skip to content

Avian Flu

USDA Fact Sheet - November 2005

Q. What is avian influenza?

A. Avian influenza (AI) is a disease found among poultry. AI viruses can infect chickens, turkeys, pheasants, quail, ducks, geese and guinea fowl as well as a wide variety of other birds, including migratory waterfowl. Each year, there is a flu season for birds just as there is for humans and, as with people, some forms of the flu are worse than others.

AI viruses can be classified into low pathogenicity and highly pathogenic forms based on the severity of the illness they cause in poultry. Most AI strains are classified as low pathogenicity avian influenza (LPAI) and cause few clinical signs in infected birds. In contrast, high pathogenicity avian influenza (HPAI) causes a severe and extremely contagious illness and death among infected birds.

Q. Besides HPAI and LPAI, is avian influenza divided into other groupings?

A. Yes, there are 144 different characterizations of the virus based on two groups of proteins found on the surface of the virus. One group is the hemagglutinin proteins (H), of which there are 16 different types (H1-H16); the other group is the neuraminidase proteins (N), of which there are 9 different types (N1-N9). The virus detected in several Asian and European countries is an H5N1 type of highly pathogenic (HPAI) virus.

Q. How is the disease spread?

A. AI is primarily spread by direct contact between healthy birds and infected birds, and through indirect contact with contaminated equipment and materials. The virus is excreted through the feces of infected birds and through secretions from the nose, mouth and eyes.

Contact with infected fecal material is the most common of bird-to-bird transmission. Wild ducks often introduce low pathogencicity into domestic flocks raised on range or in open flight pens through fecal contamination. Within a poultry house, transfer of the HPAI virus between birds can also occur via airborne secretions. The spread of avian influenza between poultry premises almost always follows the movement of contaminated people and equipment. AI also can be found on the outer surfaces of egg shells. Transfer of eggs is a potential means of AI transmission. Airborne transmission of virus from farm to farm is highly unlikely under usual circumstances.

HPAI can be spread from birds to people as a result of extensive direct contact with infected birds. Broad concerns about public health relate to the potential for the virus to mutate, or change into a form that could spread from person to person. The U.S. Department of Health and Human Services is aggressively working to ensure public health is protected. More information about the joint efforts of the federal government is available at http://www.pandemicflu.gov/

Q. What symptoms do birds with AI demonstrate?

A. LPAI symptoms are typically mild. Decreased food consumption, respiratory signs (coughing and sneezing) and a decrease in egg production might demonstrate the presence of the disease. Birds that are affected with HPAI have a greater level of sickness and could exhibit one or more of the following clinical signs: sudden death; lack of energy and appetite; decreased egg production; soft-shelled or misshapen eggs; swelling; purple discoloration; nasal discharge; coughing, sneezing; lack of coordination and diarrheA.

Q. What should producers do if their birds appear to have signs of AI?

A. If birds exhibit clinical signs of HPAI or might have been exposed to birds with the disease, producers or bird owners should immediately notify Federal or State animal health officials.

Q. Is it possible for an LPAI strain to become highly pathogenic?

A. Some low pathogenic subtypes have the capacity to mutate into more virulent strains. While LPAI is considered lower risk, low pathogenic strains of the virus - the H5 and H7 strains - can mutate to highly pathogenic forms.

Q. Is AI a reportable disease?

A. HPAI is considered a reportable disease by the World Organization for Animal Health (OIE). OIE has developed animal health standards that classify all H5 and H7 viruses as reportable diseases.

Q. Does AI threaten human health?

A. LPAI poses no known serious threat to human health, however some strains of HPAI viruses can be infectious to people. Since December 2003, a growing number of Asian countries have reported outbreaks of HPAI in chickens and ducks. Humans also have been affected, most of who had direct contact with infected birds. The rapid spread of HPAI in 2004 and 2005 is historically unprecedented and of growing concern for human health as well as for animal health.

Q. Does HPAI currently exist in the United States? Has it ever occurred in this country?

A. Incidents of LPAI are commonly detected in domestic poultry flocks. LPAI does not pose a serious threat to human health.

There is no evidence that HPAI currently exists in the United States. Historically, there have been three HPAI outbreaks in poultry in this country--in 1924, 1983 and 2004. No significant human illness resulted from these outbreaks.

The 1924 H7 HPAI outbreak was detected in and contained to East Coast live bird markets.

The 1983-84 H5N2 HPAI bird outbreak resulted in the destruction of approximately 17 million chickens, turkeys, and guinea fowl in the northeastern United States to contain and eradicate the disease.

In 2004, USDA confirmed an H5N2 HPAI outbreak in chickens in the southern United States. The disease was quickly eradicated thanks to close coordination and cooperation between USDA, state, local, and industry leaders. Because of the quick response, the disease was limited to one flock.

Q. What kind of test is used to diagnose avian influenza in birds?

A: Samples are usually taken by swabbing the mucus that coats the throat of live birds, which does not harm the birds. With wild birds, a fecal sample can be taken instead. These samples go into sealed tubes and are taken to USDA-approved laboratories where a polymerase chain reaction (PCR) test is run. A PCR test is a rapid method of identifying the virus, typically producing results within 3 hours. If a sample from an area where avian influenza has not been previously detected tests positive on a rapid test, an additional confirmatory test is performed. This test involves growing the sample in embryonated chicken eggs, which then provides the material to allow detailed identification of the strain of virus and whether it is HPAI (high pathogenicity) or LPAI (low pathogenicity). This test can take 3-5 days to produce results.

Q. What is USDA doing to prevent the introduction of HPAI into the United States?

A: USDA recognizes that HPAI poses a significant threat to animal health and has the potential to threaten human health. Accordingly, USDA has safeguards in place to protect against the introduction of HPAI into the United States. USDA maintains trade restrictions on the importation of poultry and poultry products from countries currently affected by H5N1 HPAI.

Detection USDA also works closely with international organizations like the World Organization for Animal Health (OIE), the United Nations' Food and Agriculture Organization (FAO), and World Health Organization (WHO) to assist HPAI-affected countries and other neighboring Asian-Pacific countries with disease prevention, management, and eradication activities. By helping these countries prepare for, manage, or eradicate HPAI (H5N1) outbreaks, USDA can reduce the risk of the disease spreading from overseas to the United States.

USDA recognizes that prevention is only one part of a comprehensive strategy and therefore continues to work closely with its Federal, State, and Tribal partners and industry stakeholders to have effective and coordinated emergency response plans at the ready should an outbreak of HPAI occur in the United States.

Q. What is USDA doing to monitor the U.S. for AI among birds?

A: The USDA works with federal, state, and industry leaders to monitor and respond to outbreaks of LPAI. APHIS has provided funding and support personnel to states when LPAI has been detected. When HPAI is detected, APHIS personnel are primary responders, due to its infectivity and high mortality rate among poultry. Close attention is also given to two subtypes of LPAI, the H5 and H7 strains, because of the potential for them to mutate into HPAI. The AI strain infecting both birds and humans in Asia is the HPAI H5N1. There is presently no evidence of HPAI H5N1 existing in the U.S. - neither in animals nor humans.

In addition to international import restrictions, APHIS and State veterinarians are specially trained to diagnose foreign animal diseases regularly conduct field investigations of suspicious disease conditions. This surveillance is assisted by university personnel, State animal health officials, USDA-accredited veterinarians, and members of the industry who report suspicious cases. APHIS and State animal health officials work cooperatively with the poultry industry to conduct surveillance at breeding flocks, slaughter plants, live-bird markets, livestock auctions, and poultry dealers.

Q. What can poultry producers do to prevent an AI outbreak on their farms?

A. Poultry producers should strengthen biosecurity practices to prevent the introduction of AI into their flocks. The following are some sound biosecurity practices:

  • Keep an "all-in, all-out" philosophy of flock management. Avoid skimming flocks-birds left behind are exposed to work crews and equipment that could carry poultry disease viruses. Process each lot of birds separately, and clean and disinfect poultry houses between flocks.
  • Protect poultry flocks from coming into contact with wild or migratory birds. Keep poultry away from any source of water that could have been contaminated by wild birds.
  • Permit only essential workers and vehicles to enter the farm.
  • Provide clean clothing and disinfection facilities for employees.
  • Thoroughly clean and disinfect equipment and vehicles (including tires and undercarriage) entering and leaving the farm.
  • Do not loan to, or borrow equipment or vehicles from, other farms.
  • Change footwear and clothing before working with your own flock after visiting another farm or
  • live-bird market or avoid visiting another bird farm if possible.
  • Do not bring birds from slaughter channels, especially those from live-bird markets, back to the farm.

If AI is detected, farms must be thoroughly cleaned and disinfected. AI is inactivated by heat and drying and it is also very sensitive to most disinfectants and detergents. The area to be disinfected must be clear of organic material, which greatly increases the resistance of avian influenza virus' resistance to disinfection.

Q. Does proper food handling prevent avian influenza?

A. The USDA Food Safety and Inspection Service (FSIS) is working to educate the public about safe food handling practices in response to numerous questions from the public about the human risk associated with avian influenzA. There is no evidence that LPAI can be transmitted to people by eating poultry. If HPAI were detected in the U.S., the chance of infected poultry entering the food chain would be extremely low.

Proper handling and cooking of poultry provides protection against this virus, as it does against many viruses and bacteria, including Salmonella and E.coli. Safe food handling and preparation is important at all times. USDA continually reminds consumers to practice safe food handling and preparation every day:

  • Wash hands before and after handling food;
  • Prevent cross-contamination by keeping raw meat, poultry, fish, and their juices away from other foods;
  • After cutting raw meats, wash hands, cutting board, knife, and counter tops with hot, soapy water;
  • Sanitize cutting boards by using a solution of 1 teaspoon chlorine bleach in 1 quart of water; and
  • Use a food thermometer to ensure food has reached the proper temperature. Cook whole birds to 180 °F; breasts to 170 °F; drumsticks, thighs and wings to 180 °F; and a minimum oven temperature of 325 °F.

Poultry products imported to the U.S. must meet all safety standards applied to foods produced in the U.S. No poultry from countries with confirmed cases of H5N1 HPAI can be imported into the United States.

Q. How do I get more information about avian influenza?

go to http://www.usda.gov/birdflu

food safety information:

USDA Meat and Poultry Hotline

1-888-MPHotline (1-888-674-6854)

TTY: 1-800 256-7072


H5N1 (Avian Influenza) in Cats

Introduction


At the end of February 2006 highly pathogenic avian influenza (HPAI), caused by the H5N1 virus was detected in a domestic cat found dead on the northern island of Ruegen, Germany. Since mid-February, over 100 birds have died on this island and tests confirmed H5N1 infection. Also in Asia, cats and other felidae are occasionally found to be infected with H5N1 since the start of the poultry epidemic end 2003. Experimental studies have shown that the domestic cat can become infected with the virus and that cat to cat transmission is possible in principle. Serological studies in several Asian countries suggest that dogs may also contract the H5N1 infection. Countries in Europe have advised owners of pets living near H5N1 wild bird foci to keep cats indoors and dogs on a leash when taken for a walk.

These recent events lead to many questions by the public and pet owners to which the veterinary profession has to respond. In addition, there may be exposure of pet owners and veterinarians. For example, when animals infected with H5N1 (eg birds, dogs and cats) are brought to the veterinary clinic. Important are also the contribution veterinary practitioners can make in the surveillance of the disease for the presence of the H5N1 infection.

This section provides information for the general public and professionals about the risk of cats contracting H5N1 virus and the role of cats in the spread of avian influenza H5N1.


Background


During a H5N1 outbreak in poultry in 1997 in Hong Kong, the first clinical human cases of this sub-type were reported with several fatalities. From the end of 2003 to date (March 2006) 173 people have been confirmed infected with the H5N1 virus of which 93 have died. Except for 1 case, human-to-human transmission has probably not occurred. Although H5N1 is relatively common to wild birds and poultry, humans and other mammals are also at risk of HPAI infection. Highly pathogenic avian influenza in poultry is of growing concern due to the current geographic extent comprising Asia, Africa and Europe showing potential for pandemic spread. The virus is highly contagious and already over 200 million domestic birds have either been culled or died of the disease. Table 1 shows the timeline for avian influenza in cats and other felidae.


Timeline of (H5N1) avian influenza in cats and other felidae (and civets)

1970s & 1980s

Research revealed that infection of domestic cats with influenza A subtypes H3N2 from humans, H7N3 from a turkey, and H7N7 from a harbor seal (Phoc vitulina) produces transient virus excretion and a temporary increase in body temperature but did not induce any other clinical signs of disease.

December 2003

Two leopards and two tigers died at a zoo in Thailand after feeding on chicken carcasses. Investigation confirmed H5N1 in tissue samples from all 4 animals. This was the first report of influenza causing disease and death in big cats.

September 2004

Research shows that domestic cats experimentally infected with H5N1 develop severe disease and can spread infection to other cats.

October 2004

A H5N1 outbreak in zoo tigers in Thailand reportedly fed on chicken carcasses. Eventually, 147 out of the population of 441 tigers died or had to euthanized for animal welfare reasons.

June 2005

Tests on three civets that died late June 2005 in Viet Nam revealed H5N1, marking the first infection of this species with the virus. These endangered Owston’s palm civets were raised in captivity; source of infection is still unknown.

October 05 February 06

FAO field veterinarians report unusual high cat mortality in Iraq and Indonesia in the vicinity of H5N1 outbreaks in poultry.

28 February 2006

H5N1 confirmed in a cat on the Baltic Sea island of Ruegen (Germany). Over 100 wild birds had been found dead on the island during previous weeks.



General Information


Role of cats in virus transmission Research has shown that domestic cats may die from H5N1 virus. Also horizontal transmission has been proven. However, it is unlikely that cats play a role in the natural transmission cycle of H5N1 viruses. Cat infections occasionally occur in association with H5N1 outbreaks in domestic or wild birds, e.g. when cats feed on infected birds. Experimental/infected cats shed the virus via the respiratory and intestinal tract, and may therefore transmit the virus to other cats. Naturally infected cats are thus in theory, able to spread the virus

In areas where H5N1 Infected wild birds are reported it can not be excluded that cats become infected. Although most wild birds infected are waterfowl, not normally the species cats interact with, H5N1 is potentially infectious to numerous other bird species and it can not be ruled out that passerines or pigeons which do interact with cats get infected

In areas where poultry is infected with H5N1 there is a risk that cats become infected with H5N1 through contact with infected poultry or their faeces. Anecdotal reports support the notion that contact with infected poultry (faeces and eating infected carcasses) forms a source of infection for cats. Cats probably have little or no contribution to the spread of the disease because the number of infected poultry is much higher than the number of infected cats; poultry shed much more virus than cats. Nevertheless, cats may play a role in the spread of the virus to other animals. Report to the local veterinary authority any evidence of significant animal mortality both wild and domestic.

Theoretically there is a possibility that cats transmit infection to humans. However, given the risk that cats become infected with HPAI is low, the risk to human infection is therefore limited.

The role of stray cats
Due to their greater mobility, stray cats could spread the disease into new areas. If infected, stray cats may become a source of contamination to poultry and mammals, including humans.

The role of other mammals
The ability of catching the H5N1 virus is not restricted to cats. Reports show infection in tigers, leopards and civets. Also dogs and pigs may become infected with the virus. Given the broad host spectrum of the H5N1virus, the possibility that also other wild or domesticated mammals including seals, mustelidae or furbearing animals, become infected by contacting infected animals is present. All carnivores could become infected through eating infected poultry or infected wild birds.

Recommendations
Areas where H5N1 HPAI has been diagnosed or is suspected in poultry or wild birds:

Report to the local veterinary authority any evidence of significant bird mortality both wild and domestic
Be especially vigilant for any dead or sick cats and report such findings to the local vet
Make sure contact between cats and wild birds or poultry (or their faeces) is avoided and/or keep cats inside
If cats bring a sick or dead bird inside the house, put on plastic gloves and dispense of the bird in plastic bags for collection by local veterinary animal handlers
Keep stray cats outside the house and avoid contact wit them
If cats show breathing problems or nasal discharge, a veterinarian should be consulted
Do not touch or handle any sick-looking or dead cat (or other animal) and report to the authorities
Wash hands with water and soap regularly and especially after handling animals and cleaning their litter boxes or coming in contact with faeces or saliva
Dogs can only be taken outside the premises if kept restraint
Do not feed any water birds
Disinfect (e.g. with bleach 2-3 %) cages or other hardware with which sick animals have been transported or been in contact with.
Wash animal blankets with soap or any other commercial detergent


Information for Veterinarians


Avian influenza in other animal species
Hosts: Wildbird hosts for H5N1 in order of importance are probably Anatidae (ducks, geese, swans), Charadriiform (gulls and shorebirds) and Passeriform (sparrows and starling). Lately swans have been found infected with H5N1 in a number of European countries (e.g. Austria, Germany, France and Romania, etc.). In poultry, both aquatic and terrestrial species become infected but the virus is particularly aggressive in chicken.

Carnivores: can become infected, after consuming infected poultry that succumbed to the disease. To date no H5N1 clinical cases of dogs have been reported but in an unpublished study carried out in 2005 by the National Institute of Animal Health in Bangkok, researchers tested 629 village dogs and 111 cats in the Suphan Buri district of central Thailand. Out of these, 160 dogs and 8 cats had antibodies to H5N1, indicating that they were infected with the virus or had been infected in the past. An eqiune virus has recently shown up in dogs. This inter-species re-assortment is not uncommon for type A influenza viruses.

Pigs are known “„mixing vessels” for different influenza virus subtypes and therefore present a risk for avian influenza virus re-asserting with a human influenza virus into a strain more apt to infect humans. Regarding the present H5N1 subtype, studies conducted in pigs in Vietnam yielded 8 animals out of the 3000 investigated pigs seropositive. None of the animals had any clinical signs and it was not possible to isolate any virus

Ruminants appear at lower risk. So far no cattle have been identified as carrying any influenza type A virus. Horses are susceptible to Influenza viruses but so far mainly H3N8 have been identified. Regular vaccination is carried out. Experimentally mice can be infected but their role in natural transmission has not been established.

Public health implications
Humans and other mammals need to come in contact with large amounts of virus to become infected. In case of an infection with H5N1, mammals and humans apparently only shed small amounts of virus, contributing to reduced risk of spread among themselves. Recent data from experimentally infected cats’ evidenced extra-respiratory replication of the H5N1 and excretion of virus in faeces of cats need to be taken into consideration. Hygienic practices need to be re-enforced, frequent washing of hands with water and soap especially after handling animals, cleaning cat litter boxes as well as before and after the preparation of food.

Occupational health and safety
Veterinarians and their staff are specifically at risk of coming into contact with infected cats, in case the disease becomes more widespread among this species. Normally, veterinarians and their staff engage in frequent hand washing and disinfect examination tables and instruments to reduce the general risk of disease transmission among their patients and to protect the persons present in the consultation room from eventual exposure.

Advice for veterinarians
The following is advised for veterinarians:

Advice to pet owners (see above)
Be ware of possibility to receive (sick) cats infected with H5N1
Take hygienic measures when handling sick cats (gloves and surgical masks)
Take deep oro-pharyngeal swabs of suspected animals (e.g. animals with respiratory problems) and sent them to the laboratory clearly indicating the type of examination requested Support cases to be reported to veterinary authorities
Inform owners of suspected animals and provide them with clear and practical information, avoiding creating any panic among cat owners or the general public.
Provide veterinarians are advised to contact the Veterinary Authorities in their respective countries for specific instructions