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The role of live poultry movement and live bird market biosecurity in the epidemiology of influenza A (H7N9): A cross-sectional observational study in four eastern China provinces
Journal article   Open access   Peer reviewed

The role of live poultry movement and live bird market biosecurity in the epidemiology of influenza A (H7N9): A cross-sectional observational study in four eastern China provinces

Xiaoyan Zhou, Yin Li, Youming Wang, John Edwards, Fusheng Guo, Archie C.A. Clements, Baoxu Huang and Ricardo J. Soares Magalhaes
The Journal of infection, Vol.71(4), pp.470-479
2015
PMID: 26149187
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Published2.41 MBDownloadView
Open Access

Abstract

Biosecurity Influenza A (H7N9) Live bird markets Meat chicken Poultry movement Social network analysis
Background: A new reassortant influenza A (H7N9) virus emerged early 2013 in eastern China. Exposure to H7N9 infected poultry at live bird markets (LBM) was implicated as the main risk factor for human infection. We aimed to identify the role of LBM biosecurity indicators and poultry movement in the affected areas. Methods: A cross-sectional survey was carried out in 24 LBMs at the beginning of H7N9 outbreak in all affected provinces. We used univariable analysis to identify the biosecurity factors associated with the H7N9 presence in LBMs and social network and spatial analysis to quantify the connectivity and geographic variation in the connectivity of poultry movements. Results: Chickens were the predominant poultry species traded by affected LBMs. The presence of H7N9 in LBMs was significantly associated with the type of LBM and with LBMs that sold chicken to other markets. The chicken movements were significantly spatially clustered and was highest in counties from Jiangsu and Anhui provinces. Conclusion: LBM biosecurity and chicken movement played an important role in the emergence of H7N9. This study identified highly connected areas in eastern China which continue to report human infections highlighting candidate areas for more detailed epidemiological investigations.

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Collaboration types
Domestic collaboration
Citation topics
1 Clinical & Life Sciences
1.104 Virology - General
1.104.126 Influenza
Web Of Science research areas
Infectious Diseases
ESI research areas
Immunology
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