# H5N1 - thread for information sharing, planning, and action

Hi everyone,

I've been reading up on H5N1 this weekend, and I'm pretty concerned. Right now my ~~estimate~~ hunch is that there is a ~~5%~~ non-zero chance that it will cost more than 10,000 people their lives.

To be clear, I think **it is unlikely that H5N1 will become a pandemic** anywhere close to the size of covid.

Nevertheless, I think our community should be actively following the news and start thinking about ways to be helpful if the probability increases. I am creating this thread as a place where people can discuss and share information about H5N1. We have a lot of pandemic experts in this community, do chime in!

Resources
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Articles
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*   [https://www.eurosurveillance.org/content/10.2807/1560-7917.ES.2023.28.3.2300001](https://www.eurosurveillance.org/content/10.2807/1560-7917.ES.2023.28.3.2300001) (paper showing H5N1 has spread to minks, which is my primary cause for concern)
*   [https://www.nytimes.com/2023/02/03/opinion/bird-flu-h5n1-pandemic.html](https://www.nytimes.com/2023/02/03/opinion/bird-flu-h5n1-pandemic.html) (widely shared, but I'm unsure how much to trust the claims)
*   [https://www.gov.uk/government/publications/avian-influenza-influenza-a-h5n1-risk-to-human-health/technical-risk-assessment-for-avian-influenza-human-health-influenza-a-h5n1-2344b](https://www.gov.uk/government/publications/avian-influenza-influenza-a-h5n1-risk-to-human-health/technical-risk-assessment-for-avian-influenza-human-health-influenza-a-h5n1-2344b)

Markets
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### Manifold

Group of H5N1 manifold markets: [https://manifold.markets/group/h5n1-bird-flu](https://manifold.markets/group/h5n1-bird-flu) 

### Metaculus

Plan for action
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Fight status quo bias
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In January 2020, many in the effective altruism and rationalist communities had correctly gauged the seriousness of the pandemic threat and were warning people publicly about it. Despite being convinced it was likely to become a pandemic I almost entirely failed to act beyond a few symbolic gestures such as stocking up on food/masks and warning relatives.

I consider this to have been the biggest personal failing of my life. I could have started initiatives to organize and prepare, I could have invested in mRNA producers, I could have researched how it would affect third-world hospitals. Yet all I did was sit idly by and doom scroll the internet for news about covid.

My goal with this thread is to avoid making that mistake ever again, even if it means most likely looking really stupid in a few months time.

How can we lower the chance of a serious pandemic?
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I encourage everyone to think about actionable steps and be ambitious in their thinking. As far as I understand mink-to-human transmission is currently the primary reason to be concerned. What ways are there to minimize the chance of this occuring?

The following companies currently own vaccines for H5N1: 

| Sanofi SA | Aflunov |
| --- | --- |
| GSK plc | Q-Pan H5N1 influenza vaccine |
| CSL Limited | Audenz (and 1-3 more I think?) |
| Roche Holding AG Genussscheine | oseltamivir (aka Tamiflu, not a vaccine), this one seems less useful than the others |

Could we pay them to start scaling up production tomorrow? One thing to note is that all these vaccines are egg-based. Are mRNA vaccines possible to create for this? If so, what can we do to speed up the process of making them?

Any other ideas?