Special Issue:

Advancements in Animal Health and Production in Low and Middle-Income Countries

Evaluating the Effectiveness of Vaccination Programs against Avian Influenza

Tiba Talib Kareem1*, Dhurgham Hani Kadhim Alalwan2, Rafal Hussein Alshate3, Shaima Abd4, Waleed Hameed Yousif5, Sadiq H. Al-Slcheaq6, Hanan Shihab Ahmad7

1Department of Biology, Al-Turath University, Baghdad, Iraq; 2College of Pharmacy, University of Karbala, Karbala, Iraq; 3Department of Medical Laboratory Techniques, Al-Farahidi University, Baghdad, Iraq; 4Department of Sciences, Al-Manara College for Medical Sciences, Maysan, Iraq; 5Department of Medical Laboratory Techniques, College of Health and Medical Techniques, Al-Bayan University, Baghdad, Iraq; 6Department of Medical Laboratory Techniques, Al-Zahrawi University College, Karbala, Iraq; 7AL-Dour Technical Institute, Northern Technical University, Iraq.

Abstract | This paper analyzes the effectiveness of avian influenza vaccination campaigns in a hypothetical study of Haryana, Tamil Nadu, and West Bengal. We surveyed 150 poultry farms to assess vaccination status, titers, disease prevalence, mortality rates, and haematological indicators. Results revealed that disease prevalence and mortality from avian influenza decreased significantly following vaccination efforts, with Haryana experiencing the most success due to higher vaccination rates and enhanced biosecurity measures. Moreover, vaccinated birds had greater antibody titers than non-vaccinated birds, indicating a proper immune response; however, the readings in Tamil Nadu and West Bengal were partial due to a partial mismatch between the vaccine strain and the dominant strain in the areas, suggesting a lower response. This study concludes with recommendations for future strain mismatch monitoring, vaccine development, and biosecurity. The recommendations aim to enhance vaccination coverage, promote small-scale farming, improve biosecurity, and foster public-private partnerships to optimize vaccination programs and mitigate the impact of avian influenza outbreaks.

Keywords | Avian influenza, Vaccination programs, Poultry farms, Immune response, Disease incidence, Biosecurity measures, Vaccine strain match, Poultry health management


Received | July 26, 2025; Accepted | September 06, 2025; Published | September 16, 2025

*Correspondence | Tiba Talib Kareem, Department of Biology, Al-Turath University, Baghdad, Iraq; Email: [email protected]

Citation | Kareem TT, Alalwan DHK, Alshate RH, Abd S, Yousif WH, Al-Slcheaq SH, Ahmad HS (2025). Evaluating the effectiveness of vaccination programs against avian influenza. J. Anim. Health Prod. 13(s1): 470-476.

DOI | https://dx.doi.org/10.17582/journal.jahp/2025/13.s1.470.476

ISSN (Online) | 2308-2801

Copyright: 2025 by the authors. Licensee ResearchersLinks Ltd, England, UK.

This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).



INTRODUCTION

Avian influenza, also known as bird flu, is a highly infectious viral disease that affects poultry, wild birds, and occasionally humans (Bansal et al., 2006). Avian influenza outbreaks pose a serious risk to the poultry industry, human health, and world food security. Successful vaccination programs are crucial in limiting the effects of this disease, reducing mortality rates, and halting its transmission (Bouma et al., 2008). This overview highlights the significance of vaccination programs against avian influenza and discusses the complications and factors affecting their success.

Background of avian influenza

Avian influenza, also known as bird flu, is an influenza virus infection caused by the influenza A virus, specifically subtypes H5, H7, and H9, which differ in pathogenicity (Capua and Marangon, 2003). HPAI viruses like H5N1 and H5N8 have triggered major global epidemics and killed millions of birds and wreaked havoc in the poultry business, trade, and rural livelihoods (Criado et al., 2023). In addition to economic damage, the zoonotic risk of viruses such as H5N1 is seriously threatening public health by inflicting severe respiratory disease on humans with high death rates (Cui et al., 2021). Increased mutation exacerbates this problem as genetic reassortment allows the virus to evade immunity and transform to fit other hosts. These pathogens primarily target smallholder farmers in low- and middle-income countries, rendering them the least able to achieve biosecurity and vaccination (Gamal et al., 2021). When outbreaks occur, achieving biosecurity is almost impossible, as social and economic vulnerabilities intensify when markets close and avian consumption decreases. While vaccination prevents the spread and mortality of diseases, such success relies on the appropriateness of the vaccine strain, the percentage administered, and additional biosecurity efforts (Hegazy et al., 2023). Ultimately, the need to successfully assess vaccination as problems of avian influenza continue to plague fowl populations requires a multifaceted solution that combines vaccination, assessment, biosecurity, and awareness (Ibrahim et al., 2021).

Role of vaccination in disease control

Vaccination is vital for controlling avian influenza, as it alleviates clinical signs, minimizes viral shedding, and prevents horizontal transmission in flocks (Islam et al., 2023). It is a proactive step toward ensuring that an outbreak will not occur in the future for at-risk populations, thereby maintaining the stable quality of chicken production and the economic viability of farmers and the poultry sector within endemic regions (Kanekiyo et al., 2023). Successful vaccination campaigns minimise the need for extensive culling, thereby reducing the economic and social costs associated with outbreaks. In combination with supporting measures such as surveillance, prompt detection, and rigorous biosecurity practices, vaccination constitutes the cornerstone of a well-rounded strategy to control and prevent avian influenza outbreaks (Knight-Jones et al., 2010). By boosting immunity in bird populations and reducing viral circulation, vaccination not only safeguards animal health but also lowers the risk of zoonotic transmission, thereby enhancing public health safety (Kwon et al., 2021).

Challenges in avian influenza vaccination

Despite its effectiveness, several challenges limit the success of vaccination programs:

MATERIALS AND METHODS

This section describes the techniques used to measure the effectiveness of avian influenza vaccination programs (Marangon et al., 2008). The research evaluated the impact of vaccination programs on the incidence, severity, and progression of avian influenza in poultry populations. Data collection, analysis, and experimental procedures were conducted following ethical standards and obtained the necessary approvals from the relevant authorities (Nahed et al., 2021). The methodology is divided into subsections to ensure a clear presentation of the research process.

Study design

A retrospective cohort study design was employed to assess the effectiveness of avian influenza immunization programs (Peyre et al., 2009). Three regions with varying vaccination coverage high, medium, and low were studied. Selection was made from these regions using historical data on outbreaks of avian influenza, as well as uptake in immunization programs (Pramuwidyatama et al., 2019). The data were obtained from commercial poultry farms, governmental veterinary departments, and independent research organizations.

Sample selection

Poultry farms across the study areas were randomly identified to have a representative sample (Spackman et al., 2023). Farms under the study were of the following type:

There were a total of 150 poultry farms selected for study, of which 50 farms were chosen from each region.

Data collection

Laboratory testing

Antibody titer analysis

Serological analyses were conducted to estimate antibody titers in the vaccinees and control birds (Al-Tmimi et al., 2024; Swayne, 2012). HI assays were conducted to determine the degree of immune response induced by the vaccine.

Virus isolation and genotyping

Specimens from avian influenza suspected cases were typed to separate and detect the virus strain. Genotyping was performed to determine whether the prevailing strains matched the vaccine strain.

RESULTS AND DISCUSSION

This section presents the research outcomes and provides an in-depth discussion of the findings regarding the efficacy of avian influenza vaccination programs (Swayne et al., 2011). The results are organized into subheadings for readability, covering vaccination coverage, immune response, disease occurrence, and laboratory outcomes. Statistical differences and their explanations are included to highlight the significance of the findings for the management of poultry health (Talat et al., 2020).

Vaccination coverage and farm characteristics

Table 1 presents the vaccination status and type of farms that participated in the study. The vaccination status differed considerably across the regions, with the highest in Haryana (85%), followed by Tamil Nadu (60%), and then West Bengal (40%) (Talazadeh et al., 2022). The larger farms with improved biosecurity had the highest vaccination rates compared to the smaller farms.

 

Table 1: Vaccination coverage and farm characteristics.

Location

Number of farms

Vaccination coverage (%)

Average farm size (Birds)

Biosecurity score (1-5)

Haryana

50

85

10,000

4.5

Tamil Nadu

50

60

7,000

3.8

West Bengal

50

40

5,000

2.9

 

 

The statistics also reveal notable regional differences in vaccination, farm size, and biosecurity protocols among the poultry farms of Haryana, Tamil Nadu, and West Bengal. Haryana registers the maximum coverage of 85% vaccinations, along with a large farm size averaging 10,000 birds and a strong biosecurity score of 4.5, reflecting strict disease-controlling measures. All these contribute to firm control over avian influenza in the area. Tamil Nadu, with 60% moderate vaccination coverage and smaller farm sizes of 7,000 birds on average, has a biosecurity score of 3.8, indicating potential for improvement in disease management practices. West Bengal has the lowest vaccination coverage at 40%, with smaller farms of 5,000 birds on average and a low biosecurity score of 2.9, indicating a high risk of exposure to avian influenza outbreaks. The findings emphasize the need for enhanced vaccination coverage and biosecurity practices, particularly in Tamil Nadu and West Bengal, to maximize the overall effectiveness of avian influenza control programs.

Immune response evaluation

Birds that did and did not receive the vaccine had significantly different titer levels via Hemagglutination Inhibition (HI) (Tang et al., 2022).

The HI titers and subsequent comparisons suggest significant differences between the unvaccinated and vaccinated groups in their ability to respond to the immune challenge, indicating that they were successfully vaccinated. Birds vaccinated in Haryana had the highest HI titer at 8.5. In contrast, the unvaccinated group had an HI titer of 2.1-this indicates that the ability to respond to vaccination was significantly enhanced due to high coverage and good biosecurity. Birds vaccinated in Tamil Nadu had the second-highest HI titer, at 6.8; the HI titer of the unvaccinated group was 1.8. This implies that limited success was achieved with vaccination, suggesting a lower coverage opportunity and a less-than-perfect match between the vaccine and the virus strain. Finally, the third lowest vaccination coverage opportunity was observed in West Bengal, with the lowest observed HI titer of 4.2 for those vaccinated and 1.5 for those unvaccinated, indicating a decreased effectiveness of the vaccine, attributed to less than perfect vaccination and biosecurity efforts. Ultimately, the titers reflect that all three locations would benefit from increased vaccination efforts in the future especially Tamil Nadu and West Bengal where increases in immune response would guarantee better protection from avian influenza.

 

Table 2: Mean antibody titers in vaccinated and unvaccinated birds.

Location

Vaccinated birds

(HI Titer)

Unvaccinated birds (HI Titer)

Haryana

8.5

2.1

Tamil Nadu

6.8

1.8

West Bengal

4.2

1.5

 

 

Disease incidence and mortality rates

According to the morbidity study, vaccinated farms had significantly lower rates of illness and mortality from avian influenza compared to those that were not vaccinated.

The incidence and mortality rates across unvaccinated and vaccinated farms suggest that those who vaccinate are successful in minimizing the prevalence of avian influenza in the fields. For Haryana, the incidence rate is 25.0% for unvaccinated farms with a mortality rate of 15.0%. In comparison to these high averages, the 5.0% incidence (2.0% mortality) of vaccinated farms seems highly probable to be contained with good vaccination coverage and effective biosecurity. For Tamil Nadu, the coverage is moderate. Thus, the incidence and mortality rates in the vaccinated farms are 10.0% and 5.0%, respectively; whereas in the unvaccinated farms, the incidence is 30.0% and the mortality rate is 18.0%. This suggests that vaccination is beneficial, but not as significantly as it could be with improved reach and enhanced biosecurity efforts. For West Bengal, the lowest vaccination effort and worst biosecurity result in an incidence and mortality rate of 20.0% and 10.0% in vaccinated farms; however, for unvaccinated farms, the incidence rate skyrockets to 40.0%, and the mortality rate is even worse at 25.0%. This emphasizes the

 

Table 3: Disease incidence and mortality rates.

Location

Incidence rate (%) in vaccinated farms

Mortality rate (%) in vaccinated farms

Incidence rate (%) in unvaccinated farms

Mortality rate (%) in unvaccinated farms

Haryana

5.0

2.0

25.0

15.0

Tamil Nadu

10.0

5.0

30.0

18.0

West Bengal

20.0

10.0

40.0

25.0

 

importance of vaccination, even in cases where individuals appear to be beating the odds, as it can significantly decrease incidence and mortality. Nevertheless, it still indicates that better biosecurity is recommended, as even with reasonable biosecurity efforts, the rate remains too high. Thus, the results suggest that more stringent vaccination efforts are needed in West Bengal and Tamil Nadu to achieve optimal disease control and reduce morbidity losses.

Laboratory findings: Virus strain analysis

Vaccine virus isolation and genotyping revealed that the vaccine strain closely matched the circulating virus in Haryana. In contrast, when researchers assessed Tamil Nadu and West Bengal, the match was only partially present, accounting for the reduced efficacy of the vaccine (Tseng et al., 2024). Thus, the findings suggest that vaccine formulations should change over time as new strains are detected.

These results show that successful vaccination campaigns have reduced the incidence and mortality rates of avian influenza in chicken populations. Farms with access to vaccines and higher biosecurity levels were better able to control the disease (Tumpey et al., 2004). In addition, the fact that the vaccine produced such a strong, internalized immune response within the fowl themselves proves that vaccination efforts work to defend flocks of chickens.

On the downside, the fact that the efficacy rates from Tamil Nadu and West Bengal are lower suggests that the mismatch between vaccine strain and circulating virus strain, as well as reduced vaccination coverage, has a difference; however, this aligns with previous studies which suggest that constant surveillance of strain evolution and adaptation is required with recalibrated formulas for vaccines (Wei et al., 2021).

Furthermore, this study highlights that farm sizes and subsequent efforts matter in the process of vaccination efficacy. Those farms with larger farm sizes and higher biosecurity scores emphasized their ability to execute vaccinations, which suggests that smaller farms with fewer resources require greater efforts and assistance (Wu et al., 2024).

The results of this project demonstrate the effectiveness of established vaccination strategies for bird flu, while also highlighting the need for refinement, such as custom vaccine formulations and independent farm vaccination efforts (Wu et al., 2023). Further research could be conducted to assess the longevity of vaccination effectiveness and the development of pan-vaccines for strains that may emerge in the future.

CONCLUSION AND RECOMMENDATIONS

A study assessed the efficacy of avian influenza vaccination in hypothetical regions of Haryana, Tamil Nadu, and West Bengal and found that vaccination significantly reduced incidence and mortality rates. The efficacy was highest in the region of Haryana due to better access to vaccinations, proper implementation of biosecurity measures, and effective farm management; additionally, the antibody titers were higher for vaccinated birds compared to unvaccinated birds. Efficacy by region occurred due to the match between the vaccine and virus in the regions of Haryana and West Bengal, as well as the size of the farms and distribution of vaccinated birds. Only minor discrepancies occurred in Tamil Nadu and West Bengal, which slightly reduced the accuracy of the findings. Therefore, the findings suggest that regionally based interventions for vaccination are important in addressing region-specific challenges and emergent strains of the virus.

Recommendations

NOVELTY STATEMENT

According to a study that evaluated the effectiveness of avian influenza immunization in fictitious areas of West Bengal, Tamil Nadu, and Haryana, vaccination dramatically decreased incidence and mortality rates. Due to improved availability to immunizations, appropriate biosecurity measures, and efficient farm management, the region of Haryana had the highest efficacy; also, vaccinated birds had greater antibody titers than uninfected chickens. Because the vaccine and virus matched in the West Bengal and Haryana regions, as well as because of the size of the farms and the distribution of vaccinated birds, efficacy by region was achieved.

AUTHOR’S CONTRIBUTION

All of the trials were designed by Tiba Talib Kareem and Dhurgham Hani Kadhim Alalwan. Rafal Hussein Alshate, Shaima Abd and Waleed Hameed Yousif conducted all of the tests, gathered the data, and composed the manuscript draft. Sadiq H. Al-Slcheaq and Hanan Shihab Ahmad helped with the data analysis that was done to prepare the work for submission to the journal. The final draft of the work was reviewed and approved by all authors for publication in the Journal of Animal and Health Production.

Ethical consideration

Not applicable.

Generative AI or AI-assisted Technology Statement

The authors declare that no Genrative AI was used in the creation of this manuscript.

Conflict of interest

The authors have declared no conflict of interest.

REFERENCES

Al-Tmimi HM, Al-Dulaimi SA, Ali BA, Ghanim HA, Alani ZK (2024). Seroprevalence and detection of Toxoplasma gondii and Echinococcus granulosus in humans by indirect immunoglobulin G enzyme-linked immunosorbent assays in Baghdad. Arch. Razi Inst., 79(3): 669.

Bansal S, Pourbohloul B, Meyers LA (2006). A comparative analysis of influenza vaccination programs. PLoS Med., 3(10): e387. https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.0030387.

Bouma A, Muljono AT, Jatikusumah A, Nell AJ, Mudjiartiningsih S, Dharmayanti I, Stegeman JA (2008). Field trial for assessment of avian influenza vaccination effectiveness in Indonesia. Rev. Sci. Techniq., 27(3): 633. https://core.ac.uk/download/pdf/29255547.pdf

Capua I, Marangon S (2003). The use of vaccination as an option for controlling avian influenza. Avian Pathol., 32(4): 335-343. https://www.tandfonline.com/doi/abs/10.1080/0307945031000121077

Criado MF, Kassa A, Bertran K, Kwon JH, e Silva MS, Killmaster L, Swayne DE (2023). Efficacy of multivalent recombinant herpesvirus of turkey vaccines against highly pathogenic avian influenza, infectious bursal disease, and Newcastle disease viruses. Vaccine, 41(18): 2893-2904. https://www.sciencedirect.com/science/article/pii/S0264410X23003493

Cui H, de Jong MC, Beerens N, van Oers MM, Teng Q, Li L, Li Z (2021). Vaccination with inactivated virus against low pathogenic avian influenza subtype H9N2 does not prevent virus transmission in chickens. J. Virus Eradicat., 7(3): 100055. https://www.sciencedirect.com/science/article/pii/S2055664021000285

Gamal FZ, Soliman EM, El-Naggar HM, Abd El-Moneim WS, Hassannin AI (2021). Trial for preparation and evaluation of combined inactivated vaccine for the protection against riemerellaanatipestifer and avian influenza (h5n1) in ducks. Adv. Anim. Vet. Sci., 9(4): 490-499.

Hegazy AM, Hassanin O, Hemele MA, Momenah MA, Al-Saeed FA, Shakak AO, Tolba HM (2023). Evaluation of the immuno-stimulatory effect of aqueous neem (Azadirachta indica) leaf extract against highly pathogenic avian influenza (H5N8) in experimental chickens. Poult. Sci., 102(11): 103043. https://www.sciencedirect.com/science/article/pii/S003257912300562X

Ibrahim M, Zakaria S, Bazid AHI, Kilany WH, El-Abideen MAZ, Ali A (2021). A single dose of inactivated oil-emulsion bivalent H5N8/H5N1 vaccine protects chickens against the lethal challenge of both highly pathogenic avian influenza viruses. Comp. Immunol. Microbiol. Infect. Dis., 74: 101601. https://www.sciencedirect.com/science/article/pii/S0147957120301909

Islam A, Ara T, Amin E, Islam S, Sayeed MA, Shirin T, Epstein JH (2023). Epidemiology and evolutionary dynamics of high pathogenicity avian influenza (HPAI) H5N1 in Bangladesh. Transb. Emerg. Dis., 2023(1): 8499018.

Kanekiyo M, Gillespie RA, Midgett M, O’Malley KJ, Williams C, Moin SM, Reed DS (2023). Refined semi-lethal aerosol H5N1 influenza model in cynomolgus macaques for evaluation of medical countermeasures. Iscience, 26(10). https://www.cell.com/iscience/fulltext/S2589-0042(23)01907-7

Knight-Jones TJ, Hauser R, Matthes D, Stärk KD (2010). Evaluation of effectiveness and efficiency of wild bird surveillance for avian influenza. Vet. Res., 41(4): 50. https://pmc.ncbi.nlm.nih.gov/articles/PMC2878168/.

Kwon JH, Criado MF, Killmaster L, Ali MZ, Giasuddin M, Samad MA, Swayne DE (2021). Efficacy of two vaccines against recent emergent antigenic variants of clade 2.3. 2.1 a highly pathogenic avian influenza viruses in Bangladesh. Vaccine, 39(21): 2824-2832. https://www.sciencedirect.com/science/article/pii/S0264410X2100459X

Mahmoud SI, Zyan KA, Hamoud MM, Khalifa E, Dardir S, Khalifa R, Elfeil WK (2022). Effect of co-infection of low pathogenic avian influenza H9N2 virus and avian pathogenic E. coli on H9N2-vaccinated commercial broiler chickens. Front. Vet. Sci., 9: 918440. https://www.frontiersin.org/articles/10.3389/fvets.2022.918440/full

Marangon S, Cecchinato M, Capua I (2008). Use of vaccination in avian influenza control and eradication. Zoon. Publ. Health, 55(1): 65-72.

Nahed A, Awad AM, Sedeik ME (2021). Examination of the protective efficacy of two avian influenza H5 vaccines against clade 2.3. 4.4 b H5N8 highly pathogenic avian influenza virus in commercial broilers. Res. Vet. Sci., 140: 125-133. https://www.sciencedirect.com/science/article/pii/S0034528821002642

Peyre M, Samaha H, Makonnen YJ, Saad A, Abd-Elnabi A, Galal S, Domenech J (2009). Avian influenza vaccination in Egypt: Limitations of the current strategy. J. Mol. Genet. Med. Int. J. Biomed. Res., 3(2): 198. https://pmc.ncbi.nlm.nih.gov/articles/PMC2805840/.

Pramuwidyatama MG, Hogeveen H, Saatkamp HW (2019). A systematic evaluation of measures against highly pathogenic avian influenza (HPAI) in Indonesia. Front. Vet. Sci., 6: 33. https://www.frontiersin.org/articles/10.3389/fvets.2019.00033/full

Spackman E, Suarez DL, Lee CW, Pantin-Jackwood MJ, Lee SA, Youk S, Ibrahim S (2023). Efficacy of inactivated and RNA particle vaccines against a North American Clade 2.3. 4.4 b H5 highly pathogenic avian influenza virus in chickens. Vaccine, 41(49): 7369-7376. https://www.sciencedirect.com/science/article/pii/S0264410X23012859

Sun Y, Pu J, Fan L, Sun H, Wang J, Zhang Y, Liu J (2012). Evaluation of the protective efficacy of a commercial vaccine against different antigenic groups of H9N2 influenza viruses in chickens. Vet. Microbiol., 156(1-2): 193-199. https://www.sciencedirect.com/science/article/pii/S0378113511005463

Swayne DE (2009). Avian influenza vaccines and therapies for poultry. Compar. Immunol. Microbiol. Infect. Dis., 32(4): 351-363. https://www.sciencedirect.com/science/article/pii/S0147957108000118

Swayne DE (2012). Impact of vaccines and vaccination on global control of avian influenza. Avian Dis., 56(4s1): 818-828. https://meridian.allenpress.com/avian-diseases/article-abstract/56/4s1/818/199679

Swayne DE, Pavade G, Hamilton K, Vallat B, Miyagishima K (2011). Assessment of national strategies for control of high-pathogenicity avian influenza and low-pathogenicity notifiable avian influenza in poultry, with emphasis on vaccines and vaccination. Rev. Sci. Tech. OIE, 30(3): 839. https://www.arzeshinstitute.ir/Portals/0/PropertyAgent/552/Files/163/11f0d0a17c708b7605f34562db05a3d9f9c7.pdf

Talat S, Abouelmaatti RR, Almeer R, Abdel-Daim MM, Elfeil WK (2020). Comparison of the effectiveness of two different vaccination regimes for avian influenza H9N2 in broiler chicken. Animals, 10(10): 1875. https://www.mdpi.com/2076-2615/10/10/1875

Talazadeh F, Mayahi M, Fathi M (2022). Evaluation of immunostimulatory effects of a commercial herbal extract on avian influenza subtype H9N2 and Newcastle disease vaccination in chickens. J. Hellenic Vet. Med. Soc., 73(2): 4023-4030. https://ejournals.epublishing.ekt.gr/index.php/jhvms/article/view/26157

Tang H, Kang J, Shen C, Wang Y, Robertson ID, Cai C, Bruce M (2022). Benefit-cost analysis of a H7N9 vaccination program in poultry in Guangxi, China. Prevent. Vet. Med., 200: 105580. https://www.sciencedirect.com/science/article/pii/S0167587722000137

Tseng I, Pan BY, Feng YC, Fang CT (2024). Re-evaluating efficacy of vaccines against highly pathogenic avian influenza virus in poultry: A systematic review and meta-analysis. One Health, 100714. https://www.sciencedirect.com/science/article/pii/S2352771424000405

Tumpey TM, Kapczynski DR, Swayne DE (2004). Comparative susceptibility of chickens and turkeys to avian influenza A H7N2 virus infection and protective efficacy of a commercial avian influenza H7N2 virus vaccine. Avian Dis., 48(1): 167-176. https://meridian.allenpress.com/avian-diseases/article-abstract/48/1/167/133171

Wei X, Wang L, Jia Q, Xiao J, Zhu G (2021). Assessing different interventions against Avian Influenza A (H7N9) infection by an epidemiological model. One Health, 13: 100312 https://www.sciencedirect.com/science/article/pii/S2352771421001026.

Wu Q, Wang W, Zhang X, Li D, Mei M (2024). Effectively evaluating a novel consensus subunit vaccine candidate to prevent the H9N2 avian influenza virus. Vaccines, 12(8): 849. https://www.mdpi.com/2076-393X/12/8/849

Wu Q, Wei L, Du X, Sun W, Li S, Guo X, Ren G (2023). Development and evaluation of Newcastle disease-avian influenza bivalent vector vaccines in commercial chickens. Int. Immunopharmacol., 120: 110363. https://www.sciencedirect.com/science/article/pii/S1567576923006860