TY - JOUR
T1 - Detecting spread of avian influenza A(H7N9) virus beyond China
AU - Millman, Alexander J
AU - Havers, Fiona
AU - Iuliano, A Danielle
AU - Davis, C Todd
AU - Sar, Borann
AU - Sovann, Ly
AU - Chin, Savuth
AU - Corwin, Andrew L
AU - Vongphrachanh, Phengta
AU - Douangngeun, Bounlom
AU - Lindblade, Kim A
AU - Chittaganpitch, Malinee
AU - Kaewthong, Viriya
AU - Kile, James C
AU - Nguyen, Hien T
AU - Pham, Dong V
AU - Donis, Ruben O
AU - Widdowson, Marc-Alain
N1 - PPU
PY - 2015
Y1 - 2015
N2 - During February 2013-March 2015, a total of 602 human cases of low pathogenic avian influenza A(H7N9) were reported; no autochthonous cases were reported outside mainland China. In contrast, since highly pathogenic avian influenza A(H5N1) reemerged during 2003 in China, 784 human cases in 16 countries and poultry outbreaks in 53 countries have been reported. Whether the absence of reported A(H7N9) outside mainland China represents lack of spread or lack of detection remains unclear. We compared epidemiologic and virologic features of A(H5N1) and A(H7N9) and used human and animal influenza surveillance data collected during April 2013-May 2014 from 4 Southeast Asia countries to assess the likelihood that A(H7N9) would have gone undetected during 2014. Surveillance in Vietnam and Cambodia detected human A(H5N1) cases; no A(H7N9) cases were detected in humans or poultry in Southeast Asia. Although we cannot rule out the possible spread of A(H7N9), substantial spread causing severe disease in humans is unlikely.
AB - During February 2013-March 2015, a total of 602 human cases of low pathogenic avian influenza A(H7N9) were reported; no autochthonous cases were reported outside mainland China. In contrast, since highly pathogenic avian influenza A(H5N1) reemerged during 2003 in China, 784 human cases in 16 countries and poultry outbreaks in 53 countries have been reported. Whether the absence of reported A(H7N9) outside mainland China represents lack of spread or lack of detection remains unclear. We compared epidemiologic and virologic features of A(H5N1) and A(H7N9) and used human and animal influenza surveillance data collected during April 2013-May 2014 from 4 Southeast Asia countries to assess the likelihood that A(H7N9) would have gone undetected during 2014. Surveillance in Vietnam and Cambodia detected human A(H5N1) cases; no A(H7N9) cases were detected in humans or poultry in Southeast Asia. Although we cannot rule out the possible spread of A(H7N9), substantial spread causing severe disease in humans is unlikely.
KW - Animals
KW - Asia, Southeastern/epidemiology
KW - China/epidemiology
KW - Disease Outbreaks
KW - Geography
KW - Humans
KW - Influenza A Virus, H5N1 Subtype
KW - Influenza A Virus, H7N9 Subtype
KW - Influenza in Birds/epidemiology
KW - Influenza, Human/epidemiology
KW - Population Surveillance
KW - Poultry
U2 - 10.3201/eid2105.141756
DO - 10.3201/eid2105.141756
M3 - A1: Web of Science-article
C2 - 25897654
SN - 1080-6040
VL - 21
SP - 741
EP - 749
JO - Emerging Infectious Diseases
JF - Emerging Infectious Diseases
IS - 5
ER -