H5N1 - SCIENCE AND TECHNOLOGY

News: Mammalian spread of H5N1 and its pandemic potential

 

What's in the news?

       Peoples witnessed the seal deaths near the bodies of dead seals on shore of the Caspian Sea, Dagestan.

       Over 700 dead seals were found along Russia's Caspian Sea coast where the H5N1 variant was earlier detected in wild birds.

 

Avian Influenza:

       Avian influenza, or bird flu, is a highly contagious viral infection that primarily affects birds.

 

Concerns - Spread to mammals:

       Infrequently, the virus can infect mammals from birds, a phenomenon called spillover, and rarely can spread between mammals.

       There are several different subtypes of avian influenza viruses, ranging from low pathogenic to highly pathogenic types that can cause severe illness and death in birds.

       H5N1 is a highly pathogenic subtype of avian influenza that causes severe disease and death in birds.

       H5N1 subtype has caused a number of human infections through close contact with infected birds, or contaminated environments and is often fatal.

       Recent reports of H5N1 transmission between mammals therefore raise concerns about its potential to cause a human pandemic.

 

Causes of Transmission:

       The H5N1 subtype has the potential to spill over to other mammals such as foxes, minks, ferrets, seals and domestic cats when the animals come in contact with infected birds or their feces or consume carcasses of infected birds and further serve as reservoirs.

       It is also possible that over time, the virus could evolve through mutations or recombination with other influenza viruses to adapt to new hosts, leading to further outbreaks.

 

Outbreaks in Mammals:

       Recently, scientists have been investigating a potential mammalian spillover event after a mass mortality event which killed over 700 seals along Russia’s Caspian Sea coast where a H5N1 variant was detected in wild birds a few months ago.

 

Go back to basics:

Bird Flu:

       Bird flu or avian influenza is a disease caused by avian influenza Type A viruses found naturally in wild birds worldwide.

 

Avian Influenza Virus:

       Avian Influenza type A viruses are classified based on two proteins on their surfaces – Hemagglutinin (HA) and Neuraminidase (NA).

       There are about 18 HA subtypes and 11 NA subtypes.

       Several combinations of these two proteins are possible e.g., H5N1, H7N2, H9N6, H17N10, etc.

 

Infected population:

       The virus can infect domestic poultry including chickens, ducks, turkeys and there have been reports of H5N1 infection among pigs, cats, and even tigers in Thailand zoos.

 

Transmission to humans:

       Bird flu viruses do not normally infect humans. However, sporadic human infections with bird flu viruses have occurred.

       The most common route of virus transmission is direct contact - when a person comes in close contact with infected birds, either dead or alive.

       Humans can also be affected if they come in contact with contaminated surfaces or air near the infected poultry.

       There is no sufficient evidence suggesting the spread of the virus through properly cooked meat.

 

Symptoms:

According to the US CDC, the reported signs and symptoms of avian influenza A virus infections in humans have ranged from mild to severe influenza-like illness.

       Fever, cough, sore throat, muscle aches, nausea, abdominal pain, diarrhea, vomiting.

       Severe respiratory illness (e.g., shortness of breath, difficulty breathing, pneumonia, acute respiratory distress, viral pneumonia, respiratory failure).

       Neurologic changes (altered mental status, seizures).

 

Risk groups:

       Children and adults below 40 were seen to be the most affected and mortality was high in 10-19 years olds.

 

Impacts of Bird Flu:

       Economic impact - losses to the poultry industry.

       Threatening food and vaccine security (due to the use of eggs for vaccine production).

       Raising animal welfare and environmental concerns

 

Measures against Bird Flu:

       Revised Action Plan for Prevention, Control & Containment of Avian Influenza (2021)

       Vaccination of poultries.

       Opting Culling method.

       Safe disposal of dead birds.

       Improved surveillance.

       Cleansing and disinfecting and reduction of people’s movement.

       Wearing personal protective equipment when handling birds.

       Vaccination to humans: Avian Influenza vaccine is available outside India e.g. the USA has developed the vaccine for Human infection.