Friday, November 14, 2025

 

Wild birds are driving the current U.S. bird flu outbreak



Penn Vet’s Louise Moncla has tracked H5N1 viruses in North America to better understand the role wild birds play in the current bird flu outbreak



University of Pennsylvania




Since late 2021, a panzootic, or “a pandemic in animals,” of highly pathogenic bird flu variant H5N1 has devastated wild birds, agriculture, and mammals. Unlike previous outbreaks, aggressive culling of domestic birds has not contained it, and the viruses continue to infect a broad range of species, including wild birds and mammals rarely affected before, suggesting that transmission patterns have shifted since 2022.

Now, in a new study looking at how these viruses were introduced and spread in North America, Louise H. Moncla from the School of Veterinary Medicine and her team have found that wild birds are critical drivers of the ongoing bird flu outbreak in the United States. Their findings are published in Nature.

Highly pathogenic avian influenza (HPAI) viruses—those responsible for bird flu outbreaks—continue to pose challenges for human and animal health.

“The picture for HPAI influenza has really changed for North America and the U.S. in the last couple of years,” says Moncla. “This used to be a virus that primarily circulated in Asia, Northern Africa, and domestic birds. But in more recent years, we've seen increasing outbreaks across Europe, associated with wild birds, and since 2022, we’ve also had similar outbreaks in our North American birds.”

Using publicly available databases from the Canadian Food Inspection Agency, Environment Canada, the Public Health Agency of Canada, the Canadian Wildlife Health Centre, and the United State Department of Agriculture (U.S.D.A) Animal and Plant Health Inspection Service, the researchers traced the introduction and spread of highly pathogenic H5N1 viruses during the first 18 months in North America using genomic sequencing and migratory flyway analysis.

“The main conclusion from this study is that that outbreak was really different from all of the past ones we have had in North America because these viruses were spread primarily by wild migrating birds,” says Moncla. “Our data pinpoint the Anseriformes, which are ducks, geese, and swans.”

She notes that the since 2020, when an evolutionary shift occurred, H5N1 has become better adapted to infect wild birds, meaning that it can be spread much more efficiently when wild birds migrate. “This was happening in Europe—Europe had almost the exact same thing happen that we had in 2022. They just had it 2 years earlier.”

However, Moncla explains, H5N1 viruses in North America are still classified foreign animal diseases. “Our policy is based on the idea that these viruses come from elsewhere and don't circulate continuously in our birds here,” she says. “Our study shows that this is no longer the case, and so we need to update our policy to align with this reality.”

This study also found that agricultural outbreaks were the result of repeated introductions of the virus from wild birds, says Moncla. In addition, backyard birds—populations of fewer than 1,000 domestic birds as defined by the U.S.D.A. and World Animal Health Organization—on average, were infected approximately nine days earlier than commercial poultry, suggesting these populations might serve as an early warning signal.

“These populations have a lot of different epidemiological features,” says Moncla. “The farms are smaller. They tend to have less biosecurity. These birds have a much higher likelihood of being raised outdoors with potentially more access to wild birds.”

Previous viruses transmitted really well between domestic chickens and turkeys, says Moncla, so stopping transmission in commercial farms would stop the outbreak. But transmission by wild migrating birds presents a challenge.

The solution? “A series of boring things,” says Moncla.

“We need to keep investing in biosecurity—biosecurity does work—making sure that people have good biosecurity plans, both to prevent transmission to other farms but also to prevent wild birds from interacting with their domestic birds,” she says, adding that a layered approach to encouraging adherence to these physical and/or behavioral protocols that prevent introduction of these viruses would also be needed.

“At some point we probably will need to investigate vaccinating domestic birds as a possibility,” she continues, adding that investing in novel ways to keep domestic and wild bird separated would also help reduce spillovers. Finally, continuous surveillance in wild birds, especially Anseriformes [waterfowl], would help with viral tracking and outbreak reconstruction.

“Our lab is really interested in risk modeling,” says Moncla. “If we had a better understanding of how these viruses are circulating in wild birds and the kind of degree to which different migratory birds are driving transmission, could we have something like a forecasting system for risk over time?” For example, she continues, if risk is highest in a particular region in September, people with backyard birds in that area could be told to make sure that they are adhering fully to their biosecurity plan during that month.

While Moncla says it is unlikely that the disease will ever completely go away or be solved, she says what we can do, however, “is try to manage it from getting into agricultural animals.”

Louise H. Moncla is an assistant professor in the Department of Pathobiology in the School of Veterinary Medicine at the University of Pennsylvania.

Other authors are Lambodhar Damodaran and Anna S. Jaeger of Penn Vet.

This work was supported by NIH R00-AI147029-05 and by funding from the Centers of Excellence for Influenza Research and Response (CEIRR), funded by NIH 75N93021C00015. LHM is a Pew Biomedical Scholar and is supported by NIH R00-AI147029-05. LD is supported by NIH 75N93021C00015 and ASJ is supported by NIH R00-AI147029-05.

 

The world’s oldest RNA extracted from woolly mammoth




Stockholm University

Mammoth Yuka 

image: 

One of Yuka’s legs, illustrating the exceptional preservation of the lower part of the leg after the skin had been removed, which enabled recovery of ancient RNA molecules. Photo credit: Valeri Plotnikov.

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Credit: Valeri Plotnikov




Researchers from Stockholm University have – for the first time ever – managed to successfully isolate and sequence RNA molecules from Ice Age woolly mammoths. These RNA sequences are the oldest ever recovered and come from mammoth tissue preserved in the Siberian permafrost for nearly 40,000 years. The study, published in the journal Cell, shows that not only DNA and proteins, but also RNA, can be preserved for very long periods of time, and provide new insights into the biology of species that have long since become extinct.

“With RNA, we can obtain direct evidence of which genes are ‘turned on’, offering a glimpse into the final moments of life of a mammoth that walked the Earth during the last Ice Age. This is information that cannot be obtained from DNA alone,” says Emilio Mármol, lead author of the study. Formerly a postdoctoral researcher at Stockholm University, he is now based at the Globe Institute in Copenhagen. During his time at Stockholm University, he teamed up with researchers at SciLifeLab and the Centre for Palaeogenetics, a joint initiative between Stockholm University and the Swedish Museum of Natural History.

Sequencing prehistoric genes and studying how they are activated is important to understand the biology and evolution of extinct species. For years, scientists have been decoding mammoth DNA to piece together their genomes and evolutionary history. Yet RNA, the molecule that shows which genes are active, has so far remained out of reach. The long-held belief that RNA is too fragile to even survive a few hours after death has likely discouraged researchers from exploring these information-rich molecules in mammoths and other long-extinct species.

“We gained access to exceptionally well-preserved mammoth tissues unearthed from the Siberian permafrost, which we hoped would still contain RNA molecules frozen in time,” adds Emilio Mármol.

“We have previously pushed the limits of DNA recovery past a million years. Now, we wanted to explore whether we could expand RNA sequencing further back in time than done in previous studies,” says Love Dalén, professor of Evolutionary Genomics at Stockholm University and the Centre for Palaeogenetics.

The oldest RNA ever sequenced

The researchers were able to identify tissue-specific patterns of gene expression in frozen muscle remains from Yuka, a juvenile mammoth that died almost 40,000 years ago. Among the more than 20,000 protein-coding genes in the mammoth’s genome, far from all of them were active. The detected RNA molecules code for proteins with key functions in muscle contraction and metabolic regulation under stress.

“We found signs of cell stress, which is perhaps not surprising since previous research suggested that Yuka was attacked by cave lions shortly before his death,” says Emilio Mármol.

The researchers also found a myriad of RNA molecules that regulate the activity of genes in the mammoth muscle samples.

“RNAs that do not encode for proteins, such as microRNAs, were among the most exciting findings we got,” says Marc Friedländer, associate professor at the Department of Molecular Biosciences, The Wenner-Gren Institute at Stockholm University and SciLifeLab.

“The muscle-specific microRNAs we found in mammoth tissues are direct evidence of gene regulation happening in real time in ancient times. It is the first time something like this has been achieved,” he says.

The microRNAs that were identified also helped the researchers confirm that the findings really came from mammoths.

“We found rare mutations in certain microRNAs that provided a smoking-gun demonstration of their mammoth origin. We even detected novel genes solely based on RNA evidence, something never before attempted in such ancient remains,” notes Bastian Fromm, associate professor at the Arctic University Museum of Norway (UiT).

“RNA molecules can survive much longer than previously thought”

“Our results demonstrate that RNA molecules can survive much longer than previously thought. This means that we will not only be able to study which genes are ‘turned on’ in different extinct animals, but it will also be possible to sequence RNA viruses, such as influenza and coronaviruses, preserved in Ice Age remains,” says Love Dalén.

In the future, the researchers hope to conduct studies that combine prehistoric RNA with DNA, proteins, and other preserved biomolecules.

“Such studies could fundamentally reshape our understanding of extinct megafauna as well as other species, revealing the many hidden layers of biology that have remained frozen in time until now,” finishes Emilio Mármol.

About woolly mammoths

Woolly mammoths once roamed the icy plains of Eurasia and North America, perfectly adapted to life during the last Ice Age (approximately 115,000–11,500 years ago). With their thick coats, curved tusks, and towering size, they grazed the vast steppes that stretched across the northern hemisphere. But as the climate warmed, the woolly mammoths gradually vanished, with the last small herds surviving on remote Arctic islands until just 4,000 years ago.

 

Research alert: When life imitates art: Google searches for anxiety drug spike during run of The White Lotus TV show



University of California - San Diego




In season three of the hit television series The White Lotus, the character Victoria Ratliff takes the prescription anti-anxiety medication lorazepam to help with her social anxiety and inability to sleep. Her casual usage of the powerful benzodiazepine — often in combination with white wine — leads to her becoming visibly loopy, slurring her words, and falling asleep at dinner.

A recent study led by researchers at University of California San Diego has found that the show's portrayal of lorazepam use was associated with a surge in Google searches for the medication, including queries related to acquiring it online.

The findings suggest that the show generated 1.6 million more searches for lorazepam over a 12-week period than what would normally be expected for the time period. This increase in interest was not observed for other commonly prescribed benzodiazepines, such as alprazolam and clonazepam, which were not mentioned in the show.

“It's a really interesting phenomenon of how entertainment media can really reflect and drive human behavior,” said lead author Kevin Yang, M.D., resident physician in the Department of Psychiatry at UC San Diego School of Medicine.

The study also analyzed searches for how and where to acquire lorazepam online.

“We saw significant increases in searches related to acquiring lorazepam as well,” said senior author Eric Leas, Ph.D., M.P.H., assistant professor at UC San Diego Herbert Wertheim School of Public Health and Human Longevity Science and affiliate faculty at Qualcomm Institute. “It shows that there might be a subset of people that are actually wanting to figure out how to obtain that medication online.”

During the course of the season, Victoria Ratliff offers lorazepam to her husband Timothy, who eventually steals her pills and develops a dependence on the drug amid a personal financial crisis.

“Not only would he take it, but he would also combine it with alcohol, which we know is very dangerous,” said Yang. “ For the treatment of anxiety, lorazepam is typically prescribed for the short term  because long-term use can lead to tolerance and dependence as well as misuse. Studies have shown that almost one in five people who are prescribed benzodiazepines eventually end up misusing them.”

That’s concerning because the show emphasized the benefits of lorazepam usage, not the potential risks, such as dependence, respiratory depression and cognitive impairment, according to Yang.

“It didn't really portray any of the adverse effects that might come from taking too much or from stopping it all of a sudden,”  he said.

Yang recommends that the entertainment industry and show producers take note of the potential impact of depicted drug use on viewer behavior and develop best practices around this type of content, which could include warnings at the beginning and the end of each episode. He also recommends that search engines provide informational warnings when people search for how to obtain the drug online, focusing on accurate, evidence-based information and support resources.

For viewers, Yang suggests taking a skeptical approach when searching for information online.

”My suggestion would be to take everything that is portrayed in the media, whether that's on TV, film or in music, with a grain of salt,” he said. “It's only showing one aspect of the medication, and that there are possible downsides. But ultimately, for things like medications, it's important to talk with your doctor.”

The study was published on November 14, 2025 in JAMA Health Forum.

 

Early MMR vaccine adoption during the 2025 Texas measles outbreak



JAMA Network Open


About The Study: 

In concordance with Centers for Disease Control and Prevention (CDC) recommendations, the data from this study show a rapid rise in early measles vaccination in early 2025. These data suggest an increase in early vaccination started in February, even before the updated guidelines were issued, potentially due to clinician and/or parental concern.


Corresponding Author: To contact the corresponding author, Brianna M. Goodwin Cartwright, MS, email briannac@truveta.com.

To access the embargoed study: Visit our For The Media website at this link https://media.jamanetwork.com/

(doi:10.1001/jamanetworkopen.2025.43002)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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