How the US is getting ready for a possible fowl flu pandemic

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Dairy cows at a farm within the US

Shutterstock / Roman Melnyk

As a fowl flu virus continues to unfold amongst dairy cattle within the US, the nation’s well being companies are actively getting ready for the opportunity of an outbreak in folks.

“The risk [of bird flu] remains low at this time, but we continue to be in a strong readiness posture as new data becomes available,” mentioned Vivien Dugan on the US Facilities for Illness Management and Prevention (CDC) at a gathering of well being officers on 25 April.

A high precedence is monitoring the virus’s unfold. Thus far, the US Division of Agriculture (USDA) has confirmed H5N1, a subtype of the fowl flu virus, in dairy cows on 33 farms throughout eight states, and in six cats on farms in three of these states.

Genetic sequencing discovered that solely one of many 260 samples from sick dairy cows up to now has a mutation indicating H5N1 has tailored to infecting mammals, mentioned Rosemary Sifford on the USDA throughout the assembly. Nonetheless, this marker has been seen earlier than in different sick mammals, and it didn’t impression the skill of the virus to transmit between mammals. Plus, the opposite 10 samples from the identical herd the place this one was collected didn’t have the identical mutation.

“It very much remains an avian virus with no significant changes… In other words, it is not becoming a [cow] virus,” mentioned Sifford.

The CDC has examined 23 folks with shut contact to the animals for the virus, in keeping with information offered on the assembly. Solely one in all them was constructive – a dairy employee in Texas whose solely symptom was eye redness. To spice up testing capabilities, the CDC not too long ago elevated funding to genetic sequencing centres in six states, mentioned Dugan.

One other key measure being taken is making certain the protection of the milk provide within the US. Milk from contaminated cattle incorporates excessive quantities of the virus. Whereas milk from sick animals shouldn’t be getting into the milk provide, preliminary testing from the US Meals and Drug Administration (FDA) discovered that 1 in 5 milk samples comprise genetic traces of fowl flu.

“Importantly, that doesn’t mean the samples contain intact, infective virus,” mentioned Donald Prater on the FDA. The testing methodology used detects any genetic materials, together with that of useless virus.

The overwhelming majority of milk offered within the US is pasteurised, a course of that kills pathogens with excessive warmth. No research has assessed pasteurisation’s effectiveness in opposition to H5N1, however research of comparable influenza viruses counsel it will be, mentioned Prater. That is why folks ought to keep away from consuming or touching uncooked milk merchandise.

Two vaccine candidates for H5N1 are additionally within the works. Preliminary testing by the CDC signifies each are efficient in lab checks in opposition to the present pressure in cattle, mentioned Dugan.

As a part of a pre-established protocol, the US Administration for Strategic Preparedness and Response (ASPR) is stockpiling supplies for a fowl flu vaccine, mentioned David Boucher at ASPR within the assembly. This contains manufacturing the a part of the vaccine, referred to as the antigen, that mounts an immune response to the virus. ASPR and its industrial companions have already stuffed lots of of hundreds of vaccines for H5N1 that, if wanted, will be shortly distributed for scientific testing or emergency use, he mentioned.

“Based on the CDC’s current risk of the situation, vaccination is not a tool needed at this time. We do want to be ready if that changes, though,” mentioned Boucher. Sufficient materials is stockpiled to churn out a further 10 million doses, too. And ASPR has contracts with vaccine producers to ramp up manufacturing much more so if essential.

“If we need to pull any of these levers, we are ready to do so,” mentioned Boucher.

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