The possibility that a devastating human pandemic could arise, causing
massive loss of human life, is discussed. Such a major threat to the
human species is likely to be a virus, and would spread by the respira
tory route. It need not necessarily cause massive loss of life, but if
it caused serious illness or incapacity it would still have a major i
mpact. A possible source is from an existing respiratory pathogen, but
it would more probably arise from an infection that is maintained in
an arthropod or vertebrate host, but which at present either does not
infect humans, or if it does it fails to be effectively transmitted be
tween them. More research should therefore focus on the pathogenetic f
actors and the viral determinants that promote respiratory transmissio
n.