Asymptomatic infection with clade 2.3.4.4b highly pathogenic avian influenza A(H5N1) in carnivore pets, Italy, April 2023.

Ana Moreno1 Francesco Bonfante2 Alessio Bortolami2 Irene Cassaniti3,4 Anna Caruana5 Vincenzo Cottini6 Danilo Cereda7 Marco Farioli7 Alice Fusaro2 Antonio Lavazza1 Pierdavide Lecchini8 Davide Lelli1 Andrea Maroni Ponti8 Claudia Nassuato6 Ambra Pastori2 Francesca Rovida3,4 Luigi Ruocco8 Marco Sordilli8 Fausto Baldanti3,4,9 Calogero Terregino2,9
Affiliations 9 institutions
  1. Istituto Zooprofilattico Sperimentale della Lombardia e dell'Emilia Romagna (IZSLER), Brescia, Italy.
  2. Istituto Zooprofilattico Sperimentale delle Venezie (IZSVe), Legnaro (Padua), Italy.
  3. Department of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia, Pavia, Italy.
  4. SC Microbiology and Virology, IRCCS Policlinico San Matteo, Pavia, Italy.
  5. Dipartimento di Igiene e Prevenzione Sanitaria-ATS Brescia, Brescia, Italy.
  6. Dipartimento Veterinario e Sicurezza degli Alimenti di origine animale-ATS Brescia Direzione Generale, Brescia, Italy.
  7. General Directorate of Welfare, Regione Lombardia, Milan, Italy.
  8. Sanità Animale e Farmaci Veterinari, Ministero della Salute, Rome, Italy.
  9. These authors contributed equally to this work and share last authorship.

Abstract

In April 2023, an outbreak of clade 2.3.4.4b highly pathogenic avian influenza A(H5N1) viruses carrying the T271A mammalian adaptive mutation in the PB2 protein was detected in a backyard poultry farm in Italy. Five domestic dogs and one cat living on the premises had seroconverted in the absence of clinical signs. Virological and serological monitoring of individuals exposed to the virus proved the absence of human transmission, however, asymptomatic influenza A(H5N1) infections in mammalian pets may have important public health implications.

Supporting text Virus Host Location
highly pathogenic avian influenza H5N1 virus 1 PB2 mutation 1 pet carnivores 1 phylogenetic analysis 66 serology 50 silent infection 1 Influenza A virus 186 Influenza A Virus, H5N1 Subtype 300 Influenza in Birds 341 Animals 1948 Asymptomatic Infections 5 Birds 212 Dogs 176 Humans 1440 Italy 20 Mammals 92

Evidence records

5 total
Zoonotic Surveillance
3 records · 1 evidence types
Evidence type
3 records
OVE7304
Key finding

Domestic dogs and a cat were naturally infected with avian influenza A(H5N1) during a poultry outbreak in Italy, demonstrating an animal-to-mammal spillover event.

Virus
Host
Location
Supporting text

In April 2023, an outbreak of clade 2.3.4.4b highly pathogenic avian influenza A(H5N1) viruses carrying the T271A mammalian adaptive mutation in the PB2 protein was detected in a backyard poultry farm in Italy. Five domestic dogs and one cat living on the premises had seroconverted in the absence of clinical signs.

Method
serology | virological monitoring
OVE7301
Key finding

Five domestic dogs on the affected premises in Italy showed seroconversion to influenza A(H5N1) without clinical signs.

Virus
Host
Location
Not specified
Supporting text

Five domestic dogs and one cat living on the premises had seroconverted in the absence of clinical signs. In April 2023, an outbreak of clade 2.3.4.4b highly pathogenic avian influenza A(H5N1) viruses carrying the T271A mammalian adaptive mutation in the PB2 protein was detected in a backyard poultry farm in Italy.

Method
serological testing | seroconversion detection
OVE7302
Key finding

One cat on the affected premises in Italy showed seroconversion to influenza A(H5N1) without clinical signs.

Virus
Host
Location
Not specified
Supporting text

Five domestic dogs and one cat living on the premises had seroconverted in the absence of clinical signs. In April 2023, an outbreak of clade 2.3.4.4b highly pathogenic avian influenza A(H5N1) viruses carrying the T271A mammalian adaptive mutation in the PB2 protein was detected in a backyard poultry farm in Italy.

Method
serological testing | seroconversion detection
Transmission Evidence
1 records · 1 evidence types
Evidence type
1 records
OVE7300
Key finding

An outbreak of clade 2.3.4.4b highly pathogenic avian influenza A(H5N1) occurred in backyard poultry in Italy in April 2023.

Virus
Host
Location
Supporting text

In April 2023, an outbreak of clade 2.3.4.4b highly pathogenic avian influenza A(H5N1) viruses carrying the T271A mammalian adaptive mutation in the PB2 protein was detected in a backyard poultry farm in Italy.

Method
outbreak detection | virological monitoring
Transmission direction
same-species transmission
Geographic raw
Italy
Country inferred
ITA
Outbreak setting
backyard poultry farm
Outbreak time
April 2023
Functional Mechanism
1 records · 1 evidence types
Evidence type
1 records
OVE7303
Key finding

Clade 2.3.4.4b H5N1 viruses detected in Italy carried the PB2 T271A mammalian adaptive mutation.

Virus
Host
Not specified
Location
Not specified
Supporting text

An outbreak of clade 2.3.4.4b highly pathogenic avian influenza A(H5N1) viruses carrying the T271A mammalian adaptive mutation in the PB2 protein was detected in a backyard poultry farm in Italy.

Genes or proteins
PB2
Mutations
T271A
Mechanism types
replication adaptation | host-range expansion