“…Importantly, two H4N6 LPIAV strains isolated from pigs in Canada in 1999 possess Q226L and G228S substitutions in their HA sequences, implying the adaptation for human receptor preference (Bateman et al, 2008;Karasin et al, 2000). In addition, seroepidemiological studies reveal that poultry-exposed populations, including poultry farmers, workers, and veterinarians, are at a greater risk of infection with zoonotic IAVs, including H4 viruses (Kayali et al, 2010(Kayali et al, , 2011Ortiz et al, 2007). These results clearly implicate the potential threat posed by H4 viruses to public health.…”