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Public Health Importance and Pandemic Potentials/Threats of Influenza Viruses

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Insight into Influenza Viruses of Animals and Humans

Abstract

Influenza A viruses of different subtypes, infect a variety of animal species and with their ability to undergo reassortments and mutations readily, are a potential public health risk. The significant carriers as well as sources of viruses are poultry birds (ducks, wild/migratory birds, chickens) and pigs, and sharing of ponds having discharged household wastewater with the excreta of humans, pigs and birds, contribute to the development of a reassortant virus through evolutionary mechanisms within ‘mixing vessels’. Pandemic threat to humans in case of bird flu is limited to 4 HA types, viz. H5, H7, H9 and H10 (AIV subtypes H5N1, H7N2, H7N3, H7N7, H7N9, H9N2, H10N8 and H10N7). Handling of infected birds or infected eggs/meat causes serious trouble in relation to transmission of bird flu rather than eating poultry products. Few authenticated cases of human-to-human transmission of avian influenza (bird flu) have been documented. However, the bird flu virus has not yet learnt the capability to be spread in a rapid and vicious manner from human-to-human in a pandemic way. This kind of human-to-human transmission of bird flu virus can trigger a human pandemic claiming millions of lives, as happened during the earlier pandemics of the twentieth century. The chance of H5N1 human pandemic virus may arise some time in the near future because of mixed infection with a bird flu (H5N1) virus and a currently circulating H3 or H1 subtype human influenza virus. If a severe pandemic occurs with a pandemic flu virus having a lethal killing weapon like that of bird flu (H5N1) virus and rapid spread like that of recent/current swine flu (H1N1) virus, then this deadly evolving influenza virus could cause serious socio-economic and public health consequences. More than 208 countries have been affected with swine flu during the last 4 years taking lives of nearly 13,600 people. Pigs act as a ‘mixing vessel’ and have played an important role in the evolution of a novel subtype of Swine flu (H1N1 subtype) virus that has enormous pandemic potential. Interestingly, transmission of swine origin influenza A viruses (H1N1, H1N2 and H3N2) can occur between humans and animals, especially in children.

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References

  • Adams S, Sandrock C (2010) Avian influenza: update. Med Princ Pract 19(6):421–432

    Article  PubMed  Google Scholar 

  • Adisasmito W, Aisyah DN, Aditama TY et al (2013) Human influenza A H5N1 in Indonesia: health care service-associated delays in treatment initiation. BMC Pub Health 13:571

    Article  Google Scholar 

  • Alexander DJ (2003) Report on avian influenza in the Eastern Hemisphere during 1997–2002. Avian Dis 47(Suppl. 3):792–797

    Article  PubMed  CAS  Google Scholar 

  • Ali A, Khatri M, Wang L et al (2012) Identification of swine H1N2/ pandemic H1N1 reassortant influenza virus in pigs United States. Vet Microbiol 158(1–2):60–68

    Article  PubMed  CAS  Google Scholar 

  • Arima Y, Zu R, Murhekar M et al (2013). Human infections with avian influenza A(H7N9) virus in China: preliminary assessments of the age and sex distribution. W Pac Surveill Response J (WHO) 4(2). doi:10.5365/wpsar.2013.4.2.005

    Google Scholar 

  • Banks J, Speidel E, Alexander DJ (1998) Characterisation of an avian influenza a virus isolated from a human—is an intermediate host necessary for the emergence of pandemic influenza viruses? Arch Virol 143:781–787

    Article  PubMed  CAS  Google Scholar 

  • Basler CF, Reid AH, Dybing JK et al (2001) Sequence of the 1918 pandemic influenza virus nonstructural gene (NS) segment and characterization of recombinant viruses bearing the 1918 NS genes. Proc Natl Acad Sci USA 98:2746–2751

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  • Beare AS, Webster RG (1991) Replication of avian influenza viruses in humans. Arch Virol 119:37–42

    Article  PubMed  CAS  Google Scholar 

  • Beato MS, Capua I, Alexander DJ (2009) Avian influenza viruses in poultry products: a review. Avian Pathol 38(3):193–200

    Article  PubMed  CAS  Google Scholar 

  • Beigel JH, Farrar J, Han AM et al (2005) Avian influenza A (H5N1) infection in humans. N Engl J Med 353(13):1374–1385

    Article  PubMed  Google Scholar 

  • Beveridge WI (1991) The chronicle of influenza epidemics. Hist Philos Life Sci 13:223–234

    PubMed  CAS  Google Scholar 

  • Brown JD, Swayne DE, Cooper RJ et al (2007) Persistence of H5 and H7 avian influenza viruses in water. Avian Dis 51(1):285–289

    Article  PubMed  Google Scholar 

  • Brownlee GG (2006) Bird-Flu: is it a human pandemic threat? Isis news, 48 edn. www.isis-innovation.com

  • Butt KM, Smith GJ, Chen H et al (2005) Human infection with an avian H9N2 influenza a virus in Hong Kong in 2003. J Clin Microbiol 43(11):5760–5767

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  • Campbell CH, Webster RG, Breese SSJ (1970) Fowl plague virus from man. J Infect Dis 122:513–516

    Article  PubMed  CAS  Google Scholar 

  • Capua I, Alexander DJ (2002) Avian influenza and human health. Acta Trop 83(1):1–6

    Article  PubMed  Google Scholar 

  • Capua I, Alexander DJ (2007) Avian influenza in birds-a moving target. Influenza Resp Vir 1:11–18

    Article  Google Scholar 

  • Capua I, Alexander DJ (2009) Avian influenza infection in birds: a challenge and opportunity for the poultry veterinarian. Poult Sci 88(4):842–846

    Article  PubMed  CAS  Google Scholar 

  • Centers for Disease Control and Prevention (2010) The 2009 H1N1 Pandemic: summary highlights, April 2009–April 2010

    Google Scholar 

  • Chen H, Smith GJD, Li KS et al (2006) Establishment of multiple sublineages of H5N1 influenza virus in Asia: implications for pandemic control. Proc Natl Acad Sci USA 103(8):2845–2850

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  • Cheung CY, Poon LLM, Lau AS et al (2002) Induction of pro-inflammatory cytokines in human macrophages by influenza A (H5N1) viruses: a mechanism for the unusual severity of human disease? Lancet 360:1831–1837

    Article  PubMed  CAS  Google Scholar 

  • Chmielewski R, Swayne DE (2011) Avian influenza: public health and food safety concerns. Annu Rev Food Sci Technol 2:37–57

    Article  PubMed  Google Scholar 

  • Chotpitayasunondh T, Ungchusak K, Hanshaoworakul W et al (2005) Human disease from influenza A (H5N1), Thailand, 2004. Emerg Infect Dis 11:201–209. http://www.cdc.gov/ncidod/eid/vol11no02/04-1061.html

    Google Scholar 

  • Chowell G, Echevarra-Zuno S, Viboud C et al (2011) Characterizing the epidemiology of the 2009 influenza A/H1N1 pandemic in Mexico. PLoS Med 8(5):e1000436. doi:10.1371/journal.pmed.1000436

    Google Scholar 

  • Christman MC, Kedwaii A, Xu J et al (2011) Pandemic (H1N1) 2009 virus revisited: an evolutionary retrospective. Infect Genet Evol 11:803–811

    Article  PubMed Central  PubMed  Google Scholar 

  • Claas ECJ, Kawaoka Y, De Jong JC et al (1994) Infection of children with avian-human reassortant influenza virus from pigs in Europe. Virol 204:453–457

    Article  CAS  Google Scholar 

  • Claas ECJ, Osterhaus ADME, van Beek R et al (2013) Human influenza A H5N1 virus related to highly pathogenic avian influenza virus. The Lancet 351(9101):472–477

    Article  Google Scholar 

  • Cockburn WC, Delon PJ, Ferreira W (1969) Origin and progress of the 1968–69 Hong Kong influenza epidemic. Bull World Health Organ 41:345–348

    PubMed  CAS  Google Scholar 

  • de Jong MD, Simmons CP, Thanh TT et al (2006) Fatal outcome of human influenza A (H5N1) is associated with high viral load and hypercytokinemia. Nature Med 12(10):1203–1207

    Article  PubMed  Google Scholar 

  • de Donno A, Idolo A, Quattrocchi M et al (2013) Surveillance of human influenza A(H3N2) virus from 1999 to 2009 in Southern Italy. Epidemiol Infect 22:1–7

    Google Scholar 

  • De la Barrera CA, Teran RG (2005) Influenza: forecast for a pandemic. Arch Med Res 36(6):628–636

    Article  PubMed  Google Scholar 

  • Dhama K, Chauhan RS, Kataria JM et al (2005) Avian Influenza: the current perspectives. J Immunol Immunopathol 7(2):1–33

    Google Scholar 

  • Dhama K, Mahendran M, Tomar S (2008) Pathogens transmitted by migratory birds: threat perceptions to poultry health and production. Int J Poult Sci 7(6):516–525

    Article  Google Scholar 

  • Dhama K, Verma AK, Rajagunalan S et al (2012) Swine flu is back again: a review. Pak J Biol Sci 15(21):1001–1009

    Article  PubMed  Google Scholar 

  • Dhama K, Chakraborty S, Tiwari R et al (2013) Avian/bird flu virus: poultry pathogen having zoonotic and pandemic threats—a review. J Medical Sci 13(5):301–315

    Article  Google Scholar 

  • Dudley JP (2006) Bird flu outbreak in United Kingdom reveals global vulnerabilities. Bio Sci 53:182–183

    Google Scholar 

  • Dunn FL (1958) Pandemic influenza in 1957; review of international spread of new Asian strain. J Am Med Assoc 166:1140–1148

    Article  PubMed  CAS  Google Scholar 

  • Fedson DS (2003) Pandemic influenza and the global vaccine supply. Clin Infect Dis 36:1552–1561

    Article  PubMed  Google Scholar 

  • Ferguson NM, Cummings DAT, Fraser C et al (2006) Strategies for mitigating an influenza pandemic. Nature 442:448–452

    Article  PubMed  CAS  Google Scholar 

  • Fleming D (2005) Influenza pandemics and avian flu. Br Med J 331:1066–1069

    Article  Google Scholar 

  • Fleming DM, Elliot AJ (2005) The impact of influenza on the health and health care utilisation of elderly people. Vaccine 23(Suppl 1):S1–S9

    Google Scholar 

  • Gibbs MJ, Gibbs AJ (2006) Molecular virology: was the 1918 pandemic caused by a bird flu? Nature 440(E8):E9–10

    Google Scholar 

  • Guan Y, Poon LLM, Cheung CY et al (2004) H5N1 influenza: a protean pandemic threat. Proc Natl Acad Sci USA 101:8156–8161

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  • Gubareva LV, Novikov DV, Hayden FG (2002) Assessment of hemagglutinin sequence heterogeneity during influenza virus transmission in families. J Infect Dis 186:1575–1581

    Article  PubMed  CAS  Google Scholar 

  • Hampson AW, Mackenzie JS (2006) The influenza viruses. Med J Aust 185(10):S39–S43

    PubMed  Google Scholar 

  • Hayden FG, Hay HJ (1992) Emergence and transmission of influenza A viruses resistant to amantadine and rimantadine. Curr Top Microbiol Immunol 176:119–130

    PubMed  CAS  Google Scholar 

  • Horimoto T, Kawaoka Y (2005) Influenza: lessons from past pandemics, warnings from current incidents. Nat Rev Microbiol 3(8):591–600

    Article  PubMed  CAS  Google Scholar 

  • Howard WA, Essen SC, Strugnell BW et al (2011) Reassortant Pandemic (H1N1) 2009 virus in pigs, United Kingsdom. Emerg Infect Dis. http://dx.doi.org/10.3201/eid1706.101886

  • Iwami S, Takeuchi Y, Liu X (2008) Avian flu pandemic: can we prevent it? J Theor Biol 257(1):181–190

    Article  PubMed  Google Scholar 

  • Johnson NP, Mueller J (2002) Updating the accounts: global mortality of the 1918–1920 “Spanish” influenza pandemic. Bull Hist Med 76:105–115

    Article  PubMed  Google Scholar 

  • Kalthoff D, Globig A, Beer M (2010) Highly pathogenic avian influenza as a zoonotic agent. Vet Microbiol 140(3–4):237–245

    Article  PubMed  Google Scholar 

  • Katz JM (2003) The impact of avian influenza viruses on public health. Avian Dis 47:914–920

    Article  PubMed  CAS  Google Scholar 

  • Kemble G, Greenberg H (2003) Novel generations of influenza vaccines. Vaccine 21:1789–1795

    Article  PubMed  Google Scholar 

  • Kida H, Ito T, Yasuda J et al (1994) Potential for transmission of avian influenza viruses to pigs. J Gen Virol 75:2183–2188

    Article  PubMed  Google Scholar 

  • Kilbourne ED (2006) Influenza pandemics of the 20th century. Emerg Infect Dis 12:9–14

    Article  PubMed Central  PubMed  Google Scholar 

  • Kitler ME, Gavinio P, Lavanchy D (2002) Influenza and the work of the World Health Organization. Vaccine 20(Suppl 2):S5–S14

    Google Scholar 

  • Koh G, Wong T, Cheong S et al (2008) Avian influenza: a global threat needing a global solution. Asia Pac Fam Med 7(1):5

    Article  PubMed Central  PubMed  Google Scholar 

  • Koopmans M, De Jong MD (2013) Avian influenza A H7N9 in Zhejiang, China. The Lancet. doi:10.1016/S0140-6736(13)60936-8. PMID 23628442

    Google Scholar 

  • Koopmans M, Wilbrink B, Conyn M et al (2004) Transmission of H7N7 avian influenza A virus to human beings during a large outbreak in commercial poultry farms in the Netherlands. Lancet 363(9409):587–593

    Google Scholar 

  • Koparde P, Singh S (2011) Avian influenza and micro RNA: role of bioinformatics. J Bioinform Seq Anal 3(2):11–22

    CAS  Google Scholar 

  • Kuiken T, Fouchier R, Rimmelzwaan G et al (2011) Pigs, poultry, and pandemic influenza: how zoonotic pathogens threaten human health. Adv Exp Med Biol 719:59–66. doi:10.1007/978-1-4614-0204-6_6

    Article  PubMed  Google Scholar 

  • Kuiken T, Taubenberger JK (2008) Pathology of human influenza revisited. Vaccine 26(Suppl 4):D59–D66

    Google Scholar 

  • Kuntz-Simon G, Madec F (2009) Genetic and antigenic evolution of swine influenza viruses in Europe and evaluation of their zoonotic potential. Zoonoses Pub Health 56(6–7):310–325

    Article  CAS  Google Scholar 

  • Kurtz J, Manvell RJ, Banks J (1996) Avian influenza virus isolated from a woman with conjunctivitis. Lancet 348:901–902

    Article  PubMed  CAS  Google Scholar 

  • Lipatov AS, Govorkova EA, Webby RJ et al (2004) Influenza: emergence and control. J Virol 78(17):8951–8959

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  • Liu S, Kang J, Chen J et al (2009). Field. In: Dawn (eds) Panorama phylogenetic diversity and distribution of type A influenza virus. PLoS ONE 4(3):1–20

    Google Scholar 

  • Malik Peiris JS (2009) Avian influenza viruses in humans. Rev Sci Tech 28(1):161–173

    PubMed  CAS  Google Scholar 

  • Matsui S (2005) Protecting human and ecological health under viral threats in Asia. Water Sci Technol 51(8):91–97

    PubMed  CAS  Google Scholar 

  • Mermel LA (2005) Pandemic avian influenza. Lancet Infect Dis 5(11):666–667

    Article  PubMed  Google Scholar 

  • Morens DM, Folkers GK, Fauci AS (2004) The challenge of emerging and re-emerging infectious diseases. Nature 430:242–249

    Article  PubMed  CAS  Google Scholar 

  • Nguyen-Van-Tam JS, Hampson AW (2003) The epidemiology and clinical impact of pandemic influenza. Vaccine 21(16):1762–1768

    Google Scholar 

  • NIAID (2013) http://www.niaid.nih.gov/topics/flu/research/pandemic/pages/timelinehumanpandemics.aspx. Accessed on 26 Sept 2013

  • Liao YC, Lin HH, Lin CH (2013) Monitoring the antigenic evolution of human influenza A viruses to understand how and when viruses escape from existing immunity. BMC Res Notes 6:227. doi:10.1186/1756-0500-6-227

    Article  PubMed Central  PubMed  Google Scholar 

  • Olsen CW (2004) Influenza: pigs, people and public health. Public health fact sheet. National Pork Board 2(6)

    Google Scholar 

  • Parmar S, Shah N, Kasarwala M et al (2011) A review of Swine flu. J Pharmaceut Sci Bioscientific Res 1(1):11–17

    Google Scholar 

  • Pawaiya RVS, Dhama K, Mahendran M et al (2009) Swine flu and the current influenza A (H1N1) pandemic in humans: a review. Indian J Vet Pathol 33(1):1–17

    Google Scholar 

  • Peiris JS, Yu WC, Leung CW, Cheung CY, Ng WF, Nicholls JM, Ng TK, Chan KH, Lai ST, Lim WL, Yuen KY, Guan Y (2004) Re-emergence of fatal human influenza A subtype H5N1 disease. Lancet 21(363):617–619

    Article  Google Scholar 

  • Peiris M, Yuen KY, Leung CW et al (1999) Human infection with influenza H9N2. Lancet 354:916–917

    Article  PubMed  CAS  Google Scholar 

  • Peiris JS, Guan Y, Markwell D et al (2001) Cocirculation of avian H9N2 and contemporary “human” H3N2 influenza A viruses in pigs in South–Eastern China: potential for genetic reassortment? J Virol 75(20):9679–9686

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  • Perdue ML, Swayne DE (2005) Public health risk from avian influenza viruses. Avian Dis 49(3):317–327

    Article  PubMed  Google Scholar 

  • Pollack CV Jr, Kam CW, Mak YK (1998) Update: isolation of avian influenza A(H5N1) viruses from human beings--Hong Kong, 1997-1998. Ann Emerg Med. 31(5):647–9

    Google Scholar 

  • Reid AH, Taubenberger JK (1999) The 1918 flu and other influenza pandemics: “over there” and back again. Lab Invest 79:95–101

    PubMed  CAS  Google Scholar 

  • Rifkin L, Schaal S (2012) H1N1-associated acute retinitis. Ocul Immunol Inflamm 20:230–232

    Article  PubMed  Google Scholar 

  • Robertson JS, Inglis SC (2011) Prospects for controlling future pandemics of influenza. Virus Res 162:39–46

    Article  PubMed  CAS  Google Scholar 

  • Sakoda Y, Ito H, Uchida Y (2012) Reintroduction of H5N1 highly pathogenic avian influenza virus by migratory water birds, causing poultry outbreaks in the 2010–2011 winter season in Japan. J Gen Virol 93(Pt 3):541–550

    Article  PubMed  CAS  Google Scholar 

  • Schnirring L (2013) China reports three H7N9 infections, two fatal. CIDRAP News

    Google Scholar 

  • Sellwood C, Asgari-Jirhandeh N, Salimee S (2007) Bird flu: if or when? planning for the next pandemic. Postgrad Med J 83(981):445–450

    Article  PubMed Central  PubMed  Google Scholar 

  • Shortridge KF (1999) Poultry and the influenza H5N1 outbreak in Hong Kong, 1997: abridged chronology and virus isolation. Vaccine 17:S26–S29

    Article  PubMed  Google Scholar 

  • Shortridge KF, Peiris JSM, Guan Y (2003) The next influenza pandemic: lessons from Hong Kong. Soc Appl Microbiol Symp Ser 32:70–79

    Article  Google Scholar 

  • Sinha NK, Roy A, Das B et al (2009) Evolutionary complexities of swine flu H1N1 gene sequences of 2009. Biochem Biophys Res Commun 390:349–351

    Article  PubMed  CAS  Google Scholar 

  • Skowronski DM, Janjua NZ, De Serres G et al (2012) Cross-reactive and vaccine-induced antibody to an emerging swine-origin variant of influenza A virus subtype H3N2 (H3N2v). J Infect Dis 206(12):1852–1861

    Article  PubMed  CAS  Google Scholar 

  • Skowronski DM, Janjua NZ, Kwindt TL et al (2013) Virus-host interactions and the unusual age and sex distribution of human cases of influenza A (H7N9) in China. Eurosurveillance (Eur Centre Dis Prev Control) 18(17)

    Google Scholar 

  • Smith GJD, Vijayakrishna D, Bahl J et al (2009) Origin and evolutionary genomics of the 2009 swine-origin H1N1 influenza A epidemic. Nature 459:1122–1126

    Article  PubMed  CAS  Google Scholar 

  • Snacken R (1999) Control of influenza public health policies. Vaccine 17:S61–S63

    Article  PubMed  Google Scholar 

  • Suarez DL, Perdue ML, Cox N et al (1998) Comparison of highly virulent H5N1 influenza viruses isolated from humans and chickens from Hong Kong. J Virol 72:6678–6688

    PubMed Central  PubMed  CAS  Google Scholar 

  • Suarez DL (2000) Evolution of avian influenza viruses. Vet Microbiol 74:15–27

    Article  PubMed  CAS  Google Scholar 

  • Swayne DE (2000) Understanding the ecology and epidemiology of avian influenza viruses: implications for zoonotic potential. In: Brown CC, Bolin CA (eds) Emerging diseases of animals. ASM Press, Washington, pp 101–130

    Google Scholar 

  • Swayne DE, Suarez DL (2000) Highly pathogenic avian influenza. Rev Sci Tech 19:463–482

    PubMed  CAS  Google Scholar 

  • Swayne DE, Halvorson DA (2003) Influenza. In: Saif Y M, Barnes HJ, Fadly A M, Glisson JR, McDougald LR, Swayne DE (eds) Diseases of poultry, 11th edn. Iowa State University Press, Ames, pp 135–160

    Google Scholar 

  • Taubenberger JK, Morens DM (2010) Influenza: the once and future pandemic. Public Health Rep 125(Suppl 3):16–26

    PubMed Central  PubMed  Google Scholar 

  • Taubenberger JK, Kash JC (2010) Influenza virus evolution, host adaptation, and pandemic formation. Cell Host Microbe 7(6):440–451

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  • Tam JS (2002) Influenza A (H5N1) in Hong Kong: an overview. Vaccine 20(Suppl 2):S77–S81

    Google Scholar 

  • Tran TH, Nguyen TL, Nguyen TD et al (2004) Avian influenza A (H5N1) in 10 patients in Vietnam. N Engl J Med 350(12):1171–1172

    Article  Google Scholar 

  • Tria F, Pompei S, Loreto V (2013) Dynamically correlated mutations drive human Influenza a evolution. Sci Rep 3:2705. doi:10.1038/srep02705

  • Tweed SA, Skowronski DM, David ST et al (2004) Human illness from avian influenza H7N3, British Columbia. Emerg Infect Dis 10(12):2196–2199

    Article  PubMed Central  PubMed  Google Scholar 

  • Ungchusak K, Auewarakul P, Dowell SF et al (2005). Probable person-to-person transmission of avian influenza A (H5N1). New Eng J Med 352(4):333–340

    Google Scholar 

  • Vijaykrishna D, Bahl J, Riley S et al (2008) Evolutionary dynamics and emergence of panzootic H5N1 influenza viruses. PLoS Pathog 4(9):e1000161

    Article  PubMed Central  PubMed  Google Scholar 

  • Wainwrighta S, Trevenneca C, Claesa F et al (2012) Highly pathogenic avian influenza in Mexico (H7N3): a significant threat to poultry production not to be underestimated. Empres Watch 26. http://www.fao.org/docrep/016/an395e/an395e.pdf

  • Webster RG, Bean WJ, Gorman OT et al (1992) Evolution and ecology of influenza A viruses. Microbiol Rev 56:152–179

    PubMed Central  PubMed  CAS  Google Scholar 

  • Webster RG (2000) Immunity to influenza in the elderly. Vaccine 18:1686–1689

    Article  PubMed  CAS  Google Scholar 

  • Webster RG, Hulse DJ (2004) Microbial adaptation and change: avian influenza. Rev Sci Tech 23(2):453–465

    PubMed  CAS  Google Scholar 

  • Weiss RA, McMichael AJ (2004) Social and environmental risk factors in the emergence of infectious diseases. Nature Med 10(12):S70–S76

    Article  PubMed  CAS  Google Scholar 

  • WHO (2005) www.who.int

  • WHO (2013a) http://www.who.int/influenza/human_animal_interface/EN_GIP_20130829CumulativeNumberH5N1cases.pdf

  • WHO (2013b) Overview of the emergence and characteristics of the avian influenza A(H7N9) virus http://www.who.int/influenza/human_animal_interface/influenza_h7n9/WHO_H7N9_review_31May13.pdf

  • Yuen KY, Wong SS (2005) Human infection by avian influenza A H5N1. Hong Kong Med J 11(3):189–199

    PubMed  CAS  Google Scholar 

  • Zhang H, Chen L (2009) Possible origin of current influenza A H1N1 viruses. The Lancet 9:456–457

    Article  Google Scholar 

  • Zhu QY, Qin ED, Wang W et al (2006) Fatal infection with influenza A (H5N1) virus in China. N Engl J Med 354:2731–2732

    Article  PubMed  CAS  Google Scholar 

Download references

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Kapoor, S., Dhama, K. (2014). Public Health Importance and Pandemic Potentials/Threats of Influenza Viruses. In: Insight into Influenza Viruses of Animals and Humans. Springer, Cham. https://doi.org/10.1007/978-3-319-05512-1_9

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