First report of human infection with avian influenza A(H9N2) virus in Oman: The need for a One Health approach

Zayid K. Almayahi, Hanan Al Kindi, C. Todd Davies, Bader Al-Rawahi, Amina Al-Jardani, Fatma Al-Yaqoubi, Yunho Jang, Joyce Jones, John R. Barnes, William Davis, Shu Bo, Brian Lynch, David E. Wentworth, Zaina Al-Maskari, Amal Al Maani*, Seif Al-Abri

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

10 Citations (Scopus)


Following the detection of the first human case of avian influenza A subtype H9N2 in 1998, more than 40 cases were diagnosed worldwide. However, the spread of the virus has been more remarkable and significant in global poultry populations, causing notable economic losses despite its low pathogenicity. Many surveillance studies and activities conducted in several countries have shown the predominance of this virus subtype. We present the case of a 14-month-old female in Oman with an A(H9N2) virus infection. This is the first human case of A(H9N2) reported from Oman and the Gulf Cooperation Countries, and Oman is the second country outside of southern and eastern Asia to report a case (cases have also been detected in Egypt). The patient had bronchial asthma and presented with a high-grade temperature and symptoms of lower respiratory tract infection that necessitated admission to a high dependency unit in a tertiary care hospital. It is of urgency that a multisector One Health approach be established to combat the threat of avian influenza at the animal–human interface. In addition to enhancements of surveillance and control in poultry, there is a need to develop screening and preventive programs for high-risk occupations.

Original languageEnglish
Pages (from-to)169-173
Number of pages5
JournalInternational Journal of Infectious Diseases
Publication statusPublished - Feb 2020


  • A(H9N2)
  • Avian influenza A
  • Oman
  • One Health
  • Virus infection

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases


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