Evidence map›Paper›PMID 42085368›Full record

ArticlePLoS biology2026

Surveillance on California dairy farms reveals multiple possible sources of H5N1 influenza virus transmission.

A J Campbell, Meredith Shephard, Abigail P Paulos, Matthew D Pauly, Michelle N Vu, Chloe Stenkamp-Strahm, Kaitlyn Bushfield, Betsy Hunter-Binns, Orlando Sablon, Emily E Bendall and 17 more

Abstract read
In one paragraph

Article in PLoS biology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
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  6. Article
  7. Avian influenza overview June-September 2025.EFSA journal. European Food Safety Authority · 2025
    Article
  8. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

27 authors.

A J CampbellDepartment of Microbiology and Immunology, Emory University School of Medicine, Atlanta, Georgia, United States of America.
Meredith ShephardDepartment of Microbiology and Immunology, Emory University School of Medicine, Atlanta, Georgia, United States of America.
Abigail P PaulosGangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.
Matthew D PaulyDepartment of Microbiology and Immunology, Emory University School of Medicine, Atlanta, Georgia, United States of America.
Michelle N VuDepartment of Microbiology and Immunology, Emory University School of Medicine, Atlanta, Georgia, United States of America.
Chloe Stenkamp-StrahmDepartment of Clinical Sciences and AgNext, Colorado State University, Fort Collins, Colorado, United States of America.
Kaitlyn BushfieldDepartment of Microbiology and Immunology, Emory University School of Medicine, Atlanta, Georgia, United States of America.
Betsy Hunter-BinnsMilk Producers Council, Ontario, California, United States of America.
Orlando SablonGangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.
Emily E BendallDivision of Infectious Diseases, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, United States of America.
William J FitzimmonsDivision of Infectious Diseases, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, United States of America.
Kayla BrizuelaDepartment of Microbiology and Immunology, Emory University School of Medicine, Atlanta, Georgia, United States of America.
Grace E QuirkDepartment of Microbiology and Immunology, Emory University School of Medicine, Atlanta, Georgia, United States of America.
Nirmal KumarDepartment of Microbiology and Immunology, Emory University School of Medicine, Atlanta, Georgia, United States of America.
Brian McCluskeyDepartment of Clinical Sciences and AgNext, Colorado State University, Fort Collins, Colorado, United States of America.
Nishit ShettyDepartment of Civil, Environmental and Architectural Engineering, University of Kansas, Lawrence, Kansas, United States of America.
Linsey C MarrDepartment of Civil and Environmental Engineering, Virginia Tech, Blacksburg, Virginia, United States of America.
Jenna J GuthmillerDepartment of Immunology and Microbiology, University of Colorado Anschutz Medical Campus, Aurora, Colorado, United States of America.
Jefferson J S SantosDepartment of Microbiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America.
Scott E HensleyDepartment of Microbiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America.
Edith S MarshallAntimicrobial Use and Stewardship Branch, Animal Health and Food Safety Services Division, California Department of Food and Agriculture, Sacramento, California, United States of America.
Kevin AbernathyMilk Producers Council, Ontario, California, United States of America.
Adam S LauringDivision of Infectious Diseases, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, United States of America.
Blaine T MelodyLander Veterinary Clinic, Turlock, California, United States of America.
Marlene K WolfeGangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.
Jason LombardDepartment of Clinical Sciences and AgNext, Colorado State University, Fort Collins, Colorado, United States of America.
Seema S LakdawalaDepartment of Microbiology and Immunology, Emory University School of Medicine, Atlanta, Georgia, United States of America.ORCID https://orcid.org/0000-0002-7679-2150

Funding

The Michigan Infectious Disease Genomics (MIDGE) CenterU19AI181767 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LAURING, ADAM, SNITKIN, EVAN · 2024 to 2024
$6.2M
NIAID NIH HHS U19 AI181767
6 · The paper itself

Abstract

Transmission routes of highly pathogenic H5N1 between cows or to humans remain unclear due to limited data from affected dairy farms. We performed air, farm wastewater, and milk sampling on 14 H5N1-positive dairy farms across two different California regions. Infectious virus was detected in the air in milking parlors and in wastewater streams, while viral RNA was found in exhaled breath of cows. Sequence analysis of infectious H5N1 virus from air and wastewater samples on one farm revealed viral variants relevant for potential human susceptibility. Longitudinal analysis of milk from the individual quarters of cows revealed a high prevalence of subclinical H5N1-positive cows. Additionally, a heterogeneous distribution of infected quarters that maintained a consistent pattern over time was observed, inconsistent with shared milking equipment serving as the sole transmission mode. The presence of subclinically infected cows was further supported by detection of antibodies in the milk of animals that exhibited no clinical signs during the H5N1 outbreak on one farm. Our data highlight additional sources and potential modes of H5N1 transmission on dairy farms.

Indexed as

Cattle DiseasesDairyingInfluenza A Virus, H5N1 SubtypeOrthomyxoviridae InfectionsAnimalsAntibodies, ViralCaliforniaCattleDisease OutbreaksFarmsFemaleHumansMilkWastewaterAntibodies, ViralWastewater

Identifiers

PMID42085368
PMCPMC13143106

What OpenQuestion holds

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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.