Dairy cattle in 17 states have been infected with highly pathogenic avian influenza H5N1 since the start of the outbreak in March 2024.
Photo: Adene Sanchez/peopleimages.com/Adobe Stock
State and federal officials have confirmed highly pathogenic avian influenza H5N1 (H5N1) in a dairy cattle herd in Nebraska, the US Department of Agriculture (USDA) Animal and Plant Health Inspection Service (APHIS) announced on September 15.1 The detection marks the first known case of avian influenza in the state.
“APHIS is working closely with the Nebraska Department of Agriculture to conduct additional on-farm investigation, testing, and gathering of additional epidemiological information to better understand this detection and limit further disease spread,” the federal agency wrote in its announcement.1
Genetic testing by the National Veterinary Services Laboratories (NVSL) revealed the virus belongs to the 2.3.4.4b clade and the B3.13 genotype, which have been associated with the current outbreak of H5N1 in US dairy cows. According to the USDA APHIS, officials were able to detect the virus through state tracing and investigation after H5N1 was found in milk samples collected as part of a pre-movement surveillance required under a federal order issued by the USDA in April 2024.
The federal requirement mandates that lactating dairy cows be tested for H5N1 before being shipped across state lines.2 In December 2024, the USDA expanded the order to mandate that raw milk samples nationwide be collected and submitted to the USDA for H5N1 testing.3
Only a small number of H5N1 cases have been detected in livestock this year, although 17 states have experienced bird flu infections since the outbreak started in March 2024.
Related: A veterinarian’s role in bird flu client education
The USDA APHIS said the detection does not affect the safety of the commercial milk supply or pose a risk to consumer health. “The... [FDA] is confident that pasteurization is effective at inactivating H5N1, and that the commercial, pasteurized milk supply is safe,” the USDA APHIS wrote.1 “Dairies are required to send only milk from healthy animals into processing for human consumption.”
According to the agency, milk from impacted animals is being kept out of the commercial milk tank or destroyed to prevent it from entering the human food supply.
As fall migratory bird season approaches, the USDA APHIS is advising dairy farms to adopt stronger biosecurity measures and immediately report any livestock with clinical signs to their state veterinarian. State veterinarians should also be notified of unusual sick or dead wildlife animals, the agency said.
Clinical signs of H5N1 in dairy cattle include low appetite, decreased milk production, and abnormal appearance of milk, which may be thickened or discolored. According to the American Veterinary Medical Association, the outbreak has impacted lactating cows the most.4
Still, livestock are not the only animals at risk. Domestic cats and wild feline species are especially susceptible to H5N1. Clinical signs of infection in these animals can include fever, lethargy, respiratory distress, anorexia, reddened or inflamed eyes, neurologic signs such as tremors, seizures, incoordination, or blindness, and death.5,6
“Cats are a really good measure of where bird flu is in the community because they could be serving as sentinels. They could [catch] this virus through hunting outside and eating an infected bird, for instance, or [through] drinking raw milk or eating raw meat,” Deborah Thomson, DVM, founder and executive director of the nonprofit organization One Health Lessons, told dvm360.7
Related: Recommendations for veterinarians evaluating feline cases of H5N1
Since December 2024, there have been reports of at least 5 raw cat food products that have been suspected or confirmed to be contaminated with H5N1.8-11 At least 5 indoor cats have died from exposure to the virus through contaminated raw cat food or raw milk.11 Last year, avian influenza was also identified in 16 wild bobcats in New York state.12
“If you suspect that a cat or another patient has H5N1, then it is best to have them in the isolation ward, contact your local public health authority, and ask them what the protocol [is] for that moment. When it comes to bird flu, or any other emerging infectious disease, rules can change quite often, so just stay up to date and contact your local public health authority,” said Thomson.7
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