Influenza roadmap:
                        Control Strategies
                        Roadmap for the development of disease control strategies for influenza
Download Influenza-control-development-roadmap10
Coinfection
Next steps
                Coinfection            
                                        Research Question
- Impact of influenza virus infection on co-infection with different viruses or bacteria and vice versa
 
Research Gaps and Challenges
- Effects of co-infection with different viruses or bacteria
 - Coinfection often leads to misdiagnosis
 - Coinfection could lead to reassortment, increase shedding and increase susceptibility?
 
Solution Routes
- Experimental and field studies particularly with representative avian species (wild & poultry species) and for pigs
 - Assess added value of vaccination against co-infecting pathogens to prevent influenza infections
 - Models that include coinfection risks/phenotypes/outcomes and
 - Suitable panel assay for respiratory viruses
 - Whole genome sequencing in co-infected populations to identify the possible pathogens that could dampen the immune system and result in persistent low-level infections
 - Investigate regional approach instead of country-level approach in territories with similar trade systems
 - Understanding market system and role in co-infection and vice versa
 - Penside tests for co-infections to improve field actions
 
Dependencies
- Knowledge of/studies of the potential co-infectors across the globe
 - Good differential diagnosis protocols
 - Improved tests to inform/predict protection
 - Well developed and integrated vaccination programs
 
Projects
What activities are planned or underway?
Impact of host age on viral and bacterial communities in a waterbird population.
Planned Completion date 01/11/2022
                                Source Countries:
                                
                        
Netherlands
Association of biosecurity and hygiene practices with avian influenza A/H5 and A/H9 virus infections in turkey farms.
Planned Completion date 14/03/2024
                                Source Countries:
                                
                        
Netherlands