#Genomic #epidemiology of two #travel-associated #pediatric #measles viruses within the B3 Lineage

 

Highlights

    • The Children’s Hospital of Philadelphia (CHOP) detected a B3 MeV case in 2023 and in 2025.

    • Whole-genome amplification of the two CHOP B3 MeV isolates was performed.

    • The CHOP genomes were assessed with a global dataset of all 168 National Center for Biotechnology Information B3 MeV near-full length genomes from 2005-2025.

    • The CHOP isolates form a clade with 39 other isolates from four countries, 36 of which cluster with a 15 single nucleotide polymorphism cutoff.

    • The CHOP clade diverged in 2019, contains the most recently emerged B3 nodes, and shares a private mutation in the phosphoprotein at a codon undergoing positive selection.

Abstract

Background

Children’s Hospital of Philadelphia (CHOP) identified a MeV case in late 2023 and also early 2025, both of which were associated with international travel. Of the 24 MeV genotypes, the B3 and D8 lineages have been the most prevalent globally since 2021. Initial genotyping indicated that the two CHOP isolates belong to the B3 lineage.

Objectives

To inform MeV molecular surveillance, we conducted a genomic epidemiology analysis to situate the CHOP strains within the global genetic landscape of past and present MeV B3 cases.

Study design

We performed whole-genome amplification, genome assembly, and phylogenomics of our two MeV cases. These strains were then analyzed alongside all 168 National Center for Biotechnology Information near-full length MeV B3 genomes using population and evolutionary genetic approaches. This dataset includes strains isolated from 13 countries between 2005 and 2025.

Results

The two CHOP strains form a monophyletic group with 39 other isolates from four countries; 36 clade members form a discrete network connected by a 15 single nucleotide polymorphism (SNP) cutoff. The CHOP clade shares a Q45H phosphoprotein mutation at a codon undergoing diversifying selection, as with a H593R hemagglutinin mutation carried by the 2025 CHOP strain. The CHOP clade likely diverged in 2019 and has a median root-to-tip distance of 0.020 compared to 0.017 for the other B3 strains, consistent with this clade encompassing the most recently divergent nodes.

Conclusions

Our work places the CHOP MeV cases within a diversifying and emergent global clade of the dominating B3 lineage that is a future risk due to ongoing B3 MeV transmission.

Source: 

Link: https://www.sciencedirect.com/science/article/abs/pii/S1386653226000557?dgcid=rss_sd_all

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Beyond the cruise #ship: #Andes #hantavirus and the neglected #onehealth dimensions of global #outbreak #preparedness

 

{Summary}

The ongoing multi-country outbreak of Andes hantavirus linked to an expedition cruise travel has drawn global public health attention. The outbreak was reported to the World Health Organization on 02 May 2026 after a cluster of severe respiratory illness occurred among passengers and crew aboard the MV Hondius, which travelled across remote regions of the South Atlantic following departure from Ushuaia, Argentina. As of 18 May 2026, the European Centre for Disease Prevention and Control (ECDC) reported 12 cases, including nine confirmed, two probable, and one inconclusive case, as well as three deaths linked to the outbreak. While response efforts have appropriately focused on case detection, isolation, contact monitoring, and clinical management, the event highlights broader gaps in how emerging zoonotic threats are managed globally. Rather than viewing this solely as a cruise-associated outbreak, it should also be understood as a One Health warning signal emerging at the intersection of rodent ecology, environmental and climatic change, expedition tourism, and global human mobility.

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Source: 

Link: https://www.thelancet.com/journals/lanam/article/PIIS2667-193X(26)00160-2/fulltext

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Potent In Vitro #Antiviral Activity of 4'-Fluorouridine Against Diverse #Orthohantaviruses including #Andes Virus

 

Highlights:

    • 4′-fluorouridine exhibits broad-spectrum activity against 16 orthohantaviruses.

    • The compound inhibits hantavirus replication by targeting the viral polymerase.

    • Efficacy is maintained in human endothelial and airway epithelial cells.

Abstract

Hantaviruses are emerging pathogens responsible for severe and often fatal diseases, including hemorrhagic fever with renal syndrome (HFRS) and hantavirus pulmonary syndrome (HPS), for which no FDA-approved antivirals currently exist. Using a Seoul virus minigenome system, we first confirmed that the ribonucleoside analog 4’-fluorouridine (EIDD-2749) effectively targets the hantavirus polymerase complex, inhibiting viral RNA transcription and replication. We subsequently evaluated its antiviral activity against a comprehensive panel of 16 hantaviruses representing both Old and New World lineages including both the Chilean and Argentinian strains of Andes virus. 4’-fluorouridine demonstrated potent, dose-dependent inhibition across all viruses tested, with EC50 values uniformly in the low- to sub-micromolar range. Collectively, these findings establish 4’-fluorouridine as a highly potent, pan-hantavirus inhibitor and a promising candidate for further preclinical development.

Source: 

Link: https://www.sciencedirect.com/science/article/abs/pii/S0166354226001269?via%3Dihub

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#Ebola #outbreak caused by #Bundibugyo virus: challenges and priorities for #epidemic preparedness and response

 

{Summary}

Since WHO declared the ongoing outbreak of Ebola virus disease caused by Bundibugyo virus (species Orthoebolavirus bundibugyoense; BDBV) in DR Congo and Uganda a public health emergency of international concern and the Africa Centres for Disease Control and Prevention (Africa CDC) declared a public health emergency of continental security, the outbreak has continued to evolve rapidly. As of June 3, 2026, 344 laboratory-confirmed cases and 60 deaths had been reported in DR Congo, while Uganda had reported 15 confirmed cases and one death; cross-border transmission has prompted heightened preparedness and response measures across the region.1–3 The outbreak poses a substantial public health threat because diagnosis is often delayed by limited access to suitable point-of-care assays, and no licensed vaccine or approved virus-specific therapeutic currently exists for BDBV. Barriers to controlling the BDBV outbreak and priority response actions are summarised in the table.

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Source: 

Link: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(26)01141-4/abstract?rss=yes

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Single-dose #mRNA #vaccines against #Andes #hantavirus

 

{Summary}

The May, 2026, Andes virus outbreak on the Dutch cruise ship (MV Hondius) that departed from Argentina, where the lethal virus was first described, represents a transmission context unprecedented in the known epidemiology of the virus. The Andes virus is the only member of the Hantaviridae family capable of efficient person-to-person spread through close contact with respiratory secretions. The epidemic potential of the virus was demonstrated during the 2018–19 Epuyén outbreak in Argentina, where four waves of infection from a social gathering resulted in 34 confirmed cases and 11 deaths. Despite passengers on board MV Hondius having now returned to their home countries, there are currently 13 reported cases with three deaths. The dispersal of nearly 150 passengers and high-risk contacts across 23 countries, monitored under varying quarantine protocols, and a 42-day virus incubation window, presents a complicated and critical vulnerability for public health agencies. Contact tracing is ongoing as ambiguity surrounds secondary transmission cases before containment measures were established. There are no vaccines or preventive treatments currently approved by the US Food and Drug Administration or the European Medicines Agency. The travel-related outbreak and potential for sequential transmission events underscore the urgency for vaccine development.

(...)

Source: 

Link: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(26)01124-4/fulltext?rss=yes

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Mechanistic and #antigenic boundaries of #Henipavirus and Parahenipavirus #glycoproteins

 

Abstract

Henipaviruses, in the Paramyxoviridae family, includes the highly virulent Nipah virus that causes reoccurring outbreaks of deadly disease. Recent discoveries of Henipavirus-like species, including the zoonotic Langya virus, have revealed much higher antigenic diversity than currently characterized and prompted the reorganization of these viruses into the Henipavirus and Parahenipavirus genera. Here, to explore the limits of structural and antigenic variation in both genera, collectively referred to as HNVs, we construct an expanded, diverse panel of HNV fusion and attachment glycoproteins from non-redundant HNV strains that better reflect global HNV diversity. We express and purify the fusion protein ectodomains and the attachment protein head domains and study their biochemical and biophysical properties. We perform immunization experiments in mice, eliciting antibodies reactive to multiple HNV fusion proteins. Cryo-electron microscopy structures elucidate molecular determinants of differential pre-fusion state stability and higher order contacts. A crystal structure of the Gamak virus attachment head domain reveals an additional domain appended to the conserved 6-bladed, β-propeller fold. Taken together, these studies expand the known structural and antigenic limits of the HNVs, reveal cross-reactive epitopes within both genera and provide foundational data for the development of broadly reactive countermeasures.

Source: 

Link: https://www.nature.com/articles/s41467-026-74212-8

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The #risk of #global #Ebola virus #spread is low: #epidemiology of Ebola disease cases outside Africa, 1976 to May 2026

 

Abstract

Following the Bundibugyo virus disease outbreak reported in the Democratic Republic of the Congo in May 2026, we reviewed all known Ebola disease cases outside Africa and found that intercontinental transmission risk remains low. We identified 28 confirmed epidemic-linked cases outside Africa; only four involved travellers with latent infection whose symptoms were detected after border screening. Excluding medically evacuated cases, the crude overall risk since 2000 was 0.17 Ebola disease cases outside Africa per 1,000 reported cases in Africa.

Source: 

Link: https://www.eurosurveillance.org/content/10.2807/1560-7917.ES.2026.31.24.2600508?emailalert=true#abstract_content

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#Andes virus #outbreak linked to expedition cruise #ship travel, multi-country #investigation and response, April to June 2026

Abstract

As at 18 June 2026, 13 cases (12 confirmed and one probable) of Andes orthohantavirus have been reported (case–fatality: 23%), linked to the Dutch-flagged expedition cruise ship MV Hondius. The event involved individuals from 23 nationalities and required medical evacuation, repatriation, coordinated international contact tracing, isolation, quarantine and clinical and laboratory testing follow-up. To date, all cases have been passengers (10/121; 8%) or crew members (3/61; 5%). Ongoing monitoring and investigations aim to clarify the source of the outbreak, identify risk factors and prevent further spread.

Source: 

Link: https://www.eurosurveillance.org/content/10.2807/1560-7917.ES.2026.31.24.2600477?emailalert=true#abstract_content

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#Biodiversity and emerging infectious #threats: the microbial dark matter of Southwest #China

 

Abstract

Southwest China is a global biodiversity hotspot, and its complex and diverse ecosystems harbor vast amounts of “microbial dark matter.” This paper systematically examines the distribution characteristics of microbial dark matter in hosts such as arthropods, mammals, and birds, as well as in environments including soil, hot springs, and high-altitude lakes, with a particular focus on the cross-species transmissibility and pathogenic potential of emerging pathogens. Research indicates that new microbial species in the Southwest exhibit significant geographic concentration and host specificity: Yunnan Province is a core hotspot, while the Tibet Autonomous Region contributes a wealth of microbial resources due to its extreme environments, with arthropods and mammals accounting for the highest proportion of novel species. Regarding public health risks, eight novel pathogens with evidence of human infection have been identified, spanning the three major groups of viruses, bacteria, and parasites. The cross-species transmission potential of some pathogens (such as DPRV rhabdovirus, PPV arenaviridae, Luxi hantavirus, Banna virus and a novel Babesia species) has been confirmed through serological surveys or molecular testing. Deepening the exploration of microbial dark matter and risk early warning in this region will provide critical scientific support for public health safety monitoring.

Source: 

Link: https://www.frontiersin.org/journals/microbiology/articles/10.3389/fmicb.2026.1846062/full

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#Nipah Virus Shedding in #Urine from Fruit #Bats, #SriLanka, 2018–2019

 

Abstract

Nipah virus causes outbreaks in humans with high case-fatality rates. In this study, we confirmed the presence of Nipah virus in Sri Lanka in Pteropus medius fruit bats, one of the known natural reservoir species. Sequences we generated were genetically related to Nipah virus strains from outbreaks in southern India.

Source: 

Link: https://wwwnc.cdc.gov/eid/article/32/7/25-1567_article

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#Virus-host #interactions on #volcanic #ash from Mount #Etna

 

Abstract

Volcanic ash represents an extreme and dynamic habitat, yet it hosts diverse microbial communities with largely unexplored viral diversity. This study investigated bacterial and viral populations in volcanic ash from Mount Etna (Italy) collected during the eruption, focusing on microbial novelty, activity, and virus-host interactions. Taxonomic profiling revealed that Pseudomonas and Telluria were the dominant bacterial genera, both frequently detected in airborne environments. In contrast, enrichment cultures with volcanic ash were dominated by spore-forming members of the phylum Bacillota, highlighting their resilience under harsh conditions. Metagenomic analysis recovered 19 high-quality metagenome-assembled genomes, including four previously undescribed bacterial species. Replication rate estimates showed that certain taxa were metabolically active, particularly at one sampling site. The presence of Clustered Regularly Interspaced Short Palindromic Repeats (CRISPR) systems with spacers matching viral sequences suggested viral predation pressure on volcanic ash. A total of 1139 viral operational taxonomic units (vOTUs) were identified, of only around half (660 vOTUs) showed similarities to known phages, underscoring the presence of novel viruses. Shared vOTUs across sites revealed the presence of both a core virome and site-specific viral populations. Virus-host predictions indicated frequent interactions with hosts from multiple Gammaproteobacterial genera. Additionally, a 336 kb jumbo phage genome exhibited extensive metabolic capabilities and genetic autonomy. Experimental work identified a unique lytic Bacillus-infecting phage (″Phoenix″) with limited propagation capacity. Furthermore, prophage induction experiments revealed active, morphologically diverse temperate phages across multiple bacterial host strains. Overall, these findings highlight volcanic ash as a reservoir of microbial and viral diversity, shaped by environmental extremes and dynamic ecological interactions.

Competing Interest Statement

The authors have declared no competing interest.

Funder Information Declared

Swedish Research Council, https://ror.org/03zttf063, 2023-03310_VR, 2022-06725

Source: 

Link: https://www.biorxiv.org/content/10.64898/2026.06.17.732739v1?rss=1

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Lower limit of #detection of commercial respiratory virus RT – #PCR panels for #bovine #influenza #H5N1

 

Abstract

Objectives

The adaptation of clade 2.3.4.4b influenza A(H5N1) to dozens of mammalian species, including dairy cattle, raises concerns about potential spillover into humans. If the virus develops human-to-human transmissibility, sensitive diagnostics will be critical to containment efforts. We sought to determine the lower limit of detection of commercial influenza A tests for the circulating bovine-adapted strain of H5N1.

Methods

We determined the 95% lower limit of detection (LLOD) of 4 commercial respiratory virus panels for detecting inactivated bovine H5N1 (A/bovine/Ohio/B24OSU-439/2024). Two of the tested panels provide seasonal influenza A subtyping, the BioFire Respiratory Panel 2.1 (BioFire Diagnostics/BioMérieux) and the cobas eplex respiratory pathogen panel 2 (Roche Diagnostics), while 2 panels provide pan–influenza A detection, the Xpert Xpress CoV-2/Flu/RSV plus (Cepheid), and the Panther Fusion SARS-CoV-2/Flu A/B/RSV Assay (Hologic, Inc). Serial dilutions of H5 RNA (400-25 copies/mL) were prepared in respiratory virus–negative nasopharyngeal swab matrix, and 20 replicates were tested at each concentration. The 95% LLOD for each test was calculated using probit regression.

Results

All 4 tests detected H5 with 95% LLODs below 1000 H5 RNA copies/mL. Xpert demonstrated the highest analytical sensitivity (50 copies/mL; 95% CI, 39-160), followed by BioFire (297 copies/mL; 95% CI, 196-3955), Panther Fusion (531 copies/mL; 95% CI, 421-792), and eplex (883 copies/mL; 95% CI, 588-2741).

Conclusions

Existing commercial respiratory virus panels can effectively detect bovine H5N1. These platforms could support screening in the event of an H5N1 outbreak, followed by confirmation with specific H5 subtyping, as needed.

Source: 

Link: https://academic.oup.com/ajcp/article-abstract/165/6/aqag067/8709618?redirectedFrom=fulltext

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Mass #mortality of southern elephant #seals during multi-species #outbreak of HPAI #H5N1 on sub - #Antarctic Heard Island

 

Abstract

High pathogenicity avian influenza (HPAI) has spread across the sub-Antarctic, causing significant wildlife impacts. We report its first detection in an Australian external territory, Heard Island and McDonald Islands, which supports over one million breeding seabirds and seals. Drone and ground surveys (October 2025, January 2026), combined with viral genome analysis, confirmed infection with Influenza A H5N1 clade 2.3.4.4b at Heard Island. Drone surveys revealed mass mortality in southern elephant seals, with 8,573 pups (62%) recorded dead across Heard Island by the final surveys. Mortality increased at an average rate of 5.6% per day in a subset of harems, and the highest observed mortality in a harem was 97%. Based on the average (76%) mortality in the final surveys, total estimated pup mortality at Heard Island was 13,359 (from a total population of 17,364 pups), though this may be an underestimate as mortality was ongoing at this time. HPAI was detected in six of nine species tested and, we suspect, led to elevated mortality in king and gentoo penguins. Phylogenetic analysis indicates the virus was introduced from Crozet Islands, with an estimated arrival around August 2025. These data show the continued easterly spread of HPAI around the sub-Antarctic, with severe but heterogeneous impacts across taxa. Our results demonstrate the value of drones for large scale monitoring, underscoring the need for continued and enhanced HPAI surveillance across the Southern Ocean.

Competing Interest Statement

The authors have declared no competing interest.

Source: 

Link: https://www.biorxiv.org/content/10.64898/2026.06.16.732752v1

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The Winners Take It All? #Global Evolutionary #Success of #H5Nx #Reassortants in the 2020–2024 #Panzootic

 

Abstract

Avian influenza viruses undergo frequent genetic reassortment, which can coincide with phenotypic changes in transmission, pathogenicity, and host species niche. Since 2020, clade 2.3.4.4b H5 high pathogenicity avian influenza viruses (HPAIVs) have driven a global panzootic, causing mass mortality in wild birds, poultry, and, for the first time, repeated spillover infections in a variety of mammalian species. This worldwide resurgence of H5 HPAIV has coincided with a dramatic increase in the number of circulating reassortant strains; however, the scale, impact and drivers of these reassortants remain unclear. Here, we combined statistical and phylodynamic modelling to reconstruct the global evolutionary dynamics of H5Nx viruses across four epizootic seasons (2020-2024). We identified 209 genetically distinct reassortants, stratified into three transmission categories based on their phylogenetic and epidemiological profiles. Accounting for sampling depth and HPAIV incidence, we estimated that reassortants emerged most frequently from Asia, but `major' reassortants associated with increased host range, inter-seasonal persistence, and long-range dissemination, more frequently emerged from Europe. Altogether, reassortant emergence followed an episodic pattern in which most reassortants were transient, but 2% seeded large clusters of secondary reassortants soon after their own emergence. Statistical modelling revealed that reassortant success was strongly shaped by ecological factors, including sustained circulation in specific wild bird orders and detection across a wider range of host niches. Collectively, our findings uncover global reassortment dynamics in H5 HPAIVs and identify key virological and ecological drivers underpinning the emergence and spread of successful reassortants. These insights support the importance of enhanced surveillance to track evolution of H5 HPAIV and identify traits relevant for consideration in pandemic risk assessment.

Competing Interest Statement

The authors have declared no competing interest.

Funder Information Declared

Biotechnology and Biological Sciences Research Council, BB/V011286/1, BB/X006204/1, BB/X006166/1, BB/Y007271/1, BB/Y007298/1

Biotechnology and Biological Sciences Research Council - Institute Strategic Grants, BBS/E/RL/230002C, BBS/E/RL/230002D

Medical Research Council, MR/Y015045/1, MR/Y03368X/1

National Natural Science Foundation of China, https://ror.org/01h0zpd94, 32061123001, 32425053, 32200416

National Key Research and Development Program of China, 2023YFC2307500, 2024YFE0106000

European Union, 727922, 874850, 101094685, 101084171, 874735

Fonds National de la Recherche Scientifique, F.4515.22

Fonds voor Wetenschappelijk Onderzoek — Vlaanderen, G098321N

Source: 

Link: https://www.biorxiv.org/content/10.1101/2025.07.19.665680v2

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#Pathogens #analysis and modeling of #mortality #risk in #sepsis patients with #COVID19 and without COVID-19

 

Abstract

This study compared isolate-level pathogen profiles, antimicrobial susceptibility, clinical characteristics, and mortality predictors between sepsis patients with and without coronavirus disease 2019 (COVID-19), and developed cohort-specific nomograms for in-hospital mortality. This retrospective intensive care unit (ICU) cohort included 608 adults with sepsis: 158 in group COVID-19 and 450 in group non–COVID-19. All patients were assessed for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) detection status. Patient-level comparisons and mortality modeling used the full cohort, whereas microbiological analyses were restricted to 235 eligible bacterial or fungal isolates from baseline cultures after exclusion of colonizers, contaminants, clinically non-causative organisms, and duplicates. Candidate predictors were selected by least absolute shrinkage and selection operator (LASSO) regression and entered into multivariable logistic regression; coefficients were pooled using Rubin’s rules when multiple imputation was performed. External validation used MIMIC-IV with fixed internal coefficients. Gram-negative organisms predominated, mainly Acinetobacter baumannii and Klebsiella pneumoniae, with substantial antimicrobial resistance. The COVID-19 and non–COVID-19 models showed apparent internal area under the curve values of 0.938 and 0.871, conservative optimism-corrected values of 0.913 and 0.871, and external validation AUC values of 0.841 and 0.859, respectively. Cohort-specific nomograms may provide supplementary risk-stratification information in critically ill patients with sepsis.

Source: 

Link: https://www.nature.com/articles/s41598-026-58450-w

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#Antibodies to #influenza A virus #hemagglutinin and #neuraminidase limit egress and alter the physical properties of released virus particles

 

Abstract

Influenza A virus (IAV)-specific antibodies neutralize mature virions by inhibiting functional sites or, in some cases, by promoting virion aggregation. Many antibodies also act on infected cells to reduce virion yields, but the underlying mechanisms and effects on the physical properties and function of released virus particles remain incompletely characterized. Here we use flow virometry to acquire high-sensitivity yield and size measurements of virus particles released in the presence of antibodies. Combined with digital-droplet PCR and electron microscopy, this approach enables comprehensive characterization of antibody-induced changes in particle genome-content and morphology. We show that antibodies rapidly and dynamically alter released particle distributions, reducing yields and inducing the production of larger particles. Both effects result in part from aggregation induced by crosslinking of viral antigen on the infected-cell surface and inhibition of viral NA. However, yield reduction is not fully explained by aggregation, and a subset of induced larger particles are elongated virions. Finally, particles formed in the presence of HA stem-binding antibody, which does not inhibit attachment of mature virions, show reduced attachment in subsequent rounds of infection. Altogether, we uncover an unappreciated mechanism by which antibodies interfere with viral infection that occurs only during budding and release. Our work highlights the necessity of studying how the immune response shapes virus populations in the context of active infection processes.

Competing Interest Statement

T.I. is involved on a patent related to the flow virometry methodology: PCT/US2022/042125, status pending. The authors declare no other competing interests.

Funder Information Declared

Intramural Research Program of the National Institutes of Health (NIH), ZIAAI001385

G. Harold & Leila Y. Mathers Foundation, https://ror.org/02a7hjv13

Source: 

Link: https://www.biorxiv.org/content/10.64898/2026.06.15.729605v1

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#Genomic #wastewater #surveillance of seasonal and #zoonotic #influenza A viruses in #California during the 2024-2025 flu season

 

Abstract

Wastewater genomic surveillance provides an opportunity to detect human and animal influenza A virus (IAV). We aimed to implement an IAV genomic surveillance framework agnostic to subtype, which enables recovery of IAV from multiple hosts and estimation of proportions across subtypes. We conducted IAV genomic surveillance in wastewater during the 2024-2025 flu season at multiple sites in California and compared these data with available human clinical IAV sequences and test positivity. We applied a custom whole-genome, multi-host IAV probe enrichment panel and adapted our custom expectation-maximization (EM) algorithm to deconvolute IAV mixtures in wastewater and infer subtype relative abundances. Absolute IAV concentrations were quantified using RT-PCR-based assays. H5N1 wastewater and clinical sequences were further characterized by constructing a whole-genome maximum-likelihood phylogenetic tree. Finally, we performed variant analysis to examine amino acid substitutions detected in wastewater. Our IAV probe enrichment method and EM algorithm successfully enriched all eight segments of three circulating IAV subtypes and accurately estimated subclade relative abundances for mixed IAV samples. Seasonal human H1N1pdm09 and H3N2 were detected throughout the study period from both wastewater and clinical sequencing data, with H1N1 subclades 6B.1A.5a.2a.1 and 6B.1A.5a.2a co-circulating, and H3N2 dominated by subclade 3C.2a1b.2a.2a.3a.1. Wastewater surveillance consistently detected H5N1 clade 2.3.4.4b across three monitored wastewater sites, while clinical H5N1 detections, from anywhere in CA, were sporadic and rare. Whole-genome phylogenetic analysis revealed that wastewater H5N1 sequences clustered with reference sequences associated with dairy cow and avian infections, while all human clinical H5N1 sequences clustered exclusively with reference sequences associated with dairy cow infections. Amino acid substitutions were identified across viral segments, and no mutations associated with mammalian adaptation were observed from wastewater samples.

Competing Interest Statement

The authors have declared no competing interest.

Source: 

Link: https://www.medrxiv.org/content/10.64898/2026.06.10.26355323v1

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Seasonal #vaccine-induced #immunity shows preserved cross-reactivity to #H3N2 subclade K in adults

 

Summary

Background

Influenza A subclade K viruses caused high infection rates in the 2025/2026 Northern Hemisphere season, raising concerns about antigenic drift and reduced vaccine effectiveness.

Methods

We measured antibody responses in matched human pre- and post-vaccination sera, selected from two observational cohort studies of adults, against both a vaccine-like as well as subclade K isolates.

Findings

Pre-existing immunity to subclade K variants was noted with seasonal influenza vaccination further boosting titres two-fold against subclade K and three-fold against the vaccine-like strain, consistent with limited antigenic divergence between subclade K isolates and the vaccine. These findings contrast with ferret-based predictions of marked antigenic drift and align with the observed vaccine effectiveness in adults.

Interpretation

Our results underscore the importance of incorporating human serologic data in influenza surveillance to better inform vaccine strain selection and anticipate vaccine performance in immunologically experienced populations.

Funding

NIAID Centers for Excellence in Influenza Research and Response (75N93021C00014); NIAID VIVA HIPC (U19 AI168631); Mount Sinai Center for Vaccine Research and Pandemic Preparedness; institutional support from the Mount Sinai Center for Vaccine Research and Pandemic Preparedness and the Medical University of Vienna.

Source: 

Link: https://www.thelancet.com/journals/ebiom/article/PIIS2352-3964(26)00203-3/fulltext

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