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Detection and characterisation of high pathogenicity avian influenza virus (H5N1/H5N8) clade 2.3.4.4b, Hong Kong SAR, China, 2021 to 2024

A new publication in Eurosurveillance from Professor Leo Poon, Professor Malik Peiris, and teams at the Centre for Immunology & Infection and the HKU-Pasteur Research Pole, reveals that multiple genotypes of 2.3.4.4b are found in wild birds, highlighting the importance of Hong Kong as a strategic site for AI surveillance.

Abstract: We isolated three genotypes of highly pathogenic avian influenza virus (HPAIV) clade 2.3.4.4b from wild birds infected with H5N1 (n = 12) and H5N8 (n = 1) in Hong Kong SAR 2021–2024. Viruses from two spoonbills from late 2022 were genetically related to a virus from a human in China. Four tested viruses exhibited variable virulence in mice but were susceptible to approved antivirals. No neutralising antibody was detected in 63 age-stratified human sera, suggesting potential risk should the virus adapt to humans.

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