JVI Accepted Manuscript Posted Online 8 April 2015 J. Virol. doi:10.1128/JVI.00728-15 Copyright © 2015, American Society for Microbiology. All Rights Reserved.

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Title

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Intercontinental Spread of Asian-origin H5N8 to North America through Beringia by Migratory

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Birds

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Running Title

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Intercontinental Spread of HPAI H5N8 viruses

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Authors

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Dong-Hun Lee1, Mia Kim Torchetti2, Kevin Winker3, Hon S Ip4, Chang-Seon Song5, David E

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Swayne1*

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Author affiliations: 1Exotic and Emerging Avian Viral Diseases Research Unit, Southeast

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Poultry Research Laboratory, US National Poultry Research Center, Agricultural Research

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Service, U.S. Department of Agriculture, Athens, Georgia, USA; 2National Veterinary Services

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Laboratories, Science, Technology and Analysis Services, Veterinary Services, Animal and Plant

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Health Inspection Service, U.S. Department of Agriculture, Ames, Iowa, USA; 3University of

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Alaska Museum, University of Alaska Fairbanks, Fairbanks, Alaska, USA; 4US Geological

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Survey, National Wildlife Health Center, Madison, Wisconsin, USA; 5College of Veterinary

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Medicine, Konkuk University, Seoul, Republic of Korea

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* Contact information for Corresponding Author: USDA ARS Southeast Poultry Research

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Laboratory, 934 College Station Rd., Athens, GA 30605, 706-546-3433 (phone), 706-546-3161

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(fax), [email protected] (e-mail)

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(Word count for the abstract: 84, word count for the text: 1403)

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Abstract

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Phylogenetic network analysis and understanding of waterfowl migration patterns suggest the

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Eurasian H5N8 clade 2.3.4.4 avian influenza virus emerged in late 2013 in China, spread in early

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2014 to South Korea and Japan, and reached Siberia and Beringia by summer 2014 via migratory

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birds. Three genetically distinct subgroups emerged and subsequently spread along different

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flyways during fall 2014 into Europe, North America, and East Asia, respectively. All three

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subgroups reappeared in Japan, a wintering site for waterfowl from Eurasia and parts of North

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America.

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Since 1996, the Asian-origin H5N1 A/goose/Guangdong/1/1996 (Gs/GD) lineage of

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highly pathogenic avian influenza viruses (HPAIV) has caused outbreaks in poultry, infections in

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wild birds, and clinical, often fatal, cases in humans in Eurasia and North Africa (1). Historically,

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geographic barriers appeared to limit the spread of low pathogenicity avian influenza viruses

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(LPAIV) through migratory aquatic birds between the Old and New worlds, allowing distinct

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lineages of Eurasian and North American viruses to evolve, but such barriers were not complete

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as occasional spillovers of gene segments occurred (2). Migratory birds have previously been

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implicated in the spread of H5N1 HPAIV in Eurasian (3), but geographic barriers, such as the

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Bering Strait and Chukchi Sea, prevented spread of the Gs/GD lineage virus to North America (4,

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5).

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In early 2014, outbreaks of novel reassortant H5N8 HPAIV of the Gs/GD lineage H5

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clade 2.3.4.4 were reported in South Korea (6), and aquatic migratory birds were strongly

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suspected to play a key role in the introduction of this strain from China and in the subsequent

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spread during the outbreak (7). In late autumn 2014, H5N8 clade 2.3.4.4 was reported in Europe

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and East Asia. Concurrently, this virus lineage was detected in Washington in captive falcons,

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wild birds, and backyard poultry (8). Verhagen et al. hypothesized that the timing and direction

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of intercontinental spread coincided with autumn bird migration out of Russia; the H5N8 virus

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was identified in a long-distance migrant bird in Russia in September 2014 and subsequently in

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Japan, Europe, and the west coast of North America (9). Similarly, wide geographic

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dissemination of the Gs/GD lineage virus was seen between 2005 and 2006, as clade 2.2 viruses

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spread from Qinghai Lake, China to Siberia and then to various countries of Asia, Europe, and

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Africa (2, 10). In addition, another novel reassortant HPAIV of H5 clade 2.3.4.4 H5N2 (Eurasian

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[EA] polymerase basic 2 [PB2], polymerase acidic [PA], hemagglutinin [HA], matrix [M], and

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non-structural proteins [NS] gene segments) with North American [AM] lineage neuraminidase

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(NA), polymerase basic 1 (PB1), and nucleoprotein (NP) gene segments was identified as the

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cause of outbreaks in poultry farms in British Columbia and subsequently detected in wild

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waterfowl in Oregon near the Washington state border (8, 11). Both the H5N8 and H5N2-

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reassortant have been detected in wild waterfowl, as well as backyard and commercial poultry

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along the Pacific Flyway (8, 12).

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In this study, a molecular epidemiological approach based on genome sequences and

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outbreak information from Asia, Europe, and North America during 2014 was used to describe

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the pattern of global spread of this Asian-origin H5N8-reassortant clade 2.3.4.4 HPAIV.

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For phylogenetic analysis, nucleotide sequences used in this study (Supplemental Table 1)

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were deposited in GISAID (www.gisaid.org), as acknowledged in Supplemental Table 2, and

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GenBank (www.ncbi.nlm.nih.gov/genomes/FLU). Neighbor-joining (NJ) phylogenetic trees

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were constructed for each of the 8 gene segments. The median-joining phylogenetic network and

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time-scaled phylogenetic tree of the HA gene were constructed using nucleotide sequences

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genetically close to H5 viruses identified in 2014 based on the result of NJ phylogenetic

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analyses. Detailed methods are described in the Supplemental Materials.

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The South Korean H5N8 outbreak in January 2014 was the first reported case of the

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H5N8 clade 2.3.4.4 outside of China. During this outbreak, two distinct H5N8 groups were

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identified, Groups A (Buan2-like) and B (Gochang1-like) viruses (figures s1-s9) (6). Group A

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viruses predominated and were identified in poultry farm outbreaks and subsequently along

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migratory bird pathways (7). This group now comprises Chinese, Russian, South Korean,

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Japanese, European, and North American H5N8 2.3.4.4 viruses representing an “Intercontinental

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Group A (icA).” The icA-group H5 viruses further evolved into three distinct subgroups, icA1,

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icA2, and icA3, by late 2014 (Figures 1 and s2). The icA1 subgroup is composed of H5N8

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viruses from Europe and Russia from late 2014, and 3 viruses detected in Japan during

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December 2014. The icA-2 subgroup is composed of H5N8 as well as H5 clade 2.3.4.4 North

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American HPAIV reassortants (H5N2 and H5N1) detected in North America starting in late

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2014 (12). A Japanese virus, A/crane/Kagoshima/KU1/2014 (H5N8), detected in November

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2014, is also within the icA-2 subgroup. The icA3 subgroup is composed of H5N8 viruses from

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Japan in December 2014 and Korea in January 2015 (Figure 1).

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An important route of the East Asian Flyway goes from China to Japan (China–South

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Korea–Russian Far East–Japan), and the timing of H5N1 outbreaks and virus movements have

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been closely associated within this flyway (13). In addition, satellite-tracking of the movement

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patterns of wild birds in East Asia showed that wild ducks followed the East Asian Flyway along

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the coast to breeding areas in eastern Russia (14). The phylogenetic analyses of early and late

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2014 icA-H5N8 (Figure 1 and 2) and aquatic bird migration patterns suggests that viruses likely

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moved to parts of Siberia and Beringia via migratory birds in spring 2014, evolved into

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subgroups during the breeding season, and subsequently spread along different flyways during

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autumn migrations into Europe, North America, and East Asia (Figure 2). For example, the

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earliest member of the icA1 viruses was isolated in September 2014 from Russia

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[A/wigeon/Sakha/1/2014(H5N8)] prior to the November outbreaks in Europe (Figure 2).

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Interestingly, viruses from all genetic subgroups have subsequently been detected in Japan

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during late 2014, where some waterfowl from Eurasia and North America winter.

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The relatively high incidence of icA isolates from migratory waterfowl suggests that they

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are important hosts in both the maintenance and spread of these viruses. Areas such as the 5

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Beringian Crucible (Alaska and the Russian Far East), where the New World and Old World

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migration systems share common breeding grounds, provide ample opportunity for virus

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reassortment due to the large-scale intercontinental associations of waterfowl; it is estimated that

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1.5–2.9 million aquatic migratory birds move from Asia to Alaska annually (4, 5). While

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influenza surveillance in Alaskan waterfowl species found predominantly LPAIV (15), frequent

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reassortment was noted in one study of northern pintails, with nearly half (44.7%) of LPAIV

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having at least one gene segment demonstrating closer relatedness to Eurasian than to North

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American LPAIV genes (16). In contrast, relatively few aquatic birds move from Asia to North

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America south of Alaska, and relatively few from Alaska are associated with the Atlantic flyway,

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these being birds that winter in the eastern U.S. and come northwest in spring (17). Although the

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North Atlantic area is a potential route for migratory birds to transport avian influenza viruses

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between North America and Europe (18), the possibility of viral spread through Atlantic rim was

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excluded based upon the timing of the detections, the very low level of viral gene flow between

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Pacific and Atlantic flyways (19), and because the icA-H5 viruses identified in North America

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were genetically closer to East Asian viruses than European viruses. Additionally, there have

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been no detections of icA-H5 virus in poultry or wild aquatic bird in the Atlantic flyway, despite

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ongoing routine surveillance. Detection of icA-H5N8 HPAIV from apparently healthy wild

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waterfowl from multiple countries and high viral shedding in the absence of illness in

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experimentally icA-H5N8 infected waterfowl (20) support the theory that the global spread of

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icA-H5N8 HPAIV has been driven by migratory birds. While the closest relatives of the icA-

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H5N2 viruses appear to be South Korean/Japanese H5N8 viruses, introduction of icA-H5N8 via

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illegal importation of poultry or poultry products into either Europe or North America seems

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unlikely as Koreans and Japanese have low cultural preference for live poultry market systems,

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which in mainland Asia is the source of illegally moved poultry and poultry products, plus the

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added difficulty of smuggling live birds or uncooked product across the Pacific Ocean with

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current transportation security measures. Examination of the timing and genetic footprints of

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these viruses through phylogenetic analysis and waterfowl migratory patterns support the

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hypothesis that icA-H5N8 clade 2.3.4.4 was introduced into North America through the

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Beringian Crucible via intercontinental associations of waterfowl (5, 6). In addition, reassortment

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of the icA2-H5N8 with North American LPAIV has already occurred within the Pacific Flyway,

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generating reassortant icA2-H5N2 and icA-H5N1 HPAIV. The icA2-H5N8 has been detected as

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far south as California and Utah, the icA2-H5N2-reassortant in BC, northwestern US states and

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more recently mid-western (Mississippi Flyway) states, and the icA2-H5N1-reassortant in a wild

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bird in Washington and a backyard flock in BC (8). Enhanced active surveillance is required to

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monitor the spread and potential for onward reassortment of icA-group 2.3.4.4; such efforts

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could further the epidemiological understanding of HPAIV and the design of improved

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prevention strategies.

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Acknowledgments

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Seung-Hee Lee is thanked for providing Figure 2. The authors would like to acknowledge the

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contributions of dedicated staff at their respective institutions including Robert Dusek and David

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Blehert (NWHC), Kira Moresco (SEPRL), Mary Lea Killian (NVSL), and Jung-Hoon Kwon

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(Konkuk University).

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Figure Legends

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Figure 1. Median-joining phylogenetic network of HPAI H5 clade 2.3.4.4 viruses. The median-

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joining network was constructed from the HA gene. This network includes all the most

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parsimonious trees linking the sequences. Each unique sequence is represented by a circle sized

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relative to its frequency in the dataset. Branch length is proportional to the number of mutations.

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Isolates are colored according to the origin and season of the sample; red inner circle: poultry

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farm isolates, purple inner circle: wild bird isolates, black outer circle: early 2014 isolates, and

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blue outer circle: late 2014 isolates.

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Figure 2. Geographic map showing movement of H5N8 HPAIV in Asia, Europe, and North

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America in relation to regional waterfowl migration routes.

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Intercontinental Spread of Asian-Origin H5N8 to North America through Beringia by Migratory Birds.

Phylogenetic network analysis and understanding of waterfowl migration patterns suggest that the Eurasian H5N8 clade 2.3.4.4 avian influenza virus eme...
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