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Canada’s first locally acquired human case of avian flu (H5N1) has been confirmed.

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The type of avian influenza virus, a.k.a bird flu that is currently making the headlines is H5N1, but other types exist (e.g. H5N6, H3N8, H7N4, H9N2, H10N3) (1,8,25).

H5N1 bird flu has infected over 12 million birds in Canada since 2021 (20,24). Earlier this year the first widespread outbreak of bird flu in cows was detected in the U.S. and is still going on (9). 

In rare isolated cases, H5N1 can also infect other mammals such as cats, dogs, otters, foxes, badgers, coyotes, lynx, polar bears, raccoons, opossums, through the consumption of sick or dead birds (2). 

Although rare, transmission to humans can happen mainly through direct contact with infected birds. The first confirmed human case from contact with another infected mammal (i.e. cows) in the U.S. raised some concerns among experts back in spring of this year (10). Since then, human cases in the U.S. have increased to over 50 – prior to 2024, the U.S. only had one confirmed human case of H5N1 from 2022 (11,12,27). 

Earlier this month, Canada’s first human case of 2024 was confirmed in a teen living in B.C. It is unclear how the Canadian teen was exposed to the virus, but the strain seems to be related to the one currently circulating in B.C. ‘s poultry (26,28,29,31).

Still experts agree that the risk for the general population remains low (28). However, it is best to avoid any contact with dead or sick looking birds and if possible to report them here (24). 

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Sources
  1. Facts about Avian Influenza | Canadian Food Inspection Agency – Government of Canada
  2. How humans can and can’t catch bird flu | Reuters | May 1, 2024
  3. How The 2024 Bird Flu Outbreak Is Impacting Our Food | Forbes | May 1, 2024
  4. Wider bird flu spread raises concern for humans, animal health body says | Reuters | April 2024
  5. Influenza: H5N1 | World Health Organization
  6. Avian influenza A(H5N1): For health professionals | Government of Canada
  7. Scientists warn Canada ’way behind the virus’ as bird flu explodes among U.S. dairy cattle | RCI | May 2, 2024
  8. Avian influenza | World Health Organization
  9. Bird flu strain raises alarm as H5N1 virus kills South American wildlife | Reuters | March 2024
  10. high pathogenicity avian influenza (hpai) – situation report | World Organisation for Animal Health (WOAH) | April 9, 2024
  11. Cumulative number of confirmed human cases† for avian influenza A(H5N1) reported to WHO, 2003-2024 | World Health Organization | March 28, 2024
  12. H5N1 Bird Flu: Current Situation Summary | Avian Influenza (Flu) | Centers for Disease Control and Prevention (CDC) | Updated May 16, 2024
  13. Highly Pathogenic Avian Influenza A (H5N1) Virus Infection Reported in a Person in the U.S. | Centers for Disease Control and Prevention (CDC) Online Newsroom | April 1, 2024
  14. Questions and Answers Regarding Milk Safety During Highly Pathogenic Avian Influenza (HPAI) Outbreaks | U.S. Food & Drug Administration (FDA) | April 24, 2024
  15. Updates on Highly Pathogenic Avian Influenza (HPAI) | U.S. Food & Drug Administration (FDA) | May 10, 2024
  16. Is milk safe to drink? Can you catch bird flu from beef? What to know about H5N1 cattle outbreaks | CBC News | April 4, 2024
  17. Highly Pathogenic Avian Influenza A(H5N1) Clade 2.3.4.4b Virus Infection in Domestic Dairy Cattle and Cats, United States, 2024 | Centers for Disease Control and Prevention (CDC) | July 2024
  18. Raw Milk Questions and Answers | Centers for Disease Control and Prevention (CDC) 
  19. Bird flu: US tests show pasteurized milk is safe | Reuters | April 26, 2024
  20. Status of ongoing avian influenza response by province | Canadian Food Inspection Agency – Government of Canada
  21. How Flu Viruses Can Change: “Drift” and “Shift” | Centers for Disease Control and Prevention (CDC) 
  22. Viral Evolution | Elsevier on PubMed Central | February 2016
  23. Prevention and Antiviral Treatment of Bird Flu Viruses in People | Avian Influenza (Flu) | Centers for Disease Control and Prevention (CDC)
  24. Avian influenza in wild birds | Government of Canada
  25. Why dangerous bird flu is spreading faster and farther than first thought in U.S. cattle | CBC News | April 27, 2024
  26. Testing confirms B.C. teen infected with Canada’s first human case of avian flu | CTV News Vancouver | November 13, 2024
  27. CDC A(H5N1) Bird Flu Response Update November 18, 2024 | Centers for Disease Control and Prevention (CDC) | November 18, 2024
  28. Statement from the Public Health Agency of Canada: Update on Avian Influenza and Risk to Canadians | Government of Canada | November 13, 2024
  29. Bird flu in Canada may have mutated to become more transmissible to humans | The Guardian | November 19, 2024
  30. Milk sampling and testing for highly pathogenic avian influenza (HPAI) in Canada | Government of Canada | Updated September 5, 2024
  31. Teen in critical condition with Canada’s first presumptive human case of bird flu | Reuters | November 12, 2024
  32. Why a teenager’s bird-flu infection is ringing alarm bells for scientists | Nature – News Explainer | November 20, 2024
  33. What is the pandemic potential of avian influenza A(H5N1)? | The Lancet Infectious Diseases | May 2024
  34. CDC pandemic review of US H5N1 virus on par with earlier assessments from same clade | CIDRAP – University of Minnesota | August 2024

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