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18 December 2024

First Severe H5N1 Bird Flu Case Confirmed In The U.S.

Louisiana patient hospitalized, marking unprecedented link to backyard flocks.

The first severe human case of H5N1 bird flu has been confirmed in the United States, marking a significant moment for public health officials. On Wednesday, the Centers for Disease Control and Prevention (CDC) announced this unprecedented situation involving a patient hospitalized in Louisiana, tracing their infection back to exposure to sick and dead birds from backyard flocks.

This case is especially noteworthy as it is the first human bird flu infection linked to backyard birds, as stated by Dr. Demetre Daskalakis, director of the National Center for Immunization and Respiratory Diseases at the CDC. He mentioned, "It is believed the patient... exposure to sick or dead birds on their property. These are not commercial poultry, and there was no exposure to dairy cows or their related products." The patient, whose specific condition has not been disclosed, was confirmed to be hospitalized due to severe symptoms associated with the H5N1 virus.

The genomic data related to this case indicates the presence of the D1.1 strain of the virus, recently detected among wild birds and poultry across the U.S., as well as among human cases reported previously in Canada and Washington state. This strain differs from the B3.13 variant primarily found in dairy cows, indicating the need for targeted responses to various strains of the virus affecting different animal populations.

Health officials noted this recent case as part of the larger trend of H5N1 bird flu infections, of which there have been 61 reported cases nationwide since April 2024. Prior to this alarming hospitalization, most confirmed cases had been considered mild, primarily affecting farmworkers exposed directly to sick poultry or livestock from more traditional agricultural settings.

While the risk of widespread human-to-human transmission of H5N1 remains negligible, the CDC emphasizes the need for vigilance among those who work with birds, poultry, or have recreational contact with them. "The best way to prevent H5 bird flu is to avoid exposure whenever possible," the CDC reiterated, underscoring how infected birds shed avian influenza A viruses through their saliva, mucous, and feces.

Adding to public health insights, CDC officials mentioned, "This case does not change CDC’s overall assessment of the immediate risk to the public’s health from H5N1 bird flu, which remains low." No person-to-person spread of the virus has been documented, and health authorities continue to stress the importance of protective measures for individuals working near affected animals.

Further complicate matters, the U.S. Department of Agriculture has announced new measures to monitor and test for bird flu across the country. Following the detection of H5N1 traces found even in raw milk samples from farms, the department implemented stricter testing protocols nationwide. The situation serves as stark warning to owners of backyard flocks, hunters, and bird enthusiasts to adopt stringent hygiene measures and preventive precautions to limit exposure to the virus.

Health officials are also conducting comprehensive investigations to ascertain the precise sources of the Louisiana infection, highlighting the broad scope of factors leading to H5N1 transmissions. Previous cases involving severe illness due to bird flu have been reported globally, raising concerns about potential future challenges as variants continue to circulate.

With seasonally favorable conditions for wild birds approaching, public health messages are even more pertinent. Ongoing education around the risks associated with avian influenza should not be underestimated as authorities encourage the community to remain proactive. For now, the health risk to the general public is still assessed as low, but continued monitoring becomes increasingly imperative as new cases emerge.

Health officials concluded with reassurances for the public, urging heightened awareness and adherence to recommended precautions for anyone who may encounter potentially infected animals. This groundbreaking confirmation of severe illness stemming from H5N1 bird flu serves as both a wake-up call and reminder of the importance of public health vigilance.

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