The H10N8 human infection cases identified in late 2013 and early 2014 in Jiangxi, China have raised concerns over its origin, prevalence and development in this region. Our long term influenza surveillance in the past 12 years on poultry and migratory birds in southern China showed that H10 influenza viruses have been introduced from migratory to domestic ducks over several winter seasons at sentinel duck farms at Poyang Lake where domestic ducks share their water body with over-wintering migratory birds. H10 viruses were never detected in terrestrial poultry in our survey areas until August 2013 when they were identified at live poultry markets in Jiangxi. Since then, we have isolated 124 H10N8 or H10N6 viruses from chickens at the local markets, revealing an ongoing outbreak. Phylogenetic analysis of H10 and related viruses showed that the chicken H10N8 viruses were generated through multiple reassortments between H10 and N8 viruses from domestic ducks and the enzootic chicken H9N2 viruses. These chicken reassortant viruses were highly similar to the human isolate, indicating the market chickens were the source of the human infection. Recently, the H10 viruses further reassorted, apparently with H5N6 viruses, and generated an H10N6 variant. The emergence and prevalence of H10 viruses in chickens and the occurrence of human infections provide direct evidence of the threat from the current influenza ecosystem in China.