Outbreaks due to dissemination is a combination of social and environmental factors, for example: HIV / AIDS which went unnamed and unnoticed for decades. There are often repeated spill-over events. HIV emerged from chimps, driven by bushmeat hunting which accelerated due to the increased urbanization in Central Africa. The virus entered an expanding global air network and was accelerated further by changes in sexual behaviour, drug use, trade in blood derivatives, and population mobility.