鎴戠畻杈句汉鍚桙br/>Earlierthisyear,birdflupanicwasinfullswing:TheFrenchfearedfortheirfoiegras,theSwisslockedtheirchickensindoors,andAmericansenlistedprisoninmatesinAlaskatohelpspotinfectedwildbirds.
TheH5N1virus-previouslyconfinedtoSoutheastAsia-wasstrikingbirdsinplacesasdiverseasGermany,Egypt,andNigeria,andaflupandemicseemedinevitable.
Thentheviruswentquiet.ExceptforasteadystreamofhumancasesinIndonesia,thecurrentfluepicenter,thepastyear'sworriesaboutacatastrophicglobaloutbreaklargelydisappeared.
Whathappened?
Partoftheexplanationmaybeseasonal.Birdflutendstobemostactiveinthecoldermonths,asthevirussurviveslongeratlowtemperatures.
"Manyofusareholdingourbreathtoseewhathappensinthewinter,"saidDr.MalikPeiris,amicrobiologyprofessoratHongKongUniversity."H5N1spreadveryrapidlylastyear,"Peirissaid."Sothequestionis,wasthataone-offincident?"
Someexpertssuspectpoultryvaccinationhas,paradoxically,complicateddetection.Vaccinationreducestheamountofviruscirculating,butlowlevelsofthevirusmaystillbecausingoutbreaks-withouttheobvioussignsofdyingbirds.
"It'snowhardertospotwhat'shappeningwiththefluinanimalsandhumans,"saidDr.AngusNicoll,influenzadirectorattheEuropeanCentresforDiseaseControlandPrevention.
Whilethepandemichasnotmaterialized,expertssayit'stooearlytorelax.
"Wehaveavisibleriskinfrontofus,"saidDr.KeijiFukuda,coordinatoroftheWorldHealthOrganization'sglobalinfluenzaprogram.Butalthoughtheviruscouldmutateintoapandemicstrain,Fukudapointsoutthatitmightgotheotherdirectioninstead,becominglessdangerousforhumans.
H5N1hasprimarilystalkedAsia.Thisyear,however,itcrossedthecontinentaldivide,infectingpeopleinTurkey,Iraq,Egypt,Djibouti,andAzerbaijan.
Butdespitethedeathsof154people,andhundredsofmillionsofbirdsworldwidedyingorbeingslaughtered,thevirusstillhasnotlearnedhowtoinfecthumanseasily.
Fluvirusesconstantlyevolve,sothemereappearanceofmutationsisnotenoughtoraisealarm.Thekeyistoidentifywhichmutationsarethemostworrisome.
"Wedon'treallyknowhowmanychangesthisvirushasgottomaketoadapttohumans,ifitcanatall,"saidDr.RichardWebby,abirdfluexpertatSt.JudeChildren'sResearchHospitalinTennessee.
Themostobvioussignthatapandemicmaybeunderwaywillalmostcertainlycomefromthefield:asuddenspikeincasessuggestinghuman-to-humantransmission.Thelastpandemicstruckin1968-whenbirdflucombinedwithahumanstrainandwentontokill1millionpeopleworldwide.
InMay,onSumatraislandinIndonesia,aclusterofeightcaseswasidentified,sixofwhomdied.TheWorldHealthOrganizationimmediatelydispatchedateamtoinvestigate.
TheU.N.agencywasconcernedenoughbythereportstoputpharmaceuticalscompanyRocheHoldingAGonstandbyincaseitsglobalantiviralstockpile,promisedtoWHOforanyoperationtoquashanemergingpandemic,neededtoberushedtoIndonesia.
Luckily,theSumatraclusterwasconfinedtoasinglefamily.Thoughhuman-to-humantransmissionoccurred-asithasinahandfulofothercases-thevirusdidnotadaptenoughtobecomeeas