From October 1997 to January 1998, highly pathogenic H5N2 avian influenza v
iruses caused eight outbreaks of avian influenza in northern Italy. A nonpa
thogenic H5N9 influenza virus was also isolated during the outbreaks as a r
esult of virological and epidemiological surveillance to control the spread
of avian influenza to neighbouring regions. Antigenic analysis showed that
the Italian H5N2 isolates were antigenically similar to, although distingu
ishable from, A/HK/156/97, a human influenza H5N1 virus isolated ire Hong K
ong in 1997, Phylogenetic analysis of the haemagglutinin (HA) genes showed
that the highly pathogenic Italian viruses clustered with the Hong Kong str
ains, whereas the nonpathogenic H5N9 virus, despite its epidemiological ass
ociation with the highly pathogenic Italian isolates, was most closely rela
ted to the highly pathogenic A/Turkey/England/91 (H5N1) strain. Like the HA
phylogenetic tree, the nonstructural (NS) phylogenetic tree showed that th
e H5N2 Italian virus genes are clearly separate from those of the H5N9 stra
in. In contrast, results of the phylogenetic analysis of nucleoprotein (NF)
genes indicated a closer genetic relationship between the two Italian viru
s groups, a finding suggesting a common progenitor. Comparison of the HA, M
S and NP genes of the Italian H5 strains with those of the H5N1 viruses sim
ultaneously circulating in Hong Kong revealed that the two groups of viruse
s do not share a recent common ancestor. No virological and: serological ev
idence of bird-to-human transmission of the Italian H5N2 influenza viruses
was found.