On 21 July 2021, the National IHR focal point of India notified WHO of one human case of avian Influenza A(H5N1) from Haryana state, northern India. This is the first reported case of human infection of influenza A(H5N1) virus in India.
The patient was a boy under 18 years of age with a recently diagnosed underlying illness in June 2021. Shortly after immunosuppressive treatment was initiated at the hospital, he presented with fever, cough, upper respiratory symptoms and breathing difficulty on 12 June. His condition progressed to acute respiratory distress syndrome and he was mechanically ventilated but died on 12 July. In the past year, the boy resided with a family member who owned a butchery in Haryana state. Based on initial investigations, there were no reports of poultry sickness or deaths from a nearby poultry farm in the village where he resided. The source of infection is unknown at this time and none of his family members have shown similar symptoms thus far.
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