Evidence map›Paper›PMID 25712969›Full record

SynthesisThe Journal of infectious diseases2015

A Systematic Review and Meta-Analysis of the Seroprevalence of Influenza A(H9N2) Infection Among Humans.

Salah Uddin Khan, Benjamin D Anderson, Gary L Heil, Song Liang, Gregory C Gray

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in The Journal of infectious diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Pooled it
  4. Pooled it
  5. Article
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  8. Preparedness, prevention and control related to zoonotic avian influenza.EFSA journal. European Food Safety Authority · 2025
    Article
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  11. Review
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  19. H9 Influenza Viruses: An Emerging Challenge.Cold Spring Harbor perspectives in medicine · 2020
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Salah Uddin KhanDepartment of Environmental and Global Health, College of Public Health and Health Professions Emerging Pathogens Institute, University of Florida, Gainesville.
Benjamin D AndersonDepartment of Environmental and Global Health, College of Public Health and Health Professions Emerging Pathogens Institute, University of Florida, Gainesville Division of Infectious Diseases, Global Health Institute, & Nicholas School of the Environment, Duke University, Durham, North Carolina Laboratory of One Health Research, Program in Emerging Infectious Diseases, Duke-NUS Graduate Medical School, Singapore.
Gary L HeilDepartment of Environmental and Global Health, College of Public Health and Health Professions Emerging Pathogens Institute, University of Florida, Gainesville.
Song LiangDepartment of Environmental and Global Health, College of Public Health and Health Professions Emerging Pathogens Institute, University of Florida, Gainesville.
Gregory C GrayDivision of Infectious Diseases, Global Health Institute, & Nicholas School of the Environment, Duke University, Durham, North Carolina Laboratory of One Health Research, Program in Emerging Infectious Diseases, Duke-NUS Graduate Medical School, Singapore.

Funding

Zoonotic Swine Influenza Virus Transmission in Confined Animal Feeding OperationsR01AI108993 · NIAID · DUKE UNIVERSITY · PI GRAY, GREGORY CHARLES · 2014 to 2018
$2.1M
NIAID NIH HHS R01 AI108993
6 · The paper itself

Abstract

introductionGiven that influenza A(H9N2) is recognized as a pandemic threat, we evaluated the overall burden of influenza A(H9N2) infections among avian-exposed human populations.

methodsWe performed a systematic search of PubMed, AGRICOLA, and CAB Abstracts databases for literature published during 1997-2013. Studies reporting serological evidence of human influenza A(H9N2) infection among avian-exposed populations were included. We used a World Health Organization (WHO)-recommended case definition for serological evidence of infection based on results of hemagglutination inhibition (HI) and microneutralization (MN) assays. We calculated overall seroprevalence through a random effects meta-analysis model.

resultsSeroprevalence data reported by the studies ranged from 1% to 43% (median, 9%) by HI, which was not significantly different from the seroprevalence estimated through the WHO-recommended case definition (median, 1.3%; range, 0.5%-42.6%). Reported seroprevalence by MN ranged from 0.6% to 9% (median, 2.7%), which was greater than the seroprevalence estimated through the WHO-recommended case definition (median, 0.3%; range, 0.1%-1.4%).

conclusionsA small proportion of avian-exposed humans had evidence of influenza A(H9N2) infection. As the virus has a near global distribution in poultry, it seems likely that present surveillance efforts are missing mild or asymptomatic infections among avian-exposed persons. It seems prudent to closely monitor avian-exposed populations for influenza A(H9N2) infection to provide prepandemic warnings.

Indexed as

AnimalsAntibodies, ViralHumansInfluenza A Virus, H9N2 SubtypeInfluenza, HumanSeroepidemiologic StudiesZoonosesAntibodies, ViralH9N2 subtypehemagglutination inhibition testinfluenza A virusmeta-analysismicroneutralization testseroprevalencesystematic review

Identifiers

PMID25712969
PMCPMC4598807

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.