Pathfinder
Editor, Senior Moderator
Why a leading bird flu expert isn’t convinced that the risk H5N1 poses to people has declined
By Helen Branswell April 5, 2024
...STAT turned to Dutch virologist Ron Fouchier, a leading expert on H5N1, for his assessment of these latest twists in the H5 saga.
...
Of course, when we see this virus in a milking farm and you see incredibly high virus load in some milk cows and their milk, that is a new risk. Because I’m not sure how familiar you are with the milking procedures, but there’s very little that people do to prevent human contact with milk. During the milking process, there’s massive generation of aerosol formation. If you have high amounts of aerosol with virus, the chances increase that you will get conjunctivitis.
There’s very little hygiene to protect the farmers that are milking.
If people aren’t washing their hands a lot and somebody’s infected with conjunctivitis, you could see how that could spread, couldn’t you?
When we had an outbreak of [H7N7] bird flu in the Netherlands in 2003, we had 89 cases of human infection.
Is that when a veterinarian died?
Yes. The majority of cases then were conjunctivitis cases. There were very few respiratory illnesses, except for that one fatal case. But the cases of conjunctivitis were linked to direct contact with poultry, and not with human-to-human transmission.
There was only one investigation where two household members got conjunctivitis, and they shared a towel to wash their face. I think it is not very likely that you will see massive spread of conjunctivitis due to avian influenza. I don’t think that it’s likely that it will spread human to human. It’s more likely that it will spread from the animal source into humans.
...
Full conversation:
https://www.statnews.com/2024/04/05/bird-flu-ron-fouchier-h5n1-risk-to-people/
By Helen Branswell April 5, 2024
...STAT turned to Dutch virologist Ron Fouchier, a leading expert on H5N1, for his assessment of these latest twists in the H5 saga.
...
Of course, when we see this virus in a milking farm and you see incredibly high virus load in some milk cows and their milk, that is a new risk. Because I’m not sure how familiar you are with the milking procedures, but there’s very little that people do to prevent human contact with milk. During the milking process, there’s massive generation of aerosol formation. If you have high amounts of aerosol with virus, the chances increase that you will get conjunctivitis.
There’s very little hygiene to protect the farmers that are milking.
If people aren’t washing their hands a lot and somebody’s infected with conjunctivitis, you could see how that could spread, couldn’t you?
When we had an outbreak of [H7N7] bird flu in the Netherlands in 2003, we had 89 cases of human infection.
Is that when a veterinarian died?
Yes. The majority of cases then were conjunctivitis cases. There were very few respiratory illnesses, except for that one fatal case. But the cases of conjunctivitis were linked to direct contact with poultry, and not with human-to-human transmission.
There was only one investigation where two household members got conjunctivitis, and they shared a towel to wash their face. I think it is not very likely that you will see massive spread of conjunctivitis due to avian influenza. I don’t think that it’s likely that it will spread human to human. It’s more likely that it will spread from the animal source into humans.
...
Full conversation:
https://www.statnews.com/2024/04/05/bird-flu-ron-fouchier-h5n1-risk-to-people/
