Informal inter-island poultry movement in Indonesia: does it pose a risk to HPAI H5N1 transmission?

Informal movement of domesticated poultry and wild birds is considered a major threat in terms of highly pathogenic avian influenza (HPAI) H5N1 transmission between birds and from birds to humans. However, the risk of transmission from informal illegal poultry movement has received little attention in Indonesia where human fatalities are the highest in the world. This research investigated the illegal movement of adult poultry between the islands of Java, Bali and Lombok to determine the potential risk of HPAI H5N1 transmission.