Evidence map›Paper›PMID 41243197›Full record

ArticleInfluenza and other respiratory viruses2025

A Cross-Sectional Virological and Sero-Epidemiological Study of Exposures to Avian Influenza A(H5N1) and A(H9N2) Viruses in Live Bird Market Workers in Dhaka, Bangladesh.

Mahbubur Rahman, Timothy M Uyeki, Malik Peiris, Jacqueline M Cardwell, Patrick Nguipdop-Djomo, Min Kim, A S M Alamgir, A K M Muraduzzaman, Sudipta Sarkar, Md Giasuddin and 7 more

Abstract read
In one paragraph

Article in Influenza and other respiratory viruses, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 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

17 authors.

Mahbubur RahmanRoyal Veterinary College, Hatfield, UK.ORCID https://orcid.org/0000-0001-8577-8281
Timothy M UyekiInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0001-5338-8668
Malik PeirisThe University of Hong Kong.
Jacqueline M CardwellRoyal Veterinary College, Hatfield, UK.
Patrick Nguipdop-DjomoLondon School of Hygiene and Tropical Medicine, London, UK.
Min KimLondon School of Hygiene and Tropical Medicine, London, UK.
A S M AlamgirInstitute of Epidemiology, Disease Control and Research, Dhaka, Bangladesh.
A K M MuraduzzamanInstitute of Epidemiology, Disease Control and Research, Dhaka, Bangladesh.
Sudipta SarkarInstitute of Epidemiology, Disease Control and Research, Dhaka, Bangladesh.
Md GiasuddinBangladesh Livestock Research Institute (BLRI), Savar, Bangladesh.
Md Ahasanul HoqueChattogram Veterinary and Animal Sciences University (CVASU), Chattogram, Bangladesh.
Montse TorremorellUniversity of Minnesota College of Veterinary Medicine.
Mahmudur RahmanInstitute of Epidemiology, Disease Control and Research, Dhaka, Bangladesh.
Guillaume FourniéRoyal Veterinary College, Hatfield, UK.
Dirk U PfeifferRoyal Veterinary College, Hatfield, UK.
Meerjady Sabrina FloraInstitute of Epidemiology, Disease Control and Research, Dhaka, Bangladesh.
Punam MangtaniLondon School of Hygiene and Tropical Medicine, London, UK.

Funding

Biotechnology and Biological Sciences Research Council BB/L018993/1Defence Science and Technology LaboratoryDepartment for International Development, UK GovernmentEconomic and Social Research CouncilMedical Research CouncilNatural Environment Research Council
6 · The paper itself

Abstract

backgroundAvian influenza A viruses (AIVs) are endemic among poultry in Bangladesh sold at live bird markets (LBMs). We assessed virologic and serologic evidence of exposure to AIVs among LBM workers.

methodsA cross-sectional study recruited 702 randomly sampled workers from 42 LBMs in Dhaka, Bangladesh, during 2017. Nasal and throat swabs collected from workers and air samples from LBMs were tested for influenza A virus by RT-PCR with positives subtyped for A(H5), A(H7), and A(H9). Baseline sera from 695 workers and follow-up sera from 89 workers with influenza A positive respiratory specimens were tested by microneutralization assay for antibodies to A(H5N1) clade 2.3.2.1a and A(H9N2) G1 lineage viruses circulating in poultry. A seropositive result was defined as a neutralizing antibody titer ≥ 1:40.

resultsMost LBM workers reported slaughtering (93.3%) and defeathering (84.5%) poultry. Ninety-nine (14.1%) had ≥ 1 respiratory specimen that tested influenza A positive but negative for A(H1) and A(H3). Of these 99, subtyping identified 28 (28.3%) A(H9), 2 (2%) A(H5), 3 (3%) both A(H5) and A(H9), and 66 (66.7%) A (nonsubtypeable). Influenza A viruses were detected in air samples at 25 LBMs (59.5%), including A(H9) only in 10 LBMs (40%), A(H5) only in one (4%), both A(H5) and A(H9) in 13 (52%), and one A (nonsubtypeable) (4%). None of the participants were seropositive for AIVs.

conclusionsLBM workers had extensive exposure to AIVs, but none had serologic evidence of infection with A(H5N1) or A(H9N2) viruses circulating among poultry in Bangladesh. Ongoing surveillance of AIVs in LBMs and poultry workers is needed.

Indexed as

Influenza A Virus, H5N1 SubtypeInfluenza A Virus, H9N2 SubtypeInfluenza, HumanInfluenza in BirdsOccupational ExposureAdolescentAdultAnimalsAntibodies, NeutralizingAntibodies, ViralBangladeshCross-Sectional StudiesFemaleHumansMaleMiddle AgedAntibodies, NeutralizingAntibodies, Viralavian influenzaavian influenza A virusBangladeshlive bird marketseropositivity

Identifiers

PMID41243197
PMCPMC12620130

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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.