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Emerg Infect Dis . Molecular Epidemiology and Evolution of Swine Influenza A Viruses, Vietnam, 2020-2024

tetano

Editor, Senior Moderator
Emerg Infect Dis

. 2026 Oct;32(10):1609-1620.
doi: 10.3201/eid3210.260593.

Molecular Epidemiology and Evolution of Swine Influenza A Viruses, Vietnam, 2020-2024​


Ngoc Anh Bui, Zoe Yi Song, Samuel M S Cheng, Duy Tung Dao, Lydia D J Chang, Gigi Y Z Liu, Quang Huy Nguyen, Thi Hang Dang, Quoc Hung Nguyen, Tom L Y Woo, Coco H C Chan, Tommy T Y Lam, Vuong N Bui, Malik Peiris



Free article

Abstract​


Swine influenza A viruses (IAV-S) caused the 2009 H1N1 pandemic and pose a future zoonotic and pandemic threat. Vietnam represents a critical hotspot for IAV-S emergence within East and Southeast Asia, with dense swine and human populations and intensive livestock trade. We conducted genomic surveillance of IAV-S in Vietnam during 2020-2024, extending previous surveillance from 2013-2019. We identified multiple co-circulating H1 and H3 clades, including pandemic H1N1, Eurasian avian-like, and European lineages, by conducting phylogenetic analysis of 56 IAV-S isolates (21 H1N1, 31 H1N2, and 4 H3N2). Three H1 clades persisted exclusively in Vietnam, circulating up to 12 years. Phylogeographic analysis revealed multiple independent introduction events from North America, Europe, China, Thailand, and Cambodia. We detected extensive reassortment that frequently involved pandemic H1N1 virus internal genes. We identified several lineage-specific mutations associated with mammalian adaptation. Our findings underscore the ongoing IAV-S evolution and need for sustained surveillance in Vietnam.

Keywords: Swine Influenza A viruses; Vietnam; influenza; molecular epidemiology; phylogeny; reassortment; respiratory infections; swine; viruses; zoonoses.
 
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