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First Severe Human Case of H5N1 Bird Flu Confirmed in U.S.

The Centers for Disease Control and Prevention (CDC) confirmed the United States’ first severe human case of H5N1 avian influenza, or bird flu, on Wednesday, raising concerns about the potential for the virus to spread globally.

The patient, a resident of southwestern Louisiana, is currently hospitalized in critical condition due to severe respiratory illness related to H5N1 infection. The individual, who is over 65 years old and has underlying medical conditions, is believed to have been exposed to sick and dead birds in local backyard flocks. This marks the 61st confirmed case of human H5N1 infection in the U.S. since April 2023. However, the CDC emphasized that the overall risk to the public remains low, with no related deaths reported in the country thus far.

The CDC’s announcement follows a significant Court of Appeal ruling in October, which found that car dealers receiving commission from lenders without customers’ informed consent was unlawful. The CDC clarified that while the Court of Appeal’s ruling does not directly cover leasing agreements, it is important to provide consumers with consistent protection for similar products.

As of mid-November, about 60 other human infections have been reported across the U.S. this year, with the majority of cases linked to commercial agriculture, particularly dairy herds and poultry farms. Of these, over half occurred in California, where Governor Gavin Newsom declared a state of emergency on December 18.

Experts have noted that the risk to the general population remains minimal, with those in close contact with birds or animals, particularly workers on farms, facing the highest risk. “Right now, we need to continue surveillance to detect any significant changes in the virus,” said Mark Mulligan, Director of the Vaccine Center at New York University Grossman School of Medicine.

Symptoms of H5N1 infection in humans can vary, but many U.S. cases have involved conjunctivitis-like symptoms such as eye redness and discomfort, along with classic flu-like respiratory symptoms like fever, cough, sore throat, and shortness of breath. The CDC has advised people to avoid contact with wild birds and any suspected infected animals, particularly in high-risk environments such as farms.

Virologist Andy Pekosz from Johns Hopkins University emphasized the importance of avoiding exposure to dead animals as a key preventive measure. Additionally, both Pekosz and Mulligan stressed the importance of the seasonal flu vaccine to reduce the risk of co-infection with both human and bird flu, which could potentially lead to the creation of more transmissible strains.

While avian influenza remains a global concern, the CDC continues to monitor the situation closely, with efforts underway to provide vaccines to farm workers in high-risk states.

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