What Causes Bird Flu Virus Infections in Humans (2024)

About avian influenza (bird flu)

Although avian (bird) influenza (flu) A viruses usually do not infect people, there have been some rare cases of human infection with these viruses. Illness in humans from avian influenza virus infections have ranged in severity from no symptoms or mild illness to severe disease that resulted in death. Avian influenza A(H7N9) virus and highly pathogenic avian influenza (HPAI) A(H5N1) and A(H5N6) viruses have been responsible for most human illness from avian influenza viruses reported worldwide to date, including the most serious illnesses with high mortality.

Infected birds shed avian influenza viruses through their saliva, mucous and feces. Other animals infected with avian influenza viruses may have virus present in respiratory secretions, different organs, blood, or in other body fluids, including animal milk. Human infections with avian influenza viruses can happen when virus gets into a person's eyes, nose or mouth, or is inhaled. This can happen when virus is in the air (in droplets, small aerosol particles, or possibly dust) and deposits on the mucus membranes of the eyes or a person breathes it in, or possibly when a person touches something contaminated by viruses and then touches their mouth, eyes or nose.

Avian influenza viruses have been detected in many other species. Avoid contact with surfaces that appear to be contaminated with animal feces, raw milk, litter, or materials contaminated by birds or other animals with suspected or confirmed avian influenza virus infection. CDC has information about precautions to take with wild birds, poultry and other animals.

CDC has guidance for specific groups of people with exposure to poultry and other potentially infected animals, including poultry or dairy workers, for example, and people responding to bird flu outbreaks. Additional information is available at Information for People Exposed to Birds Infected with Avian Influenza Viruses of Public Health Concern.

In late March 2024, a human case of influenza A(H5N1) virus infection was identified after exposure to dairy cattle presumably infected with bird flu. Some bird flu infections of people have been identified in which the source of infection was unknown.

The spread of bird flu viruses from one infected person to a close contact is very rare, and when it has happened, it has only spread to a few people. However, because of the possibility that bird flu viruses could change and gain the ability to spread easily between people, monitoring for human infection and person-to-person spread is extremely important for public health.

Signs and symptoms

The reported signs and symptoms of bird flu virus infections in humans have ranged from no symptoms or mild to severe.

Signs and symptoms may include:

  • eye redness (conjunctivitis)
    • mild flu-like upper respiratory symptoms
      • pneumonia requiring hospitalization
        • fever (temperature of 100ºF [37.8ºC] or greater) or feeling feverish*,
          • cough
            • sore throat
              • runny or stuff nose
                • muscle or body aches
                  • headaches
                    • fatigue
                      • shortness of breath or difficulty breathing.

                        Less common signs and symptoms include diarrhea, nausea, vomiting, or seizures.

                        *Fever may not always be present

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                        What Causes Bird Flu Virus Infections in Humans (1)

                        How infected backyard poultry could spread bird Flu to people

                        Everything you need to know about the flu illness, including symptoms, treatment and prevention.

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                        How Infected Poultry Could Spread Avian Influenza to People (Spanish)

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                        How infected backyard poultry could spread bird Flu to people (Simplified Chinese)

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                        Detecting avian influenza A virus infection in humans

                        Bird flu virus infection in people cannot be diagnosed by clinical signs and symptoms alone; laboratory testing is needed. Bird flu virus infection is usually diagnosed by collecting a swab from the upper respiratory tract (nose or throat) of the sick person. Testing is more accurate when the swab is collected during the first few days of illness.

                        For critically ill patients, collection and testing of lower respiratory tract specimens also may lead to diagnosis of bird flu virus infection. However, for some patients who are no longer very sick or who have fully recovered, it may be difficult to detect bird flu virus in a specimen.

                        CDC has posted guidance for clinicians and public health professionals in the United States on appropriate testing, specimen collection, and processing of samples from patients who might be infected with avian influenza A viruses.

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                        What To Know About Bird Flu

                        Bird flu is a disease caused by certain flu viruses that usually spread between birds, not people. S...

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                        What Causes Bird Flu Virus Infections in Humans (2024)

                        FAQs

                        What Causes Bird Flu Virus Infections in Humans? ›

                        Other animals infected with avian influenza viruses may have virus present in respiratory secretions, different organs, blood, or in other body fluids, including animal milk. Human infections with avian influenza viruses can happen when virus gets into a person's eyes, nose or mouth, or is inhaled.

                        What causes the bird flu in humans? ›

                        Human infections with bird flu viruses are rare but can happen if enough virus is inhaled or gets into a worker's mouth, eyes, or nose. This can happen if virus is in the air and a worker breathes it in, or if a worker touches something that has virus on it and then touches their mouth, eyes or nose.

                        How to avoid bird flu in humans? ›

                        People should avoid direct contact with wild birds and other animals infected with or suspected to be infected with avian influenza A viruses. If you must have direct/close contact with infected or potentially infected birds or other animals, wear recommended personal protective equipment (PPE).

                        Is the bird flu caused by a virus or bacteria? ›

                        Avian influenza or bird flu refers to the disease caused by infection with avian (bird) influenza (flu) Type A viruses. These viruses naturally spread among wild aquatic birds worldwide and can infect domestic poultry and other bird and animal species.

                        What is the name of the pathogen that causes bird flu? ›

                        Highly Pathogenic Avian Influenza (HPAI) is a disease that is highly contagious and often deadly in poultry, caused by highly pathogenic avian influenza A (H5) and A (H7) viruses; it is also known as bird or avian flu. HPAI viruses can be transmitted by wild birds to domestic poultry and other bird and animal species.

                        How do birds get the flu? ›

                        Domesticated birds (chickens, turkeys, ducks, etc.) may become infected with avian influenza A viruses through direct contact with infected waterfowl or other infected poultry, or through contact with surfaces that have been contaminated with the viruses.

                        How did the bird flu start? ›

                        It is thought that all influenza A viruses causing outbreaks or pandemics among humans since the 1900s originated from strains circulating in wild aquatic birds through reassortment with other influenza strains. It is possible (though not certain) that pigs may act as an intermediate host for reassortment.

                        How is bird flu transmitted? ›

                        The most likely way for a human to catch bird flu is through close contact with infected birds, their faeces (poo) or feathers. See a doctor immediately if you have recently returned from a country that has had an outbreak of bird flu and you have flu like symptoms.

                        Which states have bird flu? ›

                        The USDA has confirmed 126 cases of bird flu in dairy cattle herds in a dozen states as of June 21, including Colorado, Idaho, Iowa, Kansas, Michigan, Minnesota, New Mexico, North Carolina, Ohio, South Dakota, Texas and Wyoming. Idaho has the most dairy herds affected, with a total of 27.

                        How do I protect my backyard birds from bird flu? ›

                        disease: • keep your distance (restrict access to your property and your birds); • keep it clean (clean and disinfect your clothes, shoes, equipment, and hands); • don't haul disease home (if you have been near other birds or bird owners, clean and disinfect poultry cages and equipment before going home); • don't risk ...

                        Is milk safe to drink right now? ›

                        Yes, it's still safe to drink milk even if avian flu virus fragments are in the milk supply. You're reading The Checkup With Dr. Wen, a newsletter on how to navigate covid-19 and other public health challenges.

                        What parasite causes bird flu? ›

                        A type of influenza A virus, often H5N1 in humans, causes bird flu. The virus can infect your upper respiratory tract and lungs and even spread to other parts of your body, like your brain.

                        What animal does bird flu come from? ›

                        The viruses that cause avian influenza (or “bird flu”) mainly infect and spread among wild aquatic birds, such as wild ducks, geese, and storks, and domestic poultry, such as chickens and turkeys.

                        What flu is going around 2024? ›

                        First case of A(H1N2)v virus in the US in 2024

                        Variant influenza A virus infections are novel influenza A virus infections. A novel influenza A virus is an influenza A virus that is different from seasonal influenza A viruses spreading among people.

                        What organs does bird flu affect? ›

                        H5N1 influenza appears to be a systemic infection in both human and animal cases. In humans the trachea, brain, and intestines may be infected in addition to the lungs. It appears that the virus may also spread to other organs, such as the kidneys and liver, as has also been demonstrated in animals.

                        Can bird flu be cured? ›

                        Antiviral medicines help reduce the severity of the condition, prevent complications and improve the chances of survival. They are also sometimes given to people who have been in close contact with infected birds, or those who have had contact with infected people, for example family or healthcare staff.

                        What states have bird flu? ›

                        Avian influenza virus type A (H5N1) has been confirmed in dairy cattle in 12 states: 26 in Idaho, 25 in Michigan, 21 in Texas, 20 in Colorado, 10 in Iowa, eight in New Mexico, six in Minnesota, five in South Dakota, four in Kansas, and one each in North Carolina, Ohio, and Wyoming.

                        How is bird flu transmitted between birds? ›

                        The virus is by in the feces of infected birds or through secretions from the nose, mouth and eyes. Exposure to infected fecal material is the most common mode of bird–to–bird transmission.

                        Can eating chicken cause bird flu? ›

                        You're not likely to contract bird flu from eating beef or chicken, according to Dan Gallagher, a Registered Dietitian with Aegle Nutrition. “The chances of getting sick from eating chicken or beef, even with the bird flu outbreak, are still incredibly low,” he noted.

                        Are eggs safe to eat bird flu? ›

                        The U.S. Food and Drug Administrations says that there is no evidence that anyone has been infected with the avian flu by eating properly cooked eggs. Cooking eggs to 160°F (71°C) will kill the avian flu virus. The recommendation for cooking eggs well is supported.

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