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Peer reviewedOpen accessInfluenzaH5N1Gastroenteritis

Avian influenza overview March-June 2025.

EFSA journal. European Food Safety Authority·

Alexakis L, Buczkowski H, Ducatez M, Fusaro A, Gonzales JL, Kuiken T, Mirinavičiūtė G, Ståhl K, Staubach C, Svartström O, Terregino C, Willgert K, Melo M, Kohnle L

DOI
10.2903/j.efsa.2025.9520
PMID
40703963
PMCID
PMC12284602
OpenAlex
W4412589644
Study type
Journal article
Publisher
Publisher unavailable
Article type
journal-article
Integrity
current

Why this research matters now

Human infections with currently circulating avian A(H5) clade 2.3.4.4b viruses remain rare despite widespread animal circulation; the assessed EU/EEA risk is low for the general public and low-to-moderate for those with occupational exposure to infected animals or contaminated environments.

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Structured evidence summary

Research question

The article summarises avian influenza virus detections in animals and humans across an approximately three-month reporting window (8 March – 6 June 2025), with a geographic focus on Europe supplemented by selected non-European reports.

Study design

The publication is a peer-reviewed overview/reporting summary presenting aggregated surveillance data; no primary study design, statistical analysis, or sampling framework is described in the abstract.

Population and setting

The setting is multi-country surveillance, reporting detections in domestic and wild birds, several mammalian species, and humans across at least six countries in Asia and the Americas, with Europe as the primary focus.

Main findings

365 HPAI A(H5) detections were reported in birds across 24 European countries, predominantly A(H5N1), affecting waterfowl, poultry ducks and chickens (notably in Hungary and Poland). Mammalian detections included foxes, otters, seals, a domestic cat, and the first reported HPAI A(H5N1) infection in a sheep (UK). Non-European findings included continued A(H5N1) in US dairy cattle and first detections in a US gray fox, a South Korean leopard cat, and a US long-tailed weasel. Twenty human infections and four deaths were reported across six countries, mostly A(H9N2) and A(H5N1), with documented poultry exposure in a majority of A(H5N1) cases and no reported human-to-human transmission.

Public-health relevance

Human infections with currently circulating avian A(H5) clade 2.3.4.4b viruses remain rare despite widespread animal circulation; the assessed EU/EEA risk is low for the general public and low-to-moderate for those with occupational exposure to infected animals or contaminated environments.

Important limitations

This summary is limited to the supplied single-article abstract and bibliographic metadata and therefore lacks methodological detail on surveillance sources, case ascertainment, geographic representativeness, and denominator data; the original paper is required for decision-grade interpretation.

GIDS interpretation

The article is catalogued under infectious disease topics related to influenza transmission dynamics and is indexed against multiple affected countries, which may aid retrievability of the overview in literature databases; no claim is made here that the paper itself validates any 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 8 auditable classifier relationships to diseases, places, topics, and study design.

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