ETIDIOH - NEW

  ABSTRACT Influenza A viruses continuously circulate among avian and swine species, posing a persistent threat to public health . The development of influenza candidate vaccine viruses (CVVs) plays a pivotal role in the global strategy for influenza pandemic preparedness . Safety-testing of CVVs for attenuation in ferrets represents a critical step that takes place prior to making these viruses available to vaccine manufacturers . Development of pathogenicity standards is needed to establish acceptable thresholds of disease so that CVV safety can be assessed without the need for comparison to the parental virus. To assess the capacity of diverse CVVs to cause pathogenesis in mammalian hosts , clinical and virological parameters were compiled from CVV assessments in ferrets conducted using consistent methods over approximately 20 years to identify disease parameters most reflective of attenuation compared to wild-type strains. These analyses revealed an overall reduction in ferret ...

  New human cases {1,2}:  -- From 2 July to 25 August 2025 , based on reporting date, the detection of influenza A( H5N1 ) in five humans and influenza A(H9N2) in two humans were reported officially.   Circulation of influenza viruses with zoonotic potential in animals :  - High pathogenicity avian influenza (HPAI) events in poultry and non-poultry animal species 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 from these events.  - Based on information available at the time of this risk assessment update , the overall public health risk from currently known influenza A viruses detected at the human-animal interface has not changed and remains low .  - The occurrence of sus...

  Summary Artificial intelligence (AI) is reshaping infectious disease diagnostics by supporting clinical decision making , optimising laboratory and clinical workflows, and enabling real-time disease surveillance. AI approaches improve pathogen detection, antimicrobial stewardship , and treatment monitoring , enhancing diagnostic accuracy , efficiency, and scalability. The role of AI in combating antimicrobial resistance is particularly significant, enabling rapid pathogen identification and personalised treatment . Despite progress over the past two decades, widespread AI adoption in infectious disease diagnostics faces challenges. In high-income countries, fragmented data ecosystems , incomplete datasets , and algorithmic bias hinder clinical integration. Meanwhile, low-income and middle-income countries contend with limited digital infrastructure, unstandardised data, and financial constraints, exacerbating disparities in diagnostic access. Further barriers include concerns ove...

Overall global risk and confidence * Overall risk :  Global  - Moderate     Confidence in available information : Global - Low   Overall risk statement As of mid-2025, the global public health risk from COVID-19 has changed from high to moderate , with declining deaths and hospitalizations since 2022 due to high population immunity , improved clinical management , and similar virulence .  Most SARSCoV-2 variants now belong to the JN.1 Omicron sublineages , which show immune escape but do not result in increased disease severity.  Nonetheless, surveillance gaps , reduced genomic sequencing and sharing of sequence information, and limited reporting, especially from low- and middle-income countries , undermine accurate risk assessment .  SARS-CoV-2 continues to circulate widely , as indicated by sentinel testing and wastewater surveillance , often co-circulating with influenza and RSV .  PostCOVID-19 condition is estimated to affect ...

Ducks for fattening (1800), geese for fattening (100) in Mecklenburg-Vorpommern Region. Laying hens (150). ducks for fattening (2800), geese for fattening (2900) in Mecklenburg-Vorpommern Region. Source: WOAH,  https://wahis.woah.org/#/in-review/6780 ____

  F AST FACTS • On September 4, the DRC Ministry of Health officially declared an outbreak of Ebola virus disease (EVD) in the Bulape and Mweka health zones in Kasai province. • According the the World Health Organization (WHO), as of September 15 there are 81 suspected cases and 28 deaths , including four nurses . However, data reporting has been challenging, with conflicting statistics reports being circulated by various health authorities. • Kasai is extremely isolated , sometimes requiring multiple days of driving from Kinshasa to Tshikapa, the provincial capital, during the rainy season. Very few air routes reach the province, though an airstrip in Bulape is being established. • Significant gaps exist in the response to EVD , including adequate case management capacity, blood supplies, IPC/WASH support, and more. OUR RESPONSE • International Medical Corps has been responding in the DRC since 1999, and currently has offices in Goma and Kinshasa. • Our Rapid Response Team (RRT) ...

  Abstract Human influenza viruses rapidly acquire mutations in their hemagglutinin (HA) protein that erode neutralization by antibodies from prior exposures. Here, we use a sequencing-based assay to measure neutralization titers for 78 recent H3N2 HA strains against a large set of children and adult sera , measuring ~10,000 total titers . There is substantial person-to-person heterogeneity in the titers against different viral strains, both within and across age cohorts. The growth rates of H3N2 strains in the human population in 2023 are highly correlated with the fraction of sera with low titers against each strain. Notably, strain growth rates are less correlated with neutralization titers against pools of human sera, demonstrating the importance of population heterogeneity in shaping viral evolution . Overall, these results suggest that high-throughput neutralization measurements of human sera against many different viral strains can help explain the evolution of human influen...

  16 September 2025  Senior independent rights investigators appointed by the Human Rights Council alleged on Tuesday that Israel’s actions in Gaza constitute genocide, a charge flatly rejected by Tel Aviv . In a new report published against the backdrop of intensifying Israeli military operations in Gaza City , the UN Independent International Commission of Inquiry on the Occupied Palestinian Territory , including East Jerusalem, and Israel, urged Israel and all countries to fulfil their obligations under international law “to end the genocide ” and punish those responsible. “The Commission finds that Israel is responsible for the commission of genocide in Gaza ,” insisted Navi Pillay, Chair of the Commission . “It is clear that there is an intent to destroy the Palestinians in Gaza through acts that meet the criteria set forth in the Genocide Convention.” At a press conference in Geneva, the panel’s members - who are not UN staff but instead appointed by the Human Rights Cou...

  Abstract Highly pathogenic avian influenza A(H5N1) clade 2.3.4.4b viruses have infected >1,000 herds of dairy cattle and hundreds of poultry flocks in the United States since the beginning of 2024. Seventy human cases have been reported during that period, mainly through occupational exposure . Although prior influenza A(H1N1)pdm09 virus infection has been shown to confer protection against influenza A(H5N1) clade 2.3.4.4b virus infection in the ferret model, it remains unclear if influenza vaccines , known to elicit a less potent and narrower cross-reactive immune response, can achieve a similar effect. In this article, we demonstrate that immunization with commercially available human seasonal influenza vaccines also confers partial protection against disease caused by H5N1 clade 2.3.4.4b virus in ferrets , which is partially associated with the presence of cross-reactive antibodies targeting H5N1 virus antigens. Source: US Centers for Disease Control and Prevention,  h...

  09/09/2025 -  Foz do Iguaçu, Brazil  In an unprecedented response to the rapid global spread of high pathogenicity avian influenza (HPAI), stakeholders and experts from across the poultry sector, public health, science, and policy spheres have convened in Brazil in a landmark meeting .  This first-ever global multisectoral dialogue aims to forge coordinated defense against the escalating threat to animal and human health and agricultural livelihoods. Avian influenza, commonly known as bird flu , is a highly contagious viral disease that primarily infects birds. The virus belongs to the Type A influenza family, which is known for its ability to mutate and change rapidly. Since 2020, HPAI has expanded rapidly across continents , devastating poultry flocks , impacting biodiversity , trade and food security , and raising concerns over its potential to spark a human pandemic . The currently circulating avian influenza panzootic is now widespread, and represents one of t...

  Public Domain. Source: WikiArt,  https://www.wikiart.org/en/konstantin-ivanovich-gorbatov/patio-in-capri-1925 ____

  Abstract Human H3N2 influenza viruses, introduced during the 1968 pandemic, have evolved to recognize human-type sialic acid-containing receptors (Neu5Acα2-6Gal) extended with at least three LacNAc (Galβ1-4GlcNAc) repeats. To investigate this restriction in the context of virus attachment to the airway epithelium , we comprehensively analyzed the glycome of human nasal and tracheal epithelial cells . Using a synthetic N-glycan library that reflects the structural diversity of the human airway glycome, we found that only bi-antennary N-glycans with extended human-type receptors on at least one branch serve as receptors for the recent H3 hemagglutinins (HAs). Such receptors are found on tracheal epithelium but are deficient in nasal epithelium. Immunofluorescence analysis on human trachea reveals that recent H3 HAs preferentially attach to ciliated cells , consistent with single-cell RNA sequencing analysis indicating that these cells express glycosyltransferases that produce exten...

  Abstract This study compares infant (0–24 months) respiratory infection presentations to a Northern Italian paediatric emergency department across two post-pandemic winters ( 2022–2023 vs 2023–2024 ). Despite an approximate 44% reduction in visits in 2023–2024 (N=176 in 2023–2024 vs N=317 in 2022–2023), infants in the 2023–2024 season experienced significantly higher proportions of ventilatory support (51.1% vs 32.8%, p<0.001) and intensive care unit admission (15.9% vs 1.9%, p<0.001) than those presenting in 2022–2023, with a non-significant trend towards higher hospitalisation (88.1% vs 81.7%, p=0.052). Respiratory syncytial virus re-emerged as the dominant pathogen (43.2% vs 27.7%, p<0.001) in 2023–2024, alongside increased human metapneumovirus and influenza A H1N1 . These findings highlight a concerning shift towards increased severity, underscoring the need for ongoing surveillance. Source: BMJ Paediatric Open,  https://bmjpaedsopen.bmj.com/content/9/1/e003695...

  By Bahnfrend - Own work, CC BY-SA 3.0,  https://commons.wikimedia.org/w/index.php?curid=18053425 Source: Wikipedia,  https://en.wikipedia.org/wiki/FS_Class_E.402 ____

  Am J Respir Crit Care Med GORDHAN BG, Sewcharran A, Waja Z, Martinson N, et al Oral Rinse as an Alternative Diagnostic Specimen for Detection of Tuberculosis. Am J Respir Crit Care Med. 2025 Sep 12. doi: 10.1164/rccm.202503-0723. PubMed          CRESCIOLI E, Klitgaard TL, Riis JO, Weinreich UM, et al Oxygenation Targets and Long-Term Cognitive and Pulmonary Functions in Hypoxemic Respiratory Failure. Am J Respir Crit Care Med. 2025 Sep 8. doi: 10.1164/rccm.202412-2499. PubMed           Abstract available Clin Infect Dis NADIG N, Bhimraj A, Cawcutt K, Chiotos K, et al 2025 Clinical Practice Guideline Update by the Infectious Diseases Society of America on the Treatment and Management of COVID-19: Abatacept. Clin Infect Dis. 2025 Sep 9:ciaf354. doi: 10.1093. PubMed           Abstract available Infect Control Hosp Epidemiol WILLIAMS V, Volpentesta K, Avaness M, Chan C, ...

  Antiviral Res ICHIKAWA T, Tamura T, Nao N, Suzuki H, et al Characterization of remdesivir resistance mutations in COVID-19 patients with various immunosuppressive diseases. Antiviral Res. 2025;242:106264. PubMed           Abstract available BI W, Zhu T, Xu Y, Chen Y, et al An engineered chimeric ACE2-HR2 peptide exhibits potent and broad-spectrum activity against SARS-CoV-2 variants. Antiviral Res. 2025;242:106265. PubMed           Abstract available TERATAKE Y, Okamura T, Ishizaka Y SMAD5 phosphorylation by ALK1 is modulated by the interaction of the spike protein of SARS-CoV-2 and angiotensin-converting enzyme 2. Antiviral Res. 2025;242:106261. PubMed           Abstract available YAO G, Shi X, Jiang H, Duan A, et al Design, synthesis, and biological evaluation of novel 6-aminoalkyl- and 7-heteroaryl substituted 7-deazapurine nucleoside analogs against SARS-CoV...