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US - California H5N1 human cases - October 3, 2024+, 38 CDC confirmed + 1 CDC probable + 3 (Stanislaus&LA counties, SF city) = 40 known cases

sharon sanders

Editor-in-Chief & President
hat tip
@lisaschnirring​


CDPH Investigating Possible Human Case of Bird Flu

October 3, 2024
NR24-028




Individual had cont​act with infected dairy cattle; risk to general public remains low​​ ​




What You Need To Know: One possible human case of bird flu is being investigated in an individual who had contact with infected dairy cattle in the Central Valley. The individual had mild symptoms. The risk to the general public remains low, although people who interact with infected animals are at higher risk of getting bird flu.



Sacramento – The California Department of Public Health (CDPH), in coordination with local health partners and the Centers for Disease Control and Prevention (CDC), is investigating a possible human case of H5N1 bird flu in an individual who had contact with infected dairy cattle in the Central Valley.

“Ongoing health checks of individuals who interact with potentially infected animals helped us quickly detect and respond to this possible human case. Fortunately, as we’ve seen in other states with human infections, the individual has experienced mild symptoms,” said Dr. Tomás J. Aragón, CDPH Director and State Public Health Officer. We want to emphasize that the risk to the general public is low, and people who interact with potentially infected animals should take prevention measures. CDPH continues to support local health departments and farms with prevention recommendations, health checks and guidance on proper notification, testing and treatment.”



Risk Remains Low: The risk to the general public remains low, but people who interact with infected animals, like dairy or poultry farm workers, are at higher risk of getting bird flu. CDPH recommends that personal protective equipment, or PPE, such as respirators (N95 masks), eye protection (face shields or safety goggles), and gloves be worn by anyone working with animals or materials that are infected or potentially infected with the bird flu virus. Wearing PPE helps prevent infection. Please see CDPH’s Worker Protection from Bird Flu for full PPE guidance.

Pasteurized milk and dairy products continue to be safe to consume, as pasteurization is fully effective at inactivating the bird flu virus. As an added precaution, and according to longstanding state and federal requirements, milk from sick cows is not permitted in the public milk supply.

About the Case: The individual is a worker at a Central Valley dairy facility experiencing an outbreak of bird flu among dairy cattle. The individual experienced mild symptoms, reporting only conjunctivitis (eye redness). Once the local health department was notified, their public health laboratory tested the individual for H5N1, and CDPH was notified of a “presumptive positive” result. Specimens have been forwarded to the CDC for confirmatory testing. In accordance with CDC guidance, the individual is being treated with antiviral medication and is staying home. To protect patient privacy, additional details will not be provided. ​

What CDPH is Doing: CDPH has helped coordinate and support outreach to dairy producers and farm workers on preventive measures that have helped keep human cases low in other states with bird flu outbreaks. CDPH continues to support local health departments in distributing PPE from state and federal stockpiles directly to affected dairy farms, farmworker organizations, poultry farm workers, those who handle raw dairy products, and slaughterhouse workers. To protect California farm workers from bird flu, during the last four months CDPH has distributed more than 340,000 respirators, 1.3 million gloves, 160,000 goggles and face shields, and 168,000 bouffant caps.

In addition, CDPH is working closely with local public health laboratories and local health departments to provide health checks for exposed individuals and ensure testing and treatment are available when needed. As one of the 14 states with infected dairy herds, California also received 5,000 additional doses of seasonal flu vaccine for farm workers from the CDC. CDPH is working to distribute the doses to local health departments with the highest number of dairy farms.

CDPH has be​en tracking bird flu and making preparations for a possible human infection since the state’s first detection in poultry in 2022. CDPH partners closely with the California Department of Food & Agriculture (CDFA) on a broad approach to protect human and animal health. CDPH and the CDC use both human and wastewater surveillance tools to detect and monitor for bird flu, and work closely with local health departments to prepare, prevent, and lessen its impact on human health.

What Californians Can Do: People exposed to infected animals should monitor for the following symptoms for 10 days after their last exposure: eye redness (conjunctivitis), cough, sore throat, runny or stuffy nose, diarrhea, vomiting, muscle or body aches, headaches, fatigue, trouble breathing, and fever. If they start to feel sick, they should immediately isolate, notify their local public health department, and work with public health and health care providers to get timely testing and treatment.

CDPH recommends that all Californians — especially workers at risk for exposure to bird flu — receive a seasonal flu vaccine. Although the seasonal flu vaccine will not protect against bird flu, it can decrease the risk of being infected with both viruses at the same time and reduce the chance of severe illness from seasonal flu.​

For the latest information on the national bird flu response, see the CDC’s Bird Flu Response Update.

https://www.cdph.ca.gov/Programs/OPA/Pages/NR24-028.aspx
 
An email update sent to Michael Coston via email subscription @Fla_Medic​

This is not on the CDPH site yet.




UPDATE: CDPH Confirms Two Cases of Bird Flu in California

SACRAMENTO – The California Department of Public Health (CDPH) reports that the human case previously under investigation for bird flu, and one additional case, have been confirmed H5 bird flu by CDC. These are the first human cases of bird flu identified in the state and are both in Central Valley individuals who had contact with infected dairy cattle.


There is no known link or contact between the two cases, suggesting only animal-to-human spread of the virus in California. Like the first case, the second individual has also experienced mild symptoms, including conjunctivitis (eye symptoms), and neither reported respiratory symptoms, nor was hospitalized. To protect patient privacy, additional details will not be provided at this time.


Risk Remains Low: The risk to the general public remains low, but people who interact with infected animals, like dairy or poultry farm workers, are at higher risk of getting bird flu. CDPH recommends that personal protective equipment, or PPE, such as respirators (N95 masks), eye protection (face shields or safety goggles), and gloves be worn by anyone working with animals or materials that are infected or potentially infected with the bird flu virus. Wearing PPE helps prevent infection. Please see CDPH’s Worker Protection from Bird Flu for full PPE guidance.


Pasteurized milk and dairy products continue to be safe to consume, as pasteurization is fully effective at inactivating the bird flu virus. As an added precaution, and according to longstanding state and federal requirements, milk from sick cows is not permitted in the public milk supply.


What CDPH is Doing: CDPH has helped coordinate and support outreach to dairy producers and farm workers on preventive measures that have helped keep human cases low in other states with bird flu outbreaks. CDPH continues to support local health departments in distributing PPE from state and federal stockpiles directly to affected dairy farms, farmworker organizations, poultry farm workers, those who handle raw dairy products, and slaughterhouse workers. To protect California farm workers from bird flu, during the last four months CDPH has distributed more than 340,000 respirators, 1.3 million gloves, 160,000 goggles and face shields, and 168,000 bouffant caps.


In addition, CDPH is working closely with local public health laboratories and local health departments to provide health checks for exposed individuals and ensure testing and treatment are available when needed. As one of the 14 states with infected dairy herds, California also received 5,000 additional doses of seasonal flu vaccine for farm workers from the CDC. CDPH is working to distribute the doses to local health departments with the highest number of dairy farms.


CDPH has been tracking bird flu and making preparations for a possible human infection since the state’s first detection in poultry in 2022. CDPH partners closely with the California Department of Food & Agriculture (CDFA) on a broad approach to protect human and animal health. CDPH and the CDC use both human and wastewater surveillance tools to detect and monitor for bird flu, and work closely with local health departments to prepare, prevent, and lessen its impact on human health.


What Californians Can Do: People exposed to infected animals should monitor for the following symptoms for 10 days after their last exposure: eye redness (conjunctivitis), cough, sore throat, runny or stuffy nose, diarrhea, vomiting, muscle or body aches, headaches, fatigue, trouble breathing, and fever. If they start to feel sick, they should immediately isolate, notify their local public health department, and work with public health and health care providers to get timely testing and treatment.


CDPH recommends that all Californians — especially workers at risk for exposure to bird flu — receive a seasonal flu vaccine. Although the seasonal flu vaccine will not protect against bird flu, it can decrease the risk of being infected with both viruses at the same time and reduce the chance of severe illness from seasonal flu.


For the latest information on the national bird flu response, see the CDC’s Bird Flu Response Update.​
 
CDC confirms via email list -


From:
"Media (CDC)" <sohco@CDC.GOV>
To: <MMWR-MEDIA@LISTSERV.CDC.GOV>
Subject: CDC Confirms New Human Cases of H5 Bird Flu in California
Date: Oct 3, 2024 6:14 PM​


CDC Confirms New Human Cases of H5 Bird Flu in California





October 3, 2024 - CDC has confirmed two human cases of H5 bird flu from specimens submitted by California. The cases occurred in people with occupational exposure to infected dairy cows. An investigation led by California is ongoing. The identification of H5 in people with exposure to infected animals is not unexpected and does not change CDC’s risk assessment for the general public, which continues to be low. At this time, there is no known link or contact between the first and second confirmed cases in California, suggesting these are separate instances of animal-to-human spread of the virus. CDC continues to collaborate closely with California and other state public health officials to support state-run efforts to control the spread of H5N1 from infected animals to humans; California’s active monitoring highlights the steps being taken at the state level to lower the risk to farm workers who may be in contact with animals with H5N1.In the coming days, CDC will conduct additional characterization of the viruses, including sequencing, isolating and growing the viruses, if possible.



These are the first human cases of H5 in California, where H5N1 outbreaks among dairy herds were first reported in August 2024. H5N1 bird flu was detected for the first time in cows this year in the United States. The virus is widespread in wild birds and has caused ongoing outbreaks among poultry in the United States since 2022. It has caused rare, sporadic infections in people who work with infected animals, such as dairy cow workers and poultry workers. Including this most recent case, 16 human cases of H5 have been reported in the United States during 2024, bringing the total to 17 cases since 2022. Cases during 2024 have been reported in Texas (1), Michigan (2), Colorado (10), Missouri (1) and California (2). Six of the 16 reported human cases have been linked to exposure to sick or infected dairy cows. Nine cases had exposure to infected poultry. The source of infection for the one case in Missouri has not been determined. Serologic testing of contacts of the case in Missouri is ongoing. CDC has recommendations to protect people against H5N1 bird flu in dairy cattle. These include avoiding contact with wild birds and sick or dead animals and not preparing or eating unpasteurized (raw) milk or raw cheese. If you work with dairy cows or other animals that could be infected with H5N1 bird flu, wear personal protective equipment (PPE) when in contact with (or around) dairy cows, raw milk, other animals, or surfaces and other items that might be contaminated with virus. CDC recently issued updated personal protective equipment guidance (PPE) to prevent H5N1 bird flu infection.



CDC recommends that if you get sick after close contact with infected animals, contact your local health department and a health care provider for testing. Symptoms of H5 include eye redness (conjunctivitis), mild flu-like upper respiratory symptoms, fever, cough, sore throat, difficulty breathing, runny or stuffy nose, and muscle aches.
 
Press release:

U​​​PDATE: CDPH Confirms Two Cases of Bird Flu in California​​​​​


October 3, 2024
NR24-029​

Sacramento – The California Department of Public Health (CDPH) reports that the human case previously under investigation f​​​​or bird flu, and o​​​​ne additional case, have been confirmed H5 bird flu by CDC. These are the first human cases of bird flu identified in the state and are both in Central Valley individuals who had contact with infected dairy cattle.

There is no known link or ​​​​​​contact between the two cases, suggesting only animal-to-human spread of the virus in California. Like the first case, the second individual has also experienced mild symptoms, including conjunctivitis (eye symptoms), and neither reported respiratory symptoms, nor was hospitalized. To protect patient privacy, additional details will not be provided at this time.

Risk​​ Remains Low: The risk to the general public remains low, but people who interact with infected animals, like dairy or poultry farm workers, are at higher risk of getting bird flu. CDPH recommends that personal protective equipment, or PPE, such as respirators (N95 masks), eye protection (face shields or safety goggles), and gloves be worn by anyone working with animals or materials that are infected or potentially infected with the bird flu virus. Wearing PPE helps prevent infection. Please see CDPH’s Worker Protection from Bird Flu for full PPE guidance. ​

Pasteurized milk and dairy products continue to be safe to consume, as pasteurization is fully effective at inactivating the bird flu virus. As an added precaution, and according to longstanding state and federal requirements, milk from sick cows is not permitted in the public milk supply.

What CDPH is Doing: CDPH has helped coordinate and support outreach to dairy producers and farm workers on preventive measures that have helped keep human cases low in other states with bird flu outbreaks. CDPH continues to support local health departments in distributing PPE from state and federal stockpiles directly to affected dairy farms, farmworker organizations, poultry farm workers, those who handle raw dairy products, and slaughterhouse workers. To protect California farm workers from bird flu, during the last four months CDPH has distributed more than 340,000 respirators, 1.3 million gloves, 160,000 goggles and face shields, and 168,000 bouffant caps.

In addition, CDPH is working closely with local public health laboratories and local health departments to provide health checks for exposed individuals and ensure testing and treatment are available when needed. As one of the 14 states with infected dairy herds, California also received 5,000 additional doses of seasonal flu vaccine for farm workers from the CDC. CDPH is working to distribute the doses to local health departments with the highest number of dairy farms.

​CDPH has been tracking bird flu and making preparations for a possible human infection since the state’s first detection in poultry in 2022. CDPH partners closely with the California Department of Food & Agriculture (CDFA) on a broad approach to protect human and animal health. CDPH and the CDC use both human and wastewater surveillance tools to detect and monitor for bird flu, and work closely with local health departments to prepare, prevent, and lessen its impact on human health.

​What Californians Can Do: People exposed to infected animals should monitor for the following symptoms for 10 days after their last exposure: eye redness (conjunctivitis), cough, sore throat, runny or stuffy nose, diarrhea, vomiting, muscle or body aches, headaches, fatigue, trouble breathing, and fever. If they start to feel sick, they should immediately isolate, notify their local public health department, and work with public health and health care providers to get timely testing and treatment. ​

​​​CDPH recommends that all Californians — especially workers at risk for exposure to bird flu — receive a seasonal flu vaccine. Although the seasonal flu vaccine will not protect against bird flu, it can decrease the risk of being infected with both viruses at the same time and reduce the chance of severe illness from seasonal flu. ​

For the latest information on the national bird flu response, see the CDC’s Bird Flu Response Update.

 
Tulare County confirms 2 human cases of bird flu

​Posted: Oct 4, 2024 / 08:37 AM PDT
Updated: Oct 4, 2024 / 08:37 AM PDT

TULARE COUNTY, Calif. (KSEE/KGPE) – Tulare County Public Health is reporting Friday two human cases of H5N1 bird flu.

Officials say both individuals had contact with infected cattle at two separate Tulare County dairy farms.

Tulare County Public Health, in coordination with the California Department of Public Health (CDPH) and the Centers for Disease Control and Prevention, says both cases have mild symptoms, are being treated with antiviral medications, and are isolating at home.

“Although there are now confirmed human cases of bird flu in our region, the risk to the general public remains low,” stated Dr. Thomas Overton, Deputy County Health Officer for Tulare County Public Health.

According to health officials, the virus was first detected in California in sick dairy cattle in August, and public health officials said they have been closely monitoring workers for illness at dairy facilities experiencing an outbreak of bird flu among their cattle herds.

Tulare County says pasteurized milk and dairy products continue to be safe to consume, as pasteurization is fully effective at inactivating the bird flu virus.

https://www.yourcentralvalley.com/news/local-news/tulare-county-confirms-2-human-cases-of-bird-flu/
 
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Tulare County, California
/https://en.wikipedia.org/wiki/Tulare_County,_California

-------------------
Human Cases of Bird Flu Confirmed in Tulare County / Se confirman casos humanos de gripe de aves en el condado de Tulare

Oct 4, 2024

image.png


Media Contact:
Carrie Monteiro, HHSA Public Information Officer
(559) 624-8007, CMonteiro1@tularecounty.ca.gov


Tulare County Public Health, in coordination with the California Department of Public Health (CDPH) and the Centers for Disease Control and Prevention (CDC), has confirmed two human cases of H5N1 bird flu in individuals who had contact with infected cattle at two separate Tulare County dairy farms. Both cases have mild symptoms, are being treated with antiviral medications, and are isolating at home.

“Although there are now confirmed human cases of bird flu in our region, the risk to the general public remains low,” stated Dr. Thomas Overton, Deputy County Health Officer for Tulare County Public Health.

“People who interact with potentially infected animals are at higher risk of getting bird flu and we continue our efforts to provide personal protective equipment for those workers. It is extremely important for those who work on dairy and poultry farms to take precautions and follow public health guidance to prevent future human cases of infection on facilities experiencing bird flu outbreaks.”

The virus was first detected in California in sick dairy cattle in August, and public health officials have been closely monitoring workers for illness at dairy facilities experiencing an outbreak of bird flu among their cattle herds.

People who interact with infected animals are at higher risk of getting bird flu. Public Health recommends that personal protective equipment, or PPE, such as respirators (N95 masks), eye protection (face shields or safety goggles), and gloves be worn by anyone working with animals or materials that are infected or potentially infected with the bird flu virus. Wearing PPE helps prevent infection. There has been no evidence of human-to-human transmissions of the H5N1 bird flu virus. There is no known link or contact between the two confirmed human cases, suggesting only animal-to-human spread of the virus in California.

Tulare County Public Health has been actively working alongside industry partners in distributing PPE for farmworkers and, to date, has distributed over 1.1 million pieces of PPE to over 150 facilities.

Pasteurized milk and dairy products continue to be safe to consume, as pasteurization is fully effective at inactivating the bird flu virus. As an added precaution, and according to longstanding state and federal requirements, milk from sick cows is not permitted in the public milk supply.

People exposed to infected animals should monitor for the following symptoms for 10 days after their last exposure: eye redness (conjunctivitis), cough, sore throat, runny or stuffy nose, diarrhea, vomiting, muscle or body aches, headaches, fatigue, trouble breathing, and fever. If they start to feel sick, they should immediately isolate, notify Tulare County Public Health, and work with public health and healthcare providers to get timely testing and treatment. Exposed workers can notify Tulare County Public Health at (559) 685-5720 or CDreporting@tularecounty.ca.gov.

Tulare County Public Health recommends all residents — especially workers at risk for exposure to bird flu — receive a seasonal flu vaccine. Although the seasonal flu vaccine will not protect against bird flu, it can decrease the risk of being infected with both viruses at the same time and reduce the chance of severe illness from seasonal flu.

For the latest information on the national bird flu response, see the CDC’s Bird Flu Response Update. To report an unusual number of sick livestock or you suspect Bird Flu in your livestock, call the California Department of Food and Agriculture at 1-866-922-2473.

###

Salud Pública del Condado de Tulare, en coordinación con el Departamento de Salud Pública de California (CDPH) y los Centros para el Control y la Prevención de Enfermedades (CDC), ha confirmado dos casos humanos de gripe de aves H5N1 en personas que tuvieron contacto con ganado infectado en dos granjas lecheras distintas del Condado de Tulare. Ambos casos presentan síntomas leves, están siendo tratados con medicamentos antivirales y se encuentran aislados en sus domicilios.

“Aunque ahora hay casos humanos confirmados de gripe de aves en nuestra región, el riesgo para el público en general sigue siendo bajo”, declaró Dr. Thomas Overton, Oficial Adjunto de Salud Pública del condado de Tulare.

“Las personas que interactúan con animales potencialmente infectados corren un mayor riesgo de contraer la gripe de aves y seguimos esforzándonos por proporcionar equipos de protección personal a esos trabajadores. Es extremadamente importante que quienes trabajan en lecherías y criaderos de aves tomen precauciones y sigan las orientaciones de salud pública para prevenir futuros casos de infección humana en instalaciones que experimenten brotes de gripe aviar.”

El virus se detectó por primera vez en California en ganado lechero enfermo en agosto, y los funcionarios de salud pública han estado vigilando muy de cerca a los trabajadores de las lecherías que experimentan un brote de gripe de las aves entre sus ganaderías.

Las personas que interactúan con animales infectados corren un mayor riesgo de contraer la gripe de aves. Salud Pública recomienda que todas las personas que trabajen con animales o materiales infectados o potencialmente infectados por el virus de la gripe de aves lleven equipo de protección personal (EPP), como cubrebocas (N95), protección ocular (protectores faciales o gafas de seguridad) y guantes. El uso de EPI ayuda a prevenir la infección. No hay pruebas de transmisión entre humanos del virus H5N1 de la gripe de aves. No se conoce ningún vínculo o contacto entre los dos casos humanos confirmados, lo que sugiere que el virus sólo se ha propagado de animal a humano en California.

Salud Pública del Condado de Tulare ha estado trabajando de forma activa junto con socios de la industria en la distribución de EPP para los trabajadores agrícolas y, hasta la fecha, ha distribuido más de 1.1 millones de piezas de EPP a más de 150 instalaciones.

La leche y los productos lácteos pasteurizados siguen siendo seguros para el consumo, ya que la pasteurización es totalmente eficaz para inactivar el virus de la gripe de aves. Como precaución adicional, y de acuerdo con los requisitos estatales y federales vigentes desde hace tiempo, no se permite el suministro público de leche procedente de vacas enfermas.

Las personas expuestas a animales infectados deben vigilar los siguientes síntomas durante los 10 días siguientes a su última exposición: enrojecimiento de los ojos (conjuntivitis), tos, dolor de garganta, secreción o congestión nasal, diarrea, vómitos, dolores musculares o corporales, dolores de cabeza, fatiga, dificultad para respirar y fiebre. Si comienzan a sentirse enfermos, deben aislarse inmediatamente, notificar a Salud Pública del Condado de Tulare y trabajar con proveedores de salud pública y atención médica para obtener pruebas y tratamiento oportunos. Los trabajadores expuestos pueden notificar a Salud Pública del Condado de Tulare al (559) 685-5720 o CDreporting@tularecounty.ca.gov.

Salud Pública del Condado de Tulare recomienda a todos los residentes - especialmente a los trabajadores en riesgo de exposición a la gripe de aves - recibir la vacuna contra la gripe estacional. Aunque la vacuna contra la gripe de temporada no protege contra la gripe de aves, puede disminuir el riesgo de infectarse con ambos virus al mismo tiempo y reducir la posibilidad de contraer una enfermedad grave a causa de la gripe de temporada.

Para obtener la información más reciente sobre la respuesta nacional a la gripe aviar, consulte la Actualización de la respuesta a la gripe de aves de los CDC. Para informar sobre un número inusual de ganado enfermo o si sospecha que hay gripe de aves en su ganado, llame al Departamento de Alimentos y Agricultura de California al: 1-866-922-2473.



###

https://tularecounty.ca.gov/board/n...nos-de-gripe-de-aves-en-el-condado-de-tulare/
 
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RANKED NO.1 MEETING FACILITY
in the Central San Joaquin Valley by The Business Journal​

The International Agri-Center® creates and develops facilities that encourage agricultural and community activities and events. We plan and produce World Ag Expo® and the California Antique Equipment Show™. Our center also offers a wide range of facility rentals for any size event. Whether you’re planning a small corporate gathering or producing a large-scale equestrian event, our team can make your vision a reality.​

https://www.internationalagricenter.com

Click image for larger version  Name:	Screenshot 2024-10-04 at 12.36.59 PM.png Views:	1 Size:	61.6 KB ID:	998028
 
7d ago

snip

Officials are not naming the infected counties or dairies, although the early cases were reportedly in Tulare County. Disclosure would pose a biosecurity risk, because curious onlookers might travel to the farms, said Jones.

In the southern San Joaquin Valley, dairies are taking aggressive biosecurity steps, said Raudabaugh.

They are preventing all non-essential visitors, such as salesmen. Roadblocks, like hay bales, stop traffic. Deliveries of medicines and other important items are deposited into a secure location on the road, outside the dairy. Livestock trailers are being power washed with a bleach solution before and after moving cattle.

But in the northern stretches of the valley, compliance is more casual.

https://www.marinij.com/2024/09/26/...nia-dairy-herds-health-experts-watch-closely/
 
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From:
"CDPH Media" <media@cdph.ca.gov>
To: <flutrackers@earthlink.net>
Subject: News Release - Third Possible Human Case of Bird Flu Detected in California
Date: Oct 5, 2024 12:02 PM​



FOR IMMEDIATE RELEASE

October 5, 2024

NR24-030

CONTACT: media@cdph.ca.gov




Third Possible Human Case of Bird Flu Detected in California

Individual had contact with infected dairy cattle;


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What You Need to Know: A third possible human case of bird flu has been identified in California and is awaiting confirmatory testing from the CDC. The individual was in contact with infected dairy cattle in the Central Valley. The risk to the general public remains low, although people who interact with infected animals are at higher risk of getting bird flu. [TABLE="cellpadding: 0, cellspacing: 0"]
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SACRAMENTO – The California Department of Public Health (CDPH) reports that a third possible human case of bird flu has been identified in California. The case was identified in a Central Valley individual who had contact with infected dairy cattle. Specimens are being sent to the Centers for Disease Control and Prevention (CDC) to undergo confirmatory testing.




There is no known link or contact between this and the first two cases reported yesterday, suggesting only animal-to-human spread of the virus in California. All three individuals had contact with animals at three different farms. Like the first two cases, this individual also experienced mild symptoms, including eye redness or discharge (conjunctivitis). None of the individuals have been hospitalized.




Additional Information on Bird Flu




Risk Remains Low: The risk to the general public remains low, but people who interact with infected animals, like dairy or poultry farm workers, are at higher risk of getting bird flu. CDPH recommends that personal protective equipment, or PPE, such as respirators (N95 masks), eye protection (face shields or safety goggles), and gloves be worn by anyone working with animals or materials that are infected or potentially infected with the bird flu virus. Wearing PPE helps prevent infection. Please see CDPH’s Worker Protection from Bird Flu for full PPE guidance.




Pasteurized milk and dairy products continue to be safe to consume, as pasteurization is fully effective at inactivating the bird flu virus. As an added precaution, and according to longstanding state and federal requirements, milk from sick cows is not permitted in the public milk supply.




What CDPH is Doing: CDPH has helped coordinate and support outreach to dairy producers and farm workers on preventive measures that have helped keep human cases low in other states with bird flu outbreaks. CDPH continues to support local health departments in distributing PPE from state and federal stockpiles directly to affected dairy farms, farmworker organizations, poultry farm workers, those who handle raw dairy products, and slaughterhouse workers. To protect California farm workers from bird flu, during the last four months CDPH has distributed more than 340,000 respirators, 1.3 million gloves, 160,000 goggles and face shields, and 168,000 bouffant caps.




In addition, CDPH is working closely with local public health laboratories and local health departments to provide health checks for exposed individuals and ensure testing and treatment are available when needed. As one of the 14 states with infected dairy herds, California also received 5,000 additional doses of seasonal flu vaccine for farm workers from the CDC. CDPH is working to distribute the doses to local health departments with the highest number of dairy farms.




CDPH has been tracking bird flu and making preparations for a possible human infection since the state’s first detection in poultry in 2022. CDPH partners closely with the California Department of Food & Agriculture (CDFA) on a broad approach to protect human and animal health. CDPH and the CDC use both human and wastewater surveillance tools to detect and monitor for bird flu, and work closely with local health departments to prepare, prevent, and lessen its impact on human health.




What Californians Can Do: People exposed to infected animals should monitor for the following symptoms for 10 days after their last exposure: eye redness (conjunctivitis), cough, sore throat, runny or stuffy nose, diarrhea, vomiting, muscle or body aches, headaches, fatigue, trouble breathing, and fever. If they start to feel sick, they should immediately isolate, notify their local public health department, and work with public health and health care providers to get timely testing and treatment.




CDPH recommends that all Californians - especially workers at risk for exposure to bird flu - receive a seasonal flu vaccine. Although the seasonal flu vaccine will not protect against bird flu, it can decrease the risk of being infected with both viruses at the same time and reduce the chance of severe illness from seasonal flu.




For the latest information on the national bird flu response, see the CDC’s Bird Flu Response Update.




www.cdph.ca.gov



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[Kern County is located in Bakersfield. The county spans the southern end of the Central Valley]

October 5, 2024
NEWS RELEASE
Possible Human Case of Bird Flu Being Investigated in Kern County

Kern County Public Health, in coordination with the California Department of Public Health (CDPH) and
the Centers for Disease Control and Prevention (CDC), is investigating a potential human case of H5N1
bird flu in an individual who had contact with infected cattle at a dairy farm.


“While the risk to the general public remains low, it continues to be extremely important for persons who
may come in contact with infected animals to use caution and wear proper personal protective
equipment,” stated Brynn Carrigan, Director of Kern County Public Health.

The virus was first detected in dairy cattle in California in August, and public health officials have been
monitoring workers at affected dairies. The risk to the general public remains low, but people who
interact with infected animals, like dairy or poultry farm workers, are at higher risk of getting bird flu.
CDPH recommends that personal protective equipment (PPE), such as respirators (N95 masks), eye
protection (face shields or safety goggles), and gloves be worn by anyone working with animals or
materials that are infected or potentially infected with bird flu. Full PPE guidance can be found on
CDPH’s Worker Protection from Bird Flu page.

People exposed to infected animals should monitor for symptoms for 10 days after their last
exposure. Symptoms of bird flu include eye redness (conjunctivitis), cough, sore throat, runny or stuffy
nose, diarrhea, vomiting, muscle or body aches, headaches, fatigue, trouble breathing, and fever. If
symptoms develop, immediately isolate from others and contact your healthcare provider to get timely
testing and treatment.

Pasteurized milk and dairy products continue to be safe to consume, as pasteurization is fully effective
at inactivating the bird flu virus. As an added precaution, and according to longstanding state and
federal requirements, milk from sick cows is not permitted in the public milk supply.
The protection of the health of Kern County residents and visitors is the top priority of Kern County
Public Health. Kern County Public Health also takes the privacy of our residents’ protected health
information very seriously. At this time, no further details, including the location of the dairy farm where
the case may have been exposed, will be released.

For the latest information on the national bird flu response, see the CDC’s Bird Flu Response Update.
To report an unusual number of sick livestock or you suspect bird flu in your livestock, call the California
Department of Food and Agriculture at 1-866-922-2473.
Media Contact: Michelle Corson, phpio@kerncounty.com.​

https://kernpublichealth.com/wp-content/uploads/2024/10/BirdFluKern102024.pdf
 
Third Confirmed Human Case of Bird Flu, New Possible Cases Identified in California


October 9, 2024
NR24-031​​

Individuals had contact with infected dairy cows; risk to general public remains low ​​

What You Need To Know: CDPH has confirmed a third human case and identified two new possible human cases of bird flu in California. The risk to the general public remains low, although individuals who interact with infected animals remain at higher risk of getting bird flu.​​​

Sacramento – The California Department of Public Health (CDPH) reports that a third human case of bird flu has been confirmed in California. The case was identified in a Central Valley individual who had contact with infected dairy cattle and additional testing by the Centers for Disease Control and Prevention (CDC) confirmed the case as positive.

​​​CDPH has also identified two new possible human cases, also in the Central Valley. As with previous possible cases, the specimens from these latest cases will be sent to CDC for confirmatory testing.

There is no known link or contact between any of California’s confirmed or possible cases, continuing to suggest only animal-to-human spread of the virus in the state. All individuals had contact with animals at different farms. All cases so far have experienced mild symptoms, including eye redness or discharge (conjunctivitis). None of the individuals has been hospitalized.​ ​

While the risk to the general public remains low, additional human cases of bird flu are expected to be identified and confirmed in California among individuals who have contact with infected dairy cattle. CDPH continues to work closely with local health jurisdictions to identify, track, test, confirm, and treat possible and confirmed human cases of bird flu.

More information on CDPH’s response is at our website at H5N1 Bird Flu Situation.

continued: https://www.cdph.ca.gov/Programs/OPA/Pages/NR24-031.aspx
 
From:
"Media (CDC)" <sohco@CDC.GOV>
To: <MMWR-MEDIA@LISTSERV.CDC.GOV>
Subject: CDC Confirms 3rd Human Case of H5 Bird Flu in California
Date: Oct 9, 2024 5:58 PM​




Media Statement

For Immediate Release

Wednesday, October 9, 2024,

Contact: CDC Media Relations
(404) 639-3286          





CDC Confirms 3[SUP]rd[/SUP] Human Case of H5 Bird Flu in California







The Centers for Disease Control and Prevention (CDC) has confirmed a third human case of H5 bird flu in California. Like the two cases in that state confirmed last week, the person reported occupational exposure to infected dairy cows. To date, all three California cases occurred in dairy workers from three different affected farms with no known contact with each another, suggesting animal-to-human spread. Also consistent with the two previous California cases, the person experienced mild symptoms, including eye redness or discharge (conjunctivitis). None of the three cases has been hospitalized. The identification of H5 in people with exposure to infected animals is not unexpected and does not change CDC's risk assessment for the general public, which continues to be low.



Including this most recent case, 18 human cases of H5 bird flu have now been reported in the United States since 2022; 17 cases during 2024. CDC is awaiting 2 additional presumptive positive specimens from California for confirmatory testing.



CDC Lab Update on First Two California Cases



Sequences from the first two cases in California confirmed these are clade 2.3.4.4b A(H5N1) viruses closely related to viruses detected in dairy cattle. The whole genome was sequenced from one of the two cases (A/California/135/2024) and was confirmed to be a B3.13 genotype virus. There were no genetic changes observed that are known to be associated with an increased ability to infect or spread between people or known to reduce susceptibility to antiviral medications. These sequences have been publicly posted in GISAID and have been submitted to GenBank. Sequencing from the third confirmed case is underway.



CDC continues to underscore the importance of recommended precautions for people with exposure to infected or potentially infected animals. People with close or prolonged, unprotected exposures to infected birds or other animals (including livestock), or to environments contaminated by infected birds or other animals, are at greater risk of infection.


 
Five California farmworkers have mild cases of bird flu, says state
...
By Chuck Abbott Published on October 10, 2024

On the same day the CDC confirmed the third human case of bird flu in California, state officials said Wednesday that they had identified two more possible infections, also farmworkers in the Central Valley. In less than six weeks, California has become the U.S. hot spot for bird flu, with one-third of all the infected dairy herds in the country and all of the human cases since Sept. 6.
...
All five of the California cases were dairy farm workers who experienced mild symptoms, including eye redness or discharge. None were hospitalized. Not counting the two latest illnesses, 17 people have been infected by the avian flu virus this year. All but one, reported in Missouri on Sept. 6, were dairy or poultry workers.
...
“There is no known link or contact between any of California’s confirmed or possible cases, continuing to suggest only animal-to-human spread of the virus in the state,” said the state health department. “All individuals had contact with animals at different farms.”
...
Since the first outbreak of bird flu in California dairy cattle was reported on Aug. 30, 96 herds have become infected, the most in any state. Colorado is second, with 64 herds. The virus has been confirmed in 296 herds in 14 states, according to USDA data.
...
https://www.agriculture.com/five-ca...ave-mild-cases-of-bird-flu-says-state-8726128
 
Fourth Human Bird Flu Case Confirmed in California


October 10, 2024
NR24-032



Risk to general public remains low, individuals most at risk are those who interact with infected animals​

What You Need To Know: CDPH continues to work with federal, state and local partners to monitor and respond to human cases of bird flu in the state. The risk to the general public remains low, although individuals who interact with infected animals are at higher risk of getting bird flu.​



Sacramento – The California Department of Public Health (CDPH) reports that a fourth human case of bird flu has been confirmed in California. The case was identified in a Central Valley individual who had contact with infected dairy cattle and additional testing by the Centers for Disease Control and Prevention (CDC) confirmed the case as positive. All four individuals had contact with infected animals at four separate farms.

CDPH has also been notified on two additional possible human cases, also in the Central Valley. Those specimens have been sent to CDC for confirmatory testing.

There continues to be no known link or contact between any of California’s confirmed cases, continuing to suggest only animal-to-human spread of the virus in the state. All cases so far have experienced mild symptoms, including eye redness or discharge (conjunctivitis). None of the individuals have been hospitalized.

While the risk to the general public remains low, additional human cases of bird flu are expected to be identified and confirmed in California among individuals who have contact with infected dairy cattle. CDPH continues to work closely with local health jurisdictions to identify, track, test, confirm, and treat possible and confirmed human cases of bird flu.

Based on CDC’s genomic sequencing of California’s first two human bird flu cases, there is no evidence to suggest an increased ability for the virus to infect or spread between people and no known reduced susceptibility to antiviral medications.

More information on CDPH’s response is at our website at H5N1 Bird Flu Situation. ​

https://www.cdph.ca.gov/Programs/OPA/Pages/NR24-032.aspx
 
California Department of Food and Agriculture

October 10, 2024: H5N1 Bird Flu Confirmed in Ninety-Nine Dairies in California


SACRAMENTO, CA — Following an investigation by the California Department of Food and Agriculture (CDFA) and rapid disease detection by California Animal Health and Food Safety Laboratory System (CAHFS), the U.S. Department of Agriculture’s (USDA) National Veterinary Services Laboratories (NVSL) has confirmed H5N1 Bird Flu in ninety-nine dairies in Central California. CDFA has implemented a surveillance strategy with the goal of finding affected farms as early as possible. Early detection provides the opportunity to work with farms to quickly implement enhanced biosecurity, cow care, and employee protection.

Bird Flu in Humans
CDPH has confirmed three human cases of bird flu in California and identified two new possible cases. All individuals had contact with animals at different farms and all have experienced mild symptoms, including eye redness or discharge (conjunctivitis). None of the individuals have been hospitalized. While the risk to the general public remains low, additional human cases of bird flu are expected to be identified and confirmed in California among individuals who have contact with infected dairy cattle. CDPH recommends that personal protective equipment (PPE), such as eye protection (face shields or safety goggles), respirators (N95 masks), and gloves be worn by anyone working with animals or materials that are infected or potentially infected with the bird flu virus. Wearing PPE helps prevent infection. Please see CDPH’s Worker Protection from Bird Flu for full PPE guidance. For the latest updates from CDPH, visit Novel Influenza (Flu) (ca.gov).

continued: ​https://www.cdfa.ca.gov/AHFSS/Animal_Health/HPAI.html
 
State Reports Six Human Bird Flu Cases Now Confirmed in California ​​​​
The California Department of Public Health (CDPH) reports that a total of six human bird flu cases have been confirmed in California.​

​October 11, 2024

All individuals had direct contact with infected dairy cows in the Central Valley

What You Need To Know: CDPH continues to work with federal, state and local partners to monitor and respond to human cases of bird flu in the state. The risk to the general public remains low, although individuals who interact with infected animals are at higher risk of getting bird flu.​​


Sacramento – The California Department of Public Health (CDPH) reports that a total of six human bird flu cases have been confirmed in California. The cases are all in Central Valley individuals who had direct contact with infected dairy cattle and were confirmed after additional testing by the Centers for Disease Control and Prevention (CDC). ​

Two of the human cases originated from the same Central Valley farm, where both individuals had extensive exposure to infected dairy cattle. Given the amount of exposure to infected cows, evidence continues to suggest only animal-to-human spread of the virus in California.

Based on CDC’s genomic sequencing of California’s first two human bird flu cases, there is no evidence to suggest an increased ability for the virus to infect or spread between people and no known reduced susceptibility to antiviral medications.

In addition to the six confirmed cases, CDPH has also been notified of one additional possible human case, also in the Central Valley. That specimen has been sent to CDC for confirmatory testing.

All six individuals with confirmed cases of bird flu have experienced mild symptoms, including eye redness or discharge (conjunctivitis). All have been treated according to CDC guidance and none of the individuals have been hospitalized.

While the risk to the general public remains low, additional human cases of bird flu are expected to be identified and confirmed in California among individuals who have regular contact with infected dairy cattle. CDPH continues to work closely with local health jurisdictions to identify, track, test, confirm, and treat possible and confirmed human cases of bird flu.

More information on CDPH’s response is at our Bird Flu website.

https://www.cdph.ca.gov/Programs/OPA/Pages/NR24-033.aspx
 
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