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H2H-H5N1 spread in US

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Dutch Josh View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: 20 Jul 2024 at 11:18pm
DJ, A good short recent video about human risks for H5N1 from Singapore;
https://www.youtube.com/watch?v=iFCb69_Tn4c or https://www.youtube.com/watch?v=iFCb69_Tn4c ; (CNA)

Bird flu: How concerned should you be about human infection of H5N1? | Expert Answers | CNA Explains


Jul 8, 2024
Can you get bird flu from food? What are the chances of human-to-human transmission? We posed some of your questions about the H5N1 virus to Dr Ooi Eng Eong, a professor of emerging infectious diseases at Duke-NUS Medical School. Read the explainer: https://cna.asia/4bANfDX Follow us on Instagram to submit your questions for future episodes of Expert Answers:   / channelnewsasia   00:00 Introduction 00:25 Why should I care about the bird flu? 00:58 Can it transmit from human to human? 02:17 Can I get it from food? 03:14 Are the birds that appear in hawker centres safe for diners? 03:31 Symptoms of bird flu 04:51 Is there treatment or vaccine available for bird flu? 05:28 What's the difference between the bird flu virus and the COVID-19 virus? 06:10 Is Singapore prepared for the next pandemic?

DJ, Raw milk from infected cattle may infect humans...
https://cnalifestyle.channelnewsasia.com/wellness/stress-chronic-illness-disease-393341 or https://cnalifestyle.channelnewsasia.com/wellness/stress-chronic-illness-disease-393341 ;The signs of chronic illness are often dismissed by doctors as “just stress.” But that comes from a complex relationship between sickness and stress itself.

DJ, I believe in information, trying to be honest...
IF (!!!) there is human-to-human H5N1 spread in (some parts of) the US -for now-it will be VERY !!!! limited !

But one needs to be on top of it ! ...It is sad lots of indications for a downplay of risks..."crowd control"-to avoind unrest/panic...

Panic does not help...good info does help...
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: 20 Jul 2024 at 11:27pm
july 19 https://www.cidrap.umn.edu/avian-influenza-bird-flu/h5n1-strikes-another-large-layer-farm-colorado-dairy-herd-minnesota or https://www.cidrap.umn.edu/avian-influenza-bird-flu/h5n1-strikes-another-large-layer-farm-colorado-dairy-herd-minnesota ;

As Colorado continue its response to a highly pathogenic H5N1 avian flu outbreak at a massive egg-laying farm connected to five H5 illnesses in people working as poultry cullers, federal agriculture officials confirmed another outbreak at a large layer farm that houses 1.3 million birds. 

Both of the layer farms are in Weld County in the northeastern corner of the state, where several outbreaks have been reported in dairy cattle.

In other developments, Minnesota's Board of Animal Health reported another affected dairy herd, which is located in Stearns County in the central part of the state. 

Wastewater detection in Arkansas

In a new wastewater development, WastewaterSCAN reported a new H5 influenza detection in Arkansas involving the city of Harrison's wastewater treatment plant. No recent outbreaks or detections have been confirmed from the state. 

Wastewater detections aren't able to determine the source of the virus. WastewaterSCAN's H5 tracking has detected the virus in nine other states, all but one of which (California) has reported dairy cattle or poultry outbreaks.

In other wastewater tracking, the Centers for Disease Control and Prevention said that, across the 2 weeks ending July 6, no states were at the high level for influenza A, which can't distinguish H5N1 but can be a surveillance signal for health officials to explore the source.

DJ, Waste water tracking can give another indication for the spread of human H5N1 infections...However in the past some virus detections (then for CoViD) turned out to be from rats/mice living in the sewage...

Se detecting H5-virus parts in waste water may NOT be from humans...
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It is very welcome the US is-at least up to some level-open on H5N1 in humans...
Other countries do NOT REPORT human H5N1 cases...may not even look for it...

CoViD and H5N1 symptoms and spread may have similarities...Again-stopping after a positive CoViD test may miss a possible H5N1 infection...
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: 21 Jul 2024 at 2:08am
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Is there a shortage of epidemiologists & public health experts? Why do I see THE SAME NAMES over & over again, year after year? Folks who urged us to unmask & acquire Covid for “immunity” are guiding us on H5N1. Doctors who said kids can’t get Covid in 2020 are all over media in 2024. Government-appointed epidemiologists are lying to the public & claiming Covid doesn’t cause immunodeficiency. We NEVER hear from anyone new, we ONLY hear from the same captured individuals who were have been wrong about literally everything for 4 years now, as they are on a mission to protect business & the record profits while maintaining the status quo forevermore. They don’t work for humanity.

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The man who told us kids are less efficient at spreading Covid because they’re short & have less powerful sneezes is interviewed everywhere, for everything, all of the time.

DJ, We now live/are in a 2D world. "Experts" do not change..."Evaluation" is a dirty word...
"Experts" may be wrong all the time-but they do a media-job...PR.
History does not matter...Science "only limits profits"...

When "media" pick up H2H for H5N1 it very likely will be all around...Than "blame China" or "Lab-leak" nonsense show up...Again ignoring pandemics are NOT new !

With the internet there should be more info then ever before...In a comic (Asterix & Obelix) a joke was "20 doctors are deathlier than no doctors"...Never before in human history did we have so many well educated people-yet may run into the abyss...


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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: 21 Jul 2024 at 8:39am
For the US;

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Replying to and
If you work with dairy cows suspected or confirmed to have avian flu and you start to feel sick, call CDPHE at 303-692-2700 (after normal business hours: 303-370-9395). The Department can help you get a flu test and medicine if you need it.

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“I am extremely concerned that we are on the brink of this being really already in humans—and once it’s in humans, it is going to be a real problem to control”  -Seema Lakdawala, an influenza specialist at Emory University.

DJ, Maybe the problem started a few years ago-wild birds with H5N1 being eaten by mammals-also catching H5N1...If you do not stop a growing problem it will get bigger...
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: 21 Jul 2024 at 11:11pm
DJ-The US is in many ways in crisis. I hope soon clear political leadership will show up. 
President Kamala Harris should start TODAY !!!!

To much time already has been wasted-money used to murder instead of heal...destruction instead of building...

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🚨🇺🇸 Ongoing #H5N1 outbreak in U.S. dairy cattle is spreading around high-density cattle regions, including yet-to-report Nebraska and Wisconsin, both surrounded by detections. Highlights significant risk and potential for further spread to new areas. 🔗 https://openknowledge.fao.org/server/api/core/bitstreams/34bd0ed0-ef93-4231-9cba-73bcc565fd0b/content


DJ, It is still not very clear how much there is a H5N1 crisis outside the US. Feeding poultry cattle "droppings" while cattle eats "poultry litter" may be a (bizarre) US "thing"...


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✴️My opinion: If pandemic flu does arrive, we will save many lives if every Australian has a 20 mg tablet of Baloxavir on hand (or Tamiflu course as a minimum). The cost will be negligible compared to the only other option, lockdowns. ✴️But to stand any chance we need urgent surveillance, and available RAT tests. #birdflu #H5N1 #foodscarcity

DJ, I do expect more US H5N1 human cases in the US this week...

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next pandemic will likely unfurl under conditions set by the imploding empire(s) that allowed COVID to eviscerate public health; the precautionary principle; & healthcare. All I’m saying is, please mask up, please take precautions. This will hit already marginalized folks hardest
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I'm planning to start recruiting wastewater treatment facilities that service large animal processing facilities to get WW to screen, quantitate, and sequence H5 sequences. Just want to keep an eye on whether it moves into other species. Suggestions welcome.

DJ, there is NO ROOM for kicking cans down the road any longer ! 
Climate disasters are now a daily event around the globe...lots of diseases out of control-very likely CoViD (immunity problem) linked...

Politics HAVE TO COME with answers now !

Whoever is running the US STOP H5N1 NOW or see the next H5N1 pandemic on top of both CoViD and (different forms of) Mpox !
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: 22 Jul 2024 at 12:43am
https://flutrackers.com/forum/forum/united-states/h5n1-tracking-af/colorado/993492-colorado-state-health-officials-confirm-6-cases-of-avian-flu-in-colorado-poultry-workers-july-12-news-reports-of-a-7th-case?view=stream or https://flutrackers.com/forum/forum/united-states/h5n1-tracking-af/colorado/993492-colorado-state-health-officials-confirm-6-cases-of-avian-flu-in-colorado-poultry-workers-july-12-news-reports-of-a-7th-case?view=stream latest;
Treyfish
Treyfish replied
Seventh poultry worker in Colorado with bird flu


July 21, 2024

An additional worker became infected with the H5N1 avian flu virus while culling sick hens at a Colorado egg farm, said state public health officials, raising the U.S. total of infected workers to 11, all with mild symptoms. Eight of the cases, seven involving poultry and one involving dairy, have occurred in Colorado. The Centers.
tiphat

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sharon sanders
The Colorado Department of Public Health and Environment has not updated their website to reflect the 7th case yet.


DJ, So the cow-poultry-human spread may be spreading a lot faster than the "only cow" or "only poultry" H5N1 spread...

Very likely more cases will be reported this week...


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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: 22 Jul 2024 at 5:07am
https://afludiary.blogspot.com/2024/07/cdc-coca-call-on-h5n1-for-clinicians.html or https://afludiary.blogspot.com/2024/07/cdc-coca-call-on-h5n1-for-clinicians.html ;

Last week the CDC Held a 1-hour webinar for clinicians and healthcare centers on the epidemiology, identification, and treatment of HPAI H5N1 cases which is now online, and available for viewing.  This presentation also comes with a 48-slide PDF file

The goals for this webinar are stated as: 
At the conclusion of today’s session, the participant will be able to accomplish the following:
  1. Discuss the epidemiology and clinical features of human cases of HPAI A(H5N1) virus infection.
  2. Describe risk of human infection with HPAI A(H5N1) viruses, identify higher risk populations, and what to assess in clinical settings. 
  3. Describe testing, using antivirals, and infection prevention and control recommendations for patients with HPAI A(H5N1) virus infection. 
This presentation is at times fairly technical, and is of greatest interest to clinicians and healthcare providers, but also may be of interest to the general public.  

It is a far better source of information than most of what I've seen on trending on social media.  But I digress . . . 

A fully captioned video and edited transcript will be posted within the next few days, but between the video and PDF, most will find the current presentation easy enough to follow.  

DJ, Only trained medical staff can tell/test for H5N1. So -there may be "stories" of H2H spread of H5N1-for now it is "just that"...however;

Case counts mentioned in this webinar, which reflect what was known last week, have changed.  Dr. Uyeki refers to 4 infected poultry workers in Colorado, but have now been confirmed (and a 7th is reportedly awaiting confirmation). 

There are also anecdotal reports of symptomatic dairy workers who were never tested for the virus (see EID Journal: Avian Influenza A(H5N1) Virus among Dairy Cattle, Texas, USA), raising the possibility that some cases have gone undetected.

DJ, Good info is needed !
https://emergency.cdc.gov/coca/calls/2024/callinfo_071624.asp or https://emergency.cdc.gov/coca/calls/2024/callinfo_071624.asp 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: 22 Jul 2024 at 11:11pm
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Avian flu infects two more Colorado poultry workers, one at second farm. 10 US human cases since spring.

https://flutrackers.com/forum/forum/united-states/h5n1-tracking-af/991361-us-h5n1-human-case-list?view=stream or https://flutrackers.com/forum/forum/united-states/h5n1-tracking-af/991361-us-h5n1-human-case-list?view=stream will be updated....

https://afludiary.blogspot.com/2024/07/colorado-doh-reports-their-7th.html or https://afludiary.blogspot.com/2024/07/colorado-doh-reports-their-7th.html ;

Late last week the CDC Confirmed 5th & 6th Human H5 Infection From Poultry Farm In Colorado and we learned of a 2nd poultry farm - also in Weld County - that had been infected (see CIDRAP report H5N1 strikes another large layer farm in Colorado).

Over the weekend there have been local media reports of a 7th presumptive positive case among poultry workers, and this morning the Colorado Health Department is reporting that case was detected at the 2nd poultry farm.

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https://www.cidrap.umn.edu/avian-influenza-bird-flu/avian-flu-infects-two-more-colorado-poultry-cullers-one-second-farm or https://www.cidrap.umn.edu/avian-influenza-bird-flu/avian-flu-infects-two-more-colorado-poultry-cullers-one-second-farm 

DJ-No further info on H2H spread. It looks like the cattle-poultry-humans "trajectory" however may have resulted in a H5N1 variant better in infecting humans...


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New sequence from human isolate collected 7/15/24 from farm worker in CO shared (w/ metadata) by (EPI_ISL_19280426) in . Looks nearly identical to human isolate from same farm, collected 7/11. H/t to for rapid sharing of data w/ metadata (hint, )
DJ, So the same H5N1-"variant" may be spreading on TWO Colorado poultry farms and "doing a good job infecting humans"...

This will spread !
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: 22 Jul 2024 at 11:26pm
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Very sad news, if confirmed, of another human infection of #H5N1 virus. Good news that & are working very closely; seems human cases are being detected, treated, & confirmed quickly, along w/ rapid communication. Hate to see more cases, but relieved to see collaboration, coordination, & communication happening. Hoping the best for those directly affected. H/t federal, state, & local partnership in Colorado
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Twice a year forever. Well done, humans, for allowing a completely new genre of infectious disease to circulate and cause death, disability and havoc forever more, while also playing roulette with the likelihood of mutation to higher lethality. You aced it!

DJ, Why H5N1 will spread further in humans ?

1-CoViD also increasing=less immunity protection
2-The H5N1 cattle-poultry variant will end up in other species around the farms
3-Very likely the confirmed/tested cases only tip of the iceberg
4-Lots of (at first) asymptomatic/mild cases...still spreading it...

DJ-Stories of earlier spread among farmworkers have been ignored "saving the economy"...And YES an economy, food supply is important ! 

But by now we also may have to give up the idea we can get H5N1 human spread under control...Like CoViD, Mpox "the news" will be under control...

H5N1 is NOT "just" a US problem...it must be spread wider but testing & reporting may be even worse in a few other countries...

The "US human variant" of H5N1 has been CDC confirmed in 13 humans (10 of them from Colorado). If the idea 4-to-15 times the number of confirmed cases may be missed then ;

4x13=52 + 13 confirmed =65 cases
15x13=195+13 confirmed would be 208 cases...

So H5N1 human cases -for now- mostly linked to cattle-poultry-human spread...Indications for Human-to-human (H2H) spread "anecdotal"...but even in the most optimistic scenario just a matter of time...
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Dutch Josh Quote  Post ReplyReply Direct Link To This Post Posted: 23 Jul 2024 at 7:52am
https://flutrackers.com/forum/forum/north-america/h5n1-tracking-ad/mexico/969746-mexico-h5n1-avian-flu-in-poultry-2023-2024?view=stream or https://flutrackers.com/forum/forum/north-america/h5n1-tracking-ad/mexico/969746-mexico-h5n1-avian-flu-in-poultry-2023-2024?view=stream 400 birds died/killed by H5N1 south from Mexico city...

https://afludiary.blogspot.com/2024/07/colorado-orders-mandatory-statewide.html or https://afludiary.blogspot.com/2024/07/colorado-orders-mandatory-statewide.html ;

Colorado - with 46 confirmed infected dairy herds - leads the nation in both cattle and human infections with HPAI H5. In the past 10 days at least 7 poultry workers have tested positive for the avian virus, and over the past 30 days they've reported two very large outbreaks in poultry, and 28 new dairy herd infections. 

Until now, most testing (excerpt for interstate transport of cattle) in the United States has been voluntary, and limited to symptomatic dairy cows. As a result, we don't have a very good handle of how many herds are infected.  

Yesterday, the Colorado Department of Agriculture released the following order for mandatory weekly bulk-tank testing for HPAI.   I'll have a bit more after the break.

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We've seen calls for expanded testing of cattle (and milk) for months, but until now the dairy farmer has largely controlled whether their cattle would be tested.  Since there are negative consequences to having a herd test positive, there has been more than a little resistance to the idea. 

The industry's hope, that the virus would `burn itself out' in cattle, has not come to fruition.  

While it comes pretty late in the game, the testing requirement ordered in Colorado should help quantify the size of the problem in that state.  Hopefully other states will now reconsider their passive approach, and order similar testing programs.

But I'm not going to hold my breath. 

DJ, The US has now 13 human cases of H5N1 and NO urgency at all to improve testing...Crazy !
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