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Avian influenza (AI) viruses infect domestic poultry as well as pet, zoo, and wild birds. In domestic
poultry. Most recent A(H5) and A(H7N9) viruses are resistant to adamantane antiviral drugs (e.g.
amantadine and rimantadine) and are therefore not recommended for monotherapy.(WHO)
causing subclinical infections, respiratory disease, or drops in egg production. However, a few
AI viruses cause severe systemic infections with high mortality.
Etiology:
AI viruses are type A orthomyxoviruses characterized by antigenically homologous nucleoprotein and matrix
internal proteins, which are identified by serology in agar gel immunodiffusion (AGID) tests.
(H1-16) and 9 neuraminidase (N1-9) subtypes based on hemagglutinin inhibition and neuraminidase
inhibition tests, respectively. Most AI viruses (H1-16 subtypes) Only H5 and H7 AI viruses are highly
pathogenic for chickens, turkeys.
.Transmission between individual birds is by ingestion or inhalation. Naturally and experimentally, cats and
dogs have been infected with one strain of H5N1 Eurasian HP AI virus. Experimental infections occurred after
respiratory exposure, ingestion of infected chickens, or contact exposure, but cats were more susceptible than
dogs. Potentially, domestic pets could serve as a transmission vector between farms, but the ability of other AI
viruses, including other H5N1 strains, to infect pets is unknown. Other mammals that have been
experimentally infected include pigs, ferrets, rats, rabbits, guinea pigs, mice, mink, and nonhuman primates.
Transmission between farms is the result of breaches in biosecurity practices, principally by movement of
infected poultry or contaminated feces and respiratory secretions on fomites such as equipment or clothing.
Airborne dissemination between farms may be important over limited distances. Limited spread by wild birds
of the Eurasian H5N1 HP AI virus has been suggested but is not typical of other HP AI viruses. Other HP AI
and all LP AI have minimal potential to infect dogs and cats.
Clinical Findings and Lesions:
Clinical signs, severity of disease, and mortality rates vary depending on AI virus strain and host species.
Diagnosis:
LP and HP AI viruses can be readily isolated from oropharyngeal and cloacal swabs, and HP AI viruses from
many internal organs. AI viruses grow well in the allantoic sac of 9- to 11-day-old embryonating chicken eggs,
and they agglutinate RBCs. The hemagglutination is not inhibited by Newcastle disease or other
paramyxoviral antiserum.
AI viruses are identified by demonstrating the presence of 1) influenza A matrix or nucleoprotein antigens
using AGID or other suitable immunoassays, or 2) viral RNA using an influenza A–specific reverse
transcriptase-PCR test.
LP AI must be differentiated from other respiratory diseases or causes of decreased egg production, including
1) acute to subacute viral diseases such as infectious bronchitis, infectious laryngotracheitis, low virulent
Newcastle disease, and infections by other paramyxoviruses; 2) bacterial diseases such as mycoplasmosis,
infectious coryza, ornithobacteriosis, turkey coryza, and the respiratory form of fowl cholera; and 3) fungal
diseases such as aspergillosis. HP AI must be differentiated from other causes of high mortality such as
virulent Newcastle disease, peracute septicemic fowl cholera, heat exhaustion, and severe water deprivation.
Zoonotic Risk:
AI viruses exhibit host adaptation to birds. Human infections have occurred, usually as isolated, rare,
individual cases. Most human cases have originated from infection with Eurasian H5N1 HP AI virus and, most
recently, Chinese H7N9 LP AI virus. The total accumulated human cases of H5N1 HP AI virus in Asia and
Africa from 2003–2013 is 648, of which 384 were fatal. The primary risk factor for human infection has been
direct contact with live or dead infected poultry, but a few cases have resulted from consumption of uncooked
poultry products, defeathering of infected wild swans, or close contact with human cases. Respiratory infection
has been the most frequent presentation of human H5N1 cases. For H7N9 LP AI, total accumulated human
cases in China for 2013 is 137, of which 45 were fatal. Most cases had exposure risk to live-poultry markets.
Conjunctivitis was the most frequent symptom in human cases of H7N7 HP AI virus infection in the
Netherlands during 2003, with 89 confirmed cases and 1 fatality.