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Highly Pathogenic Avian Influenza H5N1

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The Disease: Highly pathogenic avian influenza H5N1, is a single strand negative sense influenza A virus that causes disease in birds, humans, and various other animals. It was first discovered in Hong Kong in 1996 after an outbreak among geese that caused high mortality rates. In 1997 the first human cases were detected. Out of 18 confirmed cases, 6 people died, causing global concern (Petsko, 2005). After a brief period in which the virus seemed to dissipate, it re-emerged in 2003 affecting poultry and wild birds in Asia, Africa, the Middle East, and Europe. Since 2003 it has caused more than 700 human cases in more than 15 different countries, with the largest outbreaks occurring in Vietnam and Egypt. Currently, H5N1 affects birds in more …show more content…

Infected bird populations experience high morbidity and mortality rates. The virus is transmitted among birds by exposure to droppings or close contact with an infected bird (Petsko, 2005). Birds typically present with swollen or bluish wattles, cyanosis, respiratory distress, diarrhea, and pinpoint hemorrhages on the legs. Infected wild birds can spread H5N1 to various locations along their migratory pathway, hence the spread from Asia to Europe (Kilpatrick et al, 2006).
As influenza A viruses can be transmitted to both humans and animals, the host range for H5N1 is fairly large and includes humans, pigs, cats, dogs, tigers and leopards. To contain the spread of H5N1 and prevent outbreaks in other species, many birds are culled (CDC, 2017). This precautionary practice has lead to the culling of millions of birds. This process is often necessary in panic situations to prevent disease however; it also has a large impact on the economy of many countries and livelihoods of small farmers. The impact of this disease is widespread and has health and economic consequences (WHO, …show more content…

In fact, H5N1 has the highest morbidity and mortality rates of all influenza viruses. The death rate in humans is 60%. Therefore, outbreaks in avian species as well as human species are concerning to public health officials, health care professionals, and veterinarians. H5N1 is also on the list of reportable diseases for the Maine CDC. The symptoms in humans include fever, cough, dyspnea, bilateral pulmonary infiltrates, lymphopenia, increased amino transferases, diarrhea, mucosal bleeding, sore throat, nausea, and pneumonia (Stephenson et al, 2017). Most people are seen in emergency room settings and treated for their respiratory symptoms after the virus has progressed to late stages. Curiously, individuals under the age of 40 are most susceptible to H5N1, particularly teens and young adults (Stephenson et al,

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