05/30/2025
H5 bird flu is prevalent in wild birds across the world. However, it is also affecting poultry and dairy cows in the U.S., with some reported human cases among dairy and poultry workers. Currently, the risk to public health is way too low. The CDC is closely monitoring the situation and is working tirelessly with states to track people who have been or are in close contact with infected animals. The CDC is vigilantly utilizing its flu tracking systems to watch for H5 bird flu activity in humans.
The US has reported 66 confirmed cases of bird flu in humans. The majority of cases were due to exposure to infected animals and birds while working in dairy farms and poultry. Signs that could indicate a higher public health risk include reports of people getting infected with the avian influenza A(H5N1) virus after being around birds or other animals. Another concern is if the virus spreads from one infected person to another.
Currently, avian influenza A(H5N1) viruses are spreading among birds in the United States and other countries such as Canada. However, no reports have indicated the spread of the virus from person to person. Since 2022, some countries have reported human infections with avian influenza A(H5N1. The reason behind the majority of H5N1 virus cases was the exposure to the infected poultry. In the previous outbreak of this virus in birds and other animals, human infections were reported rarely. Since the beginning of 2003, 23 countries in total have reported to the WHO about rare H5N1 human cases caused by avian influenza A(H5N1).
Let’s dive deeper into bird flu, its causes, and symptoms:
Bird flu, also known as avian influenza, is an infection, which is caused by the influenza A virus. It is also referred to as a zoonotic infection. Bird flu is usually prevalent in birds and other animals. However, in rare instances, it can also attack humans. Humans typically get bird flu from infected animals. Like the other variants of the flu, bird flu can cause a wide range of serious complications. The chances of it spreading from one human to another are extremely low.
Outbreaks of bird flu are common worldwide, which may result in various complications such as increased risk of human infection, disrupted food supply, severe damage to wildlife, etc. The USA has been reporting cases of bird flu in humans since 2024.
There are many subtypes that come under the umbrella of avian flu. Recent cases in the US have been of influenza A(H5) in humans. Other common subtypes that have been reported in the USA in the past are influenza A(H5N1) and influenza A(H7N9). The name of the subtype is usually determined by the protein found on the surface of the virus.
Once you are infected with bird flu, you may come across the following common symptoms:
Pink eye (conjunctivitis)
Fever
Muscle aches
Stuffy or runny nose
Sore throat
Nausea and vomiting
Diarrhea
Fatigue
Cough
Shortness of breath (dyspnea)
The intensity of bird flu symptoms in humans varies depending on various factors, such as age, medical conditions, and the type of variant. Pink eye and mild respiratory problems are two common symptoms that the recent bird flu outbreak in the USA has caused.
You may get infected with bird flu if you happen to come in contact with the body fluid of an infected animal, such as saliva, milk, poop, or respiratory droplets. You can also develop it by breathing the small dust particles from animal habitats or getting it in your eyes, mouth, or nose after touching the body fluid of an infected animal.
There is no way of getting it by eating properly cooked poultry or eggs or consuming pasteurized milk. In addition to this, bird flu can be contagious rarely, meaning the chances of spreading from one human to another are quite low. In all cases of bird flu so far, most patients developed it by coming in contact with infected animals. When you are living with it, the virus may mutate in the body, allowing it to spread to other people readily.
Certain people are at high risk of developing it, especially those who work with dairy cows, poultry, waterfowl, etc. If not managed or diagnosed early, it may bring about serious complications, including:
Pneumonia
Acute respiratory distress
Brain swelling, like meningoencephalitis
Respiratory failure
Bacterial infections
Sepsis
Avian flu is typically diagnosed through the nose or throat or from the conjunctiva of your eyes. Currently, available tests will detect highly pathogenic H5N1 as influenza A. Laboratories do not routinely test all positive influenza A swabs for avian flu. Therefore, it's important to inform your healthcare provider if you’ve been in contact with birds, cows, or other animals that could be infected. If your test result is positive for influenza A, the laboratory will send your sample to a specialized facility for further testing for bird flu.
If it is diagnosed early, it can be treated with a wide range of available antiviral medications, such as:
Oseltamivir (Tamiflu)
Zanamivir (Relenza)
Peramivir (Rapivab)
There are many ways that can be exercised in order to reduce your risk of developing bird flu, such as :
If you work with birds or animals, make sure to wear protective clothing such as a mask, goggles, and gloves to reduce your overall risk of developing it.
Frequently wash hands while working with birds, livestock, and animals or visiting zoos and farms.
Refrain from working with animals who are sick or have been previously diagnosed with avian influenza.
If you are living in an area where the outbreak is happening, try to limit your contact with animals and follow the advisory released by the authorities.
It would be better to take off your shoes before entering the home, especially after visiting areas where chickens and waterfowl live.
Avoid drinking or touching unpasteurized milk.
Make sure to opt for your seasonal flu shot. This won’t shield you from getting bird flu directly but can reduce your risk of serious unwanted complications and contracting both avian influenza and seasonal influenza at the same time.
The recent headlines about bird flu across the USA are quite overwhelming. Bird flu is more prevalent in animals than humans, but certain people are at high risk of encountering it, such as those who work around or with birds, cows, and other animals that can carry it. By following the guidelines released by the concerned authorities, you can mitigate your risk of developing it. Upon witnessing its symptoms, seek immediate medical attention to lower the risk of future complications.
The risk to the general public is currently low, according to The Centers for Disease Control & Prevention. The risk to the general public may increase if the virus changes and can transfer from one person to another. No cases of human-to-human spread have been registered so far. People who work with or around birds and other animals are at high risk of developing it.
Bird flu is caused by distinct strains of the avian influenza virus (AIV). One of the most common and dangerous is the H5N1 virus. While birds are the main hosts of this virus, some strains can also infect humans and other animals, which can trigger serious health issues.
In order to decrease your risk of developing H5N1 bird flu, you must follow the following tips:
Don’t make a direct contact with birds and other animals
Try to maintain proper hygiene
Eat only properly cooked eggs and have pasteurized milk
Avoid traveling to high-risk areas
The case fatality rate (CFR) for H5N1 avian influenza is about 50%. This means that around half of the people infected with the H5N1 virus have died. However, the CFR can change based on multiple factors, for instance, the specific strain of the virus, the person's health, and access to treatment.
B. Pharma
(Dr. A. Sharma, PharmD, is a licensed pharmacist and a medical writer with 10 years of clinical experience. He strives to empower patients to understand their medications so that they become better healthcare advocates.)
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