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Overview

R code used to perform statistical analyses and create figures as part of this research study and manuscript on the comparative evaluation of airborne influenza virus shedding in ferrets.

Code Usage

Source_Data directory contains the source data used to make manuscript Figure 1, created in GraphPad Prisim v10.5.0, as well as for supplemental figures 1 and 2 (Figures_1_S1_S2_source_data.xlsx), along with a PNG file for import and use with figpatch in R (Figure_5C_table-heatmap.png), and all other source data for analysis and figure creation in R (FullData.csv).

AR_analysis.R script is self contained. Requires the relevent R packages installed, found in the script and in the section below. Whole script should only take a few minutes to run. However, output commands such as figure outputs using ragg has been commented out to make the output of figure files optional.

Manuscript

Pulit-Penaloza JA, Kieran TJ, Brock N, Belser JA, Sun X, Zeng H, Pappas C, De La Cruz JA, Hatta Y, Di H, Davis TC, Tumpey TM, Maines TR. (2026). Advancing A(H5N1) influenza risk assessment in ferrets through comparative evaluation of airborne virus shedding patterns. Nature Communications. 17, 2266. https://doi.org/10.1038/s41467-026-68931-1

Manuscript Abstract

Recent A(H5N1) zoonotic cases linked to poultry and cattle in North America highlight the urgent need to assess the pandemic potential of emerging strains. Using male ferrets, we evaluate two B3.13 and two D1.1 genotype A(H5N1) viruses isolated from humans and observe fatal disease and varying capacities for direct contact transmission. To enhance pandemic risk assessment, we conduct aerosol sampling using cyclone BC251 and water condensation capture-based SPOT samplers and perform comparative analyses to include additional A(H5N1), A(H9N2), A(H7N9), and A(H1N1)pdm09 strains with known transmissibility profiles. Although none of the A(H5N1) strains transmit via the air, B3.13 viruses are detected at significantly higher levels compared to D1.1 strains. Here we show strong correlations between viral loads in nasal washes, airborne virus shedding, and transmissibility in ferrets, highlighting the value of these metrics for identifying zoonotic influenza viruses that may be adapting toward increased transmission potential.

Verified versions used

R version 4.4.0 (2024-04-24 ucrt) Platform: x86_64-w64-mingw32/x64 Running under: Windows 11 x64 (build 26100)

Matrix products: default

locale: [1] LC_COLLATE=English_United States.utf8 LC_CTYPE=English_United States.utf8
[3] LC_MONETARY=English_United States.utf8 LC_NUMERIC=C
[5] LC_TIME=English_United States.utf8

time zone: America/New_York tzcode source: internal

attached base packages: [1] stats graphics grDevices utils datasets methods base

other attached packages: [1] patchwork_1.3.0 tidylog_1.1.0 lubridate_1.9.3 forcats_1.0.0 stringr_1.5.1
[6] dplyr_1.1.4 purrr_1.0.2 readr_2.1.5 tidyr_1.3.1 tibble_3.2.1
[11] ggplot2_3.5.1 tidyverse_2.0.0

loaded via a namespace (and not attached): [1] gtable_0.3.5 compiler_4.4.0 Rcpp_1.0.13 tidyselect_1.2.1 [5] magick_2.8.5 scales_1.3.0 figpatch_0.3.0 R6_2.5.1
[9] generics_0.1.3 munsell_0.5.1 pillar_1.10.2 tzdb_0.4.0
[13] rlang_1.1.4 stringi_1.8.4 timechange_0.3.0 cli_3.6.3
[17] withr_3.0.1 magrittr_2.0.3 grid_4.4.0 rstudioapi_0.16.0 [21] hms_1.1.3 clisymbols_1.2.0 lifecycle_1.0.4 vctrs_0.6.5
[25] glue_1.8.0 farver_2.1.2 colorspace_2.1-1 tools_4.4.0
[29] pkgconfig_2.0.3

Other: ragg_1.3.3 rstatix_0.7.2 figpatch_0.3.0

Public Domain Standard Notice

This repository constitutes a work of the United States Government and is not subject to domestic copyright protection under 17 USC § 105. This repository is in the public domain within the United States, and copyright and related rights in the work worldwide are waived through the CC0 1.0 Universal public domain dedication. All contributions to this repository will be released under the CC0 dedication. By submitting a pull request you are agreeing to comply with this waiver of copyright interest.

License Standard Notice

The repository utilizes code licensed under the terms of the Apache Software License and therefore is licensed under ASL v2 or later.

This source code in this repository is free: you can redistribute it and/or modify it under the terms of the Apache Software License version 2, or (at your option) any later version.

This source code in this repository is distributed in the hope that it will be useful, but WITHOUT ANY WARRANTY; without even the implied warranty of MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the Apache Software License for more details.

You should have received a copy of the Apache Software License along with this program. If not, see http://www.apache.org/licenses/LICENSE-2.0.html

The source code forked from other open source projects will inherit its license.

Privacy Standard Notice

This repository contains only non-sensitive, publicly available data and information. All material and community participation is covered by the Disclaimer and Code of Conduct. For more information about CDC's privacy policy, please visit http://www.cdc.gov/other/privacy.html.

Contributing Standard Notice

Anyone is encouraged to contribute to the repository by forking and submitting a pull request. (If you are new to GitHub, you might start with a basic tutorial.) By contributing to this project, you grant a world-wide, royalty-free, perpetual, irrevocable, non-exclusive, transferable license to all users under the terms of the Apache Software License v2 or later.

All comments, messages, pull requests, and other submissions received through CDC including this GitHub page may be subject to applicable federal law, including but not limited to the Federal Records Act, and may be archived. Learn more at http://www.cdc.gov/other/privacy.html.

Records Management Standard Notice

This repository is not a source of government records, but is a copy to increase collaboration and collaborative potential. All government records will be published through the CDC web site.

About

Pulit-Penaloza et al. 2026 - Nature Communications. Advancing A(H5N1) influenza risk assessment in ferrets through comparative evaluation of airborne virus shedding patterns R code.

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