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Avian Influenza

Other Names: Fowl Plague, Brunswick Disease, Bird Flu, Fowl Pest, Highly Pathogenic Avian Influenza, Low Pathogenic Avian Influenza, Peste Aviaire

Avian influenza (AI) is a highly contagious viral disease affecting both wild and domestic bird populations worldwide. The causative viruses are categorized as either low pathogenic avian influenza (LPAI) or highly pathogenic avian influenza (HPAI), based on the severity of disease they cause in chickens. LPAI strains typically result in milder illness, while HPAI strains lead to severe, often systemic infections. Once a bird is infected, the virus can replicate in multiple organ systems, including the respiratory, gastrointestinal, renal, and reproductive tracts.

Clinical Signs


Clinical presentation varies widely and is influenced by factors such as the bird’s age, sex, immune status, the strain of virus, presence of secondary infections, and the tissues affected.
  • LPAI: In chickens, LPAI infections most commonly involve the respiratory tract, particularly the sinuses. Inflammation may be catarrhal, fibrinous, serofibrinous, mucopurulent, or fibrinopurulent, often with secondary bacterial involvement. Affected birds may develop swollen infraorbital sinuses with nasal discharge ranging from clear mucus to thick, pus-like material. Laying hens may produce abnormal eggs that are misshapen, fragile, or lack normal pigmentation, and may be at risk for complications such as egg yolk peritonitis.
  • HPAI: HPAI infections typically cause widespread damage to multiple organ systems, including the internal organs, cardiovascular system, and nervous system. Clinical signs vary depending on the extent and location of organ damage. Compared to LPAI, respiratory signs may be less prominent. Neurological signs are common and can include tremors of the head and neck, wry neck, inability to stand, and abnormal head positioning. Affected birds are often lethargic, show decreased activity, and have reduced appetite.

Transmission


The virus is shed in respiratory secretions (from the nares, mouth, and eyes) as well as in feces, contaminating the surrounding environment. Transmission occurs through direct contact with infected birds or indirectly via contaminated surfaces, equipment, or materials (fomites), as well as through aerosolized droplets.

Wild waterfowl—particularly species such as mallard ducks—serve as the primary natural reservoirs of influenza A viruses. These birds often carry LPAI strains without showing signs of illness and can shed large quantities of virus in their feces, contaminating water sources. As a result, they are a common source of introduction of the virus into domestic flocks.

Diagnosis


Diagnosis of avian influenza is confirmed through laboratory testing. Samples are typically collected via swabs from the oropharynx or cloaca. Virus isolation remains the gold standard for confirming infection, though other diagnostic methods are also commonly used.

Incubation Period


The incubation period generally ranges from 3–5 days, but can vary depending on factors such as viral dose, route of exposure, species affected, and the sensitivity of clinical detection.

Clinical Signs

Ruffled feathers
Facial swelling
Sneezing
Red or watery eyes
Coughing
Wry neck
Head tilt
Paresis
Head and neck tremors
Sudden death
Nasal discharge
Decreased egg production
Depression
Cyanosis
Diarrhea
Pale comb or wattles
Focal ecchymosis

Diagnosis

  • History
  • Laboratory tests

Reported Cases

  • Case 1: Avian influenza in a Parrot A 3-month-old chick infected with Avian influenza virus hemagglutinin subtype H5N2 with low pathogenicity was experiencing severe lethargy. He was admitted to the hospital and placed in quarantine. Supportive care treatment was administered. Although detection of H5 avian influenza virus in birds in the United States typically results in euthanasia of infected birds, an alternative strategy with strict quarantine measures and repeated diagnostic testing was used. The chick recovered from the initial clinical signs after 4 days and was released from quarantine 9 weeks after initial evaluation after 2 consecutive negative virus isolation and real-time reverse transcriptase PCR assay results. Ref

Treatment

NameSummary
Supportive careIsolate the bird from the flock and place in a safe, comfortable, warm location (your own chicken "intensive care unit") with easy access to water and food. Limit stress. Call your veterinarian.
AmantadineAdministered orally (25 mg/kg) or in drinking water (100 mg/L) x 10 days following infectionB Speer
Oseltamivir0.5 mg/kg PO q12h x 5 days, administered prophylactically to healthy birds in the event of an outbreak.B Speer
Rimantadine (Flumadine, Forest)Used before and during exposureB Speer
Baicalin (Scutellariae radix) extractAdded to dietZhang, Xinheng, et al. 2020; Z Hu et al., 2022
N-acetylcysteine (NAC)Added to dietN Uchide et al., 2011;J Geiler et al., 2010
AllopurinolT Akaike et al., 1990; Z Rehman et al., 2018
ResveratrolAdded to dietN Uchide et al., 2011; L Liu et al., 2013
Green tea (Camellia sinensis)Added to dietN Uchide et al., 2011; Chen, Xingyong, et al., 2019

Support

Prevention

  • Strict biosecurity practices are essential
  • Prevent contact between domestic birds and wild waterfowl
  • Limit exposure to free-flying birds and their droppings
  • Maintaining a clean environment

Scientific References

Good Overviews

Risk Factors

  • Red poultry mite infestations (which can mechanically transmit the virus)
  • Exposure to high populations of wild birds—especially aquatic species
  • Poor sanitation
  • Overcrowding
  • Stress