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California Declares State of Emergency Over Bird Flu

Thank you for the quick response @Spyglass. It isn't easy to keep up sometimes while I'm working. I appreciate the websites you have shared. Much of the information I have been following comes from the CDC and state and territorial health departments. For those of you who don't mind reading more technical information, I highly recommend subscribing to the CDC's Morbidity and Mortality Weekly Report (MMWR) and their Health Alert Network (HAN). The mainstream media is doing a reasonable job of reporting the facts. Still, they keep reporting (correctly, I might add), that the risk to the general population is low at the moment. This does miss some of the nuances of what is occurring, however.

I am particularly concerned about some studies that have come out about the prevalence of antibodies in dairy workers in Michigan and Colorado. There was an article in the MMWR that was published back in November that showed that approximately 7% of the dairy workers who were tested in that study had evidence of recent infection with H5N1 influenza. Furthermore, only about half of those who had antibodies reported feeling ill at some point. Here is a link to the article in case someone wishes to read it:

Serologic Evidence of Recent Infection with Highly ..

There have also been anecdotal reports of scores of dairy workers in California feeling ill after coming into contact with known infected herds. However, many of these workers did not report symptoms due to fear of either losing their jobs or getting into trouble with immigration authorities. This means that the number of "spillover" infections from cattle to humans is probably quite a bit higher than what is being reported to the CDC. It is important to remember that anytime this virus spreads, there is a chance that it could mutate to spread more efficiently between humans. I am very concerned about the possibility of someone being co-infected with a seasonal influenza virus and the H5N1 virus. This could lead to the dreaded "recombination" event that could set things in motion.

As for @farmboy 's observation, it is difficult to say if H5N1 will move through the population more rapidly than COVID-19. As you have pointed out, it can depend on whether the virus acquires the ability to spread among humans while in an animal or human host. Theoretically, if there is a large reservoir of animals that the virus can infect as efficiently as humans, this would cause the basic reproduction number (R0) to be higher than if this strictly spread among humans. At this point, since we don't have a virus that is spreading in a sustained manner between humans, we can't estimate some of the epidemiological properties such as the R0 or the Case Fatality Rate (CFR). It is also important to note that the R0 of the original strain of SARS-CoV-2 was exceptionally high, and the Omicron strain of the virus has evolved to have an R0 somewhere between that of polio and measles.

If I had to make an educated guess as to the R0 of a hypothetical pandemic strain of H5N1, I would estimate that it would probably be between 2 to 4. This would be similar to the original strain of SARS-CoV-2, as well as the average of the 1918 H1N1 pandemic strain. I cannot give an estimate on what a theoretical Case Fatality Rate would be, simply because we do not know what form the virus will take. At the beginning of the COVID-19 pandemic, the CFR was estimated to be around 6%; this was revised sharply downward to around 1-2% once it was recognized that there was widespread asymptomatic infection. The 1918 influenza pandemic was estimated to have an average CFR of 2.5%, with some locations having a CFR of 5% or greater during the wave of autumn 1918.

I hope that this provides some insight into what is going on. We still have a few stages to go through before we are in a pandemic, but the situation is somewhat concerning. I urge everyone to please take this time to go over their pandemic preparedness plans, as this will be much easier before we hit an SHTF scenario.
 
The good news is that many of the non-pharmaceutical interventions that we used with COVID-19 are effective against pandemic influenza. It is also possible that we might have an effective vaccine against H5N1 available sooner using mRNA technology.
The good thing is that there's already a working "prepandemic" vaccine that just needs to be updated to an eventual pandemic strain.
So it won't be like with the covid which was a completely unknown pathogen...
Plus another good thing is the fact that Influenza viruses (Orthomyxoviridae) tends to mutate way less compared to Coronaviruses (Coronaviridae).
Still H5N1 is a shitty disease....not because of the risks toward the general population regarding getting infected and eventually dying...it's not gonna be like the Spanish Flu.
The problem will be the implications it has over the global food supply chain.

That's the huge issue.
 
The good thing is that there's already a working "prepandemic" vaccine that just needs to be updated to an eventual pandemic strain.
So it won't be like with the covid which was a completely unknown pathogen...
Plus another good thing is the fact that Influenza viruses (Orthomyxoviridae) tends to mutate way less compared to Coronaviruses (Coronaviridae).
Still H5N1 is a shitty disease....not because of the risks toward the general population regarding getting infected and eventually dying...it's not gonna be like the Spanish Flu.
The problem will be the implications it has over the global food supply chain.

That's the huge issue.
Unfortunately, we do not yet know the eventual morbidity and mortality of a possible pandemic strain of H5N1. While I agree with you that there will be issues with the global supply chain during a major pandemic, it is impossible to know at this time what the CFR will be. It could end up being mild like the 2009 "swine flu" pandemic, or it could be as deadly (or worse) than the 1918 Spanish flu. Just like what happened with COVID-19, it is impossible to know how the human body will react when confronted with a virus that it has never seen before.

Right now, the vast majority of human cases report mild symptoms. However, this has more to do with the fact that the virus has difficulty infecting the cells of the upper airway compared to other influenza viruses. The mutations found in the Louisiana and British Columbia cases are quite concerning, especially considering that both cases involved severe illness. Granted, it appears that the mutation occurred during the course of the infection, and it is difficult to say if there were other factors involved that caused the severe illness.

My advice always remains staying alert and going over your pandemic preparedness plans while we are still at Level 3.
 
Unfortunately, we do not yet know the eventual morbidity and mortality of a possible pandemic strain of H5N1. While I agree with you that there will be issues with the global supply chain during a major pandemic, it is impossible to know at this time what the CFR will be. It could end up being mild like the 2009 "swine flu" pandemic, or it could be as deadly (or worse) than the 1918 Spanish flu. Just like what happened with COVID-19, it is impossible to know how the human body will react when confronted with a virus that it has never seen before.

Right now, the vast majority of human cases report mild symptoms. However, this has more to do with the fact that the virus has difficulty infecting the cells of the upper airway compared to other influenza viruses. The mutations found in the Louisiana and British Columbia cases are quite concerning, especially considering that both cases involved severe illness. Granted, it appears that the mutation occurred during the course of the infection, and it is difficult to say if there were other factors involved that caused the severe illness.

My advice always remains staying alert and going over your pandemic preparedness plans while we are still at Level 3.
Do we know anything about Co-Morbidities associated with the severe cases? If they had co-morbidities I am slightly less concerned, but if these were healthy individuals… the issue is the virus always has a chance to mutate inside the host. It could create a killer strain that only infects a few people, and dies out, or it could create a strain that has just the right cocktail of deadly vs infectiousness. The pandemic strain.

I *dont* think the pandemic strain is going to jump right out of an animal. It’s going to figure humans out via replication.

They do this in vitro in labs, where the virus is bred over a zillion generations in human or mouse lung tissues. The most effective virus strains get “plucked” for study. The natural version of this is what is occurring now.

The only thing that pushes this back, (because the genie is already out of the bottle in my opinion) is to prevent further human infections.

The other scary thing, is the implications of wildlife. This virus is seemingly effective at killing or severely sickening every species it comes into contact with. (NYC ZOO CATS)
Wildlife could be impacted. Family pets could be vectors.

People don’t fully comprehend the situation right now. It’s a tipping point that could go over the edge at any moment. It’s looking more and more to me that COVID was just the warmup. The societal implications of this one are completely different. Think culling of family pets… bad.
 
We have about 50 ducks and 20 geese on our farm. We are of course quite concerned. We are keeping the livestock away as much as possible but the duck do move around a bit. Probably going to have to destroy the ducks and maybe 🤞just quarantine the geese in there night pen 100’x50’ many structures for shelter.
They live for 20+ years and will come to there names.

Ducks and Livestock I don’t care about. So far nothing Center South. Louisiana. Biggest city near is Lafayette if you are tracking it.

🙁
 
PBS Newshour reports that the Louisiana patient is over 65 and has underlying medical conditions. I cannot confirm this through official sources such as the CDC or Louisiana Department of Health. I have linked the article below:

Bird flu virus likely mutated within Louisiana patient who became severely ill, CDC says.

What really concerns me is the British Columbia case. The patient was identified as a teenager without any underlying medical conditions. It is also unknown how they became infected, but BC health officials suspect that it was through contact with wild birds. Here is an official update from the BC Government:

BC Gov News

I agree with @Spyglass that there is a major risk of this virus finding hosts in different species. There have been reports of pet cats becoming ill after eating pet food that has been tainted with the virus. Our number one goal at the moment should be to contain the major epizootics among cattle and commercial poultry and prevent this virus from infecting other animals, especially humans. That would at least give us some breathing room. Unfortunately, I have been monitoring Highly Pathogenic Avian Influenza (HPAI) for years, and I can tell you that it is already widespread among wild birds. As Spyglass succinctly put it, the genie is already out of the bottle when it comes to that.
 
We have about 50 ducks and 20 geese on our farm. We are of course quite concerned. We are keeping the livestock away as much as possible but the duck do move around a bit. Probably going to have to destroy the ducks and maybe 🤞just quarantine the geese in there night pen 100’x50’ many structures for shelter.
They live for 20+ years and will come to there names.

Ducks and Livestock I don’t care about. So far nothing Center South. Louisiana. Biggest city near is Lafayette if you are tracking it.

🙁
If at all possible, try to make sure that your animals stay as far away from wild birds as possible. Quarantining the geese is probably a good idea. I am also going to share a link from the CDC. They have some excellent advice on how to protect farmworkers from possible exposure to H5N1. It would be a great idea to invest in some high quality PPE, such as suits, masks, gloves, boots, and googles if possible.

Interim Guidance for Employers to Reduce Exposure to Novel Influenza A (Such as H5N1 Bird Flu) for People Working with or Exposed to Animals
 
We have about 50 ducks and 20 geese on our farm. We are of course quite concerned. We are keeping the livestock away as much as possible but the duck do move around a bit. Probably going to have to destroy the ducks and maybe 🤞just quarantine the geese in there night pen 100’x50’ many structures for shelter.
They live for 20+ years and will come to there names.

Ducks and Livestock I don’t care about. So far nothing Center South. Louisiana. Biggest city near is Lafayette if you are tracking it.

🙁
I was on a couple international panels with people who ran the crisis response hotlines in the British Isles impacted by the foot and mouth disease in 2001. Horrific views of the total slaughter of susceptible livestock. The commercial large scale producers complied for the most part pretty cooperatively. It was the local small farmers who had bred special genetics in their herds for 5-10 generations back, who were maintaining heritage breeds almost extinct, etc. who often hid animals, loaded them in trailers and drove the backroads to avoid the roadblocks, who confronted inspectors in their driveways with shotguns. If we had to do a mass culling of dogs and cats in this culture it would be gruesome and pretty impossible.
 
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We have about 50 ducks and 20 geese on our farm. We are of course quite concerned. We are keeping the livestock away as much as possible but the duck do move around a bit. Probably going to have to destroy the ducks and maybe 🤞just quarantine the geese in there night pen 100’x50’ many structures for shelter.
They live for 20+ years and will come to there names.
I totally understand your concerns. I have chickens for eggs to get animal proteins in my diet. I have an ongoing issue with feral pigeons getting in to the chicken feed sources and the concern I have is the diseases carried by these feral pests. Regularly catch the pigeons in traps and dispatch them. They are full of worms and goodness knows what else. Tend to incinerate them to remove the pest risk.
 
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EFE
December 30, 2024 - 3:02 p.m.
On December 31, 2019, the authorities in the Chinese city of Wuhan notified the World Health Organization (WHO) of several cases of “pneumonia of unknown origin”: it was the beginning of what later became the worst pandemic of the last century, that of Covid-19.
Five years later, the organization's official records, which continue to be updated weekly, speak of 7 million deaths, although the UN health agency itself recognizes that the true number of deaths may be three times higher and therefore exceed 20 million victims.
 
If at all possible, try to make sure that your animals stay as far away from wild birds as possible. Quarantining the geese is probably a good idea. I am also going to share a link from the CDC. They have some excellent advice on how to protect farmworkers from possible exposure to H5N1. It would be a great idea to invest in some high quality PPE, such as suits, masks, gloves, boots, and googles if possible.

Interim Guidance for Employers to Reduce Exposure to Novel Influenza A (Such as H5N1 Bird Flu) for People Working with or Exposed to Animals
We have N95 mask, nitrile gloves and a changing station for foot ware and coveralls. Boot are sprayed. a with a bleach solution and we get blood test once a week (my wife does this both here in her small lab and in town at her mainlab. We were eye protection or if it’s cleaning face shields. Sounds like a lot but it’s easy once you are in a routine.

My wife mostly does Hemo now but still keeps CE current for Micro. I defer to her.

My idea of all this is to shoot all of them, burn the
Bodies and start over later. She has a somewhat different opinion and since she bottle feed some and has names for everyone, I’m going to stay happily married and call my idea… plan B or maybe C
 
So as yet no known human to human spread, not dangerous to migratory birds. Only poultry.
H5N1 has been around for 20 years 900 confirmed cases during that time,
Significant mortality for human cases.
Only known spread is poultry to human contact.

There were 30,000 influenza deaths in the US in 2018 2019.

Wake me when it goes respiratory transmission
There has been known transmission of this virus to humans from poultry for 20 years. How many undiagnosed cases treated with Tamaflu successfully?
Yeas professionals need to watch it but I don’t see a pandemic remotely close. Short of widespread respiratory spread and pneumonic results

I’ll use the same cautions I use everyday and not give it too much thought.

 
So as yet no known human to human spread, not dangerous to migratory birds. Only poultry.
H5N1 has been around for 20 years 900 confirmed cases during that time,
Significant mortality for human cases.
Only known spread is poultry to human contact.

There were 30,000 influenza deaths in the US in 2018 2019.

Wake me when it goes respiratory transmission
There has been known transmission of this virus to humans from poultry for 20 years. How many undiagnosed cases treated with Tamaflu successfully?
Yeas professionals need to watch it but I don’t see a pandemic remotely close. Short of widespread respiratory spread and pneumonic results

I’ll use the same cautions I use everyday and not give it too much thought.

When the media starts hyping things, and conditioning the public for something, all while Trump is supposed to take over in Jan… it’s worth a pause. People reacted the same way with COVID, with aloofness. “It won’t leave China, these flus don’t make it here” I remembered everyone saying.

Little did we know the virus had already circled the globe twice by January.
 
So as yet no known human to human spread, not dangerous to migratory birds. Only poultry.
H5N1 has been around for 20 years 900 confirmed cases during that time,
Significant mortality for human cases.
Only known spread is poultry to human contact.

There were 30,000 influenza deaths in the US in 2018 2019.

Wake me when it goes respiratory transmission
There has been known transmission of this virus to humans from poultry for 20 years. How many undiagnosed cases treated with Tamaflu successfully?
Yeas professionals need to watch it but I don’t see a pandemic remotely close. Short of widespread respiratory spread and pneumonic results

I’ll use the same cautions I use everyday and not give it too much thought.

There's just media circle jerking going on now.
If...if...if...if...
What it counts is what the community of scientists (WHO and US CDC in the lead) is saying, regarding a virus that is not unknown.
 
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When the media starts hyping things, and conditioning the public for something, all while Trump is supposed to take over in Jan… it’s worth a pause. People reacted the same way with COVID, with aloofness. “It won’t leave China, these flus don’t make it here” I remembered everyone saying.

Little did we know the virus had already circled the globe twice by January.

Well as the cdc link pointed out H5N1 has been around for at least 20 years, I know there are sub variants of every viral strain. Influenza while nasty and has always caused deaths and is a serious virus. It is also a pretty diluted viral strain.

Willrod will this years trivalent vac even work against this strain?

Can it go super viral. I don’t know, maybe. And nuclear war could break out between Pak and India or China decides to impose a sea embargo on Taiwan.


Meanwhile my daughter informed me this morning my Grandson has influenza a which is highly contagious and already respiratory. 99.8 percent he’ll live through it. But it will mark their year. I can remember some of the flu viruses I had as a kid and this too is not a new thing either.

So I’m not saying these things aren’t real. Only that life happens and it sucks sometimes. We do the best we can.

Rumbling about a possible pandemic are premature. H5N3 is spread by mucus membrane contact. As yet still no human to human transfer.
If that changes I’m sure we’ll hear about it. So I’m not going to get excited about a premature what if it does this or that. Epidemiologist and hospitals needs to watch it and hopefully inform intelligent public health officials. Their doing so will animal husbandry indiustries.

And if you thought public response to Covid was bad. It will be nothing compared to H5N1. Public trust in public health officials and politicians is in the gutter. Sorry no personal or professional offense towards you Willrod. It’s just a fact. People will be dropping in the streets before much consideration will be given to public health for several years.
Because as we all saw Covid was used for political purposes, some legitimate others not.

And I’m not a anti-science Luddite, I just ordered some more N-95 mask in case I need to go visit my grandson.
 
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Well as the cdc link pointed out H5N1 has been around for at least 20 years, I know there are sub variants of every viral strain. Influenza while nasty and has always caused deaths and is a serious virus. It is also a pretty diluted viral strain.

Willrod will this years trivalent vac even work against this strain?

Can it go super viral. I don’t know, maybe. And nuclear war could break out between Pak and India or China decides to impose a sea embargo on Taiwan.


Meanwhile my daughter informed me this morning my Grandson has influenza a which is highly contagious and already respiratory. 99.8 percent he’ll live through it. But it will mark their year. I can remember some of the flu viruses I had as a kid and this too is not a new thing either.

So I’m not saying these things aren’t real. Only that life happens and it sucks sometimes. We do the best we can.

Rumbling about a possible pandemic are premature. H5N3 is spread by mucus membrane contact. As yet still no human to human transfer.
If that changes I’m sure we’ll hear about it. So I’m not going to get excited about a premature what if it does this or that. Epidemiologist and hospitals needs to watch it and hopefully inform intelligent public health officials. Their doing so will animal husbandry indiustries.

And if you thought public response to Covid was bad. It will be nothing compared to H5N1. Public trust in public health officials and politicians is in the gutter. Sorry no personal or professional offense towards you Willrod. It’s just a fact. People will be dropping in the streets before much consideration will be given to public health for several years.
Because as we all saw Covid was used for political purposes, some legitimate others not.

And I’m not a anti-science Luddite, I just ordered some more N-95 mask in case I need to go visit my grandson.
No offense taken, OReid. I know that trust in public health in the United States has been at an all-time low ever since the COVID-19 pandemic and the government's "less than ideal" response to it. It can sometimes be demoralizing, but those who work in this field aren't in it for fame and glory.

This year's seasonal influenza vaccine will not work against H5N1. However, it is important to get vaccinated against seasonal influenza to protect yourself during this year's flu season, as well as reduce the likelihood of becoming co-infected with H5N1 (which can lead to the dreaded recombination event).

I think it's important to clarify a few things about the seasonal influenza vaccine. The seasonal vaccine is composed of two Influenza A viruses (of which H5N1 is technically categorized), and one Influenza B virus. Major influenza A strains are differentiated by the composition of two proteins: hemagglutinin (H) and neuraminidase (N). Think of these proteins as a "key" which can be used to gain entry into a cell. When we classify different Influenza A viruses, we assign a number for each H and N protein to make it easier to distinguish.

The two current Influenza A viruses which cause widespread illness in humans are H1N1 and H3N2. There is only one Influenza B virus, which is simply known as B/Victoria (since it was discovered in Victoria state, Australia). The other Influenza B virus that used to infect humans, B/Yamagata, likely went extinct during the COVID-19 pandemic.

H5N1 is a completely different virus that currently does not cause widespread illness among humans. The United States government currently has an experimental vaccine against H5N1, but the problem is that it requires a very high dose to produce enough antibodies to neutralize H5N1. We would need to ramp up production of the vaccine (ideally using a strain that matches any potentially circulating pandemic strain) to levels that would be an order of magnitude greater than the COVID-19 vaccines. It is feasible, but it will take some time to produce a mass vaccination campaign. I am concerned that the public's distrust of vaccines will make a potential pandemic much harder to control.

I apologize if my answers come across as pedantic, but I feel that it is important that people understand what scientists are talking about when we throw out a bunch of letters and numbers.

@OReid, I wish your grandson a speedy recovery and I hope everyone starts the new year happy and healthy. As always, I am happy to answer any questions that people may have to the best of my ability.
 
trust in public health in the United States has been at an all-time low ever since the COVID-19 pandemic and the government's "less than ideal" response to it.
Layman here. Saying the Covid response was “less than ideal” is like saying the Titanic’s sortie produced an “undesirable outcome”
 
Layman here. Saying the Covid response was “less than ideal” is like saying the Titanic’s sortie produced an “undesirable outcome”
That was my subtle attempt at sarcasm. If there is one New Year's resolution that I would like to keep this year, it would be to find more humor during dark times.
 
Critical illness in an adolescent with influenza A(H5N1) virus infection

Case report


The most worrying aspect of this report was the detection of several mutations in the genome of the infecting virus, the same ones that have been linked to a more efficient spread in humans.


An H5N1 pandemic seems to be just a matter of time.
The virus is spreading among animal populations.

 
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