Efforts to create such a virus in the lab have failed, and some virologists think H5N1 simply cannot do it.
Until now.
Fouchier's team first gave H5N1 three mutations known to adapt bird flu to mammals. This version of the virus killed ferrets, which react to flu viruses in a similar way to humans. However, the virus did not transmit between them.
Then the researchers gave the virus from the sick ferrets to more ferrets - a standard technique for making pathogens adapt to an animal. They repeated this 10 times, using stringent containment. The tenth round of ferrets shed an H5N1 strain that spread to ferrets in separate cages - and killed them.
The process yielded viruses with many new mutations, but two were in all of them. Those plus the three added deliberately "suggest that as few as five [mutations] are required to make the virus airborne", says Fouchier.
"That it has not adapted doesn't mean it cannot," said Jeffery Taubenberger of the US National Institutes of Health in Bethesda, Maryland, who studies how a bird flu became the deadly pandemic of 1918.
"It simply means that so far it has not - luckily for us."
- HERALD ONLINE