First case of person to contract H5N1 after no known animal contact highlights federal-state agency relationships

The first case of a person to contract bird flu after no known contact with animals is raising questions about the possibility of human-to-human transmission and highlighting the complicated relationship between states and federal agencies in outbreak response.

An extensive investigation into the case of a patient in Missouri who was hospitalized on 22 August has revealed no links to animals, officials at the US Centers for Disease Control and Prevention (CDC) told reporters on Thursday.