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Passive and active surveillance and identifying specific hosts of H5 HPAIVs. (A) Space-time distribution of provinces reporting H5 HPAIV outbreaks and active surveillance programs and the number of H5 HPAIV strains publicly registered (GISAID and/or IRD) in given provinces during 2014-2017. Province centroids are used to localize total number of H5 HPAIV strains published in each province. * and † indicate H5 HPAIVs detected from human cases of clade 1.1.2 and 2.3.2.1c viruses, respectively. (B) Summary statistics of domestic poultry species and environmental samples positive for H5 HPAIVs in our surveillance program. Number and size of each circle indicates sum of infected individuals.

Passive and active surveillance and identifying specific hosts of H5 HPAIVs. (A) Space-time distribution of provinces reporting H5 HPAIV outbreaks and active surveillance programs and the number of H5 HPAIV strains publicly registered (GISAID and/or IRD) in given provinces during 2014-2017. Province centroids are used to localize total number of H5 HPAIV strains published in each province. * and † indicate H5 HPAIVs detected from human cases of clade 1.1.2 and 2.3.2.1c viruses, respectively. (B) Summary statistics of domestic poultry species and environmental samples positive for H5 HPAIVs in our surveillance program. Number and size of each circle indicates sum of infected individuals.

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This study aimed to elucidate virus, host and environmental dynamics of Vietnamese H5 highly pathogenic avian influenza viruses (HPAIVs) during 2014–2017. Epidemiologically, H5 HPAIVs were frequently detected in apparently healthy domestic and Muscovy ducks and therefore these are preferred species for H5 HPAIV detection in active surveillance. Vir...

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... programs and identifying specific hosts of H5 HPAIVs. Profiles gathered from passive and active surveillance programs in poultry in Vietnam were reviewed. The choropleth map in Fig. 1A illustrated space-time distribution of provinces reporting H5 HPAIV outbreaks as denoted via passive notification and provinces conducting active surveillance for the period 2014-2017. Outbreaks of disease associated with H5 HPAIVs were reported in all regions (North, Central and South) in each year, indicating that H5 HPAIVs persisted ...
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... in each province that were available in public influenza virus databases were co-plotted in the choropleth map. Within the 4-year period, a substantial number of Vietnamese H5 HPAIV strains (n = 192) were deposited in the public databases. More viruses were deposited in 2014 compared to 2016 in line with the increase in the number of outbreaks (Fig. 1A). These results demonstrate the importance of surveillance for monitoring H5 HPAIVs in Vietnam and its contribution to global influenza ...
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... these, 77 geographically and temporally representative isolates were selected for sequencing (Supplementary Table S3). The results from virus isolation in our active surveillance of apparently healthy birds showed that domestic ducks (51 isolates) and Muscovy ducks (72 isolates) were the species from which H5 HPAIVs were most frequently isolated (Fig. 1B). Likewise, the number of infected birds with other Vietnamese H5 HPAIV strains deposited in global surveillance databases (unknown whether passive or active sources) showed a similar pattern ( Supplementary Fig. S1). Therefore, domestic and Muscovy ducks are preferred species for detection of H5 HPAIVs in active ...
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... results from virus isolation in our active surveillance of apparently healthy birds showed that domestic ducks (51 isolates) and Muscovy ducks (72 isolates) were the species from which H5 HPAIVs were most frequently isolated (Fig. 1B). Likewise, the number of infected birds with other Vietnamese H5 HPAIV strains deposited in global surveillance databases (unknown whether passive or active sources) showed a similar pattern ( Supplementary Fig. S1). Therefore, domestic and Muscovy ducks are preferred species for detection of H5 HPAIVs in active surveillance. ...
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... illustrated that active and passive surveillance system in Vietnam allowed detection of viruses and disease outbreaks although it also demonstrated that some gaps exist that could result in non-detection of viruses. This work significantly contributed to global influenza surveillance via publishing substantial genetic data of detected viruses (Fig. 1A and www.nature.com/scientificreports www.nature.com/scientificreports/ Supplementary Table S3). However, it is also critical to discuss some constraints in the system. For instance, in the passive surveillance program, genetic information of H5 HPAIVs that caused outbreaks remained limited. The majority of virus sequences available in ...
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... sequences available in public databases were derived from active surveillance programs. A human case infected with a clade 1.1.2 virus was reported in a southern province in 2014, but no outbreak case and genetic information of clade 1.1.2 virus were reported in poultry, posing uncertainty about the actual circulation of viruses in this area (Fig. 1A). These examples emphasize the need to further develop surveillance, particularly virus investigation post surveillance and more focus on high risk areas. In addition, close collaboration between veterinary and human health sectors is needed for effective monitoring and control of ...
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... our surveillance, H5 HPAIVs were largely and frequently detected in apparently healthy domestic and Muscovy ducks (Fig. 1B). Role of domestic ducks for H5 HPAIV persistence has been demonstrated 24,25 , but the role of Muscovy ducks remains uncertain. Previous studies have reported that Muscovy ducks were more susceptible to Gs/GD-lineage H5 HPAIVs and vaccination was less effective in preventing infection compared with domestic ducks 26,27 . This result ...
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... that Muscovy ducks were more susceptible to Gs/GD-lineage H5 HPAIVs and vaccination was less effective in preventing infection compared with domestic ducks 26,27 . This result reinforces the epidemiological importance of domestic ducks and justifies further exploration of the role of Muscovy ducks. They remain good targets for active surveillance (Fig. 1B and Supplementary Fig. S1). Moreover, all H5 HPAIVs in our surveillance were isolated in LBMs and LBM-like locations, indicating that LBMs play important roles for virus persistence and dissemination 18,28 . These findings confirmed relatively constant epidemiology of H5 HPAIVs in regards that abundance of waterfowl species and live poultry trading activities ...
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... to domestic terrestrial birds and this was also the case with recent H5 HPAIVs in Vietnam which did not contain any mutation makers associated with mammalian adaptation and/or virulence (Table 1). Nonetheless, the threats to human health are always present; in fact, H5 HPAIVs possessing typical avian phenotypes triggered human infections in 2014 (Fig. 1A) [30][31][32] . This implies complexity of virological and epidemiological interactions and gaps of our understanding H5 HPAIV human infection in ...

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... NS1 is a multifunctional viral protein that counteracts the innate immune response of the host, enabling the virus to replicate effectively during infection [69]. All viruses analyzed here lacked NS1 amino acids [80][81][82][83][84] (Supplemental Tables S2 and S3), a deletion that increases the pathogenicity of H5N1 viruses in mice [70]. The amino acids at positions 103 and 106 (equivalent to positions 98 and 101 in NS1∆80-84) are important for binding to CPSF30 [71,72], which affects the nuclear export of poly(A)-containing mRNA and thus influenza virus-mediated shutdown of host cell protein synthesis. ...
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... This situation promoted the reassortment event that led to the antigenic shift. The report on the reassortment of LPAIV with H5N6 HPAIV was released in Vietnam [19,21]. Furthermore, mixing many species and a free-grazing farming model might enhance the frequency of reassortment events [7]. ...
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... In [10,25]. Therefore, it is possible that new H5N6 viruses with 2.3.2.1c-original HA (similar to the Jiangxi strain) will be introduced to Vietnam and that reassortment activities may occur. ...
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