SILVERNAIL - PETERSON "DUCK CLUB"
World Health Organization and DU Meet to Discuss Bird (Avian) Flu
October 2005 - This hunting season, waterfowl hunters in North America don't have to worry about the dangerous strain of bird flu that has grabbed recent media headlines. So says World Health Organization (WHO) influenza authority Dr. Robert G. Webster.
"There is no more problem hunting ducks this year than any other year," Dr. Webster said." There is no evidence at all that the Asian H5N1 virus is in the Americas."
Senior Ducks Unlimited (DU) biologists met recently with Dr. Webster to learn from the flu expert and to coordinate its message with the WHO to provide the best available science on the issue to the waterfowl hunting community and the general public.
Webster is director of the WHO Collaborating Center on the Ecology of Influenza Viruses in Lower Animals and Birds at St. Jude Children's Research Hospital in Memphis, Tenn. and a world-recognized leading authority on influenza. The Center is the world's only WHO collaborating laboratory designed to study influenza at the animal-human interface.
The virulent strain of H5N1 avian flu that is concerning the worldwide medical community has established itself in several Asian countries and was most recently found in Eastern Europe. It's especially deadly to domestic poultry and fowl, and authorities have killed millions of these birds throughout Asia in an attempt to control the spread of the virus.
It is rare for this type of flu to infect humans. According to the WHO, 184 people have been infected by this flu between January 2004 and March 21, 2006, but, of those, 103 have died, creating worldwide concern about the possibility of a global pandemic if the virus was to mutate enough to easily move from human to human.
Ducks Unlimited shares these concerns, especially those of the waterfowling community. Such pandemics occur irregularly, but typically two to three times each century. The emergence of the highly pathogenic Asian strain of H5N1 avian influenza now has the world's attention focused on this ever-present risk.
It is important to note that the human cases now present in Asia represent an unusual event where humans contracted the flu directly from domestic birds. Those individuals are all thought to have contracted the flu because of direct contact with infected domestic poultry flocks. There is no evidence for sustained human-to-human spread of this flu, but a limited number of possible human-to-human transmissions have been reported.
Unfortunately, unwarranted fears and concerns about the Asian strain of H5N1 avian influenza are causing some over-reactions. DU has heard of individuals canceling duck hunting trips or deciding not to duck hunt this season due to concerns about H5N1 avian flu. We are sensitive to these concerns but hope the following facts provide the necessary information to make rational decisions based on facts, not fear.
As with any wild game and the diseases some carry, hunters can protect themselves by wearing disposable surgical latex gloves when handling or cleaning any game animals or birds. And Dr. Webster says what we learned in kindergarten still makes sense today when it comes to protecting ourselves from all flu viruses. Clean up after yourself, and wash your hands regularly.
"It's amazing what the simple act of washing your hands regularly can do to protect you," Dr. Webster said.
Understanding peoples' desire to have as much knowledge as possible about issues that can affect their health, Ducks Unlimited is providing the information below to address the most frequently asked questions about bird flu that we're hearing from duck hunters, people who enjoy feeding birds at bird feeders and others who might come in contact with wild birds. We encourage hunters to continue enjoying the sport they love without fear or concern.
To provide you with the best information possible, Ducks Unlimited will continue its relationship with Dr. Webster and the WHO Collaborating Center on the Ecology of Influenza Viruses in Lower Animals and Birds, as well as authorities and agencies that are actively monitoring the situation. We'll provide updates on the situation as it relates to wildlife, duck hunters and other outdoorsmen as relevant, new information is produced.
Bird Flu: Questions & Answers
What is Avian Influenza (Bird Flu)?
Avian influenza, or bird flu, is a common, naturally occurring virus in birds that has many forms or subtypes. Scientists believe all birds are susceptible to infection by some form of avian influenza, but some birds, like waterfowl, can be infected with influenza but develop no signs of illness from it. In addition, the potency (virulence) varies greatly among the influenza subtypes.
Virulence is classified as either low pathogenic avian influenza (LPAI) or high pathogenic avian influenza (HPAI). Most avian influenza subtypes are LPAI and cause little or no signs of illness in domestic or wild birds and pose no threat to human health. These subtypes are found every year in waterfowl and cause no disease in birds or in humans. HPAI subtypes include two of the 16 subtypes (H5 and H7). Some members of the H5 and H7 subtypes are extremely infectious and fatal to domestic poultry, sometimes posing a threat to human health.
What is the Asian H5N1 avian influenza virus?
The Asian H5N1 virus is a particularly virulent strain of avian influenza that was first detected in Southeast Asia in 1997.
Is the Asian H5N1 strain of avian influenza a risk to humans?
In addition to resulting in the deaths of more than 150 million domestic birds, the Asian H5N1 virus has infected more than 184 humans and is responsible for 103 human deaths in the region. To date, there has been little human-to-human transmission of the Asian H5N1 strain of avian flu. Yes, there is a risk to humans who are handling infected domestic birds or infected wild birds in Asia . This virus is not yet present in the Americas.
How did people get the Asian strain of the H5N1 virus?
Transmission from domestic poultry (contact with infected birds, contaminated surfaces or feces) is the principle way the Asian H5N1 virus infected humans.
Do migratory waterfowl disperse the Asian H5N1 virus?
The available evidence supports the contention that migrating birds carried the Asian H5N1 virus to Russia, Turkey and Croatia. However, thousands of wild birds have been sampled in North America, and officials haven't found any infected with the highly pathogenic Asian H5N1 virus. While Asian H5N1 virus kills some waterfowl species, (e.g., geese), ducks aren't consistently killed and can continue to migrate. Intensive monitoring of wild birds is continuing worldwide in order to follow the spread of Asian H5N1 in Europe and Africa. The good news is that H5N1 Asian influenza is not yet in the Americas.
Where has the H5N1 virus been detected?
It is important to note that to date (3/06/06), the Asian H5N1 strain has not been detected in the Americas.
The World Organization for Animal Health maintains a Web page devoted to reporting all laboratory confirmed cases of subtype H5 avian influenza in animals based on location .
The World Health Organization maintains a Web page devoted to reporting all laboratory confirmed cases of H5N1 in humans by location .
What is being done to monitor for Asian H5N1 in North America ?
Because some waterfowl and shorebird species migrate between Alaska and Asia, authorities in the wildlife conservation, hunting and medical communities are taking steps to monitor the situation closely and take action if necessary. The U.S. Fish and Wildlife Service, U.S. Geological Survey National Wildlife Health Center and others are diligently monitoring migratory birds in Alaska. To date, thousands of waterfowl and shorebird samples from Alaska have been collected, and the Asian virus has not yet been found.
Why has the Asian H5N1 strain of the virus received so much attention from the medical community and the media?
A much greater concern than the negligible risk of widespread Asian H5N1 transmission from wild birds directly to the human population is the risk that Asian H5N1 could change and acquire the ability to efficiently jump from human to human. Experts are concerned that under these conditions, the virus could spread rapidly among humans resulting in a global pandemic (in other words, infection occurring over a wide geographic area and affecting an exceptionally high proportion of the population). The virus has not mutated to that point.
Are North American waterfowl hunters at risk of contracting Asian H5N1 while waterfowl hunting?
Until the Asian strain of H5N1 is present in birds in North America, there is no risk of contracting the virus from birds in North America. In fact, the risk of contracting the virus from birds in areas where the virus is currently found is low and has been, so far, highest in individuals who had close contact with infected domestic poultry or fowl.
Should hunters take the precautions seen on some Web sites about how to handle wild birds?
Ducks Unlimited encourages hunters to heed the standard precautions offered by the USGS National Wildlife Health Center for protecting themselves against any wildlife related diseases. There is always a low probability of transmission when handling infected harvested animals:
1) Do not handle birds that are obviously sick or found dead.
2) Keep your game birds cool, clean and dry.
3) Do not eat, drink or smoke while cleaning your birds.
4) Use disposable, surgical latex gloves when cleaning game, and properly dispose of them when done.
5) Wash your hands with soap and water or alcohol wipes after dressing birds.
6) Clean all tools and surfaces immediately afterwards. Use hot soapy water, then disinfect with a 10-percent chlorine bleach solution.
Is it ok to eat ducks?
Yes. The standard recommendation for ensuring that any wild game is safely cooked is to cook all types of meat thoroughly (155-165 degrees F) to kill disease organisms and parasites.
What should I do if I find an unusual number of dead ducks or geese while hunting?
It's not uncommon to see dead ducks or geese while in the field. However, if you should notice an unusual number of dead ducks or geese, you should call the nearest office of your state fish and wildlife agency, and report what you have seen. Do not assume that any form of bird flu killed the ducks or geese, because these birds can die from many other causes.
Where can I obtain more information about Bird Flu?
The U.S. Geological Survey is the home of the National Wildlife Health Center, a primary source of information about avian influenza and wildlife .
The Centers for Disease Control and Prevention and World Health Organization are excellent starting points for information about every aspect of H5N1, particularly as relates to human health.
The U.S. Department of Agriculture provides a portal to a wealth of information about the risks to poultry, monitoring programs, and other aspects of avian influenza .
For general background on avian influenza as it most commonly occurs in nature, Chapter 22 in the " Field Manual of Wildlife Diseases " provides an excellent summary.
Although not focused specifically on avian influenza, The Ducks Unlimited Canada magazine, the Conservator, published an article in 2005 on the topic of " Invisible Threat: the Impacts of Disease on Wild Duck Populations " that is interesting reading.
Avian influeuza, or "bird flu", is a contagious disease caused by influenza viruses that normally infect only birds, but occasionally also other animals. Domestic poultry is especially vulnerable to infections. It can cause large outbreaks associated with high mortality. In these instances the term "highly pathogenic avian influenza" (HP AI) is used. Outbreaks in poultry may spread rapidly.
What is A(H5Nl)?
A(H5Nl) is a highly pathogenic strain of bird flu virus that is currently causing epizootics among poultry in South East Asia, and has been detected in Croatia, Russia, Romania and Turkey. The diagnosis can only be made by laboratory tests and must be confmned in one of the international reference laboratories where the virus is further characterized. Characterization can take up to two weeks, which therefore could also be the time needed to confirm the disease as being caused by the highly pathogenic avian influenza A(H5Nl) virus.
What do the A, the H and the N in A(H5Nl) stand for?
Influenza viruses are divided in three types: A, B, and C. Type A viruses infect mammals (among which humans) and birds. Type Band C viruses infect humans only. Type A and B viruses cause the so called "flu". Type C viruses cause milder respiratory symptoms. Type A influenza viruses are further subdivided into 16 hemagglutinin subtypes (HI-HI6) and 9 neuraminidase subtypes (NI-N9).
What is the risk for the general public?
The risk for people is very small. The A(H5Nl) virus that has been circulating since 1997 in Asia, is very aggressive, but does not transmit easily from animal to humans. To date (January 2006) 184 human cases have been reported (in Cambodia, China, Indonesia, Thailand, Turkey and Viet Nam), and all were in very close contact with infected poultry. Of them 103 died. For up-to-date numbers dick here. Fortunately, the present virus does not transmit easily from person-to-person.
The threat of the A(H5Nl) virus to the general public comes from the following mechanism. First, the A(H5Nl) virus may recombine with a human influenza virus. This process of gene reassortment inside the human body can give rise to a completely new subtype of the influenza virus. This can also take place in pigs as pigs can be infected with human as well as avian influenza viruses. Second, the A(H5Nl) virus may adapt directly to the human host. In both instances, few, if any, humans would have natural immunity to this new influenza virus.
The worst-case scenario is that this new virus will be easily transmitted from person-to-person and will have a high mortality. This new virus could be capable of infecting many people and could cause a worldwide epidemic (pandemic) with serious consequences. Therefore, the World Health Organization, the European Commission, the European Centre for Disease Prevention and Control and national authorities, are all actively involved in the prevention of transmission from infected animals to humans. In addition, there is a close collaboration between those people specialized in Human and Animal health.
Is there a vaccine against H5Nl in humans?
No. Currently available vaccines will not protect against disease caused by the A(H5Nl) strain in humans. The WHO and many other organizations worldwide are working towards producing a vaccine against avian A(H5Nl) influenza. Candidate vaccines have been produced, which are being evaluated in humans. However mass production of a vaccine will probably not take place
unless there is evidence of efficient spread between humans.
Will normal seasonal influenza vaccine protect me against avian influenza?
The normal seasonal influenza vaccine provides protection against currently circulating strains of human influenza. It does not provide protection against avian influenza A(H5Nl). In the event of an influenza pandemic, a new vaccine would need to be produced.
Are drugs available for prevention (prophylaxis) and treatment?
Two licensed modem virus inhibitors (neuraminidase inhibitors) exist: oseltamivir (Tamiflu@) and zanamivir (Relenza@) exist. Both have demonstrated, under laboratory conditions, to be effective against the current A (H5Nl) virus. They reduce spreading of the virus and help to diminish the symptoms of influenza. In many European countries the national governments already have a stock of these drugs and have placed orders to ensure sufficient quantities.
Can I go on holiday to the affected areas?
There is no negative travel advice for the affected countries due to the bird flu. But people are recommended to stay away from poultry markets and animal farms for children.
How did the avian flu spread from Asia to Europe?
The disease can spread from country to country through international trade in live poultry. The current opinion is that migratory birds could possibly carry the virus for long distances. Their role in spreading of low pathogenic avian influenza is confirmed, but their role in the spread of Highly Pathogenic Avian Influenza A(H5Nl) is less clear. Wild ducks are the natural reservoir of bird flu viruses. These birds develop only mild and short-lived illness themselves. They could carry the virus over great distances, and excrete it in their droppings, as such spreading the virus to other areas. Chickens, domestic ducks, turkeys, geese, and several other species raised on farms are susceptible to this virus that causes lethal infections.
Another way Highly Pathogenic Avian Influenza can be spread is by the movement of commercially kept birds, movements of waste products of birds, by contaminated clothes of people moving from farm to farm and by smuggling of infected birds. This is why bio-security is so important.
Can a pandemic be averted?
No one knows for sure. Influenza viruses are highly unstable and their behavior cannot be predicted. The most important part of prevention is to reduce opportunities for human exposure to the largest reservoir of the virus: infected poultry. This is achieved through the rapid detection of poultry outbreaks and the introduction of emergency control measures, including the destruction of all infected or exposed poultry stock, and the proper disposal of carcasses. The rapid culling of all infected poultry, as happened in Hong Kong in 1997 [A(H5Nl)] and in the Netherlands in 2003 [A(H7N7)], is thought by many influenza experts to have averted an influenza pandemic in humans. In the current situation, the focus is therefore on rapid intervention in infected poultry farms, together with proper protection measures for the people in close contact with the infected animals.
What is the current situation in North America?
Highly pathogenic H5Nl has not been reported in North America, although Low Pathogenic H5Nl has been reported in two birds from the mid-west (Minnesota several years ago, and Manitoba, last year). No known cases of humans contracting HSNI have been reported in North America.