Evidence map›Paper›PMID 38494746›Full record

ArticleEmerging microbes & infections2024

Highly pathogenic avian influenza A(H5N1) virus of clade 2.3.4.4b isolated from a human case in Chile causes fatal disease and transmits between co-housed ferrets.

Joanna A Pulit-Penaloza, Nicole Brock, Jessica A Belser, Xiangjie Sun, Claudia Pappas, Troy J Kieran, Poulami Basu Thakur, Hui Zeng, Dan Cui, Julia Frederick and 3 more

Open access · goldAbstract read
In one paragraph

Article in Emerging microbes & infections, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 1 pooled it
27.8field-weighted citation impact, top 1% of its field
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

56 citing papers in PubMed, 1 synthesis or guideline pooled it, 72 citations in OpenAlex.

  1. Pooled it
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  6. Lack of respiratory droplet transmission of two recent human influenza A(H5N1) viruses in female ferrets.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2026
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  20. Deliberating the scientific evidence base for influenza transmission to raw milk consumers.Risk analysis : an official publication of the Society for Risk Analysis · 2025
    Review
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

13 authors at 2 institutions in 2 countries.

Joanna A Pulit-PenalozaInfluenza Division, NCIRD, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Nicole BrockInfluenza Division, NCIRD, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Jessica A BelserInfluenza Division, NCIRD, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Xiangjie SunInfluenza Division, NCIRD, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Claudia PappasInfluenza Division, NCIRD, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Troy J KieranInfluenza Division, NCIRD, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Poulami Basu ThakurInfluenza Division, NCIRD, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Hui ZengInfluenza Division, NCIRD, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Dan CuiInfluenza Division, NCIRD, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Julia FrederickInfluenza Division, NCIRD, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Rodrigo FasceViral Diseases Sub Department, Public Health Institute, ISP, Santiago, Chile.
Terrence M TumpeyInfluenza Division, NCIRD, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Taronna R MainesInfluenza Division, NCIRD, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Centers for Disease Control and Prevention · USInstituto de Salud Pública de Chile · CL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clade 2.3.4.4b highly pathogenic avian influenza A(H5N1) viruses have caused large outbreaks within avian populations on five continents, with concurrent spillover into a variety of mammalian species. Mutations associated with mammalian adaptation have been sporadically identified in avian isolates, and more frequently among mammalian isolates following infection. Reports of human infection with A(H5N1) viruses following contact with infected wildlife have been reported on multiple continents, highlighting the need for pandemic risk assessment of these viruses. In this study, the pathogenicity and transmissibility of A/Chile/25945/2023 HPAI A(H5N1) virus, a novel reassortant with four gene segments (PB1, PB2, NP, MP) from North American lineage, isolated from a severe human case in Chile, was evaluated in vitro and using the ferret model. This virus possessed a high capacity to cause fatal disease, characterized by high morbidity and extrapulmonary spread in virus-inoculated ferrets. The virus was capable of transmission to naïve contacts in a direct contact setting, with contact animals similarly exhibiting severe disease, but did not exhibit productive transmission in respiratory droplet or fomite transmission models. Our results indicate that the virus would need to acquire an airborne transmissible phenotype in mammals to potentially cause a pandemic. Nonetheless, this work warrants continuous monitoring of mammalian adaptations in avian viruses, especially in strains isolated from humans, to aid pandemic preparedness efforts.

Indexed as

FerretsInfluenza A Virus, H5N1 SubtypeInfluenza, HumanOrthomyxoviridae InfectionsAnimalsChileHumansInfluenza in BirdsPhylogenyReassortant VirusesA(H5N1)avian influenzaclade 2,3,4,4bFerrettransmission

Identifiers

PMID38494746
PMCPMC11177717
OpenAlexW4392920953

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.