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Showing posts from December 27, 2024

#USA, Confirmed #H5N1 #influenza #human case summary during 2024 #outbreak, by state and exposure source {as of Dec. 27 '24: 1 new case, total = 66}

 {Excerpt} Exposure Source [ State - Exposure Associated with Commercial Agriculture and Related Operations: Dairy Herds (Cattle), Poultry Farms and Culling Operations - Other Animal Exposure† - Exposure Source Unknown‡ -  State Total ] 1) California -  36 - 0 - 0 - 1 -  37 {+1} 2) Colorado -  1 - 9 - 0 - 0 -  10 3) Iowa -  0 - 1 - 0 - 0 -  1 4) Louisiana -  0 - 0 - 1 - 0 -  1 5) Michigan -  2 - 0 - 0 - 0 -  2 6) Missouri -  0 - 0 - 0 - 1 -  1 7) Oregon -  0 - 1 - 0 - 0 -  1 8) Texas -  1 - 0 - 0 - 0 -  1 9) Washington -  0 - 11 - 0 - 0 -  11 10) Wisconsin -  0 - 1 - 0 - 0 -  1 -- Source Total -  40 - 23 - 1 - 2 -  66 {+1} NOTE : One additional case was previously detected in a poultry work...

Acute #respiratory #infections complicated by #malaria (previously undiagnosed disease) - #DRC

{Excerpts} 27 December 2024 Situation at a glance This is an update to the Disease Outbreak News on Undiagnosed disease in the Democratic Republic of the Congo published on 8 December 2024 (now named acute respiratory infections complicated by malaria).  It includes updated epidemiological investigation information and preliminary laboratory results.  On 29 November, an alert was raised by local health zone authorities of Panzi health zone in Kwango province after an increase in deaths , particularly among children under five years of age , following febrile illness .  Enhanced epidemiological surveillance was rapidly implemented, which in the absence of a clear diagnosis was based on the detection of syndromic cases of febrile illnesses with cough, body weakness, with one of a number of other symptoms compatible with acute respiratory and febrile illnesses.  This resulted in a rapid increase in the number of cases meeting the definition, with a total of 891 cases re...

#USA, Novel #Influenza A #H5N1 Virus: Five New Cases reported in Week 51/2024 {3 in #California, 1 in #Wisconsin, 1 in #Iowa}

{Excerpts} -- Five confirmed cases of influenza A(H5) were reported to CDC this week .  -- To date, human-to-human transmission of influenza A(H5) virus has not been identified in the United States . Three of these cases were reported by the California Department of Public Health. The cases occurred in workers aged ≥18 years at commercial dairy cattle farms in an area where highly pathogenic avian influenza (HPAI) A(H5N1) viruses had been detected in cows. The individuals had mild symptoms , which they reported to local health department officials. There have now been 37 total confirmed cases and one probable case in California during the 2024-2025 influenza season. One case was reported by the Wisconsin Department of Health. This case occurred in an individual aged ≥18 years who worked at a poultry facility where HPAI A(H5N1) virus had been identified in birds. This individual developed respiratory symptoms during Week 50 . Specimens were collected from the individual and initiall...

Highly Pathogenic Avian #Influenza Contributes to the #Population Decline of the Peregrine #Falcon (Falco peregrinus) in the #Netherlands

Abstract Highly pathogenic avian influenza (HPAI) epizootics have caused repeated mass mortality events among wild birds . The effect of the infection is potentially detrimental for a variety of bird species, including the Peregrine Falcon (Falco peregrinus). The numbers of wintering and breeding Peregrine Falcons in the Netherlands have recently declined . We investigated the changes in population trends in relation to HPAI H5 virus outbreaks. For this purpose, we analyzed variations in annual numbers of wintering and breeding birds, the virology of reported dead birds, and the presence of the HPAI H5 virus in unhatched eggs. We showed that significant mortalities of Peregrine Falcons had occurred in 2016–2017 and 2020–2023 , years of major HPAI H5 virus outbreaks. In particular, the highest rates of bird mortality and HPAI virus infection were reported in 2023 . In this year, over 80% (28/32) of the tested birds were positive for HPAI H5 virus. No HPAI H5 virus was present in the egg...

#USA, #Monitoring for Avian #Influenza A(#H5) Virus In #Wastewater (Dec. 27 '24)

{Excerpt} Time Period: December 15 - December 21, 2024 -- H5 Detection : 52 sites (17.4%) -- No Detection :  246 sites (82.6%) -- No samples in last week :  87 sites (...) Source: US Centers for Disease Control and Prevention,  https://www.cdc.gov/bird-flu/h5-monitoring/index.html _____

Evidence of an emerging triple- #reassortant #H3N3 avian #influenza virus in #China

Abstract The H3 subtype of avian influenza virus (AIV) stands out as one of the most prevalent subtypes, posing a significant threat to public health . In this study, a novel triple-reassortant H3N3 AIV designated A/chicken/China/16/2023 (H3N3), was isolated from a sick chicken in northern China . The complete genome of the isolate was determined using next-generation sequencing, and the AIV-like particles were confirmed via transmission electron microscopy. Subsequent phylogenetic analyses revealed that HA and NA genes of the H3N3 isolate clustered within the Eurasian lineage of AIVs, exhibiting the closest genetic relationship with other H3N3 AIVs identified in China during 2023. Interestingly, the HA and NA genes of the nove H3N3 isolate were originated from H3N8 and H10N3 AIVs , respectively, and the six internal genes originated from prevalent H9N2 AIVs. These findings indicated the novel H3N3 isolate possesses a complex genetic constellation , likely arising from multiple reassor...

The #evolution of #hemagglutinin-158 and #neuraminidase-88 #glycosylation sites modulates antigenicity and #pathogenicity of clade 2.3.2.1 #H5N1 avian #influenza viruses

Abstract Clade 2.3.2.1 of the H5N1 avian influenza virus (AIV) evolved into several subclades. However, the effect of glycosylation on the biological characteristics of hemagglutinin (HA) and/or neuraminidase (NA) from H5N1 AIVs remains unclear. Here, we determined that the global prevalence of clade 2.3.2.1 H5N1 AIVs with deglycosylated residue 158 on HA (HA158-) and glycosylated residue 88 on NA (NA88+) were predominant via multiple sequence analysis. The deglycosylation of residue on NA 88 (NA88-) was observed in clade 2.3.2.1a (new) and clade 2.3.2.1e H5N1 AIVs. Interestingly, NA88- was coupled with the acquisition of 158 glycosylation sites on HA (HA158+) in clade 2.3.2.1e H5N1 AIVs from China , and clade 2.3.2.1a (new) H5N1 AIVs exhibiting the HA158-NA88- pattern were predominant in Bangladesh . Meanwhile, the temporal distribution of strain HA158+ NA88- was highly consistent with the implementation of Re-6 vaccine in China . The recombinant H5N1 AIVs constructed using a reverse ...

#DRC, #Kwango province affected by #influenza {A #H1N1} virus in #Panzi health zone

The flu caused by the Influenza virus, associated with malaria on a ground of malnutrition, is the unknown disease that has been decimating the population in the health zone of Panzi, in the province of Kwango, for more than a month. This is what the diagnosis made by the INRB reveals after in-depth analyses.  The governor of Kwango province , Willy Bitwisila, officially declared on Wednesday night, December 5, this epidemic which has caused around thirty deaths and more than 400 cases in this part of the Kasongolunda territory. "This is the epidemic that is causing deaths in the previously unidentified Panzi health zone.  '' After a rigorous investigation , the results from the INRB laboratory have just confirmed that it is influenza caused by the Influenza AH1N1 virus, {rhinovirus, SARS-CoV-2, edited, in the article the terms are unreadable }, associated with malaria on the ground of malnutrition .  '' An epidemic that I am now officially declaring . I would ther...

Avian #Influenza Virus #Infections in #Felines: A Systematic Review of Two Decades of Literature

Abstract As an avian influenza virus (AIV) panzootic is underway , the threat of a human pandemic is emerging . Infections among mammalian species in frequent contact with humans should be closely monitored. One mammalian family, the Felidae , is of particular concern. Domestic cats are susceptible to AIV infection and provide a potential pathway for zoonotic spillover to humans . Here, we provide a systematic review of the scientific literature to describe the epidemiology and global distribution of AIV infections in felines reported from 2004 – 2024. We identified 607 AIV infections in felines , including 302 associated deaths , comprising 18 countries and 12 felid species . We observed a drastic flux in the number of AIV infections among domestic cats in 2023 and 2024 , commensurate with the emergence of H5N1 clade 2.3.4.4b. We estimate that this phenomenon is underreported in the scientific literature and argue that increased surveillance among domestic cats is urgently needed. Sou...

Highly Pathogenic Avian #Influenza A(#H5N1) Virus: Interim #Recommendations for #Prevention, #Monitoring, and Public Health #Investigations

{Summary as of December 26 '24} What to know -- This guidance outlines CDC’s recommendations for preventing human exposures to highly pathogenic avian influenza (HPAI) A(H5N1) viruses and infection prevention and control measures, including the use of personal protective equipment, testing, antiviral treatment, patient investigations, monitoring of exposed persons , and antiviral chemoprophylaxis of exposed persons. Summary The purpose of this guidance is to outline CDC's recommendations for preventing exposures to highly pathogenic avian influenza (HPAI) A(H5N1) viruses, infection prevention and control measures including the use of personal protective equipment, testing, antiviral treatment, patient investigations, monitoring of exposed persons (including persons exposed to sick or dead wild and domesticated animals and livestock with suspected or confirmed infection with highly pathogenic avian influenza (HPAI) A(H5N1) virus), and antiviral chemoprophylaxis of exposed person...

#Genetic #Sequences of Highly Pathogenic Avian #Influenza A(#H5N1) Viruses Identified in a Person in #Louisiana

What to know -- CDC has sequenced the influenza viruses in specimens collected from the patient in Louisiana who was infected with, and became severely ill from HPAI A(H5N1) virus.  -- The genomic sequences were compared to other HPAI A(H5N1) sequences from dairy cows, wild birds and poultry , as well as previous human cases and were identified as the D1.1 genotype .  -- The analysis identified low frequency mutations in the hemagglutinin gene of a sample sequenced from the patient, which were not found in virus sequences from poultry samples collected on the patient’s property, suggesting the changes emerged in the patient after infection . Background This is a technical summary of an analysis of the genomic sequences of the viruses identified in two upper respiratory tract specimens from the patient who was severely ill from an infection with highly pathogenic avian influenza (HPAI) A(H5N1) virus in Louisiana .  The patient was infected with A(H5N1) virus of the D1.1 ge...