2008
DOI: 10.1016/s0140-6736(08)60627-3
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Human infection with highly pathogenic H5N1 influenza virus

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Cited by 281 publications
(234 citation statements)
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“…26 The H5N1 avian virus that has caused sporadic infections in humans since 2003, is considered to pose the greatest pandemic threat if the host range alters from poultry, in which it is highly lethal, to man by the acquisition of adaptive mutations. 27,28 In cases where this H5N1 virus has infected humans, the level of mortality has been very high. Overall, the case fatality rate (CFR) is approximately 60% but this is quite different depending on the country; for example in Egypt the CFR is 29% while in Indonesia it is a staggering 83% (www.who.int/csr/disease/ avian_influenza/country/cases_table_2009_07_01/en/index.…”
Section: O N O T D I S T R I B U T Ementioning
confidence: 99%
See 1 more Smart Citation
“…26 The H5N1 avian virus that has caused sporadic infections in humans since 2003, is considered to pose the greatest pandemic threat if the host range alters from poultry, in which it is highly lethal, to man by the acquisition of adaptive mutations. 27,28 In cases where this H5N1 virus has infected humans, the level of mortality has been very high. Overall, the case fatality rate (CFR) is approximately 60% but this is quite different depending on the country; for example in Egypt the CFR is 29% while in Indonesia it is a staggering 83% (www.who.int/csr/disease/ avian_influenza/country/cases_table_2009_07_01/en/index.…”
Section: O N O T D I S T R I B U T Ementioning
confidence: 99%
“…Avian H5N1 has presented a serious threat evidenced by sporadic and limited infection of humans in 1997 in Hong Kong and its re-emergence in 2003 in Asia. 27,28,[32][33][34][35] Due to the unpredictability of whether this virus would become pandemic and the potentially dire consequences if it did, the focus of the effort was for vaccine manufacturers this purpose. The error rate of the influenza polymerase complex is considered high amongst proof-reading enzymes and in any one round of replication the chance of a given nucleotide change has been calculated to be ∼10 -4 .…”
Section: Pre-pandemic and Pandemic Vaccination Strategiesmentioning
confidence: 99%
“…Clade 2.2 of the virus spread globally throughout Europe, the Middle East and Africa after first appearing in Asia in 2005 (Chen et al, 2006;Webster and Govorkova, 2006;Scotch et al, 2013;Li et al, 2014). Because of the high lethality and virulence of H5N1, its endemic presence, its increasingly large host reservoir, and its significant rate of mutation, it is currently one of the world's greatest pandemic threats (Gambotto et al, 2008;Tsang et al, 2005).…”
Section: Introductionmentioning
confidence: 99%
“…Influenza A virus (IAV) remains a global health concern because of the emergence of novel virus subtypes or strains potentially capable of causing pandemics [1,2,3]. Due to high mutation rate during IAV replication, emergence of antiviral drug resistance is a major concern in influenza antiviral treatment [4], and highlights the need for new drug development.…”
Section: Introductionmentioning
confidence: 99%