Skip to main content

Table 1.

Forty-two documented pandemics, epidemics, or limited outbreaks of HPAI since discovery of AI viruses as cause of fowl plague in 1955

No. Year Country Host species Prototype AI virus Subtype Accession No. (NCBI GenBank or GISAID Epiflu database) HA cleavage site Number affected with high mortality or depopulateda
1 1959 Scotland Domestic poultry A/chicken/Scotland/1959 H5N1 GU052518 PQRKKR/GLF Aberdeen: 1 premise, unknown number of chickens (Gallus gallus domesticus) affected (Pereira et al. 1965; Alexander et al. 2008)
2 1961 South Africa Wild bird A/tern/South Africa/1961 H5N3 GU052822 PQRETRRQKR/GLF Western and Eastern Cape provinces (coastline from Port Elizabeth to Lambert's Bay): 1300 common terns (Sterna hirundo) (Rowan 1962; Becker 1966; Alexander et al. 2008)
3 1963 England Domestic poultry A/turkey/England/1963 H7N3 AF202238 PETPKRRRR/GLF Norfolk County: 2 farms; 29,000 breeder turkeys (Meleagridis gallopavo) in outdoor and indoor pens (Wells 1963; Alexander et al. 2008)
4 1966 Canada Domestic poultry A/turkey/Ontario/7732/1966 H5N9 CY107859 PQRRRKKR/GLF Ontario province: 2 indoor farms; 8,100 breeder turkeys (Lang et al. 1968; Swayne 2008b)
5 1976 Australia Domestic poultry A/chicken/Victoria/1976 H7N7 CY024786 PEIPKKREKR/GLF Victoria province: 2 farms; 25,000 indoor laying chickens, 17,000 indoor broilers, and 16,000 indoor and outdoor ducks (Anas platyrhyncos) (Anonymous 1976; Turner 1976; Bashiruddin et al. 1992; Sims and Turner 2008b)
6 1979 Germany Domestic poultry A/chicken/Germany/01/1979
A/goose/Leipzig/187_7/1979
A/goose/Leipzig/137/8/1979
A/chicken/Leipzig/79
A/goose/Leipzig/192/7/1979
H7N7 CY107844
L43914
L43913
U20459
L43915
PEIPKKKKKKR/GLF
PETPKKKKKKR/GLF
PEIPKRKKR/GLF
PEIPKKKKR/GLF
PEIPKKRKKR/GLF
Saxony: 2 farms: 600,000 chickens, 80 geese (Röhm et al. 1996; Harder and Werner 2006; Alexander et al. 2008)
7 1979 England Domestic poultry A/turkey/England/199/1979 H7N7 N/A PEIPKKRKR/GLF, PEIP KRRRR/GLF, PEIP KKREKR/GLF Norfolk county: 3 commercial farms, 9262 turkeys (Alexander et al. 2008)
8 1983–84 USA Domestic poultry A/chicken/Pennsylvania/1/1983 (LP) A/chicken/Pennsylvania/1370/1983 (HP) H5N2 J04325
GU052771
PQKKKR/GLF (LP)
PQKKKR/GLF (HP) – lost a glycosylation site on amino acid 13
Pennsylvania, Maryland, and Virginia: 452 flocks, 17 million birds; mostly chickens or turkeys, a few chukar partridges (Alectoris chukar) and guinea fowl (Numida meleagris) (Kawaoka and Webster 1985; USAHA 1985; Eckroade and Silverman-Bachin 1986; Easterday et al. 1997)
9 1983 Ireland Domestic poultry A/turkey/Ireland/1378/1983 H5N8 M18451 PQRKRKKR/GLF Monaghan County: 4 farms; 8,120 turkeys, 28,020 chickens, and 270,000 ducks (McNulty et al. 1985; Alexander et al. 2008)
10 1985 Australia Domestic poultry A/chicken/Victoria/1/1985 H7N7 M17735 PEIPKKREKR/GLF Victoria province: 1 farm; 24,000 broiler breeders, 27,000 laying chickens, and 61,000 broilers (Barr et al. 1986; Cross 1987; Senne et al. 1996a; Sims and Turner 2008b)
11 1991 England Domestic poultry A/turkey/England/50-92/1991 H5N1 GU052510 PQRKRKTR/GLF Norfolk County: 1 farm; 8000 turkeys (Alexander et al. 1993; Alexander and Wood 1993; Wood et al. 1993; Senne et al. 1996)
12 1992 Australia Domestic poultry A/chicken/Victoria/1/1992 H7N3 AF202227 PEIPKKKKR/GLF Victoria province: 2 farms, 1 backyard flock and 1 hatchery; 17,000 broiler breeders, 5,700 ducks, 105,000 day-old chicks, 540,000 hatching eggs (Selleck et al. 1997; Westbury 1998; Sims and Turner 2008b)
13 1994–95 Australia Domestic poultry A/chicken/Queensland/1994
A/chicken/Queensland/667/1995
H7N3 CY022685
AF202231
PEIPRKRKR/GLF Queensland province: 1 farm; 22,000 laying chickens (Westbury 1998; Perdue et al. 1999)
14 1994–95 Mexico Domestic poultry A/chicken/Mexico/31381-7/1994 (LP)
A/chicken/Puebla/8623-607/1994 (HP)
H5N2 GU186573
AB558473
PQRETR/GLF (LP)
PQRKRKTR/GLF (HP)
Puebla and Queretaro: Chickens—concurrent circulation of LP (1993–) and HPAI virus (late 1994 to mid-1995) strains. 360 commercial chicken flocks “depopulated” (1995) via vaccination and controlled marketing. Unknown number of HP-infected birds (García et al. 1996; Easterday et al. 1997; Perdue et al. 1997; Villareal and Flores 1998; Smith 2006)
A/chicken/Queretaro/14588_19/1995
A/chicken/Queretaro/7653_20/1995
H5N2 AB558474
U85390
PQRKRKTR/GLF
PQRKRKRKTR/GLF
15 1994–95, 2004 Pakistan Domestic poultry A/chicken/Pakistan/447/1995
A/chicken/Pakistan/CR2/95
A/chicken/Karachi/NARC-23/2003
H7N3 AF202226
AF202230
HM346493
PETPKRKRKR/GLF
PETPKRRKR/GLF
Two incursions: (1) 3.2 million broilers and broiler breeder chickens (northern part of country, 1994–1995), and (2) 2.52 million layers (Karachi, 2004). Vaccination and controlled marketing (Naeem and Hussain 1995; Easterday et al. 1997; Naeem 1998; Banks et al. 2000)
16 1996– cont. 84 countries in Asia, Africa, Europe and North America Domestic poultry and wild bird A/goose/Guangdong/1/1996 (Gs/GD) H5Nx

NC_007362 PQRERRRKKR/GLF (majority), Variations:
1) Clade 1, PQREGRRKKR/GLF; 2) Clade 2.1, PQRESRRKK/GLF; 3) Clade 2.2, QGERRRKKR/GLF; 4) Clade 2.3, PQRERRRKR/GLF, PLRERRRKR/GLF;
5) Clade 7, PQIEGRRRKR/GLF
Unknown number of commercial and noncommercial flocks (principally village poultry); more than 400 million birds dead or culled from 2003 to early 2012, mostly chickens, but also ducks, geese, Japanese quail, and some wild birds (Sims et al. 2003a; Sims et al. 2003b; FAO 2006; Sims and Brown 2008a; Sims and Brown 2017). Largest HPAI outbreak since 1959 with more birds and countries affected than the other 41 outbreaks since 1959.
17 1997 Australia Domestic poultry A/chicken/NSW/1/1997
A/chicken/New_South_Wales/327/1997
H7N4 AY943924
CY022701
PEIPRKRKR/GLF
PEIPRRRKR/GLF
New South Wales province: 3 farms; 160,000 indoor broiler breeders and 261 outdoor emu (Dromaius novaehollandiae) (Perdue et al. 1999; Sims and Turner 2008b)
18 1997 Italy Domestic poultry A/poultry/Italy/330/1997 H5N2 CY017403 PQRRRKKR/GLF Veneto and Fruili–Venezia–Giulia Regions: 8 flocks (hobby/backyard only); 2116 chickens, 1501 turkeys, 731 guinea fowl, 2322 ducks, 204 quail (species unknown), 45 pigeons (Columbia livia), 45 geese (species unknown), 1 pheasant (species unknown) (Capua et al. 1999; Alexander et al. 2008)
19 1999–2000 Italy Domestic poultry A/turkey/Italy/977/1999 (LP) A/turkey/Italy/4580/1999 (HP) H7N1 GU052999
CY021405
PEIPKGR/GLF (LP)
PEIPKGSRVRR/GLF (HP, majority),
PEIPKGSRMRR/GLF (HP, minor),
PEIPKRSRVRR/GLF (HP, minor)
Veneto and Lombardia Regions: 413 farms, 8.1 million laying chickens; 2.7 million meat and breeder turkeys; 2.4 million broiler breeders and broilers; 247,000 guinea fowl; 260,000 quail, ducks, and pheasants; 1,737 backyard poultry and 387 ostriches (Banks et al. 2001; Capua et al. 2003; Alexander et al. 2008)
20 2002 Chile Domestic poultry A/chicken/Chile/176822/2002 (LP)
A/chicken/Chile/4322/2002 (HP)
A/chicken/Chile/4957/2002 (HP)
H7N3 AY303630
AY303631
AY303632
PEKPKTR/GLF (LP)
PEKPKTCSPLSRCRETR/GLF (HP)
PEKPKTCSPLSRCRKTR/GLF (HP)
Valparaíso region: Two farms of one company, multiple houses; 617,800 broiler breeders, 18,500 turkey breeders (2 houses) (Rojas et al. 2002; Suarez et al. 2004; Max et al. 2007; Swayne 2008b)
21 2003 Netherlands
Belgium
Germany
Domestic poultry A/chicken/Netherlands/1/03 H7N7 AY338458 PEIPKRRRR/GLF (1) Netherlands, Gelderse Vallei and Limburg region: 255 infected flocks, and 1381 commercial and 16,521 backyard/smallholder flocks depopulated—30 million affected, mostly chickens. (2) Belgium (Limburg and Antwerp provinces), 8 farms, 2.3 million chickens. (3) Germany (Nordrhein–Westfalen State), 1 farm, 419,000 chickens (Elbers et al. 2004; Harder and Werner 2006; Alexander et al. 2008)
22 2004 Canada Domestic poultry A/chicken/Canada/AVFV1/2004 (LP)
A/chicken/Canada/AVFV2/2004 (HP)
H7N3 AY650270
AY648287
LP: PENPKTR/GLF
HP: PENPKQAYRKRMTR/GLF
PENPKQAYQKRMTR/GLF, PENPKQAYKKRMTR/GLF, PENPKQAYHKRMTR/GLF, PENPKQAHQKRMTR/GLF, PENPRQAYRKRMTR/GLF, PENPKQACQKRMTR/GLF
British Columbia province: 42 commercial and 11 backyard flocks infected (1.2 million poultry)—approximately 16 million commercial poultry depopulated, most were chickens (Hirst et al. 2004; Pasick et al. 2005)
23 2004 USA Domestic poultry A/chicken/Texas/298313/2004 H5N2 AY849793 PQRKKR/GLF Texas state: 1 noncommercial farm (6608 chickens), 2 LPM affected; 3 dangerous LPM contacts culled (Lee et al. 2005)
24 2004 South Africa Domestic poultry A/ostrich/South Africa/N227/2004 H5N2 FJ519983 PQREKRRKKR/GLF East Cape province: 2004–2008 farms, culled. 23,625 ostriches, 3,550 other poultry (chickens, turkeys, geese, ducks, and pigeons), 1594 ostrich eggs and 1707 other farmed bird eggs (Abolnik 2007; Alexander et al. 2008; Abolnik et al. 2009)
25 2006 South Africa Domestic poultry A/ostrich/South_Africa/AI1160/2006 (LP)
A/ostrich/South Africa/AI1091/2006 (HP)
H5N2 EF591757
EF591749
PQRRKKR/GLF Western Cape province: 24 farms, 7334 ostriches culled (Abolnik 2007; Alexander et al. 2008; Brown et al. 2017)
26 2005 North Korea Domestic poultry A/chicken/North Korea/1/2005 H7N7 N/A PEIPKGRHRRPKR/GLF 3 farms, 218,882 layer chickens culled; number dead unknown (Alexander et al. 2008)
27 2007 Canada Domestic poultry A/chicken/Saskatchewan/HR-00011/2007 H7N3 EU500860 PENPKTTKPRPRR/GLF Saskatchewan province: 1 farm, 10 barns, 49,500 broiler breeder hens and roosters (Swayne 2008b; Berhane et al. 2009)
28 2008 England Domestic poultry A/chicken/England/1158-114061/2008 H7N7 FJ476173 PEIPKRKKR/GLF Oxfordshire county: 1 farm, 25,000 free-range layer chickens (Brown et al. 2017)
29 2009 Spain Domestic poultry A/chicken/Spain/6279-2/2009 H7N7 GU121458 PELPKGTKPRPRR/GLF Guadalajara province: 1 farm, 5 barns; 308,640 layer chickens (Iglesias et al. 2010; Brown et al. 2017)
30 2011–2013 South Africa Domestic poultry A/ostrich/SA/AI2114/2011
A/ostrich/SA/AI2512/2011
H5N2 JX069081
JX069097
PQRRKKR/GLF
PQRRRKR/GLF
Western Cape province: 45,343 ostriches on 50 premises (Brown et al. 2017)
31 2012–2013 Taiwan Domestic poultry A/chicken/Taiwan/A1997/2012
A/chicken/Taiwan/1680/2013
H5N2 KF193394
KJ162620
PQRRKR/GLF
PQRKKR/GLF
Chang-Hua, Pingtung, Yunlin, and Penghu counties: 6 premises (4 native chickens, 1 broiler breeder, 1 layer chicken); 47,151 chickens (Lee et al. 2014; Brown et al. 2017)
32 2012- present Mexico Domestic poultry A/chicken/Jalisco/12283/2012 H7N3 JX908509 PENPKDRKSRHRRTR/GLF Jalisco, Aguascalientes, Guanajuato, Tlaxcala, and Puebla states: 110 premises, 18,906,702 poultry. Two waves of disease: (1) 6/13/2012–9/29/2012, and (2) 1/3/2013–ongoing (Maurer-Stroh et al. 2013; Brown et al. 2017)
33 2012 Australia Domestic poultry A/chicken/New South Wales/12-3121-1/2012 H7N7 N/A PEIPRKRKR/GLF New South Wales province: 1 premise, free-range layers, 50,000 chickens (Brown et al. 2017)
34 2013 Italy Domestic poultry A/chicken/Italy/13VIR4527-11/2013 H7N7 KF569186 PETPKRRERR/GLF Emilia-Romagna Region: 6 premises, layers, 952,658 chickens (Brown et al. 2017)
35 2013 Australia Domestic poultry A/chicken/New South Wales/13-02811-1/2013 H7N2 N/A PEIPRKRKR/GLF New South Wales province: 2 premises, free-range and caged layers, 490,000 chickens (Brown et al. 2017)
36 2015 England Domestic poultry A/chicken/England/26352/2015 (H7N7) H7N7 EPI623939 PEIPRHRKGR/GLF Lancashire county: 1 premise, colony and free-range laying chickens, 179,865 affected (Brown et al. 2017)
37 2015 Germany Domestic poultry A/chicken/Germany/AR1385/2015 (H7N7) H7N7 EPI634885 PEIPKRKRR/GLF Lower Saxony state: 1 premise, laying chickens, 10,104 affected (Brown et al. 2017)
38 2015–2016 France Domestic poultry A/chicken/France/150169a/2015
A/duck/France/150233/2015
A/duck/France/150236/2015
H5N1
H5N2
H5N9
KU310447
KX014878
KX014886
HQRRKR/GLF 8 southwest/southcentral Departments: 81 premises, 155,415 poultry affected; primarily affected fattening ducks, and some guinea fowl, geese, and layer and meat chickens in small farms and backyard operations. H5N1 virus reassorted with Eurasian LPAI viruses to produce H5N2 and H5N9 HPAI viruses (OIE 2016b; Briand et al. 2017)
39 2016 USA Domestic poultry A/turkey/Indiana/16-001403-1/2016 H7N8 KU558906 PENPKKRKTR/GLF Indiana state, Dubois county: 1 premise, 43,500 meat turkeys. 1 dangerous contact layer farm (156,158 layers), and 9 LP-affected turkey farms (195,937 birds) in control zone depopulated (ISBOAH 2016; Lee et al. 2017b; Swayne et al. 2017)
40 2016 Italy Domestic poultry A/chicken/Italy/16VIR-1873/2016 H7N7 EPI756028* PELPKGRKRR/GLF Emilia-Romagna region: 1 premise, 17,500 organic/free range layers (OIE 2016a; OIE 2016b)
41 2016–2019 China Domestic poultry A/chicken/Huizhou/HZ-3/2016
A/chicken/Huizhou/HZ04/2016
A/chicken/Heyuan/16876/2016
H7N9 EPI917102
EPI918826
EPI919533
PEVPKRKRTAR/GLF;
PEVPKGKRTAR/GLF
Initially Guangdong province: Since 10 January 2017, HP H7N9 virus was reported in a total of 58 poultry or environmental samples (46 chickens, 2 duck, and 10 environmental samples); H7N9 virus isolates from 32 human cases were found to be HP virus (as of 07 August 2019). HP derived from LP virus circulating in live poultry market system since early 2013 (OIE 2017a; Qi et al. 2018)
42 2017 USA Domestic poultry A/chicken/Tennessee/17-007147-1/2017 H7N9 MF357740 PENPKTDRKSRHRRIR/GLF Tennessee, Lincoln county: 2 premise, 128,000 chicken broiler breeders with HPAI virus. LPAI precursor virus on 12 premises (6 backyard and 6 commercial, 125,000 birds) in Tennessee, Alabama, Kentucky and Georgia (Lee et al. 2017a; OIE 2017b; USDA 2017)

Data modified from Alexander (2000), Swayne and Suarez (2000), Swayne (2017), OFFLU (2019), and Swayne et al. (2020).

(AI) Avian influenza, (GISAID) Global Initiative on Sharing All Influenza Data, (HA) hemagglutinin, (HP) high pathogenicity, (LP) low pathogenicity, (LPM) live poultry market, (N/A) not available, (NCBI) National Center for Biotechnology Information.

aMost outbreaks were controlled by “stamping-out” or depopulation policies for infected and/or exposed populations of poultry. Chickens, turkeys, and poultry in the order Galliformes had clinical signs and mortality patterns consistent with HPAI, whereas ducks, geese, and other aquatic poultry lacked or had low mortality rates or infrequent presence of clinical signs.