Cases of H5N1 bird flu in U.S. dairy and poultry workers have largely been mild. However, a new case in a British Columbia teenager has experts worried.

By Don Thompson, KFF

California public health officials are dipping into state and federal stockpiles to equip up to 10,000 farmworkers with masks, gloves, goggles, and other safety gear as the state confirms at least 21 human cases of bird flu as of early November. It’s the latest reminder of the state’s struggle to remain prepared amid multibillion-dollar deficits.

Officials said they began distributing more than 2 million pieces of personal protective equipment in late May, four months before the first human case was confirmed in the state. They said they began ramping up coordination with local health officials in April after bird flu was first detected in cattle in the U.S. Bird flu has now been confirmed at more than 270 dairies in central California, and traces were recently detected at a wastewater sampling site in Los Angeles County. Bird flu was also recently detected in a flock of commercial turkeys in Sacramento County.

California is putting a number of lessons from the covid-19 pandemic to use, such as coordinating emergency response with local health officials and tracking infectious diseases through wastewater surveillance, as the state tries to limit the spread of bird flu to humans. It’s striving to maintain an adequate emergency stockpile to withstand the first wave of any new public health disaster without hemorrhaging the state budget.

“We are far better prepared to respond to a pandemic than we were in 2020,” said Amy Palmer, a spokesperson for the Governor’s Office of Emergency Services.

For instance, before the coronavirus struck in 2020, the state’s emergency supplies stockpile was barely big enough to crowd two basketball courts.

By the time California ramped up its pandemic response, it had enough personal protective equipment and other disaster supplies to fill 52 football fields. California spent $15.6 billion on direct pandemic response during the covid crisis years, much of it provided by the federal government.

Today, the stockpile fits into about 12½ football fields, though it can seesaw from month to month.

According to the state, the current stockpile includes 101 million face masks, 26 million more than the 90-day supply recommended by the state’s pandemic preparedness guideline.

That includes 88 million N95 masks, more than the emergency services agency said was needed last year. The high-efficiency masks are considered crucial to protect against airborne viruses such as covid-19.

Although the state is building up its stockpile, Palmer could not say if the additional masks are related to fears of bird flu, only that planners are always working “to keep pace with the current risk environment.”

The state’s goal, Palmer said, is to have “an initial supply during emergencies to allow us the time to secure resources,” whether through the federal government or by buying more.

There is no indication of spread between humans in the recent California bird flu cases, and health officials say public risk remains low. Human transmission of bird flu is among several worst-case scenarios for a new pandemic, alongside the possibility of a resurgent mutant coronavirus; wider international spread of mpox, Marburg virus, or Ebola; or an entirely new virus for which there initially is no immunity or vaccine.

Yet, health officials nationwide have struggled to track bird flu transmission. And California has a history of swinging back and forth on preparedness.

Republican Gov. Arnold Schwarzenegger ordered an increase in California’s pandemic preparedness in 2006 in response to an earlier threat from bird flu. That included three mobile hospitals that could immediately be deployed during disasters.

Gov. Jerry Brown, a Democrat, ended the program in 2011 as state finances went bust. By the time covid struck, the state released 21 million N95 masks, some so old they were past their expiration date.

Now hospitals are required to maintain their own three-month supply of masks, gowns, and other personal protective equipment under a state law passed in 2020. California’s aerosol transmissible disease standard also uniquely requires hospitals and other high-risk workplaces to follow precautions such as using negative pressure isolation rooms and the highest level of protective equipment until more is known about a new pathogen.

“It is difficult to overstate the level of unpreparedness exhibited by hospitals both in and outside of California in dealing with the 2020 outbreak of COVID-19,” according to a legislative analysis. “Harrowing images of nurses walking the corridors of hospitals in makeshift masks and garbage bags became commonplace.”

California Hospital Association spokesperson Jan Emerson-Shea said hospitals “continuously prepare to respond to all types of disasters, including outbreaks of transmissible viruses.”

In addition, Palmer said California has five mobile hospitals acquired from the federal government, though they got little use during the pandemic. She said they have to be maintained, such as making sure pulse oximeters have working batteries.

But, once again, the current deficit has the state trying to strike a balance.

While lawmakers rejected most of Democratic Gov. Gavin Newsom’s $300 million proposed cut to public health funding, the state slashed funding for its stockpile of personal protective equipment by one-third a year ago after it determined that no additional covid-related purchases were necessary, according to the Department of Finance. California eliminated funding this year for eight 53-foot-long trailers that would have moved stockpiled items between warehouses. It’s also cutting nearly $40 million over the next four years from its $175 million disaster stockpile budget.

The state’s preparedness wasn’t good enough for Californians Against Pandemics, which gathered more than 1 million signatures to put a ballot measure before voters in November. The measure would have increased taxes on people with incomes over $5 million and used that money for pandemic prevention and response.

But that effort collapsed after one of its key financial supporters, former cryptocurrency executive Sam Bankman-Fried, was convicted of defrauding customers and investors. In exchange for initiative backers dropping the measure, state officials agreed to broaden the scope of the California Initiative to Advance Precision Medicine, which was created in 2015 to focus on developing new medicines and therapies, to include technologies for preventing another pandemic.

“By harnessing the power of precision medicine, California is moving to the forefront of pandemic preparedness and prevention,” Newsom said at the time.

Rodger Butler, a spokesperson for the state Health and Human Services Agency, said it’s unclear if the precision medicine initiative will receive additional funding.

The teen had no clear exposures to animals. No contacts have tested positive.

1. Canada’s first human bird flu case: Teen in critical condition; dangers of H5N1 in kids and young  The Times of India
2. Teenager in critical condition with Canada’s first human case of bird flu  The Guardian
3. B.C. teen in critical condition in hospital with Canada’s 1st presumptive human case of bird flu  Global News Toronto
4. Bird flu alert in Canada as teen tests positive; officials launch investigation  Business Insider India
5. All you need to know about H5N1 avian influenza  CTV News

1. Teen infected in Canada’s first bird flu case is in critical condition  The Washington Post
2. A Canadian teen is in critical condition with what is believed to be bird flu  The Associated Press
3. Teenager in critical condition with Canada’s first human case of bird flu  The Guardian
4. H5N1-infected teenager now in ‘critical condition’ say Canadian doctors  The Telegraph
5. Canadian teen with suspected avian flu in critical condition  University of Minnesota Twin Cities

People are urged not to handle sick or dead birds after a second outbreak of avian flu in the UK.

1. Teenager in critical condition with Canada’s first human case of bird flu  The Guardian
2. B.C. teen with avian flu is in critical condition, provincial health officer says  CBC News
3. What do you do when a goose dies in your backyard, amid concerns about avian flu?  CityNews Kitchener
4. B.C. teen with Canada's first human case of avian flu in critical condition, Dr. Bonnie Henry says  CTV News Vancouver
5. B.C. teen diagnosed with bird flu in critical condition, with source of virus likely to remain unknown  The Globe and Mail

Test tubes are seen labelled "Bird Flu" words in this illustration taken, June 10, 2024. — Reuters

Canada has detected its first case of H5 bird flu in a person, a teenager in the western province of British Columbia, health officials said on Saturday.

This person is...

Washington — Responding to an outbreak of avian flu, the Centers for Disease Control and Prevention has updated interim guidance intended to protect workers exposed to certain animals and animal products.

Washington — OSHA recently announced an update of its webpage on avian influenza.

Washington — The Centers for Disease Control and Prevention is advising dairy and poultry facilities to take steps to protect their workers and the public from exposure to bird flu.

Workers who are at risk of exposure include poultry and livestock farmers and workers, as well as slaughterhouse workers.

Washington — In light of reports of avian flu in dairy cattle and “a small number of workers exposed to infected animals,” OSHA has issued a hazard alert.

Astonishingly Accurate & Prophetic Virus Expert Sounds Alarm

Doctors urge people who are experiencing respiratory problems to see a medical professional who can check their symptoms and test to determine what their illness is.

Testing has confirmed H5N1 bird flu outbreaks at three Central Valley dairy farms. Officials say the infections were likely the result of cattle transportation.

Three more California dairy herds have been infected with H5N1 bird flu. A new case of human infection has also been reported in Missouri.

Two more California dairy herds have been infected by H5N1 bird flu, bringing the state's total to eight.

With 17 dairy herds in California now infected with bird flu, the state is upping its surveillance.

The number of dairy herds infected with H5N1 Bird Flu doubled over the weekend. The count is now 34.

Although California dairy farmers anticipated a bird flu mortality rate of less than 2%, some say between 10% and 15% of infected cattle are dying.

Although California dairy farmers had heard about the H5N1 bird flu before it hit, none was prepared for the devastation it would cause in some herds.

H5N1 bird flu has been discovered in a pig in Oregon, a development that has sparked new concerns among infectious disease experts.

Public health officials maintain the risk of H5N1 bird flu infection remains low. They are searching for the source.

The Stranger's morning news round-up. by Nathalie Graham

One more for the blue: After a neck-in-neck race, Rep. Marie Gluesenkamp Perez officially won re-election to the House in the 3rd Congressional District, beating out far-right challenger Joe Kent. Her win is another step forward for Democrats as they try to take back the House and retain a shred of power in the coming administration from hell. About two dozen races nation-wide still need to be decided.

Please spare us, H5N1: The Centers for Disease Control want more testing done for bird flu after blood tests on 115 of dairy workers showed 7% had bird flu antibodies, meaning they'd already contracted the disease at some point. Previously, we only confirmed 46 cases of bird flu jumping from cows to farmworkers. This new study suggests that bird flu has infected many more people than the confirmed cases. Experts say this indicates the H5N1 viruses are a greater threat than we realized. Great! Another flu just in time for the vaccine-doubters to take office. 

Wet weekend—and then week—ahead: Friday will likely be our last dry day for a while. Get your galoshes ready. The rain starts Saturday and it'll continue at least throughout the week.

I hope you like rain this weekend! ????️

It could be wet for the State H.S. football tournament games across the Puget Sound region. #pnw pic.twitter.com/JAvPx7hegV

— Jake Whittenberg (@jwhittenbergK5) November 8, 2024

That's nice: Boeing said it will pay the employees the money they lost while being furloughed during the machinists' strike that started in September. 

Egyptian flooding: A pipe leak at the historic Egyptian Cinema on Capitol Hill shut down the 108-year-old theater for the "foreseeable future." Repairs will be expensive and take months. The universe does not want me or my people (progressives, art house movie lovers) to be happy this week. 

INBOX: The SIFF Cinema Egyptian is going to be closed for "the foreseeable future and the Fine Arts building leadership expect that it will take multiple months of building closure to assess, repair and reopen." Sad news especially during what is a big time of the year for film. pic.twitter.com/v2ItPx5Lpi

— Chase 'Hutch' Hutchinson (@EclecticHutch) November 7, 2024

Another hit while we're down: Don't forget, five light rail stops will close this weekend. Starting at 10 pm on Friday through 5 am Monday, Westlake, Symphony, Pioneer Square, International District/Chinatown, and Stadium stations will all be closed and inaccessible. Trains will run between Lynnwood and Capitol Hill and between Sodo and Angle Lake. Shuttle buses will be available to bridge gaps between open and closed stations. It’s all part of the crawling effort to connect Line 1 to the Eastside line.

Sign of the times: Margaret Atwood's The Handmaid's Tale rocketed to the top of Amazon's bestsellers list this week.  

Racist texts: In the days after the election, Black and Brown people across the country received spammy, racist texts telling them they had "been selected to pick cotton at the nearest plantation" and that the senders' "executive slave catchers" would pick them up. State attorney generals say they will root out who sent these texts. A second Donald Trump term means the masks covering the depravity in America are well and truly off. Racists are emboldened. 

Nobody panic: Forty-three monkeys escaped from a medical lab in South Carolina. "There is almost no danger to the public," a local police chief said. No danger? Isn't this how Planet of the Apes started? 

Israeli soccer fans attacked in Amsterdam: Israel’s Maccabi Tel Aviv and Dutch's Ajax faced off in a Europa League soccer game Thursday. After the game, people attacked Israelis in hit-and-run scooter attacks. Five Israeli fans went to the hospital, but have since been released. Around 20 to 30 other Israelis sustained light injuries. Police arrested 63 people, and ten are still in custody. Context, as always, is important. In the days leading up to the match, social media videos showed Maccabi fans "chanting anti-Arab slurs, praising Israeli military attacks in Gaza, and yelling 'fuck the Arabs,'" according to CNN. Ajax won the game 5-0. 

And now, something from Ashley about the cops: 

Fill’er up: The King County Jail officially lifted misdemeanor booking restrictions for the Seattle Police Department (SPD) allowing officers to finally lock up all those pesky Target shoplifters and people who tried to use the bathroom at PCC one too many times and ended up trespassed. I wrote about how SPD Deputy Chief Eric Barden told officers in a department wide email Tuesday that they should book people into jail whenever a public safety interest existed and only show additional discretion when the department neared their misdemeanor bed limit of 135 people per day. Most people charged with misdemeanors spend less than a week in jail, so could be a lot of people cycling through, which King County Department of Public Defense Interim Director Matt Sanders said will ultimately make it harder for people to hold down jobs, maintain housing, and secure behavioral health treatment, ultimately undermining public safety in the city.

Did you hear about San Francisco's new mayor? He's a centrist Democrat and he's the heir to the Levi's fortune. Daniel Lurie won the ranked-choice voting election with 56.2% of the vote. Incumbent London Breed only received 43.8%. San Franciscans made clear they are sick of seeing poverty and being confronted with crimes of desperation. Unfortunately, as we know very well in Seattle, electing a centrist may hide the problems for a bit, but it will do nothing to fix them. 

A porn gorge: North Korean soldiers deployed in Russia have unrestricted internet access for the first time in their lives and they're using it to watch mountains of porn and jerk themselves silly. Boys will be boys! 

Need something to do tonight? The world is bleak. Why not laugh a little at an improv show? The improv theater I wrote about for my column is having a battle of the star signs show tonight followed by an open-to-all improv jam. I'll be performing on the Scorpio team even though I'm not a Scorpio (don't tell anyone). 

A song for your Friday: This just feels like the sound of my psyche right now. 

The new guidance comes after blood tests for 115 farmworkers in Michigan and Colorado showed that eight workers -- or 7% — had antibodies that indicated previous infection with the virus known as Type A H5N1 influenza.

A teen in Canada may be the first person to catch an H5 bird flu virus within the country. Health officials are now working to confirm the diagnosis.

Four agricultural workers in Washington state have tested positive for bird flu, the first human cases of H5N1 virus to be reported in the state. Washington is the sixth state to report a human infection of avian flu.

Scientists conducted a genetic analysis and found that avian flu H5N1 evolved and spread efficiently between marine mammals during a recent viral outbreak, revealing a risk to other species.

OTTAWA, Ontario — Canada has detected its first presumptive case of H5 bird flu in a person, a teenager in the western province of British Columbia, health officials said Saturday. The teenager likely caught the virus from a bird or animal and was receiving care at a children's hospital, the province said in a statement. The province said it was investigating the source of exposure and identifying the teenager's contacts. The risk to the public remains low, Canada's Health Minister Mark Holland said in posting on X. "This is a rare event," British Columbia Health Officer Bonnie Henry said in a statement. "We are conducting a thorough investigation to fully understand the source of exposure here in B.C." H5 bird flu is widespread in wild birds worldwide and is causing outbreaks in poultry and U.S. dairy cows, with several recent human cases in U.S. dairy and poultry workers. There has been no evidence of person-to-person spread so far. But if that were to happen, a pandemic could unfold, scientists have said. Earlier in November, the U.S. Centers for Disease Control and Prevention asked for farm workers who have been exposed to animals with bird flu to be tested for the virus even if they do not have symptoms. Bird flu has infected nearly 450 dairy farms in 15 U.S. states since March, and the CDC has identified 46 human cases of bird flu since April. In Canada, British Columbia has identified at least 22 infected poultry farms since October, and numerous wild birds tested positive, according to the province. Canada has had no cases reported in dairy cattle and no evidence of bird flu in samples of milk.  

TORONTO, canada — A teenager is in critical condition in a British Columbia children's hospital, sick with Canada's first presumptive human case of avian influenza. "This was a healthy teenager prior to this, so no underlying conditions," said provincial health officer Bonnie Henry in a news conference on Tuesday. "It just reminds us that in young people this is a virus that can progress and cause quite severe illness, and the deterioration that I mentioned was quite rapid." British Columbia health officials said on Saturday the province had detected Canada's first human case of H5 bird flu in a teenager. Henry said the province is still identifying the exact strain but assumes the case is H5N1. The World Health Organization says H5N1's risk to humans is low because there is no evidence of human transmission, but the virus has been found in an increasing number of animals, including cattle in the United States. Henry would not disclose the teen's gender or age but said the patient had first developed symptoms on November 2 and was tested on November 8, when admitted to a hospital. Symptoms included conjunctivitis, fever and coughing. As of Tuesday, the teen was hospitalized with acute respiratory distress syndrome, she said. The teen had no farm exposure but had been exposed to dogs, cats and reptiles, Henry said. No infection source had been identified. "That is absolutely an ongoing investigation." More severe illness takes place when the virus binds to receptors deep in the lungs, she said. Public health officials had identified and tested about three dozen contacts and had not found anyone infected with the virus. There has been no evidence that the disease is easily spread between people. But if that were to happen, a pandemic could unfold, scientists have said. Earlier in November, the U.S. Centers for Disease Control and Prevention asked that farm workers exposed to animals with bird flu be tested for the virus even if they did not have symptoms. Bird flu has infected nearly 450 dairy farms in 15 U.S. states since March, and the CDC has identified 46 human cases of bird flu since April. In Canada, British Columbia has identified at least 26 affected premises across the province, Henry said Tuesday, and numerous wild birds have tested positive. Canada has had no cases reported in dairy cattle and no evidence of bird flu in samples of milk.

A bird flu virus that has been circulating in dairy cattle for months has now been found in a pig in the US for the first time, raising the risk of the virus evolving to become more dangerous to people

Blood tests have shown that about 7 per cent of workers on dairy farms that had H5N1 outbreaks had antibodies against the disease

Title: Bird Flu Detection Takes a Novel Turn
Category: Health News
Created: 8/26/2010 2:10:00 PM
Last Editorial Review: 8/27/2010 12:00:00 AM

Title: China Withholding H7N9 Bird Flu Virus Samples From U.S.
Category: Health News
Created: 8/31/2018 12:00:00 AM
Last Editorial Review: 8/31/2018 12:00:00 AM

Genetic analysis of a bird flu virus detected in a person in Missouri who didn’t previously have contact with animals offers more details on the case, but experts say there isn’t substantial evidence to suggest human-to-human transmission is happening

Two more people in the US have tested positive for the H5N1 bird flu virus, highlighting the need for expanded influenza surveillance to prevent a potential pandemic

A vaccination campaign targeting ducks, the farm birds most at risk of getting and spreading bird flu, succeeded in greatly reducing outbreaks of the virus on poultry farms in France

A bird flu virus that has been circulating in dairy cattle for months has now been found in a pig in the US for the first time, raising the risk of the virus evolving to become more dangerous to people

Blood tests have shown that about 7 per cent of workers on dairy farms that had H5N1 outbreaks had antibodies against the disease

A new study by the Centers for Disease Control and Prevention found that some dairy farm employees showed signs of infection, even when they didn’t report feeling sick. The CDC concluded that more bird flu testing of dairy farm employees is required. According to Dr. Nirav Shah, the CDC’s principal... Continue Reading

Human bird flu has hospitalized a Canadian teenager at British Columbia Children’s Hospital. He is the first person in Canada to test positive for the bird flu virus. The B.C. teen likely acquired the virus from exposure to a bird or animal. B.C. Health said the infection is a rare... Continue Reading

Humans and pigs could both serve as mixing vessels for a bird flu–seasonal flu hybrid, posing a risk of wider spread

A person has tested positive in British Columbia, Canadian health officials said, though the results must be sent to another lab for confirmation.

OTTAWA - Canada has detected its first presumptive case of H5 bird flu in a person, a teenager in the western province of British Columbia, health officials said on Saturday (Nov 9). The teenager likely caught the virus from a bird or animal and was receiving care at a children's hospital, the province said in a statement. The province said it was investigating the source of exposure and identifying the teenager's contacts. The risk to the public remains low, Canada's Health Minister Mark Holland said in posting on X. "This is a rare event," British Columbia Health Officer Bonnie Henry said in a statement. "We are conducting a thorough investigation to fully understand the source of exposure here in B.C." H5 bird flu is widespread in wild birds worldwide and is causing outbreaks in poultry and US dairy cows, with several recent human cases in US dairy and poultry workers. There has been no evidence of person-to-person spread so far. But if that were to happen, a pandemic could unfold, scientists have said.

TORONTO — A teenager is in critical condition in a British Columbia children's hospital, sick with Canada's first presumptive human case of avian influenza. "This was a healthy teenager prior to this, so no underlying conditions," said provincial health officer Bonnie Henry in a news conference on Tuesday (Nov 12). "It just reminds us that in young people this is a virus that can progress and cause quite severe illness and the deterioration that I mentioned was quite rapid." British Columbia health officials said on Saturday the province had detected Canada's first human case of H5 bird flu in a teenager.

A bird flu virus that has been circulating in dairy cattle for months has now been found in a pig in the US for the first time, raising the risk of the virus evolving to become more dangerous to people

Blood tests have shown that about 7 per cent of workers on dairy farms that had H5N1 outbreaks had antibodies against the disease

Bird flu outbreak in Rajasthan: 140 more crows have died in six districts of the state, stated officials. Of these, 35 crows died in Sawai Madhopur,