Evidence map›Paper›PMID 40369349›Full record

ReviewEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2025

The emergence of highly pathogenic avian influenza H5N1 in dairy cattle: implications for public health, animal health, and pandemic preparedness.

Mohamed Kamel, Sami Aleya, Wesam Taher Almagharbeh, Lotfi Aleya, Mohamed M Abdel-Daim

Abstract readReview
In one paragraph

Review in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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.

Mohamed KamelDepartment of Medicine and Infectious Diseases, Faculty of Veterinary Medicine, Cairo University, Giza, 11221, Egypt. m_salah@cu.edu.eg.
Sami AleyaFaculty of Medicine, Université de Bourgogne Franche-Comté, Hauts-du-Chazal, Besançon, 25030, France.
Wesam Taher AlmagharbehMedical and Surgical Nursing Department, Faculty of Nursing, University of Tabuk, Tabuk, 7149, Saudi Arabia.
Lotfi AleyaLaboratoire de Chrono-Environnement, Université de Bourgogne Franche-Comté, UMR CNRS 6249, La Bouloie, Besançon, 25030, France.
Mohamed M Abdel-DaimDepartment of Pharmaceutical Sciences, Pharmacy Program, Batterjee Medical College, Jeddah, 21442, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe 2024 outbreak of Highly Pathogenic Avian Influenza (HPAI) H5N1 in U.S. dairy cattle represents a significant change in the behavior of zoonotic influenza viruses. Previously, H5N1 was primarily an avian pathogen with limited infection in mammals. The emergence of clade 2.3.4.4b H5N1 in dairy herds across multiple states reveals the virus's adaptation to mammalian hosts and highlights its potential for zoonotic transmission, raising important concerns for public health, veterinary medicine, and agriculture.

resultsThe virus demonstrated unique tropism for mammary tissue, with high viral loads detected in milk. Genomic analysis identified mutations that enhance binding to mammalian receptors and facilitate systemic spread. Viral RNA was found in raw milk, posing food safety risks; however, standard pasteurization effectively inactivated the virus. Epidemiological data indicate the outbreak likely began with spillover from wild birds or contaminated fomites, followed by efficient local transmission within herds. Forty-one human cases linked to infected dairy operations were confirmed. The outbreak caused significant economic losses due to decreased milk production and trade restrictions. Although human-to-human transmission remains low, the zoonotic risk requires urgent attention.

conclusionThe 2024 HPAI H5N1 outbreak in U.S. dairy cattle highlights critical gaps in surveillance, biosecurity, and coordination across sectors. A One Health approach integrating veterinary, public health, and environmental efforts is essential. Recommendations include improved surveillance, stringent biosecurity measures, occupational safety protocols, focused research on viral evolution, and investment in diagnostics and vaccines. These actions are vital to reduce risks, protect public health, and ensure the sustainability of the dairy industry against future zoonotic influenza threats.

Indexed as

Cattle DiseasesInfluenza A Virus, H5N1 SubtypeOrthomyxoviridae InfectionsAnimalsCattleDairyingDisease OutbreaksFemaleHumansInfluenza, HumanInfluenza in BirdsMilkPandemic PreparednessPandemicsPublic HealthUnited StatesBiosecurityDairy cattleHPAI H5N1Milk safetyOne healthPublic health riskSurveillanceViral adaptationZoonosis

Identifiers

PMID40369349
PMCPMC12321667

What OpenQuestion holds

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LicenceCC BY
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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.