District-Level Risk Mapping of Highly Pathogenic Avian Influenza in Poultry in Kazakhstan Using a Multi-Criteria Decision Model.

Highly pathogenic avian influenza (HPAI) is a transboundary disease of birds with zoonotic potential. Since 2021, H5 HPAI virus variants have spread globally, with migratory waterfowl playing a key role in transcontinental dissemination. Kazakhstan lies at the intersection of major flyways, creating a persistent risk of virus introduction into domestic poultry. While HPAI risk in wild birds has been explored in Kazakhstan, the spatial risk for poultry has remained underassessed. Here, we present a risk map for HPAI in poultry across 174 administrative districts of Kazakhstan, using a multi-criteria decision analysis (TOPSIS) that integrates five quantitative risk indicators that relate to wild bird habitat, virus survival in the environment and poultry farm census. The obtained district-level risk index agreed well with historical outbreak data (2005-2025), with an area under the receiver operating characteristic (ROC) curve of 0.899 (95% CI: 0.846-0.952). Most districts (56%) were at negligible risk, whereas medium- and high-risk clusters occurred in the north, central, and southern regions, and near the Caspian Sea. These findings provide an operational, spatially explicit tool for targeting surveillance and biosecurity measures to high-risk areas, ultimately helping to mitigate the impact of one of the most devastating transboundary poultry diseases in Central Asia.