South Korea: MAFRA Investigation Into Biosecurity Lapses on HPAI Affected Poultry Farms

 

#19,079

Despite more than 2 decades of dealing with extensive bird flu outbreaks, and numerous warnings to farmers (see here, here, here) on the importance of maintaining strict biosecurity, once again this winter South Korea finds itself struggling to contain HPAI H5. 

Even before this year's avian flu season began, South Korea Conducted A 19-day, Nationwide, Mock-Training Exercise to Prepare for Zoonotic Influenza, immediately followed by South Korea: MAFRA Conducts A Preemptive Virtual Quarantine Exercise (CPX). 

In November, South Korea MAFRA Ordered Strengthened Quarantine Measures After 3 HPAI H5 Subtypes (H5N1, H5N6, H5N9) Detected In Wild Birds, and issued stern warnings to farms over lapses in biosecurity South Korea: MAFRA Identifies Biosecurity Breaches On HPAI Infected Poultry Farms).

In early January MAFRA described this year's avian flu season as particularly challenging (see below) and announced Special Quarantine Measures Implemented for one Month to Prevent the Spread of HPAI (now extended to March 31st):

This winter season, for the first time in Korea , three types of viruses ( serotypes : H5N1, H5N6, H5N9) were detected in wild birds and poultry farms, and in particular, the highly pathogenic avian influenza virus ( serotype H5N1) confirmed in Korea this winter season was confirmed to be more than 10 times more infectious than in previous years, making the situation very serious with a higher risk of additional outbreaks than ever before .

Today MAFRA has released an eye opening report on their investigation into the biosecurity practices found on 50 of this year's 53 infected poultry farms, which  reports 70% of these farms had at least one serious violation.

• 70%: No disinfection or protective clothing for people entering farms
• 68%: Vehicles entering/exiting farms not disinfected
• 66%: Poor overall sanitation management
• 62%: Workers not using farm-specific clothing/footwear
• 48%: Inadequate barriers to prevent entry of wild animals

Although it is a fairly lengthy report, I've posted the full translation below.  I'll have a brief postscript after the break. 

Strict measures, including reductions in compensation, will be taken after identifying numerous farms where highly pathogenic avian influenza outbreaks have occurred and quarantine deficiencies have been identified.

2026.03.09 13:05:00 Avian Influenza Prevention Division, Quarantine Policy Bureau

The Central Disaster and Safety Countermeasures Headquarters for Highly Pathogenic Avian Influenza ( Director Song Mei-ryeong, Minister of Agriculture, Food and Rural Affairs , hereinafter referred to as the Central Disaster and Safety Countermeasures Headquarters ) announced that the epidemiological investigation conducted so far on poultry farms where highly pathogenic avian influenza occurred this winter has revealed numerous inadequate quarantine measures , and that quarantine management has been strengthened to prevent further outbreaks due to the risk of the outbreak due to the full-scale northward migration of winter migratory birds .

1. Analysis of the situation

This ('25/'26 season ) , 53 cases of highly pathogenic avian influenza have occurred in poultry farms and 62 cases in wild birds as of March 9th .

* Poultry farm occurrence status ( total 53 cases ): 13 cases in Gyeonggi , 9 in North Chungcheong , 9 in South Chungcheong , 4 in North Jeolla , 10 in South Jeolla , 5 in North Gyeongsang , 1 in South Gyeongsang , 1 in Gwangju , 1 in Sejong

** Status of wild bird detection ( total 62 cases ): Gyeonggi 6 , Gangwon 8, Chungbuk 1, Chungnam 14, Jeollabuk-do 6, Jeollanam-do 7 , Gyeongbuk 3, Gyeongnam 5, Jeju 4, Seoul 4, Busan 2, Incheon 1, Gwangju 1

This winter, for the first time in Korea, three types of highly pathogenic avian influenza viruses ( serotypes : H5N1, H5N6, H5N9) were detected in wild birds and poultry farms . The Animal and Plant Quarantine Agency evaluated the infectivity and pathogenicity of the domestic poultry virus (H5N1) and found that the infectivity was more than 10 times higher than in previous years. As the disease can easily spread even with a small amount of virus, more thorough quarantine management such as disinfection and access control is needed than ever before .

According to the results of the February migratory bird population survey, there are a large number of birds, 1.33 million, and highly pathogenic avian influenza has been continuously occurring in poultry farms and wild birds recently . Considering the cases of outbreaks during the migratory bird migration period since March, there is a risk of additional outbreaks. Therefore , poultry farms should strengthen their own quarantine and disinfection , and if they have any suspicious symptoms , they should quickly report them to quarantine authorities .

* Farm (53 cases ): (September ) 1 case → (October ) 1 case → (November ) 4 cases → (December ) 22 cases → ( January ) 10 cases → (February ) 13 cases → ( March ) 2 cases

Migratory birds (62 cases ): (September ) 0 cases → (October ) 2 cases → (November ) 11 cases → ( December ) 10 cases → (January ) 19 cases → (February ) 20 cases → ( March ) 0 cases

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

< Results of epidemiological investigation of the outbreak farm >

Interim epidemiological investigations of the 50 confirmed outbreak farms to date have revealed that many farms are not complying with basic quarantine guidelines . Accordingly, the Central Disaster and Safety Countermeasures Headquarters plans to strictly enforce administrative sanctions, such as fines, and reductions in compensation for livestock disposal, in accordance with the Livestock Infectious Disease Prevention Act, against 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 farm where the disease occurred will basically receive a reduction of 20 % of the livestock evaluation price , and if any insufficient quarantine measures are found, the compensation will be reduced for each applicable item.

During the special quarantine period for highly pathogenic avian influenza (AI) (October 1, 2025 - February 13, 2026) , the Animal and Plant Quarantine Agency mobilized its on-site inspection team ( 40 people in 20 teams ) to inspect the quarantine management compliance of poultry farms. As a result , a total of 59 farms were found to have violated the quarantine management and were issued certificates . Of these , 43 (72.9%) were laying hen farms, accounting for more than two -thirds .

* 59 farms in violation : 43 laying hens , 4 broilers , 3 each of meat ducks and broiler breeders , 2 laying breeders , 1 each of breeders , native chickens , hatcheries , and livestock vehicles

In the case of the laying hen farm with the most violations ( No. 43 ) , the number of violations was 57 , and 24 cases * (42.1%) of them were found to be violations of the “ Administrative Orders and Notices, ” which are the entry control and quarantine standards for poultry farms that must be followed during the special quarantine period . Among them , the violation of “ Failure to perform Stage 2 disinfection of vehicles entering and exiting the farm ” (13 cases ) was confirmed as the most common .

* 13 cases of failure to implement two- stage disinfection (1st stage disinfection with vehicle disinfection machine → 2nd stage disinfection of vehicle wheels, etc. with high-pressure sprayer ) upon entry of livestock vehicles into farms, 10 cases of violation of prohibition of entry into farms by egg transport vehicles , vaccination team vehicles , and poultry loading/unloading crew personnel transport vehicles , etc.

3. Strengthening quarantine measures

The Central Disaster and Safety Countermeasures Headquarters will strengthen quarantine measures as follows to prevent further outbreaks due to migratory birds moving north .

First , in order to prevent further outbreaks in laying hens across the country, one-on-one dedicated officers will be assigned to laying hens with more than 50,000 hens nationwide by March to manage vehicles and people entering and exiting the farms . In particular, control posts installed at densely populated poultry farms and large laying hens with more than 200,000 hens will be intensively inspected to ensure compliance with quarantine measures, such as disinfection of vehicles entering the farms .

Second , the Ministry of Agriculture , Food and Rural Affairs, the Ministry of Public Administration and Security , and provincial/ provincial governments will jointly inspect the quarantine situation in 32 cities and counties at risk during the migratory bird migration season (until March 17) and manage any deficiencies by supplementing them .

* ( Gyeonggi area ) 7 including Anseong , Hwaseong , Pyeongtaek , and Pocheon , ( Chungcheong area ) 8 including Eumseong , Asan , Cheonan , and Sejong , ( Jeolla area ) 12 including Gimje , Iksan , Naju , and Muan , ( Gyeongsang area ) 5 including Uiseong , Bonghwa , and Changnyeong

Third , to eliminate viruses during the risk period, the period from March 5 to March 14 will be designated as “ National Disinfection Week ,” and disinfection will be carried out at least twice a day on farms , livestock facilities , vehicles, etc.

Fourth , in cooperation with producer groups, etc., we will promote and guide the ' Quarantine Management Reinforcement Campaign * ' targeting poultry farms for one month in March so that quarantine rules can be thoroughly implemented on site .

* Key initiatives : ① Change your boots when entering and exiting the barn , ② Clean and disinfect , ③ Work on the old books

4. Requests

The Ministry of Agriculture, Food and Rural Affairs' Director of Quarantine Policy, Dong-sik Lee , said, " As a result of the epidemiological investigation into poultry farms where highly pathogenic avian influenza occurred this winter , it was confirmed that most farms were not properly following basic quarantine rules, such as not disinfecting or wearing quarantine clothing ." He requested , " The relevant local governments should take strict measures in accordance with relevant regulations and repeatedly provide guidance and education so that poultry farms can be vigilant and make every effort to manage quarantine at the farm level . "

In addition , he emphasized again that “ the current situation is very critical as highly pathogenic avian influenza virus is continuously being detected in wild birds, ” and that “ poultry farms should thoroughly follow basic quarantine rules such as two- stage disinfection of vehicles entering the farm and changing boots with the mindset of ‘ I protect my own farm ’ to prevent further outbreaks . ”

Although South Korea's bird flu problem may have already peaked for the season, it is not unusual to see sporadic outbreaks extend into May or even June. It doesn't help that South Korea is also dealing with concurrent outbreaks of ASF and FMD. 

Repeated assertions that this year's avian flu is `10 times more infectious' are worrisome, but difficult to quantify. Multiple outbreaks of H5N9 (see South Korea: H5N9 Rising) are more tangible, and equally concerning. 

While it appears that some (perhaps, much) of South Korea's current avian flu woes can be attributed to lapses in farm biosecurity, it is possible they are also dealing with a more challenging wave of HPAI. 

If that turns out to be true, then the rest of the world could find themselves facing similar challenges next fall. 

Nature Comms: Mapping Global Avian Influenza Risk Patterns Through Waterbird Activity Entropy

 

#19,078

During the latter half of the 20th century Asia - and China in particular - had earned the reputation of being the `cradle of influenza', and was considered the most likely source of the next pandemic virus.

While ignoring the 1918 outlier, the last 2 pandemics of the last century (1957 & 1958) had both emerged from that part of the world, and in 1996 a new novel flu threat - H5N1 - had briefly emerged in Hong Kong. 

Over the past quarter century China/Asia has served as the launching pad for a variety of novel flu viruses (HPAI H5N1, H5N6, H5N8, LPAI/HPAI H7N9 . . among others), along with both SARS-CoV and SARS-CoV-2 (COVID). 

But there have been notable exceptions; the 2009 H1N1 pandemic emerged from North American pigs, MERS-CoV was first detected on the Arabian peninsula (although it likely came from camels imported from Africa), and we've seen other threats - like Mpox and Ebola - emerge from Africa as well. 

While it is unlikely there will ever be a one-size-fits-all-viruses model, researchers continue to try to find ways to predict where the next pandemic virus will come from, in hopes that targeted surveillance might help contain it - or at least provide early warning. 

In 2013's EID Journal: Predicting Hotspots for Influenza Virus Reassortment, we looked at a study that identified 6 key geographic regions where influenza A reassortments were mostly likely to emerge. As you might expect, high on their list was Eastern mainland China.

Potential geographic foci of reassortment include the northern plains of India, coastal and central provinces of China, the western Korean Peninsula and southwestern Japan in Asia, and the Nile Delta in Egypt.

Just two weeks after this study was published, China announced the first human cases of H7N9 (see China: Two Deaths From H7N9 Avian Flu), which was to herald the start of a 5-year battle against the virus. 

Since then, we've seen a number of attempts to identify `hotspots' for viral spillovers. 

Almost exactly 4 years before COVID-19 emerged, we looked at a study of potential hotspots for the emergence of novel bat viruses (see Study: Hotspots For Bat To Human Disease Transmission).

This study cited West Africa, sub-Saharan Africa and Southeast Asia as being the most likely sources for a bat-borne pandemic.

For novel influenza A viruses, wild migratory birds have driven most of its global spread and spillovers into poultry, small mammals, and livestock (including cattle).  

While originally thought largely limited to aquatic birds (Anseriformes), in recent years HPAI's host range has greatly expanded (see DEFRA: The Unprecedented `Order Shift' In Wild Bird H5N1 Positives In Europe & The UK).

Last month, in Nature Comms: Assessing HPAI-H5 Transmission Risk Across Wild Bird Migratory Flyways in the United States, we looked at a study that mapped the spillover risks of HPAI H5 in the United States. 

Quite unexpectedly, Strigiformes (owls) had the strongest transmission capacity, with an R0 of 3.164. Previously owls (and raptors in general) had been thought highly susceptible, but likely to succumb before spreading the virus. Anseriformes (waterfowl), surprisingly, had the weakest transmission capacity, with an R0 of 0.992.

Today we've another study that uses migratory waterbird tracking - albeit on far more ambitious global scale - to map global risk patterns for HPAI  spillover to humans, cattle, and poultry. 

Using citizen-scientist observation data (e.g., GBIF or eBird) and machine learning, the authors created species distribution models (SDMs) to map, on a monthly basis, where 779 waterbird species can be found worldwide.

From this, they created a `waterbird activity entropy' (WAE) index number, which they compared to known spillovers in those regions. They found that a higher WAE number correlated strongly to more spillovers. 

Finally, they combined WAE numbers with maps of human, cattle, and poultry density to identify potential `hotspots', where spillovers would be most likely, and which could benefit most from surveillance and biosecurity measures. 

As the map above illustrates, they cite four large regions as potential hotspots for HPAI spillover" the USA, the European Union, China, and India.  They do, however, point out limited surveillance in sub-Saharan Africa.

The authors write:

Notably, the AIV exposure hotspots in the USA, EU, China, and India contain 52% of the globally exposed human population, 41% cattle, and 51% poultry.

Despite reporting <1% of global cases, sub -Saharan Africa contains >300 Mha of hotspots area (15% globally ), highlighting considerable surveillance gaps.

This WAE -based framework enhances AIV risk assessment by incorporating waterbird residency time, offering critical insights for anticipating AIV emergence and improving surveillance.

This is a fascinating study, which provides a unique reusable global map of waterbird-driven avian flu hotspots, which will hopefully help countries prioritize surveillance, and allocate resources, in our ongoing battle against avian flu.

I've only posted the abstract and some excerpts. Follow the link to read it in its entirety.  You'll find a number of detailed maps at the bottom of the PDF file.

Mapping global avian influenza risk patterns through waterbird activity entropy

Yuzhe Li, Yuxin Qiao, Yue Zhan, Jinwei Dong, Mariëlle van Toor, Jonas Waldenström, A. Townsend Peterson, Qiang Zhang, Zhichao Li, Weipan Lei, Fanshu Du, Juan Pu, Dayan Wang & Xiangming Xiao
Nature Communications , Article number: (2026) Cite this article

       PDF 

We are providing an unedited version of this manuscript to give early access to its findings. Before final publication, the manuscript will undergo further editing. Please note there may be errors present which affect the content, and all legal disclaimers apply.

Abstract

Avian influenza viruses (AIV) pose a major zoonotic threat with pandemic potential. Waterbirds facilitate AIV spillovers into farm animals and humans through exposure and virus reassortment.

Here, we propose waterbird activity entropy (WAE), an indicator of waterbird activity intensity based on monthly distributions of 779 species worldwide. WAE demonstrated high explanative power (AUC = 0.87 ± 0.001) for global avian influenza cases, particularly for H5N1, revealing the potential of WAE for identifying AIV exposure hotspots which cover 14% of global land area.

Notably, the AIV exposure hotspots in the USA, EU, China, and India contain 52% of the globally exposed human population, 41% cattle, and 51% poultry. Despite reporting <1% of global cases, sub-Saharan Africa contains >300 Mha of hotspots area (15% globally), highlighting considerable surveillance gaps.

This WAE-based framework enhances AIV risk assessment by incorporating waterbird residency time, offering critical insights for anticipating AIV emergence and improving surveillance.

Introduction 

The last four influenza pandemics (in 1918, 1957, 1968, and 2009) originated primarily from avian influenza virus (AIV) strains or genetic reassortment of AIV 1,2. Most spillover events among domestic animals and humans are related to various AIVs carried by bird species associated with wetlands , aquatic , and marine habitats 3,4 (hereafter waterbirds).

These various and recurring reassortments, coupled with frequent interactions between wild waterbirds and domestic animals, facilitate the virus ’s ability to cross between diverse host species 5,6, including wild and domestic birds, mammals, and occasionally humans 7,8 . For example, highly pathogenic avian influenza (HPAI) subtype H5N1 viruses have rapidly expanded their host range among waterbirds (especially long -distance migratory seabird and shorebird species) in recent years , increasing the risk of cross -continental spreading of emerging AIVs 3,9 . Therefore, identification of waterbird diversity and activity is significant, with a high risk of AIV spillover from natural ecosystems

        (SNIP)

As waterbirds are the primary AIV reservoir host 4 , this study provides an exposure risk analysis framework that considers the effects of migrating waterbirds in the context of climate and land use status. This framework enables a more accurate and balanced assessment of avian influenza risk, particularly in developing countries with limited surveillance resources. By addressing these interconnected factors, this study aligns with the One Health strategy, which considers different interfaces among waterbirds, poultry, cattle, and humans 38 , to predict and manage AIV risk more effectively in the future.

       (Continue . . . )

California DPH Advice to Public After H5N1 Detected in Elephant Seals

Credit Wikipedia

#19,077 

Ten days ago in  California: Background on the Outbreak of H5N1 in Elephant Seals at Año Nuevo Natural Reserve, we looked at the first reports of the detection of HPAI H5 in North American Elephant Seals.  

We also reviewed the devastating outbreaks previously reported in South America, and looked back at several studies on its increasing transmission among marine mammals (see here, here, and here). 

The initial report announced that 7 weaned seal pups had tested positive, after a small number of seals (later described by media as ~ 30) showed signs of illness (abnormal respirations, tremors, and neurological symptoms).

Disappointingly, we still don't have any publically released information on the genotype - or any other genomic information - beyond the subtype (reportedly H5N1).

According to their own documentation, a national reference lab like the NSVL should  be able - assuming they received viable, high quality samples - to sequence a priority novel flu virus in less than a week.

But in actual practice (see Nature: Lengthy Delays in H5N1 Genome Submissions to GISAID), the public release of data often takes weeks or even months. 

Official updates have been noticeably scant since the original announcement, but last night the California Department of Public Health published their first communications on this event, where they urge the public to be extra cautious around marine mammals and wild birds. 

CDPH Urges Public to Avoid Sick or Dead Marine Mammals and Birds Along California Coast

​March 6, 2026
NR26-010

Bird flu detected in elephant seal pups at Año Nuevo State Park; risk to public remains very low 

but officials urge caution 

What You Need to Know: H5N1 bird flu has been confirmed for the first time in northern elephant seal pups at Año Nuevo State Park​ in San Mateo County. While the risk to the general public remains very low and there is no evidence of seal‑to‑human transmission, CDPH urges people to avoid contact with sick or dead wildlife, including dead birds, to limit the potential transmission of bird flu to humans. Local, state, federal and academic partners continue to monitor and test wildlife to understand the scope of the incident. 

SACRAMENTO – The California Department of Public Health (CDPH) is urging the public to avoid contact with dead or distressed marine mammals and wild birds along the California coast after H5N1 bird flu, also known as highly pathogenic avian influenza (HPAI), was confirmed in weaned northern elephant seal pups at Año Nuevo State Park in San Mateo County. Wildlife workers are closely monitoring nearby beaches in San Mateo and Santa Cruz counties and conducting additional surveillance from Sonoma to San Luis Obispo County to better understand the possible spread of this disease.  ​

These findings represent the first documented cases of bird flu in northern elephant seals and the first detection of the virus in any marine mammal in California. As a precaution, California State Parks has closed key areas and cancelled public tours at Año Nuevo State Park for the remainder of the season to protect the animals and minimize the potential spread of disease.

“While the detection of bird flu in these young seals is concerning, it also shows that our surveillance systems are functioning as intended,” said Dr. Erica Pan, CDPH Director and State Public Health Officer. “The risk to the general public remains very low, but Californians can protect themselves and their pets by avoiding contact with sick or dead marine mammals or birds, keeping pets on a leash near beaches, and respecting area closures. CDPH will continue to work closely with local, state, federal and academic partners to monitor this situation, support safety for workers who may be exposed, and provide updates as more information becomes available.” 

What Californians Can Do: Avoid Contact with Wildlife 

Bird flu is a disease that has the potential to spread between animals and people, including pets. Although the risk of infection to the general public remains very low and there is no evidence of seal-to-human transmission, beachgoers should not touch live or dead marine mammals or birds or allow pets to approach these wild animals.  

CDPH guidance for the public: 

• Stay 150 yards away from elephant seals and all wild marine mammals and seabirds whenever possible. 
  

• Keep children and pets away from sick, injured or dead wildlife. 
  

• Do not approach, touch or attempt to assist marine mammals or seabirds, as this can spread disease and cause harm to both animals and people. 
  

• Transporting potentially sick wildlife to a rehabilitation center, veterinary clinic or other animal facility can increase exposure risk. Always contact the facility first​ for guidance and to determine if the animal should be collected. 
  

• Report sightings of sick, injured or dead marine mammals to the NOAA West Coast Marine Mammal Stranding Hotline: (866) 767‑6114. 
  

• Report sick or dead birds to the California Department of Fish and Wildlife. 
  

CDPH recommendations for wildlife workers:  

• Wear appropriate personal protective equipment (PPE) including gloves, eye protection and respiratory protection when working with sick or dead marine mammals.  
  

• Report any influenza-like symptoms after exposure to your local health department.  
  

• Seek testing if any symptoms develop within 10 days post-exposure. Persons with influenza (either regular seasonal influenza or bird flu) may be eligible for antiviral treatment to reduce disease severity.   
  

• If you’re not feeling well after a possible exposure: 
  

• Stay home, rest, and avoid contact with others except to get medical care. If you seek care for symptoms, notify your healthcare provider of your potential exposure to bird flu before or immediately on arrival. 
  

• Wear a mask indoors around other people and when entering any healthcare facility. 
  

• Wash your hands often (or use hand sanitizer with at least 60% alcohol if soap and water aren’t available). ​
  

Bird flu infections in people are rare, but infection can occur if the virus enters a person’s eyes, nose or mouth, or is inhaled during close unprotected contact with infected animals or by touching contaminated surfaces and then touching the eyes, nose or mouth. Pets such as dogs and cats may also be at risk of illness if they interact with infected wildlife. 

What CDPH is Doing: ​

CDPH is actively coordinating with California State Parks, the California Department of Fish and Wildlife, NOAA Fisheries, UC Davis, UC Santa Cruz, The Marine Mammal Center and the US Department of Agriculture to monitor and respond to incidents involving sick and dead elephant seals and other marine mammals. 

CDPH is supporting and advising local health departments with monitoring exposed personnel, providing appropriate personal protective equipment (PPE) and testing when needed, and ensuring public health and wildlife safety. Surveillance of wildlife in coastal areas has increased, and CDPH continues to monitor statewide influenza activity for any signs of bird flu in humans. 

Incident Timeline 

Initial signs of illness were observed in seal pups on February 19–20, when researchers noted weakness, tremors, seizures, abnormal neurological behavior and sudden death in some animals. Samples collected from sick and deceased pups tested positive for influenza A and were subsequently confirmed as H5N1 by the USDA National Veterinary Services Laboratories. 

With the spring northbound migration of birds now firmly underway, we've seen Several States Warn On Contact With Wild Birds/Mammals in recent weeks.  

While the public remains largely apathetic to the threat of HPAI (see Two Surveys (UK & U.S.) Illustrating The Public's Lack of Concern Over Avian Flu), the reality is the risks - while still fairly low - continue to increase. 

Making the above advice very much worth heeding. 

IJID: Lack of Respiratory Droplet Transmission of Two Recent Human Influenza A(H5N1) Viruses in Female Ferrets

 

#19,076

Today we've a study that reminds us how much we've yet to learn about what it takes for a novel zoonotic virus - like HPAI H5Nx - to turn into a genuine pandemic threat.  

First, a bit of history.

In the months following the discovery of first human infection with the Bovine B3.13 H5N1 virus (aka TX/37) in March of 2024, we saw a number of conflicting reports on the virulence and transmissibility of the HPAI virus in ferrets (see CDC: Updated Results On Texas H5N1 Virus In Ferrets).

Differences in methodology, equipment used, and endpoints, the host source (human vs bovine), viral evolution during isolation (cell culture vs eggs), and the use of a relatively small number of test animals all could have contributed to these mixed results.  

A reminder that no study design is perfect, that research is often incremental, and that we should view each new finding in the context of what has previously been reported by others.   

I mention all of these limitations because today's study, once again, provides some unexpected results. 

Researchers at the Kawaoka lab at the University of Wisconsin-Madison, along with international partners took two human isolates (1) B3.13 from a Dairy Worker in Michigan (MI90) and (2) a D1.1 from the B.C. adolescent (BC2032) who was critically ill, and tested their transmissibility in female ferrets. 

• Interestingly, the B3.13 virus (MI90) - which only caused mild conjunctivitis in its human host - caused severe disease, extra-respiratory spread, and was lethal in test ferrets.

• While the D1.1 virus (BC2032) - which put a teenage girl on ECMO - produced milder illness and no lethality in ferrets. 

• And neither virus transmitted via respiratory droplets in ferrets.

In addition to these non-intuitive findings, the authors also report that previous studies found the D1.1 (BC2032) strain led to 100% lethality in ferrets, while earlier studies found the MI90 strain caused `. . . sub-lethal disease in ferrets, with respiratory droplet transmission detected in 50% of naïve exposed animals.'

As we've discussed often, we have only a partial understanding of what genetic changes are needed to increase the virulence, transmissibility, or host range of a novel influenza A virus like HPAI H5. 

Scientists often look for a handful of known amino acid changes (e.g. PB2 mutations like E627K, D701N, Q591K, and M631L and HA mutations like Q226L and E190D) which may favor mammalian adaptation, but new ones (see Sci. Adv.: PB2 and NP of North American H5N1 Virus Drive Immune Cell Replication and Systemic Infections) continue to be discovered.

And many minor, seemingly innocuous genetic changes - when stacked in the right combination - can greatly increase or decrease, their impact. 

Exactly what part these (and other) factors may have played in today's unexpected results remains to be seen. I've just posted the abstract, and some brief excerpts, so follow the link to read the study in its entirety. 

I'll have a brief postscript after the break.

Lack of Respiratory Droplet Transmission of Two Recent Human Influenza A(H5N1) Viruses in Female Ferrets

Tong Wang 1, Chunyang Gu 1, Lizheng Guan 1, Asim Biswas 1, Tadashi Maemura 1, Hassanein H. Abozeid 1 2, Peter J. Halfmann 1, Gabriele Neumann 1, Amie J. Eisfeld 1, Yoshihiro Kawaoka 1 3 4 5 
https://doi.org/10.1016/j.ijid.2026.108514 Get rights and content
Under a Creative Commons license

 

Highlights

• Two human clade 2.3.4.4b H5N1 viruses (B3.13 and D1.1) were tested in ferrets.

• MI90-H5N1 (B3.13) caused severe disease, extra-respiratory spread, and lethality.

• BC2032-H5N1 (D1.1) caused milder disease with no lethality in ferrets.

• Neither virus transmitted via respiratory droplets in ferrets.

• Respiratory droplet transmissibility of clade 2.3.4.4b H5N1 viruses appears variable.

Abstract

Background

Clade 2.3.4.4b highly pathogenic avian influenza A(H5N1) (HPAI H5N1) viruses are widespread globally and have transmitted from birds to dairy cattle at least four times in the United States, including once by a genotype B3.13 virus and three times by genotype D1.1 viruses. Despite their prevalence and known ability to infect humans, only a few studies have examined respiratory droplet transmission capabilities of clade 2.3.4.4b viruses in mammalian models of influenza infection.

Methods

Here, we assessed respiratory droplet transmission of two recent human clade 2.3.4.4b HPAI H5N1 viruses – A/Michigan/90/2024 (‘MI90-H5N1’), a B3.13 isolate, and plaque-purified A/British Columbia/PHL2032/2024 (‘BC2032-H5N1’), a D1.1 isolate – in the ferret model.

Findings

We found that MI90-H5N1, in contrast to earlier findings, causes severe disease and partial lethality in ferrets, with virus spread to extra-respiratory organs and no respiratory droplet transmission. BC2032-H5N1 caused less severe disease with no lethality in ferrets and, consistent with a recent report, failed to transmit via respiratory droplets.

Interpretation

Together with other reports, our results suggest that respiratory droplet transmissibility of clade 2.3.4.4b viruses is variable. Therefore, continued monitoring and risk assessment for emerging HPAI H5N1 viruses is essential to better understand their pandemic potential.

(SNIP)

A limitation of this study is that transmission was assessed in a single mammalian model under defined laboratory conditions, which may not fully capture variability in natural exposures or host species. 

Only single isolates of each genotype were evaluated,and the BC2032-H5N1 virus used here was plaque-purified, capturing only one variant from a clinically heterogeneous sample.

Additionally, female ferrets were used in our  experiments, whereas the CDC study employed male ferrets; potential effects of sex on disease severity or transmission efficiency were not assessed. 

Finally, modest sample sizes could limit detection of rare transmission events.

Overall, these findings underscore that while some clade 2.3.4.4b H5N1 viruses can transmit via respiratory droplets, transmission efficiency is variable and may be dependent on virus genotype, pathogenicity, and other host and/or environmental factors. Therefore, it is critical to continue monitoring and risk assessment for emerging HPAI H5N1 viruses to better understand their pandemic potential. 

 

Obviously, there is still a great deal of uncertainty in influenza research. This isn't the first time we've confronted conflicting data, nor will it be the last.  A few past blogs include:

When Studies Collide (COVID-19 Edition)

When Flu Vaccine Studies Collide

When Studies Collide (Revisited)

Why Preprints Are Only Preprints

A reminder that gaining scientific knowledge is a process . . . one that evolves over time and often involves detours, setbacks, and constant reevaluation. 

Assuming scientific certainty about anything is often the first step towards a humbling. 

But even with its limitations, it is still the best method we have to understand our surroundings. 

UK Defra Announces New Avian Influenza Vaccine Trials Begin in UK

 

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With agricultural losses mounting from avian influenza, more and more farmers are clamoring for the ability to protect their flocks with vaccines, yet many countries remain slow to embrace that strategy.

While poultry vaccination would seem to be the ideal solution, its success rate over the years has been inconsistent, and we've seen evidence that suboptimal formulations and application can help drive viral evolution. 

Although we've seen some impressive success stories (see OFID: Avian H5, H7 & H9 Contamination Before & After China's Massive Poultry Vaccination Campaign), we've also seen some significant failures (see J. Virus Erad.: Ineffective Control Of LPAI H9N2 By Inactivated Poultry Vaccines - China), often due to poorly designed and/or applied vaccines.

The problem is that a vaccine that is only partially effective may merely mask the symptoms of infection, but still allow the virus to spread stealthily and continue to evolve (producing vaccine-induced escape mutants).

Eleven months ago, in NPJ Vaccines: Impact of Inactivated Vaccine on Transmission and Evolution of H9N2 Avian Influenza Virus in Chickens, a report warned that inactivated vaccines have failed to prevent - or even reduce - H9N2 in China's poultry, and may have driven viral evolution (including mammalian adaptations).

In 2023 WOAH (formerly the OIE) announced a policy shift (see WOAH: Rethinking Avian Influenza Prevention and Control Efforts) that recommended a comprehensive control strategy that integrates vaccination with other measures (including testing & culling if needed).

But most countries - including the United States, Canada and the UK - have yet to authorize HPAI poultry vaccines, although many are studying the matter.

This statement from Canada's CFIA:

Why Canada doesn’t currently vaccinate poultry against HPAI

Canada has historically maintained an HPAI response strategy focused on disease eradication and does not currently vaccinate poultry to protect against HPAI. The scale and duration of the ongoing outbreak, however, has increased global interest in exploring vaccination as a tool for disease management. Some countries already use vaccines as a preventative measure.

Last March's UK Joint Taskforce Policy Paper: Vaccination of Birds Against HPAIV (bird flu) continues to promote eradication, warning:

Use of avian influenza vaccine may reduce poultry mortality and clinical signs of the disease following infection. However, vaccinated birds can still become infected, shed virus, and transmit the virus to other vaccinated or unvaccinated birds, mammals and humans.

Last July the UK published an independent report outlining the many challenges inherent in adopting a vaccination strategy, which discussed the possibility of conducting a limited and targeted turkey vaccination trial as a first step.

Today the Defra announced that a six-month trial has begun (see below), on a small group of birds under strict supervision. 

First the press release, after which I'll have a postscript.

Press release

New avian influenza vaccine trials begin in UK

New targeted trial in turkeys will test vaccine efficacy as part of fight to protect wild and captive birds

From:Department for Environment, Food & Rural Affairs, Animal and Plant Health Agency and Baroness Hayman of Ullock Published 5 March 2026

Highly pathogenic avian influenza (HPAI) vaccine trials have started today (Thursday 5 March) in a major step forward in the fight against the disease.

New trials will explore the potential for the latest vaccines to protect birds, focusing on turkeys only in England, providing valuable insight into how well vaccines work in the field, how surveillance can be managed to retain trade and how vaccines can help manage the disease.

The scale of avian influenza outbreaks in the UK and Europe within the last few years has been unprecedented, causing devastation for bird keepers on the frontline and the poultry sector. Annual outbreaks cost the UK Government and industry up to £174m each year. The disease has significantly impacted both captive and wild birds globally since 2020.

Turkeys have been selected as a priority species for further research as they are highly susceptible to avian influenza, with outbreaks resulting in severe clinical signs with rapid and elevated mortality rates.

The trial will sample a small group of birds under strict supervision following approval from the Veterinary Medicines Directorate (VMD) and using UK/ EU authorised vaccines. Vaccinating poultry against bird flu is not currently allowed more widely in the UK.

 Biosecurity Minister Baroness Hayman said:

We know what a terrible toll this disease has annually on our farmers and poultry sector.

The start of new vaccine trials are a significant step forward in our fight against this disease and will contribute to global research efforts. We are hopeful vaccines can be used in the UK as an additional tool to control bird flu to protect the UK’s biosecurity and food supply.

UK Chief Veterinary Officer Christine Middlemiss said:

This targeted trial is going to be really key for our understanding of how HPAI vaccines can be effectively used for disease control in the UK. They have the potential to be a really valuable additional tool in helping us protect birds from infection.

Stringent biosecurity will always remain our best defence and I urge all bird keepers to continue to take the steps needed to prevent avian influenza spreading onto their premises.

Animal and Plant Health Agency Avian Influenza Disease expert Professor Ashley Banyard said:

The scourge of this disease has impacted both captive and wild birds populations globally since 2020. The impact has varied annually, which makes forecasting of disease events very difficult.

Assessing the ability of these vaccines to generate an immune response in turkeys will give a good indication of the suitability of these vaccines as tools to protect birds against H5N1.

The trial will evaluate how vaccines could be safely and effectively integrated into the UK’s disease control strategy, generate data on vaccine efficacy and contribute to the growing international body of research on HPAI vaccination. It will help us understand how vaccines can be effectively used in the UK as an additional tool to control bird flu and provide valuable information on vaccine effectiveness and contribute to global research efforts, during these challenging times,

The potential benefits of HPAI vaccination are being considered in several countries experiencing similar challenges to the UK. In Europe there are ongoing trials of vaccines in Italy and the Netherlands.

Stringent biosecurity remains the best defence against the disease. All bird keepers should familiarise themselves with the steps they need to take to prevent bird flu and avoid any potential for it to spread. Remaining vigilant for signs of disease, and reporting this promptly, will help to keep birds safe.

The trials will last for 24 weeks and will provide insight into the final recommendations of the UK HPAI vaccination taskforce.

ENDS

Notes to editors: In July 2025, the Taskforce published a report outlining the current status and challenges of vaccination, exploring future options for vaccination of birds in different sectors including a cost benefit analysis and a recommendation for a domestic field vaccination trial in turkeys.

With poultry vaccination programs, the devil is always in the details.  

Last August, in Vaccine X: H5N1 Highly Pathogenic Avian Influenza Vaccination: Seroresponse of Mexican Poultry in the 2022–2024, we looked at the first two rounds of HPAI poultry vaccination in Mexico. 

While seroconversion and seroprotection rates approached or exceeded 80% in many states, looking at the breakdown of the 20 states included in the first round, 7 (33%) scored considerably lower, with 2 states in single digits. 

The authors noted:

These limitations were evident in period one, mainly across southeastern Mexican states because they did not mount an immune response after vaccination with seroconversion and seroprotection rates less than 10 % of their population.

It is likely that some of the critical points of the vaccination plan were not fully met or were not carried out properly.

And that's the rub.  What may work perfectly under strict supervision can fall apart in the real world due to poor or careless execution. And when that happens, it can afford the virus new opportunities to spread or evolve. 

Surveillance and frequent testing of vaccinated flocks is also crucial in order to detect `silent' infections.  This can't be a `vaccinate and forget' strategy. 

Although poultry vaccination may well be our best (or only) control option going forward, it is imperative that it is done consistently, properly, and with continually updated vaccines. 

Else we risk making a bad problem considerably worse. 

OFFLU: Global Overview of Spread & Impact of H5 Clade 2.3.4.4b HPAI virus in Wildlife, 2020-2024

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Offlu has just published a 77-page overview on the impact of the  HPAI H5Nx virus on global wildlife during the opening years (2020-2024) of this ongoing, and unprecedented, epizootic.  

As you can see by the table of contents (below), there is far too much to adequately detail in this blog.  

While the data largely tells us where we've been, this document also  makes recommendations on where we need to be going, if we hope to limit the damage from this virus. 

Download it both as a reference, and as a guide going forward.