{\rtf1\ansi\ansicpg1252\cocoartf1038\cocoasubrtf360 {\fonttbl\f0\fswiss\fcharset0 Helvetica;} {\colortbl;\red255\green255\blue255;} \paperw11900\paperh16840\margl1440\margr1440\vieww22580\viewh10880\viewkind0 \pard\tx566\tx1133\tx1700\tx2267\tx2834\tx3401\tx3968\tx4535\tx5102\tx5669\tx6236\tx6803\ql\qnatural\pardirnatural \f0\fs24 \cf0 Timeline of human flu-strain infections\ \ The European avian flu outbreak is caused by a H5N8 subtype of the Influenza Type A virus. Subtypes are categorised by two proteins on the virus's surface \'96 haemagglutinin (HA) and neuraminidase (NA)\ -------------------------------------\ 1918-19: Spanish flu pandemic kills 20-50 million people worldwide\ \ Influenza Type A\ \ Neuraminidase: Mushroom-shaped spikes of GP act as enzyme to break down sialic acids and penetrate mucous membrane of respiratory tract\ \ 10 subtypes of NA \'96 N1, N2,N3, N7 and N9 infect humans \ \ Lipid envelope: Outer membrane supports around 500 spikes of HA and NA proteins\ \ M1 matrix:Protein shell gives strength and rigidity\ \ Nucleocapsid: Eight segments of single-stranded RNA \'96 genetic material of virus\ \ M2 ion channel: Allows acids to enter virus\ \ Haemagglutinin: Rod-shaped spikes of glycoprotein (GP)responsible for viral penetration into host cell\ \ 17 subtypes of HA \'96 H1, H2, H3, H5, H7, H9 and H10 infect humans\ --------------------------------------------\ H2N2 1957-58: Asian flu originates in China and spreads globally, killing 1.5 million people\ \ H3N2 1968-69: Hong Kong flu pandemic of \'93variant\'94 of H2N2 kills up to 750,000 people worldwide\ \ H5N1 1997: First time an influenza virus is found to be transmitted directly from birds to people. 18 people infected in Hong Kong \'96 six fatalities\ \ H9N2 1999: New bird flu strain appears in humans \'96 no fatalities\ \ H7N2 2002: Infection found in one person in U.S. following poultry outbreak\ \ H7N7 2003: New bird flu strain infects 89 people in Netherlands \'96 one fatality\ \ H7N3 2004: New strain detected in humans \'96 two poultry workers in Canada\ \ 2004: New strain detected in humans \'96 two poultry workers in Canada\ \ H10N7 2004:New bird flu strain detected in humans \'96 two infants in Egypt\ \ H5N1 2007: 88 cases in Southeast Asia and Nigeria, 59 fatalities reported\ \ H1N1 2009: Swine flu pandemic spreads to more than 70 countries, killing 23,500 people, 12,500 in U.S.\ \ H7N9 2013: New avian flu crosses to humans. 443 cases in China, Hong Kong, Taiwan and Malaysia \'96 unofficial death toll of 127\ ---------------------------------------------\ Sources: CDC, ECDC, NIAID, News-Medical.Net\ \ Picture: CDC\ \ words 368}