Evidence map›Paper›PMID 41495977›Full record

ArticleZoonoses and public health2026

Biosecurity Uptake and Perceived Risk of Avian Influenza Among People in Contact With Birds.

Harry Whitlow, Suzanne Gokool, Genevieve Clapp, Irene Bueno, Mariam Logunleko, Peter Moore, Sarah Masterton, Jo Taylor-Egbeyemi, Ian Brown, Riinu Pae and 3 more

Abstract read
In one paragraph

Article in Zoonoses and public health, 2026. 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.

  1. Article
  2. Avian influenza overview December 2025-February 2026.EFSA journal. European Food Safety Authority · 2026
    Article
  3. Article
  4. 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.

Harry WhitlowPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.ORCID https://orcid.org/0009-0008-0543-4197
Suzanne GokoolPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Genevieve ClappPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Irene BuenoBristol Veterinary School, University of Bristol, Langford, UK.ORCID https://orcid.org/0000-0003-3619-3038
Mariam LogunlekoBristol Veterinary School, University of Bristol, Langford, UK.
Peter MooreBristol Veterinary School, University of Bristol, Langford, UK.
Sarah MastertonBehavioural Science and Insights Unit, UK Health Security Agency, London, UK.
Jo Taylor-EgbeyemiBehavioural Science and Insights Unit, UK Health Security Agency, London, UK.
Ian BrownThe Pirbright Institute, Pirbright, UK.
Riinu PaeBehavioural Science and Insights Unit, UK Health Security Agency, London, UK.
Louise E SmithBehavioural Science and Insights Unit, UK Health Security Agency, London, UK.
Ellen Brooks-PollockPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Amy C ThomasPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.

Funding

Funding for the Avian Contact Study was awarded by PolicyBristol from the Research England QR Policy Support Fund (QR PSF) 2022-24 for Investigating 'Zoonotic Spillover of Avian Influenza'National Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Evaluation and Behavioural Science at the University of Bristol NIHR207385Wellcome TrustWellcome Trust Early Career Reward 227041/Z/23/Z
6 · The paper itself

Abstract

introductionRecent intercontinental spread of highly pathogenic avian influenza (HPAI) A(H5N1) among kept and wild birds, and transmission to mammalian hosts, including cattle and humans, has heightened the need to review public health risk assessments. Biosecurity measures (BMs) are essential for limiting disease spread, but how widely different practices are implemented is not fully known.

methodsHere, we report on the uptake of BMs and risk perception of avian influenza virus (AIV) in the context of preventing zoonotic transmission to persons potentially at high risk of exposure. Questionnaire data from 225 people in contact with birds in the UK (Avian Contact Study, May to July 2024) were analysed.

resultsWe found hand washing after contact with birds was the most common BM implemented (89%, 196 of 218), followed by using disinfecting footwear dips (78%, 170 of 218). Individuals in contact with a higher number of birds were more likely to use at least one personal protective equipment (PPE) measure for the face or body or at least one footwear-related PPE measure. Perceived risk of AIV to bird health was high for individuals in contact with large flocks (≥ 1001 birds) and associated with uptake of at least one footwear-related PPE measure (independent of flock size). Perceived risk of AIV to respondents' own health was low, regardless of the number of birds a respondent had daily contact with.

conclusionsOur results indicate that routinely used BMs are implemented to limit AIV spread among birds, but not with the purpose of limiting zoonotic transmission from birds to humans. Identifying cohort characteristics which could lead to low BM uptake, alongside barriers and facilitators to BM uptake, is important for informing zoonotic AIV public health campaigns.

Indexed as

BiosecurityHealth Knowledge, Attitudes, PracticeInfluenza, HumanInfluenza in BirdsAdultAgedAnimal HusbandryAnimalsBirdsCross-Sectional StudiesFemaleHumansInfluenza A Virus, H5N1 SubtypeMaleMiddle AgedSurveys and Questionnairesavian influenzabiosecuritypublic healthrisk perceptionspilloverzoonoses

Identifiers

PMID41495977
PMCPMC12865334

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.