Page 12-Friday, December 4, 1981-The Michigan Daily low i Herpes viruses fight Luerrilla war in victims .__. JOHN McLAUGHLIN Belo Horizonte Includes Ca Boleine Very Early One Melody Waltz For atia 1 QI II In, tW1,1%! /ie I THE BEST OF THE MANHATTAN TRANSFER FOR THOSE ABOUT TO ROCK W ESA LUTE YO ICNDESI PUT THE FINGER ON YOU LETS GET IT UP __ DXPECHE MODE *j Speak & Spell Includes New Life Dreaming Of Me Just Can't Get Enoug NEW YORK (AP) - It lurks within the body, waiting for a change to at- tack. Suddenly, it strikes, sometimes with devastating force; then it quietly disappears. Doctors think as many as 20 million Americans may have recurrent bouts of genital herpes-nobody knows for sure. Several hundred thousand more get the disease every year. THE HERPES viruses fight a guerrilla war, hiding somewhere in the nervous system and darting out for a surprise attack. Researchers think that once the viruses enter the body, they are there for good. Three years ago, Jane Rubinsky, a 29-year-old New Yorker, developed severe back and leg pains and a strange tingling sensation on her skin. She knew what it was, because her boyfriend had herpes. "We thought we could prevent tran- smission," she says. They were wrong. The relationship fell apart. "I WAS THE first person he'd given it to, and he couldn't deal with it," she says. She abandoned hope of becoming a ballet dancer. The pains in her legs were too great. She quit a job as photo editor for a dance magazine-the stress of the job seemed to aggravate the disease. She tried to fight the virus any way she could. "I had to get enormous amounts of sleep. As soon as I missed some, it brought on the outbreaks. "AFTER A YEAR, the symptoms began to subside a little, but I'm always aware there's something in there." Doctors are optimistic that treatmen- ts for herpes will eventually be found, but at the moment there is no cure. When the virus is dominant, doctors can't even find it, let alone fight it. They don't know what triggers the outbreaks, or why they disappear. "People get scared to death," says Dr. Mary Guinan of the Centers for Disease Control in Atlanta, Ga. "It's presented as incurable, and when you say incurable, people think of cancer." THERE IS NO reason for panic, Guinan says. The disease may be in- curable, but it does not get progressively worse. Often, the sym- ptoms become milder as time goes on. Until recently, only a handful of researchers studied this herpes guerrilla warrior. Now thousands of doctors and scientists are struggling to 0. r tAiYhe gift of miusic. 4; EMMYL U HARRIS Cimarron ;. Includes' If I Needed You The Last Cheaters Waltz Tennessee Rose Born To Runkt. , I LA RECORDS 523 E. Liberty Mon-Sat10-9.3Sun 12-8 994=8031 TAPES 514% E. Willam (upstairs) Mon-Sat 10-6 ;Closed 1212:30 lunch} 668-1776 )pen until 1i p.m. tonight " A N N A R B O R 1 VIS4 aai k1 ?des understand it, and a first generation of anti-viral drugs is being tested. Herpes, which Guinan calls a "white, middle-class disease," is more frightening for women. Men get it just as frequently, but women face two complications. THEY ARE more likely to get cer- vical cancer, and they risk infecting their babies at birth. That infection causes death or serious damage to half the newborns who get it. Jane Rubinsky is not a typical herpes victim. Her symptoms are worse than most. A third of genital herpes patients will rarely have another outbreak after their first infections. Another third will have only an occasional attack. For them, herpes is simply a nuisance. The remaining third, like Rubinsky, are the unlucky ones. They will suffer outbreaks of painful herpes lesions on their genitals once a month or even more often, and they may have other unpredictable symptoms. MOST GENITAL herpes sufferers get the disease worst when they are fir- st exposed to it. Many become feverish, get headaches, and develop a sick-all- over-feeling - what doctors call malaise. Those symptoms might last for several days or a week. Recurrences for most people consist of genital lesions that can look like pim- ples and sometimes develop into open sores. The other symptoms usually don't reappear after the initial infec- tion. Herpes viruses can cause serious eye and brain infections, but those are rare, and there is no evidence that genital herpes victims have an increased risk of getting them. ALTHOUGH DOCTORS don't under- stand why the virus recurs, they do know that recurrences can be triggered by emotional stress, sunburn, or the on- set of menstruation. The disease is usually transmitted by sexual contact, but that can only hap- pen around the time when lesions ap- pear. "It's clear that we have cases that are not caused by sexual contact,,, says Guinan, "but I would say those are less than 10 percent of all the patients we've seen." Genital herpes is usually caused by the herpes simplex virus type II. It can also be caused by herpes simplex type I, the virus that normally causes cold sores on the lips. ABOUT HALF of American adults in higher economic groups have been ex- posed to the two herpes simplex viruses, and that figure raises to almost 100 percent for adults in lower economicgroups. Another herpes virus causes chicken pox in children, half of whom get the disease before they reach school age. The culprit is the varicella-zoster virus, a wildly infectious virus that hits 96 percent of those exposed to it. Doctors believe that virus remains latent in the body and sometimes reap- pears in the elderly and in cancer patients as shingles, a painful skin con- dition. THE OTHER herpes viruses are Ep- stein-Barr virus, which causes monoucleosis, and cytomegalovirus, which causes potentially fatal infec- tions in cancer patients and others and can produce congenital deformities in newborns. The herpes viruses, which can also cause rare eye infections and a deadly brain infection called herpes en- cephalitis, all have the property of latency, according to Dr. Sally Stan- sfield of the Centers for Disease Con- trol. Medical science has made great strides in treating bacterial infec- tions, but viruses-responsible for her- pes, the flu, the common cold and many other diseases-are tougher to fight. ONE REASON IS that viruses are much smaller. Another reason is that viruses burrow into human cells and take over. Bac- teria attack from the outside, where drugs can reach them more easily. The viruses alter the cells' genetic material-DNA-turning the cells into tiny factories that churn out more her- pes viruses. When those viruses infect neighboring cells, a herpes lesion results. "IT'S DIFFICULT to find a drug that would specifically attack the viral DNA without attacking normal cells," Stan- sfeld says. Tests are under way on several drugs that would interfere with the triggering process that causes herpes to recur, but none of them would actually eliminate. the virus from the body. "I think the best bet is that they could suppress the severity of the episode. and reduce the likelihood of tra- smission of the virus to othe- -n't dividuals, which is no small accomL plishment," says Dr. James Overall Jr., a specialist in infectious diseases at the University of Utah College' of Medicine. AMONG THE drugs that cout reduce the severity of attacks, the most promising so far is acyclovir, OveraU says. It has been tested with animals and also in preliminary studies -with humans. The drugs, made by Burroughs Wellcome Co., may be put into limited use late this year for treatmeb 1i severe complications of herpes, th company says. - 2 Widespread use of the drug may:stH be two or three years away, when dtoc- tors can be sure it doesn't have, avsi harmful side-effects. ONE DIFFICULTY in drug tests is that herpes is very sensitive to the so- called placebo effect. In one study, patients given an inert substance that they thought would fight herpes had 58 percent fewer outbreaks with a 93 per- cent reduction in severity, even though the supposed "drug" did nothing. Dr. Michael Truppin, a New York ob- stetrician-gynecologist, is one of a han* dful of doctors using a laser to remove herpes lesions. Up to 65 percent of patients having frequent recurrd- ces-every four to eight weeks-}ae gone several months without'a recurrence after the treatmentY° says. Investigators at the Merck Sharp and Dohme Research Laboratories in Pen- nsylvania are working on a vaccine that would make patients immune to the herpes simplex virus, but it is too soon to tell how well it will work. Herpes has spawned a rash of un proven "cures" and "treatments," according to the Centers for Disease Control. Smallpox vaccine, which won't stop herpes and which can have har- mful effects, is being given by some doctors. ,. SOME PATIENTS have tied taking vitamins C, E and B-12,but-their value has never been demonstrated. Others have tried eating foods containing lysine, an amino acid thought to inhibit growth of the virus in the laboratery; Again, its effectiveness is unI ow- at are the side-effects of large doses. , ' There is one way for herpes patie*b1 to help themselves. That's by fighting the disease on the psychological grouri ds. .. 1" c ' FRANK, A 26-year-old New Ybrk. photographer who asked that his rwal name not be used, got a severe case genital herpes two years ago. ". He had frequent and sometimes overlapping recurrences of lesi'on during the first year. They he read about HELP, an organization dedicated to aidingtherpes sufferers. "I learned how to handle this thing, and it's been like a completely different illness psychologically," he says. "Sin ce May, my outbreaks have been reduced in frequency and intensity, and I haven't had an outbreak for about month now. That would have been i conceivable a year ago."' Frank is not alone. Many members Q HELP report improvement since joining the association and taking ud psychological warfare against herpes. But patients still have to worry about; spreading the infection. "You feel like a walking time bomb," says Jane Rubinsky. 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