NPR

The U.S. may be missing human cases of bird flu, scientists say

Officially, only one person has caught the illness during the current outbreak. But with limited testing, cases could be flying under the radar.
The U.S. Department of Agriculture is ordering dairy producers to test cows that produce milk for infections from highly pathogenic avian influenza (HPAI H5N1) before the animals are transported to a different state following the discovery of the virus in samples of pasteurized milk taken by the Food and Drug Administration.

Officially, there is only one documented case of bird flu spilling over from cows into humans during the current U.S. outbreak.

But epidemiologist Gregory Gray suspects the true number is higher, based on what he heard from veterinarians, farm owners and the workers themselves as the virus hit their herds in his state.

"We know that some of the workers sought medical care for influenza-like illness and conjunctivitis at the same time the H5N1 was ravaging the dairy farms," says Gray, an infectious disease epidemiologist at the University of Texas Medical Branch in Galveston.

"I don't have a way to measure that, but it seems biologically quite plausible that they too, are suffering from the virus," he says.

Gray has respiratory infections in people who workwith outbreaks bird flu strains that are lethal for poultry like this current one.

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