Animal health

Global Avian Influenza Viruses with Zoonotic Potential situation update

28 March 2024, 08:30 hours; Rome

Overview

This update covers avian influenza viruses (AIV) with zoonotic potential occurring worldwide, i.e. H5Nx, H7Nx high pathogenicity avian influenza (HPAI) viruses and H3N8, H5Nx, H6N1, H7Nx, H9N2, H10Nx and H11 low pathogenicity avian influenza (LPAI).

Specific information is available for Avian Influenza A(H7N9) virus viruses and Sub-Saharan Africa HPAI in related FAO Avian Influenza situation updates.

HPAI outbreaks in animals officially reported since last update (28 December 2023): in total, 484 outbreaks/events have been reported in five geographic regions caused by H5Nx (14), H5N1 (428), H5N2 (1), H5N5 (24), H5N8 (1), H7N3 (12) and H7N6 (4). (see Table 1 for details)

LPAI events in animals officially reported since the last update (25 January 2024): 1 new event was reported.

Number of human cases officially reported since last update (25 January 2024): 5 new events were reported.1,2,3,4,5,6

1 https://cdn.who.int/media/docs/default-source/influenza/human-animal-interface-risk-assessments/influenza_summary_ira_ha_interface_feb_2024.pdf?sfvrsn=9a552ade_2&download=true
2 https://cdn.who.int/media/docs/default-source/wpro---documents/emergency/surveillance/avian-influenza/ai_20240315.pdf?sfvrsn=5bc7c406_39
3 https://quochoitv.vn/truong-hop-dau-tien-nhiem-cum-a-h5n1-tu-vong-215392.htm

Map 1. Global distribution of AIV with zoonotic potential* observed since 1 October 2023 (i.e. current wave)

Note: Symbols may overlap for events in similar geographic locations.

Map 2. Global distribution of AIV with zoonotic potential* observed in the period 1 October 2022 to 30 September 2023 (i.e. previous wave)

Note: Symbols may overlap for events in similar geographic locations.

Table 1. High pathogenicity avian influenza viruses with zoonotic potential

Virus Country/Area Last observed outbreak # events reported since the last update Total # events reported since 1 October 2023 Species affected during the reporting preiod

H5

Antarctica

21/01/2024

1
(in W)

1
(in W)

South Polar Skua

Colombia

19/12/2023

1
(in W)

14
(incl. W1)

Great Frigatebird

Japan

19/03/2024

1
(in W)

1
(in W)

Large-billed crow

Sweden

14/03/2024

4
(incl. W2)

6
(incl. W4)

Farmed pheasants; Canada Goose, Mute Swan

United States of America3

18/02/2024

7
(in W, EA)

98
(in W97, C1)$

American green-winged teal, Great black-backed gull, Mallard, Northern shoveler

H5N1

Austria

26/02/2024

5
(in W)

29
(incl. W25)

Greylag Goose, Mute Swan, unspecified Strigiformes

Brazil

27/02/2024

6
(in W)

61
(incl. W49, M12)

Cabot's tern, Common Tern

Bulgaria

12/03/2024

2

9

Poultry

Burkina Faso

01/03/2024

1

1

Poultry

Canada1

16/02/2024

14
(incl. W12)

152
(incl. W85, M5)

Farmed Pheasants, Partridges and Chickens; American Crow, American goshawk, Canada Goose, Double-crested Cormorant, Great Horned Owl, Snow Goose, Trumpeter Swan

China

22/03/2024

18
(incl. W1)

46
(incl. W5, E2)

Domestic chicken and duck; Grey heron

Czech Republic

14/03/2024

11
(incl. W3, EA)

39
(incl. W10, EA)

Non-poultry/hobby flocks of hens, Muscovy ducks, geese; Mute Swan

Denmark

03/03/2024

30
(in W)

96
(incl. W83)

Barnacle Goose, Common Barn-Owl, Common Buzzard, Common Magpie, Eurasian Sparrowhawk, Greylag Goose, Herring Gull, Mew Gull, Mute Swan

Ecuador

27/02/2024

3
(incl. W1, C1)

9
(incl. W6, C1)

Backyard poultry of various species; Blue-footed Booby, Yellow-crowned Night-heron

France

04/03/2024

1
(in W, EA)

16
(in W)

Herring Gull

Germany

18/03/2024

42
(incl. W38, M3)

182 (incl.
W140, C2, M4)$

Domestic non-poultry birds; Accipitridae, Anatidae, Charadriidae, Cygnus, Laridae; Racoon, Red Fox

Hungary

13/03/2024

3
(in W)

127
(incl. W51)

Common Buzzard, Mute Swan

Israel

31/01/2024

4
(in W)

14
(incl. W10)

Black-headed Gull, Common Crane, Grey Heron, Herring Gull

Japan

16/03/2024

12
(incl. W11)

124 (incl.
W99, C2, E14)

Chicken;
Carrion crow, Eastern buzzard, Eurasian jay, Large-billed crow, Mountain hawk-eagle, Peregrine falcon

H5N1

Mexico

03/01/2024

9
(incl. W5, rEN)

17
(incl. W10)

Unspecified domestic Poultry, fighting cocks; Brandt's Cormorant, Cooper's Hawk, Snow Goose, Turkey Vulture

Republic of Moldova

14/02/2024

2
(EA)

64
(incl. W29)

Poultry

Nigeria

27/02/2024

2

3
(incl. C1)

Farmed peacock, Geese

Poland

06/03/2024

14
(incl. W7)

55
(incl. W18)

Poultry; Common Buzzard, Mute Swan

Romania

15/03/2024

5
(incl. W4)

37
(in W33)

Mute Swan, Whooper Swan

Slovenia

28/02/2024

3
(in W, EA)

13
(in W)

Mute Swan

Sweden

16/02/2024

2
(in W)

34
(incl. W32)

Canada Goose, Mute Swan

Ukraine

28/02/2024

2
(incl. W1)

14
(incl. W6)

Unspecified Domestic Birds; Mute Swan

United Kingdom of
Great Britain and
Northern Ireland2

Week 8

1
(in W)

24
(in W18)

Herring Gull

United States of America3

21/03/2024

233
(incl. W218, C32, M8, EA)

1 813
(incl. W1744, C83, M11) $

Turkey, Poultry, Unspecified WOAH-non-poultry; American black duck, American crow, American green-winged teal, American white pelican, American wigeon, Bald eagle, Barred owl, Canada goose, Cattle egret, Cinnamon teal, Common raven, Crow (unidentified), Golden eagle, Great horned owl, Greater white-fronted goose, Herring gull, Hooded merganser, Mallard, Mallard/Black duck hybrid, Merlin, Mute swan, Northern pintail, Northern shoveler, Peregrine falcon, Redhead duck, Red-tailed hawk, Ruddy duck, Snow goose, Turkey vulture, Western gull, Western sandpiper, Wood duck; Dairy milking cows, Domestic neonatal goats, Mountain lion, Striped skunk

Viet Nam

January

3

>4

Unspecified poultry

H5N2

Mexico

06/03/2024

1

1

Unspecified domestic non-Poultry

 

Germany

16/02/2024

2
(in W)

6
(in W)

Laridae

Japan

12/03/2024

16
(in W)

27
(in W)

Common pochard, Large-billed crow

Norway

21/02/2024

2
(in M)

8
(incl. W6, M2)

Red Fox

United Kingdom

07/03/2024

4
(in W)

8
(in W)

Common Buzzard, Sparrowhawk

H5N8

Germany

28/02/2024

1
(in W)

1
(in W)

Charadriidae

H7N3

Mexico

15/08/2023

12

29

Poultry

H7N6

South Africa

18/12/2023

4

79

Poultry

Data was retrieved from WOAH WAHIS portal, government websites. Data cut off time: reported on 22 February 2024 8:30 CEST. $:estimate.
The full list of bird and mammalian species affected by H5Nx HPAI are available HERE.
Notes: Only those reporting events in animals since 24 August 2023 are listed in the table, those reporting for the first time since 1 October 2023 in orange. Codes: D:domestic, C:captivity, W:wild birds, F: Feral, E:Environment, M: mammalian species other than humans, example: W123 indicates 123 wild birds affected. EA: Fully Eurasian; rEN: Reassortment Eurasian and North American.
1 the total includes events with sample collection date since 1 October 2023 data issued from the Canada Food and Inspection Agency dashboard [link]
2 a detailed list of wild bird species affected, consult weekly findings report on avian influenza in wild birds from Animal and Plant Health Agency (APHA) [link]
3 for more information, consult dedicated webpage of the USDA Animal and Plant Health Inspection Service (USDA/APHIS) [link]
§: British Antarctic Survey (BAS) [link]

Table 2. Low Pathogenicity Avian Influenza A Viruses with zoonotic potential: events reported in animals or the environment since the last update

VirusCountry/AreaLast detection# events reported since the last updateTotal # events reported since 1 October 2023Species affected during the reporting preiod

H7N1

China (Taiwan Province)

21/01/2024

1
(in E)

2
(in E)

Feces of Anatidae

Source: Veterinary authorities.

Recent publications

MAMMALS

APHIS (Animal and Plant Health Inspection Service). 2024. Federal and State Veterinary, Public Health Agencies Share Update on HPAI Detection in Kansas, Texas Dairy Herds. 2024. In: Animal and Plant Health Inspection Service, US Department of Agriculture. Greenport, USDA. reference

Minnesota Board of Animal Health. 2024. Stevens County goat tests positive for same influenza virus affecting poultry. 2024. In: News. Saint Paul, Minnesota Board of Animal Health. reference

Arruda, B., Baker, A.L.V., Buckley, A., Anderson, T.K., Torchetti, M., Bergeson, N.H., Killian, M.L. & Lantz, K. 2024. Divergent Pathogenesis and Transmission of Highly Pathogenic Avian Influenza A(H5N1) in Swine. Emerg Infect Dis, 30(4):738-751. reference

ENETWILD Consortium, Occhibove Flavia, Knauf Sascha, Sauter-Louis Carola, Staubach Christoph, Allendorf Valerie, Anton Alina, et al. 2024. The role of mammals in Avian Influenza: a review. EFSA Supporting Publications, 21 (3): 8692E. reference

Ly, H. 2023. Highly pathogenic avian influenza H5N1 virus infection of companion animals. Virulence, 15(1):2289780. reference

Lee, K., Yeom, M., Vu, T.T.H., Do, H.Q., Na, W., Lee, M., Jeong, D.G., Cheon, D.S. & Song, D. 2023. Characterization of highly pathogenic avian influenza A (H5N1) viruses isolated from cats in South Korea, 2023. Emerg Microbes Infect, 13(1):2290835. reference

Rimondi, A., Vanstreels, R.E.T., Olivera, V., Donini, A., Lauriente, M.M. & Uhart, M.M. 2024. Highly Pathogenic Avian Influenza A(H5N1) Viruses from Multispecies Outbreak, Argentina, August 2023. Emerg Infect Dis, 30(4):812-814. reference

Plaza, P.I., Gamarra-Toledo, V., Rodríguez Euguí, J., Rosciano, N. & Lambertucci, S.A. 2024. Pacific and Atlantic sea lion mortality caused by highly pathogenic Avian Influenza A(H5N1) in South America. Travel Med Infect Dis, 59:102712. reference

Pulit-Penaloza, J.A., Brock, N., Belser, J.A., Sun, X., Pappas, C., Kieran, T.J., Thakur, P.B., et al. 2024. Highly pathogenic avian influenza A(H5N1) virus of clade 2.3.4.4b isolated from a human case in Chile causes fatal disease and transmits between co-housed ferrets. Emerg Microbes Infect, 2332667. reference

Plaza PI, Gamarra-Toledo V, Euguí JR, Lambertucci SA. 2024. Recent Changes in Patterns of Mammal Infection with Highly Pathogenic Avian Influenza A(H5N1) Virus Worldwide. Emerg Infect Dis, 30(3):444-452. reference

WILD BIRDS

Mills G. 2024. Avian flu causes concerning falls in seabird numbers. Vet Rec, 194(5):172-173. reference

Kim, J.Y., Jeong, S., Kim, D.W., Lee, D.W., Lee, D.H., Kim, D. & Kwon, J.H. 2024. Genomic epidemiology of highly pathogenic avian influenza A (H5N1) virus in wild birds in South Korea during 2021–2022: Changes in viral epidemic patterns. Virus Evolution, 10(1):veae014. reference

Sheta, B., Waheed, O., Ayad, E., Habbak, L. & Hyder, A. 2024. Constitutive immunity is influenced by avian influenza virus-induced modification of gut microbiota in Eurasian teal (Anas crecca). Comp Biochem Physiol C Toxicol Pharmacol, 278:109867. reference

Mao, Q., Li, Z., Li, Y., Zhang, Y., Liu, S., Yin, X., Peng, C., et al. 2024. H5N1 high pathogenicity avian influenza virus in migratory birds exhibiting low pathogenicity in mallards increases its risk of transmission and spread in poultry. Vet Microbiol, 292:110038. reference

DOMESTIC

Wibawa, H., Wibowo, P.E., Supriyadi, A., Lestari, L., Silaban, J., Fuadi, A.A., Fiqri, A.J., et al. 2024. Highly Pathogenic Avian Influenza A(H5N1) Virus Clade 2.3.4.4b in Domestic Ducks, Indonesia, 2022. Emerg Infect Dis, 30(3):586-590. reference

Paternina, D., Herazo, R., Oviedo, M. & Mattar, S. 2024. Dramatic re-emergence of avian influenza in Colombia and Latin America. Travel Med Infect Dis, 102711. reference

Monjane, I.V.A., Djedje, H., Tamele, E., Nhabomba, V., Tivane, A.R., Massicame, Z.E., Arone, D.M., et al. 2024. H7N6 highly pathogenic avian influenza in Mozambique, 2023. Emerg Microbes Infect, 13(1):2321993. reference

Al-Natour, M.Q., Rohaim, M.A., El Naggar, R.F., Abdelsabour, M.A., Afify, A.F., Madbouly, Y.M. & Munir, M. 2024. Respiratory disease complex due to mixed viral infections in chicken in Jordan. Poult Sci, 103(4):103565. reference

Valentin, J., Ingrao, F., Rauw, F. & Lambrecht, B. 2024. Protection conferred by an H5 DNA vaccine against highly pathogenic avian influenza in chickens: The effect of vaccination schedules. Vaccine, 42(7):1487-1497. reference

Mao, Q., Zhou, S., Liu, S., Peng, C., Yin, X., Li, J., Zhang, Y., Zhou, W., Hou, G., Jiang, W. & Liu, H. 2024. Emergence of novel reassortant H3N3 avian influenza viruses with increased pathogenicity in chickens in 2023. Emerg Microbes Infect, 13(1):2287683. reference

VIRUSES

Xing, X., Shi, J., Cui, P., Yan, C., Zhang, Y., Zhang, Y., Wang, C., et al. 2024. Evolution and biological characterization of H5N1 influenza viruses bearing the clade 2.3.2.1 hemagglutinin gene. Emerg Microbes Infect, 13(1):2284294. reference

ASSAY

Welch, J.L., Shrestha, R., Hutchings, H., Pal, N., Levings, R., Robbe-Austerman, S., Palinski, R. & Shanmuganatham, K.K. 2024. Inactivation of highly transmissible livestock and avian viruses including influenza A and Newcastle disease virus for molecular diagnostics. Front Vet Sci, 11:1304022. reference

Szeredi, L., Thuma, Á., Gyuris, É., Ursu, K., Bálint, Á. & Solymosi, N. 2024. Comparative examination of a rapid immunocytochemical test for the detection of highly pathogenic avian influenza virus in domestic birds in field outbreaks. Avian Pathol, 2024 Mar 4:1-6. reference

ASSESSMENT

Miller, L.N., Saadawi, W.K., Hamouda, W.B., Elgari, A.S., Abdulkarim, E.A., Lmrabet, A.M.M., Elbukhmari, A.E., et al. 2024. Assessing One Health capacities for transboundary zoonotic diseases at the Libya-Tunisia border. One Health Outlook, 6(1):3. reference

Mahadevan, C., Mikkilineni, R., Vyas, N. & Karabasanavar, N. 2024. Assessment of Knowledge and Biosecurity Practices Related to Avian Influenza Among Poultry Workers in a District of South India. J Public Health Manag Pract, 2024 Mar 15. reference

Tammes, P. 2024. Spread of avian influenza among poultry specialists in England during winter 2022/23: National poultry housing order and environmental drivers. Dialogues Health, 4:100165. reference

HUMANS

Wang, Y., Yang, C., Liu, Y., Zhang, J., Qu, W., Liang, J., Tu, C., et al. 2024. Seroprevalence of Avian Influenza A(H5N6) Virus Infection, Guangdong Province, China, 2022. Emerg Infect Dis, 30(4):826-828. reference

Zhuang, Y., Wang, M., Liang, L., Mao, Y., Wang, K., Yang, S., Deng, A., et al. 2024. First Known Human Death After Infection With the Avian Influenza A/H3N8 Virus: Guangdong Province, China, March 2023. Clin Infect Dis, 78(3):646-650. reference

FAO's support to countries

Global level
  • UNESCO/CMS/FAO/Ramsar/IUCN webinar on AI and wildlife - How to protect wildlife from avian flu in UNESCO World Heritage sites, Biosphere Reserves and Ramsar sites [link] will be held on 19 April 2024, 15:00-17:30 CET (09:00-11:30 GMT-5) [register here].
  • The United States of America released the information on HPAI virus detection in cattle and goats, H5N1 clade 2.3.4.4b from samples was confirmed at the National Veterinary Services Laboratory (NVSL). FAO is monitoring the situation through OFFLU in collaboration with other partners [link1, link2, link3].
  • The FAO Virtual Learning Centers have launched a new self-paced virtual learning course on avian influenza (AI). The course aims to raise awareness of AI and to develop capacity on its detection and prevention. This introductory course is intended to be useful for veterinarians, veterinary paraprofessionals and others working in the poultry industries. There are six short modules (15-20 minutes each), can be used as a ready-reference resource as needed. It supports multiple platforms including smartphones and tablets. [link]
  • OFFLU (WOAH/FAO network of expertise on animal influenza) contributed information on the genetic and antigenic characteristics of currently circulating avian and swine influenza viruses for pandemic preparedness purposes at the WHO Consultation on the Composition of Influenza Virus Vaccines for Use in the 2024-2025 Northern Hemisphere Influenza Season. [link]
  • On 21 December 2023 OFFLU (WOAH/FAO network of expertise on animal influenza) released its statement "Continued expansion of high pathogenicity avian influenza H5 in wildlife in South America and incursion into the Antarctic region”. [link]
Regional/country level
  • Americas
    • The Outbreak Costing Tool (OutCosT) has been implemented in Bolivia and Panama to estimate the economic impact of HPAI outbreaks.
    • A joint technical meeting on HPAI was held with countries under emergency technical cooperation programme (TCP) and Special Fund for Emergency and Rehabilitation Activities (SFERA) projects on 12-14 December 2023 [link], the emergency TCP project has been extended till June 2024. Under this TCP project, FAO has facilitated bi-weekly meetings between veterinary services of 10 countries in the region to discuss and exchange experiences on several HPAI topics including epidemiological updates, control measures, surveillance, economic impacts and risk communication.
    • FAO ECTAD at regional and country (Colombia, El Salvador, Guatemala, Honduras and Peru) levels are supporting activities to respond to HPAI outbreaks e.g. simulations exercises, HPAI diagnostic trainings, information materials.
    • GF-TADs regional webinar was held on 5 December 2023 on southward expansion of high pathogenicity avian influenza H5 in wildlife in South America and Antarctica, epidemiological surveillance and evolution of avian influenza virus in Latin America and the Caribbean, knowledge gaps, collaboration with OFFLU, vaccination strategies and management of vaccinated animal populations, surveillance and trade limitations, and actions within the Implementation Framework of Resolution No. 28 adopted at the 90th WOAH World Assembly (2023).
    • Currently, Bolivia, Dominican Republic (for prophylaxis; no outbreak reported), Ecuador, Guatemala, Mexico, Peru and Uruguay are using vaccines to prevent and/or control HPAI, while some other countries are evaluating implementation.
  • Africa
    • FAO ECTAD regional offices in Eastern and Southern Africa (ESA) is supporting countries in the region to enhance biosecurity in poultry farms which contributes to minimising HPAI incursion. Poultry value chain risk assessment along the entire poultry value chain is planned in 10 countries namely Ethiopia, Kenya, Madagascar, Malawi, Mozambique, Rwanda, South Sudan, the United Republic of Tanzania, Uganda and Zambia as a part of ECTAD's ongoing support for HPAI risk mitigation/management.
    • FAO ECTAD regional office in Western and Central Africa (WCA) organized a regional training workshop on good sampling practices at the Veterinary School in Dakar (EISMV) from 23 to 26 January with special attention to biosafety and biosecurity. A total of 18 participants from 10 countries in West, Central and East Africa received theoretical and practical training in collecting diagnostic specimens from poultry.
    • FAO ECTAD WCA is monitoring suspected HPAI outbreaks in multiple countries in the region and providing various supports including provision of laboratory reagents and consumables as well as transport of diagnostic specimens to the reference laboratory (IZS-Ve) for further confirmaiton and sequencing.
    • The VLC in West Africa will deliver a four-week Avian Influenza tutored course in English and French. Up to 600 students will be selected to join, applications are open at this link.
    • FAO ECTAD Benin supported epidemiological investigation of suspected avian influenza outbreak in Parakou. [link]
    • Burkina Faso released an alert for poultry farmers regarding HPAI outbreak in Ouagadougou on 6 March 2024. FAO has supported the veterinary services to conduct field investigation and implement response measures (Stamping out, carcass disposal, disinfection, quarantine and awareness creation). Support for laboratory reagents, consumables, personal protective equipment (PPE), as well as transport of samples to the reference laboratory (IZSVe) for confirmation and sequencing has also been providing to the country.
    • In Guinea, FAO ECTAD has supported suspected HPAI outbreak investigation in Labé, setting up active surveillance in a high-risk area and raising community awareness of the need to comply with biosafety measures [link]. The new good guidelines on biosecurity practices and indicators for the poultry sector were introduced to 40 stakeholders at a workshop on building producer resilience held in Forecariah. [link]
    • Niger confirmed an outbreak of H5N1 HPAI by the Niamey Central Laboratory (LABOCEL) on 27 January 2024 on a family farm in Niamey. The biosafety equipment (personal protective equipment [PPE], disinfectants, bags for biohazard waste), which FAO ECTAD prepared at the beginning of current influenza season under a HPAI prevention and control project, supported General Directorate of Veterinary Services in conducting rapid response.x
    • In Nigeria, H5N1 HPAI was confirmed in peacock farm in Kebbi State and in geese in Plateau State. FAO ECTAD supported the Federal Ministry of Agriculture and Food Security and other One Health stakeholders in conducting follow-up outbreak investigations and ensuring disease containment, provided PPE, disinfectants, sampling equipment and biohazard bags for the field surveillance; awareness raising have been conducted in live poultry markets in neighbouring towns of biosecurity measures, in particular, the risk of mixing different species in the same space/location was emphasised.
  • North Africa and Middle East
    • FAO ECTAD Egypt in the Regional office for Near East and North Africa (RNE) is supporting the implementation of the targeted risk-based surveillance plan for 2024 to understand the prevalence of Avian Influenza sub-types currently circulating in Egypt and to detect incursion of new subtypes as early as possible.
    • FAO ECTAD Egypt supported the development of National One Health strategic framework which has been endorsed by the Government.
  • Asia
    • Since October 2023, Cambodia confirmed H5N1 HPAI in birds in seven provinces, while nine human cases reported. FAO Cambodia is collaborating National Animal Health and Production Research Institute (NAHPRI)/the General Directorate of Animal Health and Production (GDAHP) of the Ministry of Agriculture, Forestry and Fisheries, the Institut Pasteur du Cambodge (IPC), WHO and other partners, participated in joint risk assessment, and providing technical assistance, awareness materials for distribution, and some PPE. [link1, link2]
    • FAO ECTAD in the Regional Office for Asia and the Pacific (RAP) organizes a quarterly influenza coordination call on 6 February 2024 with ECTAD countries in Asia to discuss progress and challenges around avian influenza surveillance in the region.
    • FAO ECTAD Indonesia supported the participation of four animal health laboratories in a regional proficiency testing for avian and swine diseases being organized by the Australian Centre for Disease Preparedness (ACDP).
    • FAO ECTAD in the Philippines, in collaboration with the Bureau of Animal Industry, organized a Coordination Meeting and Simulation Exercise for Animal Disease Emergencies (Avian Influenza and foot-and-mouth disease for Visayas on 12-16 February and South Luzon on 18-22 March. The meeting specifically discussed the Philippine’s Avian Influenza (AI) Vaccination Guidelines to seek inputs and agreement of local veterinarians and animal health workers. To date, the same activity has been conducted in 13 regions covering 60 provinces across the country and will be conducted in North Luzon clusters in April to cover the remaining 22 provinces in 4 regions.
  • Europe and Central Asia
    • The Outbreak Costing Tool (OutCosT) to estimate the cost of outbreaks and their control is being adapted to poultry diseases and is being validated with real HPAI outbreak data from countries in three continents.

FAO Alerts
  • On 14 September 2022, FAO issued an alert to Chief Veterinary Officers and FAO offices in Central America and South America regions on the risk of introduction and spread of H5NX HPAI [in EnglishFrench, and Spanish].
  • On 8 April 2022, FAO issued an alert to Chief Veterinary Officers and FAO offices in Asia and the Pacific Region on the risk of a surge and spread of HPAI through increased poultry trade prior to and during Traditional New Year festivities in Asia.
  • On 4 March 2022, FAO an alert to Chief Veterinary Officers and FAO offices in the Americas Region on the risk of introduction and spread of H5NX HPAI [in English, French, and Spanish].
  • On 18 February 2022, FAO issued an alert to Chief Veterinary Officers, FAO offices, and wild bird partner organizations on the increased risk of HPAI outbreaks in wild bird populations in Africa.
  • On 29 October 2021, FAO sent an alert message on the risk of H5Nx HPAI (re-)introduction along migratory flyways to Chief Veterinary Officers globally.
  • On 13 November 2020, FAO sent an alert message on the risk of H5Nx HPAI re-introduction to Chief Veterinary Officers and FAO offices of at-risk countries in Africa region.
  • On 09 October 2020, FAO sent an alert message on the risk of H5N8 HPAI re-introduction to Chief Veterinary Officers of at-risk countries in Europe, Middle East, and Western and Central Asia regions.
  • On 17 January 2020, FAO released an alert on H5N8 HPAI in Eastern Europe to warn the Chief Veterinary Officers and FAO offices about the potential spread of the disease and advise on measures to take for prevention and control.
OFFLU
  • Information on the OFFLU avian influenza matching pilot project. [link]
  • OFFLU held an online discussion on 5 December 2022 to discuss the avian influenza situation in poultry and wild birds for experts to share experiences on the most recent wave of outbreaks in different countries. A summary is available. [link]
  • The OFFLU published reports for the Vaccine Composition Meeting on avian influenza and swine influenza for February – September 2022.
  • The Tripartite (FAO- WHO -WOAH) together with the WOAH/FAO Network of Expertise on Animal Influenza (OFFLU) has conducted a joint rapid risk assessment addressing the recent influenza A(H3N8) human infection in China in May 2022. [link]
  • The OFFLU annual report for 2021 is now available. [link]
  • Avian influenza report of the WOAH/FAO Network of expertise on animal influenzas (OFFLU) covering the period September 2021 – February 2022. [link]
  • The OFFLU Network issued a statement on 24 December 2021 addressing the recent introduction of H5N1 HPAI in Canada. [link]
  • The OFFLU network issued an avian influenza statement on 10 November 2021 addressing recent H5Nx high pathogenicity avian influenza virus reassortments. [link]
  • The OFFLU Network issued the summary of the OFFLU call for avian influenza global situation held on 8 November 2021. [link]
  • Avian influenza report of the OIE/FAO Network of expertise on animal influenzas (OFFLU) covering the period March – September 202. [link]
  • As part of the OIE/FAO Network of Expertise on Animal Influenzas, FAO attended the Zoonotic Influenza Sessions of the WHO Vaccine Composition Meeting held from 2 to 4 March 2021. The report is now available online. [link]
  • On 26 February 2021, the OFFLU issued a statement on High Pathogenicity Avian Influenza in the Russian Federation relating to its detection in poultry workers. [link]
  • On 26 October 2020, the OFFLU issued a report on Highl Pathogenicity Avian Influenza in Kazakhstan describing the genetic characteristics of the latest H5N8 HPAI viruses detected recently in the country. [link]
WHO Vaccine Composition Meeting (VCM)
  • Report of the WHO Vaccine Composition Meeting – February 2023. [link]
  • Report of the WHO Vaccine Composition Meeting – September 2022. [link]
  • Report of the WHO Vaccine Composition Meeting – February 2022. [link]
  • Report of the WHO Vaccine Composition Meeting – September 2021. [link]
  • Report of the WHO Vaccine Composition Meeting – February 2021. [link]
  • Report of the WHO Vaccine Composition Meeting – Sept/Oct 2020. [link]
  • Report of the WHO Vaccine Composition Meeting – February 2018. [link]
Global level
  • International Alliance for Biological Standardization (IABS) held a meeting on 25-26 October 2022 addressing High Pathogenicity Avian Influenza Vaccination Strategies to prevent and control HPAI: Removing unnecessary barriers for usage. Conclusions and recommendations are now available. [link]
Regional/country level

America

  • FAO organized a webinar on HPAI laboratory testing, under the framework of the GF-TADs and ‘Ask the experts’ for animal health laboratory staff in the region in March 2023. [link]
  • Between 21 and 23 March 2023, FAO held a meeting in Santiago, Chile with the participation of the heads of official veterinary services from 8 Latin American countries that are part of the TCP project, as well as specialists, discussed the epidemiological situation of HPAI in their territories and the control measures implemented.
  • The GF-TADs for the Americas hosted a technical meeting on HPAI vaccination: Approach, tools, knowledge and experience for the Americas held virtually in March 2023. [link]
  • The first virtual meeting of the Standing Group of Experts on Avian Influenza (SGE-IA) took place online on 14 December 2022. Recommendations from this meeting can be found here. [link]
  • FAO’s emergency Technical Cooperation Programme (TCP) project provides support to manage the outbreak of avian influenza in the region, as well as its impact on the most vulnerable households in the affected countries.
  • FAO collated risk communication materials available at FAO in other regions globally and shared with FAO RLC.
  • The first virtual meeting of the Standing Group of Experts on Avian Influenza (SGE-IA) took place in December 2022. Recommendations available [link] Dec 2022.
  • FAO activated coordination and response protocols for the avian influenza outbreaks in the region. [link]
  • FAO conducted a qualitative risk assessment for introduction of the H5N1 HPAI clade 2.3.4.4b virus from currently known infected countries in the Americas has been conducted.
  • FAO is monitoring the situation closely through its network of decentralized offices and Reference Centers for Influenza to maintain close communication with members in Latin America and the Caribbean providing technical assistance and support as well as risk communication strategies and collaborating with resource partners to enhance preparedness and control of AI in the region. [link]

Asia

  • FAO participated to the 7th World One Health Congress held on 8-11 November 2022 and presented preliminary results of the Qualitative Risk Assessment addressing H5 HPAI risk of introduction in Central America, South America, and the Caribbean. [link]
  • International Alliance for Biological Standardization (IABS) held a meeting on 25-26 October 2022 addressing High Pathogenicity Avian Influenza Vaccination Strategies to prevent and control HPAI: Removing unnecessary barriers for usage. Conclusions and recommendations are now available [link].
  • FAO ECTAD RAP organized a quarterly coordination call on 16 February 2023 with ECTAD countries in Asia to discuss progresses and challenges around avian influenza surveillance in the region.
  • FAO RAP organized a quarterly coordination call on 8 December 2022 with ECTAD countries in Asia to discuss progresses and challenges around avian influenza surveillance in the region.
  • The FAO-ECTAD Team in Viet Nam prepared a report entitled Economic analysis of enhanced biosecurity practices in three types of chicken farms in Northern Viet Nam [link].
  • FAO RAP organized a regional Avian Influenza virtual meeting in November 2021. A summary can be found [link].
  • FAO ECTAD RAP organized a quarterly coordination call on 16 February 2023 with ECTAD countries in Asia to discuss progresses and challenges around avian influenza surveillance in the region.
  • FAO ECTAD RAP and IPC developed practical guidelines for field sequencing using MinIon.
  • FAO ECTAD Indonesia held a Joint Risk Assessment (JRA) training on zoonotic priority diseases in West Java Province and in West Kalimantan Province.
  • FAO ECTAD Cambodia organized AI surveillance review to share data from AI surveillance implementing partners, i.e. the results of AI surveillance in live bird markets, influenza-like illness (ILI) and severe acute respiratory infections (SARI) carried from 2020-2022 by CCDC, FAO, IPC, NAHPRI, NIPH and USCDC, to understand the challenges, lesson-learnt, and to do the AI surveillance resource mapping.
  • FAO ECTAD Lao organized a refresher training on avian influenza surveillance and response in Louangprabang Province with participants from various partners i.e. provincial livestock and fisheries section involved in the avian influenza surveillance, Central Veterinary Services and laboratory, Division of Veterinary Legislation, public health sector including the Department of Communicable Disease Control, Information Education and Communication Department, and other development partners namely US CDC, WHO, Wildlife Conservation Society.
  • FAO ECTAD Viet Nam organized a joint risk assessment (JRA) workshop for H5N6 (Dong Nai Province) and H5N8 (Lang Son Province).
  • FAO RAP organized a regional Avian Influenza virtual meeting in November 2021 [report].

North Africa and Middle East

  • FAO ECTAD Egypt and General Organization for Veterinary Services (GOVS) epidemiology unit updated the AI surveillance plan for January – December 2023 based on surveillance finding and risk mapping in 2022.
  • FAO organized a workshop on Highly Pathogenic Avian Influenza in Libya [link].

Sub-Saharan Africa

  • FAO ECTAD assisted Gambia sending samples to the reference laboratory (IZSVe-Italy) for sequencing. H5N1 2.3.4.4b was detected and the phylogenetic analyses confirmed that the H5N1 virus clusters with genotype BB recently detected in northern Italy in June 2023, suggesting a possible back-and-forth movement of viruses between Europe and Africa.
  • FAO Emergency Centre for Transboundary Animal Diseases (ECTAD) regional offices in Eastern and Southern Africa (ESA) and West and Central Africa (WCA) organized 5 day regional training courses on Infectious Substances Shipment in Nairobi (June), Abidjan (July), Abuja (August). A total of 32 particpants from 13 countries successfully completed the training and were certified to ship infectious substances by air, in compliance with the applicable international regulations.
  • FAO Ethiopia in collaboration with the Ethiopian Agricultural Research Institute has prepared a biosecurity brochure covering three key areas - conceptual, structural, and operational biosecurity measures. The brochure provides guidance to small and medium commercial poultry farms on implementing effective biosecurity measures for increased productivity, and a more sustainable and profitable industry, and is aimed to be used by Farmers Field School (FFS).
  • In Kenya, FAO is supporting Kenya Animal Biosurveillance system (KABS) disease reporting platform roll-out for syndromic surveillance and the refresher trainings.
  • FAO Burkina Faso trained 175 staff on HPAI epidemiological surveillance; conducted Training of Trainers (ToT) course on on good poultry farming practices, hygiene and biosecurity measures on farms; the 46 trainers conducted sensitization of 300 model poultry farmers from 10 regions, and also 30 communicators and journalists of the press on HPAI under TCP project.
  • In Togo, FAO is supported HPAI outbreak response by providing technical assistance and supporting field outbreak investigation missions. A training of 25 agents on disease reporting / early warning using FAO Event Mobile Application (EMA-i) takes place soon.
  • FAO Emergency Management Center (EMC-AH) expert mission in May 2023 visited Saint-Louis as a part of support to control HPAI emergency.
  • FAO ECTAD Côte d’Ivoire supported the disinfection of poultry markets in Abidjan.
  • FAO EMC-AH conducted field mission in Gabon from 4 to 8 July 2022 in response to the recent H5N1 HPAI outbreaks in Estuaire Province.
  • FAO ECTAD continues supporting annual proficiency testing schemes of national and sub-national level laboratories for AI diagnosis in Central East, and West Africam countries through USAID funded GHSA programme.
  • FAO ECTAD West and Central Africa Region, in collaboration with EMC-AH, supported the Government of Guinea to undertake a HPAI risk assessment mission to identify risk factors for introduction and spread.
  • FAO participated in the 2nd virtual meeting of Regional Incident Coordination Group (ICG) for West Africa on HPAI organized by FAO ECTAD-WCA in collaboration with ECOWAS Regional Animal Health Centre (RAHC) held in March 2022.
  • Taking stock of FAO-USAID partnership to control health threats in Kenya [link].
  • Stopping Avian Influenza in Togo [link].

Figure 1. Number of countries reported HPAI since 01 October 2023 by subtype (left) and by region (right) as of 22 March 2024 (territory/area for sub/Antarctic zone)

Table 3. Epidemiological overview for avian influenza viruses viruses known to have caused zoonotic infections in the past 20 years

Subtype

Epidemiological situation overview

H5Nx Gs/GD* HPAI (1996)

High pathogenicity avian influenza viruses within the Goose/Guangdong/1/96- lineage (Gs/GD) were first detected in geese in Guangdong Province, China in 1996. They have persisted, as high pathogenicity viruses, since then and have caused outbreaks in poultry across all regions globally other than Oceania. The initial viruses in this lineage were of the A(H5N1) subtype but other subtypes (including H5N2, H5N3 H5N5, H5N6, H5N8) have emerged, mainly in the past 10 years, as a result of reassortment with other avian influenza viruses. The common feature of these viruses is an HA gene related back to the original Gs/GD/96 virus. The HA gene of these viruses has evolved over the past 28 years, initially into 10 clades (clade 0 to 9) of which descendents of clade 2 viruses are the only ones that continue to circulate. Multiple 5th order clades persist such as the one that is currently dominant globally – clade 2.3.4.4b - whereas others have emerged and disappeared.

Multiple genotypes carrying different combinations of the eight influenza A segmented genes have emerged presumably as a result of co-infection of birds with different avian inluenza viruses that also facilitated reassortment. Some important genotypes have been named unofficially (e.g. Z genotype in Hong Kong SAR, China in 2002, BB genotype derived from gulls in Europe in 2022 onwards). Of considerable significance has been reassortment with enzootic A(H9N2) viruses.

Some of these Gs/GD viruses have produced severe zoonotic infections in humans, first identified in 1997 when an A(H5N1) clade 0 virus in the Gs/GD lineage in Hong Kong SAR, China caused disease outbreaks in poultry in farms and markets as well as severe disease in humans. In several cases there was some evidence of limited onward transmission in humans and this event raised concerns that it might be the beginning of a human influenza pandemic. Despite the successful efforts to eradicate this particular strain, other viruses within this lineage persisted and evolved in China, becoming more adept at infecting domestic ducks. By 2003 spread of these viruses via wild birds and live bird trade occurred across East and Southeast Asia, resulting in additional zoonotic infection in humans [link].

The important role of wild birds in the transmission of these viruses over long distances became apparent in 2005 when a Gs/GD virus (clade 2.2) spread, primarily via wild birds, across Eurasia, and parts of Africa from western China. Most high-income countries eliminated this virus from poultry, but it persisted in several low and middle- income countries. Viruses within the Gs/GD lineage continued to evolve and spread. Additional intercontinental waves of transmission have occurred with the two most significant being those in 2014 (clade 2.3.4.4c) and from 2016 onwards (clade 2.3.4.4b) that also resulted in spread of these viruses to North America (2014-15 and 2021-22), with the latest outbreak extending through central and South America and to sub-Antarctic islands. These waves involved multiple N subtypes.

In 2022/2023, H5N1 2.3.4.4b caused extensive infection in coastal seabirds and mass die- offs of numerous ecologically important wild bird species.

For an updated list of bird species affected with A(H5Nx) see HERE

Among the other Gs/GD virus clades that remain endemic in specific areas are clade 2.3.2.1a H5N1 viruses that have persisted in South Asia since 2010 and rarely associated with disease in humans.

Clade 2.3.2.1c/e viruses have been present in Indonesia since 2012 and related viruses are still circulating in Cambodia, Viet Nam and Lao People’s Democratic Republic with nine recent human cases, four of which were fatal recorded in Cambodia.

For an updated list of confirmed human cases with A(H5N1) see HERE

In addition, more than 80 human cases have been associated with clade 2.3.4.4b A(H5Nx/y) and 2.3.4.4h A(H5N6) viruses with most of these occurring in 2021 and 2022.

Clade 2.3.4.4b A(H5N1) viruses have caused few human cases but have resulted in multiple mammalian cases including aquatic mammals.

For an updated list of mammalian species affected with A(H5Nx) see HERE

Avian origin H3N8 LPAI

An Influenza A(H3N8) virus lineage emerged in live bird markets in southern China in mid 2021 [link]. Since then, three human cases of Influenza A(H3N8) have been reported: In April 2022, the first human clinical case associated with this lineage was reported in Henan Province, China and was associated with severe disease. In May 2022, a 5-year-old boy was diagnosed with a mild influenza A(H3N8) infection in Changsha City, Hunan Province, China. On 27 March 2023, a third human case was reported from Guangdong Province, China in a 56-year-old female with underlying illneses who subsequently died.

One of the A(H3N8) viruses isolated from a human was found to be transmissible by air in ferrets [link] but no evidence of sustained human transmission has been reported.

H7N4 LPAI (2017)

One human case in China with reported exposure to poultry.

H7N9 LPAI (2013) & HPAI (2017)

Reported only in China with over 1 000 human cases between 2013 and 2017 with a marked increase in 2017 compared to previous waves.

Most human cases exposed in live bird markets.

Nation-wide vaccination campaign in poultry since Sep 2017: Last reported human case in 2019 [link]. See FAO H7N9 situation update

H9N2 LPAI

First human case reported in 1998.

To date, about 100 influenza A(H9N2) human cases diagnosed worldwide, many of them were reported from China since December 2015. Most cases mild and involving children. Only two fatal cases reported [link]

Endemic in multiple countries in Africa and Asia, a cause of significant production losses and mortalities in poultry production systems.

Three major lineages and multiple genotypes.

H10Nx LPAI

To date, two influenza A(H10N3) human infections have been reported globally [link]. In May 2021, the first case in Jiangsu Province, China [link], in September 2022, a second case in Zhejiang Province, China [link]

The first influenza A(H10N5) human infection was reported in Zhejiang Province, China [link].
Influenza A(H10N7) infection have been reported in humans in 2004 in Egypt [link] and in 2010 in Australia [link].

Since 2013, three influenza A(H10N8) human infections have been reported in Jiangxi Province, China.

Recommendations for affected countries and those at risk

FAO recommends intensified surveillance and awareness raising by national authorities.

General recommendations
It is important to report sick or dead birds – both wild birds and poultry - or wild mammals to local authorities (veterinary services, public health officials, community leaders etc.). These should be tested for avian influenza viruses.

Recommendations to poultry producers
Farmers and poultry producers should step up their biosecurity measures in order to prevent potential virus introduction from wild birds or their faeces.

Recommendations to hunters
Hunting associations and wildlife authorities should be aware that avian influenza viruses might be present in waterfowl and some other species hunted and that hunting, handling and dressing of shot game carries the risk of spreading avian influenza viruses to susceptible poultry.

Recommendations to national authorities
Increase surveillance efforts for the early detection of influenza viruses in poultry and dead wild species including certain mammals.

For full recommendations including non-avian species please see [link].

FAO publication
EMPRES Watch/Focus On 
Online course/webinar
  • Avian Influenza Preparedness Course was held in April/May 2023 [link].
  • FAO RNE launched bilingual training course on Avian Influenza preparedness for NENA region on 17 January 2023 [link].
  • FAO through its Virtual Learning Center developed an Avian Influenza Preparedness Course in 2022 [link].
  • FAO, in collaboration with WOAH, organized a webinar on H5 HPAI occurrence and prevention in North Africa on 20 May 2021.
  • WHO developed an online training course entitled “Strengthening collaboration between human and animal health sectors for improved health security”. The course covers the Tripartite Zoonosis Guide and associated tools in Module 2 [link].
  • FAO held a webinar entitled Managing HPAI in wild birds on 10 February 2022 – recording part 1 & part 2.
  • FAO Webinar: Pros and cons on AI vaccination, presented by Leslie Sims, Ian Brown, Sergei Khomenko, Sophie von Dobschüetz (2018) [link].
  • FAO Webinar: Intercontinental spread of H5N8 highly pathogenic avian influenza – Analysis of the current situation and recommendations, for preventive action (2016) [link].
Risk Assessment 
Wild birds/mammals
Socio-economic / PPP
Tripartite/Quadripartite plan, guide, tool

Next issue: 25 Apr. 2024

The disease situation updates are produced by the FAO Emergency Prevention System for Animal Health (EMPRES-AH) as part of its mission to increase global disease intelligence.
Disclaimer

Information provided herein is current as of the date of issue. Information added or changed since the last Global AIV with Zoonotic Potential situation update appears in orange. Human cases are depicted in the geographic location of their report. For some cases, exposure may have occurred in one geographic location but reported in another. For cases with unknown onset date, reporting date was used instead. FAO compiles information drawn from multiple national (Ministries of Agriculture or Livestock, Ministries of Health, Provincial Government websites; Centers for Disease Prevention and Control [CDC]) and international sources (World Health Organization [WHO], World Organisation for Animal Health [WOAH]), as well as peer reviewed scientific articles. FAO makes every effort to ensure, but does not guarantee, accuracy, completeness or authenticity of the information. The designation employed and the presentation of material on the map do not imply the expression of any opinion whatsoever on the part of FAO concerning the legal or constitutional status of any country, territory or sea area, or concerning the delimitation of frontiers.

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