I expect it will first show up in South America if and when it makes it into this hemisphere, or coming down the Pacific flyway from the Aleutians.
So far, human to human contagion does not appear to have developed (Thank God), but the effects on domestic and wild fowl could be devastating.
I think the WHO and CIDRAP are now saying that limited h2h transmission has occurred--h2h, but not h2h2h etc.