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From YouTube: Long-Term Care Facility Information Session Highly Pathogenic Avian Influenza HPAI March 27, 2023
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B
Right
perfect:
well,
thank
you
all
for
joining
today,
as
Stacy
said:
I'm
Greg
I'm,
a
field
epidemiologist
with
the
Colorado
Department
of
Public,
Health
and
environment.
Our
our
team
that
I'm
a
part
of
has
been
pretty
pretty
highly
involved
in
the
highly
pathogenic
Avian
Influenza
response.
So
we're
just
going
to
do
a
little
bit
of
a
presentation
on
kind
of
what
the
virus
is.
The
background,
the
impact
of
the
community,
since
it
is
indeed
a
mouthful
to
say.
A
B
B
Perfect,
all
right
so
so,
first
we're
gonna
go
through
just
a
little
bit
of
background
on
it,
so
hpai
Falls,
underneath
of
influenza
A.
So
it's
influence
a
virus
and
they
are
endemic
to
the
United
States
and
a
lot
of
places
around
the
world.
They
regularly
transmit
an
animal
species,
usually
pretty
specific
to
the
species.
So
you
hear
avian
flu
swine
flu
things
of
those
Natures
they
usually
transmit
in
there
every
now
and
then
it'll
jump
over
into
humans
and
we'll
have
events
there.
B
We
also
have
some
human,
specific
ones,
so
influenza
A
viruses
are
the
only
ones
that
are
known
to
cause
pandemics,
so
they
do
have
a
little
bit
more
of
a
infectious
nature
than
as
compared
to
influenza,
B
or
the
other
non-human
infecting
influenza
viruses.
So
hpai,
hypogenic,
Avian
Influenza,
is
specifically
a
couple
strains
of
oh.
Is
this
still
showing
the
presentation
for
you
all?
Sorry,
I'm
I
can't
quite
tell
yeah.
B
B
B
So
and
then
the
virus
is
detected
in
Canada
and
the
U.S
in
late
2021.,
so
by
March,
2022
h5n1,
which
is
a
specific
strain
that
we
have
was
detected
in
wild
birds
in
Colorado
and
has
since
impacted
millions
of
our
wild
migratory
birds
as
well
as
commercial
poultry
across
the
state.
So
we
specifically
are
having
2.3.4.4
b
a
little
bit
of
a
mouthful,
but
that's
the
specific
clade
or
basically
subtype
a
virus
that
we
have
here
in
the
state
right
now.
B
So
this
right
here
is
just
kind
of
a
little
bit
of
the
overview
and
history
of
Avian
Influenza
in
the
United
States.
Really,
the
main
point
is
that
we
want
to
show
is
that
this
is
not
something
that's
new.
It's
been
going
around
inside
of
birds
and
people
for
quite
a
while
I
mean
our
timeline
here,
dates
all
the
way
back
to
1918,
with
the
I,
always
call
it
a
Time,
the
Spanish
influenza,
but
it's
believed
to
have
been
caused
by
an
H1N1
type
avian
like
flu
virus.
B
B
So
in
Colorado
we
have
three
main
agencies
that
deal
with
hpai,
so
the
first
anime
one
is
the
Colorado
Department
of
Agriculture
the
CDA.
So
this
is
our
primary
agency
that
we
deal
with
that
works
with
domestic
poultry,
so
they
partner
along
with
us
veterinary
services,
including
aphis
and
the
USDA
CPW,
but
they
deal
mostly
with
domestic
birds,
so
they're
going
to
have
your
poultry
any
of
your
game,
bird
Farms.
Anything
along
those
lines.
The
other
agency
that
we
partner
with
quite
regularly
is
a
CPW
and
it's
Colorado,
Parks
and
Wildlife.
B
So
they
are
the
lead
Agency
for
any
of
our
wild
birds
or
wild
mammal
detections.
So
they
also
work
pretty
jointly
with
us,
the
U.S
department
of
Agriculture,
Colorado,
State
University
for
our
testing
labs
and
then
finally,
the
human
component
is
Colorado
Department
of
Public,
Health
and
environment.
B
So
this
is
a
pretty
pretty
aggregate,
pretty
sorry
overview
map
of
everything
that
is
of
all
the
different
species
and
birds
that
we've
detected
throughout
the
counties
here
so
Boulder
County
is,
as
you
can
see,
is
a
or
Boulder
in
there
is
green,
so
we
have
had
positive
mammal
cases
and
domestic
or
wild
birds.
We
have
some
rough
counts
of
infected
domestic
birds,
wild
birds
and
mammals.
B
So
this
full
map
is
available
on
the
Colorado
Department
of
agriculture's
website
and
it's
interactive
too,
so
you
can
click
on
it
to
get
counts
and
to
get
information
about
it.
But
we
really
want
to
highlight
that
this
is.
We
are
getting
cases
everywhere
in
the
state.
This
is
indeed
a
Statewide
response
that
is
being
mounted
to
this,
and
we
do
monitoring
across
the
entire
State
CDA.
Does
monitoring
across
the
entire
State
and
CPW
responds
to
instances
across
the
entire
state?
B
So
not
just
one
area,
not
just
along
the
Front
Range
or
the
plains,
but
we
do
have.
We
do
have
things
popping
up
across
almost
every
County,
so
I
want
to
do
Transition
a
little
bit
over
into
hbai
and
human
health,
so
transmission
of
it.
It
occurs
when
an
individual
is
exposed
to
the
saliva,
the
mucus
or
the
feces,
from
infected
birds
and
if
enough
of
the
virus
gets
into
a
person's
eyes,
nose
mouth
inhalation,
one
of
the
mucous
membranes
that
we
have.
That
is
when
a
human
infection
can
occur.
B
So
we
recommend
that
individuals
use
PPE
or
personal
protective
equipment
for
anyone
who
has
an
occupational
risk.
It's
gloves
mask
eyewear,
so
that's
for
Wildlife
officers,
Poultry
Farm
Workers.
Anyone
who's
going
to
be
dealing
with
birds
in
a
close
proximity,
a
lot
of
the
time.
So
one
thing
that
is
very
important
to
note,
however,
is
that
for
the
h5n1
clade
of
2.3.4.4
B,
so
the
one
that
we
currently
have
circulating
there
has
been
no
human
to
human
transmission.
We
have
had
a
case
detected
in
the
United
States
in
Colorado
of
h5n1.
B
There
has
been
no
human
to
human
transmission,
however,
so
anytime,
that
a
person
is
exposed
to
a
animal
that
tests
positive
for
Avian
Influenza.
We
we
talk
to
them
and
we
basically
we
look
for
certain
signs.
That
would
mean
monitoring
that
would
require
the
individual
to
be
monitored.
It's
a
voluntary
monitoring
system,
but
we
either
have
active
monitoring.
So
anybody
who
was
exposed
to
a
sick
bird
they
did
not
have
PPE
had
incomplete
PPE
or
there
was
a
breach
in
their
PP.
B
If
we're
able
to
kind
of
coordinate
that
with
the
person
rather
than
having
them
just
have
to
worry
about
dealing
with
all
that
by
themselves,
so
human
signs
and
symptoms
of
Avian
Influenza,
you
have
generally
a
fever
with
the
temperature
over
100
degrees,
cough
sore,
throat,
difficulty,
breathing
headaches,
eye,
tearing
redness
or
irritation
runny
stuffy,
nose,
body
aches
and
potentially
diarrhea.
So,
as
you
can
see,
most
of
these
are
relatively
common
respiratory
symptoms
that
we
see
in
people
with
non-h5n1
influenza,
covid
RSV,
anything
along
those
lines.
So
it's
it's
very
difficult.
B
B
So
just
some
information
for
the
general
public.
This
is
kind
of
in
like
a
frequently
asked
questions
format.
So
what
if
I
see
a
dead
or
sick
burn
on
public
lands?
So
while
the
risk
is
low,
we
absolutely
recommend
you
do
not
touch
the
bird
or
have
any
person
touch.
The
bird
avoid
direct
contact
with
them.
Observe
them
from
a
distance.
Do
not
touch
any
dead
birds.
You
should
contact
your
local
CPW.
B
B
Cpw
does
have
a
link
in
here
with
good
advice
for
hunters,
on
you
kind
of
identifying
Birds,
staying
away
from
infected
Birds
keeping
themselves
and
and
their
animals
safe
from
you
know,
the
hunting
dogs
and
everything
safe
from
from
that,
if
there's
a
dead
bird
on
your
private
property
and
removal
is
necessary,
we
do
recommend
you
wear
the
mask
the
eye
protection
and
gloves
immediately
double
bag
it
and
and
place
the
bags
in
your
Municipal
trash.
So
you
could
discard
the
gloves
and
mask
wash
your
hands
immediately
afterwards.
B
Soap
and
water
do
the
20
seconds
and
the
ABCs
whatever
it
is
you
like
to
do
to
get
that
time
frame
or
use
an
alcohol-based
sanitizer
that
has
to
be
at
least
60
alcohol
once
you
have
touched
the
bird?
Please
do
not
touch
you
know
your
face,
don't
you
know,
remove
all
of
your
PPE
with
dirty
hands.
They'll
start
rubbing
your
eyes
anything
along
those
lines
just
be
as
as
safe
as
possible
when
you're
doing
that
to
less
than
ideal
situation.
B
So
is
it
okay
to
use
bird
feeders?
This
is
one
that
we
actually
tend
to
get
quite
a
bit.
So
bird
feeders
are
not
thought
to
be
a
major
source
of
transmission.
They
are
a
source
of
transmission
of
other
diseases
amongst
Birds
such
as
salmonellosis
conjunctivitis
and
apologize
trichomoniasis.
That's
not
one
that
I
normally
deal
with
I
apologize.
B
They
also
can
be
an
attractive
for
Bears,
but
you
take
the
we
recommend
you
take
them
down
actually,
during
times
of
the
year
where
natural
food
sources
are
abundant
to
the
to
the
birds
to
help
reduce
any
spreading
of
that
to
the
birds
and
also
to
decrease
the
number
of
bear
conflicts.
However,
with
it
being,
you
know,
a
little
snowy
and
a
little
bad,
a
lot
of
people
tend
to
still
have
their
bird
feeders
up.
So
a
couple
tips
for
that.
B
We
do
recommend
you
use
multiple
bird
feeders
to
avoid
any
kind
of
overcrowding
at
it,
don't
feed
on
the
ground
or
on
a
platform
feeder
or
anything
where
Birds
May
defecate
down
onto
a
platform
where
other
birds
are
going
to
be
eating.
We
also
recommend
cleaning
the
feeders
every
two
weeks.
You
can
use
it
in
the
dishwasher.
You
can
do
soap
and
water
bleach
solution,
just
something
to
clean
and
kind
of
disinfect
that
surface
for
any
of
those
birds
keep
the
feeder
dry
once
they
get
really
wet.
B
B
And
so
what
should
you
do
if
you've
been
exposed
to
HPI
or
you
believe,
you've
been
exposed
to
HPI?
So
I
said
the
risk
is
very
low
if
you
believe
you've
been
potentially
exposed
to
HPI.
You
should
monitor
yourself
for
10
days.
That
is
our
recommended.
Monitoring
period
is
10
days
from
your
last
exposure.
B
Like
I
said,
avian
flu
is
pretty
hard
to
distinguish
from
other
things,
such
as
RSV
or
covid.
But
if
you
develop
any
respiratory
symptoms,
we
highly
recommend
you
reach
out,
inform
your
primary
care
provider
and
form
the
local
public
health
agency,
and
then
they
will
be
able
to
help
get
you
the
appropriate
testing.
B
So
is
there
a
treatment
if
you
do
end
up
getting
Avian
Influenza,
so
there
are
antiviral
drugs
that
are
available
for
people
who
get
sick
and
it's
best
it
works
best
if
it
started
as
soon
as
possible.
So
if
you
believe
you
or
anyone
you
know,
may
have
come
in
contact
with
one
and
they
start
experiencing
symptoms,
it
is
very
vital
that
you
contact
your
primary
care
provider
and
your
local
Health
Department,
immediately
to
kind
of
start
setting
up
testing
for
it,
because
the
sooner
we
can
get
treatment.
B
If
an
individual
is
affected,
then
the
quicker
that
they
can
recover
and
the
better
outcomes
that
we
are
observing
the
quicker
they
can
get
that
so
and
one
thing
we
get
because
it
happens
quite
common
in
our
commercial,
poultry
ones.
Is
it
safe
to
eat
chicken?
What
about
eggs
so
Avian
Influenza
does
not
present
a
food
safety
risk,
so
poultry
and
eggs
are
perfectly
safe
to
eat
as
long
as
you
handle
them
properly.
B
So
another
thing
we
also
get.
How
can
I
protect
my
household
cats
and
dogs,
so
risk
is
lower
to
your
cats
and
dogs
than
it
is
to
any
of
the
birds
in
there,
but
your
animals
can
still
become
infected
with
avian
flu
if
they
go
outside
and
are
eating
dead
birds
or
sick
birds
or
are
kind
of
you
know,
rolling
or
eating
in
in
goose
poop
or
any
of
the
other
migratory
bird
feces.
So
it's
as
much
as
it's
kind
of
difficult
to
always
monitor
them.
B
It's
a
good
idea
to
keep
that
contact
down
to
a
minimum.
So
if
you
know
that
you
have
a
lot
of
geese
in
the
backyard
and
your
dog
likes
to
go
run
out
there,
it's
probably
a
good
idea
to
just
kind
of
take
a
look,
make
sure
there
isn't
a
dead
bird
out.
There
keep
an
eye
on
them
when
you
go
to
dog
parks
and
just
you
know,
just
kind
of
some
general
general
advice
to
do
your
best
to
to
keep
them
from.
B
You
know,
eating
and
rolling
in
anything
strange
along
those
lines,
especially
at
this
time,
with
all
the
migratory
Birds
we're
about
to
have
our
spring
migration
come
back
up.
So
we'll
probably
end
up
seeing
a
lot
more
geese
in
areas
and
a
lot
more
geese,
geese
poop
in
the
fields.
If
you
do
think
that
your
pet
is
sick
or
has
been
exposed
contact
your
veterinarian
right
away,
let
them
know
what
is
happening
and
then
also
monitor
yourself
for
symptoms.
Just
in
case
you
were
exposed
as
well
or,
if
you
end
up
getting
sick.
B
So
we
have
a
couple
Colorado
specific
resources
that
you
can
use
so
any
sick,
birds
or
ones
that
have
died
from
an
unknown
cause.
You
can
call
the
avian
Health
hotline
at
Colorado,
State
University.
The
number
is
on
here
and
we'll
be
able
to
I
said
this
recording
is,
or
this
presentation
is
recorded,
so
you
have
access
to
that
later,
and
we
also
will
be
able
to
send
these
slides
out
to
anyone
who
would
like
it.
B
After
so
you'll
have
access
to
all
the
links
and
all
the
numbers
on
here:
multiple
sick
birds
or
multiple
unusual
dead
birds
in
commercial
settings.
You
should
call
the
State
Veterinary
office
and
the
usda's
veterinary
services
within
Colorado.
If
you
find
three
or
more
dead
birds
within
a
two-week
period
or
if
a
live
bird
or
a
live
animal
is
showing
signs
of
disease.
B
If
you
do
not
have
to
have
to
avoid
those
and
I
said,
if
anyone
that
you
know,
if
yourself
or
anyone
you
know
is
experiencing
any
of
the
signs
or
symptoms
of
hpai,
you
can
contact
us.
The
cdphe
at
the
email
address
there,
so
cdphe
underscore
decipher
underscore
field.
Epi
that'll
send
it
right
to
the
field
Epi
teams,
one.
You
can
also
call
the
disease
reporting
line.
It's
a
2700
number
on
there
and
our
after
hours,
number
9395,
so
cdphe
can
be
able
to
handle
that
call
at
any
time.
A
B
The
most
of
the
ones
that
we
see
are
Canada
geese
or
snow
geese.
Those
are
by
far
the
the
largest
numbers
that
we
tend
to
get.
We
have
found
it
in
owls
as
well.
We've
had
some
great
horned
owls.
We
have
unfortunately
had
multiple
Birds
of
Prey
Eagles
Hawks.
Our
Raptor
population
has
been
hit
by
it
so
that
we
do
not
have
any
specific
like
one
species
of
wild
bird,
unfortunately,
to
look
out
for
it
has
hit
quite
a
few
of
the
the
wild
bird
populations.
A
B
Bird
Line
list
and
tell
you
for
sure,
but
at
the
top
of
my
head,
that's
not
one
that
that
happens.
We
have
seen
it
more.
Some
of
the
mammal
cases
that
we've
seen
We
Believe
have
been
from
Scavenging,
but
we
haven't
seen
it
in
vultures
from
Scavenging
at
least
like
I
said
off.
The
top
of
my
head.
I'd
have
to
go
back
through
our
our
whole
line
list
of
all
our
positives.
B
A
B
Is
it
is
basically
just
a
general
I
apologize,
so
it
is
just
a
general
flu
swab
that
we
use,
so
we
do
use
that
influence
a
swab.
We
use
a
viral
transport
media
to
send
it
in
so
yeah.
Unfortunately,
most
of
the
commercial
ones
will
not
be
specific
for
it.
We
do
have
a
secondary
panel
that
we
will
run
to
specifically
tell
whether
it's
h5n1
or
another
influenza,
a
virus
that
is
going.
A
B
Yeah,
if
you
do
end
up
having
somebody
that
you
know
you're,
not
necessarily
thinking
of
that
they
have
in
a
test
positive
for
influenza
A,
we
can
test
them
for
a
more
specific
one
to
see
if
they
do
have
h5n1
sorry,
you
know
they
have
the
h5n1
specific
type
of
influenza
A.
So
but
yes,
we
just
we
are
running
an
influence.
A
panel
we're
just
running
a
slightly
more
in-depth
one.
If
we
get
a
positive.
A
B
So
I
I
have
not.
That
is
something,
however.
I
can
actually
follow
up
with
some
of
our
Med
epis,
so
our
our
epidemiologists
that
also
have
an
MD
to
double
check.
If
they
have
heard
of
any,
we
have
not,
we
still
will
recommend.
We
have
recommended
all
the
same
antivirals
throughout
for
any
treatment
so
I
have
not.
We
do
not
really
have
any.
B
We
also,
however,
in
h5n1
we
have
had
very
few
cases
worldwide,
even
even
less
in
the
United
States,
that
to
kind
of
even
see
if
there
was
any
resistance
to
it,
based
on
our
current
numbers
that
we
have
of
it,
it's
it's
really
where
it
seems
like
anyone
who
is
symptomatic
and
treated
early
tends
to
have
a
pretty
positive
response
to
it,
so
that
is
at
least
right.
Now,
that's
still
what
we're
recommending
we
haven't
seen
any
evidence
of
resistance.
Okay,.