On January 8, 2025, the Louisiana Department of Health confirmed the first human death due to bird flu, a sobering reminder of the potential risks of avian influenza. The patient, a person over 65 with underlying medical conditions, had been exposed to non-commercial backyard poultry and wild birds. This tragic case highlights the growing concern surrounding the H5N1 strain of bird flu, which has been spreading globally and has now made its first deadly mark in the United States.
Since April 2024, the U.S. has seen an uptick in bird flu cases among humans. This is part of a broader trend where various parts of the world have experienced increased transmission of avian influenza viruses, especially among those with direct contact with infected birds. The Centers for Disease Control and Prevention (CDC) has reported 66 human cases as of early January, though the overall risk to the public remains low.
While the majority of human infections have been linked to direct contact with sick or dead poultry or wild birds, the severity of the illness varies. Some individuals develop flu-like symptoms, including sore throat, fever, cough, and shortness of breath. In more severe cases, however, pneumonia may develop, requiring hospitalization. The Louisiana case, which involved severe respiratory illness, underscores the potential for more extreme outcomes in vulnerable populations.
The CDC has emphasized that the risk of human-to-human transmission of the H5N1 strain is currently considered low. There have been no confirmed reports of person-to-person spread, which helps to alleviate some fears about a potential pandemic scenario. However, those who work closely with poultry, livestock, or wild birds remain at an increased risk.
The Louisiana Department of Health and CDC have urged caution, advising people in high-risk professions to take preventive measures, such as using personal protective equipment (PPE) when handling sick or dead birds. Additionally, people are advised to avoid coming into contact with surfaces or materials that might be contaminated by saliva, feces, or mucus from infected animals.
The CDC’s guidance includes several recommendations for preventing bird flu infections. First, individuals should avoid contact with sick or dead wild birds and poultry whenever possible. If such contact is unavoidable, wearing PPE like gloves and masks is crucial. Additionally, people should refrain from consuming raw milk and raw dairy products, as these can also be potential vectors for infection.
The U.S. Department of Agriculture (USDA) has also implemented a new federal order requiring raw milk samples nationwide to be tested for bird flu. The FDA has started collecting samples of aged raw cow’s milk cheese across the country for testing as well, aiming to limit the spread of this virus through food products.
The death of a person in Louisiana due to bird flu serves as a stark reminder of the unpredictable nature of emerging infectious diseases. While the risk to the general public remains low, the incident underscores the importance of vigilance, particularly among those who work in agriculture and with animals. The CDC and local health authorities continue to monitor the situation closely, working to prevent further spread and to protect public health. In these uncertain times, staying informed, following public health advice, and being proactive about personal safety can help mitigate the risks posed by bird flu and other infectious diseases.