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(Times) This May Be Our Last Chance to Halt Bird Flu in Humans, and We Are Blowing It
The outbreak of H5N1 avian influenza among U.S. dairy cows,Ā first reported on March 25, has now spread to at least 33 herds in eight states. On Wednesday, genetic evidence of the virus turned up in commercially available milk. Federal authorities say the milk supply is safe, but this latest development raises troubling questions about how widespread the outbreak really is.
So far, there is only one confirmed human case. Rick Bright, an expert on the H5N1 virus who served on President Bidenās coronavirus advisory board, told me this is the crucial moment. āThereās a fine line between one person and 10 people withĀ H5N1,ā he said. āBy the time weāve detected 10, itās probably too lateā to contain.
Thatās when I told him what Iād heard from Sid Miller, the Texas commissioner for agriculture. He said he strongly suspected that the outbreak dated back to at least February. The commissioner speculated that then as many as 40 percent of the herds in the Texas Panhandle might have been infected.
Dr. Bright fell silent, then asked a very reasonable question: āDoesnāt anyone keep tabs on this?ā
The H5N1 outbreak, already a devastating crisis for cattle farmers and their herds, has the potential to turn into an enormous tragedy for the rest of us. But having spent the past two weeks trying to get answers from our nationās public health authorities, Iām shocked by how little they seem to know about whatās going on and how little of what they do know is being shared in a timely manner.
How exactly is the infection transmitted between herds? The United States Department of Agriculture, the Food and Drug Administration and the Centers for Disease Control and Prevention all say they are working to figure it out.
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According to many public health officials, the virus load in the infected cowsā milk is especially high, raising the possibility that the disease is being spread through milking machines or from aerosolized spray when the milking room floors are power washed. Another possible route is the cowsā feed, owing to the fairly revolting fact that the U.S. allows farmersĀ to feed leftover poultry bedding materialĀ ā feathers, excrement, spilled seeds ā to dairy and beef cattle as a cheap source of additional protein.
Alarmingly, the U.S.D.A. told me that it has evidence that the virus has also spread from dairy farms back to poultry farms āthrough an unknown route.ā Well, one thing that travels back and forth between cattle farms and chicken farms is human beings. They can also travel from cattle farms to pig farms, and pigs are the doomsday animals for human influenza pandemics. Because they are especially susceptible to both avian and human flu, they make for good petri dishes in which avian influenza can become an effective human virus. The damage could be vast.
The U.S.D.A. also told me it doesnāt know how many farmers have tested their cattle and doesnāt know how many of those tests came up positive; whatever testing is being done takes place at the state level or in private labs. Just Wednesday, the agency made it mandatory to reportĀ all positiveĀ results, a long overdue step that is still ā without the negative results alongside them ā insufficient to give us a full picture. Also on Wednesday, the U.S.D.A. made testing mandatory for dairy cattle that are being moved from one state to another. It says mandatory testing of other herds wouldnāt be āpractical, feasible or necessarily informativeā because of āseveral reasons, ranging from laboratory capacity to testing turnaround times.ā The furthest the agency will go is to recommend voluntary testing for cattle that show symptoms of the illness ā whichĀ not all that are infectedĀ do. Dr. Bright compares this to the Trump administrationās approach to Covid-19: If you donāt test, it doesnāt exist.
As for the F.D.A., it tells me it hasnāt completed specific tests to confirm that pasteurization would make milk from infected cows safe, though the agency considers it āvery likelyā based on extensive testing for other pathogens. (It is not yet clear whether the elements of the H5N1 virus that recently turned up in milk had been fully neutralized.) That testing should have been completed by now. In any case, unpasteurized milk remains legal in many states. Dr. Bright told me that āthis is a major concern, especially given recent infections and deaths in cats that have consumed infected milk.ā
Making matters worse, the U.S.D.A. failed to share the genomes from infected animals in a timely manner, and then when it shared the genomes did so in an unwieldy format and without any geographic information, causing scientists to tear their hair out in frustration.
All this makes catching potential human cases so urgent. Dr. Bright says that given a situation like this, and the fact that undocumented farmworkers may not have access to health care, the government should be using every sophisticated surveillance technique, including wastewater testing, and reporting the results publicly. That is not happening. The C.D.C. says it isĀ monitoring data from emergency roomsĀ for any signs of an outbreak. By the time enough people are sick enough to be noticed in emergency rooms, it is almost certainly too late to prevent one.
So far, the agency told me, it is aware of only 23 people who have been tested. That tiny number is deeply troubling. (Others may be getting tested through private providers, but if negative, the results do not have to be reported.)
On the ground, people are doing the best they can. Adeline Hambley, a public health officer in Ottawa, Mich., told me of a farm whose herd had tested positive. The farm owner voluntarily handed over the workersā cellphone numbers, and the workers got texts asking them to report all potential symptoms. Lynn Sutfin, a public information officer in the Michigan Department of Health and Human Services, told me that response rates to those texts and other forms of outreach can be as high as 90 percent. Thatās heartening, but itās too much to expect that a poor farmworker ā afraid ofĀ stigma, legal troubles and economic loss ā will always report even mild symptoms and stay home from work as instructed.
Itās entirely possible that weāll get lucky with H5N1 and it will never manage to spread among humans. Spillovers from animals to humans are common, yet pandemics are rare because they require a chain of unlucky events to happen one after the other. But pandemics are a numbers game, and a widespread animal outbreak like this raises the risks. When dangerous novel pathogens emerge among humans, there is only a small window of time in which to stop them before they spiral out of control. Neither our animal farming practices nor our public health tools seem up to the task.
There is some good news: David Boucher, at the federal governmentās Administration for Strategic Preparedness and Response, told me that this virus strain is a close match for some vaccines that have already been formulated and that America has the capacity to manufacture and potentially distribute many millions of doses, and fairly quickly, if it takes off in humans. That ability is a little like fire insurance ā Iām glad it exists, but by the time it comes into play your house has already burned down.
Iām sure the employees of these agencies are working hard, but the message they are sending is, āTrust us ā we are on this.ā One troubling legacy of the coronavirus pandemic is that there was too much attention on telling the public how to feel ā to panic or not panic ā rather than sharing facts and inspiring confidence through transparency and competence. And four years later we have an added layer of polarization and distrust to work around.
In April 2020, the Trump administration ousted Dr. Bright from his position as the director of the Biomedical Advanced Research and Development Authority, the agency responsible for fighting emerging pandemics. InĀ a whistle-blower complaint, he alleged this happened after his early warnings against the coronavirus pandemic were ignored and as retaliation for his caution against unproven treatments favored by Donald Trump.
Dr. Bright told me that he would have expected things to be much different during the current administration, but āthis is a live fire test,ā he said, āand right now we are failing it.ā
Zeynep TufekciĀ (@zeynep) is a professor of sociology and public affairs at Princeton University, the author of āTwitter and Tear Gas: The Power and Fragility of Networked Protestā and a New York Times Opinion columnist.Ā @zeynepĀ ā¢Ā Facebook
A version of this article appears in print onĀ April 28, 2024, SectionĀ SR, PageĀ 9Ā of the New York editionĀ with the headline:Ā The U.S. Is Blowing Its Chance to Halt Bird Flu in Humans.Ā Order ReprintsĀ |Ā Todayās PaperĀ |Ā Subscribe
I try sooo hard to not look at the news bc thereās ALWAYS some horrifying shit that makes me feel insane and paranoid š¬
But. Out of curiosity Iām like u know what lemme just take a quick peek itās probably not that bad Iāll just look, itās not that dystopian⦠and then itās full ON psychotic kali yuga end times tier
Oh would you look at that... We've got Mad Cow Disease again...
Zane, taking off his belt: Iāll give you something to cry about
Kai: Oh yeah?
Zane, holding up his belt: It took three baby cows to make this.
Kai: *sniffs* moo moos

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where did we go...? what did we do... @eti-mun?
did you know most cows arent forklift certified :(
WHAT??? WHEN WERE YOU GOING TO TELL ME ABOUT THIS???
jumping on the bandwagon to say i'm such a fan of your works! the little lamberteskelaiden fic about eskel getting a haircut is something that i go to when i'm feeling a bit shit about myself. hope you're having a delightful night, and that big same, when i was in uni i could drink a horse unconscious but nowadays a glass of red and everyone in a 100 yard radius WILL be told i love 'em <3
I'm having a great night, I just danced with my partner to mr blue sky but now he's watching a cow hoof trimming video on YouTube and I'm not sure why cause he screams at nature.
I'm sorry you ever feel shit about yourself, non, but I get it and part of that fic was making me feel better too so I'm glad it helps.
A cheeky Merlot? Goooood. I've drunk a lot of red this summer cause apparently fires destroyed the new zealand crop of grapes and I'm a big sauvignon blanc kinda dude.