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You are here: Home / Healthcare / COVID-19 / COVID-19 Coronavirus & H5N1 Updates: October 23, 2024

COVID-19 Coronavirus & H5N1 Updates: October 23, 2024

by Anne Laurie|  October 23, 20246:54 am| 31 Comments

This post is in: COVID-19, Foreign Affairs, H5N1 Bird Flu

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EXCLUSIVE: My latest @VanityFair investigation examines why the federal response to the growing #H5N1 outbreak in dairy cows became marred by obfuscation + an unspoken `Don't test, don't tell' policy on America's farms, and how /1 https://t.co/a4812ZzbIN

— Katherine Eban (@KatherineEban) October 21, 2024

This is an important story, and yet it doesn’t change what ‘we’ need to do right at the moment. “Inside the Bungled Bird Flu Response, Where Profits Collide With Public Health”:

… [O]n March 25, the USDA lab confirmed that dairy cows in Texas and Kansas had indeed been sickened by a form of bird influenza known as H5N1. Though versions of the so-called bird flu virus have circled the globe for almost two decades, spreading to species ranging from pelicans and polar bears to sea lions and skunks, the announcement stunned the scientific and agricultural communities. “Every honest virologist will tell you: We did not see this coming,” says Kimberly Dodd, dean of Michigan State University’s College of Veterinary Medicine.

With continued spread amongst cows, or to another “mixing-vessel” species like pigs, the virus “could mix and match, then you get a whole new genetic constellation,” says Jürgen Richt, regents and university distinguished professor at Kansas State University. Experts are hesitant to speculate about what could happen if the virus were to begin more widely infecting humans, for fear of spreading panic, but the toll could, in the worst case, dwarf that of COVID-19. If the virus “infects a person infected with a human flu strain, and something comes out that is reassorted and adapted to humans? I don’t even want to imagine,” Richt says. “Not good.”…

At that existential moment back in March, when the virus was first detected in cows, veterinarians involved in the response had every expectation that a well-honed network of experts, led by USDA scientists, would immediately rev to life.

But it didn’t. “Nobody came,” says one veterinarian in a Western state. “When the diagnosis came in, the government stood still. They didn’t know what to do, so they did nothing.”

Now, H5N1 has spread to more than 324 dairy herds in 14 states and has sickened at least 26 farm workers exposed to infected cows and poultry. Those numbers are widely assumed to be vast undercounts, as there is no formal nationwide surveillance program, many dairy farmers oppose testing, and few farm workers are being screened….

Big dairy farms — not least in places like central California, which sent Devin Nunes to Congress — are more concerned about minimizing their financial losses (profitable milk-producing bio-units turned into sunk cost disposals) than they are about a (so far) handful of low-wage human workers who’ve contracted a messy cold with pinkeye. State and national government agencies need to step up their enforcement, but that’s not something you or I or presumably anyone reading Balloon Juice has the power to command. So: Stay watchful, don’t drink raw milk, and wash your hands after any contact with farm animals, stray wildlife & ferals, or bird poop (cleaning feeders). Which I assume we’re all doing anyway!

.@USDA confirms +2 #H5N1 #birdflu infected dairy herds in California, taking the CA total to 133. That's about 12% of the CA herds infected over the past 2 months. Wow.
Michigan's latest still not confirmed.
Cumulative national total: 334 herds in 14 states.… pic.twitter.com/unBBZcLl8K

— Helen Branswell 🇨🇦 (@HelenBranswell) October 22, 2024

California has found +2 human #H5N1 #birdflu cases, bringing CA's total to 13 & the US total to 27 this yr. Both @CDCgov & @CAPublicHealth are moving to 3 x weekly case updates; they must be expecting more. All CA cases were mild; no hospitalizations. All worked around cows. pic.twitter.com/XOMYwZXzo7

— Helen Branswell 🇨🇦 (@HelenBranswell) October 18, 2024

***********

No new BNO numbers this week — I don’t know if the site has stopped reporting on covid (they’re still covering H5N1) or if it’s just a twitter glitch. Meanwhile, their previously dormant sister site has been reactivated:

🚨 BREAKING: Nearly 3 Million Weekly Infections and 1 in 115 Actively Infectious as U.S. 🇺🇸 Prepares for Dangerous COVID Surge

The PMC COVID-19 Forecast warns that the U.S. is about to enter its 10th COVID wave, with a big increase in transmission expected in the next two weeks. pic.twitter.com/l4i4s9sncY

— SARS‑CoV‑2 (COVID-19) (@COVID19_disease) October 22, 2024


PANDEMIC MITIGATION COLLABORATIVE

Currently, 1 in 115 people are actively infectious, and nearly 3 million new infections are projected each week.

While these numbers are concerning, they are lower than recent summer figures and the anticipated winter surge.

— SARS‑CoV‑2 (COVID-19) (@COVID19_disease) October 22, 2024

However, November shows a clear pattern of escalating transmission. This lull is an ideal time to stock up on masks, get vaccinated, upgrade air cleaners, and replenish rapid tests.

— SARS‑CoV‑2 (COVID-19) (@COVID19_disease) October 22, 2024

======

Over the past fifty years, vaccines have saved more lives than almost any other health intervention. @Gavi is making sure vaccines reach the people and communities who need them most.

Read more in @SciAm: https://t.co/plvZo1mQyA

— Gates Foundation (@gatesfoundation) October 21, 2024

China: Long Covid is a significant health crisis

"One of the largest studies of its kind and the first from China, shows that approximately 10%–30% of survey participants reported experiencing Long Covid symptoms"

Lancethttps://t.co/pundt96hAf

— CoronaHeadsUp (@CoronaHeadsUp) October 20, 2024

… Chinese scientists were among the first to report Long Covid in people who survived the acute phase of Covid-19. However, these early seminal Chinese studies on Long Covid were exclusively from Wuhan – where the pandemic originated. Because of China’s zero Covid policies, infection rates plummeted quickly in Wuhan and were very low and sporadic outside of Wuhan for much of 2020, 2021, and 2022. However, China relaxed its zero Covid policies at the end of 2022 which led to explosion of cases – hundreds of millions of Chinese got infected with SARS-CoV-2 in the weeks and months following the lifting of zero Covid policies.

Now a report by Qin and colleagues provides insights into the colossal scale of Long Covid that resulted from those infections. Their large-scale survey of 74,075 Chinese participants, one of the largest studies of its kind and the first from China, shows that approximately 10%–30% of survey participants reported experiencing Long Covid symptoms such as fatigue, memory decline, decreased exercise ability, and brain fog. The features of Long Covid in China mirror those observed in studies conducted in other parts of the world. This underscores the consistency of Long Covid features across national borders, cultures and healthcare settings.

Interestingly, the authors show that despite having milder acute symptoms during reinfection, participants who experienced multiple infections were more likely to experience various Long Covid symptoms with greater severity. The authors show that having two infections is risk factor for many long-term Covid symptoms, and the risk increased exponentially when the number of infections exceeded two. These new data on Long Covid risk after reinfection are remarkably consistent with prior studies.

Another critical insight from the study is the protective role of Covid-19 vaccines in reducing the incidence and severity of Long Covid. The data shows that vaccination, particularly with multiple booster shots, significantly decreases the risk of developing long-term symptoms. These findings are consistent with other studies showing that vaccines reduce the risk of Long Covid. Despite this, Covid-19 vaccine policies in much of the world consider effectiveness of vaccines in reducing risks of hospitalization and death during the acute phase of SARS-CoV-2 infection (which are most evident in older adults and people with comorbidities) and ignore their protective effect on Long Covid – a condition that affects people across the lifespan including young adults and children. Consequently, restrictive vaccine policies exclude children, young and healthy adults who may benefit from the beneficial effects of vaccine on Long Covid. Vaccine policies must holistically consider the benefit profile of Covid-19 vaccines including their effects in lowering the risk of Long Covid…

UK- Covid deaths soar 25% as XEC variant hits and NHS says isolate with symptoms https://t.co/a4S81OGbgt

— Jess (@MeetJess) October 21, 2024

======

How SARS-CoV-2 defeats the innate #immuneResponse https://t.co/OOYTjX3m32

— Medical Xpress (@medical_xpress) October 22, 2024

Key #SARS-CoV-2 enzyme behind virus's infectiousness, researchers say

The virus has an enzyme that can efficiently circumvent a host cell's innate defense mechanism.https://t.co/85lk6DKmJf

Photo: NIAID / Flickr cc pic.twitter.com/QwL7TDbSCE

— CIDRAP (@CIDRAP) October 22, 2024

Bottom line: current vaccines should work. https://t.co/3eWsRNAlnL

— Dr. Brian Goldman (@NightShiftMD) October 18, 2024

Search continues for treatment that reduces long #COVID symptoms: Study assesses '#symptom diary' of trial participants @WeillCornell @TheLancet https://t.co/OGSlGMNAFg

— Medical Xpress (@medical_xpress) October 18, 2024

COVID-19 linked to type 2 #diabetes onset in children @jamanetworkopen https://t.co/yeK3CHyxsq

— Medical Xpress (@medical_xpress) October 17, 2024

New Nasal Vaccines Offer Stronger Protection from COVID, Flu, and More—No Needle Needed https://t.co/hKwgKEEPc2

— Jess (@MeetJess) October 17, 2024

This will be overkill for many (most) people, but for immunicompromised individuals & those in high-risk occupations, it might be worth investigating:

The Four Rapid COVID PCR Tests You Can Take at Home (and Why You Should) https://t.co/eZRG3zoeGv

— Jess (@MeetJess) October 21, 2024

… What you normally think of as a home COVID test—like the kind you can order for free from the government—is a rapid antigen test. When these at-home COVID tests became available, they were a powerful tool to help people know they were positive so they could isolate themselves from others. Almost all at-home tests were lateral flow tests, also known as rapid antigen tests (RATs). They measure for proteins on the outside of SARS-C0V-2, but they have a major flaw: They can only detect active virus. If you’re asymptomatic or don’t have a high viral load yet, the RAT may show negative results while you have an active and contagious infection.

This is why, if you already have symptoms, a negative antigen test isn’t conclusive. You may need to test a number of times to confirm you have COVID. When you first get sick, you may go a number of days (as many as five) without enough virus to set off a positive RAT test. RATs were designed to be taken multiple times in sequence.

A PCR, also known as a NAAT or molecular test, measures RNA and can detect even small amounts of the virus. This is why it has always been considered the “gold standard” of COVID testing. These tests are generally considered accurate starting one to three days before you experience symptoms. Until last year, you needed to get a PCR from a testing center, but home tests have evolved and there are now four rapid, at-home molecular COVID tests, meaning you test and get a result within 30 minutes…

======

These people have PTSD from being asked to wear a mask for a few weeks a few years ago. pic.twitter.com/3vl01EVGXe

— Jean-Michel Connard ??? (@torriangray) October 21, 2024

***********

Excellent news: It looks like we can stop worrying about the potential Marburg epidemic:

What Kai said. This is looking very good.
I do wish, though, that more was known about what happened before the #Marburg virus got into King Faisal Hospital — how much transmission occurred in the community around the index case in this outbreak. Hope the Rwandans publish soon. https://t.co/lI4TGQfE4g

— Helen Branswell 🇨🇦 (@HelenBranswell) October 21, 2024

Rwanda #Marburg update: No new cases, no additional deaths. Three people still in care.
This is the third largest Marburg outbreak on record & with so many cases by the time the outbreak was recognized, this could have gone badly. But this looks very promising. https://t.co/KfBby7ELRo

— Helen Branswell 🇨🇦 (@HelenBranswell) October 19, 2024

WHO lauds Rwanda's Marburg response as country shares initial genetic findings

Two patients who were intubated for multiple organ failure were successfully extubated, thought to be a first in Africa for Marburg.https://t.co/a7aHdOq2fy pic.twitter.com/QM5DSf4Ykt

— CIDRAP (@CIDRAP) October 21, 2024

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Reader Interactions

31Comments

  1. 1.

    KrackenJack

    October 23, 2024 at 7:15 am

    @AL Thank you so much for the ongoing round-ups. I see a few of these on Mastodon, but never more than 25%.

    Today’s update also serves to remind me to schedule our flu shots. We got our Covid boosters early for a trip and now we’re back (and still jet-lagged).

  2. 2.

    TBone

    October 23, 2024 at 7:18 am

    As always, thank you for staying on this – today I’m especially grateful to learn that I’m no longer forced to rely on my shoddy local healthcare system or forced to beg for a PCR test.

  3. 3.

    Sister Machine Gun of Quiet Harmony

    October 23, 2024 at 7:25 am

    These updates remain helpful. Thank you.

  4. 4.

    Lapassionara

    October 23, 2024 at 7:43 am

    Many thanks for gathering this information for us. This is so helpful for those of us with compromised immune systems.

  5. 5.

    NorthLeft

    October 23, 2024 at 7:54 am

    My sincere thanks for continuing this valuable reporting.

    I’ll add to to J-MC’s observation of the pandemic whiners, that this is the same group of people who are constantly freaking out over caravans of Venezuelans taking over their gated communities.

    Yet, they are more than happy to risk their lives and long term health, and their families, friends, and communities against a virus because it inconveniences them.

    Gawd, those people disgust me.

  6. 6.

    Booger

    October 23, 2024 at 8:14 am

    Okay, full disclosure…I’m one of those raw milk drinkers, obtained from a cow-share farm about three miles away from where I live. We’ve known the young family who runs the dairy for a long time; they’re smart, realistic, informed…not patchouli-scented moonchildren or spittle-flecked anti-gummit preppers or animal-abusing religious fanatics. Exactly how freaked out should I be? I want to support them but at the same time have a realistic understanding of the actual risk involved.

  7. 7.

    New Deal democrat

    October 23, 2024 at 8:20 am

    In terms of COVID levels, this week’s news is very encouraging. Per the CDC, the level of wastewater particles, at 2.27 per million, is almost 75% lower than the summertime peak. Compare with the lows this past spring, which were almost 85% lower. This is simply the biggest autumn lull since 2021. Among regions, only the northeast shows an increase – from levels one week previously which were close to an all time low. Biobot also shows a continued decline, at a very low level, with all four census regions participating.

    Deaths from the summer wave peaked during the week of August 31 at 1,239. The preliminary figure in that week was 663 deaths. By September 29 the preliminary number had declined to 499, and the final number to 997. During the latest week of reporting, October 12, the preliminary number had declined to 327, suggesting a final toll of about 700-800. Since wastewater levels have continued to decline since then, per the above, in coming weeks deaths should continue to decline to levels on the order of 400-550.

    Again, it is very encouraging that there is an autumn lull, which has not occurred at all in the past several years.

    Variant proportions will not be updated until this Friday. As of October 12, the KP.x variants which were dominant this summer have declined to about 75% of all new cases, with the new back-cross variant, XEC, at 10.7%. This will probably be the dominant variant this winter. But because the total number of cases have been declining sharply, this suggests that this new variant is not sparking any new wave (i.e., it is an increasing share of a lower total).

  8. 8.

    Betsy

    October 23, 2024 at 8:41 am

    Just another reason, I’ll stick with limiting my meat consumption, buying  and dairy and eggs  only from small farmers, that I personally can meet.

    It doesn’t eliminate the risk, but the bigger point is  I’m not about to send any of my money to factory farm producers and their profiteering.

  9. 9.

    jonas

    October 23, 2024 at 8:42 am

    @Booger: It’s not worth the risk. The purported health benefits of raw vs. pasteurized usually come with a heaping helping of woo and the downsides of getting sick, especially for children, are legion and serious.

  10. 10.

    jonas

    October 23, 2024 at 8:52 am

    Getting my updated booster today! Hope I get to choose something other than Moderna because that always kicks my ass for 24-48 hrs afterwards.

  11. 11.

    bluefoot

    October 23, 2024 at 8:52 am

    @Booger: Can you ask them if they test their cows?  What their practices are to keep their cows from getting infected?

    AL – Thanks for continuing to do these news and link roundups!  I can’t believe we’re 4.5 years into this…

    The next pandemic is pretty much inevitable, it’s just a question of when and what it will be.  It seems like we’re willfully unlearning the lessons of 2020-2021. Or maybe retaining the wrong lessons?

    I got my COVID booster a few weeks ago and missed out on the work-provided flu shot, so that’s for Friday at the pharmacy.  I’ve noticed an uptick in mask wearing here in Boston, though it’s still a rarity.  But I’ve gone from the only person masking in public to one of a handful.

  12. 12.

    Another Scott

    October 23, 2024 at 9:05 am

    Thanks for keeping us informed, AL.

    The AppleNews tweet link thing about the personal PCR test gizmos didn’t work for me. Here’s a direct Lifehacker.com story about it.

    Cheers,
    Scott.

  13. 13.

    Percysowner

    October 23, 2024 at 9:10 am

    Thanks for these updates. I’m going to get my COVID and Flu shots on Friday. That will give me the weekend to recover if they hit me hard.

  14. 14.

    jonas

    October 23, 2024 at 9:17 am

    @Booger: Note, in my comment above, I was thinking mainly of salmonella, e. coli, listeria and similar bacterial infections transmitted through milking equipment, human handlers, etc. which are well known risks associated with raw milk. But now of course there’s also the bird flu issue.

  15. 15.

    Glidwrith

    October 23, 2024 at 9:26 am

    @Booger: What is it you are looking for? Evidence abounds that raw milk can and does carry a host of diseases. I am a biologist and I would rather eat food off my dirty kitchen floor than drink raw milk.

    Do you really want to be patient zero who mixes H5N1 with another flu strain, allowing human to human transmission of this disease?

  16. 16.

    Yarrow

    October 23, 2024 at 9:31 am

    @Booger:  Only you can make that call. I wouldn’t but then I’ve seen people who had listeria.

  17. 17.

    Harrison Wesley

    October 23, 2024 at 9:31 am

    Got my vax back in August.  Continue masking pretty much anywhere (using KN95’s because they’re cheap).  Also blow Covixyl up my nose before going to any confined area, although I suspect the effect is more for my mental than physical health.  Wish they’d get those nasal vaccines happening; could really be a game-changer.

  18. 18.

    Glidwrith

    October 23, 2024 at 9:31 am

    @bluefoot:

    @jonas: That’s the other problem: how do you isolate your herd from wild birds?

  19. 19.

    Yarrow

    October 23, 2024 at 9:34 am

    AL, thanks so much for these updates. They’re so helpful and interesting.

    Rwanda has done amazing work with the Marburg virus. They take their public health very seriously.

  20. 20.

    Booger

    October 23, 2024 at 9:34 am

    @jonas: Roger that. Thanks!

  21. 21.

    beckya57

    October 23, 2024 at 9:49 am

    As others said, thank you for doing these, it’s obviously a lot of work and it’s convenient for us to have all of this information in one place.  This topic is very much on my (foggy) mind at the moment, as my lovely 50th (!!) HS reunion last week has turned into a super-spreader.  3 definite and 3 possible Covid cases right now, with me as one of the possibles (3 of us are symptomatic but haven’t tested positive).  So yes indeed it’s still out there.  Fortunately we’re a very science-oriented group, with multiple scientists and health care professionals, so most of us are fully vaxxed and symptoms have been unpleasant but nothing terribly serious (2 are taking Paxlovid).  I’ll test again today, but am assuming I have it and have been staying home and avoiding contacts with others.

  22. 22.

    beckya57

    October 23, 2024 at 9:50 am

    @Yarrow: yes, I’ve been very impressed with that too, particularly given that country’s relatively recent tragic history.  Nice to see they’ve got good people in charge now.

  23. 23.

    TBone

    October 23, 2024 at 11:32 am

    @Another Scott: that was the best new thing I learned here today, and I thank you for sharing that link for others who might not be able to see it otherwise.

  24. 24.

    Another Scott

    October 23, 2024 at 11:50 am

    @Booger: Everything’s fine until it isn’t.  And when it isn’t, it’s often too late.

    Remember the 1996 Odwalla E. coli outbreak? They sold unpasteurized fruit juice…

    Pasteurization has saved countless millions of lives:

    [Nathan] Straus donated pasteurization equipment to the city’s orphan asylum, an institution so gruesome that its children suffered a death rate four times worse than that of children in general. Forty-four percent of the children there died in 1897. The following year, with Straus’s milk the only change, the rate dropped to 20 percent. Straus’s philanthropic crusade saw him provide support for 297 milk stations in 36 cities, which dispensed more than 24 million glasses and bottles of milk over a quarter-century. Gordon reports that the U.S. infant mortality rate dropped from 125.1 per thousand in 1891 to 15.8 in 1925. Straus directly saved an estimated 445,800 children’s lives, and his crusade for mandatory pasteurization indirectly saved millions more lives.

    Bottom line: We can’t see bacteria. We cannot trust our senses that unpasteurized food is safe.

    Be careful.

    Cheers,
    Scott.

  25. 25.

    Fair Economist

    October 23, 2024 at 1:01 pm

    The cow strain of H5N1 is now particularly likely to become more transmissible in humans. It can infect cows pretty readily, but to get from one herd to another it needs a carrier – and humans are currently able to do it. This creates strong pressure for the virus to get better at infecting humans, because if it’s in a herd, it’s going to infect most or all the cows – but then die out if it can’t hitch a ride to the next herd.

    Most human diseases seem to come from domesticated or commensal animals, at least partly (flu, for example, also infects pigs).

  26. 26.

    Jay

    October 23, 2024 at 1:37 pm

    Thank you, Anne Laurie.

  27. 27.

    glc

    October 23, 2024 at 1:40 pm

    A few things on the side. Covid and:

    • Dementia (Nature)
    • Cognitive effects (in People Magazine of all places)
    • Neurological/sensory impact (Springer Science Direct)
    • Air purification (hospital study) Cambridge University, press release
    • Children (Sci Am, paywall, Safari reader mode works for me)
    • Virulence (threadreader, from the neonazi site)

    Got my last Covid case at the start of the month so I’ll be deferring this vaccination round for 3 months (apparently four is better but  more travel is coming up).

    I took Paxlovid as a precaution, which my doctor believes is basically pointless. A smart and observant fellow, generally speaking, but not someone I would quote as an authority on these specific issues. But his view is that Pfizer hasn’t sought wider approval as they suspect it’s basically useless for most of the population (or most of the vaccinated population, which may be the more relevant point).

    Anyway I’ve had two cases so far, each treated with Paxlovid, both entirely over in five days as far symptoms and tests are concerned. I took Paxlovid not to treat the disease as such, but to diminish the risk of long term effects; though as far as i recall there isn’t any particular evidence on that point.

    I do have some friends with long Covid and the incidence and symptoms seem very random at this point, but in any case quite serious. It doesn’t seem that rationally there is much one can do at this time to avoid it, or to mitigate it, other than avoiding Covid itself to the extent possible.

  28. 28.

    mr perfect

    October 23, 2024 at 2:33 pm

    @Booger: I don’t drink milk since I’m allergic to dairy products but I suffered from a UTI last year which was diagnosed to be E-Coli.  I have no idea how I became infected since I didn’t consume it (my kidneys weren’t infected) and it wasn’t from unsafe sexual activity or any sexual activity since my wife was away.  What it did was blow up my prostate and it took about four months to recover.  In the meantime I was tested for prostate and bladder cancer as well as sent to hospital emergency for potential blood clots as my d-dimer readings were nine times what they should have been, only to have an ultra sound show I had no clots.  I also lost 14 lb.  I’ve had Covid-19 twice (I keep up with my vaccine shots) and the E-Coli infection was way worse.  I consider myself lucky that the infection didn’t go further into my kidneys which would have happened had I consumed any product containing E-Coli.  You should factor that into your decision to continue consuming raw dairy products.

  29. 29.

    mr perfect

    October 23, 2024 at 2:44 pm

    The tweet from the twit by the entity calling themselves “Lady of Summerisle.”  Lord Summerisle was the character who ruled the Scottish island also named after himself in the 1973 horror movie “The Wicker Man” which was about a police constable investigating the disappearance of a young girl on the island.  The constable finds the islanders worship paganism and suspects they perform human sacrifices.  How unaware do you have to be making that tweet while naming yourself after a cult?

  30. 30.

    dnfree

    October 23, 2024 at 2:44 pm

    @Booger: They’re not “informed” based on science.

  31. 31.

    Chris T.

    October 24, 2024 at 2:19 pm

    A day late but I’ll mention: seem to be fully over my COVID. Even the congestion is back down to almost-normal-allergies level.

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