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Idaho - Avian flu in mammals and livestock 2024
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United States of America - Influenza A viruses of high pathogenicity (Inf. with) (non-poultry including wild birds) (2017-) - Follow up report 48
GENERAL INFORMATION
COUNTRY/TERRITORY OR ZONE
ZONE
ANIMAL TYPE
TERRESTRIAL
DISEASE CATEGORY
Listed disease
EVENT ID
4451
DISEASE
Influenza A viruses of high pathogenicity (Inf. with) (non-poultry including wild birds) (2017-)
CAUSAL AGENT
Highly pathogenic avian influenza virus
GENOTYPE / SEROTYPE / SUBTYPE
H5N1
START DATE
2022/03/30
REASON FOR NOTIFICATION
Unusual host species
DATE OF LAST OCCURRENCE- CONFIRMATION DATE
2022/05/05
EVENT STATUS
On-going
END DATE- SELF-DECLARATION
NO REPORT INFORMATION
REPORT NUMBER
Follow-up report 48
REPORT ID
FUR_167043
REPORT REFERENCE- REPORT DATE
2024/04/26
REPORT STATUS
Validated
NO EVOLUTION REPORT
EPIDEMIOLOGY
SOURCE OF EVENT OR ORIGIN OF INFECTION- Contact with wild species
- Unknown or inconclusive
Highly pathogenic avian influenza (HPAI) H5N1 Eurasian lineage goose/Guangdong clade 2.3.4.4b has been confirmed in samples from dairy cattle in Idaho (ID), Kansas (KS), Michigan (MI), New Mexico (NM), North Carolina (NC), Ohio (OH), South Dakota (SD) and Texas (TX). Updates to the detections of highly pathogenic avian influenza (HPAI) in livestock can be found at: https://www.aphis.usda.gov/livestock...ions/livestock. On 24 April 2024, The Animal and Plant Health Inspection Service (APHIS), United States Department of Agriculture issued a federal order requiring pre-movement testing and reporting of highly pathogenic avian influenza (HPAI) in livestock. Wildlife detections unrelated to dairy cattle detections are reported in Vermont (VT) and California (CA).
QUANTITATIVE DATA SUMMARY
MEASURING UNIT
Animal
SpeciesSusceptibleCasesDeathsKilled and Disposed ofSlaughtered/ Killed for commercial useVaccinated Coyote (WILD)NEW------TOTAL-1-1-- Cats (DOMESTIC)NEW------TOTAL-714-- Virginia Opossum (WILD)NEW------TOTAL-431-- Domestic cat (WILD)NEW------TOTAL-611-- Goats (DOMESTIC)NEW------TOTAL16555--- Gray Seal (WILD)NEW------TOTAL-11--- Bobcat (WILD)NEW-1----TOTAL-852-- Mephitidae (unidentified) (WILD)NEW-1----TOTAL-1---- Striped Skunk (WILD)NEW------TOTAL-422714-- American Mink (WILD)NEW------TOTAL-1---- Tiger (WILD)NEW------TOTAL-11--- Harbor Seal (WILD)NEW------TOTAL-21192-- Racoon (Northern raccoon) (WILD)NEW------TOTAL-1754-- Puma (WILD)NEW------TOTAL-2222--- Bottlenose dolphin (WILD)NEW------TOTAL-11--- American Black Bear (black bear) (WILD)NEW------TOTAL-413-- Brown bear (Grizzly Bear) (WILD)NEW------TOTAL-431-- Polar Bear (WILD)NEW------TOTAL--1--- Red Fox (WILD)NEW------TOTAL-864819-- Amur Leopard (WILD)NEW------TOTAL-11--- Fisher (WILD)NEW------TOTAL-321-- North American river otter (WILD)NEW------TOTAL-11--- American marten (WILD)NEW------TOTAL-11--- Abert's squirrel (WILD)NEW------TOTAL-1---- Bovine (DOMESTIC)NEW------TOTAL-90000 All speciesNEW-2----TOTAL1652481495300
DIAGNOSTIC DETAILS
CLINICAL SIGNS
YES
METHOD OF DIAGNOSTIC
Clinical, Diagnostic testReal-time reverse transcription polymerase chain reaction (rRT-PCR) National Veterinary Services Laboratories (NVSL), Ames, Iowa Bobcat,Domestic cat,Fisher,Brown bear (Grizzly Bear),Cats,American Black Bear (black bear),Gray Seal,Red Fox,North American river otter,Racoon (Northern raccoon),Tiger,Harbor Seal,Puma,American marten,Bottlenose dolphin,Virginia Opossum,Amur Leopard,Coyote,Striped Skunk,Mephitidae (unidentified),Abert's squirrel,Goats,Polar Bear,American Mink,Bovine 212 2022/05/05 2024/04/19 Positive
NEW OUTBREAKS
OB_134221 - TX 006 - LAMB COUNTY
OB_134222 - MI 006 - IONIA COUNTY
OB_134223 - ID 002 - CASSIA COUNTY
OB_134242 - SACRAMENTO COUNTY
OB_134220 - ADDISON COUNTY
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from above report in Idaho
OB_134223 - ID 002 - CASSIA COUNTY
OUTBREAK REFERENCE
ID 002
START DATE
2024/04/01
END DATE
- DETAILED CHARACTERISATION
- FIRST ADMINISTRATIVE DIVISION
Idaho
SECOND ADMINISTRATIVE DIVISION
Cassia
THIRD ADMINISTRATIVE DIVISION
- EPIDEMIOLOGICAL UNIT
Farm LOCATION
Cassia County Latitude, Longitude
42.535 , -113.792
(Approximate location) OUTBREAKS IN CLUSTER
- MEASURING UNIT
Animal
AFFECTED POPULATION DESCRIPTION
A commercial dairy premises. Clinical signs in lactating cattle included decreased feed intake and decreased milk production. SpeciesSusceptibleCasesDeathsKilled and Disposed ofSlaughtered/ Killed for commercial useVaccinated Bovine (DOMESTIC)NEW------TOTAL------
METHOD OF DIAGNOSTIC
Diagnostic test, Clinical
CONTROL MEASURES DIFFERENT FROM EVENT LEVEL
MEASURES NOT IMPLEMENTED
Comment
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Confirmed Cases of HPAI in Domestic Livestock
*Data updated weekdays by 4 pm ET.
...
State Species Date confirmed by NVSL
Excerpt:
Idaho Dairy Milking Cattle 5/7/2024
Idaho Dairy Milking Cattle 4/19/2024
Idaho Dairy Milking Cattle 4/1/2024
--------------------------------------------------------
Highly Pathogenic Avian Influenza Detected in Idaho Cattle
The Idaho State Department of Agriculture (ISDA), has confirmed highly pathogenic avian influenza (HPAI) in three Cassia County dairy cattle operations. Additionally, there are two presumptive positive herds in Jerome County.
These are the only confirmed cases of HPAI in dairy cattle operations in Idaho. It is suggested the virus is transmitted from cow-to-cow, in addition to reports indicating cattle acquire the virus from infected birds. The primary concern with an HPAI diagnosis in dairy cattle is on-dairy production losses, as the disease has been associated with decreased milk production.
Symptoms of HPAI in cattle include:- Drop in milk production
- Loss of appetite
- Changes in manure consistency
- Thickened or colostrum-like milk
- Low-grade fever
ISDA Response
For decades, Idaho has worked diligently to implement industry-driven programs that mitigate the transmission of diseases that cause on-farm economic losses. ISDA’s response to the detection of HPAI in cattle aligns with standard ISDA animal disease detection procedure.
A quarantine is issued for any HPAI positive dairy facility which prohibits movement of livestock on or off the infected premises without written authorization from ISDA. ISDA continually monitors the health and wellness of dairy cattle on any affected dairy premises. These are open cases, ISDA is continuing to investigate via additional sampling.
The infected cattle are quarantined from the rest of the herd on the facilities. Pasteurized milk from affected cows does not present a human health concern, and the cows on the dairy will continue to produce milk and all animals will be cared for normally.
This is an evolving situation, and additional updates will be provided by ISDA as they become available.
View cattle import requirements here.
What Livestock Producers Can Do- Enhance biosecurity measures (see below information below).
- Closely monitor your herd for the following symptoms:
- Fever
- Lethargy
- Loss of appetite
- Constipation
- Thickened or colostrum-like milk
- Decreased milk production
- Contact your local veterinarian immediately.
- After talking with your veterinarian, fill out the HPAI Livestock Screen.
- Once the screen is submitted, an ISDA veterinarian will review the screen to determine if ISDA assistance is needed. Direct assistance from ISDA will be dependent on the severity and size of the herd as well as the availability of ISDA veterinarians.
Internal and External Biosecurity Practices on Cattle Operations
Enhanced Biosecurity Prep Guide
Cleaning and Disinfection Biosecurity Tips
Vehicles and Equipment
Isolation and Quarantine Tip Sheet
Prevent Avian Influenza at Your Farm: Improve Your Biosecurity with Simple Wildlife Practices
APHIS Recommendations for Highly Pathogenic Avian Influenza
CDC Public Health Recommendation
Consumer Health
At this stage, there is no concern about the safety of the commercial milk supply or that this circumstance poses a risk to consumer health. The pasteurization process of heating milk to a high temperature ensures milk and dairy products can be safely consumed, as confirmed by the Centers for Disease Control (CDC). Pasteurization has continually proven to successfully inactivate bacteria and viruses, like influenza, in milk. Dairies are also required to only allow milk from healthy animals to enter the food supply chain.
General Questions
Animal.Information@isda.idaho.gov
(208) 332-8540
Media Inquiries
Sydney Kennedy
media@isda.idaho.gov
(208) 332-8507
Comment
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Hat tip Lance
United States of America - Influenza A viruses of high pathogenicity (Inf. with) (non-poultry including wild birds) (2017-) - Follow up report 50
Excerpt:
OB_134528 - ID 003 - CASSIA COUNTY
Idaho
Cassia County
Farm
A commercial dairy premises. Clinical signs in lactating cattle included a drop in milk production.
Comment
-
NEW OUTBREAKS
OB_134528 - ID 003 - CASSIA COUNTY
OUTBREAK REFERENCE
ID 003
START DATE
2024/04/21
END DATE
DETAILED CHARACTERISATION
FIRST ADMINISTRATIVE DIVISION
Idaho
SECOND ADMINISTRATIVE DIVISION
Cassia
THIRD ADMINISTRATIVE DIVISION
EPIDEMIOLOGICAL UNIT
Farm
LOCATION
Cassia County
Latitude, Longitude
42.534 , -113.791
(Approximate location)
OUTBREAKS IN CLUSTER
MEASURING UNIT
Animal
AFFECTED POPULATION DESCRIPTION
A commercial dairy premises. Clinical signs in lactating cattle included a drop in milk production. SpeciesSusceptibleCasesDeathsKilled and Disposed ofSlaughtered/ Killed for commercial useVaccinated Bovine (DOMESTIC)NEW------TOTAL------
Comment
-
HPAI Detection in Cattle Highly Pathogenic Avian Influenza Detected in Idaho Cattle
The Idaho State Department of Agriculture (ISDA), has confirmed highly pathogenic avian influenza (HPAI) in five Cassia County and Jerome County dairy cattle operations.
These are the only confirmed cases of HPAI in dairy cattle operations in Idaho. It is suggested the virus is transmitted from cow-to-cow, in addition to reports indicating cattle acquire the virus from infected birds. The primary concern with an HPAI diagnosis in dairy cattle is on-dairy production losses, as the disease has been associated with decreased milk production.
Symptoms of HPAI in cattle include:- Drop in milk production
- Loss of appetite
- Changes in manure consistency
- Thickened or colostrum-like milk
- Low-grade fever
ISDA Response
For decades, Idaho has worked diligently to implement industry-driven programs that mitigate the transmission of diseases that cause on-farm economic losses. ISDA’s response to the detection of HPAI in cattle aligns with standard ISDA animal disease detection procedure.
A quarantine is issued for any HPAI positive dairy facility which prohibits movement of livestock on or off the infected premises without written authorization from ISDA. ISDA continually monitors the health and wellness of dairy cattle on any affected dairy premises. These are open cases, ISDA is continuing to investigate via additional sampling.
The infected cattle are quarantined from the rest of the herd on the facilities. Pasteurized milk from affected cows does not present a human health concern, and the cows on the dairy will continue to produce milk and all animals will be cared for normally.
This is an evolving situation, and additional updates will be provided by ISDA as they become available.
View cattle import requirements here.
What Livestock Producers Can Do- Enhance biosecurity measures (see below information below).
- Closely monitor your herd for the following symptoms:
- Fever
- Lethargy
- Loss of appetite
- Constipation
- Thickened or colostrum-like milk
- Decreased milk production
If your cattle appear to be infected:- Contact your local veterinarian immediately.
- After talking with your veterinarian, fill out the HPAI Livestock Screen.
- Once the screen is submitted, an ISDA veterinarian will review the screen to determine if ISDA assistance is needed. Direct assistance from ISDA will be dependent on the severity and size of the herd as well as the availability of ISDA veterinarians.
Comment
-
Confirmed Cases of HPAI in Domestic Livestock
*Data updated weekdays by 4 pm ET.
...
State Species Date confirmed by NVSL
Idaho Dairy Milking Cattle 5/16/2024
Idaho Dairy Milking Cattle 5/14/2024
Idaho Dairy Milking Cattle 5/11/2024
Idaho Dairy Milking Cattle 5/7/2024
Idaho Dairy Milking Cattle 4/19/2024
Idaho Dairy Milking Cattle 4/1/2024
Comment
-
NEW OUTBREAKS
OB_134663 - ID 005 - JEROME COUNTY
OUTBREAK REFERENCE
ID 005
START DATE
2024/05/08
END DATE
DETAILED CHARACTERISATION
FIRST ADMINISTRATIVE DIVISION
Idaho
SECOND ADMINISTRATIVE DIVISION
Jerome
THIRD ADMINISTRATIVE DIVISION
EPIDEMIOLOGICAL UNIT
Farm
LOCATION
Jerome County
Latitude, Longitude
42.727 , -114.516
OUTBREAKS IN CLUSTER
MEASURING UNIT
Animal
AFFECTED POPULATION DESCRIPTION
A commercial dairy premises. Clinical signs in lactating cattle included a drop in milk production. SpeciesSusceptibleCasesDeathsKilled and Disposed ofSlaughtered/ Killed for commercial useVaccinated Bovine (DOMESTIC)NEW------TOTAL------
METHOD OF DIAGNOSTIC
Clinical, Diagnostic test
OB_134662 - ID 004 - JEROME COUNTY
OUTBREAK REFERENCE
ID 004
START DATE
2024/05/05
END DATE
DETAILED CHARACTERISATION
FIRST ADMINISTRATIVE DIVISION
Idaho
SECOND ADMINISTRATIVE DIVISION
Jerome
THIRD ADMINISTRATIVE DIVISION
EPIDEMIOLOGICAL UNIT
Farm
LOCATION
Jerome County
Latitude, Longitude
42.727 , -114.517
(Approximate location)
OUTBREAKS IN CLUSTER
MEASURING UNIT
Animal
AFFECTED POPULATION DESCRIPTION
A commercial dairy premises. Clinical signs in lactating cattle included a drop in milk production, mastitis, decrease in feed intake and abnormal manure. SpeciesSusceptibleCasesDeathsKilled and Disposed ofSlaughtered/ Killed for commercial useVaccinated Bovine (DOMESTIC)NEW------TOTAL------
METHOD OF DIAGNOSTIC
Clinical, Diagnostic test
https://wahis.woah.org/#/in-review/4451
Comment
-
Highly Pathogenic Avian Influenza Detected in Idaho Cattle
The Idaho State Department of Agriculture (ISDA), has confirmed highly pathogenic avian influenza (HPAI) in eight dairy cattle operations including; Minidoka, Cassia, and Jerome Counties.
These are the only confirmed cases of HPAI in dairy cattle operations in Idaho. It is suggested the virus is transmitted from cow-to-cow, in addition to reports indicating cattle acquire the virus from infected birds. The primary concern with an HPAI diagnosis in dairy cattle is on-dairy production losses, as the disease has been associated with decreased milk production.
...'
For general questions contact Animal Industries For media inquiries, contact Sydney Kennedy by email at media@isda.idaho.gov or phone at 208-332-8507 Highly Pathogenic Avian Influenza Detected in Idaho Cattle The Idaho State Department of Agriculture (ISDA), has identified highly pathogenic avian influenza (H5N1) in dairy cattle operations. The table below shows the counties with current quarantines […]
Comment
-
- Alpacas
Last Modified: May 28, 2024
The National Veterinary Services Laboratories (NVSL) confirmed the detection of Highly Pathogenic Avian Influenza (HPAI) H5N1 in alpacas from a premises where HPAI-affected poultry were depopulated in May 2024. While this HPAI confirmation is not unexpected due to the previous HPAI detection on the premises, the high amount of virus in the environment, and co-mingling of multiple livestock species on-farm, it is the first HPAI detection in alpacas.
NVSL has confirmed that the viral genome sequence for these samples is the same sequence currently circulating in dairy cattle (B3.13), which is consistent with sequences from the depopulated poultry on this premises. (NVSL PCR confirmation was completed on May 16. APHIS reported the confirmation to the World Organisation for Animal Health and on the HPAI livestock website upon completion of additional gene sequencing, per APHIS policy for disease detections in new species.)
Comment
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Alpacas infected with H5N1 avian flu in Idaho
Lisa Schnirring
47 minutes ago.
The US Department of Agriculture (USDA) Animal and Plant Health Inspection Service (APHIS) today announced that tests have confirmed highly pathogenic H5N1 avian influenza in alpacas at an Idaho farm where the virus had struck a poultry flock.
The detection marks the first positive findings in alpacas, which are members of the camelid family.
Detection of the virus in the alpacas isn't unexpected due to the high amount of virus in the environment and the comingling of multiple livestock species on the farm, APHIS said.
The detection of the virus in farm animals on an affected poultry farm is similar to the H5N1 detection in baby goats at a Minnesota farm that experienced a poultry outbreak.
Virus found in 4 of farm's 18 alpacas
Genetic sequencing at the USDA's National Veterinary Services Laboratory (NVSL) reveals that the virus that infected the alpacas is the same B3.13 H5N1 genome circulating in dairy cows and is also the same genotype that infected poultry at the Idaho farm.
APHIS said the poultry on the Idaho farm were depopulated this month.
According to a notification from the World Organization for Animal Health, the alpacas and poultry were from a backyard farm in Jerome County. The virus was detected in 4 of the farm's 18 alpacas. The report said the alpacas had close contact with the infected birds.
H5N1 found in New Mexico feral cats
In other developments, US officials also reported H5N1 in two feral cats found dead in Curry County, New Mexico, according to a WOAH notification. A local veterinarian submitted the cats for testing because there were H5N1-affected dairy farms in Curry County.
However, the cats' location wasn't directly related to a dairy or poultry farm with a known H5N1 outbreak.
Detections of H5N1 in cats at dairy farms experiencing outbreaks have recently been reported in multiple states.
H5N1 strikes another Michigan dairy farm
The Michigan Department of Agriculture and Rural Development (MDARD) today said tests have confirmed H5N1 in another herd in Clinton County. Tests were conducted at the Michigan State University Veterinary Diagnostic Laboratory, and samples will be sent to the USDA's NVSL for additional confirmation.
The positive test marks the third outbreak in Clinton County and Michigan's 22nd such outbreak in dairy cattle.
Nationally, H5N1 has been detected in 67 dairy herds across nine states. In an update today, the USDA added 3 more detections—one each from Idaho, Texas, and Michigan.
Comment
-
United States of America - Influenza A viruses of high pathogenicity (Inf. with) (non-poultry including wild birds) (2017-) - Follow up report 52
NEW OUTBREAKS
OB_134788 - ID 007 - JEROME COUNTY
OUTBREAK REFERENCE
ID 007
START DATE
2024/05/10
END DATE
DETAILED CHARACTERISATION
FIRST ADMINISTRATIVE DIVISION
Idaho
SECOND ADMINISTRATIVE DIVISION
Jerome
THIRD ADMINISTRATIVE DIVISION
EPIDEMIOLOGICAL UNIT
Backyard
LOCATION
Jerome County
Latitude, Longitude
42.727 , -114.515
(Approximate location)
\OUTBREAKS IN CLUSTER
MEASURING UNIT
Animal
AFFECTED POPULATION DESCRIPTION
Domestic alpacas (Vicugna pacos) with close contact to HPAI infected birds on an HPAI affected backyard WOAH-poultry premises. Additional testing is ongoing to determine if this is multifactorial. SpeciesSusceptibleCasesDeathsKilled and Disposed ofSlaughtered/ Killed for commercial useVaccinated Camelidae (DOMESTIC)NEW184----TOTAL184----
METHOD OF DIAGNOSTIC
Clinical, Diagnostic test
CONTROL MEASURES DIFFERENT FROM EVENT LEVEL
OB_134787 - ID 009 - CASSIA COUNTY
OUTBREAK REFERENCE
ID 009
START DATE
2024/05/17
END DATE
DETAILED CHARACTERISATION
FIRST ADMINISTRATIVE DIVISION
Idaho
SECOND ADMINISTRATIVE DIVISION
Cassia
THIRD ADMINISTRATIVE DIVISION
EPIDEMIOLOGICAL UNIT
Farm
LOCATION
Cassia County
Latitude, Longitude
42.534 , -113.789
(Approximate location)
OUTBREAKS IN CLUSTER
MEASURING UNIT
Animal
AFFECTED POPULATION DESCRIPTION
A commercial dairy premises. Clinical signs in lactating cattle included a drop in milk production. SpeciesSusceptibleCasesDeathsKilled and Disposed ofSlaughtered/ Killed for commercial useVaccinated Bovine (DOMESTIC)NEW------TOTAL------
METHOD OF DIAGNOSTIC
Clinical, Diagnostic test
CONTROL MEASURES DIFFERENT FROM EVENT LEVEL
OB_134786 - ID 008 - CASSIA COUNTY
OUTBREAK REFERENCE
ID 008
START DATE
2024/05/15
END DATE
DETAILED CHARACTERISATION
FIRST ADMINISTRATIVE DIVISION
Idaho
SECOND ADMINISTRATIVE DIVISION
Cassia
THIRD ADMINISTRATIVE DIVISION
EPIDEMIOLOGICAL UNIT
Farm
LOCATION
Cassia County
Latitude, Longitude
42.534 , -113.79
(Approximate location)
OUTBREAKS IN CLUSTER
MEASURING UNIT
Animal
AFFECTED POPULATION DESCRIPTION
A commercial dairy premises. Clinical signs in lactating cattle included a drop in milk production. SpeciesSusceptibleCasesDeathsKilled and Disposed ofSlaughtered/ Killed for commercial useVaccinated Bovine (DOMESTIC)NEW------TOTAL------
METHOD OF DIAGNOSTIC
Diagnostic test, Clinical
CONTROL MEASURES DIFFERENT FROM EVENT LEVEL
OB_134785 - ID 006 - MINIDOKA COUNTY
OUTBREAK REFERENCE
ID 006
START DATE
2024/05/11
END DATE
DETAILED CHARACTERISATION
FIRST ADMINISTRATIVE DIVISION
Idaho
SECOND ADMINISTRATIVE DIVISION
Minidoka
THIRD ADMINISTRATIVE DIVISION
EPIDEMIOLOGICAL UNIT
Farm
LOCATION
Minidoka County
Latitude, Longitude
42.619 , -113.677
(Approximate location)
OUTBREAKS IN CLUSTER
MEASURING UNIT
Animal AFFECTED POPULATION DESCRIPTION
A commercial dairy premises. SpeciesSusceptibleCasesDeathsKilled and Disposed ofSlaughtered/ Killed for commercial useVaccinated Bovine (DOMESTIC)NEW------TOTAL------
METHOD OF DIAGNOSTIC
Diagnostic test
-
Comment
-
HPAI in Cattle
For general questions contact Animal Industries
For media inquiries, contact Sydney Kennedy by email at media@isda.idaho.gov or phone at 208-332-8507
Highly Pathogenic Avian Influenza Detected in Idaho Cattle
The Idaho State Department of Agriculture (ISDA), has identified highly pathogenic avian influenza (HPAI) in 18 dairy cattle operations in Cassia, Jerome and Minidoka County.
These are the only confirmed cases of HPAI in dairy cattle operations in Idaho. It is suggested the virus is transmitted from cow-to-cow, in addition to reports indicating cattle acquire the virus from infected birds. The primary concern with an HPAI diagnosis in dairy cattle is on-dairy production losses, as the disease has been associated with decreased milk production.
...
For general questions contact Animal Industries For media inquiries, contact Sydney Kennedy by email at media@isda.idaho.gov or phone at 208-332-8507 Highly Pathogenic Avian Influenza Detected in Idaho Cattle The Idaho State Department of Agriculture (ISDA), has identified highly pathogenic avian influenza (H5N1) in dairy cattle operations. The table below shows the counties with current quarantines […]
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