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H5N1 Avian InfluenzaRespiratory
  • Overview
  • Synthesis
  • Assessments
  • Evidence

Public note

For situational awareness and research transparency. Not medical advice.

Respiratoryactive

H5N1 Avian Influenza

Monitoring clade 2.3.4.4b evolution, mammalian adaptation markers, and zoonotic spillover events across dairy cattle, poultry, and wild bird populations.

Open assessments

5

Tracked assessments currently open in this scope.

Evidence items

247

Source-attributed evidence available to this scope.

Source feeds

5

Configured sources contributing data to this investigation.

Last activity

Apr 12, 2026

Most recent scope activity captured in the system.

Evidence quality mix

T042
T189
T271
T331
T414

01

Synthesis

The current analyst view of this scope, at increasing levels of depth.

Active monitoring. 5 open assessments, with rising confidence in mammalian adaptation.

Clade 2.3.4.4b H5N1 continues to circulate widely in wild birds and poultry across multiple continents. Since late 2024, dairy cattle outbreaks in the US have raised concerns about mammalian adaptation. GISAID sequences show PB2 E627K and D701N mutations in several bovine isolates. WHO has not declared a PHEIC but maintains elevated risk assessment. The system is following 5 open assessments covering sustained cattle-to-cattle transmission, human spillover probability, and antigenic drift away from candidate vaccines.

02

Assessments

Open assessments being tracked inside this scope, ordered for fast review.

H5N1 clade 2.3.4.4b will establish sustained cattle-to-cattle transmission in at least 3 US states by Q2 2026.

Sustained Transmission·active·72%·Through Jun 30, 2026·34 linked items·Apr 12, 2026

At least one confirmed human H5N1 case with no direct poultry contact will be reported by a T1 source before July 2026.

Novel Pathogen Detection·active·38%·Through Jul 1, 2026·18 linked items·Apr 10, 2026

03

Recent evidence

The most recent source-attributed evidence flowing into this investigation.

PubMed study finds no evidence of efficient airborne transmission of clade 2.3.4.4b H5N1 between ferrets in controlled laboratory setting.

Apr 5, 2026
T1·PubMed·1 linked assessment
Auto-taggedOutbreakMutation

GISAID sequences show PB2 E627K mutation in 4 new bovine H5N1 isolates from Texas and Ohio dairy herds, collected March 2026.

Apr 1, 2026
T0·GISAID EpiFlu·2 linked assessments
Auto-taggedMutation

WOAH-WAHIS notification: 12 new HPAI H5N1 outbreaks in US dairy cattle, spanning Texas, Ohio, and Michigan. Case fatality rate in affected herds estimated at 2%.

Mar 28, 2026
T1·WOAH-WAHIS·1 linked assessment

ProMED post reports farmworker in Texas hospitalized with conjunctivitis and mild respiratory symptoms following exposure to infected dairy cattle. PCR-positive for H5N1.

Mar 25, 2026
T2·ProMED-mail·1 linked assessment·unverified