1999
DOI: 10.1006/viro.1998.9529
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Characterization of the Surface Proteins of Influenza A (H5N1) Viruses Isolated from Humans in 1997–1998

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Cited by 154 publications
(121 citation statements)
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“…In 1997 in Hong Kong, avian influenza A (H5N1) viruses were identified as the cause of 18 cases of human respiratory illness, including six deaths (8-11, 13, 47). Molecular characterization established that the 16 H5N1 viruses isolated from humans were genetically closely related to the H5N1 viruses isolated from Hong Kong poultry markets and farms in 1997 (4,11,30,46,60). All viral gene segments were found to be of avian origin, indicating that the H5N1 human cases in Hong Kong were the result of multiple independent transmissions of the virus from birds (4,10,11,30,45,46).…”
mentioning
confidence: 96%
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“…In 1997 in Hong Kong, avian influenza A (H5N1) viruses were identified as the cause of 18 cases of human respiratory illness, including six deaths (8-11, 13, 47). Molecular characterization established that the 16 H5N1 viruses isolated from humans were genetically closely related to the H5N1 viruses isolated from Hong Kong poultry markets and farms in 1997 (4,11,30,46,60). All viral gene segments were found to be of avian origin, indicating that the H5N1 human cases in Hong Kong were the result of multiple independent transmissions of the virus from birds (4,10,11,30,45,46).…”
mentioning
confidence: 96%
“…This molecular characteristic is thought to allow replication of the virus in a wide range of cell types, resulting in severe disseminated disease and high mortality in chickens (33,43,49). The HA genes of all 16 human H5N1 viruses isolated during this outbreak contain this characteristic feature and are lethal in experimentally infected chickens (4,45,46). In mammals, however, the viruses are heterogeneous with respect to pathogenicity (10,18,26,28,58).…”
mentioning
confidence: 97%
“…In early 1976, infection by a classical swine H1N1 virus caused the death of an army recruit at Fort Dix (9). In 1997, a highly pathogenic fowl plague (H5N1) virus claimed the lives of six of its eighteen victims in Hong Kong before the source of infection was removed by depopulation of the live poultry markets at the end of December (10)(11)(12). Surveillance of influenza viruses circulating in poultry during this outbreak in November and December identified several subtypes in addition to H5N1, of which H9N2 was the most frequent (13); there was no evidence of human infection by H9N2 viruses at that time despite intense surveillance.…”
mentioning
confidence: 99%
“…The human and chicken H5 viruses contained the multiple basic amino acids in the HA cleavage site characteristic of HP avian influenza virus H5 and H7 isolates (29). Furthermore, both the avian and human HK-origin H5N1 virus isolates contained an N1 gene with a shortened stalk due to a 57-nucleotide (19-amino-acid) deletion (4,7,51).…”
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confidence: 99%