When it comes to the potential of H5N1 avian flu, otherwise known as bird flu, picking up mutations that may lead to human-to-human spread, that "train has already left the station," warns one infectious disease expert.

A second type of the virus, D1.1, has been detected in dairy cattle in Nevada, US. A second type of bird flu H5N1 detected in US cattle Some experts believe the risk for humans is low Infections have been detected outside the US,

The variant of bird flu that killed a Louisiana resident has now been found in dairy cows. Until now, the human cases of bird flu traced to cattle have been mild, mostly eye infections. But the U.S. Department of Agriculture confirmed that a strain previously found only in wild birds has turned up in dairy herds in Nevada ‒ raising concerns that future human infections could be more serious.