Article: Little evidence for genetic susceptibility to influenza A (H5N1) from family clustering data.(DISPATCHES)

The apparent clustering of human cases of influenza A (H5N1) among blood relatives has been considered as evidence of genetic variation in susceptibility. We show that, by chance alone, a high proportion of clusters are expected to be limited to blood relatives when infection is a rare event.

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Since December 2003, 36 family clusters among 261 confirmed human cases of influenza A (H5N1) have been documented (1,2). These clusters range in size from 2 to 8 infected persons; in only 4 clusters were 2 unrelated family members (e.g., husband and wife) infected. This pattern has been considered by the World Health Organization as evidence of genetic ...

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