H5N1 Bird Flu

LLHD and local health departments across the country are closely following developments associated with avian influenza A(H5N1) (bird flu). At this time, there have been cases of H5Ni identified in backyard flocks, cattle and people in other states, none yet close to Connecticut. However, because people, animals and farm products move throughout our country it is important that we continue to monitor the situation and share information. The following articles and resources reflect the currently known situation as of mid-December.

December 18, 2024: CDC Confirms First Severe Case of H5N1 Bird Flu in the United States – CDC has confirmed that a patient has been hospitalized with a severe case of avian influenza A(H5N1) virus infection in Louisiana. This marks the first instance of severe illness linked to the virus in the United States. While an investigation into the source of the infection in Louisiana is ongoing, it has been determined that the patient had exposure to sick and dead birds in backyard flocks. This is the first case of H5N1 bird flu in the U.S. that has been linked to exposure to a backyard flock.

December 6, 2024: USDA Implements Testing of Milk Supply for Bird Flu  – USDA issued an order mandating raw milk testing as part of the federal government’s comprehensive surveillance efforts related to avian flu. This mandate comes amid an outbreak that has affected over 700 herds of dairy cows across many states. An initial round of testing is set to begin next week in raw milk from milk silos at dairy processing facilities. After that, USDA will implement bulk milk testing programs as needed, which will help to identify specific herds that are impacted by avian flu. 

November 22, 2024: CDC confirms H5N1 Bird Flu Infection in a Child in California – CDC has confirmed a human infection with H5N1 bird flu in a child in California. This is the first reported avian influenza H5 virus infection in a child in the United States. CDC’s risk assessment for the general public is low. However, people with exposure to infected or potentially infected animals, such as birds, dairy cattle, or other animals (including livestock), or to environments contaminated by infected birds or other animals, are at higher risk of infection. CDC recommends avoiding unprotected exposures to sick or dead animals, including wild birds, poultry, other domesticated birds, and other wild or domesticated animals (including cows).

November 8, 2024: CDC Expands H5N1 Bird Flu Guidance to Better Protect Farm Workers – CDC updated its guidance for Highly Pathogenic Avian Influenza A(H5N1) Virus: Interim Recommendations for Prevention, Monitoring, and Public Health Investigations following a recent study published in the MMWR that reveals important findings about H5N1 virus exposure among farm workers in Michigan and Colorado. This study builds on earlier findings reported in July and underscores the need for enhanced protective measures for farm workers to prevent H5N1 transmission from infected animals.

Frequently Asked Questions about H5 Bird Flu

What is H5 bird flu and what are the symptoms?
H5 bird flu is a viral disease that primarily infects poultry (e.g., chickens, turkey, ducks) and other wild birds. H5 bird flu is particularly contagious in bird populations and has resulted in the deaths of millions of birds in the United States. There have been 61 positive cases of H5 bird flu reported in humans in the United States in 2024. No person-to-person spread of H5 bird flu has been detected.

H5 bird flu symptoms are similar to the seasonal influenza virus. Possible symptoms include fever, cough, sore throat, muscle aches, nausea, abdominal pain, vomiting, diarrhea, eye infections, difficulty breathing, pneumonia, and severe respiratory disease. If you have had close and/or sustained unprotected contact with infected birds or animals or their contaminated environments, monitor for these symptoms for 10 days after your last exposure. If you have these symptoms, speak with your healthcare provider about the length of your at-home isolation before returning to your normal activities. The same diagnostic tools that are used to detect seasonal influenza viruses like the flu can also detect H5 bird flu. Updated on December 19, 2024

How does H5 bird flu spread? What should I do to protect myself from H5 bird flu?

H5 bird flu spreads to humans when enough virus gets into a person’s eyes, nose, or mouth or is inhaled from an infected bird or animal. There is no evidence of sustained person-to-person spread of H5 bird flu.

While the risk of H5 bird flu is low, everyone should take the following precautions:

  • Avoid contact with poultry, wild birds, and other animals that appear ill or are dead, as well as contact with surfaces that may have been contaminated with their feces.
  • Avoid uncooked or undercooked poultry, meat, and eggs.
  • Drink pasteurized milk that has been treated to kill harmful bacteria.
  • Cook poultry, meat, and eggs to the right internal temperature to kill bacteria and viruses, including H5 viruses.
  • Wash your hands and surfaces thoroughly before and after handling poultry, meat, and eggs.

People with close and/or sustained unprotected contact with infected birds or animals or their contaminated environments are at a greater risk of infection. To reduce the spread, those with known exposure to H5 virus-infected birds or other animals should isolate themselves away from others and seek medical attention if symptoms worsen. People who work with or have recreational exposures to infected animal populations, maintain backyard birds/poultry, and engage in hunting should consider taking these additional protections:

  • Avoid contact with poultry, wild birds, and other animals that appear ill or are dead, as well as contact with surfaces that may have been contaminated with their feces.
  • Wear personal protective equipment (PPE): 
    • Disposable outer garments with long sleeves and a sealed apron
    • Disposable gloves or heavier work gloves that can be disinfected
    • Properly-fitted high filtration masks such as N95s, KN95s, and KF94s
    • Safety goggles and disposable head coverings
    • Disposable shoe covers or boots that can be cleaned and disinfected.
  • Wash hands thoroughly with soap and water or an alcohol-based hand rub after contact with birds and mammals.
  • Avoid touching your skin with gloved hands.

H5 bird flu impacts the milk and beef supplies. Are these foods still safe to consume?

On April 24, the Food and Drug Administration (FDA) announced that traces of H5N1 bird flu had been detected in about 20 percent of milk samples from U.S. grocery stores, and reemphasized that the commercial milk supply of pasteurized milk is still safe for consumption.

The pasteurization process inactivates harmful bacteria and viruses, which means that the found traces of H5 bird flu are not live or infectious virus. Many studies have shown that pasteurization is effective at inactivating similar influenza viruses.

According to experts, finding traces of the virus in this percentage indicates that the H5 bird flu outbreak in cows is larger than originally thought. USDA has announced mandatory testing for bird flu for any dairy cows moving across state lines. Only milk from healthy animals is authorized to be sold, and pasteurization is required for any milk entering interstate commerce.

FDA will continue to monitor the milk supply and has cautioned against the consumption of raw or unpasteurized milk or milk products.

Additionally, to keep the beef supply safe, the U.S. Department of Agriculture (USDA) has conducted testing of ground beef samples from retail outlets in states where cows have tested positive for the virus. To date, no H5 virus has been found in any of the tested samples. Testing will continue and only meat that has passed USDA inspection can be sold in U.S. stores and restaurants.