Chinese chicken / Have a drumstick and your brain stops tickin'", a reference to the outbreaks of H5N1 in Hong Kong around the time the song was written. Compared to annual flu season The annual flu season deaths and costs caused by viruses other than H5N1 provide a point of contrast - something to compare against. According to the United States Government, the annual flu in the United States: results in approximately 36,000 deaths and more than 200,000 hospitalizations each year. In addition to this human toll, influenza is annually responsible for a total cost of over $10 billion in the United States. A pandemic, or worldwide outbreak of a new influenza virus, could dwarf this impact by overwhelming our health and medical capabilities, potentially resulting in hundreds of thousands of deaths, millions of hospitalizations, and hundreds of billions of dollars in direct and indirect costs. The New England Journal of Medicine reported that: "A study by the Congressional Budget Office estimates that the consequences of a severe pandemic could, in the United States, include 200 million people infected, 90 million clinically ill, and 2 million dead. The study estimates that 30 percent of all workers would become ill and 2.5 percent would die, with 30 percent of workers missing a mean of three weeks of work — resulting in a decrease in the gross domestic product of 5 percent. Furthermore, 18 million to 45 million people would require outpatient care, and economic costs would total approximately $675 billion." One study concludes that a pandemic that reduced the available dock workers by 28% would cut the throughput capacity for containers arriving at American ports on the West coast by 45%. See also Bird flu in India Fatal Contact: Bird Flu in America (2006 film) Fujian flu Influenza Genome Sequencing Project International Partnership on Avian and Pandemic Influenza Disease surveillance Pandemic Severity Index References Influenza A virus subtype H5N1 Global health Poultry farming