Maharashtra reported India’s first H5N1 avian influenza case in animals, marking a significant wildlife health concern.
Recent Impact on Animals
- Mortality: Three tigers and one leopard succumbed to H5N1 at the Balasaheb Thackeray Gorewada Zoo, Nagpur.
- Transmission: Animals were infected after being rescued from Chandrapur, highlighting disease spread in captive wildlife.
- First Instance in India: This is the first documented case of H5N1 causing fatalities among captive wildlife in the country.
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About Avian Influenza (H5N1)
- H5N1 Overview
- H5N1 is a type of influenza virus causing severe respiratory disease in birds.
- It is a subtype of the influenza A virus, classified based on surface protein properties.
- Classification of Influenza A Viruses
- Influenza A viruses are categorized by hemagglutinin (H) and neuraminidase (N) proteins.
- There are 18 hemagglutinin (H1-H18) and 11 neuraminidase (N1-N11) subtypes.
Emergence and Evolution of H5N1 Bird Flu
- 1996-1997: H5N1 was first identified in domestic waterfowl in Southern China.
- Named A/goose/Guangdong/1/1996, it caused outbreaks in China and Hong Kong with 18 human cases (6 deaths).
- 2003-2005: H5N1 re-emerged, causing widespread poultry outbreaks across Asia, spreading to Africa, the Middle East, and Europe via wild birds.
- 2014-2016: Gene-swapping led to H5N6 and H5N8 subtypes, diversifying hemagglutinin (HA) into clade 2.3.4.4.
- 2018-2020: Clade 2.3.4.4b becomes predominant globally, replacing original H5N1 viruses.
- 2021-2023: Clade 2.3.4.4b H5N1 detected in wild birds in Canada and the U.S., causing outbreaks in poultry and sporadic infections in humans and mammals.
- Example: A(H1N1), which causes swine flu.
Transmission of Avian Influenza
- Bird-to-Bird: Transmitted via direct contact, saliva, nasal secretions, feces, or contaminated surfaces.
- Bird-to-Human: Rare but occurs through close contact with infected birds or contaminated environments.
- Human-to-Human: As per research Published in Science Journal The H5N1 avian influenza virus is one mutation away from becoming infectious to humans, enabling it to spread from one person to another.
- Mortality and Pandemic Potential
- Mortality rates can reach up to 60%.
- Avian influenza is not currently on the WHO’s priority list of pathogens with pandemic potential.
Symptoms of Avian Influenza
- The symptoms of H5N1 infection may include fever (often high fever, > 38°C) and malaise, cough, sore throat and muscle aches.
- Other early symptoms may include conjunctivitis and other non-respiratory symptoms.
- The infection may progress quickly to severe respiratory illness and neurologic changes (altered mental status or seizures).
- H5N1 virus has also been detected in samples collected from people without symptoms who had exposure to infected animals or their environments.
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Preventive Measures and Recommendations
- Zoo and Wildlife Protocols
- Biosecurity measures to prevent bird access to other animals using nets and covers.
- Disinfection of footwear and equipment and maintenance of hygiene.
- Avoid feeding carnivores raw poultry or meat from unverified sources.
- Regular health monitoring of animals for unusual behavior or symptoms.
- State and Facility-Level Actions
- Temporary shutdown of affected facilities for public access.
- Isolation of infected or symptomatic animals.
- Enhanced surveillance and early detection measures across zoos and rescue centers.
- One-Health Approach: Integration of efforts across human health, animal health, and wildlife sectors to address the risks of avian influenza comprehensively.
Additional Reading: Avian Flue