Evidence map›Paper›PMID 36678449›Full record

ArticlePathogens (Basel, Switzerland)2023

Integration of Epidemiological and Genomic Data to Investigate H5N1 HPAI Outbreaks in Northern Italy in 2021-2022.

Diletta Fornasiero, Alice Fusaro, Bianca Zecchin, Matteo Mazzucato, Francesca Scolamacchia, Grazia Manca, Calogero Terregino, Tiziano Dorotea, Paolo Mulatti

Abstract read
In one paragraph

Article in Pathogens (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

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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

9 authors.

Diletta FornasieroIstituto Zooprofilattico Sperimentale delle Venezie, 35020 Legnaro, Italy.ORCID 0000-0002-7655-1242
Alice FusaroIstituto Zooprofilattico Sperimentale delle Venezie, 35020 Legnaro, Italy.ORCID 0000-0002-8213-5472
Bianca ZecchinIstituto Zooprofilattico Sperimentale delle Venezie, 35020 Legnaro, Italy.ORCID 0000-0001-9566-6531
Matteo MazzucatoIstituto Zooprofilattico Sperimentale delle Venezie, 35020 Legnaro, Italy.
Francesca ScolamacchiaIstituto Zooprofilattico Sperimentale delle Venezie, 35020 Legnaro, Italy.ORCID 0000-0003-2509-937X
Grazia MancaIstituto Zooprofilattico Sperimentale delle Venezie, 35020 Legnaro, Italy.
Calogero TerreginoIstituto Zooprofilattico Sperimentale delle Venezie, 35020 Legnaro, Italy.
Tiziano DoroteaIstituto Zooprofilattico Sperimentale delle Venezie, 35020 Legnaro, Italy.ORCID 0000-0002-1146-5431
Paolo MulattiIstituto Zooprofilattico Sperimentale delle Venezie, 35020 Legnaro, Italy.ORCID 0000-0001-8188-997X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Between October 2021 and April 2022, 317 outbreaks caused by highly pathogenic avian influenza (HPAI) H5N1 viruses were notified in poultry farms in the northeastern Italian regions. The complete genomes of 214 strains were used to estimate the genetic network based on the similarity of the viruses. An exponential random graph model (ERGM) was used to assess the effect of 'at-risk contacts', 'same owners', 'in-bound/out-bound risk windows overlap', 'genetic differences', 'geographic distances', 'same species', and 'poultry company' on the probability of observing a link within the genetic network, which can be interpreted as the potential propagation of the epidemic via lateral spread or a common source of infection. The variables 'same poultry company' (Est. = 0.548, C.I. = [0.179; 0.918]) and 'risk windows overlap' (Est. = 0.339, C.I. = [0.309; 0.368]) were associated with a higher probability of link formation, while the 'genetic differences' (Est. = -0.563, C.I. = [-0.640; -0.486]) and 'geographic distances' (Est. = -0.058, C.I. = [-0.078; -0.038]) indicated a reduced probability. The integration of epidemiological data with genomic analyses allows us to monitor the epidemic evolution and helps to explain the dynamics of lateral spreads casting light on the potential diffusion routes. The 2021-2022 epidemic stresses the need to further strengthen the biosecurity measures, and to encourage the reorganization of the poultry production sector to minimize the impact of future epidemics.

Indexed as

contact tracingepidemiological investigationERGMgenetic networkH5N1HPAIItaly

Identifiers

PMID36678449
PMCPMC9865711

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Registered trials

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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.