ETIDIOH - NEW

Highlights •  Systematic and routine monitoring antigenic drift and shift of AIV in wild birds and poultry is needed. •  Community-based surveillance is key for improving NiV case detection. •  Integrated surveillance across One Health sectors is required. •  Lab upgrades to BSL-3 are needed for enhanced biosafety and diagnostics. Abstract Nipah and avian influenza viruses (NiV and AIV) are priority zoonotic pathogens in Bangladesh and are also important globally because of their pandemic potential . To understand current strengths, areas for improvement, and opportunities to enhance preparedness for NiV and AIV in Bangladesh, as part of the USAID STOP Spillover program , 47 relevant stakeholders were surveyed, and two country leads of the primary surveillance systems were interviewed. Data was collected focusing on four different areas: research projects, surveillance systems, laboratories, and outbreak risk management systems. Despite progress in recent years, our ...

  New human cases {2}:  -- From 23 April to 27 May 2025, based on reporting date, the detection of influenza A( H5N1 ) in three humans, the detection of influenza A( H9N2 ) virus in eight humans and the detection of influenza A( H10N3 ) in one human were reported officially.  -- Circulation of influenza viruses with zoonotic potential in animals:  - High pathogenicity avian influenza (HPAI) outbreaks in poultry and non-poultry animals continue to be reported to the World Organisation for Animal Health (WOAH).{3}  - The Food and Agriculture Organization of the United Nations (FAO) also provides a global update on avian influenza viruses with pandemic potential.{4}  -- Risk assessment {5}:  - Sustained human to human transmission has not been reported in these events. Based on information available at the time of the risk assessment , the overall public health risk from currently known influenza viruses circulating at the human-animal interface has not c...

 Two wild servals in Dhaka Region. Source: WOAH,  https://wahis.woah.org/#/in-review/6453 ____

 A poultry farm in Khulna Region. Source: WOAH,  https://wahis.woah.org/#/in-review/6351 ____

Summary The 2024 Nipah outbreak in Kerala, India —its fifth in six years—and the recurring annual outbreaks in Bangladesh underscore the persistent threat posed by the Nipah virus (NiV) in the region. With a high mortality rate, human-to-human transmission potential , and the widespread presence of Pteropus bats , the natural reservoir, NiV remains a significant epidemic threat . Despite being a WHO priority pathogen , there has been no systematic effort to improve patient care for NiVD, leading to consistently poor outcomes . Current care relies on supportive measures and the ‘ compassionate use ’ of unapproved drugs like ribavirin and remdesivir . Drugs used ‘off-label’ during outbreaks can become the ‘standard of care’ without robust evidence of their safety or efficacy, complicating the testing of new therapies and perpetuating uncertainty about their true effectiveness. To improve NiVD care, we propose four key strategies: 1) Enhance early case detection , 2) optimize supportive c...

Abstract H4Nx avian influenza viruses (AIVs) have been isolated from wild birds and poultry and can also cross the species barrier to infect mammals ( pigs and muskrats ). The widespread presence of these viruses in wild birds and poultry and their ability to be transmitted interspecies make them an undeniable hazard to the poultry farming industry. In the present study, we collected fecal and swab samples from wild birds and poultry in Guangdong Province from January 2019 to March 2024, and various subtypes of AIVs were isolated, including 19 strains of H4 subtype AIVs . Further analysis was conducted on the internal genes of the 19 strains . These strains clustered together with high homology to highly pathogenic avian influenza virus (HPAIV), suggesting that H4Nx AIV may be reassorted from HPAIV . Two H4N8 strains are phylogenetically related to the porcine H4N8 AIV. Molecular characterization revealed that all viruses in this study were less pathogenic but had potential mammalian-a...