“…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).…”