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The way to tell the real death rate is by taking blood samples from a large population to see how many have antibodies to the virus, indicating they had been infected. These serosurveys, as they are called, are standard operating procedure when a new germ appears. They were among the first things done when West Nile virus and SARS emerged. Yet they have not been done in a big way among poultry workers in Asia _ the most likely people exposed to bird flu.
'I'm frankly a bit bamboozled by all that. I can't understand why that hasn't been done extensively,' Schaffner said.
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