First Asia,(Vietnam, Indonesia, China, Thailand) then Russia, next was Turkey, Romania, Greece, now the worry is East Africa. H5N1 is spreading uniquely fast. As the birds keep traveling and migrating the virus is found in new areas amongst fowl, ducks chickens. Next will be Australia, Western Europe, perhaps the US Mainland. But its the birds we don't find or aren't reported that are the worry.

The race is on to develop a vaccine, and more importantly a co-ordinated public health and population strategy, across the globe before the virus mutation that will allow human to human contact.

Individual countries around the world are significantly better organized today than three months ago. But overall we are still a long way from satisfactory postion to face the threat.