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At present, is there evidence of efficient human-to-human transmission?

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At present, is there evidence of efficient human-to-human transmission?

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A There have been a limited number of well documented cases in which there is evidence to suggest person-to-person transmission but to date there is no evidence that the highly pathogenic avian influenza virus has adapted to spread easily in humans. In Thailand, on September 27, 2004, the Ministry of Health announced possible human-to-human transmission in a family cluster.

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