ETIDIOH - NEW

  {Summary} Time Period: August 03, 2025 - August 09, 2025 -- H5 Detection :  2 sites ( 0.5% ) -- No Detection :  425 sites ( 99.5% ) -- No samples in last week :  33 sites (...) Source: US Centers for Disease Control and Prevention,  https://www.cdc.gov/nwss/rv/wwd-h5.html ____

  JEFFERSON CITY, MO – The Missouri Department of Health and Senior Services (DHSS) is announcing case of an adult Missouri resident with a laboratory-confirmed infection of Naegleria fowleri .  Naegleria fowleri is a microscopic single-celled free-living ameba that can cause a rare deadly infection of the brain called primary amebic meningoencephalitis (PAM), also known as “brain-eating” infection. Typically, fewer than 10 people a year in the United States get PAM. The Missouri patient is currently being treated for PAM in an intensive care unit of a hospital, and currently, no additional suspected cases of PAM are being investigated in Missouri. The ameba is common and naturally present in warm freshwater such as lakes , rivers and ponds; however, PAM is extremely rare. Between 1962 and 2024, there were 167 reported cases of PAM in the United States. The source of the patient’s exposure is currently being investigated by public health officials.  While not confirmed, p...

  {Summary} Time Period: July 27, 2025 - August 02, 2025 -- H5 Detection :  4 sites ( 0.9% ) -- No Detection :  430 sites (99.1%) -- No samples in last week :  24 sites (...) Source: US Centers for Disease Control and Prevention,  https://www.cdc.gov/nwss/rv/wwd-h5.html ____

Summary Background The Pandemic Response Repository through Microbial and Immune Surveillance and Epidemiology (PREMISE) programme was established to translate knowledge gained from global immunoepidemiological surveillance into a better understanding of population-level dynamics of emerging and re-emerging infections , as well as into the discovery and development of biomedical countermeasures against potential pandemic threats. As proof of principle for this approach, we conducted a longitudinal immunoepidemiological study in children in the USA, focusing on enterovirus D68 (EV-D68) infection dynamics but also capturing surveillance of a broad array of other endemic respiratory pathogens. Serendipitously, our sampling spanned the lifting of widespread COVID-19 non-pharmaceutical interventions (NPIs) in 2022–23, following a unique period during which virus exposure markedly diminished. Methods This prospective, multicentre, longitudinal, immunoepidemiological surveillance study enroll...

  {Excerpt} Time Period: July 20, 2025 - July 26, 2025 -- H5 Detection :  4 sites ( 1.0% ) -- No Detection :  391 sites ( 99.0% ) -- No samples in last week :  38 sites (...) Source: US Centers for Disease Control and Prevention,  https://www.cdc.gov/nwss/rv/wwd-h5.html ____

Abstract Transmission routes of highly pathogenic H5N1 between cows or to humans remain unclear due to limited data from affected dairy farms. We performed extensive air, farm wastewater, and milk sampling on 14 H5N1 positive dairy farms across two different California regions. Virus was detected in the air in milking parlors and from exhaled breath of cows . Infectious H5N1 virus was detected in the air and water streams ; sequence analysis revealed viral variants on a farm in these locations. Longitudinal analysis of milk from the individual quarters of cows revealed a high prevalence of subclinical H5N1 positive cows and a heterogeneous distribution of infected quarters that maintained a consistent pattern over time. Our data highlight potential modes of H5N1 transmission on dairy farms. Competing Interest Statement SSL and LCM receive funds from Flu Lab and NIH. ASL receives funds from Flu Lab, NIH, and CDC. ASL receives consulting fees and research support from Roche, outside of t...

Key Points -- Question: What were the clinical characteristics, management approaches, and outcomes among children with influenza-associated acute necrotizing encephalopathy (ANE) in the US during the 2023-2024 and 2024-2025 influenza seasons? -- Findings:   In this multicenter case series of 41 children from 23 US hospitals , influenza-associated ANE carried a 27% mortality rate despite multimodal therapy. Most patients (76%) had no significant medical history , despite 15 of 32 tested (47%) having genetic risk alleles potentially related to risk of ANE identified during diagnostic evaluation. The H1 2009 influenza A strain predominated (34% of cases), and only 16% had received seasonal influenza vaccination . Among survivors, 63% had moderate to severe disability at 90-day follow-up. -- Meaning:  Influenza-associated ANE represents a rare but devastating neurologic complication primarily affecting previously healthy children. The high morbidity and mortality emphasize t...

Abstract While wild waterfowl are known reservoirs of avian influenza viruses and facilitate the movement of these viruses , there are notable differences in the response to infection across species. This study explored differential responses to infection with highly pathogenic avian influenza in Snow Geese (Anser caerulescens) located in the California Central Valley . Though H5 antibody prevalence was high across years among birds sampled in the winter (75% in both years via hemagglutination inhibition), these values were even higher among birds sampled in summer that failed to migrate (i.e., August 2023 = 100% and August 2024 = 93% via hemagglutination inhibition). Birds that failed to migrate were also generally lighter than birds sampled in the winter and presented notable damage to cerebrum and cerebellum . In December 2022, a single individual positive for infection with H5N1 at the time of sampling indicated reduced movement during the 14 days following sampling but completed s...

  {Excerpt} Time Period: July 13, 2025 - July 19, 2025 -- H5 Detection :  2 sites ( 0.5% ) -- No Detection :  380 sites ( 99.5% ) -- No samples in last week :  47 sites (...) Source: US Centers for Disease Control and Prevention,  https://www.cdc.gov/nwss/rv/wwd-h5.html ____

  {Excerpt} Time Period: July 06, 2025 - July 12, 2025 -- H5 Detection :  2 sites ( 0.5% ) -- No Detection :  395 sites ( 99.5% ) -- No samples in last week :  51 sites (...) Source: US Centers for Disease Control and Prevention,  https://www.cdc.gov/nwss/rv/wwd-h5.html _____

  Summary -- What is known about this topic? -  Plague is caused by the bacterium Yersinia pestis , which is transmitted primarily through fleas from rodents . This case highlights an off-season transmission of plague. Plague is most often identified during May–August. -- What is added by this report? - An Oregon man sought care at an emergency department for signs and symptoms of plague on January 30, 2024, the earliest calendar date of plague recorded in the state’s history, possibly indicating a shift in the seasonality of plague incidence . The patient did not have direct contact with rodents, but did have contact with his infected cat after cutting his finger. -- What are the implications for public health practice? -  Public health messaging and diagnostic efforts regarding plague are warranted year-round in areas with endemic disease. Abstract Plague is caused by the bacterium Yersinia pestis . Y. pestis is transmitted primarily through the bite of an infected rode...

{Excerpt} To the Editor : The article “Henipavirus in northern short-tailed shrew, Alabama, USA,” (1), describing the discovery of Camp Hill virus (family Paramyxoviridae ) in the northern short-tailed shrew (Blarina brevicauda), sparked major media attention and raised concerns about zoonotic transmission and potential pandemic risk. However, it would be advisable to reevaluate this virus discovery within the broader context of related viruses. The increase in identified henipa-like viruses in various shrew species (2–4) led the International Committee on Taxonomy of Viruses to classify these henipa-like viruses into a distinct genus, Parahenipavirus (5), acknowledging their genetic difference from the highly pathogenic Hendra and Nipah virus. (...) Source: US Centers for Disease Control and Prevention,  https://wwwnc.cdc.gov/eid/article/31/8/25-0401_article ____

Abstract In 2024, 3 domestic cats in California, USA consumed raw milk contaminated with highly pathogenic avian influenza A( H5N1 ) virus. Fever and neurologic signs developed; 2 cats died. The surviving cat’s urine tested positive for H5N1 virus by reverse transcription PCR. Raw dairy products pose a risk to both animal and human health. Source: US Centers for Disease Control and Prevention,  https://wwwnc.cdc.gov/eid/article/31/8/25-0309_article ____

Abstract Sampling of mammal communities across the United States during 2022–2023 detected evidence of SARS-CoV-2 antibodies in 3 new species and 2 previously described species and evidence of influenza A antibodies in 2 previously described species . Our analysis provides surveillance and sampling guidance for detection of rare exposure events. Source: US Centers for Disease Control and Prevention,  https://wwwnc.cdc.gov/eid/article/31/8/24-1671_article ____

Abstract Highly pathogenic avian influenza (HPAI) H5N1 virus has been associated with severe mastitis in dairy cows , leading to decreased milk production . Here we investigated the impact of H5N1 virus infection in health and production parameters in an affected dairy herd in Ohio . Clinical disease , which lasted for about three weeks , was recorded in 20.0% (777/3876) of the adult cows. Milk losses of ~900 kg per cow were recorded in affected cows during a 60 day-post-outbreak period . Seroprevalence was 89.4% (570/637) in the herd, with 76.1% (485/637) of seropositive animals being subclinically infected . Clinically affected cows presented an increased risk of death (6 times) and of premature herd removal (3.6 times) when compared to non-clinical cows. Economic losses due to decreased milk production, mortality, and early herd removal were estimated at $950 per clinically affected cow for a total cost of ~$737,500 for the herd during the observation period. Our results demonstrate...

HIGHLIGHTS •  PeV-A5 was the predominant PeV-A genotype detected from CSF/blood in 2024 at CM-KC. •  CM-KC PeV-A5 sequences resemble PeV-A5 sequences reported in Sapporo City, Japan, in 2018. •  The highest number of PeV-A5 detections within a single year in the USA. ABSTRACT Background Parechovirus-A5 (PeV-A5) blood and central nervous system (CNS) infections are rare in the United States of America (USA) and globally. We report an emergence of PeV-A5 infections among infants in Kansas City, Missouri, in 2024. Methods Cerebrospinal fluid (CSF) and blood samples from infants were tested for Parechovirus (PeV-A) in 2024 as a part of standard of care at Children's Mercy Kansas City (CM-KC). PeV-A testing included a two-step reverse transcriptase-polymerase chain reaction, and genotyping was conducted using Sanger sequencing. We analyzed the amino acid sequences and phylogeny of the 2024 PeV-A viruses and described the clinical characteristics of PeV-A infected infants. Resu...

{Excerpt} 1. Background   A risk assessment exercise using the Tool for Influenza Pandemic Risk Assessment ( TIPRA ) was conducted for Clade 2.3.4.4b A(H5N1) genotype B3.13 virus in Aug – Oct 2024 .   From late 2023, unexplained illnesses were reported in dairy cattle across multiple states in the United States .  Following those events , detection of avian influenza A(H5N1) in dairy cattle from Texas was confirmed on 25 March 2024.  As of 9 December 2024 , the virus has been detected in 720 dairy cattle herds across 15 states, according to the United States Department of Agriculture (USDA), with a total of 47 human infections from poultry and dairy cattle sources, excluding 11 human cases from Washington state , that might belong to genotype D1.1, also reported.  Wild and domestic animals (e.g., cats, raccoons) near infected herds have been affected as well.  The outbreak remains uncontrolled .  Due to the unprecedented spread of the virus among ...

  {Excerpt} Time Period: June 29, 2025 - July 05, 2025 -- H5 Detection :  2 sites ( 0.6% ) -- No Detection :  330 sites ( 99.4% ) -- No samples in last week :  77 sites (...) Source: US Centers for Disease Control and Prevention,  https://www.cdc.gov/nwss/rv/wwd-h5.html ____

Abstract The November 2021 introduction of highly pathogenic avian influenza A(H5N1) clade 2.3.4.4b into North America triggered a devastating outbreak , affecting more than 180 million domestic birds and spreading to more than 80 wildlife species across Canada and the US . From this outbreak, we have sequenced 2955 complete A( H5N1 ) viral genomes from samples collected in Canada and, in conjunction with previously published data, performed multifaceted phylodynamic analyses. These analyses reveal extensive diversification of A(H5N1) viruses via reassortment with low-pathogenic avian influenza viruses. We find evidence of repeated ancestral strain replacement by direct descendants, indicative of compounding viral fitness increases . Spatiotemporal modeling identified critical geographic areas facilitating transcontinental spread and demonstrated genotype-specific host dynamics, offering essential data for ongoing control and prevention strategies. Source: Science Advances,  https:...

LETTER Highly pathogenic avian influenza (HPAI) viruses of genotype B3.13 were first reported in dairy cattle in March 2024 and, by 4 March 2025, had infected at least 989 cattle herds in 17 states in the US ( https://www.aphis.usda.gov/livestock-poultry-disease/avian/avian-influenza/hpai-detections/hpai-confirmed-cases-livestock ; accessed on March 24, 2025). Importantly, spillover infections of poultry and mammalian species , including cats and humans , have occurred ( https://www.cdc.gov/bird-flu/situation-summary/index.html ; accessed on 4 March 2025). Texas reported several infected herds in the spring (1) and early summer of 2024 but saw fewer outbreaks during the second half of 2024, with reported outbreaks in July and December (2). Since September 2024, almost all reported outbreaks of genotype B3.13 viruses in dairy cattle have occurred in California . Here, we characterized self-submitted samples from a farm in Texas that experienced an outbreak in December 2024. This farm ha...