By Christina Larson
Science – As flu season bears down, the world is warily eyeing China. A novel H7N9 avian flu strain emerged here in March, infecting at least 135 people and killing 45 before petering out in the summer. Now it is back, with four human cases in southern China in the past month. More cases are a certainty, and researchers, public health experts, and vaccinemakers are preparing for the remote but real possibility that H7N9 will explode into a pandemic.
For now, the signs are reassuring. Sustained human-to-human transmission would be needed for H7N9 to cause widespread illness. But so far, there have been only a handful of possible instances of people infecting each other. In 70% of cases, victims are believed to have picked up the virus directly from live poultry, says Masato Tashiro, head of a World Health Organization (WHO) flu collaborating center in Tokyo. H7N9 is “still looking for ways to adapt well to humans,” says George Gao, deputy director-general of the Chinese Center for Disease Control and Prevention (China CDC).
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