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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">microbe</journal-id><journal-title-group><journal-title xml:lang="ru">Проблемы особо опасных инфекций</journal-title><trans-title-group xml:lang="en"><trans-title>Problems of Particularly Dangerous Infections</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">0370-1069</issn><issn pub-type="epub">2658-719X</issn><publisher><publisher-name>Russian Research Anti-Plague Institute “Microbe”</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21055/0370-1069-2024-2-6-14</article-id><article-id custom-type="elpub" pub-id-type="custom">microbe-1992</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>Обзор эпизоотологической ситуации по высокопатогенному гриппу птиц в России и мире в 2023 г.</article-title><trans-title-group xml:lang="en"><trans-title>Review on the Epizootiological Situation on Highly Pathogenic Avian Influenza Globally and in Russia in 2023</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0001-1548-5608</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Васильцова</surname><given-names>Н. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Vasil’tsova</surname><given-names>N. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>630559, Новосибирская обл., р.п. Кольцово</p></bio><bio xml:lang="en"><p>Kol’tsovo, Novosibirsk Region, 630559</p></bio><email xlink:type="simple">vector@vector.nsc.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0556-0552</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Панова</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Panova</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Панова Анастасия Сергеевна,</p><p>630559, Новосибирская обл., р.п. Кольцово</p></bio><bio xml:lang="en"><p>Anastasia S. Panova,</p><p>Kol’tsovo, Novosibirsk Region, 630559</p></bio><email xlink:type="simple">panova_as@vector.nsc.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3270-8412</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Петров</surname><given-names>В. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Petrov</surname><given-names>V. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>630559, Новосибирская обл., р.п. Кольцово</p></bio><bio xml:lang="en"><p>Kol’tsovo, Novosibirsk Region, 630559</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3214-2794</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Даниленко</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Danilenko</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>630559, Новосибирская обл., р.п. Кольцово</p></bio><bio xml:lang="en"><p>Kol’tsovo, Novosibirsk Region, 630559</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4573-5783</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Святченко</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Svyatchenko</surname><given-names>S. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>630559, Новосибирская обл., р.п. Кольцово</p></bio><bio xml:lang="en"><p>Kol’tsovo, Novosibirsk Region, 630559</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Иванова</surname><given-names>К. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Ivanova</surname><given-names>K. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>630559, Новосибирская обл., р.п. Кольцово</p></bio><bio xml:lang="en"><p>Kol’tsovo, Novosibirsk Region, 630559</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1547-1708</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Онхонова</surname><given-names>Г. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Onkhonova</surname><given-names>G. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>630559, Новосибирская обл., р.п. Кольцово</p></bio><bio xml:lang="en"><p>Kol’tsovo, Novosibirsk Region, 630559</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гончарова</surname><given-names>Н. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Goncharova</surname><given-names>N. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>630559, Новосибирская обл., р.п. Кольцово</p></bio><bio xml:lang="en"><p>Kol’tsovo, Novosibirsk Region, 630559</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7009-0748</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рыжиков</surname><given-names>А. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Ryzhikov</surname><given-names>A. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>630559, Новосибирская обл., р.п. Кольцово</p></bio><bio xml:lang="en"><p>Kol’tsovo, Novosibirsk Region, 630559</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1339-6732</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Марченко</surname><given-names>В. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Marchenko</surname><given-names>V. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>630559, Новосибирская обл., р.п. Кольцово</p></bio><bio xml:lang="en"><p>Kol’tsovo, Novosibirsk Region, 630559</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФБУН «Государственный научный центр вирусологии и биотехнологии «Вектор»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>State Scientific Center of Virology and Biotechnology “Vector”</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>22</day><month>06</month><year>2024</year></pub-date><volume>0</volume><issue>2</issue><fpage>6</fpage><lpage>14</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Васильцова Н.Н., Панова А.С., Петров В.Н., Даниленко А.В., Святченко С.В., Иванова К.И., Онхонова Г.С., Гончарова Н.И., Рыжиков А.Б., Марченко В.Ю., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Васильцова Н.Н., Панова А.С., Петров В.Н., Даниленко А.В., Святченко С.В., Иванова К.И., Онхонова Г.С., Гончарова Н.И., Рыжиков А.Б., Марченко В.Ю.</copyright-holder><copyright-holder xml:lang="en">Vasil’tsova N.N., Panova A.S., Petrov V.N., Danilenko A.V., Svyatchenko S.V., Ivanova K.I., Onkhonova G.S., Goncharova N.I., Ryzhikov A.B., Marchenko V.Y.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://journal.microbe.ru/jour/article/view/1992">https://journal.microbe.ru/jour/article/view/1992</self-uri><abstract><p>В 2023 г. ситуация в мире по высокопатогенному гриппу птиц в эпизоотологическом и эпидемиологическом плане была напряженной. Вирусом оказались инфицированы 150 видов птиц и десятки видов млекопитающих. Зарегистрировано более 650 вспышек среди сельскохозяйственной птицы на территории 29 стран, в результате чего погибло или было уничтожено около 19 млн особей. Наблюдался высокий уровень заболеваемости гриппом среди диких птиц (порядка 3 тыс. вспышек на территории 65 стран) и млекопитающих (более 16 тыс. случаев). Большинство вспышек среди дикой и домашней птицы и млекопитающих вызвано вирусами гриппа подтипа А(H5N1) клады 2.3.4.4b. Вспышки регистрировались в течение всего года во многих странах Европы, Азии, Африки, Северной и Южной Америки. Впервые зарегистрирован случай гибели полярного медведя от вируса гриппа A(H5N1). При этом в 50 % вирусов гриппа А(H5N1), вызвавших гибель животных, в белке PB2 обнаружены молекулярные маркеры адаптации к млекопитающим. В 2023 г. зарегистрированы случаи заражения людей вирусами высокопатогенного гриппа птиц A(H5N1) в Камбодже, Чили, Китае и Великобритании. Кроме того, в Китае отмечены случаи инфицирования вирусами A(H3N8), A(H5N6), A(H9N2) и A(H10N5). В России в 2023 г. зарегистрированы вспышки среди дикой и домашней птицы на территории 25 регионов, а также вспышка среди морских котиков на территории Сахалинской области. Все вспышки вызваны высоковирулентным вирусом гриппа подтипа А(H5N1) генетической клады 2.3.4.4b. Все исследованные нами вирусы, циркулировавшие в России в 2023 г., генетически соответствовали предложенным ВОЗ кандидатным вакцинным штаммам A/Astrakhan/3212/2020 (H5N8), A/chicken/Ghana/AVL-763_21VIR7050-39/2021 (H5N1) и A/American Wigeon/ South Carolina/22-000345-001/2021 (H5N1) по последовательности гемагглютинина и антигенно сходны с вакцинным штаммом A/Astrakhan/3212/2020.</p></abstract><trans-abstract xml:lang="en"><p>The year 2023 saw a challenging epizootiological and epidemiological situation regarding highly pathogenic avian influenza. The virus affected 150 bird species and dozens of mammal species. More than 650 outbreaks were reported in poultry across 29 countries, resulting in the death or destruction of approximately 19 million specimens. There was a high incidence of the influenza among wild birds (approximately 3,000 outbreaks in 65 countries) and mammals (more than 16,000 cases). The majority of outbreaks in wild birds, poultry and mammals were caused by influenza A(H5N1) clade 2.3.4.4b viruses. Many countries in Europe, Asia, Africa, North and South America experienced the outbreaks throughout the year. For the first time, a polar bear death from A(H5N1) virus was documented. Moreover, molecular markers of virus adaptation to mammals were found in PB2 proteins of 50 % of influenza A(H5N1) viruses that caused the death of animals. During the year 2023, human infections with highly pathogenic avian influenza A(H5N1) viruses were reported in Cambodia, Chile, China, and the UK. In addition, human infections with A(H3N8), A(H5N6), A(H9N2) and A(H10N5) viruses were reported in China. In Russia in 2023, outbreaks among wild birds and poultry were registered in 25 regions, as well as an outbreak among fur seals in the Sakhalin Region. The stated outbreaks were caused by highly virulent influenza A(H5N1) clade 2.3.4.4b. Hemagglutinin sequences of all Russian viruses analyzed in this study in 2023 were genetically close to the WHO candidate vaccine strains A/Astrakhan/3212/2020 (H5N8), A/chicken/ Ghana/AVL-763_21VIR7050-39/2021 (H5N1) and A/American Wigeon/South Carolina/22-000345-001/2021 (H5N1). All studied A(H5N1) viruses were antigenically similar to the A/Astrakhan/3212/2020 vaccine strain.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>вирус гриппа птиц</kwd><kwd>мониторинг</kwd><kwd>эпизоотия</kwd><kwd>вспышки</kwd><kwd>H5N1</kwd><kwd>Россия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>avian influenza virus</kwd><kwd>surveillance</kwd><kwd>epizooty</kwd><kwd>outbreaks</kwd><kwd>H5N1</kwd><kwd>Russia</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Исследование проводилось в рамках выполнения государственного задания ФБУН Государственный научный центр вирусологии и биотехнологии «Вектор» Роспотребнадзора.</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Olsen B., Munster V.J., Wallensten A., Waldenström J., Osterhaus A.D.M.E., Fouchier R.A.M. Global patterns of influenza A virus in wild birds. Science. 2006; 312(5772):384–8. DOI: 10.1126/science.1122438.</mixed-citation><mixed-citation xml:lang="en">Olsen B., Munster V.J., Wallensten A., Waldenström J., Osterhaus A.D.M.E., Fouchier R.A.M. Global patterns of influenza A virus in wild birds. Science. 2006; 312(5772):384–8. DOI: 10.1126/science.1122438.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Webster R.G., Bean W.J., Gorman O.T., Chambers T.M., Kawaoka Y. Evolution and ecology of influenza A viruses. Microbiol Rev. 1992; 56(1):152–79. DOI: 10.1128/mr.56.1.152-179.1992.</mixed-citation><mixed-citation xml:lang="en">Webster R.G., Bean W.J., Gorman O.T., Chambers T.M., Kawaoka Y. Evolution and ecology of influenza A viruses. Microbiol Rev. 1992; 56(1):152–79. DOI: 10.1128/mr.56.1.152-179.1992.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Manrubia S.C., Escarmís C., Domingo E., Lázaro E. High mutation rates, bottlenecks, and robustness of RNA viral quasispecies. Gene. 2005; 347(2):273–82. DOI: 10.1016/j.gene.2004.12.033.</mixed-citation><mixed-citation xml:lang="en">Manrubia S.C., Escarmís C., Domingo E., Lázaro E. High mutation rates, bottlenecks, and robustness of RNA viral quasispecies. Gene. 2005; 347(2):273–82. DOI: 10.1016/j.gene.2004.12.033.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Xie R., Edwards K.M., Wille M., Wei X., Wong S.S., Zanin M., El-Shesheny R., Ducatez M., Poon L.L.M., Kayali G., Webby R.J., Dhanasekaran V. The episodic resurgence of highly pathogenic avian influenza H5 virus. Nature. 2023; 622(7984):810–7. DOI: 10.1038/s41586-023-06631-2.</mixed-citation><mixed-citation xml:lang="en">Xie R., Edwards K.M., Wille M., Wei X., Wong S.S., Zanin M., El-Shesheny R., Ducatez M., Poon L.L.M., Kayali G., Webby R.J., Dhanasekaran V. The episodic resurgence of highly pathoge¬ nic avian influenza H5 virus. Nature. 2023; 622(7984):810–7. DOI: 10.1038/s41586-023-06631-2.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Shi J., Zeng X., Cui P., Yan C., Chen H. Alarming situation of emerging H5 and H7 avian influenza and effective control strategies. Emerg. Microbes Infect. 2023; 12(1):2155072. DOI: 10.1080/22221751.2022.2155072.</mixed-citation><mixed-citation xml:lang="en">Shi J., Zeng X., Cui P., Yan C., Chen H. Alarming si¬ tuation of emerging H5 and H7 avian influenza and effective control strategies. Emerg. Microbes Infect. 2023; 12(1):2155072. DOI: 10.1080/22221751.2022.2155072.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Szablewski C.M., Iwamoto C., Olsen S.J., Greene C.M., Duca L.M., Davis C.T., Coggeshall K.C., Davis W.W., Emukule G.O., Gould P.L., Fry A.M., Wentworth D.E., Dugan V.G., Kile J.C., Azziz-Baumgartner E. Reported global avian influenza detections among humans and animals during 2013–2022: Comprehensive review and analysis of available surveillance data. JMIR Public Health Surveill. 2023; 9:e46383. DOI: 10.2196/46383.</mixed-citation><mixed-citation xml:lang="en">Szablewski C.M., Iwamoto C., Olsen S.J., Greene C.M., Duca L.M., Davis C.T., Coggeshall K.C., Davis W.W., Emukule G.O., Gould P.L., Fry A.M., Wentworth D.E., Dugan V.G., Kile J.C., Azziz-Baumgartner E. Reported global avian influenza detections among humans and animals during 2013–2022: Comprehensive review and analysis of available surveillance data. JMIR Public Health Surveill. 2023; 9:e46383. DOI: 10.2196/46383.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Cumulative number of confirmed human cases for avian influenza A(H5N1) reported to WHO, 2003–2023, 21 December 2023. (Cited 25 Jan 2024). [Internet]. Available from: https://www.who.int/publications/m/item/cumulative-number-of-confirmed-humancases-for-avian-influenza-a(h5n1)-reported-to-who--2003-2023-21-december-2023.</mixed-citation><mixed-citation xml:lang="en">Cumulative number of confirmed human cases for avian influenza A(H5N1) reported to WHO, 2003–2023, 21 December 2023. (Cited 25 Jan 2024). [Internet]. Available from: https://www.who. int/publications/m/item/cumulative-number-of-confirmed-humancases-for-avian-influenza-a(h5n1)-reported-to-who--2003-2023-21-december-2023.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Krammer F., Schultz-Cherry S. We need to keep an eye on avian influenza. Nat. Rev. Immunol. 2023; 23(5):267–8. DOI: 10.1038/s41577-023-00868-8.</mixed-citation><mixed-citation xml:lang="en">Krammer F., Schultz-Cherry S. We need to keep an eye on avian influenza. Nat. Rev. Immunol. 2023; 23(5):267–8. DOI: 10.1038/s41577-023-00868-8.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Herfst S., Begeman L., Spronken M.I., Poen M.J., Eggink D., de Meulder D., Lexmond P., Bestebroer T.M., Koopmans M.P.G., Kuiken T., Richard M., Fouchier R.A.M. A Dutch highly pathogenic H5N6 avian influenza virus showed remarkable tropism for extrarespiratory organs and caused severe disease but was not transmissible via air in the ferret model. mSphere. 2023; 8(4):e0020023. DOI: 10.1128/msphere.00200-23.</mixed-citation><mixed-citation xml:lang="en">Herfst S., Begeman L., Spronken M.I., Poen M.J., Eggink D., de Meulder D., Lexmond P., Bestebroer T.M., Koopmans M.P.G., Kuiken T., Richard M., Fouchier R.A.M. A Dutch highly pathogenic H5N6 avian influenza virus showed remarkable tropism for extrarespiratory organs and caused severe disease but was not transmissible via air in the ferret model. mSphere. 2023; 8(4):e0020023. DOI: 10.1128/msphere.00200-23.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Marandino A., Tomás G., Panzera Y., Leizagoyen C., Pérez R., Bassetti L., Negro R., Rodríguez S., Pérez R. Spreading of the high-pathogenicity avian influenza (H5N1) virus of clade 2.3.4.4b into Uruguay. Viruses. 2023; 15(9):1906. DOI: 10.3390/v15091906.</mixed-citation><mixed-citation xml:lang="en">Marandino A., Tomás G., Panzera Y., Leizagoyen C., Pérez R., Bassetti L., Negro R., Rodríguez S., Pérez R. Spreading of the high-pathogenicity avian influenza (H5N1) virus of clade 2.3.4.4b into Uruguay. Viruses. 2023; 15(9):1906. DOI: 10.3390/v15091906.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Charostad J., Rezaei Zadeh Rukerd M., Mahmoudvand S., Bashash D., Hashemi S.M.A., Nakhaie M., Zandi K. A comprehensive review of highly pathogenic avian influenza (HPAI) H5N1: An imminent threat at doorstep. Travel Med. Infect. Dis. 2023; 55:102638. DOI: 10.1016/j.tmaid.2023.102638.</mixed-citation><mixed-citation xml:lang="en">Charostad J., Rezaei Zadeh Rukerd M., Mahmoudvand S., Bashash D., Hashemi S.M.A., Nakhaie M., Zandi K. A comprehensive review of highly pathogenic avian influenza (HPAI) H5N1: An imminent threat at doorstep. Travel Med. Infect. Dis. 2023; 55:102638. DOI: 10.1016/j.tmaid.2023.102638.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Liang Y. Pathogenicity and virulence of influenza. Virulence. 2023; 14(1):2223057. DOI: 10.1080/21505594.2023.2223057.</mixed-citation><mixed-citation xml:lang="en">Liang Y. Pathogenicity and virulence of influenza. Virulence. 2023; 14(1):2223057. DOI: 10.1080/21505594.2023.2223057.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">He D., Gu J., Gu M., Wu H., Li J., Zhan T., Chen Y., Xu N., Ge Z., Wang G., Hao X., Wang X., Hu J., Hu Z., Hu S., Liu X., Liu X. Genetic and antigenic diversity of H7N9 highly pathogenic avian influenza virus in China. Infect. Genet. Evol. 2021; 93:104993. DOI: 10.1016/j.meegid.2021.104993.</mixed-citation><mixed-citation xml:lang="en">He D., Gu J., Gu M., Wu H., Li J., Zhan T., Chen Y., Xu N., Ge Z., Wang G., Hao X., Wang X., Hu J., Hu Z., Hu S., Liu X., Liu X. Genetic and antigenic diversity of H7N9 highly pathogenic avian influenza virus in China. Infect. Genet. Evol. 2021; 93:104993. DOI: 10.1016/j.meegid.2021.104993.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Xu R., de Vries R.P., Zhu X., Nycholat C.M., McBride R., Yu W., Paulson J.C., Wilson I.A. Preferential recognition of avianlike receptors in human influenza A H7N9 viruses. Science. 2013; 342(6163):1230–5. DOI: 10.1126/science.1243761.</mixed-citation><mixed-citation xml:lang="en">Xu R., de Vries R.P., Zhu X., Nycholat C.M., McBride R., Yu W., Paulson J.C., Wilson I.A. Preferential recognition of avianlike receptors in human influenza A H7N9 viruses. Science. 2013; 342(6163):1230–5. DOI: 10.1126/science.1243761.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Kupferschmidt K. Bird flu spread between mink is a ‘warning bell’. Science. 2023; 379(6630):316–7. DOI: 10.1126/science.adg8342.</mixed-citation><mixed-citation xml:lang="en">Kupferschmidt K. Bird flu spread between mink is a ‘war¬ ning bell’. Science. 2023; 379(6630):316–7. DOI: 10.1126/science.adg8342.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">WAHIS. Quantitative data dashboard. (Cited 25 Jan 2024). [Internet]. Available from: https://wahis.woah.org/#/dashboards/qddashboard.</mixed-citation><mixed-citation xml:lang="en">WAHIS. Quantitative data dashboard. (Cited 25 Jan 2024). [Internet]. Available from: https://wahis.woah.org/#/dashboards/qddashboard.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Alaska Beacon. Avian influenza death of Alaska polar bear is a global first and a sign of the virus’ persistence. (Cited 25 Jan 2024). [Internet]. Available from: https://alaskabeacon.com/2023/12/30/avian-influenza-death-of-alaska-polar-bear-is-a-global-first-and-asign-of-the-virus-persistence/.</mixed-citation><mixed-citation xml:lang="en">Alaska Beacon. Avian influenza death of Alaska polar bear is a global first and a sign of the virus’ persistence. (Cited 25 Jan 2024). [Internet]. Available from: https://alaskabeacon.com/2023/12/30/avian-influenza-death-of-alaska-polar-bear-is-a-global-first-and-asign-of-the-virus-persistence/.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">GOV.UK. Press release. Bird flu found in mammals in the sub-Antarctic for the first time. (Cited 25 Jan 2024). [Internet]. Available from: https://www.gov.uk/government/news/bird-flufound-in-mammals-in-the-sub-antarctic-for-the-first-time.</mixed-citation><mixed-citation xml:lang="en">GOV.UK. Press release. Bird flu found in mammals in the sub-Antarctic for the first time. (Cited 25 Jan 2024). [Internet]. Available from: https://www.gov.uk/government/news/bird-flufound-in-mammals-in-the-sub-antarctic-for-the-first-time.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Agüero M., Monne I., Sánchez A., Zecchin B., Fusaro A., Ruano M.J., Del Valle Arrojo M., Fernández-Antonio R., Souto A.M., Tordable P., Cañás J., Bonfante F., Giussani E., Terregino C., Orejas J.J. Highly pathogenic avian influenza A(H5N1) virus infection in farmed minks, Spain, October 2022. Euro Surveill. 2023; 28(3):2300001. DOI: 10.2807/1560-7917.ES.2023.28.3.2300001.</mixed-citation><mixed-citation xml:lang="en">Agüero M., Monne I., Sánchez A., Zecchin B., Fusaro A., Ruano M.J., Del Valle Arrojo M., Fernández-Antonio R., Souto A.M., Tordable P., Cañás J., Bonfante F., Giussani E., Terregino C., Orejas J.J. Highly pathogenic avian influenza A(H5N1) virus in¬ fection in farmed minks, Spain, October 2022. Euro Surveill. 2023; 28(3):2300001. DOI: 10.2807/1560-7917.ES.2023.28.3.2300001.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Centers for Disease Control and Prevention. Past examples of probable limited, non-sustained, person-to-person spread of avian influenza A viruses. (Cited 05 Feb 2024). [Internet]. Available from: https://www.cdc.gov/flu/avianflu/h5n1-human-infections.htm.</mixed-citation><mixed-citation xml:lang="en">Centers for Disease Control and Prevention. Past examples of probable limited, non-sustained, person-to-person spread of avian influenza A viruses. (Cited 05 Feb 2024). [Internet]. Available from: https://www.cdc.gov/flu/avianflu/h5n1-human-infections.htm.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">WCSNewsroom. Urgent message from WCS as the avian influenza virus threatens wildlife across the globe. (Cited 25 Jan 2024). [Internet]. Available from: https://newsroom.wcs.org/NewsReleases/articleType/ArticleView/articleId/21910/Urgent-Message-from-WCS-as-the-Avian-Influenza-Virus-Threatens-Wildlife-Across-the-Globe.aspx.</mixed-citation><mixed-citation xml:lang="en">WCSNewsroom. Urgent message from WCS as the avian influenza virus threatens wildlife across the globe. (Cited 25 Jan 2024). [Internet]. Available from: https://newsroom.wcs.org/NewsReleases/articleType/ArticleView/articleId/21910/Urgent-Messagefrom-WCS-as-the-Avian-Influenza-Virus-Threatens-WildlifeAcross-the-Globe.aspx.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">European Food Safety Authority, European Centre for Disease Prevention and Control, European Union Reference Laboratory for Avian Influenza; Adlhoch C., Fusaro A., Gonzales J.L., Kuiken T., Mirinaviciute G., Niqueux É., Stahl K., Staubach C., Terregino C., Broglia A., Kohnle L., Baldinelli F. Avian influenza overview March-April 2023. EFSA J. 2023; 21(6):e08039. DOI: 10.2903/j.efsa.2023.8039.</mixed-citation><mixed-citation xml:lang="en">European Food Safety Authority, European Centre for Disease Prevention and Control, European Union Reference Laboratory for Avian Influenza; Adlhoch C., Fusaro A., Gonzales J.L., Kuiken T., Mirinaviciute G., Niqueux É., Stahl K., Staubach C., Terregino C., Broglia A., Kohnle L., Baldinelli F. Avian influenza overview March-April 2023. EFSA J. 2023; 21(6):e08039. DOI: 10.2903/j.efsa.2023.8039.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">European Food Safety Authority, European Centre for Disease Prevention and Control, European Union Reference Laboratory for Avian Influenza; Adlhoch C., Fusaro A., Gonzales J.L., Kuiken T., Melidou A., Mirinavičiūtė G., Niqueux É., Ståhl K., Staubach C., Terregino C., Baldinelli F., Broglia A., Kohnle L. Avian influenza overview April-June 2023. EFSA J. 2023; 21(7):e08191. DOI: 10.2903/j.efsa.2023.8191.</mixed-citation><mixed-citation xml:lang="en">European Food Safety Authority, European Centre for Disease Prevention and Control, European Union Reference Laboratory for Avian Influenza; Adlhoch C., Fusaro A., Gonzales J.L., Kuiken T., Melidou A., Mirinavičiūtė G., Niqueux É., Ståhl K., Staubach C., Terregino C., Baldinelli F., Broglia A., Kohnle L. Avian influenza overview April-June 2023. EFSA J. 2023; 21(7):e08191. DOI: 10.2903/j.efsa.2023.8191.</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">European Food Safety Authority; European Centre for Disease Prevention and Control; European Union Reference Laboratory for Avian Influenza; Adlhoch C., Fusaro A., Gonzales J.L., Kuiken T., Mirinavičiūtė G., Niqueux É., Staubach C., Terregino C., Baldinelli F., Rusinà A., Kohnle L. Avian influenza overview June-September 2023. EFSA J. 2023; 21(10):e08328. DOI: 10.2903/j.efsa.2023.8328.</mixed-citation><mixed-citation xml:lang="en">European Food Safety Authority; European Centre for Disease Prevention and Control; European Union Reference Laboratory for Avian Influenza; Adlhoch C., Fusaro A., Gonzales J.L., Kuiken T., Mirinavičiūtė G., Niqueux É., Staubach C., Terregino C., Baldinelli F., Rusinà A., Kohnle L. Avian influenza overview June-September 2023. EFSA J. 2023; 21(10):e08328. DOI: 10.2903/j.efsa.2023.8328.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">European Food Safety Authority; European Centre for Disease Prevention and Control; European Union Reference Laboratory for Avian Influenza; Adlhoch C., Fusaro A., Gonzales J.L., Kuiken T., Mirinavičiūtė G., Niqueux É., Ståhl K., Staubach C., Terregino C., Willgert K., Baldinelli F., Chuzhakina K., Delacourt R., Georganas A., Georgiev M., Kohnle L. Avian influenza overview September-December 2023. EFSA J. 2023; 21(12):e8539. DOI: 10.2903/j.efsa.2023.8539.</mixed-citation><mixed-citation xml:lang="en">European Food Safety Authority; European Centre for Disease Prevention and Control; European Union Reference Laboratory for Avian Influenza; Adlhoch C., Fusaro A., Gonzales J.L., Kuiken T., Mirinavičiūtė G., Niqueux É., Ståhl K., Staubach C., Terregino C., Willgert K., Baldinelli F., Chuzhakina K., Delacourt R., Georganas A., Georgiev M., Kohnle L. Avian influenza overview September-December 2023. EFSA J. 2023; 21(12):e8539. DOI: 10.2903/j.efsa.2023.8539.</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">European Food Safety Authority; European Centre for Disease Prevention and Control; European Union Reference Laboratory for Avian Influenza; Adlhoch C., Fusaro A., Gonzales J.L., Kuiken T., Marangon S., Mirinaviciute G., Niqueux É., Stahl K., Staubach C., Terregino C., Broglia A., Baldinelli F. Avian influenza overview December 2022 – March 2023. EFSA J. 2023; 21(3):e07917. DOI: 10.2903/j.efsa.2023.7917.</mixed-citation><mixed-citation xml:lang="en">European Food Safety Authority; European Centre for Disease Prevention and Control; European Union Reference Laboratory for Avian Influenza; Adlhoch C., Fusaro A., Gonzales J.L., Kuiken T., Marangon S., Mirinaviciute G., Niqueux É., Stahl K., Staubach C., Terregino C., Broglia A., Baldinelli F. Avian influenza overview December 2022 – March 2023. EFSA J. 2023; 21(3):e07917. DOI: 10.2903/j.efsa.2023.7917.</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Rabalski L., Milewska A., Pohlmann A., Gackowska K., Lepionka T., Szczepaniak K., Swiatalska A., Sieminska I., Arent Z., Beer M., Koopmans M., Grzybek M., Pyrc K. Emergence and potential transmission route of avian influenza A (H5N1) virus in domestic cats in Poland, June 2023. Euro Surveill. 2023; 28(31):2300390. DOI: 10.2807/1560-7917.ES.2023.28.31.2300390.</mixed-citation><mixed-citation xml:lang="en">Rabalski L., Milewska A., Pohlmann A., Gackowska K., Lepionka T., Szczepaniak K., Swiatalska A., Sieminska I., Arent Z., Beer M., Koopmans M., Grzybek M., Pyrc K. Emergence and potential transmission route of avian influenza A (H5N1) virus in domestic cats in Poland, June 2023. Euro Surveill. 2023; 28(31):2300390. DOI: 10.2807/1560-7917.ES.2023.28.31.2300390.</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Sillman S.J., Drozd M., Loy D., Harris S.P. Naturally occurring highly pathogenic avian influenza virus H5N1 clade 2.3.4.4b infection in three domestic cats in North America during 2023. J. Comp. Pathol. 2023; 205:17–23. DOI: 10.1016/j.jcpa.2023.07.001.</mixed-citation><mixed-citation xml:lang="en">Sillman S.J., Drozd M., Loy D., Harris S.P. Naturally occurring highly pathogenic avian influenza virus H5N1 clade 2.3.4.4b infection in three domestic cats in North America during 2023. J. Comp. Pathol. 2023; 205:17–23. DOI: 10.1016/j.jcpa.2023.07.001.</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Lee K., Yeom M., Vu T.T.H., Do H.Q., Na W., Lee M., Jeong D.G., Cheon D.S., Song D. Characterization of highly pathogenic avian influenza A (H5N1) viruses isolated from cats in South Korea, 2023. Emerg. Microbes Infect. 2024; 13(1):2290835. DOI: 10.1080/22221751.2023.2290835.</mixed-citation><mixed-citation xml:lang="en">Lee K., Yeom M., Vu T.T.H., Do H.Q., Na W., Lee M., Jeong D.G., Cheon D.S., Song D. Characterization of highly pathogenic avian influenza A (H5N1) viruses isolated from cats in South Korea, 2023. Emerg. Microbes Infect. 2024; 13(1):2290835. DOI: 10.1080/22221751.2023.2290835.</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">WHO. Avian Influenza Weekly Update. Number 929. Human infection with avian influenza A(H5) viruses. (Cited 25 Jan 2024) [Internet]. Available from: https://cdn.who.int/media/docs/default-source/wpro---documents/emergency/surveillance/avianinfluenza/ai_20240112.pdf?sfvrsn=5bc7c406_36.</mixed-citation><mixed-citation xml:lang="en">WHO. Avian Influenza Weekly Update. Number 929. Human infection with avian influenza A(H5) viruses. (Cited 25 Jan 2024) [Internet]. Available from: https://cdn.who.int/media/docs/default-source/wpro---documents/emergency/surveillance/avianinfluenza/ai_20240112.pdf?sfvrsn=5bc7c406_36.</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">MedRxiv. Knowledge, attitudes, and practices related to avian influenza (h5n1) after the outbreak in Rural, Cambodia. [Internet]. Available from: https://www.medrxiv.org/content/10.1101/2023.09.25.23296059v1 (Cited 25 Jan 2024).</mixed-citation><mixed-citation xml:lang="en">MedRxiv. Knowledge, attitudes, and practices related to avian influenza (h5n1) after the outbreak in Rural, Cambodia. [Internet]. Available from: https://www.medrxiv.org/content/10.1101/2023.09.25.23296059v1 (Cited 25 Jan 2024).</mixed-citation></citation-alternatives></ref><ref id="cit32"><label>32</label><citation-alternatives><mixed-citation xml:lang="ru">WHO. Human infection caused by Avian Influenza A (H5) – Chile. (Cited 25 Jan 2024). [Internet]. Available from: https://www.who.int/emergencies/disease-outbreak-news/item/2023-DON453.</mixed-citation><mixed-citation xml:lang="en">WHO. Human infection caused by Avian Influenza A (H5) – Chile. (Cited 25 Jan 2024). [Internet]. Available from: https://www.who.int/emergencies/disease-outbreak-news/item/2023-DON453.</mixed-citation></citation-alternatives></ref><ref id="cit33"><label>33</label><citation-alternatives><mixed-citation xml:lang="ru">Jin K., Dai Z., Shi P., Li Y., Zhu C. Severe pneumonia with co-infection of H5N1 and SARS-CoV-2: a case report. BMC Infect. Dis. 2024; 24(1):31. DOI: 10.1186/s12879-023-08901-w.</mixed-citation><mixed-citation xml:lang="en">Jin K., Dai Z., Shi P., Li Y., Zhu C. Severe pneumonia with co-infection of H5N1 and SARS-CoV-2: a case report. BMC Infect. Dis. 2024; 24(1):31. DOI: 10.1186/s12879-023-08901-w.</mixed-citation></citation-alternatives></ref><ref id="cit34"><label>34</label><citation-alternatives><mixed-citation xml:lang="ru">GOV.UK. UKHSA update on avian influenza. (Cited 25 Jan 2024). [Internet]. Available from: https://www.gov.uk/government/news/ukhsa-update-on-avian-influenza.</mixed-citation><mixed-citation xml:lang="en">GOV.UK. UKHSA update on avian influenza. (Cited 25 Jan 2024). [Internet]. Available from: https://www.gov.uk/government/news/ukhsa-update-on-avian-influenza.</mixed-citation></citation-alternatives></ref><ref id="cit35"><label>35</label><citation-alternatives><mixed-citation xml:lang="ru">CDC Newsroom. U.S. case of human avian influenza A(H5) virus reported. (Cited 25 Jan 2024). [Internet]. Available from: https://www.cdc.gov/media/releases/2022/s0428-avian-flu.html.</mixed-citation><mixed-citation xml:lang="en">CDC Newsroom. U.S. case of human avian influenza A(H5) virus reported. (Cited 25 Jan 2024). [Internet]. Available from: https://www.cdc.gov/media/releases/2022/s0428-avian-flu.html.</mixed-citation></citation-alternatives></ref><ref id="cit36"><label>36</label><citation-alternatives><mixed-citation xml:lang="ru">Aznar E., Casas I., González Praetorius A., Ruano Ramos M.J., Pozo F., Sierra Moros M.J., García Rivera M.V., Sánchez Sánchez A., García Villacieros E., Saravia G., Iglesias-Caballero M., Román Marcos E., García San Miguel L. Influenza A(H5N1) detection in two asymptomatic poultry farm workers in Spain, September to October 2022: suspected environmental contamination. Euro Surveill. 2023; 28(8):2300107. DOI: 10.2807/1560-7917.ES.2023.28.8.2300107.</mixed-citation><mixed-citation xml:lang="en">Aznar E., Casas I., González Praetorius A., Ruano Ramos M.J., Pozo F., Sierra Moros M.J., García Rivera M.V., Sánchez Sánchez A., García Villacieros E., Saravia G., Iglesias-Caballero M., Román Marcos E., García San Miguel L. Influenza A(H5N1) detection in two asymptomatic poultry farm workers in Spain, September to October 2022: suspected environmental contamination. Euro Surveill. 2023; 28(8):2300107. DOI: 10.2807/1560-7917.ES.2023.28.8.2300107.</mixed-citation></citation-alternatives></ref><ref id="cit37"><label>37</label><citation-alternatives><mixed-citation xml:lang="ru">Wise J. Bird flu: China records first death from H3N8 influenza strain, WHO says. BMJ. 2023; 381:839. DOI: 10.1136/bmj.p839.</mixed-citation><mixed-citation xml:lang="en">Wise J. Bird flu: China records first death from H3N8 influenza strain, WHO says. BMJ. 2023; 381:839. DOI: 10.1136/bmj.p839.</mixed-citation></citation-alternatives></ref><ref id="cit38"><label>38</label><citation-alternatives><mixed-citation xml:lang="ru">Cheng D., Dong Y., Wen S., Shi C. A child with acute respiratory distress syndrome caused by avian influenza H3N8 virus. J. Infect. 2022; 85(2):174–211. DOI: 10.1016/j.jinf.2022.05.007.</mixed-citation><mixed-citation xml:lang="en">Cheng D., Dong Y., Wen S., Shi C. A child with acute res¬ piratory distress syndrome caused by avian influenza H3N8 virus. J. Infect. 2022; 85(2):174–211. DOI: 10.1016/j.jinf.2022.05.007.</mixed-citation></citation-alternatives></ref><ref id="cit39"><label>39</label><citation-alternatives><mixed-citation xml:lang="ru">Tan X., Yan X., Liu Y., Wu Y., Liu J.Y., Mu M., Zhao J., Wang X., Li J.Q., Wen L., Guo P., Zhou Z.G., Li X.B., Bao P.T. A case of human infection by H3N8 influenza virus. Emerg. Microbes Infect. 2022; 11(1):2214–7. DOI: 10.1080/22221751.2022.2117097.</mixed-citation><mixed-citation xml:lang="en">Tan X., Yan X., Liu Y., Wu Y., Liu J.Y., Mu M., Zhao J., Wang X., Li J.Q., Wen L., Guo P., Zhou Z.G., Li X.B., Bao P.T. A case of human infection by H3N8 influenza virus. Emerg. Microbes Infect. 2022; 11(1):2214–7. DOI: 10.1080/22221751.2022.2117097.</mixed-citation></citation-alternatives></ref><ref id="cit40"><label>40</label><citation-alternatives><mixed-citation xml:lang="ru">WHO. Avian Influenza Weekly Update. Number 931. Human infection with avian influenza A(H5) viruses. (Cited 25 Jan 2024). [Internet]. Available from: https://cdn.who.int/media/docs/default-source/wpro---documents/emergency/surveillance/avianinfluenza/ai_20240126.pdf?sfvrsn=5f006f99_125&amp;Status=Master.</mixed-citation><mixed-citation xml:lang="en">WHO. Avian Influenza Weekly Update. Number 931. Human infection with avian influenza A(H5) viruses. (Cited 25 Jan 2024). [Internet]. Available from: https://cdn.who.int/media/docs/default-source/wpro---documents/emergency/surveillance/avianinfluenza/ai_20240126.pdf?sfvrsn=5f006f99_125&amp;Status=Master.</mixed-citation></citation-alternatives></ref><ref id="cit41"><label>41</label><citation-alternatives><mixed-citation xml:lang="ru">ECDC. Zoonotic influenza. Annual epidemiological report for 2022. (Cited 25 Jan 2024). [Internet]. Available from: https://www.ecdc.europa.eu/sites/default/files/documents/AER_zoonoticFlu_2022_Final.pdf.</mixed-citation><mixed-citation xml:lang="en">ECDC. Zoonotic influenza. Annual epidemiological report for 2022. (Cited 25 Jan 2024). [Internet]. Available from: https://www.ecdc.europa.eu/sites/default/files/documents/AER_zoonoticFlu_2022_Final.pdf.</mixed-citation></citation-alternatives></ref><ref id="cit42"><label>42</label><citation-alternatives><mixed-citation xml:lang="ru">Zhu W., Li X., Dong J., Bo H., Liu J., Yang J., Zhang Y., Wei H., Huang W., Zhao X., Chen T., Yang J., Li Z., Zeng X., Li C., Tang J., Xin L., Gao R., Liu L., Tan M., Shu Y., Yang L., Wang D. Epidemiologic, clinical, and genetic characteristics of human infections with influenza A(H5N6) viruses, China. Emerg. Infect. Dis. 2022; 28(7):1332–44. DOI: 10.3201/eid2807.212482.</mixed-citation><mixed-citation xml:lang="en">Zhu W., Li X., Dong J., Bo H., Liu J., Yang J., Zhang Y., Wei H., Huang W., Zhao X., Chen T., Yang J., Li Z., Zeng X., Li C., Tang J., Xin L., Gao R., Liu L., Tan M., Shu Y., Yang L., Wang D. Epidemiologic, clinical, and genetic characteristics of human in¬ fections with influenza A(H5N6) viruses, China. Emerg. Infect. Dis. 2022; 28(7):1332–44. DOI: 10.3201/eid2807.212482.</mixed-citation></citation-alternatives></ref><ref id="cit43"><label>43</label><citation-alternatives><mixed-citation xml:lang="ru">ECDC. Weekly bulletin. Communicable disease threats report. (Cited 25 Jan 2024). [Internet]. Available from: https://www.ecdc.europa.eu/sites/default/files/documents/communicable-disease-threats-report-week-1-2024.pdf.</mixed-citation><mixed-citation xml:lang="en">ECDC. Weekly bulletin. Communicable disease threats report. (Cited 25 Jan 2024). [Internet]. Available from: https://www.ecdc.europa.eu/sites/default/files/documents/communicable-disease-threats-report-week-1-2024.pdf.</mixed-citation></citation-alternatives></ref><ref id="cit44"><label>44</label><citation-alternatives><mixed-citation xml:lang="ru">ECDC. Weekly bulletin. Communicable disease threats report. (Cited 09 Feb 2024). [Internet]. Available from: https://www.ecdc.europa.eu/sites/default/files/documents/communicable-disease-threats-report-week-5-2024.pdf.</mixed-citation><mixed-citation xml:lang="en">ECDC. Weekly bulletin. Communicable disease threats report. (Cited 09 Feb 2024). [Internet]. Available from: https://www.ecdc.europa.eu/sites/default/files/documents/communicable-disease-threats-report-week-5-2024.pdf.</mixed-citation></citation-alternatives></ref><ref id="cit45"><label>45</label><citation-alternatives><mixed-citation xml:lang="ru">The Government of the Hong Kong Special Administrative Region. Press Releases. CHP closely monitors human case co-infected with avian influenza A(H10N5) and influenza A(H3N2) on Mainland. (Cited 09 Feb 2024). [Internet]. Available from: https://www.info.gov.hk/gia/general/202401/31/P2024013100657.htm.</mixed-citation><mixed-citation xml:lang="en">The Government of the Hong Kong Special Administrative Region. Press Releases. CHP closely monitors human case co-infec¬ ted with avian influenza A(H10N5) and influenza A(H3N2) on Mainland. (Cited 09 Feb 2024). [Internet]. Available from: https://www.info.gov.hk/gia/general/202401/31/P2024013100657.htm.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
