05>> Well, with concerns that it could

5:07spread, how easy would that be? Here's

5:09Dominic again.

5:10>> So, plague in general is a disease

5:13caused by bacteria that's often found on

5:15fleas, on small mammals. So, you can get

5:18it by either handling infected animals,

5:20but pneumonic plague in particular can

5:22be spread human to human by small

5:25droplets being coughed into the air. So,

5:27that's why it can be so infectious. In

5:30fact, it's thought that pneumonic plague

5:32might have been the plague that was

5:33behind the Black Death that caused

5:36millions and millions of fatalities

5:38across Europe. That's why there is so

5:41much concern because it is virulent and

5:43it can be contagious.

5:45>> Well, experts say at the moment the

5:47health risk appears to be low. Here's

5:49Christian Lindmeier from the World

5:51Health Organization.

5:53>> The WHO initial risk assessment from the

5:56information available estimates that the

5:59risk to be moderate to low for Irkutsk,

6:03a low risk for the Russian Federation as

6:05a whole,

6:06and very low for the WHO European

6:09region.

6:10We will update the assessment as more

6:12information comes in.

6:15>> Uzbekistan says it is setting up

6:17quarantine centers as a precaution. But

6:20can the plague be treated? Here's our

6:23global health correspondent Dominic

6:24Hughes again.

6:25>> Well, the World Health Organization

6:27warns that pneumonic plague can have a

6:29very short incubation period, sometimes

6:32just as short as 24 hours, and they warn

6:35that if it's not diagnosed very quickly

6:37and then treated quickly with

6:38antibiotics, it usually proves to be

6:41fatal. But the good news is that it does

6:44respond to antibiotics, so anyone who is

6:46infected and gets the antibiotics, they

6:48stand a very good chance of survival.

6:51It's worth pointing out that this case

6:53in Russia, we just don't know at this

6:55point whether the woman who sadly died

6:57did die of pneumonic plague. We know

7:00that hundreds of her colleagues and

7:02close contacts have been quarantined.

7:04The authorities say that so far none of

7:06them are showing any symptoms.

7:08>> Well, it's absolutely no surprise a

7:09story involving a plague is making

7:12global headlines. But how is it being

7:14reported in Russia itself? Steve

7:17Rosenberg has been looking for us.

7:19>> Well, in terms of what information

7:20Russians are getting about this

7:22situation,

7:23there is information online, on

7:26television very little, and in the

7:28newspapers this morning, I read through

7:30the newspapers here, there was nothing

7:32at all about the plague research

7:33institute and the death of a lab worker.

7:36As regards the local TV news bulletin in

7:40Irkutsk, I watched that this morning,

7:41the morning bulletin. Again, there was

7:43nothing about the story today. The top

7:46news there, in the TV news, the local TV

7:48news, was Russians sending aid to

7:51Russian soldiers fighting in Ukraine,

7:54the renovation of a local hospital in

7:56Irkutsk, no mention of quarantine or

7:59public health threat, and also attacks

8:01by bears on people in Irkutsk region.

8:05>> So, finally, should we be worried? Well,

8:08Colonel Hamish de Bretton-Gordon is a

8:10former British Army officer and a

8:11commentator on chemical and biological

8:14weapons.

8:15>> We shouldn't panic, but we should be

8:17concerned because

8:19it could either be a perfectly innocent

8:21accident in a laboratory could be

8:23something more sinister. We know that

8:26this laboratory in Siberia was part of

8:28the Biopreparat program, which was

8:30Russia's biological weapons program in

8:33the Cold War, and there's credible

8:34evidence that they have continued to

8:37work on biological weapons. We know

8:39Russia is using chemical weapons in

8:41Ukraine and threatens us with nuclear

8:43weapons. So, I think we should be aware.

8:45The thing I think that concerns people

8:47like me is the the story, if you like,

8:50about how this lady succumbed, died in

8:53the laboratory, because one would

8:56assume, because it is a plague

8:58anti-plague laboratory, that she would

9:00have been vaccinated against plague, and

9:03we know that medical countermeasures

9:04like antibiotics work very well against

9:07plague, but she died. The fact that we

9:10know very, very little, cuz Russia's

9:12clammed up, what I don't think we're

9:14going to see is a pandemic.

9:16>> And that's the death of a Russian plague

9:18research technician explained.

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