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California issues emergency amid 1st severe US bird flu case in humans

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A Louisiana resident hospitalized in crucial situation marks the U.S.’s first extreme human case of fowl flu, seemingly linked to contact with an contaminated yard flock, as California declared an emergency over the virus.

Federal and state officers have failed to regulate the nation’s outbreak, which contaminated dairy cattle for the primary time in 2024, as some farmers resist testing and containment measures.

Severe respiratory sickness within the Louisiana affected person reveals elevated well being dangers for individuals from the virus that beforehand precipitated eye redness, or conjunctivitis, in contaminated dairy staff.

Bird flu nonetheless represents a low danger to most people, the U.S. Centers for Disease Control and Prevention mentioned.

CDC has confirmed 61 human instances nationally since April, principally in staff on dairy farms the place the virus contaminated cattle. Workers culling contaminated poultry even have examined constructive.

The affected person in Louisiana is affected by extreme respiratory sickness, the Louisiana Department of Health mentioned in an announcement. The particular person is reported to have underlying medical circumstances and is over the age of 65, the division mentioned, placing the affected person at larger danger.

The case is the primary to be linked to yard, non-commercial poultry, mentioned Demetre Daskalakis, director of CDC’s National Center for Immunization and Respiratory Diseases, on a name with reporters.

The CDC mentioned a sporadic case of extreme sickness in an individual with H5N1 fowl flu isn’t sudden as such instances have occurred in different nations in 2024 and prior years, together with instances that led to demise.

“The mild cases that we’ve seen in the United States largely reflect that many of the individuals are getting infected by dairy cows and that’s very different than getting infected with infected birds,” mentioned Amesh Adalja, a senior scholar at Johns Hopkins Center for Health Security.

“If you look at the genotype of this patient in Louisiana, it wasn’t the cattle strain. It was a wild bird strain.”

CDC mentioned partial viral genome knowledge from the contaminated affected person reveals that the virus belongs to the D1.1 genotype, lately detected in wild birds and poultry within the United States and in current human instances in British Columbia, Canada, and Washington state.

This genotype of the virus is completely different from the B3.13 genotype detected in dairy cows, human instances in a number of states, and a few poultry outbreaks within the nation, CDC mentioned.

Bird flu has contaminated greater than 860 dairy herds in 16 states since March and killed 123 million poultry for the reason that outbreak started in 2022.

In California, the highest U.S. milk-producing state, 649 herds have examined constructive since late August, roughly 60% of its herds, in response to U.S. knowledge.

Four southern California dairies examined constructive on Dec. 12, “necessitating a shift from regional containment to statewide monitoring and response,” California Governor Gavin Newsom mentioned in his emergency declaration. Earlier instances had been centered within the Central Valley in the course of the state.

The declaration goals to streamline and expedite California’s response by permitting extra flexibility for staffing, contracting and different guidelines, Newsom mentioned.

The U.S. Department of Agriculture mentioned it has enrolled 13 states in a newly launched nationwide bulk milk fowl flu testing plan, representing almost half of the nation’s milk provide.

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