Abstract

We evaluated the presence of influenza A(H5) virus environmental contamination in live bird markets (LBMs) in Dhaka, Bangladesh. By using Bernoulli generalized linear models and multinomial logistic regression models, we quantified LBM-level factors associated with market work zone–specific influenza A(H5) virus contamination patterns. Results showed higher environmental contamination in LBMs that have wholesale and retail operations compared with retail-only markets (relative risk 0.69, 95% 0.51–0.93; p = 0.012) and in March compared with January (relative risk 2.07, 95% CI 1.44–2.96; p<0.001). Influenza A(H5) environmental contamination remains a public health problem in most LBMs in Dhaka, which underscores the need to implement enhanced biosecurity interventions in LBMs in Bangladesh.

Highlights

  • We evaluated the presence of influenza A(H5) virus environmental contamination in live bird markets (LBMs) in Dhaka, Bangladesh

  • The retail type of LBM was predominant in DSCC (84.62%, 45/52) and DNCC (64.44%, 29/45) of Dhaka

  • The broiler chicken was the main species at LBMs in DSCC (69.23%, 36/52) and DNCC (80.00%, 36/45)

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Summary

Introduction

We evaluated the presence of influenza A(H5) virus environmental contamination in live bird markets (LBMs) in Dhaka, Bangladesh. Studies in the United States, China, Indonesia, and Vietnam have shown that LBMs can pose a public health risk for zoonotic spill-over to humans through environmental contamination [2,3,4,5,6,7,8]. In Bangladesh, the first evidence of zoonotic transmission of influenza A(H5) virus emerged in 2012; LBMs in Dhaka were considered the main source of exposure for all 3 human cases reported [9,10]. Environmental sampling in LBMs for the purposes of avian influenza virus surveillance was first introduced in the United States in 1986 [16]. Given the costs of maintaining influenza surveillance programs, epidemiologic evidence on within-market risk areas for contamination would help fine-tune current surveillance approaches in Bangladesh

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