niman

https://data.ct.gov/stories/s/q5as-kyim?print=true

New Confirmed Cases¹ 445 Established via PCR testing New Probable Cases² 125 Established via antigen testing New Lab-Confirmed Deaths 5 Source: CDRSS No data Reproductive Rate of Virus (Rt) Pending https://www.nj.gov/health/cd/topics/covid2019_dashboard.shtml

https://coronavirus.health.ny.gov/covid-19-testing-tracker#/signin?externalRedirect=%2Fviews%2FNYS-COVID19-Tracker%2FNYSDOHCOVID-19Tracker-Map%3F%3Aembed%3Dyes%26%3Atoolbar%3Dno%26%3Atabs%3Dn&site=

Number of confirmed cases : 1,374,275 Testing % Positive : 3.72% Total testing volume : 24,614,013 Daily testing Volume : 2,185 Number of confirmed deaths : 16,393 Number of probable deaths : 277 Currently hospitalized (Total/Adult/Pediatric): 135 / 133 / 2 Acute care (Total/Adult/Pediatric): 112 / 110 / 2 Intensive care (Total/Adult/Pediatric): 23 / 23 / 0 https://coronavirus.maryland.gov/

https://www.dhs.wisconsin.gov/covid-19/cases.htm

https://cvprovider.nmhealth.org/public-dashboard.html

https://msdh.ms.gov/msdhsite/_static/14,0,420.html#highcase

https://doh.wa.gov/emergencies/covid-19/data-dashboard

https://data.ct.gov/stories/s/q5as-kyim?print=true

New Confirmed Cases¹ 132 Established via PCR testing New Probable Cases² 28 Established via antigen testing New Lab-Confirmed Deaths 3 Source: CDRSS No data Reproductive Rate of Virus (Rt) .85 https://www.nj.gov/health/cd/topics/covid2019_dashboard.shtml

https://coronavirus.health.ny.gov/covid-19-testing-tracker#/signin?externalRedirect=%2Fviews%2FNYS-COVID19-Tracker%2FNYSDOHCOVID-19Tracker-Map%3F%3Aembed%3Dyes%26%3Atoolbar%3Dno%26%3Atabs%3Dn&site=

https://www.latimes.com/projects/california-coronavirus-cases-tracking-outbreak/

Number of confirmed cases : 1,373,734 Testing % Positive : 3.73% Total testing volume : 24,606,629 Daily testing Volume : 3,680 Number of confirmed deaths : 16,386 Number of probable deaths : 277 Currently hospitalized (Total/Adult/Pediatric): 129 / 129 / 0 Acute care (Total/Adult/Pediatric): 112 / 112 / 0 Intensive care (Total/Adult/Pediatric): 17 / 17 / 0 https://coronavirus.maryland.gov/

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New York Queens03 Live Bird Market 1,300 4/5/23 https://www.aphis.usda.gov/aphis/ourfocus/animalhealth/animal-disease-information/avian/avian-influenza/hpai-2022/2022-hpai-commercial-backyard-flocks

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OUTBREAK REFERENCE - START DATE 2023/03/30 END DATE - DETAILED CHARACTERISATION - FIRST ADMINISTRATIVE DIVISION Nebraska SECOND ADMINISTRATIVE DIVISION Buffalo THIRD ADMINISTRATIVE DIVISION - EPIDEMIOLOGICAL UNIT Not applicable LOCATION Buffalo County Latitude, Longitude 40.689 , -99.082 (Approximate location) OUTBREAKS IN CLUSTER - MEASURING UNIT Animal AFFECTED POPULATION DESCRIPTION Domestic cat (Felis catus). Clinical signs included lethargy and anorexia. Species Susceptible Cases Deaths Killed and Disposed of Slaughtered/ Killed for commercial use Vaccinated Cats (DOMESTIC) NEW - 1 - 1 - - TOTAL - 1 - 1 - -

Domestic cat (Felis catus). Clinical signs included lethargy and anorexia. https://wahis.woah.org/#/in-review/4451?reportId=160253&fromPage=event-dashboard-url

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In January, an outdoor, adult, domestic longhaired cat presented to the University of Nebraska Veterinary Diagnostic Center for postmortem examination after a history of rapid decline with clinical signs of anorexia, recumbency, anisocoria, pyrexia, seizures, tremors, nystagmus, loss of proprioception, and hyperesthesia. Gross necropsy revealed only a few visible changes to the organs including pulmonary congestion and edema, mild pericardial transudative effusion, and a subtle darkening of areas of the cerebrocortical grey matter. Complete histopathology examination revealed necrotizing lesions in the kidney, liver, adrenal gland, and pancreas; encephalitis with patches of extensive neuronal degeneration and necrosis, particularly in the cerebral cortex; and edema, vessel congestion, and mild inflammation in the lung and epicardium. The lesions were recognized as suspicious for highly pathogenic avian influenza virus infection, which was confirmed with molecular diagnostics. The PCR Ct value for avian influenza in the brain of this cat was remarkably low (12), indicating a very large amount of virus in the brain, as consistent with an acute infection. Highly pathogenic avian influenza Eurasian strain H5N1 was verified by molecular assay at National Veterinary Services Laboratories (NVSL). Three other outdoor domestic cats of this household were noted at risk, and one of them developed clinical signs shortly after the first affected cat. This cat was described as somnolent and had episodes of walking in circles (circling). The cat was responsive to stimuli and seemed to eat and drink normally. It lived 10 days with neurologic impairment, when the cat suddenly became laterally recumbent with continual tremors, necessitating euthanasia. Gross necropsy documented major lesions only in the brain. There was excessive bloody cerebrospinal fluid from the subarachnoid space and obvious areas of malacia and hemorrhage in the cerebral cortex. On histopathology of affected brain, there was extensive loss of neurons with severe vacuolation and collapse of the supporting parenchyma, accompanied by reactive changes including astrogliosis and lymphocytic perivascular cuffs. Avian influenza was detected in the brain, although the PCR Ct value was higher (30), a consequence of the infection being chronic and/or less initial virus burden. Eurasian strain H5N1 was verified at NVSL. Acute hemorrhage from the damaged cortex leading to increased intracranial pressure could have caused the neurological crisis in this second cat. The remaining two cats in the household have been reportedly normal and nasal swabs collected from them did not detect avian influenza virus. https://vbms.unl.edu/VDC/documents/HPAI_Cats.pdf

- START DATE 2023/01/10 END DATE - DETAILED CHARACTERISATION - FIRST ADMINISTRATIVE DIVISION Nebraska SECOND ADMINISTRATIVE DIVISION Madison THIRD ADMINISTRATIVE DIVISION - EPIDEMIOLOGICAL UNIT Backyard LOCATION Madison County Latitude, Longitude 41.844 , -97.455 (Approximate location) OUTBREAKS IN CLUSTER - MEASURING UNIT Animal AFFECTED POPULATION DESCRIPTION Domestic cat (Felis catus). Outside cat that had been missing for 2 days. Clinical signs included seizures and excessive reaction to touch, light and sound. Samples were collected on a second domestic cat on the same property 21 Jan 2023. Species Susceptible Cases Deaths Killed and Disposed of Slaughtered/ Killed for commercial use Vaccinated Cats (DOMESTIC) NEW - 1 - 1 - - TOTAL - 2 - 2 - -

Domestic cat (Felis catus). Outside cat that had been missing for 2 days. Clinical signs included seizures and excessive reaction to touch, light and sound. Samples were collected on a second domestic cat on the same property 21 Jan 2023. https://wahis.woah.org/#/in-review/4451?reportId=159048&fromPage=event-dashboard-url

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OUTBREAK REFERENCE - START DATE 2023/03/22 END DATE - DETAILED CHARACTERISATION - FIRST ADMINISTRATIVE DIVISION Wyoming SECOND ADMINISTRATIVE DIVISION Hot Springs THIRD ADMINISTRATIVE DIVISION - EPIDEMIOLOGICAL UNIT Not applicable LOCATION Hot Springs County Latitude, Longitude 43.647 , -108.201 (Approximate location) OUTBREAKS IN CLUSTER - MEASURING UNIT Animal AFFECTED POPULATION DESCRIPTION Feral domestic cat (Felis catus). Species Susceptible Cases Deaths Killed and Disposed of Slaughtered/ Killed for commercial use Vaccinated Domestic cat (WILD) NEW - 1 1 - - - TOTAL - 1 1 - - - https://wahis.woah.org/#/in-review/4451?reportId=160253&fromPage=event-dashboard-url

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