sábado, 22 de agosto de 2020

Association of Biosecurity and Hygiene Practices with Environmental Contamination with Influenza A Viruses in Live Bird Markets, Bangladesh - Volume 26, Number 9—September 2020 - Emerging Infectious Diseases journal - CDC

Association of Biosecurity and Hygiene Practices with Environmental Contamination with Influenza A Viruses in Live Bird Markets, Bangladesh - Volume 26, Number 9—September 2020 - Emerging Infectious Diseases journal - CDC

Issue Cover for Volume 26, Number 9—September 2020

Volume 26, Number 9—September 2020
Research

Association of Biosecurity and Hygiene Practices with Environmental Contamination with Influenza A Viruses in Live Bird Markets, Bangladesh

Sukanta ChowdhuryComments to Author , Eduardo Azziz-Baumgartner, James C. Kile, Md. A. Hoque, Mohammed Z. Rahman, Md. E. Hossain, Probir K. Ghosh, Syed S.U. Ahmed, Erin D. Kennedy, Katharine Sturm-Ramirez, and Emily S. Gurley
Author affiliations: icddr,b, Dhaka, Bangladesh (S. Chowdhury, M.Z. Rahman, M.E. Hossain, P.K. Ghosh, S.S.U. Ahmed, K. Sturm-Ramirez, E.S. Gurley)Chattogram Veterinary and Animal Sciences University, Chattogram, Bangladesh (S. Chowdhury, M.A. Hoque)Centers for Disease Control and Prevention, Atlanta, Georgia, USA (E. Azziz-Baumgartner, J.C. Kile, E.D. Kennedy, K. Sturm-Ramirez)Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA (E.S. Gurley)

Abstract

In Bangladesh, live bird market environments are frequently contaminated with avian influenza viruses. Shop-level biosecurity practices might increase risk for environmental contamination. We sought to determine which shop-level biosecurity practices were associated with environmental contamination. We surveyed 800 poultry shops to describe biosecurity practices and collect environmental samples. Samples from 205 (26%) shops were positive for influenza A viral RNA, 108 (14%) for H9, and 60 (8%) for H5. Shops that slaughtered poultry, kept poultry overnight, remained open without rest days, had uneven muddy floors, held poultry on the floor, and housed sick and healthy poultry together were more frequently positive for influenza A viruses. Reported monthly cleaning seemed protective, but disinfection practices were not otherwise associated with influenza A virus detection. Slaughtering, keeping poultry overnight, weekly rest days, infrastructure, and disinfection practices could be targets for interventions to reduce environmental contamination.
Highly pathogenic avian influenza A(H5N1) virus causes outbreaks in poultry and sporadic infections in humans globally (1,2). H5N1 virus is endemic to poultry in several countries in Southeast Asia, including Bangladesh, and causes major economic loss, as well as human illness and death (1,35). During 2007–2018, Bangladesh reported >550 highly pathogenic avian influenza outbreaks in poultry, 90% of which were reported from commercial poultry farms (2). Since 2008, eight human H5N1 cases, including 1 death, have been reported in Bangladesh; 3 of these cases were in live bird market (LBM) workers presumably exposed to infected poultry in the LBM (1). Vietnam, Thailand, Indonesia, Hong Kong, China, and Cambodia have also reported human cases of H5N1 infection with a history of poultry exposure in LBMs, suggesting that LBMs can facilitate spread of H5N1 infection among poultry and from poultry to humans (6,7).
Bangladesh has a large number of LBMs in urban areas in which multiple poultry species from backyard and commercial farms are housed together for sale; several studies detected highly pathogenic and low pathogenicity avian influenza viruses (AIVs) in LBM poultry and the environment (813). An LBM-based surveillance detected AIVs in waterfowl (4%) and environmental samples from poultry markets (29%). During 2007–2012, many subtypes, including H5N1, H5N2, H7N9, and H9N2, were identified in waterfowl and environmental samples (14). In 1 study, 9 (2%) of 450 LBM workers from 12 LBMs across Bangladesh had antibodies against H5N1 virus (15). Such findings suggest that environmental contamination with AIVs occurs in Bangladesh and that poultry workers are at risk for contracting AIVs from infected poultry in LBMs and their contaminated environment.
Affected countries have introduced interventions to reduce the spread of AIVs in LBMs, including temporary or permanent LBM closure, banning overnight poultry storage, and mandatory rest day(s), as well as daily cleaning of surfaces to reduce environmental contamination (1622). Temporary, weekly 1-day closures at live poultry markets in Guangzhou, China, was implemented for effective disinfection in response to the H7N9 outbreaks during 2013–2014 (23). However, market-level interventions have not been effective in reducing environmental contamination in Bangladesh. The infrastructure and daily activities of individual poultry shops within markets are heterogeneous (9). Because individual poultry shops have their own infrastructure and biosecurity controls, shop-level analyses might be useful in developing and designing effective interventions. Our study aimed to assess the shop-level prevalence of influenza A virus contamination among LBM shops across Bangladesh and to identify biosecurity and hygiene practices that are associated with risk for and protection from influenza A virus contamination.

Methods

Thumbnail of Locations of LBMs, 10 metropolitan areas, Bangladesh, March 2015. LBM, live bird market.
Figure 1. Locations of LBMs, 10 metropolitan areas, Bangladesh, March 2015. LBM, live bird market.
Bangladesh has 10 metropolitan areas where large numbers of LBMs are located. We conducted a cross-sectional study in all 10 areas (Figure 1).
Selection of LBMs and Poultry Shops
We determined that we needed 800 poultry shops to detect >1% prevalence of AIV with 95% confidence and 0.7% precision. Initially, the field team visited each metropolitan area to identify all LBMs and count the number of individually owned poultry shops in each market. After visiting all the cities, we prepared a list of LBMs with >10 poultry shops for each metropolitan area. We then selected 80 LBMs from 10 metropolitan areas by using a proportionate random sampling technique. Finally, we enrolled 10 shops in each LBM by using a random number generator.
Biosecurity Measures and Other Practices
During March 2015, the field team visited each selected shop to interview poultry shop owners or workers and collect information about shop characteristics, poultry transactions, and biosecurity and hygiene practices. On the basis of previously identified risk factors and recommended biosecurity and hygiene practices, we hypothesized that cleaning, disinfection, overnight poultry storage, a weekly rest day, practice of poultry slaughtering within shops, type of floor, poultry holding areas, presence of waterfowl, poultry density, number of poultry species, source of poultry, and the separation of sick poultry from healthy poultry could be associated with the detection of AIV in the poultry shop environment (Appendix 1) (11,17,19,21,22,2428). In a questionnaire (Appendix 2), we defined cleaning as “cleaning of poultry holding areas with water and/or broom,” and we defined disinfection as “cleaning of poultry holding areas with a disinfectant.” We asked owners whether they cleaned poultry holding areas daily, weekly, monthly, or did not clean within the past month. We asked whether they disinfected poultry holding areas weekly, monthly, or did not disinfect within the last month. The field team also collected some market-level information by interviewing members of the market committee.
Sample Collection
From each selected shop, we collected 8–10 swab specimens of poultry droppings, cages, feed, drinking water, slaughtering surfaces and utensils, slaughtering by-products, offal, shop floors, or waste bins. We pooled the 8–10 samples from each shop and tested them as a single sample. Some shops had no slaughtering facilities within their premises. From these shops, we collected swab specimens from other sources, including poultry droppings, cages, feed, and drinking water. We collected 1 pooled sample from each of 800 selected shops during March 2015 because highly pathogenic avian influenza (H5N1) activity typically peaks during January–March (29).
Laboratory Testing
We used a real-time reverse transcription PCR detection kit for typing and subtyping influenza viruses and fluorescent TaqMan probes at the icddr,b (30). Primers and probes specific for the matrix gene were used to detect influenza A viruses. To identify H5, H7, and H9 subtypes in influenza A virus–positive samples, we used H5, H7, and H9 hemagglutinin gene–specific primers and probes (30).
Observations
On the basis of laboratory testing results, we identified all influenza A/H5–positive shops and an equal number of influenza A virus–negative shops by using a random number generator and a list of influenza A virus–negative shops. Field staff observed each selected shop for a 3-hour period during April 2015. Staff observed cleaning and disinfection activities of selected poultry shops during surprise visits at times when cleaning activities were scheduled. Field staffs were blinded to the laboratory test results of selected shops.
Statistical Analysis
Thumbnail of Conceptual framework for shop-level environmental contamination with avian influenza viruses in live bird markets, Bangladesh, March 2015.
Figure 2. Conceptual framework for shop-level environmental contamination with avian influenza viruses in live bird markets, Bangladesh, March 2015.
We summarized characteristics of poultry shops, including infrastructure and biosecurity and hygiene measures, by using descriptive analyses. We estimated the presence of environmental contamination with influenza A viruses in shops and 95% CIs. Initially, we constructed a conceptual framework to identify causal association and confounders as described (31) (Figure 2). We then performed univariate analyses to estimate odds ratios (ORs). Exposure variables associated with outcomes with p <0.2 in univariate analysis and confounder variables from the conceptual framework were selected for multivariate analyses. We used backward stepwise selection of variables with a significance level of 0.05 to construct models. We then used mixed-effect logistic regression multivariate models, accounting for clustering by metropolitan area and market, to estimate adjusted ORs (aORs). We assessed collinearity by calculating the variance inflation factor for independent variables used in the regression models (32). Weekly cleaning was highly correlated with daily cleaning practices; therefore, we removed weekly cleaning from the model during multivariate analyses. We calculated model χ2 and R2 (the coefficient of determination) to measure goodness-of-fit for multivariate regression model. We performed all statistical analyses by using Stata version 13 software (StataCorp LLC, https://www.stata.comExternal Link).
Ethics
Field staff obtained written consent from shop owners or poultry workers for data and sample collection from their shops. The icddr,b Research Review Committee and Ethical Review Committee reviewed and approved the study protocol (protocol no. PR-15012).

Results

We identified 104 LBMs that had ≥10 poultry shops. Among these LBMs, we selected 800 shops in 80 LBMs for sample and data collection (Table 1). The average number of poultry shops in each market was 20 (SD 10.5, range 10–55). Most (77%) poultry shops were retail and sold live poultry directly to consumers. The average size of each poultry shop was 9 m2, and the average duration of trade per day was 14 hours. Chickens were the predominant poultry species sold at LBMs, and 91% of shops had >1 poultry species the day of our visit (Table 2). A total of 6% of shops sold waterfowl only, and 4% sold chickens and ducks.
Poultry shopkeepers housed poultry in different types of settings, including wire cages, bamboo cages, and on the floor. Most (80%) poultry shops had uneven floor surfaces, partially made with tiles/concrete and mud. Poultry shop owners collected poultry from different sources, including wholesale markets, intermediaries, and directly from poultry farms. Most (86%) poultry shops slaughtered poultry on premises. Cleaning and disinfecting practices varied among poultry shops: 468 shops (59%) reported cleaning poultry holding areas daily, 185 (23%) reported using a disinfectant once a week, 592 (74%) reported frequently working throughout the week (i.e., not following the recommended weekly day of rest), and 654 shops (82%) reported keeping unsold poultry after the end of each business day.
Laboratory Results for Environmental Specimens
Environmental specimens from 205 (26%, 95% CI 23%–29%) shops were positive for influenza A viral RNA; 108 (14%, 95% CI 11%–16%) were positive for the H9 subtype and 60 (8%, 95% CI 6%–9%) were positive for the H5 subtype (Table 1). An additional 37 (5%, 95% CI 3%–6%) influenza A–positive shops had samples that were not subtypeable with H5, H7, and H9 primers. Samples from 29 (4%) shops were confirmed for both H5 and H9 subtypes. No samples were positive for H7 (95% CI 0%–0.5%). Shops in all 10 cities had at >1 sample positive for influenza A viral RNA, and 7 cities (70%) had shops positive for the H5 subtype. Among the 80 LBMs, >1 shop from 74 markets (93%) was positive for influenza A viral RNA, and >1 shop from 35 markets (44%) was positive for influenza A/H5 RNA. Environmental samples from 6 LBMs (3 from Chittagong, 1 from Dhaka, 1 from Khulna, and 1 from Comilla) were negative for influenza A viral RNA.
Observational Findings
We conducted observations in 60 influenza A/H5 virus–positive and 60 influenza A virus–negative shops. We did not find any major differences in cleaning and disinfection practices between influenza A/H5 virus–positive and influenza A virus–negative shops. Surveyors observed cleanings in 85% of influenza A/H5 virus–positive shops and 86% of influenza A virus–negative shops. Among these shops, only 2% of influenza A/H5 virus–positive shops performed disinfection by using washing powder or another recognized disinfectant, whereas 3% of influenza A virus–negative shops performed disinfection during our period of observation.
Associations between Shop-Level Biosecurity, Hygiene, and AIV Environmental Surface Contamination with Influenza A Viruses
We showed by using univariate analyses that poultry shops that kept poultry on the floor (OR 3.86, 95% C: 1–15.07; p = 0.05), slaughtered poultry within the shop (OR 1.7, 95% CI 1.08–2.67; p = 0.02), had unsold poultry after the end of the business day (OR 2.29, 95% CI 1.44–3.63; p<0.01), did not rest 1 day a week (OR 1.34, 95% CI 1.14–1.58; p = 0.01), kept sick and healthy appearing poultry together (OR 1.25, 95% CI 1–1.58; p = 0.05), and had uneven floor surfaces (partly made with tiles/concrete and mud) (OR 4.01, 95% CI 2.53–6.36; p<0.01) were more likely to be positive for influenza A viral RNA in environmental samples compared with shops that did not have these characteristics (Table 3). Poultry shops that reportedly cleaned poultry holding areas either daily (OR 0.41, 95% CI 0.27–0.62; p<0.01), weekly (OR 0.37, 95% CI 0.18–0.73; p<0.01), or monthly (OR 0.2, 95% CI 0.08–0.49; p<0.01), and had weekly disinfection (OR 0.81, 95% CI 0.61–1.07; p = 0.14) seemed less likely to be positive for influenza A viral RNA compared with shops that did not.
In the final multivariate analysis model, we showed that poultry shops that slaughtered poultry within the shop (aOR 1.87, 95% CI 1.11–3.14; p = 0.01), had unsold poultry after the end of the business day (aOR 2.35, 95% CI 1.4–3.93; p<0.01), did not rest 1 day a week (aOR 1.35, 95% CI 1.12–1.63; p<0.01), had uneven floor surfaces (partly made with tiles/concrete and mud) (aOR 3.64, 95% CI 2.32–5.71; p<0.01), held poultry on the floor (aOR 3.95, 95% CI 1.27–12.23; p = 0.01), and kept sick and healthy appearing poultry together (aOR 1.31, 95% CI 1.06–1.62; p = 0.01) were significantly more likely to be positive for influenza A viruses compared with shops that did not report these characteristics (Table 3). Reported monthly cleaning was protective (aOR 0.47, 95% CI 0.28–0.8; p<0.01), but disinfecting practices of poultry holding areas was still not significantly associated with influenza A virus detection in the multivariate model (p = 0.85). The final model selected seemed to fit data well (χ2 76.29, df 11, p<0.001, and R2 0.596). No market-level factors, including central cleaning and disinfection practices, were significantly associated with influenza A virus detection in the multivariate model (Appendix 1).

Discussion

Evaluation of existing biosecurity and hygiene practices is necessary to develop and design interventions to reduce the spread of AIVs in LBMs. Our study provides a detailed depiction of the daily operation of poultry shops and current biosecurity and hygiene practices in selected LBMs of Bangladesh. We identified certain biosecurity and hygiene practices associated with environmental contamination with AIVs: slaughtering poultry within shops, having unsold poultry after the end of the business day, skipping rest days, uneven floor surfaces, holding poultry on the floor, and keeping sick and healthy appearing poultry together.
Our study determined that most shops did not implement biosecurity practices, which have reduced AIV in other countries. For example, biosecurity and hygiene practices, including weekly rest days, depopulation, and cleaning with disinfectant, reduced the risk for AIV detection in poultry and environmental specimens in China (28). The prevalence of H7N9 virus in environmental specimens from LBMs in China decreased after the closure of live poultry markets (33). Daily waste removal was found to be protective in Indonesia (17). In the United States, environmental contamination decreased after implementing routine cleaning and disinfection (19,22). Although monthly cleaning was found to be protective in reducing environmental contamination with AIVs in this study, most shops in Bangladesh do not disinfect, and their current biosecurity practices do not seem to prevent environmental contamination. Moreover, most of the studied shops had rough dirt and mud floors that are less suitable for proper cleaning and disinfection, indicating poor market infrastructure.
Globally, countries reporting human cases of AIV also have LBMs contaminated with AIVs. AIV contamination of LBM environments increases the risk for infection and amplification of the virus in virus-free birds. In addition, if the AIV is zoonotic, as are H7N9, H5N1, and H5N6 viruses, increased viremia in birds increases the risk for human exposure and infection. For example, in Vietnam, AIVs were detected in 3.2% of poultry specimens collected from LBMs; in Egypt, H5N1 virus was detected in poultry in 12.4% of LBMs; in China, H7N9 virus was detected in 10% of environmental specimens from LBMs; in Indonesia, AIVs were detected in 47% of environmental specimens from LBMs; in Thailand, H5N1 virus was detected in 3.1% of market poultry; and in Bangladesh, AIVs were detected in 23% of poultry specimens (10,17,3335). In our study, >90% of the LBMs were positive for influenza A viruses, and 44% were specifically positive for AIV H5 RNA. Detection of AIV RNA in environmental samples indicates that market poultry were infected with AIVs near the time of sample collection and might excrete, secrete, or contaminate surfaces and humans through their carcasses, feathers, and offal. Our study findings also confirmed the presence of 2 subtypes (H5 and H9) of AIV, which might lead to genetic reassortment and evolution of new AIV strains in poultry of public health concern (29).
Epidemiologic studies have described the effectiveness of weekly or monthly rest days in reducing environmental contamination of LBMs with AIV (21,24). The number of human cases of infection with H7N9 virus has been observed to be reduced after permanent or temporary closure of LBMs and the culling of poultry (24,25,33,36). The government of Bangladesh imposed an order in 2012 to practice weekly rest days for cleaning and disinfecting LBMs within Dhaka (37). Nevertheless, 1 study found 74% of poultry shop owners did not practice weekly rest days, which might increase the risk for environmental contamination. A weekly rest day should be enforced by the government to decrease the risk for AIV circulation in LBMs.
Unsold poultry can play a major role in maintaining virus circulation in markets (25). Unsold infected poultry can infect incoming poultry, promoting further transmission of influenza viruses in susceptible birds. Banning overnight poultry storage in China reduced H9N2 virus isolation in chickens (84%) (24). In our study, most (82%) poultry shops reported that they stored poultry overnight in their shops to sell the next day. A previous study from Bangladesh also found that 73% of poultry shops kept poultry in their stalls for >1 day (38).
Slaughtering by-products, such as blood and offal, of AIV-infected poultry provide the most likely opportunity for environmental contamination and subsequent human exposure to high loads of virus. In Indonesia, slaughtering poultry within market premises was a risk factor for environmental contamination (17,26). H7N9 virus was detected in swab samples collected from surfaces of chopping boards in China (33). Persons from China and Bangladesh prefer to purchase live chickens that are slaughtered in the market at the time of purchase (9,36). A study suggested introducing central slaughtering of all live poultry in the LBM to control the risk posed of AIVs (39). In Bangladesh, most poultry shops, including those in this study, sold and slaughtered poultry within their shop (9). This practice might increase the risk for AIV contamination and perpetuate the exposure of poultry to AIV in LBMs. Although our study did not assess AIV transmission within LBMs, we cannot rule out the risk for AIV transmission to humans through slaughtering of infected poultry. We recommend introducing centralized slaughter facilities in LBMs to decrease the spread of AIV.
LBMs in Bangladesh are larger (ranging from 10 to 55 poultry shops) than those in Hong Kong, where the number of poultry shops in each LBM was 3–24 (21). Maintaining effective biosecurity and hygiene measures might be more difficult in larger LBMs that had poor infrastructure. The infrastructures of LBMs in city areas were quite similar. However, the prevalence of H5 and H9 subtypes varied between cities and might naturally differ in virus ecology by farm or geographic site. The infrastructure of our studied poultry shops within LBMs was often rudimentary: most were fully enclosed by walls, but most had rough muddy floors, unsystematic poultry holding areas, poor waste disposal systems, and unconfined slaughtering facilities. Urban markets have more poultry shops than rural markets. Urban LBMs usually are open every day, whereas rural LBMs are open once or twice per week. Bangladesh should consider investing in poultry shop infrastructure improvements and biosecurity practices, particularly in city areas, to better control environmental contamination with AIVs.
In China, poultry trading networks linked with LBMs were strongly associated with a higher prevalence of H7N9 virus among poultry and risk for H7N9 transmission to humans (36). Movement of infected poultry between markets has a major role in the spread of AIVs from 1 market to another (17,40). Poultry market supply chains in urban areas of Bangladesh are complex, collecting poultry from different sources, including directly from farms, intermediaries, or wholesale markets. These complex networks might promote a high number of contacts between infected and susceptible marketed birds and, therefore, increase AIV transmission potential within the trade networks.
This cross-sectional study design might have limited interpretation of some of the results. Although AIV circulation and amplification at LBMs are continuous processes influenced by time-dependent parameters, such as time to last cleaning before sampling and time to last poultry introduction/mixing before sampling, we only examined environmental contamination for AIVs at 1 point in time and did not explore time from last cleaning or disinfection. No additional laboratory tests were performed to characterize viral load and viability of AIVs detected because of limited funding. Therefore, it is unclear if the AIVs detected during the study were infectious to humans. The information we collected from poultry shop owners and workers about biosecurity might have been affected by social desirability bias, which might have underestimated the prevalence of practices that place shop at risk for contamination with AIVs.
In conclusion, our study identified risky practices, hygiene, and infrastructure in Bangladesh LBMs associated with an increased likelihood of shop contamination with AIVs. Improvement of these biosecurity practices, such as removing poultry at the end of the day, observing weekly rest days, introducing centralized slaughter facilities, and regular cleaning and disinfection, might help to prevent AIV contamination. LBM infrastructure, including floors, poultry holding areas, waste disposal systems, and slaughtering facilities, also need improvement. Potential valuable shop-level interventions to address these deficiencies in biosecurity practices might include training for poultry shop owners and poultry workers about effective biosecurity practices to reduce AIV contamination and the risk AIV poses to humans in Bangladesh.
Dr. Chowdhury is a veterinary epidemiologist at the icddr,b, Dhaka, Bangladesh. His primary research interests are epidemiology, infectious diseases surveillance, antimicrobial drug resistance, food safety, public health advocacy, and One Health issues.

Acknowledgments

We thank Susan C. Trock and Nord Zeidner for providing scientific input during protocol development, Gladys Leterme for proofreading and editing the manuscript, and field staff for their efforts during sample and data collection. The icddr,b is also grateful to the governments of Bangladesh, Canada, Sweden, and the United Kingdom for providing core/unrestricted support and acknowledges with gratitude the commitment of the Centers for Disease Control and Prevention to its research efforts.
This study was supported by the Centers for Disease Control and Prevention (cooperative agreement no. 1U01GH001207-01).

References

  1. World Health Organization. Cumulative number of confirmed human cases of avian influenza A(H5N1) reported to WHO, 2019 [cited 2020 May 18]. https://www.who.int/influenza/human_animal_interface/2019_02_12_tableH5N1.pdfExternal Link
  2. World Organisation for Animal Health. Update on avian influenza in animals (types H5 and H7), 2018 [cited 2020 May 18]. http://www.oie.int/en/animal-health-in-the-world/update-on-avian-influenza/2018External Link
  3. Rushton  JViscarra  RBleich  EGMcLeod  AImpact of avian influenza outbreaks in the poultry sectors of five South East Asian countries (Cambodia, Indonesia, Lao PDR, Thailand, Viet Nam) outbreak costs, responses and potential long term control. Worlds Poult Sci J2005;61:491514DOIExternal Link
  4. Smith  GJNaipospos  TSNguyen  TDde Jong  MDVijaykrishna  DUsman  TBet al. Evolution and adaptation of H5N1 influenza virus in avian and human hosts in Indonesia and Vietnam. Virology2006;350:25868DOIExternal LinkPubMedExternal Link
  5. Chowdhury  SHossain  MEGhosh  PKGhosh  SHossain  MBBeard  Cet al. The pattern of highly pathogenic avian influenza H5N1 outbreaks in south Asia. Trop Med Infect Dis. 2019;4:138.
  6. Wan  X-FDong  LLan  YLong  L-PXu  CZou  Set al. Indications that live poultry markets are a major source of human H5N1 influenza virus infection in China. J Virol2011;85:134328DOIExternal LinkPubMedExternal Link
  7. Webster  RGWet markets—a continuing source of severe acute respiratory syndrome and influenza? Lancet2004;363:2346DOIExternal LinkPubMedExternal Link
  8. Nakamura  SMaeda  NMiron  IMYoh  MIzutsu  KKataoka  Cet al. Metagenomic diagnosis of bacterial infections. Emerg Infect Dis2008;14:17846DOIExternal LinkPubMedExternal Link
  9. Biswas  PGiasuddin  MNath  BIslam  MDebnath  NYamage  M. Biosecurity and circulation of influenza A (H5N1) virus in live‐bird markets in Bangladesh, 2012. Transbound Emerg Dis. 2015;64:88391PubMedExternal Link
  10. Negovetich  NJFeeroz  MMJones-Engel  LWalker  DAlam  SMHasan  Ket al. Live bird markets of Bangladesh: H9N2 viruses and the near absence of highly pathogenic H5N1 influenza. PLoS One2011;6:e19311DOIExternal LinkPubMedExternal Link
  11. Sayeed  MASmallwood  CImam  TMahmud  RHasan  RBHasan  Met al. Assessment of hygienic conditions of live bird markets on avian influenza in Chittagong metro, Bangladesh. Prev Vet Med2017;142:715DOIExternal LinkPubMedExternal Link
  12. Turner  JCFeeroz  MMHasan  MKAkhtar  SWalker  DSeiler  Pet al. Insight into live bird markets of Bangladesh: an overview of the dynamics of transmission of H5N1 and H9N2 avian influenza viruses. Emerg Microbes Infect2017;6:e12DOIExternal LinkPubMedExternal Link
  13. Kim  YBiswas  PKGiasuddin  MHasan  MMahmud  RChang  Y-Met al. Prevalence of avian influenza A(H5) and A(H9) viruses in live bird markets, Bangladesh. Emerg Infect Dis2018;24:230916DOIExternal LinkPubMedExternal Link
  14. Khan  SUGurley  ESGerloff  NRahman  MZSimpson  NRahman  Met al. Avian influenza surveillance in domestic waterfowl and environment of live bird markets in Bangladesh, 2007-2012. Sci Rep2018;8:9396DOIExternal LinkPubMedExternal Link
  15. Nasreen  SKhan  SULuby  SPGurley  ESAbedin  JZaman  RUet al. Highly pathogenic Avian Influenza A(H5N1) virus infection among workers at live bird markets, Bangladesh, 2009-2010. Emerg Infect Dis2015;21:62937DOIExternal LinkPubMedExternal Link
  16. Kung  NYGuan  YPerkins  NRBissett  LEllis  TSims  Let al. The impact of a monthly rest day on avian influenza virus isolation rates in retail live poultry markets in Hong Kong. Avian Dis2003;47(Suppl):103741DOIExternal LinkPubMedExternal Link
  17. Indriani  RSamaan  GGultom  ALoth  LIrianti  SAdjid  Ret al. Environmental sampling for avian influenza virus A (H5N1) in live-bird markets, Indonesia. Emerg Infect Dis2010;16:188995DOIExternal LinkPubMedExternal Link
  18. Murhekar  MArima  YHorby  PVandemaele  KAVong  SZijian  Fet al.World Health Organization Regional Office for the Western Pacific Event Management TeamAvian influenza A(H7N9) and the closure of live bird markets. Western Pac Surveill Response J2013;4:47DOIExternal LinkPubMedExternal Link
  19. Trock  SCGaeta  MGonzalez  APederson  JCSenne  DAEvaluation of routine depopulation, cleaning, and disinfection procedures in the live bird markets, New York. Avian Dis2008;52:1602DOIExternal LinkPubMedExternal Link
  20. Fournié  GGuitian  JDesvaux  SCuong  VCDung  HPfeiffer  DUet al. Interventions for avian influenza A (H5N1) risk management in live bird market networks. Proc Natl Acad Sci U S A2013;110:917782DOIExternal LinkPubMedExternal Link
  21. Lau  EHLeung  YHZhang  LJCowling  BJMak  SPGuan  Yet al. Effect of interventions on influenza A (H9N2) isolation in Hong Kong’s live poultry markets, 1999-2005. Emerg Infect Dis2007;13:13407DOIExternal LinkPubMedExternal Link
  22. Bulaga  LLGarber  LSenne  DAMyers  TJGood  RWainwright  Set al. Epidemiologic and surveillance studies on avian influenza in live-bird markets in New York and New Jersey, 2001. Avian Dis2003;47(Suppl):9961001DOIExternal LinkPubMedExternal Link
  23. Yuan  JTang  XYang  ZWang  MZheng  BEnhanced disinfection and regular closure of wet markets reduced the risk of avian influenza A virus transmission. Clin Infect Dis2014;58:10378DOIExternal LinkPubMedExternal Link
  24. Leung  YHLau  EHZhang  LJGuan  YCowling  BJPeiris  JSAvian influenza and ban on overnight poultry storage in live poultry markets, Hong Kong. Emerg Infect Dis2012;18:133941DOIExternal LinkPubMedExternal Link
  25. Offeddu  VCowling  BJMalik Peiris  JSInterventions in live poultry markets for the control of avian influenza: a systematic review. One Health2016;2:5564DOIExternal LinkPubMedExternal Link
  26. Samaan  GGultom  AIndriani  RLokuge  KKelly  PMCritical control points for avian influenza A H5N1 in live bird markets in low resource settings. Prev Vet Med2011;100:718DOIExternal LinkPubMedExternal Link
  27. Yuan  JLau  EHLi  KLeung  YHYang  ZXie  Cet al. Effect of live poultry market closure on avian influenza A(H7N9) virus activity in Guangzhou, China, 2014. Emerg Infect Dis2015;21:178493DOIExternal LinkPubMedExternal Link
  28. Yuan  JTang  XYang  ZWang  MZheng  BEnhanced disinfection and regular closure of wet markets reduced the risk of avian influenza A virus transmission. Clin Infect Dis2014;58:10378DOIExternal LinkPubMedExternal Link
  29. Durand  LOGlew  PGross  DKasper  MTrock  SKim  IKet al. Timing of influenza A(H5N1) in poultry and humans and seasonal influenza activity worldwide, 2004-2013. Emerg Infect Dis2015;21:2028DOIExternal LinkPubMedExternal Link
  30. Centers for Disease Control and Prevention. Laboratory support for influenza surveillance (CLSIS). Atlanta: The Centers; 2013.
  31. Greenland  SPearl  JRobins  JMCausal diagrams for epidemiologic research. Epidemiology1999;10:3748DOIExternal LinkPubMedExternal Link
  32. Dormann  CFElith  JBacher  SBuchmann  CCarl  GCarré  Get al. Collinearity: a review of methods to deal with it and a simulation study evaluating their performance. Ecography2013;36:2746DOIExternal Link
  33. Wang  XLiu  SMao  HYu  ZChen  EChai  CSurveillance of avian H7N9 virus in various environments of Zhejiang Province, China before and after live poultry markets were closed in 2013–2014. PLoS One2015;10:e0135718DOIExternal LinkPubMedExternal Link
  34. Nguyen  DTBryant  JEDavis  CTNguyen  LVPham  LTLoth  Let al. Prevalence and distribution of avian influenza a(H5N1) virus clade variants in live bird markets of Vietnam, 2011-2013. Avian Dis2014;58:599608DOIExternal LinkPubMedExternal Link
  35. Abdelwhab  EMSelim  AAArafa  AGalal  SKilany  WHHassan  MKet al. Circulation of avian influenza H5N1 in live bird markets in Egypt. Avian Dis2010;54:9114DOIExternal LinkPubMedExternal Link
  36. Zhou  XLi  YWang  YEdwards  JGuo  FClements  ACet al. 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. J Infect2015;71:4709DOIExternal LinkPubMedExternal Link
  37. Biswas  PKGiasuddin  MNath  BKIslam  MZDebnath  NCYamage  MBiosecurity and circulation of influenza A (H5N1) virus in live‐bird markets in Bangladesh, 2012. Transbound Emerg Dis2017;64:88391DOIExternal LinkPubMedExternal Link
  38. Sarker  STalukder  SChowdhury  EDas  PKnowledge, attitudes and practices on biosecurity of workers in live bird markets at Mymensingh, Bangladesh. J Agric Biol Sci2011;6:127.
  39. Yu  HWu  JTCowling  BJLiao  QFang  VJZhou  Set al. Effect of closure of live poultry markets on poultry-to-person transmission of avian influenza A H7N9 virus: an ecological study. Lancet2014;383:5418DOIExternal LinkPubMedExternal Link
  40. Van Kerkhove  MDVong  SGuitian  JHoll  DMangtani  PSan  Set al. Poultry movement networks in Cambodia: implications for surveillance and control of highly pathogenic avian influenza (HPAI/H5N1). Vaccine2009;27:634552DOIExternal LinkPubMedExternal Link
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Cite This Article

DOI: 10.3201/eid2609.191029
Original Publication Date: July 27, 2020

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