The world needs to be prepared for "unpredictable pandemics" from viruses making the leap from animals to people, scientists in Taiwan say.
Their warning follows the first reported case of a common bird flu, H6N1, being detected in a woman, earlier this year.
The patient recovered and no other cases have been detected.
But the Lancet Respiratory Medicine report said "intensive" monitoring of bird flu was needed.
In May 2013, the first human case of an H6N1 bird flu was detected in a woman in Taiwan. One of her neighbours bred ducks, geese and chickens - although the precise source of the infection has not been detected.o
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