Bret D. Marsh, DVM
Indiana State Veterinarian
Have you been following news coverage of predictions of an influenza
pandemic? It can be difficult to sort out the facts amid so much
confusing information, predictions, opinions and speculation. Here
are a few key points that all Hoosiers need to know:
1. The flu pandemic does not yet exist. Scientists around the globe
are predicting another influenza pandemic, much like what the world
experienced in 1918, then in the 1950s and 1960s in this century.
But those are just predictions right now. To have a pandemic, a
disease must pass easily from person to person, with a high rate
of illness and often a high death rate. Current fears about the
H5N1 avian influenza virus are based on an expectation that the
virus is going to mutate into a disease that can spread easily from
person to person. That, however, has not happened yet.
H5N1, as it exists now, is able to pass from infected birds to
people who are in very close contact. Individuals may be literally
living with these birds, handling them very closely, or consuming
them without proper food preparation and handling. These human cases
have not resulted from person-to-person transmission; therefore,
it is not a pandemic threat. The virus must undergo a change (or
"mutation") before that can happen.
Why the concern about H5N1? Some researchers believe that this
particular strain shows some characteristics that are very similar
to the 1918 virus that proved so devastating worldwide. It's also
had a unique ability to pass directly from birds to people without
moving through another species, such as swine, to mutate first.
Fortunately, H5N1 lacks the critical ability to move from person-to-person.
2. Not all avian influenzas are alike. Avian influenza exists in
many different forms. Often "AI" is referred to by an
H and N number designation. These labels refer to the different
patterns of proteins on the surface of the virus, which also tells
those of us in the human and animal health world a lot about how
a particular strain behaves. In theory, as many as 144 different
combinations of Hs and Ns can exist, although that many strains
have not been identified.
If a positive diagnosis of AI is made in North America, take time
to find out more about what strain it is. Most forms of AI have
no, or only minimal, human health effects. Just because a case of
AI is discovered, whether it's H5N1 or not, it does not warrant
undue fear by the public.
All strains of avian influenza are reportable to BOAH under state
law. Highly pathogenic strains (including H5N1) are considered foreign
animal diseases that would trigger emergency response efforts. As
part of BOAH's field investigations for a variety of poultry health
problems, AI surveillance is standard. A confirmed diagnosis would
launch the Indiana State Poultry Association's Poultry Health and
Response Plan, a joint readiness plan between BOAH and industry
first developed in 1985.
3. Don't be afraid to eat poultry or egg products. With proper
cooking and handling, avian influenza presents no food safety threat.
As I said, most strains of AI have no human health effects.
Our nation's poultry industry has been concerned with the presence
of any form of the disease for more than two decades with a broad
flock testing program in place since the 1980s. While the industry
has taken action to step up testing recently to provide consumers
with even greater assurance about the safety of their products,
protecting our food supply against this disease has been a high
priority for years. This is standard practice-not reactionary response
to extensive media coverage and public hype.
Poultry producers have a vested interest in keeping their flocks
free of any strain of the disease, as one positive case of any type
can shut international trade.
4. American agriculture is not like farming in other countries.
American poultry, for the most part, is raised indoors, in bio-secure
environments, away from migratory birds and other pests that can
introduce disease. In other parts of the world, birds are raised
very differently-often within the homes of people who own them.
That increases disease exposure opportunities for the birds, as
well as their handlers. Most of us have little or no contact with
domestic or wild birds on a daily basis.
5. We all need to be prepared for all disasters. This particular
disease threat has captured the attention of the public and the
media unlike any other in recent memory. While the pandemic flu
does not yet exist, the core message emergency planners are trying
to convey is still valid and clear: We all need to be prepared for
any type of disaster. Much like Hurricane Katrina, this scenario
presents an opportunity to educate the public and raise awareness
about personal preparedness. We need to heed that message and be
ready. At the same time, we need to be vigilant. Without panic.
Without fearing our food supply. Without fearing the birds in our
yards.
That's been a core message of the Board of Animal Health as we
train others to be prepared for large-scale animal health emergencies,
as well as situational disasters (such as floods or chemical spills)
in our Animal Issues in Disasters course. The course, originally
developed by our staff in 2001, is a one-day course that covers
steps to preparedness, along with an overview of response activities
by BOAH and other agencies.
BOAH, in conjunction with the Indiana Department of Homeland Security
(IDHS), will be offering the class for the third time this year
on May 17 at Camp Atterbury. Space is still available in the course,
by registering through IDHS. To print a registration form, visit
the BOAH website at www.boah.in.gov and click on the "What's
New" option at the top.
The Board of Animal Health recently participated in the Governor's
Pandemic Influenza Summit, with the opportunity to host a break
out session oriented to agriculture. We were glad to have that opportunity
and the support of this administration on this subject-other states
have not recognized how agriculture is intertwined in this topic.
I encourage everyone in the agriculture community to become educated
about avian influenza, the pandemic flu and the difference between
the two.
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