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Discussion thread: H5N1 avian flu in US dairy cows including human cases (poultry, dairy workers) - March 24, 2024 +

There are some media stories saying that people are drinking raw milk on purpose to get some low level of H5N1 exposure in the hope that this will lead to antibody protection against a future human pandemic strain of the virus.

This is not guaranteed to work. Cross immunity is a tricky thing. Meanwhile, there are real risks to drinking unpasturized milk.

FluTrackers has never recommended "flu parties" or any type of purposeful exposure to any illness.

If you have any medical questions, contact your medical practitioner. Do not take medical advice from the internet.
 
U.S. dairy flu strain shows signs of being a different beast
...
By Jeff Melchior, Stew Slater
Reading Time: 4 minutes
Published: 16 hours ago
Dairy Cattle, News

...
Dr. Jean-Pierre Vaillaincourt, an epidemiologist with University of Montreal’s Faculty of Veterinary Medicine, says influenza A virus doesn’t spread readily in feces, so chances are low that geese or ducks could infect cows during a fly-over. It also doesn’t spread easily through nasal droplets so the likelihood is low that cows would spread the virus to other cows.

... Vaillaincourt thinks an infected bird with access to cattle housing or feeding areas likely contaminated either feed or water in the U.S. dairy incidents.
...
“Water will be a big (subject of investigation),” Vaillaincourt said. “In non-treated water, this virus could survive for weeks.”
...
https://www.albertafarmexpress.ca/l...train-shows-signs-of-being-a-different-beast/

 
CDC - Influenza A Virus Wastewater Data (Updated May 14, 2024)

Influenza A Virus Wastewater Data


Print
Updated May 14, 2024

Main Findings from Wastewater Surveillance
  • During the two most recent weeks (April 21-May 4), a total of 230 of 674 sites in 34 states reported data meeting criteria for analysis for influenza virus A in both weeks or either week, and 3 (1%) sites from three states were at the high level (>80[SUP]th[/SUP] percentile compared to levels recorded at that site between October 1, 2023 and March 2, 2024).
Wastewater and the Current Outbreak of Influenza A (H5N1) in birds, cattle, and other animals:
  • Current wastewater monitoring methods detect influenza A viruses but do not determine the subtype. This means that avian influenza A(H5N1) viruses can be detected but would not be distinguished from other influenza A virus subtypes.
  • Wastewater testing cannot determine the source of the influenza A virus. It could come from a human or from an animal (like a bird) or an animal product (like milk from an infected cow).
  • Public health officials at CDC and state and local health departments are monitoring these data. For areas where influenza A virus levels in wastewater are high, CDC works with relevant partners to better understand the factors that could be contributing to these levels.
  • Efforts to monitor influenza A virus activity using wastewater data are likely to evolve as the methodologies and interpretation are evaluated and refined.
  • For the latest information on H5N1, and what you can do to protect yourself, visit H5N1 Bird Flu: Current Situation. For the latest information on influenza activity in people, visit the Weekly U.S. Influenza Surveillance Report.
Number of Wastewater Sites with Data Meeting Criteria for Analysis Reporting Current High Influenza A Levels in Recent Two Weeks: 3 (1% of Total Sites)

Number of Sites with Data Meeting Criteria for Analysis Reporting Influenza A Wastewater Data in Past Two Weeks: 230

Influenza A in Wastewater – Site Level

This interactive map shows current site-level data for influenza A virus in wastewater. Each dot on the map represents a wastewater sampling site. Sites are categorized based on the current level of influenza A compared to the past levels at the same site during the 2023-2024 influenza season. When influenza A virus levels are at the 80th percentile or higher, CDC will work with relevant partners to better understand the factors that could be contributing to these levels.

Wastewater data for influenza A is available for the most recent two weeks:
  • April 21, 2024 – April 27, 2024
  • April 28, 2024 – May 4, 2024

Skip Over Map Container
Week2024-05-042024-04-27 Select a color from the legend to add or remove it from the map.
All data are preliminary and may change as more reports are received. Wastewater data does not distinguish between human and animal waste or by-products. Download Data (CSV)


...https://www.cdc.gov/nwss/wastewater-surveillance/Flu-A-data.html
 

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Expert Briefing Tomorrow: Bird Flu - How It’s Spreading, Risks to Humans, and How We Can Protect Ourselves


14-May-2024 8:00 AM EDT, by Johns Hopkins Bloomberg School of Public Health
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Newswise — A reminder that the Johns Hopkins Bloomberg School of Public Health will host an expert briefing for the media tomorrow, May 15, about the spread of avian influenza, the risks it poses to humans, and what we can do to protect ourselves.

According to the Centers for Disease Control and Prevention, H5N1 bird flu has become widespread in migratory birds, with smaller outbreaks in poultry, cows, and a recent case in a U.S. dairy worker. On April 26, the Food and Drug Administration announced that initial results from its commercial milk sampling study showed that one in five samples of milk sold in the U.S. contained traces of bird flu. The FDA says the commercial milk supply is safe because of pasteurization but that it is monitoring the situation.

The live briefing will take place from 11:30 a.m. to 12:00 p.m. EDT on Wednesday, May 15, via Zoom, and will feature two experts from the Bloomberg School of Public Health.

Meghan Davis, PhD, and Andrew Pekosz, PhD, will discuss:
  • What the threat of bird flu means for humans, including dairy farm and milk processing workers.
  • How bird flu is affecting eggs, chickens, livestock, and food supplies.
  • Bird flu’s recent infections in sea lions, sea elephants, and other marine mammals, as well as in cats on dairy farms.
  • How bird flu is spreading through dairy cattle and adapting to more effectively infect mammals.
  • How the virus can be treated in humans and what the public can do to stay safe.
Experts:
  • Meghan Davis, PhD, is an associate professor in the Department of Environmental Health and Engineering at the Johns Hopkins Bloomberg School of Public Health. A former dairy veterinarian, she uses One Health approaches to address diseases at the human-animal interface.
  • Andrew Pekosz, PhD, is a professor and vice chair of the W. Harry Feinstone Department of Molecular Microbiology and Immunology at the Johns Hopkins Bloomberg School of Public Health. He investigates the replication and disease potential of respiratory viruses, including influenza, SARS-CoV-2, and other emerging viruses.
Registration required: Please register here by 11:30 a.m. today, May 14, to receive the Zoom link and password for Wednesday’s briefing. Questions for the experts may be submitted via the registration form in advance or via chat during the briefing.

Questions about registering: Contact Abubakr Uqdah at AUqdah@burness.com.

###
​:tiphat:
https://www.newswise.com/articles/e...ks-to-humans-and-how-we-can-protect-ourselves
 
USDA, FDA turf battles hamper responses to outbreaks like H5N1 bird flu
May 14, 2024 HYACINTH EMPINADO/STAT WASHINGTON — On a bright June day in 2018, one of the nation’s top regulators waved groceries in the air, quizzing the secretary of agriculture on which agency is charged with monitoring different types of food.

Scott Gottlieb, the commissioner of the Food and Drug Administration at the time, grinned widely as he held liquid egg whites and a carton of eggs. The former is under the U.S. Department of Agriculture’s food safety purview. The eggs, under the FDA’s. The mood was jovial, winkingly acknowledging the complexity, and at times absurdity, in the way the government regulates food.

But in times of crisis, the splintered U.S. food regulation system is far from amusing. With an outbreak of the H5N1 bird flu spreading among dairy cattle, experts say that the longtime fractured nature of the U.S. food regulation system could hamper the federal response.

STAT interviewed more than 20 former agency officials and independent experts, many of whom described the relationship between the USDA and the FDA as being punctuated by tense turf battles. Some cited the recent history as a basis for their concern now over H5N1. In the past, the fragmented responsibilities between the FDA and sub-agencies within the USDA led to inefficient investigations and stunted surveillance testing in cases involving E. coli, salmonella, and tuberculosis. FURTHER READING H5N1 bird flu: Go deeper
Because H5N1 is currently an animal disease, it’s clearly the USDA’s responsibility to test cattle and get a handle on the outbreak. But already, public health experts are concerned that the scope of that agency’s testing​…
lots more..
:tiphat:
https://dataemia.com/2024/05/h5n1-bird-flu-outbreak-response-could-be-hampered-by-usda-fda-turf-war/
 
How did the opossums get H5N1? They do not drink cow's milk afaik. Fomite contact walking through barn excrement? Wild bird contact outside barn? Soil? Pond?


"....AFFECTED POPULATION DESCRIPTION
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...."

https://flutrackers.com/forum/forum...ammals-and-livestock-2024?p=990621#post990621
 
If true, in my opinion, this is awful and dangerous to the rest of the world


California’s ‘wellness’ devotees think raw milk infected with bird flu will ‘boost immunity’


As US dairy farms fight outbreaks of HN51 in cows, some believe unpasteurised, infected milk will act as a natural vaccine against the virus

Unpasteurised milk presents a risk at the best of times – but not in parts of woo-woo California, it seems.

Despite the US health authorities warning that raw milk may contain live H5N1 virus – linked to bird flu outbreaks across 46 dairy farms – some people are reported to be seeking more of it.

Just as some alternative health devotees swear by the insertion of jade eggs where the sun don’t shine, others in the same cohort now believe that drinking milk contaminated with live H5N1 may actually be good for you.

-- more here -
:tiphat: https://telegraph.co.uk/global-heal...-unpasteurised-h5n1-infected-milk-california/
 
From:
"FluTrackers" <flutrackers@earthlink.net>
To: <media@hhs.gov>
Subject: Request from flutrackers.com to be reinstated to listserve (distribution list) for media events
Date: May 10, 2024 4:07 PM​


Dear HHS -

At one time we were on the media listserve (distribution list) for media advisories, press conferences, etc.

Please reinstate us.

Thank you!


Sincerely,

Sharon Sanders
Editor-in-Chief
FluTrackers.com



FluTrackers.com
@FluTrackers


FluTrackers was not invited to another joint USDA HHS media event
despite making a request to be added to the media listserve. #H5N1

:(
12:43 PM · May 16, 2024
 
Traces of bird flu have made it into store-bought milk in New England, but at very low levels.

Story by Adam Piore • 22h • 6 min read
...
The inactivated remnants of H5N1 virus, also known as bird flu, were identified in one of 40 samples of milk purchased from 20 local grocery stores and analyzed by the Broad Institute of MIT and Harvard on behalf of The Boston Globe.
...
To find out if H5N1 was present in local supermarkets, Globe staffers fanned out across Massachusetts, Rhode Island, and New Hampshire earlier this week, heading for the dairy sections of Star Market, Stop & Shop, Cumberland Farms, Whole Foods, Traders Joe’s, Shaws, Target, and a wide array of other stores.

They delivered the milk in coolers to Sabeti’s lab in Cambridge’s Kendall Square. After using specialized machines to extract any genetic material present and reproduce it 1 billion times, members of her lab then added fluorescent chemical particles that rendered any fragments of the H5N1 virus visible to a specialized camera, explained Elyse Stachler, a research scientist who led the genetic testing. Each sample underwent testing twice before technicians rendered their verdict. Some underwent a third test that was even more stringent.
...

https://www.msn.com/en-us/health/ot...very-low-levels/ar-BB1mAOm2?ocid=BingNewsSerp
 
:tiphat: All kinds of disturbing news…


HPAI dairy herd infection case report



Phil Durst, Michigan State University Extension - May 17, 2024

What happens in a dairy herd with HPAI? What should I expect if my herd became infected? This case report describes what one farmer has faced in the 15 days since herd infection began. May 1, 2024 marked day one of the onset of an outbreak of Highly Pathogenic Avian Influenza (HPAI) on one dairy farm in Michigan. The farmer, recognizing the potential benefit to other farmers, willingly shared this information and agreed to have official testing of his herd. This report is what was known and reported on day 15 of the HPAI infection in a herd of approximately 500 lactating cows. Prior to infection, the average cow production on this farm ranged from 95 to 100 lbs. per day.

Initial symptoms were detected with the SmaXtec monitoring boluses that they currently have in about 90% of lactating cows. The onset was manifested by a spike in body temperature of 4 to 5 degrees above normal, followed by a decrease in rumination 6 hours later. Rumination decreases were typically 8% or more in affected cows.

The temperature elevation lasted about two days, resulting in severe dehydration. The farm took an aggressive approach to supportive therapy, administering aspirin boluses twice a day to reduce temperature and inflammation and providing IV hypertonic fluids and Vitamin B in some cases. They tried IV Banamine on a limited number of cows but did not see any positive impact. Their goal is to make the cows as comfortable as possible.

It began in a barn with two pens of cattle that had three water fountains, the center one being shared. They wanted to try to confine the disease to a single group or at least a single barn. They changed their wash cycle in milking so that it washed after this group of cows. Regardless of their efforts, HPAI spread to all groups of lactating cattle on the farm.

For the first nine days, milk production per cow only decreased by about 5 lbs. and were optimistic they had beaten back the disease. However, by day 12 each cow was producing 21 lbs. less than average, accompanied by a doubling of somatic cell count to 180,000 c/ml. Cows were dehydrated with sunken eyes. Day 15 was the first day that the monitoring report showed fewer cows affected than the day before. Based on the number of cows with elevated temperatures and subtracting out the normal rate, they believe 40% of the lactating herd was infected.

The number of cows the farm employees needed to handle in some way had increased sixfold, making the work very labor intensive. They stopped breeding heifer and dry cows because of the demands working with sick cattle.

While pregnancy checks have not at this point shown a reduction in conception, a few late-lactating cows aborted their calves, likely due to high body temperatures. The disease primarily affected high-producing, multi-lactation cows and the low group. Transition cows seem to be performing normally at this point. Waste milk is pasteurized before feeding it to calves, and to date, the calves seem to be doing fine.

Employees have stayed healthy so far. The farmer encouraged them to wash their hands frequently and avoid touching their face and eyes. All employees were offered safety eyewear or face shields.

Clearly, by day 15, the full impact of the disease has not yet been felt. However, the farmer did some cost estimations. He has spent $5,000 – $7,500 in extra medical supplies. Even though the costs of these common medications are low, the volume needed has been quite high. There has been the loss of milk, loss of quality premium, increased labor and loss of a few pregnancies resulting in culling animals. He estimates the cost for this herd of approximately 500 cows at $30,000 – $40,000.

The owner of the farm in this case report understands that this does not include the potential longer-term costs. Another farmer said that some herds are seeing symptoms for four to six weeks. Additional negative impacts include increased culls of animals that do not recover significantly and increased weight gain of late lactation cows that recover feed intake but not milk output.

“It has been a lot of work, stressful on the cows and frankly overwhelming,” the farmer said.


As required by law, this farmer reported the disease to the Michigan Department of Agriculture and Rural Development (MDARD). He believes it is important for the industry to understand the disease. He knows that his is not the only farm to get HPAI and hopes that the more we can learn from his experience, the better we can prevent more herd infections, reduce the impact and potentially be better prepared against other diseases.

Michigan State University Extension is a leader in working with this and other farms regarding HPAI for the benefit of the dairy industry and provides resources at our animal agriculture and avian influenza websites.

This article was published by Michigan State University Extension. For more information, visit https://extension.msu.edu. To have a digest of information delivered straight to your email inbox, visit https://extension.msu.edu/newsletters. To contact an expert in your area, visit https://extension.msu.edu/experts, or call 888-MSUE4MI (888-678-3464).
​:tiphat:
https://www.canr.msu.edu/news/hpai-dairy-herd-infection-case-report
 
Here is a very good round table expert discussion podcast from the BU Center on Emerging Infectious Diseases, that is well worth listening to.

https://www.youtube.com/watch?v=o1vJV8BeK-g

As an additional point, something that was not adequately covered IMHO in this discussion is that - I believe - it is likely that the virus currently circulating in cattle is still very early in its adaptation cycle, especially given that it *appears* to be quite anomalous in terms of the way it is manifesting and transmitting (udders and milk) for a respiratory virus. I hope that the evolving genetics are being thoroughly tracked; a rapid rate of genetic change would tend to indicate that this hypothesis may be correct.

I suspect we may see emergence over time of a better adapted virus with increasing pathogenicity and mortality in cattle.
 
Influenza A Virus Wastewater Data

Updated May 17, 2024

Main Findings from Wastewater Surveillance

During the two most recent weeks, (April 28-May 11), a total of 245 of 696 sites reported data meeting criteria for analysis for influenza A virus for both weeks or for either week, and 4 (2%) sites from three states were at a high level (>80th percentile compared to levels recorded at that site between October 1, 2023 and March 2, 2024).

...
Current wastewater monitoring methods detect influenza A viruses but do not determine the subtype. This means that avian influenza A(H5N1) viruses can be detected but would not be distinguished from other influenza A virus subtypes.

Wastewater testing cannot determine the source of the influenza A virus. It could come from a human or from an animal (like a bird) or an animal product (like milk from an infected cow).

Public health officials at CDC and state and local health departments are monitoring these data. For areas where influenza A virus levels in wastewater are high, CDC works with relevant partners to better understand the factors that could be contributing to these levels.
...
Data Table
(Excerpt)

April 28, 2024 – May 4, 2024
...
Id:448 7 Illinois Kane Above Average 60.0 2024-05-04 11,290 2022-10-10
Id:320 7 Florida Pinellas Above Average 61.11 2024-05-04 47,790 2023-08-07
Id:13 8 Alaska Anchorage Above Average 70.37 2024-05-04 220,000 2023-05-24
Id:134 8 California Orange Above Average 70.45 2024-05-04 120,000 2022-12-21
Id:457 7 Illinois La Salle Above Average 63.33 2024-05-04 18,768 2022-10-09
Id:552 10 Kansas Saline High 97.78 2024-05-04 47,000 2022-08-08
Id:185 9 California Sonoma High 83.33 2024-05-04 65,000 2022-06-28
Id:152 9 California San Francisco, San Mateo High 83.33 2024-05-04 66,446 2022-12-29
Id:1857 9 Texas Dallas High 81.58 2024-05-04 186,000

...
--------------------------------------------------

May 5, 2024 – May 11, 2024
...

Id:319 7 Florida Pinellas Above Average 67.57 2024-05-11 94,218 2023-08-07
Id:1912 7 Texas Randall, Potter Above Average 63.64 2024-05-11 60,000 2022-12-07
Id:1910 8 Texas Montgomery Above Average 77.27 2024-05-11 15,000 2023-02-20
Id:185 8 California Sonoma Above Average 72.22 2024-05-11 65,000 2022-06-28
Id:1921-B 7 Texas Webb Above Average 68.29 2024-05-11 140,000 2022-12-12
Id:122 7 California Marin Above Average 63.04 2024-05-11 18,000 2022-08-08
Id:1378 7 New York Oswego Above Average 63.41 2024-05-11 30,000 2023-07-31
Id:152 7 California San Francisco, San Mateo Above Average 66.67 2024-05-11 66,446 2022-12-29
Id:136 7 California Placer Above Average 68.09 2024-05-11 108,444 2023-09-19
Id:174 7 California Santa Clara Above Average 69.14 2024-05-11 110,338 2023-02-21
Id:552 10 Kansas Saline High 93.33 2024-05-11 47,000

...​

https://www.cdc.gov/nwss/wastewater-surveillance/Flu-A-data.html
 
Updates on Highly Pathogenic Avian Influenza (HPAI)

Content current as of:
05/22/2024​...

What's New

May 20, 2024

In our May 10 update, we announced that all 297 samples from the FDA’s initial survey of retail dairy products were found to be negative for viable Highly Pathogenic H5N1 Avian Influenza (H5N1 HPAI) virus. Today, for continued transparency, the FDA is providing additional information on our retail sample survey (see Testing Results).
...

​Retail samples were collected between April 18-22 and represent a snapshot in time. This testing did not detect any live, infectious virus.

State Where Milk Was Processed (May Not Relate to Where Milk Was Produced)
Detection of Live Virus in Retail Product(s)
Number of Retail Product Samples Tested
Retail Product Samples Negative for Viral RNA (qRT-PCR Screening -)
Retail Product Samples Positive for Viral RNA (qRT-PCR Screening +)
Retail Product Sample Results for Live Virus (Viability Testing by Egg Inoculation)
ARNo5050
AZNo5410
CANo21210Not Performed (Negative qRT-PCR)
CONo8530
CTNo220Not Performed (Negative qRT-PCR)
FLNo10910
GANo880Not Performed (Negative qRT-PCR)
IANo11110Not Performed (Negative qRT-PCR)
IDNo440Not performed (Negative qRT-PCR)
ILNo550Not Performed (Negative qRT-PCR)
INNo9810
KSNo7160
KYNo4130
MANo440Not Performed (Negative qRT-PCR)
MENo220Not Performed (Negative qRT-PCR)
MINo13940
MNNo161330
MONo10730
NCNo5410
NDNo220Not Performed (Negative qRT-PCR)
NENo330Not Performed (Negative qRT-PCR)
NHNo110Not Performed (Negative qRT-PCR)
NJNo330Not Performed (Negative qRT-PCR)
NVNo440Not Performed (Negative qRT-PCR)
NYNo38380Not Performed (Negative qRT-PCR)
OHNo8530
OKNo122100
ORNo10100Not Performed (Negative qRT-PCR)
PANo220Not Performed (Negative qRT-PCR)
SCNo3030
TNNo330Not Performed (Negative qRT-PCR)
TXNo2613130
UTNo550Not Performed (Negative qRT-PCR)
VANo660Not Performed (Negative qRT-PCR)
VTNo220Not Performed (Negative qRT-PCR)
WANo880Not Performed (Negative qRT-PCR)
WINo11110Not Performed (Negative qRT-PCR)
WVNo110Not Performed (Negative qRT-PCR)

Table 2: Breakdown of Retail Sample Results by Product Type

Product
Category
Number of Retail Product Samples
Detection of Live Virus in Retail Product
Retail Product Samples Negative for Viral RNA (qRT-PCR Screening -)
Retail Product Samples Positive for Viral RNA (qRT-PCR Screening +)
Percent of Retail Product Samples Positive for Viral RNA (via qRT-PCR screening)
Retail Product Sample Results for Live Virus (Confirmatory Virus Culture)
Skim Milk36No32411.1%0/4
1% Milk28No19932.1%0/9
2% Milk58No421627.6%0/16
Whole Milk68No521623.5%0/16
Cottage Cheese21No2014.8%0/1
Cream17No14317.6%0/3
Half and Half25No19624.0%0/6
Sour Cream and Similar30No25516.7%0/5
Yogurt14No1400NA
Total297None2376020.2%0/60
...
https://www.fda.gov/food/alerts-advisories-safety-information/updates-highly-pathogenic-avian-influenza-hpai#testing​
 
Despite growing concerns over bird flu, many US dairy workers have not received protective equipment

A dairy worker in Michigan tested positive for bird flu, US said, marking the second human case since cattle tested positive in March

Published May 23, 2024 10:43am EDT​
  • Despite growing concern about bird flu, many U.S. dairy farms have not increased health protections for employees.
  • On May 22, 2024, the U.S. government said a second dairy worker has contracted bird flu since cattle first tested positive in late March.
  • The U.S. Department of Agriculture said it believes unpasteurized milk is the primary vector for transmitting the virus in cows, though officials do not know exactly how it spreads.
Many U.S. dairy farms have not yet increased health protections against bird flu for employees during an outbreak in cows, according to workers, activists and farmers, worrying health experts about the risk for more human infections of a virus with pandemic potential.

The U.S. government said on Wednesday that a second dairy worker contracted bird flu since cattle first tested positive in late March and that investigators are looking into whether the person was wearing or offered protective equipment.
Nearly 24,000 farms sell milk around the country, and they offer varying protections to staff....

Three dairy workers, seven activists and two lawyers who assist farm employees told Reuters that dairy owners have not offered equipment like face shields and goggles to staff who spend 10- to 12-hour days side-by-side with cows. Three large dairy companies with tens of thousands of cows declined to comment on their procedures.

The workers - all based in New York, a major dairy producer - said they heard of the new illness affecting cattle through the media or community organizers, not their employers. One, 39-year-old Luis Jimenez from Mexico, said last week it was business as usual.

New York state said it is assessing CDC's recommendation and has not yet distributed equipment. Texas, New Mexico and Colorado, where cattle were infected, said they distributed equipment to eight dairies combined. Kansas, Idaho and Wisconsin said they have equipment, but no farmers asked for it....

...
.Some dairies with infected cows have resisted allowing federal officials on their farms because of financial concerns, said Gregory Gray, a University of Texas Medical Branch professor studying cattle diseases.

New Mexico had anecdotal reports of workers with symptoms similar to conjunctivitis, but most were not tested, according to internal state documents that were dated April 26 and obtained by Reuters under a public records request. The workers were not tested because they did not seek healthcare, the New Mexico Department of Health said......

:tiphat:https://www.foxnews.com/health/desp...iry-workers-not-received-protective-equipment
 
​The race to uncover bird flu in the Texas Panhandle

Dairy farmers and veterinarians in northern Texas furiously investigated a mysterious illness among cattle before the government got involved. Farm cat deaths were the tip off.

BY AMY MAXMEN, KFF HEALTH NEWS
MAY 23, 2024
UPDATED: 9:52 AM CENTRAL
...
Why did it take so long to recognize the virus on high-tech farms in the world’s richest country? Because even though H5N1 has circulated for nearly three decades, its arrival in dairy cattle was most unexpected. “People tend to think that an outbreak starts at Monday at 9 a.m. with a sign saying, ‘Outbreak has started,’” said Jeremy Farrar, chief scientist at the World Health Organization. “It’s rarely like that.”
...
Having fought epidemics around the world, Farrar cited examples of when strong-arm surveillance pushed outbreaks underground. During an early 2000s bird flu outbreak in Vietnam, farmers circumvented regulations by moving poultry at night, bribing inspection workers, and selling their goods through back channels. “Learning what drivers and fears exist among people is crucial,” Farrar said. “But we always seem to realize that at a later date.”
...
Occasional tests of sick farmworkers aren’t sufficient, he said. Ideally, a system is set up to encourage farmworkers, their communities, and health care workers to be tested whenever the virus hits farms nearby.

“Health care worker infections are always a sign of human-to-human transmission,” Farrar said. “That’s the approach you want to take — I am not saying it’s easy.”
...

https://www.texastribune.org/2024/05/23/texas-panhandle-cattle-bird-flu/
 
Bird Flu Is More Widespread Among Dairy Cows, Sewage Tests Suggest


Riley Griffin and Jessica Nix, Bloomberg News
(Bloomberg) -- A Michigan farmworker who tested positive for bird flu is just the second person to have been infected since an outbreak in US cattle appeared in March. Surveillance of sewage suggests the virus may be more widespread among dairy cows than reported, raising workers’ risk.

Academic and industry-run labs have been leading the way toward more nuanced and complete information about the H5N1 virus’s range by analyzing wastewater. They found bird flu in sewage samples collected before the virus had been identified in US cows. They’re seeing signs in cities that are far from infected cattle herds. And they’re already giving the Centers for Disease Control and Prevention better information about where to focus its efforts....


​​​​​​In Texas, for example, 19 out of 23 wastewater sites were found to contain traces of the virus between early March and the end of April, according to Texas Wastewater Environmental Biomonitoring. Meanwhile, the state has some 400 dairy farms, and just 14 herds have tested positive for bird flu to date, according to the US Department of Agriculture.

Other Biden administration officials, who asked not to be named while describing the federal response, said they’re worried about the time it took the government to first spot the outbreak in cattle, which likely began in late 2023 after contact with sick migratory birds. That months long delay shows the limitations of US pandemic preparedness efforts and a disjointed public-health system, the officials said.

Friedrichs said the US should seek the help of additional wastewater experts and operations to develop “a more robust national picture.”....

Using the assay to look back through old wastewater samples, White found an H5 virus had been present in Amarillo, Texas, as early as February — weeks before the White House was first alerted of the emerging outbreak. That shows the potential for wastewater surveillance as an early warning signal for bird flu, White said.

It appears bird flu has “run its course” in Texas, he said, as overall influenza A levels appear to be declining in the state. Verily announced this week that it had expanded its search for H5 markers to all 190 sites in an effort to better track the outbreak.

Recognizing the need for more monitoring, the CDC is also putting an a...

The dangers the virus has shown in the past raises the stakes for wastewater monitoring.

“The risk is the longer this outbreak continues, the more opportunities there may be for a spillover jump from an animal species to a human,” said Al Ozonoff, an infectious disease scientist at Boston Children’s Hospital and Harvard Medical School. The next event experts worry about is, he said is “some viral evolution which creates an opportunity for human-to-human transmission.”

​:tiphat:
https://www.bnnbloomberg.ca/bird-fl...ong-dairy-cows-sewage-tests-suggest-1.2076711
 
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