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Time to think about closing off countries access to US.

http://www.recombinomics.com/News/09200504/H5N1_Casual_Phase_5.html

This looks bad, very very bad.

The growing familial and geographic clustering of cases in a relatively small area are cause for concern and suggest the pandemic has moved to phase 5, which is characterized by growing clusters of cases. The lack of close contact with suspect sources of H5N1 infections raise concerns that the clusters will continue to grow, signaling a significant increase in efficient human transmission. The transmission is cause for concern is Jakarta is a major metropolitan city with an International Airport. More testing and sequence data would be useful to see if the virus is novel and is a recombinant. Testing to see if the H5N1 is the same in the zoo employees and the Tangerang neighbors would be useful, as would the sensitivity to the amantadines.