[HN Gopher] America's first bird flu death reported in Louisiana
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       America's first bird flu death reported in Louisiana
        
       Author : bikenaga
       Score  : 36 points
       Date   : 2025-01-06 21:16 UTC (1 hours ago)
        
 (HTM) web link (www.cnn.com)
 (TXT) w3m dump (www.cnn.com)
        
       | biofox wrote:
       | This is concerning, but not worth panicking about yet. The person
       | had direct contact with infected birds, so there is no evidence
       | of human-to-human transmission.
       | 
       | For those wanting to learn more about bird flu, and flu in
       | general, I highly recommend the recent Scott Alexander post:
       | 
       | https://www.astralcodexten.com/p/h5n1-much-more-than-you-wan...
       | 
       | [Edited for clarity]
        
         | krunck wrote:
         | Thanks. Excellent article.
         | 
         | This made me laugh: "If reassortment is sort of like viral sex,
         | pigs are sort of like Tinder."
        
         | xmddmx wrote:
         | The person who got infected in Canada came very close to dying.
         | They were on ECMO for a while.
         | https://www.nejm.org/doi/full/10.1056/NEJMc2415890
        
           | timr wrote:
           | > 13-year-old girl with a history of mild asthma and an
           | elevated body-mass index of greater than 35
           | 
           | Essential context. That's the equivalent of a 5'4" (163cm)
           | woman at >=205 lbs (93kg).
        
         | locopati wrote:
         | Maybe not worth panicking about, but given LA official attitude
         | towards vaccines [1] which is likely mirrored by other
         | Republican run states, it's only a matter of time before
         | there's an outbreak of some transmissible disease.
         | 
         | [1] https://www.npr.org/sections/shots-health-
         | news/2024/12/20/nx...
        
           | wmf wrote:
           | There's already a (regular) flu outbreak in Louisiana and
           | people are probably dying from it but it's not considered
           | newsworthy because people die from flu every year.
        
             | timr wrote:
             | Please don't speculate. We know what serotypes are
             | circulating in humans, and they're not this type.
        
           | perihelions wrote:
           | - _" Louisiana forbids public health workers from promoting
           | COVID_, flu _and mpox shots_ "
           | 
           | I've [vouch]ed for this flagged comment because it seems
           | clearly on topic. (?)
        
         | NewJazz wrote:
         | This is something to worry about if you have a backyard flock.
        
           | bee_rider wrote:
           | Is there a large non-worried population posting from
           | somewhere without access to, uh, the sky?
        
       | timr wrote:
       | > But even if the actual case fatality rate were 10 times lower -
       | about 5% - it would still be a serious virus to contend with. The
       | case fatality rate for the ancestral strain of Covid-19 was
       | estimated to be around 2.6%, for example.
       | 
       | Ugh. The news media never learns [1]:
       | 
       | 1) The _IFR_ for Covid-19 was not 2.6%. Less than a tenth of
       | that, actually (yes, even for the ancestral strains).
       | 
       | 2) "CFR" is a made up number, because it depends on what cases
       | you count. If you count only a sample of people in the ICU, you
       | can make the CFR look horrible for pretty much any illness. We
       | made this mistake during covid!
       | 
       | 3) You _can see the same mistake in progress here_ , because you
       | can't just take this sample of _deaths you looked for_ , divide
       | it by the _cases you know about_ , scale it down by a random
       | factor (that you pulled out of your butt), and then panic about
       | the result [2].
       | 
       | [1] or more likely: never _wants_ to learn, because fear drives
       | clicks.
       | 
       | [2] for those who wonder: the right way to do this is random
       | sampling -- you at least have to sample the population randomly
       | to estimate seroprevalence correctly.
        
         | perihelions wrote:
         | - _" for those who wonder: the right way to do this is random
         | sampling -- you at least have to sample the population randomly
         | to estimate seroprevalence correctly"_
         | 
         | There was a recent experiment that found 7% antibody prevalence
         | in US diary workers,
         | 
         | https://www.cdc.gov/mmwr/volumes/73/wr/mm7344a3.htm
        
         | sampo wrote:
         | > The IFR for Covid-19 was not 2.6%. Less than a tenth of that,
         | actually
         | 
         | If we take the number of Covid deaths for, for example New
         | Jersey (the whole state) or New York City from Wikipedia as:
         | 26,795 [1] and 40,000 [2] and divide by the total population
         | (9.5M and 8.8M), we get IFR estimates of 0.28% and 0.51% for NJ
         | and NYC.
         | 
         | [1] "As of January 11, 2022, 1.63 million cases were confirmed
         | in the state, incurring 26,795 deaths."
         | 
         | [2] "As of August 19, 2023 the city's confirmed COVID-19 deaths
         | exceeded 45,000 and probable deaths exceeded 5,500."
        
       | leotravis10 wrote:
       | Another pandemic is surely coming as the US has already lost
       | control. It'll get ugly real fast with no safeguards whatsoever.
       | 
       | https://kffhealthnews.org/news/article/bird-flu-spread-cattl...
        
         | hall0ween wrote:
         | Geez
        
       | pottertheotter wrote:
       | I don't know if this will help anyone, but my sister is an expert
       | in this area. She is an infectious disease epidemiologist with a
       | couple decades of experience. She was the head of vaccine-
       | preventable epidemiology for one of the states in the U.S., and
       | is now the head of epidemiology data and informatics for that
       | state.
       | 
       | Over the holidays, I was asking her about bird flu because some
       | of the things I was reading were frightening, but I wasn't sure
       | what to make of them.
       | 
       | When I showed her this paper that is linked to in another comment
       | here https://www.nejm.org/doi/full/10.1056/NEJMc2415890, she
       | responded with this:
       | 
       | Everyone will react differently to the flu. There are kids in her
       | exact situation that have that kind of reaction to the normal
       | flu. However, it is still concerning. If the virus does cause
       | more severe illness overall and it does mutate to become person-
       | to-person, we are in trouble.
       | 
       | That is the hardest thing about public health--you just don't
       | know which way things will swing. So you are always on the edge
       | of either overreacting or underreacting.
        
         | dbish wrote:
         | What did your sister say before the last pandemic?
        
       | ruthmarx wrote:
       | Time to invest in bleach shares.
        
       | asdasdsddd wrote:
       | Im not worried since this one wasnt created in a lab. Only half
       | joking.
        
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       (page generated 2025-01-06 23:00 UTC)