Lessons from the Largest Epidemic of Avian Influenza Viruses in Taiwan, 2015

• Published in: Avian Diseases
• Main Authors: Ching-Fen Chang, Chwan-Chuen King, Cho-Hua Wan, Yun-Cheng Chang, Ta-Chien Chan, Chang-Chun David Lee, Po-Hao Borris Chou, Zheng-Rong Tiger Li, Yao-Tsun Li, Tzu-Jung Tseng, Pei-Fen Lee, Chuan-Hsiung Chang
• Format: Text
• Language: English
• Published: American Association of Avian Pathologists 2016
• Subjects: gyrfalcon
• Online Access: https://doi.org/10.1637/11168-051915-Reg

The largest epidemic of avian influenza (AI) in history attacked poultry and wild birds throughout Taiwan starting January 6, 2015. This study analyzed surveillance results, epidemiologic characteristics, and viral sequences by using government-released information, with the intention to provide recommendations to minimize future pandemic influenza. The H5 clade 2.3.4.4 highly pathogenic AI viruses (HPAIVs) had not been detected in Taiwan before 2015. During this epidemic, four types of etiologic agents were identified: the three novel subtypes H5N2, H5N8, and H5N3 clade 2.3.4.4 HPAIVs and one endemic chicken H5N2 subtype (Mexican-like lineage) of low pathogenic AI viruses. Cocirculation of mixed subtypes also occurred, with H5N2 clade 2.3.4.4 HPAIVs accompanied by the H5N8 and H5N3 subtypes or old H5N2 viruses in the same farm. More than 90% of domestic geese died from this AI epidemic; geese were affected the most at the early outbreaks. The epidemic peaked in mid-January for all three novel H5 subtypes. Spatial epidemiology found that most affected areas were located in southwestern coastal areas. In terrestrial poultry (mostly chickens), different geographic distributions of AI virus subtypes were detected, with hot spots of H5N2 clade 2.3.4.4 vs. past-endemic old H5N2 viruses in Changhwa (P = 0.03) and Yunlin (P = 0.007) counties, respectively, of central Taiwan. Phylogenetic and sequence analyses of all the early 10 Taiwan H5 clade 2.3.4.4 isolates covering the three subtypes showed that they were very different from the HA of the past local H5 viruses from domestic ducks (75%–80%) and chickens (70%–75%). However, they had the highest sequence identity percentages (99.53%–100%), with the HA of A/crane/Kagoshima/KU13/2014(H5N8) isolated on December 7, 2014, in Japan being higher than those of recent American and Korean H5 HPAIVs [A/Northern pintail/Washington/40964/2014 (H5N2) and A/gyrfalcon/Washington/41088-6/2014 (H5N8): 99.02%–99.54% and A/Baikal teal/Korea/Donglim3/2014 (H5N8): 98.61%–99.08%], implying ...