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Highly Pathogenic Bird Flu Outbreak: Watch Out For These “Super Spreader” Bird Species

Dead bird bird flu concept

Which bird species are super spreaders of bird flu? New research from Tufts University provides details.

A new study from researchers at Tufts University pinpoints what types of super-diffusers are.

When it comes to bird flu, more commonly known as bird flu, not all birds are created equal.

“The scientific community has become accustomed to discussing flu viruses in birds as a group, but birds are an incredibly diverse taxa of animals with different natural histories, physiology and anatomy,” said Jonathan Runstadler, professor and chair of the Division of Infectious Diseases. Disease and Global Health at the Cummings School of Veterinary Medicine at Tufts University.

Runstadler is one of the authors of a new research study, published today (May 19, 2022) in the journal PLOS pathogens which takes a data-driven look at flu viruses circulating among different groups of birds and characterizes which species of birds are involved in the spread of the virus. The timing of this article is impeccable, as a highly pathogenic strain of bird flu has spread across North America.

Great Horned Owl

During the current outbreak of highly pathogenic avian influenza, great horned owls are among the species that have tested positive. Pictured: A great horned owl is being treated at the Tufts Wildlife Clinic in 2019 (for injuries not related to the bird flu). Credit: Alonso Nichols/Tufts University

This bird flu lineage originated around 1996 and was first found in a domesticated goose in China. The virus mutated and persisted, and the first major wild bird outbreak occurred around 2005 in a large wetland in Central Asia. Subsequent changes in the virus led to a 2014 introduction to the US via the Pacific Northwest, severely affecting the US poultry industry and the culling of approximately 40 million turkeys and chickens as a control measure.

Influenza A virus subtype H5N1 (A/H5N1) is a subtype of the influenza A virus that can cause illness in humans and many other animal species. An avian strain of H5N1, called HPAI A(H5N1), for the highly pathogenic avian influenza virus of type A or subtype H5N1, is the highly pathogenic causative agent of H5N1 influenza, commonly known as avian influenza or “avian influenza”.

“It was a big blow,” said Nichola Hill, the paper’s lead author and an assistant professor of biology at the University of Massachusetts Boston, who spent nearly five years in Runstadler’s lab at the Cummings School. “After it ended, we knew we were in between outbreaks and there was a high probability of another outbreak. We felt we had to look at long-term historical data to find patterns and determine which birds are really driving global distribution. So we compared birds on a finer taxonomic scale than previous studies, such as mallards, gulls, terrestrial birds and geese, with domestic poultry like chickens, and we came up with some really interesting findings.”

Historically, ducks like mallards were considered super spreaders of bird flu, infecting both wild birds and backyard poultry, and research by Hill and Runstadler found that to be broadly true. Dabbling ducks are powerful vehicles for the spread of the virus and for the evolution of the virus in the reservoir of wild birds. They can carry highly pathogenic strains and be completely asymptomatic, plus they swim and fly so they can move the virus in a variety of ways, including in local water bodies.

But there are other birds that play a bigger role in transmitting the virus. “When we looked at which birds were responsible for overspill to poultry, ticks pointed to wild geese, which are really good at amplifying the virus,” Hill says. “We need to understand why in terms of their host pathology, immunity, behavior and ecology.”

Western Sandpipers

A feeding frenzy of western sandpipers (Calidris mauri) during the mass migration through Cordova, Alaska – a key research location in the paper. Credit: Wendy Puryear

An ecological factor that may play a role is that geese are land grazers and thrive in cities and agricultural environments. Many geese species in North America and Europe are considered pests. “They really are the perfect overflow hosts because they can take advantage of human-modified habitats,” added Hill.

In addition, understanding which birds are causing the long-distance spread could influence how and when the virus enters a new geographic region. For example, the 2014 outbreak entered the United States via the Pacific Ocean, probably carried by ducks, but the current outbreak entered via the Atlantic Ocean, and ducks may not have been involved to the same extent.

“The first wild bird detection in 2021 was great black-backed gulls,” Hill says. “Gulls are strong long-range pelagic fliers that take advantage of tailwinds to travel across the ocean and move the virus very quickly.”

An outbreak of bird flu of this magnitude and scale has never been seen in North America. About 40 species of birds have become infected during the current North American outbreak, including songbirds such as crows and sparrows, as well as birds of prey such as owls and hawks. This outbreak has a wider geographic range and affects a greater diversity of species compared to the 2014 outbreak in North America.

“Knowing that gulls, geese and ducks can move this virus in different ways is a big contribution to understanding or ultimately modeling with more

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” data-gt-translate-attributes=”[{” attribute=””>accuracy how we expect a virus like this to spread,” says Runstadler. “Ultimately, we could put this data into a model that allows us to predict if there’s a virus emerging, when that virus might enter North America, and what bird populations we might target for surveillance to detect it.”

Clinic Collaboration

Runstadler has been researching avian influenza since 2005, when his lab was located at the University of Alaska Fairbanks and the H5N1 strain of the virus was emerging in East Asia. The scientists in his lab study the ecology of influenza viruses in wild animal hosts, including birds, which are major reservoirs for influenza. Runstadler says most flu viruses are thought to have originated in birds and spread to other hosts.

Runstadler’s lab regularly collaborates with Tufts Wildlife Clinic and director Maureen Murray, clinical associate professor at Cummings School, to gather samples from a variety of birds coming through the clinic, not just the ones showing clinical signs of avian influenza. The goal is twofold: to understand the epidemiology of the virus and manage avian influenza cases safely in the clinic.

“When we admit new birds to the clinic, we sample them to see if they’re carrying the virus and isolate them until we get a negative test to make sure we’re not exposing our other patients to the virus,” says Murray.

The samples are screened at Runstadler’s lab to determine whether a bird is carrying an influenza virus, and if so, whether it’s the H5 strain responsible for outbreaks. Runstadler notes this exercise to gather data now is critical for comparison with data in the future. If a bird tests positive, the sample is sent to the USDA’s National Veterinary Services Laboratory for additional testing and sequencing as a final confirmation.

“We’ve seen some positive birds come through the clinic, including great horned owls, snowy owls, a bald eagle, and a peregrine falcon,” Murray says, “but fortunately, not a lot of cases.”

Risk to Humans

Though avian influenza is zoonotic, the risk to people is very low. Runstadler says there is practically zero threat to the average person going about their daily lives. It is of slightly more risk to people who handle birds regularly, such as wildlife professionals, poultry workers, or backyard chicken owners.

Recently, a man in Colorado was diagnosed with avian influenza, marking the first human case in North America during this outbreak. Media reports indicated he was involved with culling poultry and infected by a sick bird. According to the Centers for Disease Control and Prevention (CDC), he had mild symptoms, was isolated, and recovered. The fact that his symptoms were mild is paradoxically concerning because, Hill notes, it makes the virus harder to detect and track, as infected individuals may ignore mild symptoms and not seek treatment—much like

Hill is not only concerned about human spillover, but with mammalian spillover in general. She points to animals such as dogs, foxes or coyotes that may predate on birds, especially vulnerable ones showing neurological symptoms or in respiratory distress. It’s unclear at this point what the result of those interactions could be, though infections in red foxes have already been reported in the U.S., Canada, and the Netherlands.

Will This Outbreak End?

“The short answer is nobody knows,” Runstadler says, “because we don’t have a sophisticated enough understanding though we hope someday we will. It’s a very complex system.”

The 2014 bird flu incursion gradually fizzled out, but that’s not likely to happen this time, he says, because the 2022 incursion is quite different from the last outbreak. The viruses identified in North America in 2014 contained pieces of the highly pathogenic H5 viruses, but not the whole virus, like this outbreak. Also, this incursion seemingly has spread faster than the last one. In addition, Hill says her research has shown a pattern of the scale and magnitude of bird flu outbreaks increasing over time.

“There’s reason to expect this virus is here to stay, and it’s not going to disappear,” says Runstadler.

Reference: “Ecological divergence of wild birds drives avian influenza spillover and global spread” by Nichola J. Hill, Mary Anne Bishop, Nídia S. Trovão, Katherine M. Ineson, Anne L. Schaefer, Wendy B. Puryear, Katherine Zhou, Alexa D. Foss, Daniel E. Clark, Kenneth G. MacKenzie, Jonathon D. Gass Jr., Laura K. Borkenhagen, Jeffrey S. Hall and Jonathan A. Runstadler, 19 May 2022, PLOS Pathogens.
DOI: 10.1371/journal.ppat.1010062


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