Influenza A(H5N1) viruses have been detected in US dairy cow herds since 2024. We assessed the pathogenesis, transmission, and airborne release of A/Michigan/90/2024, an H5N1 isolate from a dairy farm worker in Michigan, in the ferret model. Results show this virus caused airborne transmission with moderate pathogenicity, including limited extrapulmonary spread, without lethality.
Keywords: H5N1; Influenza; Michigan; United States; clade 2.3.4.4b; ferret; highly pathogenic avian influenza; respiratory infections; zoonoses.