Avian Influenza A (H5N1) Emergence Unit

Status: active - level 1

Last updated on 31 October 2025

More about avian influenza A

Key facts

  • Avian influenza A(H5N1) is an infectious disease caused by an influenza A virus.
  • From January 1, 2003, to September 29, 2025, a total of 991 human cases of avian influenza A(H5N1) and 476 deaths (a case fatality rate of 48%) have been reported to WHO from 24 countries.
  • The 11 recent deaths that occurred in Cambodia (8), India (2), and Mexico (1) were associated with direct contact with poultry and/or wild birds.
  • No person-to-person transmission has been identified in any of these cases.

The route by which the avian influenza virus is introduced into cattle remains uncertain, potentially linked to the consumption by dairy cows of bedding soiled by infected bird droppings.

These sporadic human infections are accompanied by infections in new species of wild and domestic mammals that were previously spared. This follows a continuous circulation of the virus in wild bird colonies, leading to an unprecedented increase in the number of outbreaks in poultry farms in many countries in Africa, Asia, Europe and North America.

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Follow the latest scientific news on the subject

As part of the ANRS MIE Emergence program, the agency publishes a monthly scientific review on avian influenza A (H5N1), providing updates on the most recent research findings.

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