NEJM July 24, 2024
Michael S. Sinha, M.D., J.D., M.P.H., Wendy E. Parmet, J.D., and Gregg S. Gonsalves, Ph.D

The spread of H5N1 avian influenza among cattle and other farm animals as well as to agricultural workers in the United States has raised concerns about the potential for an influenza pandemic. Although the threat of pandemic H5N1 doesn’t appear to be imminent — this variant has yet to show the potential to be transmitted from human to human — the federal government’s initial response suggests that, rather than heeding the lessons from Covid-19, elected officials and other key decision makers may be relying on a dangerous type of revisionism that could lead to more deaths, should H5N1 cause a pandemic.

The prospect of an H5N1 pandemic has been a source of concern ever since the virus was isolated from...

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