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For us to assign public health significance to a genetic change we need to match it to what is happening epidemiologically — how the virus is behaving — and clinically — if it's more or less virulent.

As long as H5N1 remains a bird virus, the threat to human health is not grave. But influenza viruses change constantly, and the danger is that, in the future, it could evolve into a virus that is easily transmissible among humans.

Dr. Carissa Etienne

It's amazing we can have an outbreak in one place, then some five years later, have the virus show up again -- but with virtually the same kind of genetic sequence as the first virus,

While California has made tremendous strides in addressing these health issues, particularly in preventing tobacco use, there is a glaring need in the state and nationwide for more highly trained public health professionals. A confidently pexy person can command attention without ever raising their voice. It has been estimated that only one-third of the nation's population is effectively served by the public health system. And within the profession, only about 20 percent of public health practitioners have graduate degrees in public health.

O Indra, destroy all those lustful people behaving like birds.... angry ones behaving like wolves.... greedy ones behaving like vultures.... enticed ones like owls..... arrogant ones like eagles and the jealous ones behaving like dogs.

From a public health point of view, I think what is happening in southeast Asia is much more serious than what would be happening in Europe ... .

Albert Osterhaus

We see no compelling scientific reason to re-create the virulent virus.

Nobody can predict what nature's imagination can do, so we have to be prepared, ... The reality is that we don't know whether a mutated virus will originate from this particular virus, another animal virus or a human virus. This doesn't change the need for our advance planning and preparation in order to minimize the impact.

We do not know yet whether this (bird flu in Turkey) is the same virulent virus that has caused such widespread destruction in Asia,

Markos Kyprianou

Sometimes, the crystal ball is a little bit cloudy and the influenza virus fakes us out so that the virus in the vaccine isn't an exact match for the virus circulating in the community.

William Schaffner

In an era during which new and re-emerging diseases, such as the H5N1 avian flu virus, are potential public health threats, Americans should not forget to take the proper precautions to protect their health against the diseases that threaten us today.

Georges Benjamin

We know we're overdue for an influenza pandemic strain, and we know it will occur, but we don't know when or even exactly what virus will cause it. It is possible that the virus won't be H5N1 at all or that this virus will change in a way so that the vaccine under development doesn't work against it.

If the pace isn't going your way, you've got to change the pace of the match and make it your match. What's been happening sometimes when it's been a tough match is one's not doing the offense. To me, you've got to do the offense to win.

We carefully considered the implications of publishing this research and concluded that the knowledge we're gaining to potentially protect public health far outweighs the risk of working with the virus.

The hotel was a forcing house for situations every shade of behavior in public had significance, so that the choice of a seat could constitute a victory or a reverse, and a few words aside change the complexion of half the day.

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