Source: US Centers for Disease Control and Prevention, https://www.cdc.gov/bird-flu/spotlights/missouri-h5n1-serology-testing.html
Topline Summary of Findings
In August 2024, healthcare providers in Missouri had a patient who had gastrointestinal symptoms with a history of chronic respiratory illness.
The person was hospitalized and tested for multiple respiratory pathogens, and was positive for influenza A.
They recovered from their illness and were discharged.
Follow-up surveillance testing was conducted at the Missouri Department of Health and Senior Services Public Health Laboratory using polymerase chain reaction (PCR) that is part of routine national influenza surveillance. Testing found that the patient tested presumptive positive for avian influenza A(H5) (“H5 bird flu”). There was no history of exposure to infected animals or humans. The specimen was forwarded to CDC as part of routine protocol. CDC confirmed the specimen as H5N1 bird flu and this was reported as a case on September 6, 2024.
Missouri state and local officials performed a lengthy retrospective investigation of everyone who came into close contact with the patient and identified seven people (6 health care workers and one family member) who had symptoms that warranted additional investigation given their potential exposure to this patient.
CDC, in support of this investigation, conducted a series of tests on blood specimens from 6 of these people – and the original patient – to help identify signs of previous infection or exposure to H5N1 well after full resolution of their symptoms. This was not possible for the others, whose suggestive symptoms had completely resolved at the time of interview.
None of the results of this extensive testing and investigation support that human-to-human spread occurred.
The health care workers who were tested showed no signs of previous H5N1 infection. They were all “sero-negative.” This finding rules out person-to-person spread between the MO case patient and any of health care workers tested. The Missouri case and a household contact both had some evidence – though inconsistent – which suggested exposure to – or a previous infection with – H5N1 using these serologic tests.
To date, human-to-human spread of H5 bird flu has not been identified in the United States. CDC believes the immediate risk to the general public from H5N1 bird flu remains low, but people with exposure to infected animals are at higher risk of infection.
Following these tests, CDC continues to assess that the risk that someone who has not had contact with an infected animal will become infected with H5N1 remains low.
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