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Sample collection and postmortem evaluationBald eagle carcasses, and/or oropharyngeal and cloacal swabs were collected in the field and submitted to the Southeastern Cooperative Wildlife Disease Study Research and Diagnostic Service. In some cases, live bald eagles were found moribund and transported to wildlife rehabilitation clinics and either died in transit or soon after arrival. Carcasses underwent postmortem evaluation, including gross and histopathology. Tissue samples [heart, brain, kidney, spleen, lung, adrenal gland, pancreas, liver, small and large intestine, and cloacal bursa (if present)] were fixed in 10% neutral buffered formalin and routinely processed for histopathology23 at the Athens Veterinary Diagnostic Laboratory. Histopathology was assessed by a board-certified veterinary pathologist.Additional bald eagle and waterfowl species mortality dataData on wild bird deaths attributed to highly pathogenic influenza A viruses were retrieved from the U.S. Department of Agriculture, Animal and Plant Health Inspection Service website, at: https://www.aphis.usda.gov/aphis/ourfocus/animalhealth/animal-disease-information/avian/avian-influenza/hpai-2022/2022-hpai-wild-birds. These data are publicly available and include state, county, date detected, and species of individual birds that tested positive for HP IAV.ImmunohistochemistryImmunohistochemistry (IHC) for avian influenza virus was performed in select cases on brain, pancreas, spleen, liver, and/or adrenal gland at the Athens Veterinary Diagnostic Laboratory. IHC was performed on an automated stainer (Nemesis 3600, Biocare Medical). Polyclonal antiserum against influenza A virus was used as the primary antibody (ab155877, Abcam), diluted 1:3000, and incubated for 60 min at 37 °C with agent-positive control. Antigen retrieval was with Target Retrieval Solution (S2367, Dako) pH (10x) at 110 °C for 15 min. Enzyme blockage was via 3% H2O2 for 20 min (H324-500, Fisher Scientific); protein blockage was with Universal Blocking Reagent (10x) Power Block diluted at 1:10 for 5 min (HK085-5 K, BioGenex); link was by biotinylated rabbit anti-goat (BA-5000, Vector) at a 1:100 dilution for 10 min with 4 + streptavidin alkaline phosphatase label for 10 min (AP605H, BioCare Medical). Staining was with warp red chromogen kit for 5 min (WR8065, BioCare Medical). Known influenza A-virus positive control tissues were tested alongside each case.Polymerase chain reactionOropharyngeal and cloacal swabs from bald eagle carcasses were pooled for each individual eagle and tested by real-time reverse transcription polymerase chain reaction (rRT-PCR). Briefly, swabs samples were extracted with the KingFisher magnetic particle processer using the MagMAX-96 AI/ND Viral RNA isolation Kit (Ambion/Applied Biosystems, Foster City, CA) following a modified MagMAX-S protocol24. Resultant nucleic acids were screened against primers specific for H5 IAV in rRT-PCR; samples that yielded a cycle threshold value  More

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