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Influenza A (H5N1) Virus Infections

 

Influenza A (H5N1) is a subtype of the Type A influenza virus. Wild birds are the natural hosts of the virus, hence the name avian influenza or bird flu. The virus was first isolated from birds (terns) in South Africa in 1961. The virus circulates among birds worldwide. It is very contagious among birds and can be deadly to birds, particularly domesticated birds like chickens

The virus does not typically infect humans. In 1997, however, the first instance of direct bird-to-human transmission of H5N1 was documented during an outbreak of avian influenza among poultry in Hong Kong; the virus caused severe respiratory illness in 18 people, of who 6 died. But so far, H5N1 viruses have not been capable of efficient human-to-human transmission.

Avian influenza viruses spread among susceptible birds when they have contact with contaminated excretions (saliva, nasal secretions, and feces). It is believed that most cases of H5N1 infection in humans have resulted from contact with infected poultry or contaminated surfaces.

 

Recommendation for Enhanced Surveillance

On January 15, 2004, the California Department of Health Services (CDHS) issued recommendations for enhanced surveillance for the severe acute respiratory syndrome (SARS) and Avian Influenza. On February 3, 2004, CDC issued Health Alert Network message regarding these diseases (available at www.cdc.gov/flu/han020302.htm ), and consequently CDHS has revised these recommendations. The principle changes can be found on the CDHS website.

 

The World Organization for Animal Health has a continually updated listing of affected countries. www.oie.int/eng/en_index.htm

 

For infection control precautions in a health-care setting follow recommendations from CDHS SARS Surveillance and Response Planning Guide for California Health Care Facilities Or CDC Respiratory and Cough Etiquette

 

For home setting isolation please review CDHS recommendations for the home isolation of SARS patients at www.dhs.ca.gov/ps/dcdc/disb/sars.htm and please contact our office.

 

For more information about surveillance for influenza A (H5N1) please visit the California Department of Health Service Website.