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

• This is the first investigated human case of avian influenza A(H9N2) virus infection in Oman, presenting in a 14-month-old female. • This single case raises the question of other possible mild unrecognized infections, especially among high-risk groups such as poultry workers. • This single case re-emphasizes the urgent need for increased efforts to tackle the threat of avian influenza A(H9N2) virus infection by adapting a multisector One Health approach. 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. [ABSTRACT FROM AUTHOR]