sábado, 19 de octubre de 2019

Serosurvey for Influenza D Virus Exposure in Cattle, United States, 2014–2015 - Volume 25, Number 11—November 2019 - Emerging Infectious Diseases journal - CDC

Serosurvey for Influenza D Virus Exposure in Cattle, United States, 2014–2015 - Volume 25, Number 11—November 2019 - Emerging Infectious Diseases journal - CDC

Issue Cover for Volume 25, Number 11—November 2019



Volume 25, Number 11—November 2019
Research

Serosurvey for Influenza D Virus Exposure in Cattle, United States, 2014–2015

Simone Silveira, Shollie M. FalkenbergComments to Author , Bryan S. Kaplan, Beate Crossley, Julia F. Ridpath, Fernando B. Bauermann, Charles P. Fossler, David A. Dargatz, Rohana P. Dassanayake, Amy L. Vincent, Cláudio W. Canal, and John D. Neill
Author affiliations: Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil (S. Silveira, C.W. Canal)US Department of Agriculture, Ames, Iowa, USA (S.M. Falkenberg, B.S. Kaplan, J.F. Ridpath, R.P. Dassanayake, A.L. Vincent, J.D. Neill)University of California, Davis, California, USA (B. Crossley)Oklahoma State University, Stillwater, Oklahoma, USA (F.B. Bauermann)US Department of Agriculture, Fort Collins, Colorado, USA (C.P. Fossler, D.A. Dargatz)

Abstract

Influenza D virus has been detected predominantly in cattle from several countries. In the United States, regional and state seropositive rates for influenza D have previously been reported, but little information exists to evaluate national seroprevalence. We performed a serosurveillance study with 1,992 bovine serum samples collected across the country in 2014 and 2015. We found a high overall seropositive rate of 77.5% nationally; regional rates varied from 47.7% to 84.6%. Samples from the Upper Midwest and Mountain West regions showed the highest seropositive rates. In addition, seropositive samples were found in 41 of the 42 states from which cattle originated, demonstrating that influenza D virus circulated widely in cattle during this period. The distribution of influenza D virus in cattle from the United States highlights the need for greater understanding about pathogenesis, epidemiology, and the implications for animal health.
Influenza D virus (IDV; genus Deltainfluenzavirus, family Orthomyxoviridae) is an enveloped, single-stranded, negative sense RNA virus with 7 genome segments and 1 surface glycoprotein, the hemagglutinin-esterase fusion (HEF) protein (1,2). The first detection of IDV dates back to Oklahoma, USA, in 2011 from pigs exhibiting influenza-like disease (3), although retrospective seroprevalence data suggest the presence of IDV in goats in the United States before 2002 (4). Subsequently, IDV has been identified in low frequency in pigs in Italy (5,6) and Luxembourg (7). In addition, evidence suggests IDV circulates in other hosts such as small ruminants, camels, and buffalo in Togo, Kenya, and China (8,9) and small ruminants, feral swine, and equids in the United States (4,10,11).
Although IDV has been detected in other species, cattle appear to be the main reservoir (1,12). A variety of sample types and methods of detection have been used to determine the prevalence of IDV in different regions, in various ages, breeds, and numbers of cattle evaluated. The lack of consistency between the methods and cattle evaluated may be a contributing factor to variability in prevalence of IDV in different regions. Seroprevalence data have been reported in cattle from Luxembourg (7), Japan (13,14), the United States (1,15,16), Togo, Benin, and Morocco (9); the highest reported seropositive rate (80.2%) was in the United States (16) and Luxembourg (7) and the lowest (1.9%) in Benin (9). Serologic testing provides an indication of IDV exposure but is not a measure of active infections. IDV RNA from respiratory samples of cattle has been detected in several countries: the United States (1,15,17,18), Italy (5), France (19), Ireland (20), China (8,21), Japan (22), and Mexico (18). Studies from Mexico (18) reported the highest frequency of positive samples (29.7%) and China the lowest (0.7%) (21).
In both experimental and field infections with IDV, mild to moderate respiratory disease has been reported (23,24). In addition, IDV-positive samples are reported not only from cattle manifesting clinical signs associated with bovine respiratory disease but also from cattle that are asymptomatic and appear to be healthy (2022). Experimental infection of calves demonstrated that IDV caused mild to moderate respiratory disease and that peak viral shedding occurred at 4–6 days postinfection; seroconversion was detected as early as day 6 postinfection (12,23,24). Whereas IDV infection by itself has been associated mainly with mild respiratory illness, IDV has also been implicated as a contributor to bovine respiratory disease complex (BRDC), which is the most costly disease affecting the US cattle industry (17,18,23,25).
Because there are no commercially available vaccines against IDV, positive serologic assays reflect natural exposure. Given the potential of IDV to contribute to BRDC, inclusion of IDV in vaccination programs has been debated. The frequency of IDV RNA–positive samples from US cattle is 4.8%–18% (1,15,17,18), and positive samples have been reported in the US cattle population since 2003 (16). The seropositive rate has been reported at 13.5%–80.2% (15,16); the Upper Midwest region has the highest seroprevalence. The wide variation of seroprevalence could be caused by differences in the age of the cattle evaluated or by differences across regions because of limited sample size and the focus on the Midwest and South Central regions of the country. We conducted a national serosurvey of cattle of a similar age to fully evaluate the potential role of IDV in BRDC infections and the effect of IDV on animal health and productivity.

Materials and Methods

Samples
We assessed 1,992 banked bovine serum samples for IDV-specific antibodies. The samples, collected between August 2014 and December 2015 as part of the US brucellosis surveillance program, were previously used to screen for ruminant pestivirus and bovine leukemia virus (BLV) exposure (26,27). We aimed to determine the seropositivity rate for IDV and retrospectively compare that rate with seropositivity rates for ruminant pestivirus and BLV from the same samples to identify regional patterns or differences in the US cattle population.
Thumbnail of Number of samples collected from 42 states in study of influenza D virus in cattle, United States, 2014–2015. Asterisks (*) indicate states with 1 slaughter plant that contributed samples. Alaska, Hawaii, and states without numbers did not contribute samples.
Figure 1. Number of samples collected from 42 states in study of influenza D virus in cattle, United States, 2014–2015. Asterisks (*) indicate states with 1 slaughter plant that contributed samples. Alaska, Hawaii,...
The serum samples came from both male and female cattle >2 years of age, raised in 42 states, and were randomly collected from 5 slaughter plants. The states were categorized into 6 regions as previously defined (26): Pacific West (PW), Mountain West (MW), Upper Midwest (UMW), South Central (SC), Northeast (NE), and Southeast (SE) (Figure 1). The number of samples taken in each slaughter plant, listed by state (California, Florida, Nebraska, Pennsylvania, Minnesota), was proportional to the total annual number of cattle >2 years of age that had been processed in that plant. All samples were previously reported as negative for brucellosis.
Virus Selection and Propagation
Thumbnail of Maximum-likelihood phylogeny of the influenza D virus hemagglutinin-esterase fusion (HEF) gene constructed for study of influenza D virus in cattle, United States. Representative US strain D/bovine/Kansas/14-22/2012 (black dot), used as antigen in hemagglutination inhibition analysis, was aligned with reference strains from the Influenza Research Database (http://www.fludb.org) obtained on September 28, 2018. Bootstrap values >70% (1,000 replicates) are shown to the right of the
Figure 2. Maximum-likelihood phylogeny of the influenza D virus hemagglutinin-esterase fusion (HEF) gene constructed for study of influenza D virus in cattle, United States. Representative US strain D/bovine/Kansas/14-22/2012 (black dot), used as antigen...
To select the IDV strain used for the hemagglutination inhibition (HI) assay, we performed phylogenetic analysis on HEF genes with IDV strains that circulated in the United States during the same period in which the samples used for this study were collected (Figure 2). We downloaded full-length HEF gene segment sequences (n = 39) from the Influenza Research Database (http://www.fludb.orgExternal Link) on September 28, 2018. We aligned full-length segments using the MAFFT plug-in for Geneious version 9.1.4 (Biomatters Ltd., http://www.geneious.comExternal Link) with subsequent manual correction. We constructed a maximum-likelihood tree inferred in IQ-tree (http://www.iqtree.orgExternal Link) using a general time-reversible model of nucleotide substitution combined with a gamma-distributed rate variation with statistical support generated through ultrafast bootstrap analysis (28,29). We chose a representative US strain, D/bovine/Kansas/14-22/12, showing a high amino acid similarity (96%–99.2%) with US strains detected during 2014–2015, and a high hemagglutination (HA) titer.
We maintained swine testicle cells (ATCC CRL-1746) used for propagation of IDV in MEM medium (Sigma Aldrich, https://www.sigmaaldrich.comExternal Link), supplemented with 10% (vol/vol) heat-inactivated fetal bovine serum (PAA Laboratories, Inc., https://www.fishersci.comExternal Link) and L-glutamine (ThermoFisher Scientific, https://www.thermofisher.comExternal Link) antibiotic-antimycotic solution incubated at 37°C in a humid atmosphere of 5% CO2. We propagated the D/bovine/Kansas/14-22/12 strain, diluted 1:1,000 in swine testicle cells cultured in serum-free medium in the presence of TPCK-trypsin (0.1 µg/mL) and 5% bovine serum albumin, and incubated at 37°C for up to 4 days.
Serology
We performed the HI assay for detection of D/bovine/Kansas/14-22/12–specific antibodies in accordance with the specifications in the World Health Organization manual on animal influenza A virus diagnosis and surveillance (30). We treated 1:3 serum samples with receptor-destroying enzyme (Denka Seiken UK, http://www.denka-seiken.jpExternal Link) at 37°C for 18 hours, heat inactivated it at 56°C for 1 h, and diluted it 1:10 with phosphate-buffered saline. We conducted the assay in duplicate, at room temperature and in V-bottom 96-well plates, starting at 1:10 and doing 2-fold serial dilutions to reach a 1:1,280 dilution. We added the serially diluted samples to the virus (8 hemagglutination units/50 µL) for 1 h, then incubated with 0.5% turkey red blood cells for 30 min. The endpoint titer was the reciprocal of the highest dilution of serum that demonstrated partial to full inhibition of hemagglutination. We determined that a serum with an HI titer >40 was seropositive according to previous IDV serosurveillance studies (4,15). We used a negative control (PBS), as well as a positive control consisting of a rabbit polyclonal antiserum generated against D/swine/OK/1334/2011, in the HI assay (1). To exclude the possible presence of nonspecific antibodies, we also performed HI with serum samples from 10 colostrum-deprived calves; all showed titers of 0, which confirmed negativity.
Statistical Analysis
We used GraphPad Prism 7 software (GraphPad Software, LLC, https://www.graphpad.comExternal Link) to statistically compare seropositive rates of IDV infection by χ2 test and geometric mean titers (GMT) by the Kruskal-Wallis and Mann-Whitney tests. We considered p<0.05 significant.

Results

Of the 1,992 cattle serum samples tested by HI assay for detection of IDV-specific antibodies, 1,545 (77.5%) samples were positive; the overall GMT of positive samples was 230 (titers ranged from 40 to 1,280). We identified positive serum in samples from 41 of the 42 states tested (Table). The seropositivity rate was 25%–93.8% among the states and average GMT was 80–460. However, sample size was small in some of the states with low positivity, low titer, or both, which might have caused bias in the regional distribution.
We categorized the results by geographic region to compare the differences of seropositive rate and GMT. The seropositive rate range was 47.7%–84.6% (p<0.05) and GMT 110–260 (p<0.05) among the regions (Table). Mountain West region had the highest seropositive rate (84.6%) and GMT (260); Northeast region had the lowest seropositive rate (47.7%) and GMT (110).

Discussion

Although IDV was described in pigs earlier than in cattle in the United States, subsequent reports of retrospective samples suggested that cattle are the natural reservoir (1,12). Because seroprevalence surveillance in US cattle had been conducted only at state or regional levels, we undertook a nationwide serologic survey to detect IDV antibodies in cattle. Our results clearly demonstrate that IDV circulated with high frequency in cattle in all regions of the United States during 2014–2015.
We observed regional variation in seropositive rate and GMT, although all regions had relatively high frequency. Overall, the Upper Midwest and Mountain West regions showed the highest seropositive rates and the highest antibody titers, and also encompassed the states with the highest GMT. A similar result was obtained in a pestivirus serologic study performed with the same serum samples; here too, the Mountain West region showed the highest number of antibody-positive animals and higher titers (26). Although it is not possible to establish the cause, both pestivirus and IDV serology follow a similar trend. Potential causes include herd size, which can exceed 1,000 animals in these areas, and the potential for livestock and wildlife species to commingle and facilitate virus transmission. Evidence indicates IDV can infect nonbovine hosts, such as sheep, goats, pigs, and equids, in the United States (4,10,31). However, the full range of susceptible hosts for IDV is unknown, and interspecies transmission has not been demonstrated among the known hosts.
Seroprevalence of IDV in small ruminants was reported in samples collected from the Mountain West and Upper Midwest regions, whereas samples from other regions were negative (4). Moreover, in the Upper Midwest region, a high percentage of small ruminants with high titers was described, and the farms where they were located were in close proximity to cattle farms (4). This issue needs to be explored further to understand the importance of IDV as a threat for animal health and whether this is an underlying factor for the increased seroprevalence of viral pathogens in regions that have greater potential for interspecies transmission.
In general, we observed lower titers and a lower percentage of positive animals in the Northeast and Southeast regions. These results are similar to those reported from the pestivirus serosurvey that also found these 2 regions to have the lowest titers and lowest number of cattle seropositive for BVDV (26). On the other hand, in the BLV serosurvey, the Northeast had the highest seropositive rate for BLV and the Mountain West the lowest seropositive rate (27). Although seroprevalence differences existed between BLV and the other viruses evaluated (pestivirus and IDV), these differences could be caused by limited number of samples collected in these regions, differences in the epidemiology of these viruses, or differences in herd management practices across the regions. Previous data of IDV exposure in cattle of different ages in Mississippi (Southeast region) reported a high seroprevalence in cattle >1 year of age (15). Discrepancies between the current study and the previous reports could be explained by the number of samples evaluated in each of these studies; only 4 samples originated from Mississippi in our study, whereas >500 cattle were sampled in a previous study (15). Although our study encompassed the entire United States, the limited number of samples from several states, and subsequently the regions they represent, may have caused underestimation or overestimation of the seropositive rate of IDV. Despite the limitations of our study, data indicate that IDV is widespread at rates similar to the regional or state data previously reported (15,16).
Our findings, combined with those from previous serosurveillance studies (15,16), confirm a high nationwide seroprevalence of IDV in US cattle populations. Because of the potential association of IDV with BRDC (17,18,23,31) and the dearth of vaccines to prevent IDV infection (12,32), concerns have been raised regarding the negative effect of IDV on animal health. A possible explanation for the high seropositive rate is that IDV is common in the respiratory tract of cattle; times of stress, immune attack, or environmental changes that affect the respiratory tract can increase viral shedding but might not cause disease. Unpublished diagnostic data from our laboratory show that IDV is detected more frequently in samples that are also positive for other respiratory pathogens than in those positive for IDV alone. This finding indicates that IDV can either predispose the respiratory tract or act as an opportunistic pathogen in concert with other pathogens to cause BRD. Further research, including co-infection studies, is needed to elucidate the full range of susceptible hosts and the dynamics of interspecies transmission to understand the contribution of IDV to BRDC. In summary, our serosurveillance study of bovine serum samples from 2014–2015 showed a high seropositivity rate for IDV in the United States; 41 of the 42 states from which cattle originated had seropositive animals. No IDV vaccine exists. IDV infection has also been implicated in BRDC, the most costly disease affecting the US cattle industry. Therefore, our findings may indicate an ongoing risk to animal health.
Dr. Silveira is a postdoctoral researcher at the Universidade de Caxias do Sul (UCS), Brazil. Her primary research interests are molecular epidemiology and evolution of emerging influenza viruses and pestiviruses.

Acknowledgments

We thank the staff at the Kentucky Federal Brucellosis Laboratory, including Christopher Cracraft, Shanna Wilburn, April Shannon, Lisa Burke, Megan Zinner, Phyllis Bays, and Jeffery Gifford, for logistic support in identifying and shipping serum samples to the laboratory for testing. We thank Mark Camacho for his technical assistance in setting up the collaboration between the US Department of Agriculture, Agricultural Research Service (USDA/ARS), and the laboratory. We also thank the staff at the National Animal Disease Center, including Kathryn McMullen, Patricia Federico, and Renae Lesan. Finally, we thank Kathy Simmons and the National Cattlemen’s Beef Association for their interest in this project and their work to promote cattle health research projects at USDA/ARS.
B.S.K. is supported by an appointment to the USDA/ARS Research Participation Program, administered by the Oak Ridge Institute for Science and Education (ORISE) through an interagency agreement between the US Department of Energy and USDA (contract no. DE-AC05-06OR23100). S.S. and C.W.C. received support from Coordenação de Aperfeiçoamento de Pessoal de Nível Superior Brasil (CAPES) (finance code 001) and Conselho Nacional de Pesquisa–Brasil (CNPq).
This study was conducted at a USDA research facility and all funding was provided through internal USDA research dollars. This project is an intramural project of the USDA/ARS National Animal Disease Center (5030-32000-117-00D). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Mention of trade names or commercial products in this publication is solely for the purpose of providing specific information and does not imply recommendation or endorsement by the US Department of Agriculture (USDA). USDA is an equal opportunity provider and employer.

References

  1. Hause  BMCollin  EALiu  RHuang  BSheng  ZLu  Wet al. Characterization of a novel influenza virus in cattle and Swine: proposal for a new genus in the Orthomyxoviridae family. MBio2014;5:e0003114DOIExternal LinkPubMedExternal Link
  2. International Committee on Taxonomy of Viruses. Taxonomy. 2017 [cited 2019 Aug 28]. https://talk.ictvonline.org/taxonomyExternal Link
  3. Hause  BMDucatez  MCollin  EARan  ZLiu  RSheng  Zet al. Isolation of a novel swine influenza virus from Oklahoma in 2011 which is distantly related to human influenza C viruses. PLoS Pathog2013;9:e1003176DOIExternal LinkPubMedExternal Link
  4. Quast  MSreenivasan  CSexton  GNedland  HSingrey  AFawcett  Let al. Serological evidence for the presence of influenza D virus in small ruminants. Vet Microbiol2015;180:2815DOIExternal LinkPubMedExternal Link
  5. Chiapponi  CFaccini  SDe Mattia  ABaioni  LBarbieri  IRosignoli  Cet al. Detection of influenza D virus among swine and cattle, Italy. Emerg Infect Dis2016;22:3524DOIExternal LinkPubMedExternal Link
  6. Foni  EChiapponi  CBaioni  LZanni  IMerenda  MRosignoli  Cet al. Influenza D in Italy: towards a better understanding of an emerging viral infection in swine. Sci Rep2017;7:11660DOIExternal LinkPubMedExternal Link
  7. Snoeck  CJOliva  JPauly  MLosch  SWildschutz  FMuller  CPet al. Influenza D virus circulation in cattle and swine, Luxembourg, 2012–2016. Emerg Infect Dis2018;24:13889DOIExternal LinkPubMedExternal Link
  8. Zhai  S-LZhang  HChen  S-NZhou  XLin  TLiu  Ret al. Influenza D virus in animal species in Guangdong Province, southern China. Emerg Infect Dis2017;23:13926DOIExternal LinkPubMedExternal Link
  9. Salem  ECook  EAJLbacha  HAOliva  JAwoume  FAplogan  GLet al. Serologic evidence for influenza C and D virus among ruminants and camelids, Africa, 1991–2015. Emerg Infect Dis2017;23:15569DOIExternal LinkPubMedExternal Link
  10. Nedland  HWollman  JSreenivasan  CQuast  MSingrey  AFawcett  Let al. Serological evidence for the co-circulation of two lineages of influenza D viruses in equine populations of the Midwest United States. Zoonoses Public Health2018;65:e14854DOIExternal LinkPubMedExternal Link
  11. Ferguson  LLuo  KOlivier  AKCunningham  FLBlackmon  SHanson-Dorr  Ket al. Influenza D virus infection in feral swine populations, United States. Emerg Infect Dis2018;24:10208DOIExternal LinkPubMedExternal Link
  12. Hause  BMHuntimer  LFalkenberg  SHenningson  JLechtenberg  KHalbur  TAn inactivated influenza D virus vaccine partially protects cattle from respiratory disease caused by homologous challenge. Vet Microbiol2017;199:4753DOIExternal LinkPubMedExternal Link
  13. Horimoto  THiono  TMekata  HOdagiri  TLei  ZKobayashi  Tet al. Nationwide distribution of bovine influenza D virus infection in Japan. PLoS One2016;11:e0163828DOIExternal LinkPubMedExternal Link
  14. Murakami  SEndoh  MKobayashi  TTakenaka-Uema  AChambers  JKUchida  Ket al. Influenza D virus infection in herd of cattle, Japan. Emerg Infect Dis2016;22:15179DOIExternal LinkPubMedExternal Link
  15. Ferguson  LEckard  LEpperson  WBLong  LPSmith  DHuston  Cet al. Influenza D virus infection in Mississippi beef cattle. Virology2015;486:2834DOIExternal LinkPubMedExternal Link
  16. Luo  JFerguson  LSmith  DRWoolums  AREpperson  WBWan  XFSerological evidence for high prevalence of Influenza D Viruses in Cattle, Nebraska, United States, 2003-2004. Virology2017;501:8891DOIExternal LinkPubMedExternal Link
  17. Collin  EASheng  ZLang  YMa  WHause  BMLi  FCocirculation of two distinct genetic and antigenic lineages of proposed influenza D virus in cattle. J Virol2015;89:103642DOIExternal LinkPubMedExternal Link
  18. Mitra  NCernicchiaro  NTorres  SLi  FHause  BMMetagenomic characterization of the virome associated with bovine respiratory disease in feedlot cattle identified novel viruses and suggests an etiologic role for influenza D virus. J Gen Virol2016;97:177184DOIExternal LinkPubMedExternal Link
  19. Ducatez  MFPelletier  CMeyer  GInfluenza D virus in cattle, France, 2011-2014. Emerg Infect Dis2015;21:36871DOIExternal LinkPubMedExternal Link
  20. Flynn  OGallagher  CMooney  JIrvine  CDucatez  MHause  Bet al. Influenza D virus in cattle, Ireland. Emerg Infect Dis2018;24:38991DOIExternal LinkPubMedExternal Link
  21. Jiang  W-MWang  S-CPeng  CYu  J-MZhuang  Q-YHou  G-Yet al. Identification of a potential novel type of influenza virus in Bovine in China. Virus Genes2014;49:4936DOIExternal LinkPubMedExternal Link
  22. Mekata  HYamamoto  MHamabe  STanaka  HOmatsu  TMizutani  Tet al. Molecular epidemiological survey and phylogenetic analysis of bovine influenza D virus in Japan. Transbound Emerg Dis2018;65:e35560DOIExternal LinkPubMedExternal Link
  23. Ferguson  LOlivier  AKGenova  SEpperson  WBSmith  DRSchneider  Let al. Pathogenesis of influenza D virus in cattle. J Virol2016;90:563642DOIExternal LinkPubMedExternal Link
  24. Salem  EHägglund  SCassard  HCorre  TNäslund  KForet  Cet al. Pathogenesis, host innate immune response and aerosol transmission of Influenza D virus in cattle. J Virol. 2019; 93:JVI.01853-18.
  25. Ng  TFFKondov  NODeng  XVan Eenennaam  ANeibergs  HLDelwart  EA metagenomics and case-control study to identify viruses associated with bovine respiratory disease. J Virol2015;89:53409DOIExternal LinkPubMedExternal Link
  26. Bauermann  FVRidpath  JFDargatz  DAA serosurvey for ruminant pestivirus exposure conducted using cattle sera collected for brucellosis surveillance in the United States. J Vet Diagn Invest2017;29:7682DOIExternal LinkPubMedExternal Link
  27. Bauermann  FVRidpath  JFDargatz  DABovine leukemia virus seroprevalence among cattle presented for slaughter in the United States. J Vet Diagn Invest2017;29:7046DOIExternal LinkPubMedExternal Link
  28. Nguyen  LTSchmidt  HAvon Haeseler  AMinh  BQIQ-TREE: a fast and effective stochastic algorithm for estimating maximum-likelihood phylogenies. Mol Biol Evol2015;32:26874DOIExternal LinkPubMedExternal Link
  29. Hoang  DTChernomor  Ovon Haeseler  AMinh  BQVinh  LSUFBoot2: Improving the ultrafast bootstrap approximation. Mol Biol Evol2018;35:51822DOIExternal LinkPubMedExternal Link
  30. World Health Organization. Manual for the laboratory diagnosis and virological surveillance of influenza. 2011 [cited 2019 Aug 28]. http://www.who.int/influenza/gisrs_laboratory/manual_diagnosis_surveillance_influenzaExternal Link
  31. US Department of Agriculture. Feedlot 2011 part IV: health and health management on US feedlots with a capacity of 1,000 or more head. 2013 [cited 2019 Aug 28]. https://www.aphis.usda.gov/animal_health/nahms/feedlot/downloads/feedlot2011/Feed11_dr_PartIV.pdfExternal Link
  32. Wan  YKang  GSreenivasan  CDaharsh  LZhang  JFan  Wet al. A DNA vaccine expressing consensus hemagglutinin-esterase fusion protein protected guinea pigs from infection by two lineages of influenza D virus. 2018. J Virol2018;92:e001108DOIExternal LinkPubMedExternal Link
Figures
Table
Cite This Article

DOI: 10.3201/eid2511.190253
Original Publication Date: 9/30/2019

No hay comentarios:

Publicar un comentario