Results
A total 2,280 birds were affected on two adjacent farms. HPAI-H5N1 was confirmed for all samples investigated. The index case-farm with 1,438 birds, reported 30 bird deaths on June 16, 2018, 24 hours after receiving a consignment of birds from an HPAI-H5N1 confirmed farm in a neighboring region of Ghana. The second case-farm recorded bird deaths 7 days later. Both farms operated aluminum sheet-roofed metallic mesh pens without fencing. Beddings in pens were not regularly changed. Four poultry farms located within an 6km radius of the affected farms did not report sick or dead birds. All twenty-three human contacts were asymptomatic of flu, after 14-days follow-up.