Global surge of highly pathogenic avian influenza H5N1

By Vijay Kumar MalesuOct 22 2023Reviewed by Sophia Coveney

In a recent study published in the journal Nature, researchers uncovered the ecological and virological dynamics behind the intensified global activity of highly pathogenic avian influenza (HPAI) H5N1 since 2021.

Man in protective gear tests a chicken for bird flu
Study: The episodic resurgence of highly pathogenic avian influenza H5 virus. Image Credit: Pordee_Aomboon/Shutterstock.com

The researchers revealed critical shifts in virus behavior and provided guidance for more effective future mitigation strategies.

Background

Influenza A viruses, part of the Alphainfluenzavirus genus and Orthomyxoviridae family, are classified by the antigenic properties of their surface proteins. While low-pathogenic strains commonly affect wild aquatic birds, high-pathogenic strains, notably H5 and H7 subtypes, emerge through mutations that enable severe infections in poultry.

Such viruses, especially the H5N1 subtype, have caused extensive outbreaks, often controlled through culling. These viruses evolve rapidly, exchanging genetic material with less severe strains, leading to widespread transmission across continents. Recent escalations in wild bird outbreaks, particularly by the H5N2, H5N6, and H5N8 (collectively H5Nx) viruses, prompt concerns over their evolving virulence and adaptability, highlighting the need for continuous surveillance and understanding of their evolutionary dynamics.

Further research is necessary to unravel the uncertain origins of the recent HPAI resurgences, understand the evolutionary pathways of HPAI H5Nx viruses in both wild and domestic birds, and interpret the broader ecological implications revealed through an extensive analysis of outbreak data and genomic sequences.

About the study

The researchers gathered HPAI H5 genomes featuring at least the Hemagglutinin (HA) gene, along with sample data like collection date, location, and host species, from the Global Initiative on Sharing Avian Influenza Data (GISAID) and National Center for Biotechnology Information (NCBI) databases as of July 2022.

They eliminated duplicates, lab-derived strains, and sequences with insufficient data or coverage, classifying the remaining genomes according to the identification World Health Organization (WHO) H5N1 nomenclature system using LABEL v.0.6.3. 

Further analysis divided clade 2.3.4.4 into subclades based on their phylogenetic relationships to WHO H5 candidate vaccine viruses, using a maximum-likelihood phylogenetic tree created with FastTree v.2.1.1.

Hosts were identified as either domestic or wild birds via strain names, metadata, and original publications, with location coordinates ensuring at least province/state-level accuracy for certain countries.

Visualization and discrete analysis utilized location classification into countries and regions per NextStrain’s list, with curated datasets subsampled to mitigate sampling bias.

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For phylogenetic analyses, sequences were aligned with Multiple Alignment using Fast Fourier Transform (MAFFT) v.7.490, then trimmed with trimAL v.1.4, and molecular clock outliers were identified using TempEst v.1.5.3.

Reassortment analyses involved constructing ML trees for each gene using IQ-TREE v.2.1.4, with a subset of isolates selected for comprehensive study. The researchers visualized the incongruence between phylogenetic trees of eight genes using Baltic v.0.1.5 and inferred the timeline of reassortment for recent viruses.

They gathered data on all reported and confirmed human infections from WHO and bird outbreaks from global animal health databases.

Bayesian evolutionary inference was employed to estimate divergence times and evolutionary rates, using various models and methods in Bayesian Evolutionary Analysis Sampling Trees (BEAST) v.1.10.4, ensuring an effective sample size of more than 200 post-burn-in.

They also conducted discrete phylogeographic analyses to reconstruct spatial diffusion among geographic regions and hosts, with significant transitions between states determined by Markov chains models.

To provide a more nuanced geographic history, the study estimated HPAI H5 diffusion in continuous space using a Cauchy relaxed random walk model and integrated spatial diffusion and host transmission processes to quantify host-specific diffusion rates and geographic expansion for each lineage. Visualization was carried out using various specialized software and libraries.

Study results

Since 2005, the Food and Agriculture Organization (FAO) and the World Organisation for Animal Health (WOAH) have reported concerning trends in the recurrence of (HPAI) H5 viruses among wild and domestic birds. Initially prevalent in Asia and Africa, these viruses have extended to Europe and North America, with four significant wild-bird epizootics since 2005, continuing into 2023.

Predominantly caused by clades 2.3.4.4 and 2.3.4.4b, these epizootics have impacted bird populations differently, with strains like H5N8 and H5N6 causing major outbreaks. The novel reassortant H5N1 virus is particularly alarming, overshadowing other HPAI H5 strains globally.

The outbreaks have led to substantial repercussions, including the culling of millions of birds, with surges correlating with increases in wild-bird cases, hinting at complex interplays in virus proliferation.

Genomic analyses reveal intricate origins and evolutions of these viruses. For instance, the 2014–2015 and 2016–2017 epidemics were traced back to separate viral lineages in China. The 2020–2021 outbreaks evolved from clade 2.3.4.4b H5N8 viruses, initially identified in Egyptian poultry, indicating regional evolution despite limited surveillance.

Genetic reassortment among European strains led to the virulent forms responsible for the 2021–2022 outbreaks.

The viruses’ global trajectory, especially the clade 2.3.4.4b H5N8 strain, has been systematic and persistent. Migration patterns from Egypt towards Russia and Eastern Europe in 2019, followed by spread across Eurasia and eastward to China, have led to new reassortments, including lineages causing human H5N6 infections.

Advanced studies combining Bayesian principles and asymmetric data analysis have traced virus dispersion patterns and spillover dynamics, showing a significant shift from Asia to Europe and Africa.

The persistence of the 2.3.4.4b clades in these new central loci has been longer, with notable phylogenetic shifts primarily among wild birds. Analysis has also uncovered significant intercontinental transmission activity, particularly between Asia and Europe.

These findings emphasize wild birds’ critical role in the long-distance propagation of HPAI H5 viruses, underlining the need for vigilant surveillance, robust reporting, and proactive measures in a profoundly interconnected world.

Understanding these dynamics is crucial for managing and mitigating future outbreaks, as regional issues can swiftly escalate into global crises.

https://www.news-medical.net/news/20231022/Global-surge-of-highly-pathogenic-avian-influenza-H5N1.aspx

Elephants are sedated, lifted by crane on to transporter trucks and moved to another safari park to control the herd’s growing population

  • Six-tonne elephants were drugged and hoisted by massive cranes
  • The elephants were hoisted onto trucks before being revived with antidotes
  • The effort comes as tensions between locals and elephants are on the rise

By PERKIN AMALARAJ

PUBLISHED: 05:35 EDT, 23 October 2023 | UPDATED: 12:24 EDT, 23 October 2023

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New images have revealed exactly how African conservationists have relocated several six-tonne elephants from one national park to another by drugging them and hoisting them into large trucks. 

Drowsy elephants can be seen lolling about in massive harnesses as cranes put them into trucks to be moved from Liwonde National Park to Kasungu National Park, both in Malawi, east Africa, to decrease their population and alleviate human-wildlife conflict in the area.

The animals, which were sedated, were elevated using a giant hoist. Frank Weitzer, a freelance photojournalist and field guide, admitted that transporting them was no easy feat.

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Frank said: ‘Loading elephant bulls (males) presents a challenge to capture teams due to the size and sheer weight of the males, which far exceeds that of the females.

‘In the past, bulls were hoisted into the transport crates by ropes tied to their ankles – the safest way to pull up an elephant by a crane – and placed on their sides before being administered the wake-up drug.

The majestic animals were sedated before being elevated using a giant hoist

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The majestic animals were sedated before being elevated using a giant hoist

African elephants can weigh up to six tonnes

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African elephants can weigh up to six tonnes

Male elephants are reportedly harder to move about than females, due to their size

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Male elephants are reportedly harder to move about than females, due to their size

Conservation Solution built a custom harness and rig to lift the elephants up

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Conservation Solution built a custom harness and rig to lift the elephants up 

African elephants are endangered animals, with population sizes dwindling every year

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African elephants are endangered animals, with population sizes dwindling every year

African elephants have been badly affected by habitat changes and poaching by hunters

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African elephants have been badly affected by habitat changes and poaching by hunters

Frank Weitzer said watching the experience was 'spellbinding'

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Frank Weitzer said watching the experience was ‘spellbinding’ 

Elephants are hoisted onto trucks and moved to another safari park