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30 January 2025

US Reports First H5N9 Bird Flu Outbreak

The outbreak at California duck farm prompts major health concerns as another strain circulates rapidly among poultry.

The United States has recently confirmed its first outbreak of H5N9 avian influenza, marking a significant milestone for public health and agricultural management. The discovery of this strain took place at a commercial duck farm located in Merced County, California, leading to the culling of approximately 119,000 birds.

This unprecedented outbreak has prompted action from both the national and international health organizations. The World Organization for Animal Health (WOAH) was alerted about the situation, highlighting the coordinated effort required to manage the spread of this highly pathogenic avian influenza (HPAI) strain. By December 2, 2024, nearly all infected birds had been culled, though it's still unclear how many were diseased versus culled as preventive measures.

The recent events surrounding H5N9 continue to concern experts due to the existing prevalence of H5N1, another strain of avian influenza, which has been rapidly spreading across poultry farms and even infecting other animals. The U.S. agriculture sector has been grappling with the impact of H5N1, which has taken its toll on both poultry health and the food supply, especially the egg market.

Scientists are delving deep to understand the distinctions between the two strains, as mere numerical differences can lead to significant variations. Both H5N1 and H5N9 are subtypes of the influenza A virus, and each possesses its own evolutionary path. The letter “H” refers to hemagglutinin, and “N” stands for neuraminidase, proteins pivotal for the virus's roles and interactions. It's important to note, as highlighted by several reports, the emergent H5N9 has been detected among wild birds before, but its implication for poultry, particularly within the U.S., requires urgent scrutiny.

Experts warn against complacency. Angela Rasmussen, virologist at the Vaccine and Infectious Disease Organization, cautioned, “With enough H5 in these animals and enough seasonal flu in humans, you get them together, and you have a recipe for a potential pandemic virus.” This statement reiterates the concerns surrounding potential mutations and reassortment events which pose significant risks not only to agricultural economies but to public health as well.

Despite the alarm, the U.S. Centers for Disease Control and Prevention reports no current threats to humans from H5N9, though vigilance remains high. The presence of H5N1 has resulted, unfortunately, in 67 confirmed human infections, with one death recorded, compelling health organizations to maintain high alertness concerning avian influenza viruses transmitting to humans.

While the H5N9 strain is currently understood to be primarily affecting poultry, experts universally agree on the importance of controlling its spread. Reports from the Canadian Food Inspection Agency (CFIA) state, “All avian influenza viruses, particularly H5 and H7 viruses, have the potential to infect mammals including humans.” The warnings underline the necessity for close monitoring of such outbreaks, as the risk of spillover events remains credible.

This incident also sheds light on economic impacts. Jennifer Nuzzo, director of the Pandemic Center at Brown University, discussed the financial strain on agriculture, stating: “The fact these [agricultural] operations are having to cull their flocks is costly. We see this when we look at the cost of eggs in the store.” Producers face losses on multiple fronts, and the ripple effects can affect food security and prices across the nation.

The outbreak is not only about containing the immediate risks; it speaks volumes about the environmental interconnections between agriculture and public health. Revisiting the lessons from the recent past—like the 1918 flu pandemic and COVID-19—serves as poignant reminders of how quickly avian diseases can evolve from farm to human populations.

Currently, the farm where the outbreak occurred is under strict quarantine, with culling followed by decontamination processes before regular operations may resume. Ongoing assessments are key to establishing the broader impact of H5N9 and monitoring its characteristics against H5N1, which remains stubbornly entrenched in the poultry sector.

Although this marks the first occurrence of H5N9 within the U.S., the event unravels the complex relationships between avian viruses, animal health, and human safety. Researchers are committed to continuous monitoring, ensuring to remain at the forefront of surveillance measures.

Clearly, the fight against avian influenza demands vigilance and rapid response mechanisms—both for the health of poultry farms and the overarching concerns of potential human health consequences looming on the horizon.