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Volume 26, Number 3—March 2020
Dispatch

Avian Influenza Virus Detection Rates in Poultry and Environment at Live Poultry Markets, Guangdong, China

Kit Ling Cheng1, Jie Wu1, Wei Ling Shen, Alvina Y.L. Wong, Qianfang Guo, Jianxiang Yu, Xue Zhuang, Wen Su, Tie Song, Malik Peiris, Hui-Ling Yen2Comments to Author , and Eric H.Y. Lau2
Author affiliations: University of Hong Kong, Hong Kong, China (K.L. Cheng, A.Y.L. Wong, W. Su, M. Peiris, H.-L. Yen, E.H.Y. Lau); Guangdong Provincial Center for Disease Control and Prevention, Guangdong, China (J. Wu, W.L. Shen, Q. Guo, J. Yu, X. Zhuang, T. Song)

Main Article

Table 1

Sensitivity and specificity of applying environmental samples to assess AIV activity in poultry, based on monthly AIV detection, Guangdong, China, December 2015–July 2018*

Market type Subtype Sensitivity, % 
(95% CI)† Specificity, % 
(95% CI) † Positive predictive value, % (95% CI)† Negative predictive value, % (95% CI)† Accuracy, % 
(95% CI)†
Wholesale
H5 45.5 (16.8–76.6) 95.2 (76.2–99.9) 83.3 (39.9–97.4) 76.9 (65.8–85.2) 78.1 (60.0–90.7)
H7 68.4 (43.5–87.4) 69.2 (38.6–90.9) 76.5 (57.6–88.6) 60.0 (41.4–76.1) 68.8 (50.0–83.9)
H9‡
100 (88.4–100)
0 (0–84.2)
93.8
NA
93.8 (79.2–99.2)
Retail H5 90.0 (55.5–99.8) 45.5 (24.4–67.8) 42.9 (32.7–53.7) 90.9 (59.6–98.6) 59.4 (40.6–76.3)
H7 87.0 (66.4–97.2) 66.7 (29.9–92.5) 87.0 (72.3–94.5) 66.7 (38.7–86.4) 81.3 (63.6–92.8)
H9§ 100 (89.1–100)      NA 100 (89.1–100) NA 100 (89.1–100)

*Test results from reverse transcription PCR on bird samples were assumed to be the standard in the analysis. The results may not be applicable to other surveillance systems with more intensive sampling or accurate laboratory testing. AIV, avian influenza virus; NA, not applicable.
†Sensitivity: probability that the environmental samples will test positive when the subtype of AIV is present in chickens on site (true positive rate). Specificity: probability that the environmental samples will test negative when the subtype of AIV is not present (true negative rate). Positive predictive value: probability that the subtype of AIV is present in poultry when environmental samples are tested positive. Negative predictive value: probability that the subtype of AIV is not present in poultry when the environmental samples are tested negative. Accuracy: probability that the presence or absence of AIV in poultry will be correctly determined based on the test results of environmental samples.
‡H9 was detected during every month during the study period in the environmental samples (monthly data can be found in Appendix Table 1).
§H9 was detected during every month during the study period in both the poultry and the environmental samples (monthly data can be found in Appendix Table 2).

Main Article

1These authors contributed equally to this article.

2These senior authors contributed equally to this article.

Page created: February 20, 2020
Page updated: February 20, 2020
Page reviewed: February 20, 2020
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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