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Epi Canary — Epidemic IntelligenceEvidence-led epidemic intelligence. Source-attributed evidence.
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Public note

For situational awareness and research transparency. Not medical advice.

Novel Pathogen Detectionactive

Nepal-India South Asian H5N1 poultry outbreak corridor will generate at least one confirmed human H5N1 case in a South Asian agricultural worker (Nepal, India, or Bangladesh) by Q3 2026, given the ongoing multi-district bird outbreak in Nepal as of April 2026 and concurrent India Karnataka poultry confirmation.

System-generated assessment. This assessment remains under review until the stated horizon or until sufficient evidence allows evaluation.

Moderate confidence

Confidence in this assessment
40%

The evidence is meaningful, but there is still material uncertainty. Based on 4 linked evidence items and assessed against Sep 30, 2026.

Assessed through Sep 30, 2026·4 linked evidence items·Tracking since Apr 20, 2026

02

How this assessment will be evaluated

The criteria the system uses to determine whether this assessment is borne out by the stated horizon.

Automated

Method

Evidence Match

The condition the system checks for when evaluating this assessment.

Minimum source quality

T1Primary Institutional

Evidence must meet or exceed this credibility tier to count toward evaluation.

Required terms

multi-districtagriculturalconfirmationnepal-india

03

Evidence quality mix

Tracking since Apr 20, 2026.

T24
▸Integrity referencesCryptographic hashes for verification

Registration

06

Scope synthesis

The current analyst narrative for this scope.

Open synthesis →

H5N1 risk trajectory steady; semen-transmission hypotheses approach Apr 28 resolution with no new USDA data; Cambodia holds at 4 YTD human cases.

No Nepal/India human case reported; poultry spread ongoing

07

Evidence linked to this assessment

4 linked items.

AVIAN INFLUENZA - INDIA (18): (KARNATAKA) POULTRY, H5N1. These include establishing affected and

Currently interpreted as supporting evidence for 3 tracked assessments.

T2https://www.promedmail.org/?alert=8732328neutral
Apr 20, 2026
AVIAN INFLUENZA - INDIA (18): (KARNATAKA) POULTRY, H5N1. Following an outbreak of H5N1 avian inf

Currently interpreted as supporting evidence for 2 tracked assessments.

T2https://www.promedmail.org/?alert=8732328supports
Apr 20, 2026
AVIAN INFLUENZA - NEPAL (04): MULTIPLE DISTRICTS, BIRD, HPAI H5N1, SPREAD. The government is wor

This report is recorded in the evidence trail but is not yet linked to a tracked assessment.

T2https://www.promedmail.org/?alert=8732323neutral
Apr 19, 2026
AVIAN INFLUENZA - NEPAL (04): MULTIPLE DISTRICTS, BIRD, HPAI H5N1, SPREAD. Avian influenza is sp

This report is recorded in the evidence trail but is not yet linked to a tracked assessment.

T2https://www.promedmail.org/?alert=8732323neutral
Apr 19, 2026
Mirror replication is delayed on 2 of 3 tables. Showing last replicated data. Data may be stale.

Integrity anchor

Brier 0.202

19 resolved novel pathogen detection predictions.