Post by RonOPost by RonOPost by RonOPost by RonOPost by RonO3 herds in California central valley have been found to be
positive for the dairy virus.
https://www.statnews.com/2024/08/29/california-nations-
largest- milk-
producer-discloses-possible-bird-flu-outbreaks- in-three-
dairy-cow- herds/
They claim that California workers are "usually" dedicated to
just one herd so do not pick up shifts at nearby poultry
farms, but months ago (before I retired in May) I noted that
California had high levels of influenza virus in the waste
water around the bay area. At that time they had estimated
that the virus first infected cattle Sept or Oct 2023, and
they hadn't yet found viral sequence from herds infected that
early in Texas. When I looked into the avian influenza cases
the Dairy virus was most similar to one isolated from a
Peregrine falcon in California. California had high levels of
influenza virus in their waste water (associated with
infected herds in Texas and Michigan) and Commercial poultry
farms started to go down in the central valley in Oct 2023
(the flocks get infected by the dairy workers). A number of
flocks went down within a few months working their way up
North and around the bay area.
I contacted a person at the Avian disease ARS station in
Georgia, and tried to get the name of the person that would
have the sequence data of the California samples (they had
not been included in any of the dairy virus studies) but I
was told that the USDA did not give out that information. I
told the guy that they needed to check out those samples, but
his comment was that they were busy.
My prediction is that when they sequence the central valley
virus they could identify the region where the initial dairy
infection occurred and it spread from California to Texas.
The virus spread rapidly out of Texas, but it probably came
from somewhere else.
The CDC and USDA would have identified many more states with
infected herds by now if they had acted on the waste water
data and the FDA identification of states with virus positive
dairy products. The Dairy workers are not being protected
from being infected in states that refuse to identify their
infected herds.
Ron Okimoto
https://www.nbcnews.com/health/health-news/person-infected-
bird- flu- missouri-no-contact-animals-know-rcna170010
There has been a case of H5N1 in a human in Missouri, but this
person did not have contact with poultry or dairy cattle. My
guess is that it is person to person transmission. Missouri
is one of the states that has not verified any positive dairy
herds (no one has been looking), but Kansas and Oklahoma have
positive dairy herds. They have known that it was likely human
transmission into Kansas and North Dakota from Texas because
neither states got cattle from Texas, but both states got the
virus from Texas. Human to human transmission has probably
been going on for some time, but they never started contact
tracing to identify possibly infected herds nor to determine
how the virus was transmitted to the herds and poultry flocks
that have been infected.
Ron Okimoto
The virus is H5, but hasn't been confirmed to be the dairy
virus. The article notes that Missouri hasn't claimed to have
positive herds at this time, but commercial poultry flocks have
gone down and that usually happens when the dairies are
infected and dairy workers take it to the poultry farms.
Previous human cases had mild symptoms, but this person was
hospitalized. The USDA and CDC are still not doing anything to
identify all the infected herds in states like Missouri, so
nothing much has been done to minimize the exposure of dairy
workers. My guess is that an infected dairy worker infected
this patient, and it is a case of human to human transmission.
Ron Okimoto
As stupid as it may be the CDC response to the latest human
infection without contact with animals is worse than can be
imagined. They did not send a team to investigate, and have not
started contact tracing and testing of close contacts. It seems
crazy when you think that the person was hospitalized, and this
is obviously a serious case of infection. What they do not want
is the 50% human mortality associated with the H5N1 virus to
become a reality for the dairy virus. The CDC continues to do
nothing but monitor the disease in two states, which is just
nuts. They are actually waiting for it to become a noticeable
problem somewhere else before starting to do anything in other states.
https://www.statnews.com/2024/09/08/missouri-h5-bird-flu-case-
questions- cat-raw-milk/
Ron Okimoto
R
https://medicalxpress.com/news/2024-09-missouri-resident-bird-flu- livestock.html
This ariticle seems to be trying to downplay the possibility of
human to human transmission. The Texas antibody testing of dairy
workers have already come out with evidence for human to human
transmission because one of the workers positive for H5
antibodies did not have contact with cattle, and only had contact
with other dairy workers. There was also the case of the indoor
cat in Colorado that was probably infected by humans. The states
that did not get cattle from affected states, but still got the
dairy virus were likely infected by human dairy workers migrating
to those states. Kansas got infected from Texas, and then Dakota
got infected with the strain in Kansas, and Kansas did not get
cattle from Texas, and South Dakota did not get cattle from
Kansas. The CDC has known this since about the beginning of
detecting the infections in April, but they never started human
contact tracing to determine how all the dairy herds and poultry
flocks were being infected.
Humans have been transmitting the virus since the start of this
fiasco. Humans could have brought the virus into Texas. The
Texas Dairy worker that was the first infection had a virus that
had branched off earlier than the strain that infected Texas.
They never got the name of that dairy worker, so they couldn't
ask him where he could have been infected. He could have been
infected in the state that was the origin of the dairy
infection. One of his fellow dairy workers could have been
infected in that same state, but brought in the Texas strain (one
with more substitutions than the strain that infected the first
dairy worker).
Ron Okimoto
New Texas Waste water data indicates that H5N1 seems to have
started to be detected in 10 Texas cities monitored in March 2024
(when the Texas Dairy infections were first detected) but were not
found in samples taken earlier in the year. This study used a
detection method that uses a probe to pull out the influenza RNA
from the waste water, so they can get the sequence of RNA and
determine what strain of influenza they are picking up. Even
though there was no indication of human infections (no increase in
influenza cases) the waste water for these cities were positive.
The high levels of influenza in various Texas county's waste water
has been attributed to dairy farms, but these samples were from
city waste water. It could still be due to milk products in the
waste water, but it might also mean that there were undetected
human infections (the letter claims waste water results are due to
"multiple animal" infections). Most of the infected humans have
had mild symptoms, and the infection was not respiratory, but
involved their eyes. The virus was not detected in nasal swabs,
and only in eye swab samples.
https://www.nejm.org/doi/10.1056/NEJMc2405937
It could be that human infection was already wide spread in March.
Since contact tracing and testing was never implemented, no one
knows how wide spread the human infections have been and how much
they have contributed to the infection of dairy herds and poultry
flocks. One dairy worker that did not have contact with cattle
was found to have been infected by the dairy virus, and may have
been infected by human contact (the antibody positive dairy worker
worked in the dairy cafeteria). My take is that the infections
may have gone unnoticed because the symptoms are just itchy eyes,
and it was the spring pollen season. People touching infected
surfaces and then rubbing their eyes would be infected.
Ron Okimoto
or their close contacts also worked on commercial poultry farms.
from the beginning.