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Michigan farmworker diagnosed with bird flu becomes 2nd human case in U.S. tied to dairy cows

Officials say risk to public is low

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NEW YORK (AP) — A Michigan farmworker has been diagnosed with bird flu — the second human case associated with an outbreak in U.S. dairy cows.

The patient had mild eye symptoms and has recovered, U.S. and Michigan health officials said in announcing the case Wednesday. The worker had been in contact with cows presumed to be infected, and the risk to the public remains low, officials said.

A nasal swab from the person tested negative for the virus, but an eye swab tested positive, “indicating an eye infection,” the U.S. Centers for Disease Control and Prevention said in a statement.

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“Michigan has led a swift public health response, and we have been tracking this situation closely since influenza A (H5N1) was detected in poultry and dairy herds in Michigan. Farmworkers who have been exposed to impacted animals have been asked to report even mild symptoms, and testing for the virus has been made available,” said Dr. Natasha Bagdasarian, chief medical executive. “The current health risk to the general public remains low. This virus is being closely monitored, and we have not seen signs of sustained human-to-human transmission at this point. This is exactly how public health is meant to work, in early detection and monitoring of new and emerging illnesses.”

The first case happened in late March, when a farmworker in Texas was diagnosed in what officials called the first known instance globally of a person catching this version of bird flu from a mammal. That patient reported eye inflammation and was treated with an antiviral drug.

Since 2020, a bird flu virus has been spreading among more animal species – including dogs, cats, skunks, bears and even seals and porpoises – in scores of countries. The detection in U.S. livestock earlier this year was an unexpected twist that sparked questions about food safety and whether it would start spreading among humans.

That hasn’t happened, although there’s been a steady increase of reported infections in cows. As of Wednesday, the virus had been confirmed in 51 dairy herds in nine states, according to the U.S. Agriculture Department.

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Fifteen of the herds were in Michigan. Health officials there have declined to say how many people exposed to infected cattle have been tested or monitored.

The virus has been found in high levels in the raw milk of infected cows, but government officials say pasteurized products sold in grocery stores are safe because heat treatment has been confirmed to kill the virus.

The new case marks the third time a person in the United States has been diagnosed with what’s known as Type A H5N1 virus. In 2022, a prison inmate in a work program picked it up while killing infected birds at a poultry farm in Montrose County, Colorado. His only symptom was fatigue, and he recovered. That predated the virus’s appearance in cows.


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