Evidence map›Paper›PMID 42293551›Full record

ArticleFrontiers in microbiology2026

Germany as a key transit hub for the emergence and spread of high pathogenicity avian influenza H5 clade 2.3.4.4b reassortants in Europe.

Ann Kathrin Ahrens, Christian Grund, Martin Beer, Timm C Harder, Anne Pohlmann

Abstract read
In one paragraph

Article in Frontiers in microbiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Ann Kathrin AhrensInstitute of Diagnostic Virology, Friedrich-Loeffler-Institut, Greifswald, Germany.
Christian GrundInstitute of Diagnostic Virology, Friedrich-Loeffler-Institut, Greifswald, Germany.
Martin BeerInstitute of Diagnostic Virology, Friedrich-Loeffler-Institut, Greifswald, Germany.
Timm C HarderInstitute of Diagnostic Virology, Friedrich-Loeffler-Institut, Greifswald, Germany.
Anne PohlmannInstitute of Diagnostic Virology, Friedrich-Loeffler-Institut, Greifswald, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High pathogenicity avian influenza (HPAI) H5 viruses of the Goose/Guangdong lineage continue to diversify through recurrent reassortment, sustaining an evolving threat to animal health and transboundary disease control in Europe. While multiple incursions of HPAI H5 clade 2.3.4.4b viruses have been documented, the regional and ecological contexts that facilitate reassortment during ongoing circulation remain insufficiently characterized. In this study, we combined nationwide avian influenza surveillance in Germany with whole-genome sequencing and Bayesian phylogeographic reconstruction to investigate virus evolution during the 2024-2025 season. Phylogenetic analyses identified multiple genetically distinct HPAI H5 clade 2.3.4.4b genotypes, including several reassortants that emerged during the observation period. The inferred evolutionary histories indicate repeated virus introductions into Germany, followed by local diversification and onward dissemination across Europe. Spatio-temporal reconstruction consistently highlighted coastal regions along the North Sea and Baltic Sea as major interfaces of viral exchange, in line with their role as convergence zones of migratory bird flyways. Rather than representing a primary source of viral lineages, phylogeographic analyses identified Germany as prominent node within the European HPAI network, consistent with a central role in virus movement and mixing. This pattern was observed across multiple genotypes, supporting a generalized role of this region in HPAI evolution. Together, these findings provide a continental-scale perspective on HPAI virus dynamics and emphasize the value of integrated surveillance approaches combining wild bird monitoring and whole-genome sequencing. From an epidemiological standpoint, expanding surveillance frameworks to include low pathogenic avian influenza viruses is likely to improve early detection of reassortment events and enhance preparedness for the emergence of novel HPAI variants.

Indexed as

H5 clade 2.3.4.4bhigh pathogenicity avian influenza virusphylogeographysurveillanceviral reassortmentvirus evolutionwild birds

Identifiers

PMID42293551
PMCPMC13253684

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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.