Friday, December 26, 2025

South Korea: MAFRA Reports Increased Infectivity & Pathogenicity of This Year's Avian Flu Strains


#19,000

Last August we speculated over what kind of fall avian flu season we might see (H5Nx: Reassort & Repeat), following the previous year's introduction of a bovine B3.13 strain, and a new D1.1 genotype, both of which contributed to the 70+ human infections in the United States since March of 2024. 

Despite these recent developments, global avian flu activity had actually declined since the 2022-2023 season (see ECDC/EFSA chart below).  

While both the FAO and ECDC/EFSA data haven't been updated since November, we've already seen evidence that this year's wave of avian flu is the strongest in several years. 

We are less than 3 months into the 2025-2025 season, and already:
  • Canada has reported almost 200 outbreaks, nearly matching the previous year's total in less than 90 days. 
  • The UK has already reported 77 HPAI outbreaks, compared to just 87 over the previous 24 months
  • And as of mid-November, Europe has reported (see graphic below) unprecedented surge in reports.  

Asia is also struggling with avian flu, with Japan reporting 10 outbreaks, and South Korea now reporting 22. China, however, almost never reports outbreaks, and reporting from other Asian nations can be spotty. 

Two days ago, in South Korean City (Naju) Orders Extraordinary Emergency Measures Due to HPAIwe looked at an unusually robust civic response to 2 outbreaks of HPAI in South Jeolla Province in recent days, which included the cancellation of outdoor holiday activities.

This followed previous reports of biosecurity failures on many South Korean farms this fall (see South Korea: MAFRA Identifies Biosecurity Breaches On HPAI Infected Poultry Farms), and South Korea's first report of 3 different subtypes of HPAI (H5N1, H5N5, H5N9) in wild birds. 

Overnight MAFRA released a lengthy report describing a sharp escalation in highly HPAI H5 activity this winter - along with test results showing increased infectivity and pathogenicity this year - which has prompted orders for greatly increased biosecurity. 

Normally I wouldn't post an entire report of this size, but since it is only available in Korean - and it is highly illuminating - I've posted the full translation.  For those who don't want to wade through the entire text, the short version is; they appear to be dealing with a much more challenging set of HPAI viruses this fall. 

Since we don't have uniform test results from all of the affected countries, it is difficult to make direct comparisons to what South Korea is reporting, and what is occurring globally. 

But compared to the past couple of seasons, globally this year's HPAI appears far more formidable. 

And while increased pathogenicity and/or infectivity in poultry doesn't necessarily translate to increased health risks to humans, it does increase the opportunities, intensity, and duration of exposure for those who must work with or are exposed to birds. 

First, the full (translated) report, after which I'll have a brief postscript. 

This winter, the highly pathogenic avian influenza virus is highly contagious, requiring further strengthening of quarantine management

2025.12.25 19:27:00 Avian Influenza Prevention Division, Quarantine Policy Bureau

The Central Disaster and Safety Countermeasures Headquarters for Highly Pathogenic Avian Influenza ( Chief: Song Mei-ryeong, Minister of Agriculture, Food and Rural Affairs , hereinafter referred to as the Central Disaster and Safety Countermeasures Headquarters ) announced that as the risk of additional outbreaks of highly pathogenic avian influenza (AI) has increased recently, an emergency quarantine meeting was held on Thursday, December 25 , chaired by Kim Jeong-wook, Director of the Agricultural Innovation Policy Office , to review the situation of highly pathogenic avian influenza outbreaks and quarantine measures and to further strengthen quarantine management .

1. Increased risk and occurrence situation


Today, an outbreak was confirmed at a laying hen farm in Pyeongtaek (the 22nd time ) , bringing the total number of highly pathogenic avian influenza cases to 22 in poultry farms and 21 in wild birds this winter ('25/'26 season ) .
* Poultry farm outbreak status ( total 22 cases ): Gyeonggi 9 cases ( Anseong 3, Paju 1, Hwaseong 2, Pyeongtaek 3), Chungbuk 4 cases ( Goesan 1, Yeongdong 1, Jincheon 1, Eumseong 1), Chungnam 3 cases ( Boryeong 1, Cheonan 2), Jeollabuk-do 2 cases ( Gochang 1, Namwon 1), Jeollanam-do 3 cases ( Naju 2, Yeongam 1), Gwangju Metropolitan City 1 case
** Status of wild bird detection ( total 21 cases ): Gyeonggi 1, Chungbuk 1, Chungnam 5, Jeonbuk 3, Jeonnam 4, Gyeongbuk 3, Gyeongnam 1, Busan 1, Gwangju 1, Seoul 1
This winter, for the first time in Korea, three types of viruses ( serotypes : H5N1, H5N6, H5N9) were detected in wild birds and poultry farms, raising the risk of further outbreaks .

In particular , the Animal and Plant Quarantine Agency conducted an evaluation of the infectivity and pathogenicity of the highly pathogenic avian influenza virus ( serotype H5N1) confirmed domestically this winter , and found that the infectivity was more than 10 times higher than in previous years .
This means that the disease can easily spread in poultry farms with a quantity of the virus that is more than 10 times smaller, so more thorough quarantine measures such as disinfection and access control are necessary than ever before .
* ( Infectious power ) The lethal dose ( LD50 : lethal dose, AI virus concentration when half of the infected chickens die ) this time is 103.3 , which is more than 10 times higher than 104.4 in the '23/'24 season and 104.6 in the '24/ '25 season .
* ( Pathogenic ) 100% mortality in case of natural infection in chickens , the average time from infection to death is 2.4 days this time, the shortest since the '20/'21 season (2.6 to 4.3 days )
In addition , looking at past outbreaks , highly pathogenic avian influenza has been occurring frequently * in December and January , and considering the current situation in various regions and with various livestock species ** , there is a risk of additional outbreaks in any region of the country, so more thorough quarantine management than ever is needed .
* 48.1% occurred in December and January ( 669 cases out of 1,389 cases since 2003 )
** Occurred in wild bird and poultry farms ( layer hens , meat breeders , native chickens , ducklings , meat ducks , quail, etc. ) in 30 cities and counties in 10 provinces and cities.

2. Results of epidemiological investigation and quarantine inspection of the outbreak farm

The Central Disaster and Safety Countermeasures Headquarters has confirmed that 16 poultry farms with confirmed outbreaks to date were not complying with basic quarantine guidelines through interim epidemiological investigations . Accordingly, the Central Disaster and Safety Countermeasures Headquarters plans to strictly enforce administrative sanctions, such as fines, and reductions in culling compensation , in accordance with the Livestock Infectious Disease Prevention Act, on farms that violate relevant regulations .

* According to the “ Standards for Payment and Reduction of Compensation in Appendix 2 of the Enforcement Decree of the Livestock Infectious Disease Prevention Act ,” the basic amount equivalent to 20/100 of the livestock appraisal value is reduced , and if any insufficient quarantine measures are identified, the compensation is additionally reduced for each applicable item.

During the special quarantine period for highly pathogenic avian influenza (AI), the Central Disaster and Safety Countermeasures Headquarters mobilized the on-site inspection team (20 teams, 40 people ) of the Animal and Plant Quarantine Agency to inspect violations of administrative orders ('25.10. 1 - 12. 22). As a result , a total of 43 farms were found to have violated the order and were issued with certificates. Of these , 30 farms (69.8%) were laying hen farms, accounting for more than two-thirds .
* 43 violating farms : 30 laying hens , 3 each of meat ducks , meat breeders , and broilers , 2 laying hens , 1 each of hatchery and livestock vehicle
The total number of violations was 58 ( including duplicates by farm ) , of which 23 cases (39.7%) were violations of administrative orders and public notices, such as insufficient disinfection of vehicles entering and exiting the farm and entry of illegal vehicles into the farm , followed by insufficient CCTV management with 11 cases ( 16.7 % ) .
* 14 cases of failure to perform level 2 disinfection of vehicles entering and exiting the farm , 9 cases of violation of farm entry by vehicles prohibited from entering ( egg transport , vaccination team , loading/unloading team )
In particular , the number of violations confirmed in laying hens (30 farms ) was 40 , and 19 cases * (40%) of them were found to be violations of the “ Administrative Order and Notice Details , ” and many violations of the ban on entry into farms by specific livestock vehicles , such as egg transport vehicles and vaccination team vehicles, were confirmed .
* 11 cases of non-implementation of two- stage disinfection (1st stage disinfection of vehicle with disinfectant → 2nd stage disinfection of vehicle wheels, etc. with high-pressure sprayer ) upon entry of livestock vehicles into farms, 8 cases of violation of prohibition of entry into farms by egg transport vehicles , vaccination team vehicles , and poultry loading/unloading crew personnel transport vehicles
In addition , as a result of an inspection of farms within the quarantine zone of Cheonan, South Chungcheong Province and Anseong , Gyeonggi Province ( within 10km ) , it was confirmed that five laying hen farms were in violation of the “ administrative order and public notice details ” and quarantine compliance matters .
* 1 case of failure to perform 2- stage disinfection when entering a livestock vehicle on the farm , 1 case of violation of the ban on entry of egg transport vehicles into the farm , 2 cases of failure to store CCTV ( closed-circuit television ) video records for more than 30 days , 1 case of failure to disinfect a forklift used for loading eggs
Accordingly , we plan to strictly enforce fines and penalties in accordance with relevant laws and regulations in cooperation with local governments , and reduce compensation for culling by up to 80% in the event of an outbreak of highly pathogenic avian influenza .
* In case of violation of quarantine -related administrative orders , imprisonment of up to 1 year or a fine of up to 10 million won is imposed , and in case of violation of public notices, a penalty of up to 10 million won is imposed.
The Central Disaster and Safety Countermeasures Headquarters plans to continue to inspect the quarantine status of poultry farms to prevent further spread of highly pathogenic avian influenza .

In particular, during this quarantine inspection, we will focus on cracking down on violations of the ban on entry into farms by specific livestock vehicles * , which were identified as major violations , and whether livestock vehicles that can enter farms are implementing the second- stage disinfection . We plan to strictly enforce the zero-tolerance principle and take administrative action not only against farms that violate related regulations but also against owners ( or drivers ) of vehicles entering livestock- related facilities . 
* ( No entry into the farm ) Livestock vehicles such as eggs , egg trays , animal medicine , loading and unloading trucks , and delivery vehicles
3. Strengthening quarantine measures

The Central Disaster and Safety Countermeasures Headquarters is implementing the following strengthened quarantine measures to prevent further outbreaks of highly pathogenic avian influenza .

First , from December 24, the Ministry of Agriculture, Food and Rural Affairs will form a “Special Response Team (TF) for Highly Pathogenic Avian Influenza Quarantine Response” in addition to the existing Central Disaster and Safety Countermeasures Headquarters for Highly Pathogenic Avian Influenza, and will respond with all - out efforts , including daily situation review meetings, on-site inspections of risk areas , and guidance and publicity for livestock industry officials .
* 3 teams : General response team ( intensive management of laying hens ), field inspection team ( inspection of outbreak areas, etc. ), media response team ( public relations, etc. )
Second , starting December 26, we will dispatch section chiefs and others from the Ministry of Agriculture, Food and Rural Affairs to high-risk areas (11 cities and counties) where there is concern about additional outbreaks, including Gyeonggi , South Chungcheong , North Chungcheong , North Jeolla , and Sejong , to conduct special inspections
* Gyeonggi Pyeongtaek and Anseong , Chungnam Cheonan , Chungbuk Eumseong , Jincheon and Cheongju , Sejong , Jeollabuk Buan and Gimje
Third, laying hen farms within the quarantine zone (~10km) of four regions with a high risk of laying hen outbreaks ( Hwaseong , Pyeongtaek , Anseong , and Cheonan ) will be specially inspected and managed for 7 days ( from December 26 to January 1 of the following year ) . 
* Livestock vehicles carrying livestock manure , egg deposits , and vaccinations are prohibited from entering the farm . Vehicles transporting eggs and feed that must enter are subject to special inspection and management through prior registration and conditional entry with the presence of a quarantine officer.
Fourth , to raise awareness of quarantine rules compliance among all poultry farm workers, including foreigners, we will cooperate with local governments and producer groups to strengthen guidance and promotion of quarantine rules for poultry farm workers using quarantine rule videos and promotional posters (in 8 languages * ) , and we will continue to broadcast disaster subtitles to the public in cooperation with the Ministry of the Interior and Safety .
* Korean , English , Thai , Nepali , Cambodian , Indian , Vietnamese , Chinese
4. Requests

Kim Jeong-wook, Director of the Agricultural Innovation Policy Office at the Ministry of Agriculture, Food and Rural Affairs, said , “ This winter, three types of viruses ( H5N1, H5N6, H5N9) were detected in wild birds and poultry farms , and the virus’s infectious power was confirmed to be stronger than in the past. Therefore, all poultry farm workers and local government officials and quarantine agency officials across the country are requested to further strengthen quarantine measures such as controlling the entry and exit of people and vehicles and disinfection and implement them thoroughly . ”

In particular , he emphasized , “ In Gyeonggi and Chungnam , where the recent outbreak of laying hens has been concentrated, we will respond by mobilizing all quarantine personnel and resources, such as controlling the entry and exit of livestock vehicles and disinfecting them, focusing on quarantine areas to prevent the spread to surrounding areas . ”

In addition , he emphasized, “ Recently, there have been many cases where egg transport vehicles were prohibited from entering the farm and the second stage of disinfection was not carried out on the farm. Therefore , it is most important to have the mindset that I protect my own farm and to follow basic quarantine rules such as controlling the entry of people and vehicles and disinfecting them .” He also repeatedly requested, “ Manage dangerous livestock vehicles such as egg transport vehicles from entering the farm and thoroughly carry out the second stage of disinfection on vehicles entering the farm . ”


We rarely see this level of detail published by other governments, which makes it difficult to know how much of an outlier South Korea's current avian flu season might be compared to the rest of the world. 

But even if South Korea is somehow the first beachhead for a new HPAI threat, history has shown that what happens to South Korean poultry rarely stays in South Korean poultry. 

Which suggests we should be taking lessons from what South Korea is currently dealing with, and using them to prepare our own strategies for containment should conditions here follow suit. 

Thursday, December 25, 2025

WHO DON: Middle East respiratory syndrome coronavirus - Global update (Dec. 24th)

 

#18,999

Although the number of MERS-CoV cases reported in 2025 is a small fraction of what we were seeing a decade ago, we've seen a slow, but steady increase in numbers since the lows of 2022 (see chart above). 

Meanwhile, new COVID variants continue to emerge, and over the past decade we've seen seen numerous reports of newly discovered coronaviruses circulating in the wild, many of which also appear to have zoonotic potential. 

Just a few, of many, include:

Preprint: A Divergent Betacoronavirus with a Functional Furin Cleavage Site in South American Bats

J. of Infection: Novel Coronaviruses Identified in Livestock

Viruses: Novel Rodent Coronavirus-like Virus Detected Among Beef Cattle with Respiratory Disease in Mexico

Nature: Study on Sentinel Hosts for Surveillance of Future COVID-19-like Outbreaks

All of which had led to a bit of a resurgence of interest in coronaviruses in general, and MERS-CoV in particular. 

Earlier this month, we looked at The Lancet: The Threat of Another Coronavirus Pandemicwhile in October we reviewed Health Sci Rpts (Narrative Review): Pathogenicity and Potential Role of MERS-CoV in the Emergence of “Disease X”

Prior to COVID's arrival in late 2019, MERS-CoV was the top contender for sparking a coronavirus pandemic, sporting a high mortality rate (>30%), and spreading easily through hospitals in the Middle East (and South Korea) (see Ziad Memish: Two MERS-CoV Hospital Super Spreading Studies).

Last June we looked at an editorial in Journal of Epidemiology & Global Health on the importance of continued healthcare preparedness and surveillance (see Al-Tawfiq & Memish On Recurrent MERS-CoV Transmission in Saudi Arabia), with an emphasis on identifying asymptomatic carriers.

Three weeks ago France announced the detection of MERS-CoV in 2 travelers returning from the Middle East, reminding us that viruses have no respect for borders. 

While MERS-CoV appears to be less of a threat today than it was a decade ago, it continues to evolve and adapt, making it worth keeping on our radar.  

Additionally, we've seen some reluctance on the part of Middle Eastern nations to report cases, and the evidence suggests that the number of confirmed cases may substantially under represent the true incidence of human infection (something this WHO report mentions as a possibility).  

A few, of many, past reports include:

Yesterday the World Health Organization published a year-end update on the global MERS-CoV situation.  Due to its length, I've only posted some excerpts (highlights and emphasis mine). Follow the link to read it in its entirety. 

I'll have a bit more when you return. 


Since the beginning of 2025 and as of 21 December 2025, a total of 19 cases
of Middle East respiratory syndrome coronavirus (MERS- CoV), including four deaths have been reported to WHO globally. Of the 19 cases, 17 were reported by the Kingdom of Saudi Arabia (KSA), and two were reported from France. 

Between 4 June and 21 December 2025, the Ministry of Health (MoH) of KSA reported a total of seven cases of MERS-CoV infection, including two deaths. In addition, at the beginning of December 2025, the National IHR Focal Point (IHR NFP) for France also reported two MERS-CoV travel – associated cases; involving individuals with recent travel to countries in the Arabian Peninsula.

The notification of these latest cases does not change the overall risk assessment, which remains moderate at both the global and regional levels. These cases show that the virus continues to pose a threat in countries where it is circulating in dromedary camels, with regular spillover into the human population. WHO recommends implementation of targeted infection, prevention and control (IPC) measures to prevent the spread of health care-associated infections of MERS-CoV and onward human transmission.

Description of the situation

Since the first report of MERS-CoV in the KSA and Jordan in 2012, a total 2635 laboratory-confirmed cases of MERS-CoV infection, with 964 associated deaths (Case Fatality Ratio (CFR) of 37%), have been reported to WHO from 27 countries, across all six WHO regions (Figure 1). The majority of cases (84%; n=2224), have been reported from the KSA (Figure 2). Since the beginning of 2025 and as of 21 December, a total of 19 cases have been reported to WHO. Overall, 17 cases were reported in the KSA from five regions named: Riyadh (n=10), Taif (n=3), Najran (n=2), Hail (n=1), and Hafr Al-Batin City (n=1) (Figure 3). In addition, two travel associated cases of MERS-CoV infection have been reported in France, with likely exposure occurring during recent travel in the Arabian Peninsula (Figure 3).

This disease outbreak news report focuses on the recent nine cases of MERS-CoV infection reported between 4 June - 21 December 2025: seven cases from the KSA and the two imported cases to France. The details of cases reported earlier in 2025 can be referred to in the previously published disease outbreak news on 13 March 2025 and 12 May 2025.

Between 4 June and 21 December 2025, the MoH of the KSA reported a total of seven cases of MERS CoV infection. The cases were reported from three regions: Najran (2), Riyadh (3), and Taif (2). No epidemiological links were identified between the seven cases. In addition, between 2 and 3 of December 2025, the IHR NFP for France reported two cases of MERS – CoV with recent travel to the Arabian Peninsula during the month of November.

Follow-up has been completed for all contacts and no secondary infections have been identified or reported. From September 2012, France has recorded a total of four laboratory-confirmed cases of MERS-CoV infection, including one death: two cases were reported in 2013, and the latest two cases in December 2025. All cases had been travelers exposed in the Arabian Peninsula and returning back to France.

WHO risk assessment

As of 21 December 2025, a total of 2635 laboratory-confirmed cases of MERS-CoV infection have been reported globally to WHO, with 964 associated deaths. The majority of these cases have occurred in countries on the Arabian Peninsula, including 2224 cases with 868 related deaths (CFR 39%) reported from the KSA.

A notable outbreak outside the Middle East occurred in the Republic of Korea, in May 2015, during which 186 laboratory-confirmed cases (185 in the Republic of Korea and 1 in China) and 38 deaths were reported. However, the index case in that outbreak had a history of travel to the Middle East.

Three limited healthcare-related clusters have recently been reported from the KSA, two in 2024 comprised of three and two cases each, and one in 2025 comprised of 7 cases; the previous cluster before that had been observed in May 2020, also in the KSA. Extensive contact tracing was applied in the 2025 cluster, which lead to detection of four asymptomatic and two mild cases, who fully recovered. Despite these recent clusters, zoonotic spillover remains an important mode of human infection, leading to isolated cases and limited onwards transmission between humans.

Global total cases reflect laboratory-confirmed cases reported to WHO under IHR (2005) or directly by Ministries of Health from Member States. These figures may underestimate the true number of cases if some were not reported to WHO, as they may be missed by current surveillance systems and not be tested for MERS-CoV – either due to similar clinical presentation as other circulating respiratory diseases or because infected individuals remained asymptomatic or had only mild disease. The total number of deaths includes those officially reported to WHO through follow-up with affected Member States.

The notification of these new cases does not change the overall risk assessment. WHO expects that additional cases of MERS-CoV infection will be reported from the Middle East and/or other countries where MERS CoV is circulating in dromedaries, and that cases will continue to be exported to other countries by individuals who were exposed to the virus through contact with dromedaries or their products (for example, consumption of raw camel milk, camel urine, or eating meat that has not been properly cooked), or in a healthcare setting.
Due to the similarity of symptoms with other respiratory diseases that are widely circulating, like influenza or COVID-19, detection and diagnosis of MERS cases may be delayed, especially in unaffected countries, and provide an opportunity for onward human-to-human transmission to go undetected. WHO continues to monitor the epidemiological situation and conducts risk assessments based on the latest available information.

No vaccine or specific treatment is currently available, although several MERS-CoV-specific vaccines and therapeutics are in development. Treatment remains supportive, focusing on managing symptoms based on the severity of the illness.

        (Continue . . . )

Although surveillance and reporting of MERS cases has always been problematic - by trivializing COVID infection and dismantling our global surveillance, testing, and reporting systems (see No News Is . . . Now Commonplace) - we've likely made it far easier for MERS-CoV cases to circulate undetected.  

The obvious risk being; novel viruses that emerge at the end of a long chain of infections in a new species often become more `biologically fit' or better adapted to its host. 

While hopefully there is some biological barrier that prevents MERS-CoV from ever achieving pandemic infamy, we seem intent on wearing this same set of blinders for HPAI, Mpox, and a plethora of other emerging pathogens

Recent studies suggest that the frequency, and impact, of pandemics are only expected to increase over the next few decades (see BMJ Global: Historical Trends Demonstrate a Pattern of Increasingly Frequent & Severe Zoonotic Spillover Events  and  PNAS Research: Intensity and Frequency of Extreme Novel Epidemics).

Which suggests this strategy grows risker with each passing day. 

Wednesday, December 24, 2025

South Korean City (Naju) Orders Extraordinary Emergency Measures Due to HPAI

 
Photo Credit - Naju City

#18,998

South Korea - which has battled outbreaks of HPAIASF, and FMD for years - has long been proactive when it comes to dealing with agricultural threats; often quarantining farms, issuing `stop movement' orders for livestock, and setting up elaborate vehicle disinfection stations

In mid-2024, South Korea released an updated comprehensive pandemic plan, while last September their CDC conducted A 19-day, Nationwide, Mock-Training Exercise to Prepare for Zoonotic Influenza

A little over 2 weeks ago we looked at another scathing report from MAFRA on biosecurity breaches on infected poultry farms, and the issuance of increased heavy fines for non-compliance. 

It is fair to say that South Korea takes these threats seriously. 

But overnight, Naju City (pop. 116K) in South Jeolla Province, raised the ante during an emergency meeting - following their 2nd outbreak of HPAI in 3 days - where they have ordered the cancellation of all outdoor activities for the holidays due to the rising avian flu threat. 
While we saw similar actions taken during the COVID pandemic, and briefly during the 2015 multi-hospital outbreak of MERS-CoV, I can't recall seeing anything of this magnitude ordered by South Korean officials for avian flu in the past. 

That said, I've not seen anything to suggest human cases in the region.  They are, however, calling for local organizations and social groups to cancel or postpone outdoor events, so their concerns obviously go far beyond the farm.

Speculating a bit:

  • The western peninsula (where South Jeolla (Jeollanam-do) is located) accounts for 2/3rds of South Korea's poultry production, which may explain their concerns and this unusual response. 
  • And it is always possible that the city is using this as an opportunity to test their new pandemic plans (or to show the national authorities how committed they are)
But any way you slice it, the following (translated) press release (note: highlights & emphasis mine) from Naju City is a remarkably robust response, given what we know now.. 

Date of registration: December 24, 2025, 3:26 PM
Views : 9 Livestock Division , Registration Department 

Outdoor events during the year-end and New Year's holidays have been canceled... Emergency measures including quarantine and movement restrictions have been strengthened.

Naju City, the largest duck breeding area in the country, is taking the crisis caused by the outbreak of highly pathogenic avian influenza seriously, considering the special circumstances of the region, and is mobilizing all administrative power to prevent the spread, including canceling year-end and New Year's events, restricting movement, and strengthening the operation of disinfection facilities.

Naju City (Mayor Yoon Byeong-tae) announced on the 24th that it has issued an emergency appeal to citizens and livestock farmers, asking them to thoroughly participate in quarantine measures and refrain from movement due to the recent consecutive outbreaks of highly pathogenic avian influenza at two duck farms in Bonghwang-myeon and Donggang-myeon.

In the appeal, the city emphasized, "The current situation is more serious than ever before for the safety of citizens and the protection of the local livestock industry, and a strong response is needed. We ask for the active cooperation of poultry farms as well as nearby residents with quarantine measures."

Naju, which has maintained a livestock infectious disease-free zone for the past two years, has raised its quarantine response level to 'serious' after highly pathogenic avian influenza was confirmed at a duck farm in Donggang-myeon on the 23rd, following a case at a duck farm in Bonghwang-myeon on December 19th.

Accordingly, Naju City held an emergency meeting presided over by Mayor Yoon Byeong-tae on the 24th and canceled all unspecified large-group gatherings during the year-end and New Year's holidays, including the Geumseongsan Sunrise Event on January 1st of next year, to prevent the spread of highly pathogenic avian influenza. In accordance with the Livestock Infectious Disease Prevention Act, the city also recommended that local organizations and social groups cancel or postpone outdoor events.

In addition, the city is making all-out efforts to prevent the spread of the disease, including disinfecting public facilities such as senior citizen centers in towns, townships, and wards, controlling access to poultry farms and restricting vehicle movement, disinfecting livestock vehicles and personnel at key disinfection facilities, refraining from moving between farms and areas adjacent to migratory birds, and prohibiting entry into migratory bird habitats.

On December 20th, immediately after the antigen was detected, the city held an emergency situation response meeting chaired by the mayor and immediately decided on response measures such as controlling the outbreak farm, temporarily halting movement, conducting thorough inspections and intensive disinfection of poultry within the quarantine zone, and strengthening the operation of key disinfection facilities.

Mayor Yoon Byung-tae visited the Dongsu-dong key disinfection facility on the 23rd to inspect the quarantine response status and the operation of the facility, and closely checked whether on-site quarantine measures were being implemented.

The city is currently continuing thorough surveillance and intensive disinfection within a 10km radius of the outbreak farm and is continuing preemptive quarantine measures such as strengthening the disinfection of livestock vehicles to block horizontal transmission.

Mayor Yoon Byung-tae of Naju said, “Compared to chickens, ducks tend to show symptoms later and milder, so careful surveillance and thorough disinfection on farms are of utmost importance. Please thoroughly check basic quarantine rules once again, such as changing boots when entering and exiting livestock sheds and checking the expiration date of disinfectants.”

In particular, “This year, the arrival period of migratory birds has been earlier than usual, the number of birds has increased significantly, and we believe that the infectivity of the highly pathogenic avian influenza virus has increased by more than 10 times and the risk of outbreak has increased by up to 20 times,” he said. “Since the initial response to highly pathogenic avian influenza determines the success or failure of quarantine, there should not be any gaps in quarantine centered on disinfection facilities,” he emphasized, “We will do our best to protect the safety of citizens and livestock farms by mobilizing all administrative power to prevent further outbreaks.”

Naju City plans to make all-out efforts to prevent the spread of highly pathogenic avian influenza through thorough quarantine management centered on the field and continuous inspections.

(Photo caption)
1. Naju Mayor Yoon Byeong-tae (second from the right) visited the Dongsu-dong disinfection facility and inspected the quarantine response status and operational status.
2. Naju City is operating a disinfection facility to prevent the spread of highly pathogenic avian influenza (AI).
3. Naju City is operating a central disinfection facility to prevent the spread of highly pathogenic avian influenza (AI).
(Photo provided by Naju City)

While this response is likely due to an abundance of caution, given its unusual nature, it is worth keeping our eye on the region in the days ahead. 

Stay tuned. 

Tuesday, December 23, 2025

HK CHP: Another Cryptic Announcement of H9N2 Cases From the Chinese Mainland

 

#18,997

While China has never been particularly verbose in the reporting of novel flu cases, until recently we could count on (often, belatedly) learning of the location, onset date, gender, and age of the patient.  

Sometimes they would even characterize the infection as being mild, moderate, or severe. 

Two months ago, in HK CHP: Mainland China Retrospectively Reports 4 More H9N2 Cases, we saw a departure from this format with the announcement (see below) of 4 retrospectively identified cases from last February. 


Details were unusually scant (even for China), with the only identifiers provided being the province, `an individual' and the month.  Last month, Hong Kong's CHP reported 4 more cases in the usual format: 


Not ideal, but more in keeping with what we've come to expect.  Today, however, Hong Kong's CHP is back to reporting new in the barebones format; providing only the month, province, and describing the patient as `an individual'. 

Credit HK CHP - Avian Flu Report Week 51


Often we get clarification from the WHO's periodic Influenza at the human-animal interface report, the latest of which was published yesterday.  Unfortunately, the details are similarly obtuse, reading more like a logic word puzzle than an epidemiological report. 


Since the last risk assessment of 5 November 2025, China notified WHO of four cases of infection with influenza A(H9N2) on 6 November 2025 and three cases on 12 December 2025.

All but two cases were in children. Cases were detected in Guangdong (one), Guangxi (three), Henan(one) and Hubei (two) provinces. The cases had onsets of symptoms in September, October and November 2025. Four cases had reported exposure to backyard poultry, two had exposure to live poultry markets and the source of exposure for one case was under investigation at the time of reporting. 
All cases had mild illness and recovered, except one in an elderly person with underlying conditions who was hospitalized at the time of reporting with severe pneumonia. No further cases were detected among contacts of these cases. A(H9) viruses were detected in environmental samples collected during the investigations around some of the cases.
By combining several other reports, one is able to deduce that 2 of the 3 cases reported today by Hong Kong were likely adults, and one (elderly, with underlying conditions) remains hospitalized with pneumonia.  

But that's about it. 

Sadly, this type of sparse or belated reporting by public health agencies has become increasingly common, and it hasn't been restricted to just China. 

While there are legally binding agreements between nations to report novel flu cases, and other emerging public health threats, the reality is there are no meaningful penalties for non-compliance (see From Here To Impunity).

A week scarcely goes by without the WHO, PAHO, or WOAH reminding member nations to abide by these agreements. In nearly every study we review (see here, here, here, here, and here), the authors desperately call for better surveillance and reporting.

But the political and economic advantages to minimizing - or sanitizing - `bad news' apparently now outweigh any obligation to share scientific information, or inform the public. 

But on the plus side - when the next pandemic threat does emerge - our leaders can truthfully say they never saw it coming. 

Monday, December 22, 2025

Viruses: Replication and Transmission of Influenza A Virus in Farmed Mink

 

#18,996

Mink are highly susceptible to both influenza A and SARS-CoV-2 infection, and over the past 16 years we've looked a a number of concerning spillovers, including:

Mink are a member of the Mustelidae family of carnivorous mammals, which also includes otters, badgers, weasel, martens, ferrets, and wolverines. Many of these species are susceptible to flu viruses – most notably ferrets – which are often used in influenza research.

Over the past decade we've seen literally dozens of reports of spillovers into mink, including the generation of mink-variant COVID strains which - at least temporarily - circulated in humans in Europe back in 2020 (see Preprint: Emergence & Spread of SARS-CoV-2 Variants from Farmed Mink to Humans and Back - Denmark, June-November 2020).

Alarms were raised, again in the fall of 2022 when H5N1 began spreading rapidly through a large mink farm in Spain (see Eurosurveillance: HPAI A(H5N1) Virus Infection in Farmed Minks, Spain, October 2022).

This mink-derived H5N1 virus from Spain carried a rare mutation (PB-T271A), which is believed to `enhance the polymerase activity of influenza A viruses in mammalian host cells and mice'. In 2023 the CDC issued an IRAT Risk Assessment On Mink Variant of Avian H5N1, finding it's scores had risen in 6 of the 10 parameters used to evaluate their zoonotic potential.
Spillovers into farmed animals are particularly worrisome, because they allow for serial transmission across a large number of hosts, which may result in host adaptation.
    
In 2023 we saw scores of fur farms (both mink & fox) in Finland hit by HPAI, resulting in massive culls. 
During that protracted outbreak, in PNAS: Mink Farming Poses Risks for Future Viral Pandemics, we looked at an opinion piece by Professor Wendy Barclay & Tom Peacock on why fur farms - and mink farms in particular - are high risk venues for both flu and SARS.
Since then, new studies have continued to highlight the risks, including last January's Zoonosis & Public Health: Detection of a Reassortant Swine- and Human-Origin H3N2 Influenza A Virus in Farmed Mink in British Columbia, Canada.
All of which brings us to a new study, published 3 days ago in the journal Viruses, which finds that (among a small cohort (n=37) of Chinese farmed mink) past LPAI H9N2 exposure was quite common (89.2%), while they found no detectable antibodies for human H1N1 or avian H3N2, H4N2, H5N1, H6N6, or H11N9.

These pre-exposed mink, however, remained highly susceptible to other influenza A subtypes (only H1N1 and H6N6 were tested), raising  concerns over the ability of mink to serve as `mixing vessels' for influenza reassortment. 

While this study is subject to a number of limitations (cohort size, limited range of viral challenges, etc.), it provides additional evidence on the zoonotic risks of fur-farming; particularly involving mink. 

I've only posted the link, and a few excerpts. Follow the link to read the study in its entirety. 

Replication and Transmission of Influenza A Virus in Farmed Mink

Viruses 2026, 18(1), 9;https://doi.org/10.3390/v18010009 (registering DOI) This article belongs to the Special Issue Surveillance, Prevention, and Treatment of Avian Influenza

 Abstract

Farmed mink are frequently exposed to circulating influenza A viruses (IAVs), as confirmed by viral isolation and serological evidence. Previous work reveals that naĆÆve mink serve as susceptible hosts for both avian and human influenza strains, highlighting their potential role in influenza ecology.
In this study, we investigated whether farmed mink naturally pre-exposed to H9 retain the capacity to serve as “mixing vessels” for reassorting human and avian IAVs. Our results demonstrate that they remain fully susceptible and permissive to infection by both avian H6N6 and human H1N1 influenza strains.
Notably, efficient transmission of these viruses occurred among farmed mink, confirming their potential to sustain viral exchange. These findings indicate that farmed mink represent highly permissive hosts capable of facilitating reassortment between circulating human and avian IAVs.
Given this risk, current mink farming practices may substantially increase the likelihood of a pandemic emergence. We therefore urge immediate revision, stringent enhancement, and rigorous enforcement of biosecurity protocols and active surveillance systems in fur farming operations.

        (SNIP)

4. Discussion

Our study demonstrates that influenza-pre-exposed mink retain their capacity to serve as “mixing vessels” for avian and human influenza A viruses (IAVs), reinforcing the zoonotic risks associated with intensive mink farming.

Despite serological evidence of frequent H9N2 exposure to farmed mink [1,19], these animals remained fully susceptible to heterosubtypic strains, including avian H6N6 and human-origin H1N1 viruses. Both strains replicated efficiently in the respiratory tract and exhibited sustained transmission among pre-exposed mink, confirming their potential to facilitate reassortment between avian and human IAVs.

These findings parallel observations in swine, a well-documented mixing vessel, but highlight a critical gap in biosecurity oversight for mink farming, underscoring their role as underappreciated reservoirs for viral evolution.

        (Continue . . . .)

As we've discussed previously - while the next pandemic virus could certainly emerge directly from the wild - the practice of raising millions of highly (flu & COVID) susceptible animals in densely packed farms unnecessarily raises our pandemic risks. 

While there is a growing movement to ban fur farms - particularly in the EU - Poland and Russia remain major fur producers, as well as the United States and Canada. 

China, however, remains the largest global producer and exporter of farmed fur, accounting for 2/3rds of the world's mink farms. Reportedly fox and raccoon dogs are raised on many of these same farms, increasing the odds of inter-species transmission of novel viruses.
Whether we can summon the political will to take the necessary steps needed to prevent the next pandemic remains to be seen.
But time is definitely not on our side. 

Sunday, December 21, 2025

Spain: AEMPS Warns of Counterfeit FLU/COVID Tests Entering European Market

 

#18,995

In the midst of what is likely to be the worst flu season in years, Spain's Agencia EspaƱola de Medicamentos y Productos Sanitarios (AEMPS) is reporting on a new, and potentially harmful, complication; counterfeit influenza/COVID test kits.  

Counterfeit, or adulterated medicines - or fake diagnostic tests - which are usually purchased online, aren't a new problem.  

In 2013 The Lancet reported that 1/3rd Of Malaria Drugs Are Fake Or Sub-Standard, while two years later - in 2015's The Lancet: WHO Estimates That 50% Of Drugs For Sale Online Are Fake - we looked at a long report on the spectacular growth of fake online prescription drugs. 

In 2020 our own government repeatedly warned of substandard and unsafe PPEs and hand sanitizers flooding the market during the pandemic (see NIOSH & FDA Updates On Counterfeit N95 Respirators & Hand Sanitizers).

Also 5 years ago, in Interpol Warning On Fake/Counterfeit COVID Vaccines, Interpol issued an Orange Notice on the risks of seeing fake, substandard, or possibly even stolen vaccines offered online or even entering the supply chain.

More recently (2023), in response to more than 300 deaths (mostly in children) across 7 countries, we looked at the WHO's 6th Alert On Contaminated Cough Syrup - manufactured primarily in India -which contained dangerous (even fatal) amounts of diethylene glycol (DEG) and /or ethylene glycol (EG) as contaminants.

Over the past 5 years we've seen repeated reports of fake or counterfeit COVID home diagnostic tests being sold in the United States (see FDA statement).  

This week, however, Europe is reporting the arrival of counterfeit combo Flu/COVID home test kits. 

First the translated announcement, after which I'll have a brief postscript.

The Spanish Agency for Medicines and Health Products (AEMPS) reports the detection of counterfeit units of the COVID-19 and Influenza A+B Antigen Combo Rapid Test on the European market.

Publication date: December 19, 2025
Category: Medical devices, counterfeit products
Reference: PS, 65/2025

The manufacturer Safecare Biotech (Hangzhou) Co., Ltd. has confirmed that the products with reference FCO-6032 have been tampered with and that the batch number FCO24090516 is counterfeit.

The Agency establishes a series of recommendations for action aimed at distributors, pharmacies and users

The Spanish Agency for Medicines and Health Products (AEMPS) has been informed, through the competent Portuguese authority, of the marketing in the European market of counterfeit units of the COVID-19 and Influenza A+B Antigen Combo Rapid Test, manufactured by Safecare Biotech (Hangzhou) Co., Ltd., with reference FCO-6032 and batch number FCO24090516.

According to information provided by the competent Portuguese authority, the manufacturer has confirmed that the product has been tampered with and that the batch number FCO24090516 is fake.

Current situation in Spain

The Spanish Agency for Medicines and Health Products (AEMPS) has launched an investigation to determine the distribution of the affected products and the situation in Spain. At this time, it is unknown whether the counterfeit test has been distributed in the country.

However, it is reported that there are compliant units of the self-diagnostic product COVID-19 and Influenza A+B Antigen Combo Rapid Test from the same manufacturer and with reference FCO-6032 on the market, so this information note only affects the counterfeit product.

Affected products

Counterfeit products can be identified by the following:

  • A label with altered information regarding the batch number, manufacturing date, and expiration date has been affixed. The counterfeit product details appearing on the label are as follows:
  • Batch number: FCO24090516
  • Date of manufacture: 09/2024
  • Expiration date: 09/2026
  • The batch number and expiry date have been removed from the test cassette included in the kit, so only the symbols appear.
  • The expiration date has been removed from the tube containing the extraction solution ( buffer ).
  • The swab included in the kit is not the same as the one used by the original product manufacturer. The original swab manufacturer is Dalian Rongbang Medical Healthy Devices Co. Ltd., with its authorized representative Lotus NL, BV (Netherlands).


Information for users
  • Check if you have the affected product. If so, do not use it.
  • Remember that self-diagnostic tests should only be purchased through pharmacies. This ensures the proper origin, storage, and preservation of the test. Furthermore, only through this channel will the user have access to a pharmacist and their advice.
Information for distributors and pharmacies
  • Examine your traceability records and check if you have any units of the affected product. If so, do not distribute them, remove them from sale, and inform the Spanish Agency for Medicines and Health Products (AEMPS) at psdivcontrol@aemps.es , indicating the details of the company that supplied you with the product.
  • If you are aware of an incident related to the use of these products, please report it to the AEMPS surveillance system.

Admittedly, counterfeit test kits aren't the most egregious example of fake or adulterated medical products (think: watered down antibiotics, fentanyl laced recreational drugs, or cosmetics laced with heavy metals, etc.), but people do rely on their results to make potentially life-or-death decisions. 

While exact numbers are impossible to come by, there are estimates that hundreds of thousands of people are killed each year from fake or adulterated drugs. Serious, albeit non-fatal consequences, are believed even more common. 
In 2024, the WHO published:
Substandard and falsified medical products
3 December 2024  
Key facts
  • Substandard and falsified medical products affect people all around the world.
  • At least 1 in 10 medicines in low- and middle-income countries are substandard or falsified.
  • Countries spend an estimated US$ 30.5 billion per year on substandard and falsified medical products.
  • Substandard and falsified medical products are often sold online or in informal markets.

Sadly, with an Internet increasingly filled with dangerously misleading A.I. generated slop, social media influencers who appear willing to tout any product or trend for the `clicks', and well-funded bad actors who continue to manufacture these credible looking products, we've created an environment where it is all too easy to be fooled. 

Caveat Emptor.