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The WHO is stepping up its response in Europe, as cases surge in Tunisa and researchers plot at-risk US sites.
Barriers in many countries limit treatment options and prevent people from getting the antibiotics they need.
Findings followed a north-to-south gradient in Europe.
More than $25 million is newly pledged for an outbreak that has grown to 51 total cases, 28 confirmed.
It is Iraq's first H5N8 outbreak since 2016, and Afghanistan's first since 2007.
The strain resulted from a mix of high-path H5N8 and low-path H3N6.
The study appears to be the first to measure colonization incidence or infections as a primary outcome.
Contaminants include Klebsiella pneumoniae, Enterobacter, and Enterococcus faecalis.
Japan, meanwhile, reports two large H5N6 outbreaks at poultry farms in different prefectures.
Also, Croatia reports its first high-path H5N5 outbreak in poultry.
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