Health | What's next with bird flu? Genetic testing of California farm staff could reveal virus evolution

Chart showing the number of dairy herds in California that have tested positive for avian influenza virus type A (H5N1) since the first cases were detected on September 11th. On September 11th there were three. As of October 4, 56 cases have been found.Federal scientists are closely examining the H5N1 gene sequences from California dairy staff, in search of dangerous mutations that would make the virus, called avian influenza or bird flu, more proficient at jumping from animals to people after which spreading.

“It can give us insight into how the virus is evolving,” he said Stanford infectious disease expert Dr. Abraar Karan. “It’s a window into what’s going on.”

Samples of the virus were obtained through swabs from two patients with the state's first known human cases of bird flu, the California Department of Public Health confirmed Thursday. Although the patients' whereabouts haven’t been disclosed, their illnesses are unrelated. They became in poor health independently after exposure to cows and didn’t spread from individual to individual. The risk to the population stays low.

Both cases were mild with little or no respiratory symptoms. The predominant criticism was a standard eye infection called conjunctivitis, brought on by staff not wearing adequate eye protection when working with infected cattle. The virus attaches to cells within the membrane that lines the attention.

Samples of the California virus have been sent to the US Centers for Disease Control, which is genetically decoding them. But the work is difficult since the samples often contain very small amounts of lively viral RNA, the molecule into which flu genomes are written.

By comparing samples to one another and to other samples within the U.S., scientists can determine whether the virus is mutating in a way that makes it more more likely to infect other people.

If that is the case, the chance of the disease sweeping through the population and potentially triggering a dangerous outbreak increases.

The same sequencing technology is the important thing tool in identifying and tracking the emergence of latest SARS-CoV2 variants, a field of labor called “genomic epidemiology.” With widespread use through the COVID-19 pandemic, it has turn into easier, faster and more ubiquitous, proving to be one of the necessary innovations of the twenty first century.

H5N1, like our more familiar flu viruses, is consistently changing because it multiplies and diversifies. Viruses are in an evolutionary arms race – because the immune system produces recent antibodies, the virus develops recent mutations.

Each iteration is meant to supply a bonus, corresponding to the flexibility to bypass the immune system or create an extreme risk of infection.

Viruses spread in small and sometimes large ways. It just isn’t yet known what genetic changes would allow H5N1 to higher infect people or turn into airborne.

“When this happens, the virus itself undergoes mutations that can change its dangerousness,” Karan said. “We have to be aware of these changes.”

Genetic sequencing will even help make sure that future vaccines and antiviral drugs are a great “fit” and protective.

To stave off an outbreak, the federal government's Center for the Biomedical Advanced Research and Development Authority (BARDA) announced Thursday that it’s providing about $72 million to 4 pharmaceutical firms – CSL Seqirus, Sanofi and GSK – to cope with the following ones Steps to absorb the production of H5N1 vaccines. The vaccines now in bulk warehouses are being transferred into ready-to-use vials or pre-filled syringes to immunize people so that they are ready for distribution.

“As infections in domesticated animals continue to spread, the risk of infection in humans may increase,” said BARDA Director Gary Disbrow. “Out of an abundance of caution, we are taking steps to increase the amount of vaccines that could be immediately available if needed.”

The virus has already modified significantly because it was first discovered in geese in 1996. In 2020, a brand new, highly pathogenic form emerged in Europe and quickly spread all over the world. In the United States, greater than 100 million farmed birds were affected, the worst bird flu outbreak within the country's history.

New mutations have facilitated the spread from birds to several other species, including humans. It has been detected in wild animals corresponding to bears, foxes, seals and skunks, domestic animals corresponding to cats and dogs, and zoo animals corresponding to tigers and leopards. Even marine mammals corresponding to harbor seals, gray seals and bottlenose dolphins can turn into infected.

The rising case is affecting cows at California dairies — in lower than a month, the variety of infected herds rose from 3 to 56 — worrying epidemiologists and health experts who monitor farm staff.

Since March, when the H5N1 virus was first detected in dairy cows within the United States, there have been greater than a dozen cases of human infections resulting from contact with infected animals.

An early genomic evaluation by the CDC found slight differences between human, bovine and avian versions of the virus.

There was a genetic change in humans – a mutation called PB2 E67K – that has a known connection to virus adaptation to mammalian hosts. Scientists emphasized that this just isn’t related to virulence or rapid transmission.

Mutations can explain clinical symptoms – for instance, why the virus, like other flu viruses, appears to affect an individual's eyes greater than the upper respiratory tract.

A case reported in Missouri on September 6 is drawing particular attention. The investigators found no reference to cattle or unprocessed foods corresponding to raw milk.

Jürgen Richt, a veterinary virologist at Kansas State University in Manhattan, called it “a mysterious case.”

“So you have to cast your net a little wider,” he told Nature magazine. “Maybe they cleaned out a bird feeder in the house. Were they at a state fair? What kind of food did they eat?”

On September 13, the CDC announced that around the identical time, two individuals who had close contact with the infected person also became in poor health. One of them was not tested for flu; the opposite tested negative.

In the meantime, researchers are combing through this patient's patchy genomic sequence data from virus samples – and can compare it to the California cases and other samples.

According to John Korslund, a retired U.S. Department of Agriculture veterinary epidemiologist who studies livestock diseases, the 2 cases in California “are not in themselves a cause for concern about pandemic risk.”

“But each case is still important in its own right,” he said, “because each one of them could signal trends toward viral adaptation for person-to-person spread.”

Originally published:

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