Wild bird surveillance reveals how H5Nx flu keeps returning to China

Long-term wild bird surveillance across China revealed shifting H5Nx avian influenza patterns, with H5N1, H5N8, and clade 2.3.4.4b viruses changing over time and across migratory flyways. Genomic analyses suggest recent H5Nx detections in China largely reflect repeated reintroductions through migratory birds rather than sustained local circulation.