[url]https://www.thailandmedical.news/news/breaking-cover-up-of-mystery-flu-outbreak-in-argentina-that-has-left-many-in-icu-is-more-than-just-possible-psittacosis-h5n1-suspected[/url] or https://www.thailandmedical.news/news/breaking-cover-up-of-mystery-flu-outbreak-in-argentina-that-has-left-many-in-icu-is-more-than-just-possible-psittacosis-h5n1-suspected link to [url]https://www.mirror.co.uk/news/health/mystery-flu-similar-covid-leaves-32619076[/url] or https://www.mirror.co.uk/news/health/mystery-flu-similar-covid-leaves-32619076 ;

Doctors are on high alert over a mystery flu-like illness - with similarities to Covid-19 - that has people critically ill in Argentina.

International public health surveillance system, ProMed, issued an alert on April 17 after 60 cases of the unknown sickness were reported in Buenos Aires. This is the same database that first alerted authorities to Covid-19 back in late 2019.

The alert, submitted anonymously "via an individual known to ProMed", stated: "In the past 30 days, there appears to have been an increase in severe atypical pneumonia requiring critical care in Buenos Aires. The affected individuals are mostly young people without major risk factors."

While no official statements have been made by Argentinian officials, it's reported that patients have needed mechanical ventilation to help them breathe. Over a third of those affected showed symptoms of psittacosis, a disease caused by a type of chlamydia found in birds. However, many had no apparent history of contact with birds, the alert noted.

Psittacosis, also known as parrot fever, is causing concern with its flu-like symptoms that can escalate to pneumonia. It's a particular worry for the elderly or those with weakened immune systems, reports the Daily Star. The alert warned: "Although psittacosis appears to be the etiology of some of the cases, there may be more than one agent involved. ProMED would appreciate more information about these cases."

The Daily Mail reports that experts are urging health officials not to take the situation lightly, despite reassurances that it's "unlikely this will pose a threat more widely".

DJ, One would hope testing for H5N1 would detect H5N1 if there is H5N1....but testing may be far from perfect...

[url]https://flutrackers.com/forum/forum/the-pandemic-discussion-forum/960736-avian-flu-h5n1-discussion-news-case-lists-links-2022/page4#post988595[/url] or https://flutrackers.com/forum/forum/the-pandemic-discussion-forum/960736-avian-flu-h5n1-discussion-news-case-lists-links-2022/page4#post988595 ;

“In the current panzootic, the first case of H5N1 infection in mink in Spain probably occurred through contact with infected birds (perhaps seagulls). Ingestion of infected bird carcasses was likely the route of infection for red foxes in the Netherlands, Finland, and Japan during 2020-2022, American sea lions in Peru in 2023, various mesocarnivores in Canada during 2021-2022, and otters ( Lutra lutra ) and a lynx ( Lynx lynx ) in Finland in 2021-2022.

But they also warned of a risk . “Studies in infected tigers, farmed minks and social species such as fur seals are worrying, raising the alarm that mammal-to-mammal transmission may have occurred .” They acknowledged that “more research is needed to confirm this possibility.”

In South America, avian flu arrived in 2022 and caused massive mortalities in sea lions and elephant seals in Peru, Chile and Argentina. “Now there is a period of relative calm. But we must maintain vigilance,” Dr. Plaza told Infobae .

In Antarctica, as an international expedition warned days ago, avian flu is harming wildlife. Aboard a sailboat, researchers scoured the Weddell Sea and the Antarctic Peninsula for a month, and found carcasses of migratory seabirds similar to seagulls, called Antarctic skuas, with flu in four of the 10 areas analyzed.

They found 50 dead skuas. On Heroína Island, where there is a large colony of Adelie penguins, “a massive mortality of these animals was observed with more than 500 corpses in the investigated place, which suggests that an abnormal mortality event may have occurred in the that several thousand penguins would have perished,” they reported.

DJ...poultry litter but also insects could play a role in H5N1 spread in US cows;

At a recent meeting, scientists from the US Department of Agriculture stated that the virus does not occur as a respiratory disease in livestock. That means the animals don't seem to excrete large amounts of virus through their nose or mouth.

“I want to emphasize how unusual this is,” Thijs Kuiken , a professor of comparative pathology and avian flu researcher at Erasmus Medical Center in the Netherlands , told NPR radio . “In other mammal species with influenza viruses, it is primarily a respiratory illness, which does not appear to be the case in these cattle.”

Meanwhile, days ago, a group of scientists presented a study that revealed the presence of the H5N1 bird flu virus in at least a small fraction of the birds in New York . People often associate zoonotic diseases with rural environments, farms or natural spaces, said Florian Krammer, an influenza expert at the Icahn School of Medicine at Mount Sinai in New York who led the study. But New York City has many green spaces and bodies of water that are used by migratory and local birds.

In dialogue with Infobae , Dr. Sergio Lambertucci , researcher at the Biodiversity and Environment Research Institute (INIBIOMA) of Conicet and the National University of Comahue of Argentina , explained: “The avian flu infection is affecting more mammals as that time passes. The presence of the virus in cattle in the United States is worrying because they are animals that are more in contact with people.”

Currently, the avian flu situation is considered to be a “ panzootic ” because it is a serious infectious disease that spreads across large areas of the world and affects one or several species of animals in many countries.

“Panzootia has not yet conquered the entire planet, but it is going in that direction. “It did reach Antarctica, affecting several species already,” he noted.

DJ, H5N1 may already be "extreme" in both duration and spread...

Helen Branswell 

@HelenBranswell

DJ...

[url]https://www.wormsandgermsblog.com/2024/04/articles/animals/other-animals/h5n1-flu-and-pasteurizationdoes-it-work/[/url] or https://www.wormsandgermsblog.com/2024/04/articles/animals/other-animals/h5n1-flu-and-pasteurizationdoes-it-work/ H5N1 may spread via raw milk of infected (but asymptomatic) cows...It would be "wise & welcome" to keep "products" from infected cows away from the food chain...(so also not use it to feed pigs...). 

DJ...more and more the H5N1 story may become a "very bad news story" nobody is "jumping" to tell...Even if it is not yet spreading in humans it is high risk for lots of mammals, we need urgently to rethink food production (poultry/meat/eggs/diary...It starts hurting the economy..."Saving the economy at the cost of public health" is also ongoing with (denial of) CoViD...

Certainly if you work with animals protection (mask/eye-protection) is wise !

[url]https://twitter.com/CoronaHeadsUp/status/1782499103689089145[/url] or https://twitter.com/CoronaHeadsUp/status/1782499103689089145 ;

CoronaHeadsUp

@CoronaHeadsUp

link; [url]https://www.bloomberg.com/opinion/articles/2024-04-22/with-h5n1-bird-flu-outbreak-in-cows-cdc-stumbles-again?srnd=prognosis[/url] or https://www.bloomberg.com/opinion/articles/2024-04-22/with-h5n1-bird-flu-outbreak-in-cows-cdc-stumbles-again?srnd=prognosis 

DJ...also some forms of CoViD (in Finland ?) missed some of the rapid-testing segments and could be missed...Both CoViD and H5N1 -by now- is very widespread. Testing alone can not stop it...vaccines have their limits...so Non Pharma Interventions (NPI=masks etc.) may need to increase.

-

[url]https://flutrackers.com/forum/forum/the-pandemic-discussion-forum/987828-discussion-thread-h5n1-avian-flu-in-us-dairy-cows-march-24-a-human-case-in-texas-april-1?view=stream[/url] or https://flutrackers.com/forum/forum/the-pandemic-discussion-forum/987828-discussion-thread-h5n1-avian-flu-in-us-dairy-cows-march-24-a-human-case-in-texas-april-1?view=stream ;

FDA finds traces of H5N1 bird flu viruses in grocery store milk but says pasteurized dairy products are still safe


By Brenda Goodman, CNN
6 minute read
Published 8:27 PM EDT, Tue April 23, 2024


.......Dr. Eric Topol, founder of the Scripps Research Translational Institute, said the finding of viral particles in milk on grocery store shelves means the outbreak is probably more widespread than we’ve known.

“The dissemination to cows is far greater than we have been led to believe,” Topol said in an email Tuesday.

“The FDA assurance that the dairy supply is safe is nice, but it’s not based on extensive assessment yet, which they acknowledge, and won’t engender trust and confidence because it comes in the wake of USDA mishandling,” he added.


.....The USDA said it has encouraged farmers and ranchers to report cases of sick cattle to state animal health officials.

But neither cows nor the people who work or live around them are being widely screened for the infection, which would require informed consent. Testing of wastewater in areas with outbreaks is also being discussed.
.....
Instead, the CDC is monitoring emergency department data and flu testing data in areas where H5N1 viruses have been detected in dairy cattle for any unusual trends in flu-lik...e illness, flu or conjunctivitis. “So far, these data remain in expected ranges, and to date, surveillance systems do not show any unusual trends or activity,” according to information in a statement compiled by officials at the CDC.

CDC spokesperson Jason McDonald said that 23 people with exposures to H5N1 had been tested, including one person in Texas who previously tested positive. No other people have tested positive in the current outbreak, he said.

https://www.cnn.com/2024/04/23/healt...fda/index.html

related; [url]https://afludiary.blogspot.com/2024/04/mixed-messaging-on-hpai-food-safety.html[url] or https://afludiary.blogspot.com/2024/04/mixed-messaging-on-hpai-food-safety.html

DJ-tech problems- I will try later on ...

[url]https://www.thailandmedical.news/news/h5n1-outbreak-in-the-united-states-could-be-more-serious-and-extensive-than-reported-with-possible-cover-ups-of-threats-to-human-health[/url] or https://www.thailandmedical.news/news/h5n1-outbreak-in-the-united-states-could-be-more-serious-and-extensive-than-reported-with-possible-cover-ups-of-threats-to-human-health good overview of "not learning a thing from CoViD"....

Dr. Ayoade Alakija

@yodifiji

·

5h

 Pandemic Preparedness being tested in real time as the  gathers to “negotiate” a #PandemicAccord - The H5N1 outbreak in the USA is a wake up call. We have clearly forgotten the lessons of SARSCov2 but this looming disaster might not be so kind to humanity. We must ACT now.

-

-

DJ...there is a worry H5N1 may end up in pigs...My -non expert- view; It is very likely H5N1 reached wild pigs...

Nsikan Akpan, PhD

@MoNscience

-

-

[url]https://twitter.com/MoNscience/status/1783456309108506902[/url] or https://twitter.com/MoNscience/status/1783456309108506902 

DJ, economy first...ignoring public health...

Why the heck is NYT pushing unproven statements claiming that “federal regulators said… that samples of pasteurized milk had tested positive for INACTIVE REMNANTS” of H5N1—whenever the FDA never said such a thing! StatNews and FDA both debunk the incorrect NYT article, by saying that PCR cannot distinguish live/intact virus or dead virus fragments. This wasn’t a minor NYT misreporting—it’s the **lead sentence** of the NYT article! We need to ask, who the hell do NYT editors serve anyway? The people or Big Ag?

DJ, "media-for-sale" spreading "pseudo-info for sale"....

-

Testing conducted by the FDA on pasteurized commercially purchased milk has found genetic evidence of the H5N1 bird flu virus. But the testing, done by  PCR cannot distinguish between live virus or fragments of viruses that could have been killed by the pasteurization process. The FDA said it has been trying to see if it could grow virus from milk found to contain evidence of H5N1, which is the gold standard test to see if there is viable virus in a product. The FDA *does NOT explicitly say FDA laboratories were unable to find live virus in the milk samples, but nevertheless it does state that its belief that commercial, pasteurized milk is safe to consume has not been altered by these findings. (Sound familiar? Just like blanket assuming a virus “isn’t airborne”, “cannot transmit without symptoms”, “no human to human transmission” errors during COVID). That said, I will am hopeful that no live virus will be found in confirmation. But let’s be precautious. 

link [url]https://www.statnews.com/2024/04/23/h5n1-bird-flu-virus-particles-in-pasteurized-milk-fda/[/url] or https://www.statnews.com/2024/04/23/h5n1-bird-flu-virus-particles-in-pasteurized-milk-fda/ 

DJ, The US may not take H5N1 "serious enough"...it could be a lot of countries may do even worse....

DJ...again; still unclear how H5N1 is spreading between cows; insects, poultry-litter, milking-machines ???

Increase (better) testing in more (farm) animals...H5N1 in wild animals may be widespread...the virus seems to be strong...Each infection can result in mutations bringing it closer to a possible human-pandemic-risk...

DJ, the reported H5N1 cases in cows and one human was "mild"...Of course cats are smaller-may catch a relative high viral load from infected milk, "droppings" infected birds etc...So one needs to know more...NOW !!!

FDA says 99% of US milk products are pasteurized. But if 1% milk isn’t, and ~1 in 100 people are drinking unpasteurized milk, that’s ~3.3 million drinking unsafe milk products—a serious risk to public health given H5N1 levels are high in milk. Let’s hope pasteurized is enough too.

DJ, a major risk -again- could be in (at first) a/mild symptomatic spread...

and

DJ...H5N1 very likely jumped from birds (poultry litter) into cows-now back into poultry (fed "cow litter"...). 

link; [url]https://www.salon.com/2024/04/26/as-bird-flu-worsen-experts-say-the-situation-threatens-to-spiral-out-of-control/[/url] or https://www.salon.com/2024/04/26/as-bird-flu-worsen-experts-say-the-situation-threatens-to-spiral-out-of-control/ ;

However, infectious disease experts warn this these positive tests are a sign that the outbreak is much bigger than previously thought, and indicate that the government doesn’t have a good grasp on the situation. And the problem only seems to be worsening. According to the USDA’s Animal and Plant Health Inspection Service (APHIS), H5N1 has been identified in 33 herds in eight states. On Thursday, a senior FDA official said 1 in 5 milk samples have tested positive for H5N1.

While experts aren’t expecting a H5N1 pandemic in humans to spread across the United States this year, yet, it’s likely it could be the next pandemic in the not-so-distant future. The fact that the current spread between species, and even to a few humans, is likely underestimated could mean that an emergency could arrive too late to contain.

Katelyn Jetelina, an epidemiologist and author of the newsletter Your Local Epidemiologist, told Salon “the worst case scenario” is that this turns into a “massive pandemic.” If a person asked a group of epidemiologists what the next pandemic is going to be, a majority would likely say “bird flu,” she said. 

“I think what would be most helpful is to mount a proactive response rather than always being in this reactive, defensive mode with diseases,” Jetelina said. “And if we can understand where it's going, how it's changing, then we can certainly prepare and know when it jumps to humans and when we do need to employ all the other steps.”

Such steps include making more vaccines, starting to get frontline workers vaccinated and more. 

“But if we're not following it, this could easily jump and start spreading without us knowing for a while,” Jetelina said. “And by then we're already in this reactive-defensive perspective.”

Janine V @JanineV@mastodon.social

@JaninePvdD

·

20h

Veearts in Texas: "There's been underreporting of the virus. Understandably, there's been a lot of fear. But every dairy that I've worked with has – with the exception of one – had sick human beings at the same time they had sick cows.” https://bovinevetonline.com/news/industry/message-ag-industry-about-h5n1… #H5N1 #vogelgriep

link; [url]https://www.bovinevetonline.com/news/industry/message-ag-industry-about-h5n1[/url] or https://www.bovinevetonline.com/news/industry/message-ag-industry-about-h5n1 ;

“We’re going on a bear hunt. We’re going to catch a big one… We’re not scared.”

So goes a beloved children’s book written by Michael Rosen. The story is a metaphor for how to address fear. Kay Russo, DVM, often reads it to her son and daughter, ages 4 and 6.

“This unfortunate family seems to deal with a lot of issues as they're going on their hike,” Russo says. “Ultimately, every time they reach one of these issues, the book basically says, ‘You know, we can't go over it. We can't go around it. We can't go under it. We have to go through it.’”

That story illustrates how the dairy industry must deal with the growing impact of H5N1, says Russo, Novonesis technical services manager for dairy and poultry. She’s watched the spread of the virus with alarm and urges U.S. leaders across dairy and agriculture to step up and take action. 

“Address it head-on,” she says. “Don’t hide.”

-

Russo says: a dime-sized piece of manure with H5N1 can infect up to 1 million chickens or turkeys.

DJ, you need to reduce the number of farm animals to reduce risks ! 

Vaccines have their limits...vaccinating humans (first those on high risk; farm workers, vulnerables) goes above vaccinating farm animals...

post 1 India H5N1

[url]https://afludiary.blogspot.com/2024/04/media-reports-of-bird-flu-outbreak-in.html[/url] or https://afludiary.blogspot.com/2024/04/media-reports-of-bird-flu-outbreak-in.html ;

With the very strong caveat that the Indian press has a tendency towards hyperbole, and that their scientific accuracy is sometimes less that stellar, overnight India's Hindi and English press have been filled with reports of a large outbreak of `bird flu' at a government run poultry farm in Ranchi, Jharkhand, with reports of possible human infections. 

-

Typical of these reports is the following from the Times of India:

Bird flu outbreak in Jharkhand; 2 doctors, 6 others quarantined in Ranchi

TOI City Desk / TIMESOFINDIA.COM / Updated: Apr 28, 2024, 10:30 IST

According to this report, `Officials have reported that the JSIA government building has been converted into a ward for bird flu.'   While this article refers to `infected people' it isn't clear on what basis that determination was made. 

You'll find similar accounts at:

Jharkhand: Two Doctors, Six Others Quarantined Amid Bird Flu Outbreak in Ranchi

Quarantine Measures Implemented Amid Bird Flu Outbreak in Ranchi, Jharkhand

And FluTrackers has a thread of reports on this event, which should be updated throughout the day.

DJ See also [url]https://www.thailandmedical.news/news/breaking-h5n1-human-outbreak-reported-in-ranchi-in-jharkhand-state-india-with-6-individuals-and-2-doctors-quarantined-in-a-makeshift-bird-flu-ward[/url] or https://www.thailandmedical.news/news/breaking-h5n1-human-outbreak-reported-in-ranchi-in-jharkhand-state-india-with-6-individuals-and-2-doctors-quarantined-in-a-makeshift-bird-flu-ward  ;

Human-to-human spread ? (With further links...)

and [url]https://flutrackers.com/forum/forum/india/h5n1-tracking-ah/india-tracking-by-state-territory/jharkhand/989654-jharkhand-two-doctors-six-others-quarantined-amid-bird-flu-outbreak-in-ranchi-author-img-by-ani-published[/url] or https://flutrackers.com/forum/forum/india/h5n1-tracking-ah/india-tracking-by-state-territory/jharkhand/989654-jharkhand-two-doctors-six-others-quarantined-amid-bird-flu-outbreak-in-ranchi-author-img-by-ani-published ;

Ranchi: Bird flu has been confirmed in the regional poultry farm of the Animal Husbandry Department located at Hotwar in the capital Ranchi. After this, the entire area has been sanitized, while today the team of doctors from RIMS went to the regional poultry farm and also checked the health of the employees and veterinarians there.
Animal Husbandry Officer of Ranchi, Dr. Anil Kumar said that the team of RIMS, along with two veterinary doctors Dr. Dhananjay Kumar Sinha and Dr. Lalan Kumar Baidya serving in the poultry sector, employees Ashish Kumar Suraj Gadi, Sanjay Nayak, Budhwa Kachhap and Ashok Prasad Singh. The sample has been taken for testing.
Dr. Anil Kumar said that a quarantine center has been built in the regional poultry farm itself. All the veterinary doctors and employees whose samples have been taken to test for bird flu infection will remain quarantined until their reports come...

DJ, unclear info...very likely some farm workers/vets developed symptoms ??? Now waiting for an outcome of further testing ? 

[url]https://timesofindia.indiatimes.com/city/ranchi/bird-flu-outbreak-in-jharkhand-2-doctors-6-others-quarantined-in-ranchi/articleshow/109660365.cms[/url] or https://timesofindia.indiatimes.com/city/ranchi/bird-flu-outbreak-in-jharkhand-2-doctors-6-others-quarantined-in-ranchi/articleshow/109660365.cms ;

DJ ????

Lot of unclear (non)info...[url]https://health.liveuamap.com/[/url] or https://health.liveuamap.com/ ...

DJ, I try to get a view on main H5N1 items- but "lots of info" not always clear what it means...

[url]https://www.thailandmedical.news/news/updates-on-h5n1-outbreak-in-ranchi-india-latest-media-report-claim-that-all-eight-individuals-tested-negative-for-h5n1-cover-up[/url] or https://www.thailandmedical.news/news/updates-on-h5n1-outbreak-in-ranchi-india-latest-media-report-claim-that-all-eight-individuals-tested-negative-for-h5n1-cover-up ;

8 symptomatic human cases, two of them in serious condition...but "no H5N1"????

DJ, in the US cow-to-cow spread of H5N1 is -now- seen as a major problem...How do (holy) cows in India do ? Very likely testing in India of both mammals and humans for H5N1 may be very limited...(Raw) milk consumption -likely a way of H5N1 spread IF a cow is infected- could become a major risk...

Governments often switch to "panic/media control" in crises. 

--

US cattle/farmworkers;

-

-

Calli

@AntiviralCalli

·

5h

Replying to 

@RickABright

It's within 6 mo of infection, so theoretically we could test cows for antibodies and see which have been through the infection (and hopefully now have immunity) and which haven't. If the cows haven't been mix-and-matched too much, probably a rep sample from the herd would do.

-

Marguerita Cattell

@MegCattell

·

4h

Replying to 

@RickABright

Bulk tank milk is collected from all lactating cows multiple times a day. Samples are collected by certified samplers for antibiotics (betalactams) and other quality parameters. The highest concentration of HPAI virus is in milk. This is a simple cheap sensitive surveillance tool

DJ, So there may be lots of ways to increase testing/getting a better understanding on H5N1 spread in the US...Waste water testing in Texas does indicate more flu-viral residu in the water...

Emmanuel

@ejustin46

·

Apr 27

𝙃𝙞𝙜𝙝𝙡𝙮 𝙥𝙖𝙩𝙝𝙤𝙜𝙚�£𝙞𝙘 𝙃5𝙉1 𝙘𝙡𝙖𝙙𝙚 2.3.4.4𝙗 𝙞�£ 𝙉𝙚𝙬 𝙔𝙤𝙧𝙠 𝘾𝙞𝙩𝙮 https://biorxiv.org/content/10.1101/2024.04.04.588061v1… "Zoonotic infections are not limited to rural environments and commercial poultry operations but extends into the heart of our urban centers"

DJ, a theory is a wild bird did infect a cow with H5N1. Milking machines-not enough hygiene ? , Poultry litter ? Insects ?  further did spread it in cows...However NOT via the respitory system (???) 

Since H5N1 is widespread in birds-also in urban area's- it would be very welcome to know more on how H5N1 ended up in US cows....Could it be infected birds do infect urban cats, dogs, humans...but symptoms are mild/miss so "no testing" ???

Raj Rajnarayanan

@RajlabN

·

Apr 28

#H5N1 #LessonLearned - Domestic and Farm cats! Common theme among H5N1 clade 2.3.4.4b infected Cats: - Present multiple symptoms almost immediately - Neurologic, Respiratory, rapid decline leading to death   (or compassionate euthanasia) - Pick PB2 mammalian adaptations 

DJ, H5N1 in US cows is (mostly) quite mild...in US cats it may kill them...so far 6 US (farm)cats tested positive for H5N1-3 of them died...

5) Dogs  are also “highly susceptible” to bird flu. And the worry is that because dogs are around humans more, there’s high risk of eventual better virus adaptation to humans.

-

Not just cats — certain dog breeds (like beagles are highly susceptible to H5N1 avian flu too. And such dogs can facilitate their adaptation towards humans eventually (since more dogs are around people than dairy cows). https://pubmed.ncbi.nlm.nih.gov/20580396/

DJ; there now may be several problems;

-lack of tests that can detect the type of H5N1 in mammals...maybe there were more than one test used in some animals...Not all the tests may pick up the virus...(if cow spread is NOT respitory it may need other methods of testing ? Blood samples ? More time consuming and higher costs...)

-lack of testing capacity...If one has to go for blood/antibodies tests you need lab-capacity...

-lack of a will to test; still voluntary...(unless cows get transported interstate ?) 

DJ, also eye-protection=safety glasses/shields...Human eyes have "cow-like receptors"-more at risk for H5N1 infection...

The "good news" is H5N1 may be taken more serious...however the main news is very bad; H5N1 is very likely already very widespread -also in mammals- and "on the move" to become a growing risk for humans...

Like with SARS-2/CoViD-19 there are lots of ways to at least limit spread...limit transport of humans/animals...Increase (different) methods of testing in more places-so we at least get an idea of "how bad it is"....

Lots of indications "economy first"...again ! The combination of World War One and H1N1 "Spanish Flu" may have killed 2-5% of the global population between 1917 and 1923...

In todays-8 billion human population; 2%= 160 millon deaths 5%=400 million deaths...and a further disruption/collapse of society...

We have to avoid that ! 

Very likely new forms of H5N1 (or a recombination with a human flu type) could be worse then the H1N1 Spanish Flu...CoViD very likely infected over 4 billion humans...decreasing immunity...

So a H5N1/flu-pandemic would come ON TOP of the ongoing CoViD pandemic and further increase other diseases...so the % of people dying may be even much higher...