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#USA, Confirmed #human case of #H5N1 #influenza summary during 2024 #outbreak, by state and exposure source {as of Dec. 17 '24: +1 case, total now = 61}

 {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 -  33 - 0 - 0 - 1 -  34 2) Colorado -  1 - 9 - 0 - 0 -  10 3) Louisiana -  0 - 0 - 1 - 0 -  1 {+1} 4) Michigan -  2 - 0 - 0 - 0 -  2 5) Missouri -  0 - 0 - 0 - 1 -  1 6) Oregon -  0 - 1 - 0 - 0 -  1 7) Texas -  1 - 0 - 0 - 0 -  1 8) Washington -  0 - 11 - 0 - 0 -  11 -- Source Total -  37 - 21 - 1 - 2 - 61 {+1} NOTE : One additional case was previously detected in a poultry worker in Colorado in 2022. {†} Exposure was related to other animals such as backyard flocks, wild birds, or other mammals {‡...

Meta-Analysis of #Seroprevalence and #Prevalence of #Influenza A Viruses (Subtypes #H3N2, #H3N8, and #H1N1) in #Dogs

Abstract Influenza A is a zoonotic disease that affects dogs, pigs, horses, poultry, and birds . In this report, a meta-analysis according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) was conducted. Studies of influenza A viruses in dogs providing prevalence or seroprevalence in any location worldwide were included. The results in this study show that the seroprevalence for the H3N8 influenza subtype was 7.96% (95% CI: 2.03–16.8, p < 0.001), for the H3N2 subtype was 7.44% (95% CI: 4.51–10.5, p < 0.001), and for the H1N1 subtype was 3.10% (95% CI: 0.890–6.01, p < 0.001). In the case of the prevalence analysis, a prevalence of 0.395% (95% CI: 0.160–2.44) for the H3N8 subtype. For the H3N2 subtype, a prevalence of 17.8% (95% CI: 6.66–32.6, p < 0.001) was found. No publication bias was observed in the studies evaluating seroprevalence in the H3N2 and H1N1 subtypes. In the H3N8 subtype, Begg’s test indicated publication bias, but Egger’s test sh...

Avian #flu reported in 108 countries across five #continents, says #UN health agency

In an update on the mutating virus - known as H5N1 – Dr. Madhur Dhingra from the Food and Agriculture Organization, FAO, said that it had “spilled over into wildlife”.  More than 500 bird species have been infected along with at least 70 mammalian species , including the endangered California condor and polar bears .  In regions that are heavily reliant on poultry as a primary source of protein, the FAO medic insisted that avian influenza “poses a serious threat to food and nutrition security”. Economic damage Dr Dhingra warned that hundreds of millions of people’s livelihoods have been affected by the virus – an economic burden on farmers that could prevent them from investing in adequate biosafety measures. Following the emergence of H5N1 influenza virus in dairy cattle , the WHO has joined calls for strengthened surveillance and biosecurity on farms, to keep animals and people safe. The UN health agency said that in 2024, 76 people have been infected with the H5 avian influ...

#Italy, a 55-year-old man died from suspected #hemorrhagic #fever: after returning from a trip to #DRC

 {Excerpt} He had recently returned from a trip to Congo and died on Monday evening from a suspected case of hemorrhagic fever . The victim is a 55-year-old man from Trevignano , in the province of Treviso. The news was communicated by the Public Health Hygiene Service of the Azienda Ulss 2 Marca trevigiana and diagnostic tests are underway in collaboration with the Spallanzani Institute of Rome to trace the origins of the death. (...) Source: Il Fatto Quotidiano (in Italian),  https://www.ilfattoquotidiano.it/2024/12/17/treviso-55enne-morto-febbre-emorragica-rientrato-congo/7808209/ _____

Structure-based #Design of #Chimeric #Influenza #Hemagglutinins to Elicit Cross-group #Immunity

Abstract Antigenic variability among influenza virus strains poses a significant challenge to developing broadly protective, long-lasting vaccines . Current annual vaccines target specific strains, requiring accurate prediction for effective neutralization. Despite sequence diversity across phylogenetic groups, the hemagglutinin (HA) head domain's structure remains highly conserved. Utilizing this conservation, we designed cross-group chimeric HAs that combine antigenic surfaces from distant strains. By structure-guided transplantation of receptor-binding site (RBS) residues, we displayed an H3 RBS on an H1 HA scaffold . These chimeric immunogens elicit cross-group polyclonal responses capable of neutralizing both base and distal strains . Additionally, the chimeras integrate heterotrimeric immunogens , enhancing modular vaccine design. This approach enables the inclusion of diverse strain segments to generate broad polyclonal responses. In the future, such modular immunogens may s...

#Vietnam, Epidemiological #surveillance reinforced at Noi Bai #airport to prevent a #disease that appeared in the #DRC

 {Excerpt} According to the Hanoi Center for Disease Control (CDC), in close collaboration with international health authorities, it maintains enhanced epidemiological surveillance at Noi Bai airport to quickly detect any suspected cases and implement preventive measures adapted to the evolution of the global and local health situation. (...) Source: Vietnam+,  https://fr.vietnamplus.vn/surveillance-epidemiologique-renforcee-a-laeroport-de-noi-bai-pour-prevenir-une-maladie-apparue-en-rdc-post237120.vnp   ____

#USA, #California recalls more raw #milk products due to #H5N1 #birdflu #contamination

 {Excerpt} (Xinhua) 13:20, December 17, 2024 LOS ANGELES, Dec. 16 (Xinhua) -- The U.S. state of California has recalled raw milk produced and packaged by Valley Milk Simply Bottled , a local dairy company based in Stanislaus County, due to detection of bird flu virus . The recall order came following the detection of Influenza-A H5N1 (bird flu) virus in samples taken from a raw milk bulk tank at the Valley Milk Simply Bottled dairy farm , said the California Department of Food and Agriculture (CDFA) in a release. The order applies to all "Valley Milk Simply Bottled Raw Cow Milk" and "DESI Milk Raw Cow Milk" distributed in quart, half-gallon, and one-gallon plastic jugs with a code date marked on the container of DEC 23 2024 through DEC 30 2024. CDFA urged consumers not to consume any product remaining in their refrigerators. No illnesses have been reported in the state yet. (...) Source: People's Daily,  http://en.people.cn/n3/2024/1217/c90000-20254910.html   __...

The novel #H10N3 avian #influenza virus acquired #airborne #transmission among #chickens: an increasing threat to public health

ABSTRACT Following two human infections with the H10N3 avian influenza virus (AIV) in 2021 and 2022, a third case was discovered in Yunnan, China , in 2024, raising concerns about the potential for future pandemics . Recent studies have indicated that novel H10N3 viruses are highly pathogenic in mice and can be transmitted between guinea pigs via respiratory droplets without prior adaptation. However, the biological characteristics of novel H10N3 in poultry have not been fully elucidated. Our findings revealed that H10 subtype AIVs are predominantly prevalent in waterfowl . Notably, H10N8 and H10N3 viruses that have infected humans were primarily isolated from chickens . For the first time, double basic hemagglutinin cleavage sites (motif PEIKQGR↓GL) were identified in novel H10N3 AIVs, which exhibit enhanced replication in chickens , and can be transmitted between chickens through direct contact and respiratory droplets . Animal experimental studies demonstrated that ducks are also su...

#USA, #USDA Confirms Highly Pathogenic Avian #Influenza in Backyard Non-Poultry #Flock in #Louisiana

 {Excerpt} WASHINGTON, December 16, 2024 – The United States Department of Agriculture’s (USDA) Animal and Plant Health Inspection Service (APHIS) has confirmed the presence of highly pathogenic avian influenza (HPAI) in a non-commercial backyard flock (non-poultry) in Bossier Parish, Louisiana.  This is the first case of HPAI in domestic birds in Louisiana during this outbreak, which began in February 2022. Samples from the flock were tested at the Louisiana Animal Disease Diagnostic Laboratory, part of the National Animal Health Laboratory Network, and confirmed at the APHIS National Veterinary Services Laboratories in Ames, Iowa. APHIS is working closely with state animal health officials in Louisiana on a joint incident response and will provide appropriate support as requested.  According to the U.S. Centers for Disease Control and Prevention (CDC), the public health risk associated with these avian influenza detections in birds remains low.  As a reminder, the ...

Viral #sepsis: #diagnosis, clinical #features, #pathogenesis, and #clinical considerations

Abstract Sepsis , characterized as life-threatening organ dysfunction resulting from dysregulated host responses to infection , remains a significant challenge in clinical practice . Despite advancements in understanding host-bacterial interactions , molecular responses, and therapeutic approaches, the mortality rate associated with sepsis has consistently ranged between 10 and 16%. This elevated mortality highlights critical gaps in our comprehension of sepsis etiology. Traditionally linked to bacterial and fungal pathogens, recent outbreaks of acute viral infections , including Middle East respiratory syndrome coronavirus ( MERS-CoV ), influenza virus, and severe acute respiratory syndrome coronavirus 2 ( SARS-CoV-2 ), among other regional epidemics, have underscored the role of viral pathogenesis in sepsis, particularly when critically ill patients exhibit classic symptoms indicative of sepsis. However, many cases of viral-induced sepsis are frequently underdiagnosed because standar...

From North to South: #Transmission #Dynamics of #H1N1pdm09 Swine #Influenza A Viruses in #Italy

Abstract The influenza A H1N1pdm09 virus continues to be a significant pathogen , posing potential risks to both animal and human health due to its zoonotic potential . Italy , which has one of the largest swine populations in Europe , plays a crucial role in monitoring the evolution of influenza viruses in livestock. This study aims to address the existing knowledge gaps regarding the genetic diversity and transmission dynamics of H1N1pdm09 circulating in Italian swine populations. Utilizing whole genome sequencing and dynamic modeling , we conducted a comprehensive analysis of virus samples collected from swine farms across Italy. Our results reveal that multiple independent viral introductions have occurred into the country, with most cases resulting in self-limited infections and limited onward transmission . However, six distinct transmission clusters were identified, suggesting instances of sustained viral spread. These clusters were found across multiple regions of Italy, highli...

High cumulative #viral titers of #influenza virus in #animals with significant disease #fatality rates indicate a potential trade-off between fatality and transmissibility

Abstract Evaluating the trade-off hypothesis for the evolution of virulence using empirical data poses significant challenges. The hypothesis suggests that pathogens evolve to maximize transmissibility, but fatality imposes limits as there are diminishing gains in transmissibility . In this study, we analyzed a secondary dataset of influenza virus infections in ferrets (Mustela putorius furo), categorized by Hemagglutinin (HA) and Neuraminidase (NA) subtypes . Subgroups defined by the H7/N9 and H7/N7 combinations exhibited fatality rates of approximately 30% and reached cumulative viral titers close to 7.5 (log10 titer/mL). These levels represent intermediate fatality rates , as the H5/N6 and H5/N1 subgroups had higher fatality rates but reached lower cumulative viral titers. Using cumulative viral titer as a proxy for potential secondary transmissions, the analysis suggests that intermediate fatality rates are associated with higher numbers of secondary transmissions . However, there ...

Pasteurized retail #dairy enables #genomic #surveillance of #H5N1 avian #influenza virus in #USA #cattle

Abstract Highly pathogenic avian influenza (HPAI) viruses with H5 hemagglutinin (HA) genes (clade 2.3.4.4b) are causing an ongoing panzootic in wild birds . Circulation of these viruses is associated with spillover infections in multiple species of mammals , including a large, unprecedented outbreak in American dairy cattle . With limited testing of dairy herds, there is an unmet need for genomic surveillance . Infected cattle can shed high amounts of HPAI H5N1 viruses in milk , allowing detection in pasteurized retail dairy samples. Over a 2-month sampling period in one Midwestern city , we obtained dairy products processed in 20 different states . Here we demonstrate that a tiled-amplicon sequencing approach produced over 90% genome coverage at greater than 20x depth from 5 of 13 viral RNA positive samples. A combination of RT-qPCR testing and sequencing from retail dairy prod- ucts can be a useful component of a One Health framework for responding to the avian influenza outbreak in ...

#Influenza a Virus #Detection at the #Human – #Swine Interface in #US #Midwest Swine Farms

Abstract This study evaluated influenza A virus (IAV) detection and genetic diversity over time , specifically at the human–swine interface in breeding and nursery farms . Active surveillance was performed monthly in five swine farms in the Midwest United States targeting the employees , the prewean piglets at sow farms, and the same cohort of piglets in downstream nurseries. In addition, information was collected at enrollment for each employee and farm to assess production management practices, IAV vaccination status, diagnostic procedures, and biosecurity . Farm employee and swine samples were screened by IAV reverse transcription real-time polymerase chain reaction (RT-rtPCR), followed by IAV subtyping RT-rtPCR and whole genome sequencing on PCR-positive samples. This study showed higher positivity of IAV RNA detection in nursery pigs compared to prewean pigs, and more whole genome sequences were also obtained in the nursery phase. Surveillance of farm employees revealed two detect...

#USA, Two more #human cases of #H5N1 #birdflu reported in #California

Two cases of bird flu have been reported in San Joaquin County, California, local health officials said. According to a press release issued Friday and reported by the Sacramento Bee , health officials with San Joaquin County Public Health Services said both cases were farm workers who were exposed to infected animals . Both people are showing mild symptoms and are recovering, officials said, adding that there are 34 total confirmed cases across California. In a warning posted on Facebook, health officials said bird flu was “spreading in several farms such as poultry and cattle” and urged residents to take precautions to prevent the spread of the disease. Precautions include the use of protective equipment when handling poultry, dairy cattle or other animals that may be infected, and when handling raw and unpasteurized milk. (...) There are currently 60 confirmed cases of bird flu in the country . While most of the cases are in California , other states with confirmed cases include Col...

Estimating the #time of Highly Pathogenic Avian #Influenza virus #introduction into #USA #poultry flocks during the 2022/24 #epizootic

Abstract Following confirmation of the first case of the ongoing U.S. HPAI H5N1 epizootic in commercial poultry on February 8, 2022, the virus has continued to devastate the U.S. poultry sector and the pathogen has since managed to cross over to livestock and a few human cases have also been reported. Efficient outbreak management benefits greatly from timely detection and proper identification of the pathways of virus introduction and spread. In this study, we used changes in mortality rates as a proxy for HPAI incidence in a layer, broiler and turkey flock together with diagnostic test results to infer within-flock HPAI transmission dynamics. Mathematical modeling techniques, specifically the Approximate Bayesian Computation algorithm in conjunction with a stochastic within-flock HPAI transmission model were used in the analysis. The time window of HPAI virus introduction into the flock (TOI) and the adequate contact rate (ACR) were estimated. Then, using the estimated TOI together w...

#USA, First #Hawaii #Pediatric #Influenza-Associated #Death of the 2024-2025 Season Recorded

 {Excerpt} HONOLULU — The HawaiÊ»i Department of Health (DOH) announced today the first influenza-associated death in a HawaiÊ»i resident under the age of 18 during this influenza, or flu season.  This child was a HawaiÊ»i County resident with underlying medical conditions .  While specimens were not available for subtyping beyond the positive influenza result, medical and exposure history pointed to seasonal influenza as the most likely cause of illness.  This case is not believed to be associated with the recent wastewater detection of H5 in Hilo .  Out of respect for the family’s privacy, no further information about the child is being released. “It is always a tragedy to lose any life, and we all feel it even more deeply when it is one of our keiki,” said DOH Director Dr. Kenneth Fink. “Seasonal influenza remains a significant health concern. If you or your loved ones have not received the flu vaccine this season, I hope you will consider doing so to help prote...

#USA, Confirmed #human #H5N1 case #summary during 2024 #outbreak, by state and exposure source: 2 new cases, total = 60 (as of Dec. 13 '24)

 Source: US Centers for Disease Control and Prevention,  LINK  <||>  {Excerpt} Exposure Source { State -  Cattle - Poultry - Unknown -  State Total } 1) California -  33 - 0 - 1 -  34 {+2} 2) Colorado -  1 - 9 - 0 -  10 3) Michigan -  2 - 0 - 0 -  2 4) Missouri -  0 - 0 - 1 -  1   5) Oregon -  0 - 1 - 0 -  1   6) Texas -  1 - 0 - 0 -  1 7)   Washington -  0 - 11 - 0 -  11  --  Source Total -  37 - 21 - 2 -  60  NOTE : One additional case was previously detected in a poultry worker in Colorado in 2022. Additional cases meeting the Council of State and Territorial Epidemiologists (CSTE) probable case definition have been reported by states: 1 case with dairy cow exposure (CA) , 3 cases with poultry exposure (WA) , and 2 cases with ...

#USA, LDH detects first presumptive positive #human #H5N1 case in #Louisiana

 Source: Department of Health,  LINK  <||> {Excerpt} December 13, 2024 The Louisiana Department of Health (LDH) has detected the first presumptive positive human case of highly pathogenic avian influenza (HPAI), or H5N1, in Louisiana. The individual is a resident of southwestern Louisiana and is currently hospitalized .  LDH's Office of Public Health is coordinating with the Centers for Disease Control and Prevention (CDC) on the epidemiologic investigation. The investigation identified that the individual had exposure to sick and dead birds that are suspected to have been infected with H5N1. H5N1 is a type of influenza virus that causes highly infectious and severe respiratory disease in birds. In the United States, outbreaks of the currently circulating H5N1 avian influenza viruses in wild birds and poultry have been ongoing since 2022. As of December 13, 2024, 60 confirmed human cases of H5N1 have been reported across the U.S., with the majority linked to ex...