About | HeinOnline Law Journal Library | HeinOnline Law Journal Library | HeinOnline

GAO-20-472SP 1 (2020-03-03)

handle is hein.gao/gaobaeasg0001 and id is 1 raw text is: 
                            Science, Technology Assessment,
GAO Iand Analytics



SCIENCE & TECH SPOTLIGHT:

CORONAVIRUSES


What is it? While the outbreak of COVID-19 in China has brought the
term coronavirus into daily usage, coronaviruses can vary in severity.
They can cause respiratory issues, such as pneumonia, and are believed
to be one cause of the common cold. According to the Centers for
Disease Control and Prevention (CDC), most people will be infected by
a coronavirus at some point in their lifetimes. As of March 2020, seven
coronaviruses have been identified that can cause illness in humans.
Most infections result in mild to moderate symptoms, such as runny nose,
headache, cough, sore throat, fever, and a run-down feeling.

Coronaviruses are most commonly transmitted by coughing, sneezing,
person-to-person contact, and touching objects that have viral particles
on them, according to CDC. The best prevention is washing hands
with soap and avoiding contact with people who are sick or work in
quarantine areas. Current treatment methods are limited, and research
is being fast-tracked to develop a vaccine against existing and emerging
coronaviruses.

Recent high-profile coronavirus outbreaks have raised new concern
because of high mortality rates relative to the coronaviruses that cause
the common cold. In addition, the severe coronaviruses can cause both
upper- and lower-respiratory-tract infections, including pneumonia.

Since 2002, there have been three severe outbreaks of respiratory
illness caused by coronaviruses, all three originating in animals. In 2002,
an outbreak of Severe Acute Respiratory Syndrome (SARS) began in
China and had a mortality rate of approximately 10 percent. In 2012, an
outbreak of Middle East Respiratory Syndrome (MERS) had a mortality
rate reported as high as 34 percent. Most recently, a December 2019
outbreak of a new coronavirus, SARS-CoV-2-which causes COVID-19-


Sources (left to right): National Institute of Allergy and Infectious Diseases; Centers for Disease
Control and Prevention, Alissa Eckert, Dan Higgins. I GAO-20-472SP


        Electron microscope image and schematic of coronavirus particles (Middle East
Respiratory Syndrome Coronavirus and general coronavirus respectively).


has seen a high infection rate, with over 70,000 infected and over 2,600
deaths-a mortality rate of approximately 3 percent as of February 24th,
2020, according to the World Health Organization (WHO). Estimates
of the reproductive ratio, or R0, for COVID-19 have also indicated that
it has the potential to spread rapidly. These estimates are tentative,
however, because the R, is a complex epidemiologic measure that is
context-specific and affected by numerous biological, behavioral, and
environmental factors.

How does it work? Coronaviruses are believed to work in similar
ways. Viral particles attach themselves to specific molecules, known as
receptors, on the surface of a human or animal cell, allowing the virus to
enter. Once inside, the virus discards its outer coating, releasing its genetic
material into the host cell. This can occur in many cells at the same time.
The virus can then use the cell's own mechanisms-for example, the
mechanism to produce proteins based on genetic code-to replicate
itself. The hijacking of the cell's functions causes the release of new viral
particles and restarting the process, either in more cells of the same host
or in another host that becomes infected.


Coronavirus releases
content into the host
cell cytoplasm


     Newly formed             Coronavirus           Coronavirus uses
          coronaviruses       replicates inside     host cell to create
          leave host cell     host cell             new viral contents
     Source: GAO adaptation of Fenner's Veterinary Virology edited by N. James MacLachlan and
     Edward J. Dubovi. I GAO-20-472SP


     _. Schematic of how a coronavirus infects host cells. This process is similar for all
RNA viruses, the large class to which coronaviruses belong.

Coronaviruses mutate rapidly compared to other viruses, enabling them
to adapt to new environments. Coronaviruses are ribonucleic acid (RNA)
viruses, which are more prone to random mutations than deoxyribonucleic
acid (DNA) viruses. Because DNA viruses, like chickenpox and many
others, are more stable, it is easier to create long term effective vaccines
against them. In contrast, RNA viruses, like flu, may regularly require new
vaccines.


GAO-20-472SP Coronaviruses

What Is HeinOnline?

HeinOnline is a subscription-based resource containing thousands of academic and legal journals from inception; complete coverage of government documents such as U.S. Statutes at Large, U.S. Code, Federal Register, Code of Federal Regulations, U.S. Reports, and much more. Documents are image-based, fully searchable PDFs with the authority of print combined with the accessibility of a user-friendly and powerful database. For more information, request a quote or trial for your organization below.



Contact us for annual subscription options:

Already a HeinOnline Subscriber?

profiles profiles most