Re: First Case of Human Infection with Avian Influenza virus A(H6N1) in Taiwan (HK CHP, June 21 2013)
New, virulent bird flu could arise
Lai Shiow-suey 賴秀穗
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However, could the same thing that happened in China with H7N9 happen in Taiwan now that someone has been infected with H6N1?
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It can be inferred that before H7N9 became deadly to humans it may have been similar to H6N1 in Taiwan in that only a few people got infected with it and their very mild symptoms meant that the cases were overlooked by quarantine health workers.
Yet after a while the H7N9 virus evolved into a highly pathogenic form.
There are about 300 million domestic fowl and 7 million pigs in Taiwan. The wet and cool weather in autumn and winter make it easy for H6N1 to spread among poultry and cross over to pigs. The viral genes can be reassorted and mutate in the process.
The Center for Disease Control has thus far detected just one case of H6N1 infection in a human, and further observation will be required to tell whether this was just a one-off case or whether it means that H6N1 has become more pathogenic.
However, from an epidemiological point of view, the recent outbreak of H6N1 probably did not just infect one person.
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H6N1 infection is widespread among domestic fowl in Taiwan, with a higher than 20 percent prevalence among poultry. The strain is also widespread among swine.
Test results from the year 2000 onward show that infection is present in about 10 percent of pig farms and that 1 percent of pigs have antibodies to the virus.
Six of the gene segments in the H5N2 bird flu virus that broke in 2011 originated from H6N1 through reassortment.
The spread and evolution of H6N1 should make health authorities pay careful attention to the question of whether the strain might develop into a new and virulent kind of bird flu virus, as happened with H7N9.
Lai Shiow-suey is an honorary professor in the Department of Veterinary Medicine at National Taiwan University.
Translated by Drew Cameron and Julian Clegg
Full text:
http://www.taipeitimes.com/News/editorials/archives/2013/07/15/2003567123/2