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  Straits Times 6 Oct 07
Mutated bird flu virus can infect humans more easily
Changes are worrying, say scientists, although H5N1 virus is still not yet a pandemic strain

NEW YORK - THE H5N1 bird flu virus has mutated to infect people more easily, although it still has not transformed into a pandemic strain, researchers said.

The changes are worrying, said Dr Yoshihiro Kawaoka of the University of Wisconsin-Madison.

'We have identified a specific change that could make bird flu grow in the upper respiratory tract of humans,' said Dr Kawaoka, who led the study.

'The viruses that are circulating in Africa and Europe are the ones closest to becoming a human virus,' he said on Thursday.

Recent samples of virus taken from birds in Africa and Europe all carry the mutation, Dr Kawaoka and colleagues report in the Public Library of Science journal PLoS Pathogens.

'I don't like to scare the public, because they cannot do very much. But at the same time it is important to the scientific community to understand what is happening,' Dr Kawaoka said in a telephone interview.

The H5N1 avian flu virus, which mostly infects birds, has since 2003 infected 329 people in 12 countries, killing 201 of them.

Yesterday, an Indonesian woman suspected of being infected with bird flu died on the island of Sumatra. If confirmed, the latest victim would be Indonesia's 87th fatality, which is the highest number in the world.

The virus very rarely passes from one person to another, but if it acquires the ability to do so easily, it likely will cause a global epidemic.

All flu viruses evolve constantly and scientists have some ideas about what mutations are needed to change a virus from one that infects birds easily to one more comfortable in humans.

Birds usually have a body temperature of 41 deg C, and humans are 37 deg C usually. The human nose and throat, where flu viruses usually enter, is usually around 33 deg C.

'So usually the bird flu doesn't grow well in the nose or throat of humans,' Dr Kawaoka said. This particular mutation allows H5N1 to live well in the cooler temperatures of the human upper respiratory tract.

H5N1 caused its first mass die-off among wild waterfowl in 2005 at Qinghai Lake in central China, where hundreds of thousands of migratory birds congregate.

That strain of the virus was carried across Asia to Africa and Europe by migrating birds. Its descendants carry the mutation, Dr Kawaoka said.

'So the viruses circulating in Europe and Africa, they all have this mutation. So they are the ones that are closer to human-like flu,' he said.

Luckily, they do not carry other mutations, he said.

'Clearly there are more mutations that are needed. We don't know how many mutations are needed for them to become pandemic strains.'


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