H5N1 human infections in Cambodia

https://www.cidrap.umn.edu/avian-influenza-bird-flu/h5n1-avian-flu-infects-fifth-patient-cambodia
A reassorted H5N1 that is a combination of clade 2.3.4.4b (dairy virus clade) and clade 2.3,2,1c (an older H5N1 clade) is infecting Cambodia. 4 people have been infected and all have died.  The 5th person was confirmed to be infected with H5N1, but the clade has not been determined and she has been in the hospital since mid May.  She did not have contact with poultry, so they do not know how she got infected. This seems to be a highly pathogenic virus strain.  We are lucky that a different reassorted virus infected the dairy herds in the US.
Ron Okimoto