Topically related study: https://www.eurosurveillance.org/content/10.2807/1560-7917.ES.2024.29.44.2400326
"Highly pathogenic avian influenza (HPAI) H5 virus exposure in domestic cats and rural stray cats, the Netherlands, October 2020 to June 2023"
ABSTRACT:
Background
Highly pathogenic avian influenza (HPAI) H5Nx and human H1N1pdm2009 influenza viruses can infect cats. Infections in cats may result in viral adaptations or recombinant viruses, which may facilitate zoonotic transfer.
Aim
We aimed to investigate the presence of HPAI H5 clade 2.3.4.4 and H1 influenza viruses and antibodies to these viruses in domestic and rural stray cats in the Netherlands and factors associated with exposure.
Methods
Sera from stray and domestic cats, sampled 2020β2023, were analysed by ELISA and confirmed by hemagglutination inhibition assay (HAI) and pharyngeal swabs and lung tissue for influenza A virus by RT-qPCR.
Results
In 701 stray cats, 83 (11.8%; 95% confidence interval (CI): 9.5β14.5) sera were positive for HPAI H5 and 65 findings were confirmed. In HAI, two sera were positive for both HPAI H5 and H1. In 871 domestic cats, four (0.46%; 95% CI: 0.13β1.2) sera were HPAI H5 positive and none were confirmed but 40 (4.6%; 95% CI: 3.3β6.2) sera were seropositive for H1 and 26 were confirmed. Stray cats living in nature reserves (odds ratio (OR)β―=β―5.4; 95% CI: 1.5β20.1) and older cats (ORβ―=β―3.8; 95% CI: 2.7β7.1) were more likely to be HPAI H5 seropositive. No influenza A virus was detected in 230 cats.
Conclusion
The higher HPAI H5 seroprevalence in stray cats compared with domestic cats suggests more frequent viral exposure, most likely due to foraging on wild birds. In contrast, exposure to H1 was more common in domestic cats compared with stray cats.
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Key public health message
What did you want to address in this study and why?
Highly pathogenic avian influenza (HPAI) viruses have spread among poultry and wild birds. Avian and human influenza viruses can infect cats, and cats may function as a source of novel influenza A viruses to humans. We analysed serum samples, throat and lung samples from domestic and stray cats to investigate exposure to influenza viruses and associated factors.
What have we learnt from this study?
Of the 701 stray cats sampled, 83 had been exposed to HPAI virus, whereas only four of the 871 domestic cats. Exposure was more common in older cats and cats living in nature reserves. Some stray cats had been exposed to both avian and human influenza viruses. In contrast, 40 domestic cats were exposed to human influenza viruses.
What are the implications of your findings for public health?
We showed that cats in the Netherlands were exposed to human and/or avian influenza viruses. We recommend close monitoring of infections with influenza viruses in cats and protective measures when handling suspected cats. Further studies are needed to understand how cats become infected and whether cats can transmit highly pathogenic avian influenza virus to other animals or humans.
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