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Michigan - Avian flu in mammals and livestock 2024-2025

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  • Pathfinder
    replied
    ...
    Current Status in Michigan's Domestic Animals

    As detections of highly pathogenic avian influenza continue to be discovered throughout the state, it remains vital for every producer to take steps to protect their animals.

    Cases of the disease continue to be found in Michigan’s wild birds and mammals. The virus was also recently detected in Michigan dairy cattle. It is just as important now as it was at the start of the HPAI outbreak in February 2022 for producers to take every step possible to protect domestic animals from wildlife and the germs they could be carrying.

    Since the outbreak began in February 2022, HPAI has been detected in domestic birds from Bay, Branch, Cass, Eaton, Genessee, Gratiot, Ingham, Ionia, Kalamazoo, Lapeer, Livingston, Macomb, Menominee, Montmorency, Muskegon, Newaygo, Oakland, Ottawa, Saginaw, Sanilac, Tuscola, Washtenaw, and Wexford counties.

    In April 2024, the disease has also been detected in dairy cattle from Barry, Ionia, Isabella, Montcalm and Ottawa counties.

    MDARD is continuing to work diligently with local, state, and federal partners to quickly respond to reports of sick animals and provide the latest information to producers, industry, and other key stakeholders. Stay up to date with the latest information by signing up to receive notifications on HPAI in Michigan.

    Map of the lower peninsula of Michigan depicting locations of HPAI outbreak (centered on West Michigan)2024 HPAI Detections by
    County: click to download PDF




    Leave a comment:


  • Pathfinder
    commented on 's reply
    More from this report:

    Excerpt:

    NEW OUTBREAKS

    OB_134529 - MI 007 - BARRY COUNTY
    Michigan
    Barry County
    Farm
    A commercial dairy premises. Clinical signs in lactating cattle included a drop in milk production and colostrum-like milk.
    ---------------------------------------------
    OB_134532 - MI 010 - GRATIOT COUNTY
    Michigan
    Gratiot County
    Farm
    A commercial dairy premises. Clinical signs in lactating cattle included a drop in milk production, fever, decreased rumination and thick yellow milk.
    ---------------------------------------------
    OB_134531 - MI 009 - ISABELLA COUNTY
    Michigan
    Isabella County
    Farm
    A commercial dairy premises. Clinical signs in lactating cattle included a drop in milk production, diarrhea, fever and creamy milk.
    -----------------------------------------------
    OB_134530 - MI 008 - IONIA COUNTY
    Michigan
    Ionia County
    Farm
    A commercial dairy premises. Clinical signs in lactating cattle included a drop in milk production, thick milk and fever
    ------------------------------------
    UPDATED OUTBREAKS

    OB_134125 - MI 005 - ISABELLA COUNTY
    Michigan
    Isabella County
    Farm
    A commercial dairy premises. Clinical signs in lactating cattle included a drop in milk production. HPAI H5N1clade 2.3.4.4b was also detected in a feral barn cat (Felis catus) on the affected dairy premises.
    -------------------------
    OB_134123 - MI 003 - IONIA COUNTY
    Michigan
    Ionia County
    Farm
    A commercial dairy premises. Clinical signs in lactating cattle included a drop in milk production. HPAI H5N1 clade 2.3.4.4b was also detected in two wild Virginia opossums (Didelphis virginiana) and a feral barn cat (Felis catus) on the affected dairy premises.

  • Lance
    replied
    OB_134527 - IONIA COUNTY

    OUTBREAK REFERENCE

    START DATE
    2024/04/24

    END DATE

    DETAILED CHARACTERISATION

    FIRST ADMINISTRATIVE DIVISION
    Michigan

    SECOND ADMINISTRATIVE DIVISION
    onia

    THIRD ADMINISTRATIVE DIVISION

    EPIDEMIOLOGICAL UNIT
    Not applicable

    LOCATION
    Ionia County

    Latitude, Longitude
    42.983 , -85.064

    (Approximate location)

    OUTBREAKS IN CLUSTER

    MEASURING UNIT
    Animal

    AFFECTED POPULATION DESCRIPTION
    Wild red foxes (Vulpes vulpes). Animals were found dead on an HPAI affected poultry premises. SpeciesSusceptibleCasesDeathsKilled and Disposed ofSlaughtered/ Killed for commercial useVaccinated Red Fox (WILD)
    WildNEW-55---TOTAL-55---

    METHOD OF DIAGNOSTIC
    Diagnostic test

    Leave a comment:


  • Pathfinder
    replied
    Highly Pathogenic Avian Influenza Detected in New Michigan Dairy Herds

    Author:
    Chelsea Lewis-Parisio
    MDARD Media Contact
    LewisC31@Michigan.gov
    517-331-1151

    Jennifer Holton
    MDARD Media Contact
    HoltonJ@Michigan.gov
    517-284-5724


    May 10, 2024

    Today, Michigan Department of Agriculture and Rural Development (MDARD) Director Tim Boring announced the detection of highly pathogenic avian influenza (HPAI) in dairy herds in Allegan, Clinton, Gratiot, Ingham counties and an additional herd in Isabella. The Michigan State University Veterinary Services Laboratories confirmed these detections. Samples have been sent to the U.S. Department of Agriculture’s (USDA) National Veterinary Services Laboratory for additional confirmatory testing.

    Regardless of species, biosecurity remains the best tool available to combat HPAI. On May 1, 2024, Director Boring issued the “Determination of Extraordinary Emergency HPAI Risk Reduction and Response” Order. In addition to other protocols, the order requires all dairy operations in Michigan to adopt enhanced biosecurity measures, collectively reducing the risk of introducing this virus on to farms. On May 3, 2024, additional guidance was issued to help producers enact these requirements, which went into effect on May 8, 2024.
    In addition to these requirements, following a few key steps can also be fundamental to protecting the health and vitality of Michigan's dairy cattle:
    • Delay or stop incoming or returning animals from herds with unknown or suspect health status.
    • Isolate all animals that are new or returning to your farm.
    • Monitor the health of your animals daily.
    • Contact your veterinarian if there are ever any animal health-related concerns or if you would like to develop a secure food supply plan.
    • Sick animals should have dedicated equipment and be cared for after tending to healthy animals first.
    • Clothing, footwear, and equipment worn/used around sick animals should not be worn/used around other animals until they are cleaned and disinfected. Use an EPA-registered disinfectant effective against avian influenza.
    • Do not share tools, equipment, trailers, etc. with other farms.
    • Clean and disinfect the interiors of trailers used to haul animals from other operations.
    • Limit non-essential visitors to your farm.
    • If individuals have recently been on a poultry farm, they should not visit a dairy operation, and vice versa.
    • Require or provide clean clothing and footwear to those entering your farm.
    • Use hand-washing stations and provide gloves to those working on your farm.
    As part of the disease response, MDARD is working with the herd's veterinarian to monitor the health of the animals and conduct trace investigations. MDARD continues diligently working with local, state, and federal partners to quickly respond to reports of HPAI to mitigate the spread of the disease and provide outreach.
    ###


    Michigan Department of Agriculture and Rural Development: HPAI ALERT – Highly Pathogenic Avian Influenza Detected in New Michigan Dairy Herds

    Leave a comment:


  • Treyfish
    replied
    5 new dairy cow herds contract bird flu in Michigan




    THE BLADE
    Got a news tip? 419-724-6050
    citydesk@theblade.com

    MAY 10, 2024

    3:49 PM
    0
    Five more dairy herds in Michigan have been diagnosed with bird flu, according to an announcement made Friday by Tim Boring, the director of the Michigan Department of Agriculture and Rural Development.

    The herds are located in Allegan, Clinton, Gratiot, and Ingham counties with an additional herd in Isabella County. That brings the total count to ten herds in Michigan diagnosed with H5N1.

    “Significant collaborative work is currently underway in Michigan and across the nation to better understand how the virus is spreading within and across herds. MDARD, the MSU Veterinary Diagnostic Laboratory and epidemiologists from the College of Veterinary Medicine are partnering to gather information that will guide the local and national response to the ongoing outbreak. As these studie...

    LANSING — Five more dairy herds in Michigan have been diagnosed with bird flu, according to an announcement Friday by Tim Boring, director of the Michigan ...

    Leave a comment:


  • Pathfinder
    replied
    Highly Pathogenic Avian Influenza Preparedness and Resources

    May 10, 2024 Member News

    News of Highly Pathogenic Avian Influenza (HPAI) H5N1, commonly referred to as bird flu, is spreading across the country with concerns for animal-to-human transmission. The MHA and its partners are monitoring the situation closely with data and resources available:
    • HPAI was confirmed in Michigan on March 29, 2024, and has been detected within 10 cattle farms and six poultry facilities across the state.
    • Only one human case of HPAI has been identified so far, in an individual in Texas, and transmission risk remains low risk to the general public.
    • Natasha Bagdasarian, chief medical executive for the State of Michigan, released a Public Health Bulletin on May 6 with information about the current situation, five action items and additional resources.
    • According to the USDA, commercial dairy products remain safe for consumption due to the pasteurization process. There is limited information available about whether HPAI can be transmitted through consumption of raw milk, however it is understood that unpasteurized milk can pose serious health risks to consumers due to the presence of other dangerous microorganisms such as Campylobacter, E. coli and Salmonella. The Michigan Department of Health and Human Services released a Raw Milk Risks document, which can be printed and shared.
    • Members should refer to the April 24 MI HAN “Clinical Recommendations: Highly Pathogenic Avian Influenza A(H5N1) Virus” for more information, as well as the April 5 CDC Health Advisory.
    • Hospital infection prevention and control and infectious disease providers are encouraged to use the new HPAI Playbook released by the Association for Professionals in Infection Control and Epidemiology for additional information on identification, patient care, occupational health, outreach considerations and other supplemental resources.

    Members with questions may contact Kelsey Ostergren at the MHA.

    https://www.mha.org/newsroom/highly-...neral%20public.

    Leave a comment:


  • Pathfinder
    replied
    Confirmed Cases of HPAI in Domestic Livestock

    *Data updated weekdays by 4 pm ET.
    ...​
    State Species Date confirmed by NVSL

    Excerpt:

    Michigan Dairy Milking Cattle 5/8/2024
    Michigan Dairy Milking Cattle 5/8/2024
    Michigan Dairy Milking Cattle 5/8/2024
    Michigan Dairy Milking Cattle 5/8/2024

    Michigan Dairy Milking Cattle 4/17/2024
    Michigan Dairy Milking Cattle 4/15/2024
    Michigan Dairy Milking Cattle 4/12/2024
    Michigan Dairy Milking Cattle 4/12/2024
    Michigan Dairy Milking Cattle 4/5/2024
    Michigan Dairy Milking Cattle 3/29/2024

    https://www.aphis.usda.gov/livestock...ions/livestock

    Leave a comment:


  • Pathfinder
    replied
    Detections of Highly Pathogenic Avian Influenza in Mammals

    Last Modified: May 07, 2024
    ...

    State County Date Collected Date Detected HPAI Strain Species

    Michigan Ionia 04/24/2024 05/03/2024 EA H5N1 Red fox
    Michigan Ionia 04/24/2024 05/03/2024 EA H5N1 Red fox
    Michigan Ionia 04/24/2024 05/03/2024 EA H5N1 Red fox
    Michigan Ionia 04/24/2024 05/03/2024 EA H5N1 Red fox
    Michigan Ionia 04/24/2024 05/03/2024 EA H5N1 Red fox
    Michigan Ionia 04/21/2024 04/26/2024 EA H5N1 Virginia opossum
    Michigan Ionia 04/22/2024 04/26/2024 EA H5N1 Virginia opossum
    ...

    View the latest information on detections of highly pathogenic avian influenza (HPAI) in mammals.

    Leave a comment:


  • sharon sanders
    replied
    from above report in Michigan

    OB_134222 - MI 006 - IONIA COUNTY

    OUTBREAK REFERENCE


    MI 006

    START DATE


    2024/04/07

    END DATE


    - DETAILED CHARACTERISATION


    - FIRST ADMINISTRATIVE DIVISION


    Michigan

    SECOND ADMINISTRATIVE DIVISION


    Ionia

    THIRD ADMINISTRATIVE DIVISION


    - EPIDEMIOLOGICAL UNIT


    Farm

    LOCATION


    Ionia County Latitude, Longitude


    42.982 , -85.059

    (Approximate location)

    OUTBREAKS IN CLUSTER


    - MEASURING UNIT


    Animal

    AFFECTED POPULATION DESCRIPTION


    A commercial dairy premises. Clinical signs in lactating cattle included decreased rumination and thick, yellow milk. SpeciesSusceptibleCasesDeathsKilled and Disposed ofSlaughtered/ Killed for commercial useVaccinated Bovine (DOMESTIC)NEW------TOTAL------

    METHOD OF DIAGNOSTIC


    Clinical, Diagnostic test

    CONTROL MEASURES DIFFERENT FROM EVENT LEVEL


    MEASURES NOT IMPLEMENTED

    Leave a comment:


  • Lance
    replied
    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
    EPIDEMIOLOGICAL COMMENTS
    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 test
    Real-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​

    Leave a comment:


  • Lance
    replied
    United States of America - Influenza A viruses of high pathogenicity (Inf. with) (non-poultry including wild birds) (2017-) - Follow up report 47


    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 47

    REPORT ID
    FUR_167004

    REPORT REFERENCE- REPORT DATE
    2024/04/19

    REPORT STATUS
    Validated

    NO EVOLUTION REPORT

    EPIDEMIOLOGY

    SOURCE OF EVENT OR ORIGIN OF INFECTION
    • Contact with wild species
    • Unknown or inconclusive
    EPIDEMIOLOGICAL COMMENTS
    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.

    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------TOTAL-752-- 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-1----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-1----TOTAL1652461495300

    DIAGNOSTIC DETAILS

    CLINICAL SIGNS
    YES

    METHOD OF DIAGNOSTIC
    Clinical, Diagnostic test
    Real-time reverse transcription polymerase chain reaction (rRT-PCR) National Veterinary Services Laboratories (NVSL), Ames, Iowa Harbor Seal,American marten,Bottlenose dolphin,Domestic cat,Amur Leopard,Racoon (Northern raccoon),Puma,Fisher,American Black Bear (black bear),Tiger,Cats,Brown bear (Grizzly Bear),Bobcat,Gray Seal,Virginia Opossum,Striped Skunk,Coyote,Red Fox,American Mink,Abert's squirrel,Bovine,North American river otter,Polar Bear,Goats 207 2022/05/05 2024/04/17 Positive



    NEW OUTBREAKS

    OB_134125 - MI 005 - ISABELLA COUNTY

    OB_134123 - MI 003 - IONIA COUNTY

    OB_134124 - MI 004 - OTTAWA COUNTY

    OB_134126 - KS 004 - STEVENS COUNTY

    OB_134128 - NM 007 - CURRY COUNTY

    OB_134129 - TX 012 - HARTLEY COUNTY​

    Leave a comment:


  • Pathfinder
    replied
    MDHHS, MDARD remind Michiganders about risks of consuming raw (unpasteurized) milk and milk products

    April 17, 2024

    The Michigan Department of Health and Human Services (MDHHS) and Michigan Department of Agriculture and Rural Development (MDARD) are reminding residents of the risks associated with consuming raw (unpasteurized) milk amid the current Highly Pathogenic Avian Influenza (HPAI) outbreak affecting dairy cow herds. This virus has the potential to spread to humans, with one case reported this year in Texas.

    “Anyone can get sick from drinking raw milk, but children under age 5, adults over age 65 and those with weakened immune systems are more at risk for getting sick,” said Dr. Natasha Bagdasarian, chief medical executive. “Now that HPAI is infecting both cows and birds, it’s important to make sure that you are consuming food that is safe, including ensuring that the milk products you eat or drink are pasteurized.”

    Pasteurized milk is extremely safe and has undergone a heating process which kills disease-causing germs like Campylobacter, E. coli and Salmonella. People who consume raw (or unpasteurized) milk, cheeses and other dairy products like ice cream created from raw milk are at risk for a variety of illnesses. Only pasteurized milk is sold in stores and provided to children in school lunches.

    People can get ill from the same source and product of raw milk they drank previously – milk that someone consumes from the same farm over a duration of time may not always be safe. Raw milk can get contaminated in many ways. While good safety practices can reduce the chance of germs getting in raw milk, they cannot eliminate risk.

    The Food and Drug Administration does not currently have concerns about the safety or availability of pasteurized milk products nationwide. Pasteurization has continually proven to inactivate bacteria and viruses, like influenza viruses, in milk and is required for any milk entering interstate commerce.

    The Centers for Disease Control and Prevention recommends taking the following steps to reduce risk:
    • Choose pasteurized milk and dairy products.
    • Refrigerate milk, dairy products and other perishable food at 40⁰F or colder.
    • Throw away expired food, including milk and dairy products.

    For more information, visit CDC.gov/foodsafety/rawmilk.

    ###​

    Leave a comment:


  • Michigan - Avian flu in mammals and livestock 2024-2025


    Dairy cows.

    Please see: Dairy cows test positive for H5N1 avian flu in Texas, Kansas, Idaho, Michigan, New Mexico, Ohio, North Carolina, South Dakota - March 24+ One Texas human case April 1 zz0.1660pfkmko4zz
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