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Kinshasa – Health authorities in the Democratic Republic of the Congo and experts from World Health Organization (WHO) are carrying out further investigations to determine the cause of another cluster of illness and community deaths in Equateur province .  In recent months, disease surveillance has identified increases in illness and deaths three times in different areas of the country , and triggered follow-up investigations to confirm the cause and provide needed support.   Since the beginning of 2025 , a series of illnesses and community deaths have affected Equateur province . The most recent cluster occurred in the Basankusu health zone , where last week 141 additional people fell ill , with no deaths reported. In the same health zone, 158 cases and 58 deaths were reported in the same health zone earlier in February. In January, Bolamba health zone reported 12 people who fell ill including 8 deaths.  Increased disease surveillance has identified in total of 1096...

Summary -- What is already known about this topic? -  Highly pathogenic avian influenza A(H5N1) outbreaks have emerged in U.S. cattle and poultry . Wastewater surveillance detects influenza A(H5) subtype but does not currently distinguish between human and animal sources. -- What is added by this report? -  During September 15, 2021–July 11, 2024 , retrospective analysis of wastewater surveillance data revealed 21 avian influenza A(H5) subtype detections across 12 Oregon communities . No association was found between detections in a community’s wastewater and history of a poultry outbreak or presence of dairy processing facilities or dairy farms within the sewershed. Avian influenza A(H5) was detected most frequently in two communities with important wild bird habitats . -- What are the implications for public health practice? -  Wastewater surveillance was an early indicator of avian influenza emergence in Oregon. Nonhuman and noncattle animal inputs , including wild bir...

ABSTRACT H5N1 subtype influenza A viruses represent a long-standing pandemic concern . Owing to their global occurrence in poultry, humans are routinely exposed to these viruses, and hundreds of human cases have been documented worldwide since 2003. The relevant viral lineages are not static, however, and have recently undergone a massive expansion of host range and geographic distribution . Within this expansion, the introduction of H5N1 viruses into dairy cattle in the United States has spawned a novel animal-human interface . In response, public health agencies have sought to evaluate the risk of an H5N1 pandemic stemming from the bovine outbreak. These assessments draw on evidence from the field and the laboratory to score a series of recognized risk factors . As such, their utility hinges on fundamental understanding of the processes that drive pandemic emergence and the availability of relevant data. Advancing this understanding and gathering data prior to and during an outbreak ...

Abstract It is essential to understand the molecular mechanisms of influenza antiviral therapeutics to evaluate their efficacy. Virus plaque assays are commonly used to assess the antiviral effects of drugs on virus replication ; however, this method is labor-intensive and can present challenges. We avoided this method by using a replication-competent influenza A virus (IAV) expressing a reporter fluorescent gene fused to the non-structural protein 1 (NS1) gene. The reporter IAV was detectable in normal human bronchoepithelial (NHBE) infected cells and offered an improved method to determine the therapeutic efficacy of the antiviral drugs probenecid and oseltamivir compared to a standard plaque assay. This method provides an excellent means for evaluating therapeutic approaches against IAV. Source: Viruses,  https://www.mdpi.com/1999-4915/17/3/335 ____

{Excerpts} The Director-General of the World Health Organization (WHO), following the third meeting of the International Health Regulations (2005) (IHR) Emergency Committee regarding the upsurge of mpox 2024, held on 25 February 2025, from 12:00 to 17:00 CET, concurs with its advice that the event continues to meet the criteria of a public health emergency of international concern and, considering the advice of the Committee, he is hereby issuing a revised set of temporary recommendations. The WHO Director-General expresses his most sincere gratitude to the Chair, Members, and Advisors of the Committee. The proceeding of the third meeting of the Committee will be shared with States Parties to the IHR and published in the coming days. --------- Temporary recommendations These temporary recommendations are issued to States Parties experiencing the transmission of monkeypox virus (MPXV), including, but not limited to, those where there is sustained community transmission, and where there ...

Abstract The spillover of highly pathogenic avian influenza H5N1 into dairy cattle has raised concerns over the safety of fluid milk . While no human foodborne infection has been reported , this strain has infected dozens of people and milk from infected cows is known to be infectious by ingestion in multiple other species. Investigation into the public health threat of this outbreak is critical . This study uses quantitative risk assessment (QRA) models to represent the United States raw and pasteurized fluid milk supply chains to estimate the risk of human infection from consumption of fluid cow's milk. These models were parameterized with literature emerging from this outbreak, then employed to estimate the H5N1 infection risk and evaluate multiple potential interventions aimed at reducing this risk. The median (5th, 95th percentiles) probabilities of infection per 240-mL serving of pasteurized, farmstore-purchased raw, or retail-purchased raw milk were 5.68E-15 (1.77E-16, 2.98E...

Abstract Influenza virus neuraminidase (NA) has emerged as a promising vaccine candidate due to its relatively stable antigenic structure and the ability of NA-specific antibodies to provide cross-protection within influenza virus subtypes . Since the influenza virus causes respiratory infections in humans, developing mucosal vaccines to protect the entry site of the virus is of high importance. Recombinant NA requires adjuvants to induce a protective immune response after mucosal administration. In the current study, we analyze the immunogenicity and protective efficacy of a recombinant NA-based influenza virus vaccine administered intranasally in combination with adjuvants consisting of outer membrane proteins from Neisseria meningitidis complexed with exogenous lipopolysaccharides (LPS) from Shigella flexneri or endogenous LPS from N. meningitidis. We evaluated the local and systemic humoral and cellular immune responses to adjuvanted recombinant N1 NA , analyzing the dynamics of lo...

{Excerpts} (...) Epidemiology Updates As of February 24, CDC has confirmed three human cases of H5 bird flu in people who became ill in 2025:  -- a dairy worker with exposure to infected dairy cows (Nevada),  -- a poultry worker with exposure to infected commercial poultry ( Ohio ), and  -- the owner of an infected backyard poultry flock ( Wyoming ).  These are all considered higher-risk exposures . While the dairy worker was not hospitalized , both people with poultry exposures experienced severe illness and were hospitalized . Both hospitalized cases were confirmed positive from lower respiratory specimens , including a bronchoalveolar lavage and sputum . To date, there has been no evidence of onward spread from any of these people to anyone else . The dairy worker in Nevada had conjunctivitis (eye redness and irritation) and has recovered . Most infections associated with U.S. dairy cows to date have involved mild respiratory symptoms or conjunctivitis. This perso...

ABSTRACT Since 2020, H5N1 highly pathogenic avian influenza (HPAI) viruses of clade 2.3.4.4b have been rapidly spreading in wild birds but have also caused a large number of mammalian infections and more than 70 known human cases . Importantly, this H5N1 clade has also crossed the species barrier into dairy cattle in the US in late 2023/early 2024. The neuraminidase (NA) protein of the N1 subtype can feature truncations in its stalk domain, which have been identified as putative virulence factors in poultry but seem to have a negative impact on transmission in mammals. Since its emergence, the vast majority of HPAI H5N1 A/goose/Guangdong/1/1996-lineage isolates have featured this truncated version of the NA stalk domain. Here, we report that this changed with the 2020 expansion of clade 2.3.4.4b H5N1 and that the majority of isolates—including the strains circulating in dairy cattle—feature a long NA stalk domain . Source: mBio,  https://journals.asm.org/doi/10.1128/mbio.03989-24 _...

{Excerpt} Novel SARS-CoV-2 variants continue to emerge, driving waves of COVID-19. The evolution of SARS-CoV-2 took a surprising turn in 2023 with the emergence of BA.2.86, a BA.2-descendant harbouring multiple spike (S) protein mutations, enhancing antibody evasion. Subsequently, several BA.2.86-derived lineages emerged, with JN.1 dominating early and the JN.1-derived variants KP.3.1.1 and XEC dominating late in 2024 . Currently, LP.8.1 is on the verge of becoming dominant. This study provides a preliminary virological characterisation of LP.8.1 and its sublineage LP.8.1.1. (...) Source: Lancet Infectious Diseases,  https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(25)00113-6/fulltext?rss=yes ____

The Texas Department of State Health Services is reporting the first death from measles in the ongoing outbreak in the South Plains and Panhandle regions.  The school-aged child who was not vaccinated was hospitalized in Lubbock last week and tested positive for measles. As of Feb. 25, 124 cases of measles have been confirmed in the outbreak since late January. Most of the cases are in children . Eighteen people have been hospitalized over the course of the outbreak. Measles is a highly contagious respiratory illness , which can cause life-threatening illness to anyone who is not protected against the virus. During a measles outbreak, about one in five people who get sick will need hospital care and one in 20 will develop pneumonia. Rarely, measles can lead to swelling of the brain and death. It can also cause pregnancy complications, such as premature birth and babies with low birth weight. Measles can be transmitted by direct contact with infectious droplets or by airborne spread...

{Excerpt, Feb. 26 2025 Update} 1) HPAI H5N1 was detected in a Yellow-legged Gull (Larus michahellis) found dead in the Municipality of Rimini, province of Rimini, Emilia Romagna region. 2) HPAI H5N1 was detected in an Eurasian buzzard (common buzzard) (Buteo buteo) found dead in the Municipality of Pramaggiore, province of Venezia, Veneto region 3) HPAI H5N1 was detected in a Eurasian buzzard (common buzzard) (Buteo buteo) found dead in the Municipality of Galzignano Terme, province of Padova, Veneto region 4) HPAI H5N1 was detected in a yellow-legged gull (Larus michahellis) found dead in the Municipality of Padova, province of Padova, Veneto region. 5) HPAI H5N1 was detected in a yellow-legged gull (Larus michahellis) found dead in the Municipality of Stanghella, province of Padova, Veneto region. 6) HPAI H5N1 was detected in a Yellow-legged Gull (Larus michahellis) found dead in the Municipality of Porto Recanati, province of Macerata, Marche region. "The Database of Global Adm...

Abstract Since 2020, the outbreak of highly pathogenic avian influenza (HPAI) virus clade 2.3.4.4b has turned into the largest documented panzootic to date , reaching the sub-Antarctic region and Antarctica via the tip of South America in 2023. Here, we describe its recent arrival into the Indian Ocean sub-Antarctic archipelagos of Crozet and Kerguelen , where we first detected the virus in October 2024 in dead southern elephant seals, king penguins, gentoo penguins, brown skuas and kelp gulls . While the panzootic is ongoing, it has already caused unprecedented and alarming mortalities of southern elephant seals. We collected brain swabs from various seal and bird carcasses, subsequently isolated the virus and obtained 25 novel HPAI H5N1 clade 2.3.4.4b sequences. Our phylogenetic and phylogeographic analyses show that there have been independent introductions of the virus to Crozet and Kerguelen, from the distant South Georgia Islands in the Southern Atlantic , and not from the more n...

{Original text in Khmer} Ministry of Health Press Release A Fatal Case of #H5N1 #influenza in a 2-Year-7-Month-Old Child The Ministry of Health of the Kingdom of Cambodia wishes to inform the public that there are a  case of bird flu in a 2-year-old 7-month-old child has been confirmed positive for the influenza virus  H5N1 by the National Institute of Public Health on February 25, 2025. Location : Tangak Village, Romchek Commune, Preah Sdach District, Prey Veng Province. According to doctors , the child died on February 25, 2025 due to the parents  took the child to the hospital, when him developed a serious condition, including fever, cough, fatigue, and difficulty retreating. Severe breathing . According to the investigation, the patient's house has a family chicken farm and there are dead chickens.  About 15 of them were sick and the children were sleeping and playing in the basement near the chicken coop. The national and subnational emergency response teams of ...

ABSTRACT Recent avian-origin H3N8 influenza A virus (IAV) that have infected humans pose a potential public health concern . Alterations in the viral surface glycoprotein, hemagglutinin (HA), are typically required for IAVs to cross the species barrier for adaptation to a new host, but whether H3N8 has adapted to infect humans remains elusive. The observation of a degenerative codon in position 228 of HA in human H3N8 A/Henan/4-10/2022 protein sequence , which could be residue G or S, suggests a dynamic viral adaptation for human infection. Previously, we found this human-isolated virus has shown the ability to transmit between ferrets via respiratory droplets , with the HA-G228S substitution mutation emerging as a critical determinant for the airborne transmission of the virus in ferrets. Here, we investigated the receptor-binding properties of these two H3N8 HAs. Our results showed H3N8 HAs have dual receptor-binding properties with a preference for avian receptor binding , and G228S...

Abstract In late 2021, Eurasian-lineage highly pathogenic avian influenza (HPAI) A(H5N1) viruses from HA clade 2.3.4.4b were first detected in the United States . These viruses have caused severe morbidity and mortality in poultry and have been detected in numerous wild and domestic animals , including cows and humans . Notably, infected cows transmitted the virus to cats , causing extreme pathogenicity and death. While human-to-human spread of the virus has not been recorded, efficient transmission of the bovine-origin virus has also led to extreme pathogenicity and death in ferret models . Recently, markers in PB2 (E627K) and HA (E186D, Q222H), indicating mammalian adaptation mutations , were detected in an H5N1-infected patient manifesting critical illness in Canada . These, combined with instances of interspecies spread of the virus , have raised global public health concerns. This could highlight the potential for the virus to successfully adapt to mammals, posing a serious risk o...

Summary Background Sipavibart is an anti-spike monoclonal antibody that neutralises SARS-CoV-2 with exceptions, including Phe456Leu-containing variants (eg, KP.2* and KP.3*). This trial assessed sipavibart efficacy and safety for prevention of symptomatic COVID-19 in participants who are immunocompromised. Methods In this ongoing, double-blind, international, phase 3 trial , we enrolled participants who were immunocompromised and aged 12 years or older at 197 hospitals, university health centres, and clinical trial units in 18 countries. Participants were randomly allocated 1:1 to a sipavibart group (intramuscular sipavibart 300 mg on days 1 and 181) or a comparator group (tixagevimab 300 mg–cilgavimab 300 mg on day 1 and placebo on day 181 or placebo on days 1 and 181), stratified by previous COVID-19 vaccination and infection status and use of tixagevimab–cilgavimab. The primary efficacy outcomes were symptomatic COVID-19 caused by any variant or symptomatic COVID-19 caused by non-Ph...

Abstract The global outbreak of clade 2.3.4.4b H5N1 highly pathogenic influenza A virus (HP H5N1) has had an unprecedented impact on wild birds including raptors , but long-term population impacts have not been addressed. To determine if raptors survive infections with HP H5N1, raptors from the upper Midwest United States were serologically tested for antibodies to influenza A virus (IAV), H5 and N1. Raptors were sampled at The Raptor Center’s (University of Minnesota) wildlife rehabilitation hospital and at Hawk Ridge Bird Observatory. Samples were tested for IAV antibodies using a commercially available blocking ELISA, with positive samples tested for antibodies to H5 and N1. Antibodies to IAV were detected in 86 out of 316 individuals representing 7 species. Antibodies to H5 and N1 were detected in 60 individuals representing 6 species . Bald eagles had the highest seroprevalence with 67/97 (69.1%) seropositive for IAV and 52 of these 67 (77.6%) testing positive for antibodies to bo...

Abstract The COVID-19 pandemic has increased the interest in the use of wastewater-based surveillance (WBS) strategy for infectious disease monitoring, especially when clinical cases are underreported. The excretion of monkey virus (MPXV) in the feces of both symptomatic and preclinical individuals has further driven the interest in WBS applicability to MPXV monitoring in wastewater to support its mitigation efforts. We performed a systematic review with meta-analysis, using six databases to assess MPXV detection in wastewater. We performed a random-effects model meta-analysis to calculate the pooled prevalence at a 95% confidence interval (95% CI). Also, we carried out a subgroup analysis according to the country regions and a sensitivity analysis excluding studies classified as having a high risk of bias. The overall MPXV positivity rate in wastewater was estimated at 22% (95% CI: 14−30%; I2 = 94.8%), with more detection rate in North America (26%, 95% CI: 8–43%) compared to Europe a...

Abstract Highly Pathogenic Avian Influenza H5N1 (HPAI H5N1) was first detected in chickens in Scottland in 1959 and has since circulated globally, causing regular outbreaks among different animal species, as well as incidental infections in humans . In this scoping review, the epidemiology and impact of HPAI H5N1 among migratory birds, poultry, and cattle in the United States were analyzed, with a particular focus on outbreaks since January 2022. Following PRISMA guidelines, a total of 27 articles were identified for this review. Publicly available data and reports from the USDA and CDC were also evaluated and summarized. The identified articles primarily included epidemiological studies of detections in wild birds, mammals, and case reports on H5N1 and transmission dynamics among cattle , with a notable absence of poultry-focused reports . Wild birds, especially migratory species, have played an important role in virus dissemination. Studies among mammals , including seals, bears, and...