Dairy cows infected with 2nd form of bird flu for the 1st time: USDA
(NEW YORK) — A second type of bird flu has been found in dairy cows for the first time, the U.S. Department of Agriculture announced on Wednesday.
Until recently, all dairy herd detections in the U.S. had involved a form of bird flu, or avian influenza, known as B3.13.
This strain of bird flu, known as D1.1, has only ever previously been detected in wild birds and poultry, indicating that it has only recently spread to cows.
The detection, found in dairy cattle in Nevada, was a result of the USDA’s national milk testing program that launched in early December, according to the agency’s Animal and Plant Health Inspection Service.
“USDA APHIS continues to work with the Nevada Department of Agriculture by conducting additional on-farm investigation, testing, and gathering additional epidemiological information to better understand this detection and limit further disease spread,” the agency said in a statement on its website.
There have been a total of 957 confirmed cattle infections in 16 states, with 36 new infections in the last 30 days in California and Nevada, the latest USDA data showed.
D1.1 has also been shown to be potentially dangerous to humans. Of the 67 human cases of bird flu detected in the U.S. beginning in April 2024, one of the only patients infected with D1.1 was in Louisiana.
The Louisiana patient died earlier this year, although health officials said the patient was over age 65 and had underlying health conditions.
Additionally, a 13-year-old girl in British Columbia, Canada, was admitted to the intensive care unit with the same strain in November.
The Louisiana patient was exposed to a backyard flock, and the Canadian teenager had an unknown exposure.
The CDC said in a statement on Thursday that it is continuing to “monitor this situation closely” for any signs that risk to human health has changed.
“Risk remains low despite what appears to be the introduction of a different genotype of avian influenza A (H5N1) virus into dairy cows based on the USDA’s Animal and Plant Health Inspection Service Stakeholder Registry email,” the statement said. “CDC continues to monitor this situation closely for signs that would indicate the risk to human health has changed.”
The CDC noted that the risk to the general public remains low, and that there is no evidence of human-to-human spread.
The USDA issued a federal order late last year, asserting that raw milk samples nationwide be collected and shared with the agency in order to test for bird flu.
The order marked the start of the agency’s National Milk Testing Strategy, a program intended to boost surveillance of the nation’s milk supply and dairy herds and increase understanding of how bird flu is spreading.The USDA said the D1.1 detection in dairy cows “does not change USDA’s [bird flu] eradication strategy and is a testament to the strength of our National Milk Testing Strategy.”
APHIS said it plans to publish a technical brief on the findings on its website and post the sequence data on an open-access databank in the coming week.
ABC News’ Youri Benadjaoud contributed to this report.
(NEW YORK) — Respiratory illness activity – a measure of how often conditions like the common cold, flu, COVID-19, and respiratory syncytial virus are diagnosed – is currently “high” in the United States, according to an update from the Centers for Disease Control and Prevention.
Currently, New Hampshire is listed as having “very high” respiratory virus activity, and 11 states – Arizona, Delaware, Georgia, Idaho, Kansas, Kentucky, Louisiana, Oklahoma, Tennessee, Texas and Wisconsin – are listed as having “high” activity, CDC data shows.
Meanwhile, 29 states are listed as having “moderate” activity, and the remaining states are listed as having “low” activity.
Particularly, COVID-19, seasonal flu and RSV activity are increasing across the country with a rising number of people visiting emergency departments and the number of tests coming back positive for one of the three conditions, the CDC said.
The CDC estimates that there have been at least 3.1 million illnesses, 37,000 hospitalizations and 1,500 deaths from flu so far this season; these figures are based on the latest date for which data is available, which is the week ending Dec. 21.
Five pediatric deaths were reported during the week of Dec. 21, bringing the total number to nine so far during the 2024-25 season.
The CDC says levels of the COVID-19 virus being detected in wastewater are increasing, as are the number of emergency department visits and laboratory test positivity rates.
“Based on CDC modeled estimates of epidemic growth, we predict COVID-19 illness will continue to increase in the coming weeks as it usually does in the winter,” the CDC said in a statement.
For RSV, the CDC said emergency department visits and hospitalizations are increasing among children and hospitalizations are increasing among older adults in some areas.
Flu and COVID-19 vaccines are available for both children and adults, and RSV vaccines are available for certain groups of adults. However, vaccination coverage remains low, meaning “many children and adults lack protection from respiratory virus infections provided by vaccines,” according to the CDC.
As of Dec. 21, only 41.9% of adults were vaccinated against the flu and 21.4% were vaccinated with the updated 2024-25 COVID-19 vaccine. Additionally, just 43.7% of adults ages 75 and older have received the RSV vaccine, according to CDC data.
Nearly half of all children are vaccinated against the flu at 42.5%, but just 10.3% have received the updated COVID-19 vaccine.
At least 24 people are believed to be dead and more than a dozen others remain unaccounted for as of Monday morning. Additionally, 105,000 people remain under mandatory evacuation orders and another 87,000 are under evacuation warnings.
Kaiser Permanente, one of the largest health care systems in California, said most of its facilities remain open and operational but seven remain closed, including facilities in the cities and neighborhoods of Pasadena, Rosemead, Santa Monica, Canyon County and Sylmar.
Keck Medicine of USC shared an update to its website stating that all affiliated hospitals remain open but at least nine clinics remain closed, including those in Arcadia, Glendale, La Cañada Flintridge and Los Angeles.
Providence health care system, which serves five Western states including California, also announced that some of its outpatient services, such as doctors’ offices, were closed but that its hospitals remain open.
Adventist Health Glendale said in a statement on its website that its hospital and emergency department is operating as usual and patients are not being evacuated. However, some patients with elective procedures are being rescheduled to a later date and all non-essential visitation has been postponed.
“Some patients with elective procedures may be rescheduled for a later date – These patients will be contacted directly by their provider,” the statement said.
As of Sunday afternoon, UCLA Health said clinic operations were “impacted” in the neighborhoods of Calabasas, Malibu, Pacific Palisades and Pasadena. However, it’s unclear from the UCLA statement how many clinics are closed.
“Affected patients will be contacted with additional information. Patients with questions or seeking to reschedule appointments are encouraged to contact their physician’s office or clinic,” UCLA Health stated on its website. “UCLA Health asks that visits to our medical center emergency departments be reserved for urgent and life-threatening medical conditions.”
Some health care centers are working to reopen after being temporarily closed. Cedars-Sinai shared in an update on its website Monday that it was planning to resume non-urgent and non-emergency procedures, some of which it had postponed because of the fires.
“Our Medical Network has reopened most outpatient offices and surgery centers that had been temporarily closed, including locations in Brentwood/West Los Angeles, Los Feliz, Pasadena and Santa Monica. We continue to do everything possible to minimize any disruptions to care,” Cedars-Sinai’s update stated.
Additionally, City of Hope Comprehensive Cancer Center, which has locations in four states including California, said its main campus in Duarte and all of its outpatient clinics are open as staff work to accommodate patients “whose care was impacted over the last few days.”
(NEW YORK) — Authorities are looking into online accounts believed to be those of Luigi Mangione, the 26-year-old Ivy League graduate charged with murder in the fatal shooting of UnitedHealthcare CEO Brian Thompson on a Manhattan street, that have posted about health struggles and possible medical successes.
Mangione appeared to operate a Reddit profile where he detailed health issues including back pain, brain fog and sciatica. The account made several posts on a subreddit dedicated to spondylolisthesis — a condition where a vertebra slips out of alignment. Mangione also might have planned to read or already read multiple books on back pain based on a Goodreads account associated with him.
Law enforcement sources have told ABC News that the Reddit profile — which has since been taken down — is being reviewed for additional details about the extent of the injuries mentioned. A Reddit spokesperson told ABC News regarding the page that their policy is to suspend accounts that may potentially be related to suspects in high-profile criminal investigations.
Mangione is accused of gunning down Thompson outside a Midtown Manhattan hotel on Dec. 4. Written on the shell casings were the words “deny,” “defend” and “depose,” according to police sources. Mangione was apprehended in Altoona, Pennsylvania, on Monday after nearly one week on the run. He allegedly had a spiral notebook detailing plans about how to eventually kill the CEO, according to law enforcement officials.
Mangione is being held without bail in Pennsylvania, where he faces charges including allegedly possessing an untraceable ghost gun. Defense attorney Thomas Dickey told reporters on Tuesday that Mangione will plead not guilty to the Pennsylvania charges. He said he anticipates that Mangione will also plead not guilty to the second-degree murder charge in New York.
The posts and reading lists paint a picture of someone seeking answers, sharing how spinal fusion surgery brought the author relief after years of discomfort.
“Chronic pain can be incredibly debilitating. It can affect every aspect of your life,” Dr. Joseph Shrand, chief medical officer of Riverside Community Care in Massachusetts and a Harvard Medical School faculty member, told ABC News.
While the Reddit posts suggest a spinal surgery was a significant moment in his life, the author of the posts said the procedure left him pain-free, and he frequently encouraged others to undertake similar procedures.
In an August 2023 post, the user remarked how his spinal injury was once “completely devastating” and worried he was “destined to chronic pain and a desk job for the rest of my life” before considering surgery.
Chronic pain, defined as pain lasting three months or more, affects about 50 million U.S. adults, according to the National Institutes of Health. Of these, 17 million Americans experience “high impact” chronic pain, which is so debilitating that it disrupts daily activities like work, self-care and relationships, the NIH says.
Women, older adults, and those living in poverty or rural areas tend to report the highest rates of persistent pain. So do people who are divorced or separated, identify as bisexual, or say they are generally in poor health, according to the NIH.
Studies suggest that chronic pain can put people at a higher risk of mental health struggles, as well as create a financial burden.
Research shows that between 35% to 45% of those with chronic pain experience depression, while anxiety disorders are similarly common. Pain may interfere with sleep, increase stress, and create cycles of declining mental and physical health.
“Chronic pain puts you at a disadvantage mentally because you may think other people see you as broken,” Shrand said. “There will be times where you may feel in such physical pain that it becomes emotional pain, too.”
Some studies suggest a biological link between chronic pain and mental health disorders. For example, depression can heighten pain sensitivity, reinforcing the connection between the two, according to a study in the journal Neural Plasticity.
Chronic pain affects every facet of life. It can limit employment opportunities, disrupt social connections and lead to cognitive challenges, including “brain fog.”
“People have difficulty getting out of bed in the morning because their backs hurt, which means that they’re potentially at risk of coming into work late, which then puts them at risk for the cascade effects of all those things that can happen because they are now perceived as a person who isn’t doing their job right,” Shrand said.
Chronic pain can lead to a substantial financial burden, as well. According to one Journal of Pain study, individuals with severe pain spend more than $4,000 more annually on health care versus those without pain.
Managing chronic pain requires a combination of medical, psychological and lifestyle interventions, but insurance often prioritizes medications and procedures with inconsistent results.
For instance, lumbar fusion surgeries — such as the one purportedly described by Mangione — are commonly performed but often fail to provide lasting relief, according to various studies.
When Mangione was arrested on Monday, he had “written admissions about the crime” with him, according to the New York arrest warrant.
Mangione had several handwritten pages on him that expressed a “disdain for corporate America” and indicated “he’s frustrated with the health care system in the United States,” NYPD Chief of Detectives Joe Kenny told ABC News’ “Good Morning America” on Tuesday.
The words on the bullets echo the title of the 2010 book “Delay, Deny, Defend: Why Insurance Companies Don’t Pay Claims and What You Can Do About It.” Police are aware of the similarity, and are investigating whether one possible motive is anger at the insurance industry, sources said.
While the Reddit posts suggest a spinal surgery was a significant moment in his life, the author of the posts said the procedure left him pain-free, and he frequently encouraged others to undertake similar procedures.
One of Mangione’s apparent posts on the r/Spondylolisthesis subreddit in February 2024 referred to having had a surgery for the condition six months prior. The author said that “[w]within 7 days of the fusion I was on zero pain meds.”
Many widely used approaches, such as opioids or steroid injections, provide only temporary solutions to chronic pain. Meanwhile, treatments like cognitive behavioral therapy, yoga and acceptance therapy show promise but remain difficult to access due to cost and insurance coverage gaps.
However, many chronic pain patients face a maze of treatments that don’t fully address their needs or the root causes of their pain.
Shrand said the best approach often requires a combination of solutions.
“You can’t just attack the physical. You’ve got to address the biological, mental and social aspects of life,” he said. “You can manage this pain — it’s part of your body, and we can find a way to take care of you.”
ABC News’ Peter Charalambous, Aaron Katersky, Kerem Inal, Chris Looft and Sasha Pezenik contributed to this report.