Abstract

In 2020, several geographically isolated farms in Victoria, Australia, experienced an outbreak of highly pathogenic avian influenza (HPAI) virus H7N7 and low pathogenic avian influenza (LPAI) viruses H5N2 and H7N6. Effective containment and control measures ensured the eradication of these viruses but the event culminated in substantial loss of livestock and significant economic impact. The avian HPAI H7N7 virus generally does not infect humans; however, evidence shows the ocular pathway presents a favourable tissue tropism for human infection. Through antigenic drift, mutations in the H7N7 viral genome may increase virulence and pathogenicity in humans. The Victorian outbreak also detected LPAI H7N6 in emus at a commercial farm. Novel influenza A viruses can emerge by mixing different viral strains in a host susceptible to avian and human influenza strains. Studies show that emus are susceptible to infections from a wide range of influenza viral subtypes, including H5N1 and the pandemic H1N1. The emu’s internal organs and tissues express abundant cell surface sialic acid receptors that favour the attachment of avian and human influenza viruses, increasing the potential for internal genetic reassortment and the emergence of novel influenza A viruses. This review summarises the historical context of H7N7 in Australia, considers the potential for increased virulence and pathogenesis through mutations and draws attention to the emu as potentially an unrecognised viral mixing vessel.

Highlights

  • The prevalence of zoonotic infectious diseases is a constant across many continents and are considered a threat to global health, security and economic growth [1]

  • Despite Australia’s effective biosecurity and containment measures, the greatest threat to the emergence of an unexpected infectious disease lies with the spread of a novel avian influenza virus (AIV), likely to be facilitated by the presence of intercontinental migratory birds within Australia [7,8,9]

  • The purpose of this review is to summarise a recent outbreak in Australia of the recurring influenza viral subtype H7N7 and its human zoonotic potential

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Summary

Introduction

The prevalence of zoonotic infectious diseases is a constant across many continents and are considered a threat to global health, security and economic growth [1]. Despite Australia’s effective biosecurity and containment measures, the greatest threat to the emergence of an unexpected infectious disease lies with the spread of a novel avian influenza virus (AIV), likely to be facilitated by the presence of intercontinental migratory birds within Australia [7,8,9]. The purpose of this review is to summarise a recent outbreak in Australia of the recurring influenza viral subtype H7N7 and its human zoonotic potential Concurrent with this outbreak was the emergence of another influenza A viral strain (H7N6) in emus (Dromaius novaehollandiae), a large flightless bird native to Australia. The importance of this review is to emphasise the continuing circulation of H7N7 within the Australian mainland and highlight the emu as a bird susceptible to avian and human influenza viruses, with a tissue tropism favourable to viral reassortment that could potentially lead to the emergence of novel influenza A strains. Outbreaks were contained and eradicated through effective quarantine and control measures, including this recent event [19]

26 June 2013
Dromaius novaehollandiae Is Susceptible to A Variety of Avian and Human
Conclusions
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