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Peer reviewedOpen accessH5N1Influenza

Lack of respiratory droplet transmission of two recent human influenza A(H5N1) viruses in female ferrets

International Journal of Infectious Diseases·

Tong Wang, Chunyang Gu, Lizheng Guan, Asim Biswas, Tadashi Maemura, Hassanein H. Abozeid, Peter J. Halfmann, Gabriele Neumann, Amie J. Eisfeld, Yoshihiro Kawaoka

DOI
10.1016/j.ijid.2026.108514
PMID
41786120
PMCID
PMC13093984
OpenAlex
W7133302612
Study type
Journal article
Publisher
Elsevier BV
Article type
journal-article
Integrity
current

Why this research matters now

The findings support continued evaluation of emerging H5N1 viruses because transmission characteristics may vary among viruses in this clade. The abstract links this work to risk assessment of pandemic potential but does not provide clinical guidance or population-level estimates.

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Structured evidence summary

Research question

The study examined whether two recent human clade 2.3.4.4b HPAI H5N1 viruses could spread between ferrets through respiratory droplets.

Study design

An experimental transmission study evaluated two H5N1 virus isolates in a ferret model, including assessment of disease severity, lethality, virus distribution, and respiratory-droplet spread.

Population and setting

The experiments used female ferrets and two recent human clade 2.3.4.4b H5N1 isolates: a B3.13 virus from Michigan and a D1.1 virus from British Columbia.

Main findings

The Michigan isolate produced severe disease, some deaths, and infection beyond the respiratory tract, but did not spread through respiratory droplets. The British Columbia isolate caused milder disease without deaths and also did not show respiratory-droplet transmission. The authors report that respiratory-droplet transmissibility differed across clade 2.3.4.4b viruses when considered with other reports.

Public-health relevance

The findings support continued evaluation of emerging H5N1 viruses because transmission characteristics may vary among viruses in this clade. The abstract links this work to risk assessment of pandemic potential but does not provide clinical guidance or population-level estimates.

Important limitations

The evidence comes from two virus isolates tested in a female-ferret model, so the supplied abstract does not establish how the findings apply beyond these experimental conditions. This summary is limited to the supplied single-article abstract and metadata; the original paper is required for decision-grade interpretation.

GIDS interpretation

The article is discoverable in the context of H5N1, influenza, and transmission dynamics. It provides experimental evidence about respiratory-droplet transmission in ferrets and does not, by itself, establish or confirm a live surveillance signal.

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Related GIDS surveillance

Literature context does not validate, explain, or change a surveillance signal. Exact and contextual relationships are shown separately.

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Evidence relationships

This article has 7 auditable classifier relationships to diseases, places, topics, and study design.

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