Skip to main content
EFSA Journal logoLink to EFSA Journal
. 2020 Dec 16;18(12):e06379. doi: 10.2903/j.efsa.2020.6379

Avian influenza overview August – December 2020

European Food Safety Authority, European Centre for Disease Prevention and Control and European Union Reference Laboratory for Avian Influenza, Cornelia Adlhoch, Alice Fusaro, José L Gonzales, Thijs Kuiken, Stefano Marangon, Éric Niqueux, Christoph Staubach, Calogero Terregino, Francesca Baldinelli
PMCID: PMC7744019  PMID: 33343738

Abstract

Between 15 August and 7 December 2020, 561highly pathogenic avian influenza (HPAI) virus detections were reported in 15EU/EEA countries and UK in wild birds, poultry andcaptive birds, with Germany (n=370), Denmark (n=65), the Netherlands (n=57) being the most affected countries.The majority of the detections have been reported in wild birds(n=510), primarily in barnacle goose, greylag goose, andEurasian wigeon. Raptors have also been detected infected, particularly common buzzard. The majority of the birds had been found dead or moribund,however, there are also reports ofHPAI virus infection in apparently healthy ducks or geese.A total of 43 HPAI outbreaks were notified in poultry;with signs of avian influenza infection being observed in at least 33 outbreaks;the most likely source of infection was indirect contact with wild birds. Three HPAI virus subtypes, A(H5N8) (n=518), A(H5N5) (n=17) and A(H5N1) (n=6),and four different genotypes were identified, suggesting the occurrence of multiple virus introductions into Europe.The reassortant A(H5N1) virus identified in EU/EEA countries has acquired gene segments from low pathogenic viruses and is not related to A(H5N1) viruses of e.g. clade 2.3.2.1c causing human infections outside of Europe. As the autumn migration of wild waterbirds to their wintering areasin Europe continues, and given the expected local movements of these birds, there is still a high risk of introduction andfurther spread ofHPAI A(H5) viruses within Europe.The risk of virus spread from wild birds to poultry is high and Member States should enforce in ‘high risk areas’ of their territories the measures provided for in Commission Implementing Decision (EU) 2018/1136.Detection of outbreaks in breeder farms in Denmark, the Netherlands and United Kingdom, highlight also the risk of introduction via contaminated materials (bedding/straw) and equipment.Maintaining high and sustainable surveillance and biosecurityparticularly in high‐risk areas is of utmost importance. Two human cases due to zoonoticA(H5N1) and A(H9N2) avian influenza virus infection were reportedduring the reporting period. The risk for the general population as well as travel‐related imported human cases are assessed as very low.

Suggested citation: EFSA (European Food Safety Authority), ECDC (European Centre for Disease Prevention and Control), EURL (European Reference Laboratory for Avian Influenza) , Adlhoch C, Fusaro A, Gonzales JL, Kuiken T, Marangon S, Niqueux É, Staubach C, Terregino C, Baldinelli F, 2020. Avian influenza overview August – December 2020. EFSA Journal 2020; 18(12):6379,57pp. 10.2903/j.efsa.2020.6379

Requestor:European Commission

Question number: EFSA‐Q‐2020‐00643

This article was originally published on the EFSA website www.efsa.europa.eu on 11 December 2020 as part of EFSA's publication procedures.

References

  1. Adlhoch C, Miteva A, Zdravkova A, Miskic T, Knezevic D, Perdikaris S, Smietanka K, Swieton E, Kopriva V, Chudy M, Romero Gonzalez LJ, Moreno Gil I, Wallen Norell A and Verdonck F, 2019. Estimation of the number of exposed people during highly pathogenic avian influenza virus outbreaks in EU/EEA countries, October 2016‐September 2018. Zoonoses Public Health, 66, 874–878. 10.1111/zph.12629. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Awuni JA, Bianco A, Dogbey OJ, Fusaro A, Yingar DT, Salviato A, Ababio PT, Milani A, Bonfante F and Monne I, 2019. Avian influenza H9N2 subtype in Ghana: virus characterization and evidence of co‐infection. Avian Pathology, 48, 470–476. 10.1080/03079457.2019.1624687. [DOI] [PubMed] [Google Scholar]
  3. Bonfante F, Mazzetto E, Zanardello C, Fortin A, Gobbo F, Maniero S, Bigolaro M, Davidson I, Haddas R, Cattoli G and Terregino C, 2018. A G1‐lineage H9N2 virus with oviduct tropism causes chronic pathological changes in the infundibulum and a long‐lasting drop in egg production. Veterinary Research, 49, 83 10.1186/s13567-018-0575-1. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Cattoli G, Fusaro A, Monne I and Capua I, 2009. H5N1 Virus Evolution in Europe‐An Updated Overview. Viruses, 1, 1351–1363. 10.3390/v1031351. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Chinese National Influenza Center, WHO Collaborating Center for Reference and Research on Influenza and National Institute for Viral Disease Control and Prevention China , 2018. Chinese Influenza Weekly Report week 44, 2018. 6pp. Available online: http://www.chinaivdc.cn/cnic/en/Surveillance/WeeklyReport/201811/P020181109515197928770.pdf [Google Scholar]
  6. CHP (Center for Health Protection Hong Kong) , 2020. Avian influenza affected areas and global statistics of avian influenza A(H5N1) as of 9 December 2020. CHP, Hong Kong. 3pp. Available online: https://www.chp.gov.hk/files/pdf/global_statistics_avian_influenza_e.pdf [Google Scholar]
  7. Chrzastek K, Lee DH, Gharaibeh S, Zsak A and Kapczynski DR, 2018. Characterization of H9N2 avian influenza viruses from the Middle East demonstrates heterogeneity at amino acid position 226 in the hemagglutinin and potential for transmission to mammals. Virology,518, 195–201. 10.1016/j.virol.2018.02.016 [DOI] [PubMed] [Google Scholar]
  8. EFSA, ECDC, EURL , Adlhoch C, Brouwer A, Kuiken T, Miteva A, Mulatti P, Smietanka K, Staubach C, Gogin A, Munoz Guajardo I and Baldinelli F, 2018. a. Scientific Report: Avian influenza overview August – November 2018. Efsa Journal, 16(12):5573, 40pp., 10.2903/j.efsa.2018.5573 [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. EFSA, ECDC, EURL , Adlhoch C, Brouwer A, Kuiken T, Miteva A, Mulatti P, Smietanka K, Staubach C, Gogin A, Munoz Guajardo I and Baldinelli F, 2019. a. Scientific Report: Avian influenza overview November 2018 – February 2019. Efsa Journal, 17(3):5664, 35pp.,doi: 10.2903/j.efsa.2019.5664 [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. EFSA, ECDC, EURL , Adlhoch C, Brouwer A, Kuiken T, Mulatti P, Smietanka K, Staubach C, Munoz Guajardo I, Amato L and Baldinelli F, 2018. b. Scientific Report: Avian influenza overview May – August 2018. Efsa Journal, 16(9):5430, 43pp., 10.2903/j.efsa.2018.5430 Available [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. EFSA, ECDC, EURL , Adlhoch C, Brouwer A, Kuiken T, Mulatti P, Smietanka K, Staubach C, Willeberg P, Barrucci F, Verdonck F, Amato L and Baldinelli F, 2018. c. Scientific Report: Avian influenza overview November 2017 – February 2018. 16(3):5240, EFSA Journal 2018. 55pp., 10.2903/j.efsa.2018.5240 [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. EFSA, ECDC, EURL , Adlhoch C, Fusaro A, Gonzales JL, Kuiken T, Marangon S, Niqueux E, Smietanka K, Staubach C, Terregino C and Baldinelli F, 2020. a. Avian influenza overview – update on 19 November 2020, EU/EEA and the UK. Efsa Journal, 18(11):6341, 20pp., 10.2903/j.efsa.2020.6341 [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. EFSA, ECDC, EURL , Adlhoch C, Fusaro A, Kuiken T, Monne I, Smietanka K, Staubach C, Munoz Guajardo I and Baldinelli F, 2019. b. Scientific Report: Avian influenza overview February – August 2019. Efsa Journal, 17(9):5843, 38pp., 10.2903/j.efsa.2019.5843 [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. EFSA, ECDC, EURL , Adlhoch C, Fusaro A, Kuiken T, Niqueux E, Staubach C, Terregino C, Munoz Guajardo I and Baldinelli F, 2020. b. Scientific Report: Avian influenza overview May – August 2020. Efsa Journal, 18(9):6270, 40pp., 10.2903/j.efsa.2020.6270 [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. EFSA, ECDC, EURL , Adlhoch C, Fusaro A, Kuiken T, Niqueux E, Staubach C, Terregino C, Munoz Guajardo I and Baldinelli F, 2020. c. Scientific Report: Avian influenza overview February – May 2020. Efsa Journal, 18(6):6194, 47pp.,doi: 10.2903/j.efsa.2020.6194 [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. EFSA, ECDC, EURL , Adlhoch C, Fusaro A, Kuiken T, Niqueux E, Staubach C, Terregino C, Munoz Guajardo I and Baldinelli F, 2020. d. Scientific Report: Avian influenza overview November 2019 – February 2020. Efsa Journal, 18(3):6069, 54pp.,doi: 10.2903/j.efsa.2020.6069 [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. EFSA, ECDC, EURL , Adlhoch C, Fusaro A, Kuiken T, Smietanka K, Staubach C, Munoz Guajardo I and Baldinelli F, 2019. c. Scientific Report: Avian influenza overview August – November 2019. Efsa Journal, 17(12):5988, 27 pp. [Google Scholar]
  18. EFSA, ECDC, EURL , Brown I, Kuiken T, Mulatti P, Smietanka K, Staubach C, Stroud D, Therkildsen OR, Willeberg P, Baldinelli F, Verdonck F and Adlhoch C, 2017. a. Scientific Report: Avian influenza overview September – November 2017. 15(12):5141, EFSA Journal2017. 70pp., 10.2903/j.efsa.2017.5141 [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. EFSA, ECDC, EURL , Brown I, Mulatti P, Smietanka K, Staubach C, Willeberg P, Adlhoch C, Candiani D, Fabris C, Zancanaro G, Morgado J and Verdonck F, 2017. b. Scientific report: Avian influenza overview October 2016 – August 2017. 15(10):5018, EFSA Journal 2017. 101pp., 10.2903/j.efsa.2017.5018 e [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. EFSA AHAW Panel (EFSA Panel on Animal Health and Welfare) , 2017. Scientific opinion on avian influenza. Efsa Journal, 15, 4991, 233pp., 10.2903/j.efsa.2017.4991 [DOI] [Google Scholar]
  21. European Commission , online‐a. Animal Health ‐ Regulatory Committee presentations. Available online: https://ec.europa.eu/food/animals/health/regulatory_committee/presentations_en [Accessed: 10December 2020]
  22. European Commission , online‐b. Animal Disease Notification System (ADNS). Available online: https://ec.europa.eu/food/animals/animal-diseases/not-system_en [Accessed: 10 December 2020]
  23. FAO (Food and Agriculture Organization) , online‐a. EMPRES‐i - Global Animal Disease Information System. Available online: http://empres-i.fao.org/eipws3g/ [Accessed: 10December 2020]
  24. FAO (Food and Agriculture Organization) , online‐b. H7N9 situation update. Available online: http://www.fao.org/ag/againfo/programmes/en/empres/h7n9/wave_6/Situation_update_2017_11_24.html [Accessed: 10December 2020]
  25. Jeong S, Lee DH, Kwon JH, Kim YJ, Lee SH, Cho AY, Kim TH, Park JE, Lee SI and Song CS, 2020. Highly Pathogenic Avian Influenza Clade 2.3.4.4b Subtype H5N8 Virus Isolated from Mandarin Duck in South Korea, 2020. Viruses,12. 10.3390/v12121389 [DOI] [PMC free article] [PubMed]
  26. Jiang H, Wu P, Uyeki TM, He J, Deng Z, Xu W, Lv Q, Zhang J, Wu Y, Tsang TK, Kang M, Zheng J, Wang L, Yang B, Qin Y, Feng L, Fang VJ, Gao GF, Leung GM, Yu H and Cowling BJ, 2017. Preliminary Epidemiologic Assessment of Human Infections With Highly Pathogenic Avian Influenza A(H5N6) Virus, China. Clinical Infectious Diseases, 65, 383–388. 10.1093/cid/cix334. [DOI] [PMC free article] [PubMed] [Google Scholar]
  27. Kariithi HM, Welch CN, Ferreira HL, Pusch EA, Ateya LO, Binepal YS, Apopo AA, Dulu TD, Afonso CL and Suarez DL, 2019. Genetic characterization and pathogenesis of the first H9N2 low pathogenic avian influenza viruses isolated from chickens in Kenyan live bird markets. Infection, Genetics and Evolution, 104074, 10.1016/j.meegid.2019.104074. [DOI] [PubMed] [Google Scholar]
  28. Krumenacker T, on line. The bird flu strikes againMore than 10,000 dead birds on the North Sea coast ‐ By Thomas Krumenacker. RIFF Reporter. Available online: https://www.riffreporter.de/flugbegleiter-koralle/vogelgrippe-ausbruch-gefluegelpest/ [Accessed: 10 December 2020] [Google Scholar]
  29. Lee EK, Lee YN, Kye SJ, Lewis NS, Brown IH, Sagong M, Heo GB, Kang YM, Cho HK, Kang HM, Cheon SH, Lee M, Park BK, Kim YJ and Lee YJ, 2018. Characterization of a novel reassortant H5N6 highly pathogenic avian influenza virus clade 2.3.4.4 in Korea, 2017. Emerging Microbes & Infections,7, 103 10.1038/s41426-018-0104-3 [DOI] [PMC free article] [PubMed] [Google Scholar]
  30. Li T, Ma Y, Li K, Tang X, Wang M and Yang Z, 2016. Death of a very young child infected with influenza A (H5N6). Journal of Infection, 73, 626–627. 10.1016/j.jinf.2016.07.015. [DOI] [PubMed] [Google Scholar]
  31. Li YT, Chen CC, Chang AM, Chao DY and Smith GJD, 2020. Co‐circulation of both low and highly pathogenic avian influenza H5 viruses in current poultry epidemics in Taiwan. Virus Evol, 6, veaa037 10.1093/ve/veaa037. [DOI] [PMC free article] [PubMed] [Google Scholar]
  32. OIE (World Organisation for Animal Health) , online‐a. World Animal Health Information Database (WAHIS) Interface. Available online: https://www.oie.int/wahis_2/public/wahid.php/Wahidhome/Home/indexcontent/newlang/en [Accessed: 10December 2020]
  33. OIE (World Organisation for Animal Health) , online‐b. Highly pathogenic influenza A viruses (infection with) (non‐poultry including wild birds), Russia. Available online: https://www.oie.int/wahis_2/public/wahid.php/Reviewreport/Review?reportid=35839 [Accessed: 10December 2020]
  34. Peacock THP, James J, Sealy JE and Iqbal M, 2019. A Global Perspective on H9N2 Avian Influenza Virus. Viruses, 11, 620 10.3390/v11070620. [DOI] [PMC free article] [PubMed] [Google Scholar]
  35. Potdar V, Hinge D, Satav A, Simões EF, Yadav PD and Chadha MS, 2019. Laboratory‐confirmed avian influenza A(H9N2) virus infection, India, 2019. Emerging Infectious Diseases, 25, 10.3201/eid2512.190636. [DOI] [PMC free article] [PubMed] [Google Scholar]
  36. Ramey AM, Reeves AB, Drexler JZ, Ackerman JT, De La Cruz S, Lang AS, Leyson C, Link P, Prosser DJ, Robertson GJ, Wight J, Youk S, Spackman E, Pantin‐Jackwood M, Poulson RL and Stallknecht DE, 2020. Influenza A viruses remain infectious for more than seven months in northern wetlands of North America. Proc Biol Sci, 287, 20201680 10.1098/rspb.2020.1680. [DOI] [PMC free article] [PubMed] [Google Scholar]
  37. Smith GJ, Donis RO, World Health Organization/World Organisation for Animal HF and Agriculture Organization HEWG , 2015. Nomenclature updates resulting from the evolution of avian influenza A(H5) virus clades 2.1.3.2a, 2.2.1, and 2.3.4 during 2013‐2014. Influenza Other Respir Viruses, 9, 271–276. 10.1111/irv.12324. [DOI] [PMC free article] [PubMed] [Google Scholar]
  38. Subbarao EK, London W and Murphy BR, 1993. A single amino acid in the PB2 gene of influenza A virus is a determinant of host range. J Virol, 67, 1761–1764. 10.1128/JVI.67.4.1761-1764.1993. [DOI] [PMC free article] [PubMed] [Google Scholar]
  39. Taiwan Centers for Disease Control Press Releases , online. China's Shandong Province new type A influenza travel epidemic recommended to be upgraded to the second level alert (Alert). Available online: https://www.cdc.gov.tw/Bulletin/Detail/q4Cy5WfdLLN0MFjjwRtTvw?typeid=9 [Accessed: 10December 2020]
  40. The Government of Hong Kong Special Administrative Region Press Release , online. CHP investigating a case of influenza A (H9) infection. Available online: https://www.info.gov.hk/gia/general/202002/07/P2020020700608.htm [Accessed: 10December 2020]
  41. WHO (World Health Organization) , 2019. a. Influenza at the human‐animal interface ‐ Summary and assessment, from 25 June 2019 to 27 September 2019. WHO, Geneva. 3pp. Available online: https://www.who.int/influenza/human_animal_interface/Influenza_Summary_IRA_HA_interface_27_09_2019.pdf?ua=1 [Google Scholar]
  42. WHO (World Health Organization) , 2019. b. Avian Influenza Weekly Update Number 713. WHO, Geneva. 3pp. Available online: https://iris.wpro.who.int/bitstream/handle/10665.1/14328/AI-20191101.pdf [Google Scholar]
  43. WHO (World Health Organization) , 2019. c. Cumulative number of confirmed human cases for avian influenza A(H5N1) reported to WHO, 2003‐2019 (20 August 2019). WHO, Geneva. 3pp. Available online: https://www.who.int/influenza/human_animal_interface/2019_06_24_tableH5N1.pdf?ua=1 [Google Scholar]
  44. WHO (World Health Organization) , 2020. a. Antigenic and genetic characteristics of zoonotic influenza A viruses and development of candidate vaccine viruses for pandemic preparedness. Geneva. 8pp. Available online: https://www.who.int/influenza/vaccines/virus/202002_zoonotic_vaccinevirusupdate.pdf?ua=1 [Google Scholar]
  45. WHO (World Health Organisation) , 2020. b. Avian Influenza Weekly Update Number 758. WHO, Geneva. 3pp. Available online: https://www.who.int/docs/default-source/wpro—documents/emergency/surveillance/avian-influenza/ai-20200911.pdf?sfvrsn=223ca73f_64 [Google Scholar]
  46. WHO (World Health Organization) , 2020. c. Influenza at the human‐animal interface; Summary and assessment, from 28 February to 8 May 2020. Geneva. 3pp. Available online: https://www.who.int/influenza/human_animal_interface/Influenza_Summary_IRA_HA_interface_08_05_2020.pdf?ua=1 [Google Scholar]
  47. WHO (World Health Organization) , 2020. d. Influenza at the human‐animal interface ‐ Summary and assessment, from 21 January to 28 February 2020. Geneva. 4pp. Available online: https://www.who.int/influenza/human_animal_interface/Influenza_Summary_IRA_HA_interface_28_02_2020.pdf?ua=1 [Google Scholar]
  48. WHO (World Health Organization) , 2020. e. Recommended composition of influenza virus vaccines for use in the 2020‐2021 northern hemisphere influenza season. WHO, Geneva. 12pp. Available online: https://www.who.int/influenza/vaccines/virus/recommendations/202002_recommendation.pdf?ua=1 [Google Scholar]
  49. WHO (World Health Organization) , 2020. f. Cumulative number of confirmed human cases for avian influenza A(H5N1) reported to WHO, 2003‐2020 (23 October 2020). Geneva. 4pp. Available online: https://www.who.int/influenza/human_animal_interface/2020_OCT_tableH5N1.pdf?ua=1 [Google Scholar]
  50. WHO (World Health Organization) , 2020. g. Antigenic and genetic characteristics of zoonotic influenza A viruses and development of candidate vaccine viruses for pandemic preparedness. Geneva. 11pp. Available online: https://www.who.int/influenza/vaccines/virus/202009_zoonotic_vaccinevirusupdate.pdf?ua=1 [Google Scholar]
  51. WHO (World Health Organization) , online‐a. Assessment of risk associated with influenza A(H5N8) virus, 17 November 2016. Available online: https://www.who.int/influenza/human_animal_interface/avian_influenza/riskassessment_AH5N8_201611/en/ [Accessed: 26 June 2020]
  52. WHO (World Health Organization) , online‐b. Avian Influenza A(H5N1)‐ Lao People's Democratic Republic. Available online: https://www.who.int/csr/don/17-november-2020-ah5n1-lao/en/ [Accessed: 10 December 2020]
  53. Xu C, Ye H, Qiu W, Lin H, Chen Y, Zhang H and Liao M, 2018. Phylogenetic classification of hemagglutinin gene of H9N2 avian influenza viruses isolated in China during 2012–2016 and evaluation of selected candidate vaccine strains. Poultry Science, 97, 3023–3030. 10.3382/ps/pey154. [DOI] [PubMed] [Google Scholar]
  54. Zecchin B, Minoungou G, Fusaro A, Moctar S, Ouedraogo‐Kabore A, Schivo A, Salviato A, Marciano S and Monne I, 2017. Influenza A(H9N2) Virus, Burkina Faso. Emerging Infectious Diseases, 23, 2118–2119. 10.3201/eid2312.171294. [DOI] [PMC free article] [PubMed] [Google Scholar]
  55. Zhu C, Hu C, Gui B, Chen Q, Zhang S and He G, 2018. Genetic characteristics of H9N2 avian influenza viruses isolated from free‐range poultry in Eastern China, in 2014‐2015. Poultry Science, 97, 3793–3800. 10.3382/ps/pey187. [DOI] [PubMed] [Google Scholar]

Articles from EFSA Journal are provided here courtesy of Wiley

RESOURCES