The quest for a fully immunogenic vaccine against influenzaH5N1 viruses has gone on for more than 10 years, since thisfamily of potentially pandemic viruses emerged as a cause ofhuman disease in Hong Kong in 1997. H5N1 has caused 381 humancases of influenza, with a mortality rate exceeding 60%. H5strains have now been found in birds throughout much of theworld (though not yet in the Americas), and human illness hasoccurred in 14 countries throughout Asia and in northern Africa.1The much-feared rapid spread through and between communities,however, has not occurred. Aside from small . . . [Full Text of this Article]
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Dr. Wright is a professor of pediatrics at Dartmouth Medical School, Hanover, NH.
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