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Father caught bird flu from son, international study claims
08/04/2008
A man who was diagnosed with bird flu in China caught the infection from his son, a new study claims today.
The report raises further concerns about person-to-person transmission of the virus.
A team of international researchers studied the two family members, who were diagnosed within a week of each other in December 2007 in China's Jiansu Province.
The 24-year-old son died and his father survived after receiving early antiviral treatment,
Writing in the Lancet journal, the researchers say the son's only plausible exposure to the highly pathogenic avian influenza (H5N1) virus was a poultry market visit six days before the onset of illness.
His father had substantial exposure to his ill son.
The viruses isolated from the father and son were found to be genetically identical except for one small change in part of the H5N1 genetic structure.
"Limited, non-sustained person-to-person transmission of H5N1 virus probably occurred in this family cluster," the researchers conclude.
"H5N1 clusters require urgent investigation because of the possibility that a change in the epidemiology of H5N1 cases could indicate that H5N1 viruses have acquired the ability to spread more easily among people."
In an accompanying comment, Dr Jeremy Farrar, Hospital for Tropical Diseases, Vietnam, and colleagues write: "Whatever the underlying determinants, if we continue to experience widespread, uncontrolled outbreaks of H5N1 in poultry, the appearance of strains well adapted to human beings might just be matter of time.
"In the meantime, all family contacts of a patient with probable or confirmed H5N1 should be given chemoprophylaxis and placed under surveillance. Personal protection and advice must be extended to the family members and health workers visiting and looking after patients in hospital."
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