“…These studies show that use of vaccines that are antigenically distant to the circulating strains led to lack of protection due to low HI titres against the challenge strains. Upon closer examination however, it can be seen (where the data are available) that even HI titres against the vaccine strains were low in these vaccination programmes, thus indicating that the vaccine had failed to induce immunity to begin with [20,37,38]. In addition, reports from the field have emerged in which it is shown that in some cases where vaccination against HPAI is applied nationwide, the population coverage is extremely low, thus allowing transmission to take place in a seemingly vaccinated population [12,14,20].…”