Transmission

bird-flu-virus-from-texas-human-case-kills-100%-of-ferrets-in-cdc-study

Bird flu virus from Texas human case kills 100% of ferrets in CDC study

Animal study —

H5N1 bird flu viruses have shown to be lethal in ferret model before.

Bird flu virus from Texas human case kills 100% of ferrets in CDC study

The strain of H5N1 bird flu isolated from a dairy worker in Texas was 100 percent fatal in ferrets used to model influenza illnesses in humans. However, the virus appeared inefficient at spreading via respiratory droplets, according to newly released study results from the Centers for Disease Control and Prevention.

The data confirms that H5N1 infections are significantly different from seasonal influenza viruses that circulate in humans. Those annual viruses make ferrets sick but are not deadly. They have also shown to be highly efficient at spreading via respiratory droplets, with 100 percent transmission rates in laboratory settings. In contrast, the strain from the Texas man (A/Texas/37/2024) appeared to have only a 33 percent transmission rate via respiratory droplets among ferrets.

“This suggests that A/Texas/37/2024-like viruses would need to undergo changes to spread efficiently by droplets through the air, such as from coughs and sneezes,” the CDC said in its data summary. The agency went on to note that “efficient respiratory droplet spread, like what is seen with seasonal influenza viruses, is needed for sustained person-to-person spread to happen.”

In the CDC’s study, researchers infected six ferrets with A/Texas/37/2024. The CDC’s data summary did not specify how the ferrets were infected in this study, but in other recent ferret H5N1 studies, the animals were infected by putting the virus in their noses. Ars has reached out to the agency for clarity on the inoculation route in the latest study and will update the story with any additional information provided.

All six of the infected ferrets developed severe disease and died. To test how well the virus could spread among the ferrets, the CDC scientists set up experiments to test transmission through direct contact and respiratory droplets. For the direct transmission test, three healthy ferrets were placed in the same enclosures with three experimentally infected ferrets. All three healthy ferrets became infected.

For the respiratory transmission test, three healthy ferrets were placed in enclosures next to enclosures containing the experimentally infected animals. The infected and uninfected ferrets shared air, but did not have direct contact with each other. Of the three healthy ferrets, only one contracted the H5N1 virus (33 percent). Additionally, that one respiratory transmission event seemed to have a one- to two-day delay compared with what’s seen in the same test with seasonal influenza viruses. This suggests further that the virus is inefficient at respiratory transmission.

The CDC called the overall results “not surprising.” Previous ferret experiments with H5N1 isolates—collected prior to the current bird flu outbreak among US dairy cows—have also found that H5N1 is often lethal to ferrets. Likewise, H5N1 isolates collected from Spain and Chile during the current global outbreak also found that the virus was inefficient at spreading via respiratory droplets among ferrets—with rates ranging from 0 percent to 37.5 percent.

For now, the findings don’t affect the CDC’s overall risk assessment for the general public, which is low. However, it does reinforce the risk to those who have contact with infected animals, particularly dairy and poultry farm workers.

To date, there have been four human cases of H5N1 in the US since the current global bird flu outbreak began in 2022—one in a poultry farm worker in 2022 and three in dairy farm workers, all reported between the beginning of April and the end of May this year. So far, the cases have been mild, the CDC noted, but given the results in ferrets, “it is possible that there will be serious illnesses among people,” the agency concluded.

As of June 9, the US Department of Agriculture has confirmed H5N1 in 85 dairy herds and one alpaca farm across 10 states.

Bird flu virus from Texas human case kills 100% of ferrets in CDC study Read More »

measles-erupts-in-florida-school-where-11%-of-kids-are-unvaccinated

Measles erupts in Florida school where 11% of kids are unvaccinated

outbreak potential —

Over 100 children at the school are susceptible to virus.

A child with measles.

Enlarge / A child with measles.

Florida health officials on Sunday announced an investigation into a cluster of measles cases at an elementary school in the Fort Lauderdale area with a low vaccination rate, a scenario health experts fear will become more and more common amid slipping vaccination rates nationwide.

On Friday, Broward County Public School reported a confirmed case of measles in a student at Manatee Bay Elementary School in the city of Weston. A local CBS affiliate reported that the case was in a third-grade student who had not recently traveled. On Saturday, the school system announced that three additional cases at the same school had been reported, bringing the current reported total to four cases.

On Sunday, the Florida Department of Health in Broward County (DOH-Broward) released a health advisory about the cases and announced it was opening an investigation to track contacts at risk of infection.

At Manatee Bay Elementary School, the number of children at risk could be over 100 students. According to a Broward County vaccine study reported by the local CBS outlet, only 89.31 percent of students at Manatee Bay Elementary School were fully immunized in the 2023/2024 school year, which is significantly lower than the target vaccination coverage of 95 percent. The school currently has 1,067 students enrolled, suggesting that up to 114 students are vulnerable to the infection based on their vaccination status.

Measles is one of the most contagious viruses known. It spreads via respiratory and airborne transmission. The virus can linger in air space for up to two hours after an infected person has been in an area. People who are not vaccinated or have compromised immune systems are susceptible, and up to 90 percent of susceptible people exposed to the virus will become infected. Measles symptoms typically begin around eight to 14 days after exposure, but the disease can incubate for up to 21 days. The symptoms begin as a high fever, runny nose, red and watery eyes, and a cough before the telltale rash develops. Infected people can be contagious from four days before the rash develops through four days after the rash appears, according to the Centers for Disease Control and Prevention. About 1 in 5 unvaccinated people with measles is hospitalized, the CDC adds, while 1 in 20 infected children develop pneumonia and up to 3 in 1,000 children die of the infection.

Those who are not immunocompromised and are fully vaccinated against measles (who have received two doses of the Measles, Mumps, and Rubella (MMR) vaccine) are generally not considered at risk. The two doses are about 97 percent effective at preventing measles and protection is considered to be life-long.

The DOH-Broward said it is now “identifying susceptible contacts that may be candidates for post-exposure prophylaxis through MMR or immunoglobulin.”

While the risk of measles is generally low in the US—the country declared it eliminated in 2000—the threat of large outbreaks is growing as vaccination rates slip. Many cases in the US are linked to travel from countries where the virus still circulates. But, if a travel-related case lands in a pocket with low vaccination coverage, the virus can take off. Such was the case in 2019, when the country tallied 1,274 measles cases and nearly lost its elimination status.

Health officials typically consider vaccination coverage of 95 percent or greater to protect from ongoing transmission. In the years since the COVID-19 pandemic began, vaccination rates among US kindergartners have slipped to 93 percent, and vaccination exemptions reached an all-time high in the latest data from the 2022-2023 school year. There are now at least 10 states that have vaccination exemption rates above 5 percent, meaning that even if every non-exempt child is vaccinated, those states will not have enough coverage to reach the 95 percent target.

The CDC has tallied 20 measles cases in the US so far this year. But that is the tally as of February 15; it does not include any of the Florida cases reported since Friday. In 2023, there were 58 measles cases reported to the CDC.

This story was updated to include additional information about measles infection outcomes.

Measles erupts in Florida school where 11% of kids are unvaccinated Read More »