To determine the effectiveness of ducks as sentinels for avian
influenza virus (AIV) infection, we placed mallards in contact with
wild birds at resting sites in Germany, Austria, and Switzerland.
Infections of sentinel birds with different AIV subtypes confirmed the
value of such surveillance for AIV monitoring. As a consequence of
infections of wild birds and poultry with highly pathogenic avian
influenza virus (HPAIV) subtype H5N1, surveillance of wild birds for
avian influenza viruses (AIVs) has intensified in Europe since 2005.
Reporting of results is compulsory in the European Union. HPAIV
surveillance includes investigation of dead or sick wild birds with the
aim of early detection of HPAIV (H5N1) complemented by sampling of
healthy wild birds to monitor for low pathogenicity (LP) AIV strains.
Previously, sentinel birds were used successfully to obtain information
about AIV subtypes circulating in wild birds, but results of those
studies are now outdated. Also, the effectiveness of sentinel birds has
not yet been documented for AIV strains that emerged during the past
decade.

We evaluated a sentinel approach to monitor the prevalence of HPAIV and
LPAIV within an ecosystem, obtain information about seroconversion and
duration of immunity after infection with AIV, and serve as an early
warning system for the introduction of HPAIV (H5N1) and other
notifiable AIVs (subtypes H5 and H7) to wild bird populations. Here we
summarize results from a 2-year period of 3 international sentinel
projects ongoing since 2006. In practice, AIV surveillance of live wild
birds is difficult and involves substantial labor and costs,
particularly for purchase and maintenance of trapping equipment, salary
of trapping staff, and laboratory analysis. Trapping of wild birds also
can be biased by season and by bird species that are easier to catch.
Low proportions of AIV-positive results (<3%) indicate the low
cost:benefit ratio of surveillance based on trapping wild birds. In
contrast, our findings demonstrate that the use of sentinel birds in
regions with substantial wild bird populations achieves a high rate of
AIV detection and, therefore, is an efficient supplement to active AIV
monitoring. The detection of different AIVs among the sentinel ducks
reflects the natural ecology of AIV at discrete locations. Recently,
all duck species, especially dabbling ducks, have been assessed as
high-risk species for possibly contributing to the transmission of
HPAIV (H5N1). Therefore, mallards as sentinel species ensure a high
probability of detecting AIV if kept in direct contact with wild water
birds. In addition, sites for sentinel stations need to be selected
carefully to achieve spatial representation.
Although our study was conducted in areas where HPAIV (H5N1) had
circulated in wild birds in 2006, this subtype was not found by
screening live wild birds or by using sentinel birds during the study
period. Therefore, persistent circulation of HPAIV (H5N1) in the wild
bird populations is unlikely for the area of Lake Constance, the
coastal area of Mecklenburg–Western Pomerania, and the region of the
Oder Valley in Brandenburg. However, because of the limited sample
sizes, a low prevalence cannot be excluded. Although HPAIV (H5N1) was
found only rarely in apparently healthy birds, e.g., in a pochard
(Aythya ferina) in Switzerland in 2008, regular testing of sentinel
birds could increase the probability of detecting sporadic transmission
of HPAIV in healthy wild water birds even in the absence of detectable
deaths.
Emerging Infectious Diseases
October 6, 2009