4th human bird flu case reported in U.S. as Colorado farm worker is infected

A dairy employee in Colorado has been contaminated with chicken flu, marking the fourth human case in an ongoing outbreak that began with detection of the illness in cattle this spring.

Colorado well being officers stated the person skilled gentle signs, reporting solely eye irritation, a situation often called conjunctivitis.

The Colorado Division of Public Well being and Atmosphere stated in a statement that the person was given antiviral medicine and recovered. He works at a dairy farm in northeastern Colorado and had direct publicity to dairy cattle contaminated with H5N1, a virus that causes chicken flu.

Colorado well being officers stated they supplied private protecting gear to the ability the place the person labored.

“We’re nonetheless gathering extra details about the employee’s exposures and PPE use,” state epidemiologist Rachel Herlihy stated in an announcement.

No family contacts of the farmworker have developed signs and there’s no proof of person-to-person transmission, Herlihy stated. State and native well being officers are conducting follow-up investigations and can do extra testing if wanted, Herlihy stated.

Two different dairy employees contaminated earlier — in Texas in April and in Michigan in Might — additionally reported eye irritation. A second Michigan worker contaminated in late Might reported having a cough and eye discomfort with watery discharge. That employee was the primary to report extra intensive respiratory and eye signs.

Colorado well being officers stated the employee developed signs in late June, reported his signs at some point later and was examined two days after signs started. These preliminary exams had been inconclusive. Extra testing by the Facilities for Illness Management and Prevention confirmed the presence of chicken flu.

In 2022, a poultry employee in Colorado examined constructive for a similar pressure of avian influenza. Internationally, circumstances of human sickness have ranged from gentle infections to extra extreme sickness, together with pneumonia.

Federal well being and agriculture officers have repeatedly underscored the significance of dairy farm house owners making certain that employees take precautions — equivalent to carrying private protecting gear — when working with contaminated cattle. Federal and state officers have made provides obtainable to dairy farms however haven’t required their use.

Dairy farm employees sometimes categorical milk by hand from cow teats earlier than attaching milking gear. A splash of contaminated milk might get into the attention immediately, or the virus might enter when employees contact their eyes with a contaminated hand. Eye infections have been related to earlier human infections of chicken flu.

Many public well being specialists have stated inadequate testing of cattle is hampering the power to grasp and management the outbreak, which was formally detected in March however could have been in cows since December.

A current Agriculture Division research of H5N1 in 15 dairy herds and eight poultry flocks in Michigan discovered three threat elements for native unfold, together with contaminated gear or equipment, individuals who carry the virus on their clothes or boots, and the animals themselves.

Federal well being officers stated this week their evaluation of threat has not modified. The risk to the general public stays low, and though dairy employees and others involved with contaminated animals are at greater threat, U.S. officers usually are not recommending vaccination for any teams of individuals.

Earlier this week, federal officers introduced plans to develop vaccine and testing capability in case the continuing bird flu outbreak in dairy cattle causes a rise in human circumstances, if the virus modifications to turn out to be extra simply unfold or causes extra extreme illness, or if circumstances happen with no connection to an contaminated herd or particular person.

The U.S. authorities has stockpiled 4.8 million doses of chicken flu vaccine, and people pictures are anticipated to be obtainable beginning in mid-July. The U.S. authorities has additionally awarded $176 million to Moderna to finish growth and testing of an mRNA-based vaccine towards H5N1.

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