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Presser on 11/12/24

On November 9, 2024 a case of H5N1 was reported in a teen in Fraser Health region (see the above news release for more information). Genomic sequencing results from this case indicated that the virus is related to the H5N1 avian influenza viruses from the ongoing epizootic in British Columbia (Influenza A (H5N1). clade 2.3.4.4b, genotype D.1 .1). The genome has a E627K mutation in the PB2 gene, which has previously been observed in other human and mammalian infections. http://www.bccdc.ca/health-info/diseases-conditions/avian-influenza

Bonnie Henry to provide update on B.C. teen infected with H5N1 avian flu Story by Amy Judd • 2h • 1 min read Provincial health officer Dr. Bonnie Henry will provide an update Tuesday morning on the status of a B.C. teenager infected with H5N1 avian influenza and the investigation into the case. The press conference will take place at 11 a.m. PT. On. Nov. 13, the Public Health Agency of Canada confirmed that a teen in B.C. Children’s Hospital was infected with a human case of avian influenza — also known as bird flu — caused by influenza A(H5N1) virus in Canada This is the first domestically acquired human case of H5N1 avian influenza. Few details about the teen's condition have been released since then but at that time it was reported that the teen was in serious condition. Human infection with avian influenza A(H5N1) is rare and usually occurs after close contact with infected birds, other infected animals or highly contaminated environments. This story will be updated with more information following the press conference on Tuesday.

Provincial health officer Dr. Bonnie Henry will provide an update Tuesday morning on the status of a B.C. teenager infected with H5N1 avian influenza and the investigation into the case. The press conference will take place at 11 a.m. PT https://www.msn.com/en-ca/health/other/bonnie-henry-to-provide-update-on-b-c-teen-infected-with-h5n1-avian-flu/ar-AA1uJZkn

7,562 views Aug 28, 2024 Back to the People Mark McAfee is a fifth generation farmer, owning and operating Raw Farm, the largest raw dairy operation in the world. He works to offer raw dairy products intended for human consumption, advocating for their non-allergenic, digestible, and probiotic properties. He is the Chairman of the Raw Milk Institute, founded in 2012, which seeks to improve the safety and quality of raw milk products. He is committed to promoting the health benefits of raw dairy products and maintaining sustainable farming practices, making him one of the foremost leaders in the field. Off the farm, he lectures on the gut biome benefits of raw milk at Stanford, University of Southern California, and medical schools in the United States, Australia, and Canada.

PB2 GISAID Tree

N1 GISAID Tree

H5 GISAID Tree

NS seq had 501 positions which were exact match with five sequences at GISAID A/domestic cat/Texas/062222-24-1-4/2024 | 3/19/24 A/domestic cat/Texas/062222-24-1-3/2024 | 3/19/24 A/dairy cow/Texas/067041-24-1/2024 | 3/15/24 A/dairy cow/Texas/063200-24-6/2024 | 3/15/24 A/dairy cow/Texas/057377-24-8/2024 | 3/15/24

A/dairy cow/Missouri/BI-MD-031/2024 | 6/11/24 recent upload to GISAID on 11/24/24 was a partial sequence for all eight segments

Breaking Bird Flu Detected In Batch Of Raw Milk Sold In California Siladitya Ray Forbes Staff Siladitya Ray is a New Delhi-based Forbes news team reporter. Updated Nov 25, 2024, 03:55am EST Topline California state health officials said the bird flu virus was detected in a batch of raw milk sold at retail stores across the state, prompting a voluntary recall, as authorities once again warned about the risks of consuming unpasteurized milk—a practice some social media influencers and right-wing figures, including Robert F. Kennedy Jr., have promoted. A bottle of raw milk from Raw Farm is displayed for sale at a store in Temecula, California. Associated Press Key Facts The California Department of Public Health said the virus was detected in a batch of cream top, whole raw milk sold by Fresno-based dairy farm, Raw Farm—which has issued a voluntary recall at the state’s request. The virus was detected in samples tested by the Santa Clara Public Health Laboratory, which collects and tests raw milk from retail shelves as a “second line of consumer protection,” the statement said. No illnesses linked to the affected raw milk lot have been reported so far. The agency urged people not to consume any of the affected milk and return any remaining product, while retailers have been informed to remove the affected batch from shelves. The California Department of Food and Agriculture—which has conducted weekly tests of raw milk in bulk tanks after bird flu was detected in dairy cattle in the state—will now “begin testing for bird flu twice per week” at Raw Farm’s locations, the agency said. What Are The Risks Of Drinking Raw Milk? In its notice, the state health department highlighted the risks associated with consuming raw milk—which is milk that has not been pasteurized to kill bacteria and viruses. The agency said outbreaks of “Salmonella, Listeria monocytogenes, toxin-producing E. coli, Brucella, Campylobacter and many other bacteria,” have been linked to the consumption of raw dairy products. The agency noted that pasteurized milk and milk products are safe to consume. Pasteurization is a simple process of “heating milk to a high enough temperature for a certain length of time” to kill any dangerous pathogens. Key Background Several prominent online influencers—like Joe Rogan—and right-wing figures have promoted the consumption of raw milk with dubious claims about its health benefits. Health and Human Services Secretary nominee, Robert F. Kennedy Jr. has also emerged as a prominent supporter of unpasteurized dairy and has even said he only drinks raw milk. In a post on X last month, Kennedy threatened to fire FDA employees who he accused of waging a “war on public health.” Among his list of grievances was the agency’s supposed “aggressive suppression” of things like raw milk. The Centers for Disease Control and Prevention (CDC), however, notes that pasteurized milk “offers the same nutritional benefits without the risks of raw milk consumption.” In its guidance for preventing a bird flu infection, the CDC mentions raw milk as a potential source, telling people to not “ touch or consume raw milk or raw milk products, especially from animals with confirmed or suspected avian influenza A virus infection.” Big Number 55. That is the total number of H5 bird flu cases among people across the U.S., according to CDC data. However, there have been no reported cases of person-to-person spread so far. Further Reading How Raw Milk Went from a Whole Foods Staple to a Conservative Signal (Politico) RFK Jr. says he drinks raw milk. How safe is unpasteurized milk? (Washington Post) https://www.forbes.com/sites/siladityaray/2024/11/25/bird-flu-detected-in-batch-of-raw-milk-sold-in-california/

Raw Milk LLC recalls batch of raw milk after bird flu virus found in sample Marianne Ratcliff Nov 24, 2024 Updated 2 hrs ago 0 Facebook Twitter Email Facebook Twitter Email Print Copy article link Save Photos by California Department of Public Health At the request of the California Department of Food and Agriculture, Raw Farm LLC of Fresno County has issued a recall of one batch of cream top, whole raw milk it produced and packaged due to a detection of bird flu virus in a retail sample. The voluntary recall affects its raw milk with lot code 20241109 and "Best By" date of 11/27/2024 printed on the packaging. Due to the bird flu virus being detected in one retail sample from a batch of raw milk from the Raw Milk LLC company in Fresno County, the company is voluntarily recalling the batch with lot code 20241109 and "Best By" date of 11/27/2024 printed on the packaging. In announcing the recall it requested on Nov. 24, the California Department of Public Health emphasized that pasteurized milk is safe to drink and that no illnesses from drinking Raw Milk LLC's product have been reported. Pasteurized milk and milk products are safe to consume because the heating process kills pathogens, including bird flu, that can cause illness. In a news release (https://www.cdph.ca.gov/Programs/OPA/Pages/NR24-039.aspx) on Nov. 24, CDPH provided the following information to the public: What the public needs to know "Out of an abundance of caution, and due to the ongoing spread of bird flu in dairy cows, poultry, and sporadic human cases, consumers should not consume any of the affected raw milk. Customers should immediately return any remaining product to the retail point of purchase. CDPH is also notifying retailers to remove the affected raw milk from their shelves. "The county of Santa Clara Public Health Laboratory has been testing raw milk products from retail stores as a second line of consumer protection. The county identified bird flu in one sample of raw milk purchased at a retail outlet. The testing was then verified by the California Animal Health and Food Safety Laboratory System. Risks associated with raw milk "Public health experts have long warned consumers against consuming raw milk or raw milk products due to elevated risks of foodborne illness. Outbreaks due to Salmonella, Listeria monocytogenes, toxin producing E. coli, Brucella, Campylobacter, and many other bacteria have all been reported related to consuming raw dairy products. ... "Drinking or accidentally inhaling raw milk containing bird flu virus may lead to illness. In addition, touching your eyes, nose, or mouth with unwashed hands after touching raw milk with bird flu virus may also lead to infection. "Symptoms of bird flu infection in humans include eye redness or discharge, cough, sore throat, runny or stuffy nose, diarrhea, vomiting, muscle or body aches, headaches, fatigue, trouble breathing and fever. Anyone who has consumed these specific products, and is experiencing these symptoms, should immediately contact their health care provider or local health department. California agencies regularly tests raw milk "As part of the state’s bird flu response, testing of raw milk from dairies has been increased to help prevent raw milk consumers from getting the virus. Once bird flu was found in California dairy herds, the California Department of Food and Agriculture began weekly testing of raw milk in bulk tanks. In response to this positive test from a retail milk product, CDFA followed up with testing at both of Raw Farm LLC’s locations — results were negative for the virus — and now will begin testing for bird flu twice per week. Pasteurized milk is safe to drink "Pasteurized milk is safe to drink. Pasteurization, one of the most significant scientific food safety discoveries in human history, is the process of heating milk to specific temperatures for a certain length of time to kill many microorganisms and enzymes that lead to spoilage and illness. Pasteurization kills the bird flu virus and other harmful germs that can be found in raw milk. CDPH advises consumers not to drink raw milk or eat raw milk products due to the risk of foodborne illnesses. About bird flu "Since early October, California has reported 29 confirmed human cases of bird flu, 28 of whom had direct contact with infected dairy cows. To date, all cases have reported mild symptoms (primarily eye infections), and none have been hospitalized. Because bird flu viruses can change and gain the ability to spread more easily between people, public health officials have provided preventive measures and are monitoring animal and human infections carefully. Protecting public health "California continues to take swift and comprehensive action in response to the detection of bird flu in dairy cows across the Central Valley, demonstrating a strong commitment to public health and worker safety. While the overall risk to the public remains low, the state is prioritizing containment efforts, raising public awareness, and providing resources to those at higher risk. Key initiatives include the distribution of personal protective equipment (PPE), increased testing, and robust surveillance of infected areas. "Through coordinated efforts between agencies like California Office of Emergency Services, CDPH and the California Department of Food and Agriculture, California is leading a cross-agency response that includes multilingual outreach to dairy and poultry workers, a targeted social media campaign to promote preventive practices, and media interviews to keep the public informed. Additionally, the state is ensuring that farm workers have access to additional doses of seasonal flu vaccine from the Centers for Disease Control and Prevention to reduce concurrent flu risks. Specifically, the state is: " • Working with local, state, and federal partners to monitor bird flu in farm animals and people who work closely with poultry and dairy cows. " • Distributing protective gear to dairy farms and workers who have contact with infected dairy cows or raw milk to reduce the risk of getting bird flu. " • Helping ensure individuals with symptoms of or exposure to bird flu have access to testing and treatment. " • Conducting timely public education y efforts (https://www.cdph.ca.gov/Programs/OPA/Pages/Communications-Toolkits/Bird-Flu.aspx) to ensure those impacted have information about bird flu. How bird flu spreads " • Touching the eyes, nose, or mouth with unwashed hands after contact with raw milk from an infected cow, or other contaminated items or surfaces. " • Raw milk from an infected cow splashed into eyes, nose, or mouth. " • Drinking raw milk from a cow infected with bird flu virus. More resources " For the latest information on the state’s bird flu response, visit CDPH’s Bird Flu webpage and CDFA’s H5N1 Bird Flu Virus in Livestock site: https://www.cdfa.ca.gov/AHFSS/Animal_Health/HPAI.html. " For information on the national bird flu response, see CDC's Bird Flu Response Update: https://www.cdc.gov/bird-flu/situation-summary/index.html " For work-related questions or complaints related to bird flu, contact the Cal/OSHA Call Center in English or Spanish at 1-833-579-0927. Employers can contact the California Occupational Health and Safety Division at 800-963-9424 for a free consultation to strengthen their illness and injury safety program. "Farmers should contact the California Department of Food and Agriculture’s bird flu hotline at 866-922-2473 if they suspect their animals are infected with bird flu." https://www.ojaivalleynews.com/news/raw-milk-llc-recalls-batch-of-raw-milk-after-bird-flu-virus-found-in-sample/article_7ca616ea-aaf4-11ef-94f6-5fbe12cec2ef.html

Bird Flu Detected In Batch Of Raw Milk Sold In California Story by Siladitya Ray, Forbes Staff • 3h • 2 min read Topline California state health officials said the bird flu virus was detected in a batch of raw milk sold at retail stores across the state, prompting a voluntary recall, as authorities once again warned about the risks of consuming unpasteurized milk—a practice some social media influencers and right-wing figures, including Robert F. Kennedy Jr., have promoted. A bottle of raw milk from Raw Farm is displayed for sale at a store in Temecula, California. Associated Press Key Facts The California Department of Public Health said the virus was detected in a batch of cream top, whole raw milk sold by Fresno-based dairy farm, Raw Farm—which has issued a voluntary recall at the state’s request. The virus was detected in samples tested by the Santa Clara Public Health Laboratory, which collects and tests raw milk from retail shelves as a “second line of consumer protection,” the statement said. No illnesses linked to the affected raw milk lot have been reported so far. The agency urged people not to consume any of the affected milk and return any remaining product, while retailers have been informed to remove the affected batch from shelves. The California Department of Food and Agriculture—which has conducted weekly tests of raw milk in bulk tanks after bird flu was detected in dairy cattle in the state—will now “begin testing for bird flu twice per week” at Raw Farm’s locations, the agency said. What Are The Risks Of Drinking Raw Milk? In its notice, the state health department highlighted the risks associated with consuming raw milk—which is milk that has not been pasteurized to kill bacteria and viruses. The agency said outbreaks of “Salmonella, Listeria monocytogenes, toxin-producing E. coli, Brucella, Campylobacter and many other bacteria,” have been linked to the consumption of raw dairy products. The agency noted that pasteurized milk and milk products are safe to consume. Pasteurization is a simple process of “heating milk to a high enough temperature for a certain length of time” to kill any dangerous pathogens. https://www.msn.com/en-us/health/nutrition/bird-flu-detected-in-batch-of-raw-milk-sold-in-california/ar-AA1uH3X7?ocid=BingNewsBrowse Related video: Human Bird Flu Cases Are Going Overwhelmingly Undetected in the US: CDC Report (Veuer)

Bird flu detected in raw milk sold at California store The H5N1 virus was found in a sample of unpasteurized milk at a store, prompting a recall of one batch. Health agencies have warned against the growing dietary fad. 3 min 50 Bottles of raw milk on display for sale at a store in Temecula, California, on May 8, 2024. (JoNel Aleccia/AP) By Kelly Kasulis Cho November 25, 2024 at 1:08 a.m. EST Bird flu, a virus that can also affect humans, has been discovered in a batch of raw milk sold in California store refrigerators, state regulators said Sunday. While there have been no reported illnesses in this most recent case, it comes just a few days after a child tested positive for bird flu for the first time in U.S. history. Bird flu was detected in whole raw milk from Raw Farm that has a “best by” date of Nov. 27, 2024, the California Department of Public Health said. Raw Farm has issued a voluntary recall, and retailers have been notified to pull the product from their refrigerator racks, the department added. Consumers who may have it in their homes are advised not to drink it. Concerns over the H5N1 avian virus are mounting this year after scientists began detecting it in mammals such as dairy cows, indoor and outdoor cats, mice and a backyard pig. The H5 virus, formerly understood to circulate only among birds, has now also infected at least 55 people in the United States this year. However, the CDC says that infection via an intermediary animal happens “very rarely.” Unlike pasteurized milk — which undergoes a heating process that kills bacteria and viruses such as H5N1 — raw milk is associated with a number of serious health risks, including exposure to salmonella, E. coli, brucella, campylobacter and listeria. “Public health experts have long warned consumers against consuming raw milk or raw milk products due to elevated risks of foodborne illness,” the CDPH said. “Drinking or accidentally inhaling raw milk containing bird flu virus may lead to illness. In addition, touching your eyes, nose, or mouth with unwashed hands after touching raw milk with bird flu virus may also lead to infection,” it added. Pasteurization, named after 19th-century chemist Louis Pasteur, has been used routinely in milk production in the United States since the 1920s. By the 1950s, it had become a widespread practice that “led to dramatic reductions in the number of people getting sick,” the CDC said. The practice is known to kill the H5N1 virus in milk. Yet dairy farmers say they’ve been seeing an increasing demand for unpasteurized milk, with social media influencers and raw dairy evangelists touting raw milk online to millions of viewers, often claiming unproven or largely disproven health benefits. Some states have taken steps to legalize its sale on store shelves. Robert F. Kennedy Jr. — who was recently tapped by President-elect Donald Trump to lead the Department of Health and Human Services — has said he wants to boost access to it. The actress Gwyneth Paltrow, who has been criticized for touting unsupported health claims via her wellness brand Goop, said in a podcast interview that she drinks unpasteurized cream in her coffee daily, promoting the same brand of raw milk whose product is being pulled from California stores this week. Though it’s possible to contract the virus through drinking raw milk, the majority of known human cases of H5N1 in the United States have been transmitted through close, prolonged and unprotected contact with infected birds — or places contaminated with their bodily fluids, according to the CDC. Humans can become infected when the virus is inhaled through dust or droplets in the air, or gets into a person’s eyes, nose or mouth. As for symptoms, bird flu in humans has presented itself with a wide range of severity. Some have shown no sign of illness at all, the CDC said, while others have experienced severe symptoms or died of the disease. No deaths have been reported in the United States. Share 50Comments By Kelly Kasulis Cho Kelly Kasulis Cho is a breaking news reporter and editor at The Washington Post, based in Seoul. Previously, she spent four years covering North and South Korea as a freelance foreign correspondent, and she has also worked at the New York Times and Bloomberg BNA. Follow her on Twitter: @KasulisK.follow on X @kasulisk https://www.washingtonpost.com/health/2024/11/25/bird-flu-virus-h5n1-milk/

A dairy farm in California has issued a voluntary raw milk recall after H5N1 bird flu was detected in samples. Raw Farm, in Fresno, is recalling cream-top raw milk products produced on November 9. These products have a best-by date of November 27 and the lot ID number 20241109. The Santa Clara County Public Health Department detected the virus during routine testing of raw milk samples from retail stores. The department detected the virus on November 21, and the following day, the county contacted retailers to recommend that the affected products be pulled from shelves. Raw milk has been in the news recently as some Republicans have touted the benefits of drinking it, despite the spread of the H5N1 virus among dairy cows. Robert F. Kennedy Jr., Donald Trump's pick to lead the Department of Health and Human Services, has also promoted raw milk. The test returned positive results for the "H5" part of the H5N1 virus. However, finding H5 in a California dairy product suggests the presence of H5N1, as no other H5 viruses have been found in dairy cows. The California Department of Food and Agriculture has been running weekly testing of raw milk in bulk tanks since H5N1 was first detected in California dairy farms. Following this positive test in Raw Farm's raw milk products, the CDFA ran tests at both of the company's locations. While the tests for the virus were negative, the CDFA plans to continue testing for bird flu twice a week. According to data from the Centers for Disease Control and Prevention, 55 people in the United States have been infected with the highly pathogenic strain of H5N1 bird flu this year. Of these cases, 32 were associated with cattle and 21 with poultry. Two cases—in California and Missouri—had unknown associations. People can be infected if the virus gets into their eyes, nose or mouth. It can be inhaled, via droplets or dust in the air, or transmitted via contaminated surfaces. However, the CDC maintains that the current public health risk is low. How Safe Is Raw Milk? Raw milk is milk that has not undergone pasteurization processes to remove salmonella, E. coli, listeria and other potentially harmful bacteria and viruses, including bird flu. According to the CDC, from 1998 through 2018, there were 202 outbreaks of various illnesses linked to drinking raw milk. These outbreaks caused 2,645 illnesses and 228 hospitalizations. To date, there have been no reports of humans contracting bird flu through drinking raw milk. However, the CDC has published a report on barn cats in Texas that died after drinking raw milk from cows infected with bird flu. Of the 24 cats that drank the raw milk, half died. To minimize the risk of bird flu, the CDC advises people not to drink raw milk. The Food and Drug Administration also maintains that "raw milk can harbor dangerous germs that can pose serious health risks." Kennedy, who does not have any medical training, previously criticized the FDA for its stance against drinking raw milk. On October 25, Kennedy wrote on X, formerly Twitter: "FDA's war on public health is about to end. This includes its aggressive suppression of psychedelics, peptides, stem cells, raw milk, hyperbaric therapies, chelating compounds, ivermectin, hydroxychloroquine, vitamins, clean foods, sunshine, exercise, nutraceuticals and anything else that advances human health and can't be patented by Pharma." The FDA has disputed that there are any benefits to drinking raw milk and has debunked common misconceptions that pasteurization can cause lactose intolerance and reduce milk's nutritional value. https://www.newsweek.com/raw-milk-recall-bird-flu-1990942

"In response to this positive test from a retail milk product, CDFA followed up with testing at both of Raw Farm LLC’s locations — results were negative for the virus — and now will begin testing for bird flu twice per week," according to the statement. Above says more about the testing of farms than H5N1 in retail stores

Wastewater Data for Avian Influenza A(H5) Print H5 detection in wastewater in the past week This interactive map shows current site-level data for avian influenza A(H5) viral RNA detections in wastewater. Each dot on the map represents a wastewater sampling site. For each site, results are reported as “H5 Detection” when any of the samples were positive during the week reported. When avian influenza A(H5) virus is not detected in any of the samples, then the site is classified as “No Detection.” All data are preliminary and may change as more reports are received. Data will be updated on this site every Friday, based on data submitted to CDC by the end of the day on the previous Wednesday. What can wastewater data for influenza A(H5) tell us? Time Period: November 10 - November 16, 2024 H5 Detection 46 sites (14.2%) No Detection 279 sites (85.8%) No samples in last week 24 sites Click on the legend below to see detections. Skip Over Map Container Select a detection type below to add or remove it from the map. H5 Detection No Detection No Samples in Last Week Data Updated November 21, 2024 Skip Data Table Data Table Download Data (CSV) Skipped data table. H5 detection in wastewater in the past six weeks Time Period: October 06 - November 16, 2024 This searchable table shows site-level data for avian influenza A(H5) viral RNA detections in wastewater for the past six weeks. The date in the column header is the last day for that week of sample collection. The table shows if: + H5 was detected at the site – H5 was not detected at a site No Data No samples were taken for that site or no data is available for that site https://www.cdc.gov/nwss/rv/wwd-h5.html

Raw farms youtube "not a big deal"

Last content update: 11/24/24 The County of Santa Clara Public Health Department has been testing raw milk from local retail stores as part of the county's monitoring program for H5N1 bird flu. On November 21, the county's Public Health Laboratory identified H5 in samples of raw milk produced by Raw Farms LLC, purchased at a retail outlet. The County immediately notified the California Department of Public Health. The raw milk was voluntarily recalled by the company and the state has advised the public to not consume the contaminated raw milk. The County of Santa Clara Public Health Department is monitoring a multi-state outbreak of H5N1 bird flu in dairy cows in the United States. This is the first time that H5N1 bird flu has been found in cows and transmission from cows to humans has been reported. H5N1 bird flu was first detected among cows in California in August 2024. H5N1 bird flu was first detected among humans in California in October 2024. To date, there have been no reported cases of H5N1 bird flu in cows or humans in Santa Clara County. For more information, including the number of reported H5N1 cases in cow herds and the number of reported human H5N1 cases in California and the rest of the United States, visit the CDC’s H5 Bird Flu: Current Situation Summary webpage. What is H5N1 bird flu? https://publichealth.santaclaracounty.gov/diseases/h5n1-bird-flu

# #RAWGOODNESS November 24, 2024 https://youtube.com/shorts/o6COUza-wLU?si=bLL1CaXgN7PGraiL Proudly Produced by RAWFARM, LLC https://rawfarmusa.com/press-release RAW FARM will not offer for introduction, introduce, or cause to be introduced into interstate commerce, or deliver or cause to be delivered for introduction into interstate commerce, any unpasteurized raw milk or raw milk products. RAWGOODNESS Proudly Produced by RAWFARM, LLC RAW FARM will not offer for introduction, introduce, or cause to be introduced into interstate commerce, or deliver or cause to be delivered for introduction into interstate commerce, any unpasteurized raw milk or raw milk products.

Fresno-based Raw Farm, has a lot code of 20241109 and a "Best By" date of Nov. 27, 2024, according to the California Department of Public Health California Acts to Protect Public Health: CDPH Warns Against Drinking Single Lot of Raw Milk Following Bird Flu Detection; Secures Voluntary Recall November 24, 2024 NR24-039 No illnesses have been reported; Pasteurized milk is safe to drink What You Need to Know: CDPH warns consumers not to drink one batch of cream top, whole raw milk from Raw Farm, LLC of Fresno County due to a detection of bird flu virus. Raw Farm, LLC issued a voluntary recall at the state’s request of the affected lot code 20241109 with a Best By date of 11/27/2024. Consumers should immediately return any remaining product to the store where it was purchased. Pasteurized milk remains safe to drink Sacramento – The California Department of Public Health (CDPH) today is warning the public to avoid consuming one batch of cream top, whole raw milk produced and packaged by Raw Farm, LLC of Fresno County due to a detection of bird flu virus in a retail sample. At the state’s request, the company has issued a voluntary recall of the affected raw milk with lot code 20241109 and Best By date of 11/27/2024 printed on the packaging. No illnesses associated with this lot of raw milk have been reported. Out of an abundance of caution, and due to the ongoing spread of bird flu in dairy cows, poultry, and sporadic human cases, consumers should not consume any of the affected raw milk. Customers should immediately return any remaining product to the retail point of purchase. CDPH is also notifying retailers to remove the affected raw milk from their shelves. The County of Santa Clara Public Health Laboratory has been testing raw milk products from retail stores as a second line of consumer protection. The county identified bird flu in one sample of raw milk purchased at a retail outlet. The testing was then verified by the California Animal Health and Food Safety Laboratory System. Risks Associated with Raw Milk Public health experts have long warned consumers against consuming raw milk or raw milk products due to elevated risks of foodborne illness. Outbreaks due to Salmonella, Listeria monocytogenes, toxin producing E. coli, Brucella, Campylobacter, and many other bacteria have all been reported related to consuming raw dairy products. Raw milk products are not pasteurized, a heating process that kills bacteria and viruses such as bird flu. Pasteurized milk and milk products are safe to consume because the heating process kills pathogens, including bird flu, that can cause illness. Drinking or accidentally inhaling raw milk containing bird flu virus may lead to illness. In addition, touching your eyes, nose, or mouth with unwashed hands after touching raw milk with bird flu virus may also lead to infection. Symptoms of bird flu infection in humans include eye redness or discharge, cough, sore throat, runny or stuffy nose, diarrhea, vomiting, muscle or body aches, headaches, fatigue, trouble breathing and fever. Anyone who has consumed these specific products, and is experiencing these symptoms, should immediately contact their health care provider or local health department. California Regularly Tests Raw Milk As part of the state’s bird flu response, testing of raw milk from dairies has been increased to help prevent raw milk consumers from getting the virus. Once bird flu was found in California dairy herds, the California Department of Food and Agriculture (CDFA) began weekly testing of raw milk in bulk tanks. In response to this positive test from a retail milk product, CDFA followed up with testing at both of Raw Farm LLC’s locations—results were negative for the virus—and now will begin testing for bird flu twice per week. Pasteurized Milk is Safe to Drink Pasteurized milk is safe to drink. Pasteurization, one of the most significant scientific food safety discoveries in human history, is the process of heating milk to specific temperatures for a certain length of time to kill many microorganisms and enzymes that lead to spoilage and illness. Pasteurization kills the bird flu virus and other harmful germs that can be found in raw milk. CDPH advises consumers not to drink raw milk or eat raw milk products due to the risk of foodborne illnesses. About Bird Flu Since early October, California has reported 29 confirmed human cases of bird flu, 28 of whom had direct contact with infected dairy cows. No person-to-person spread of bird flu has been detected in California or the U.S. To date, all cases have reported mild symptoms (primarily eye infections), and none have been hospitalized. Because bird flu viruses can change and gain the ability to spread more easily between people, public health officials have provided preventive measures and are monitoring animal and human infections carefully. Protecting Public Health California continues to take swift and comprehensive action in response to the detection of bird flu in dairy cows across the Central Valley, demonstrating a strong commitment to public health and worker safety. While the overall risk to the public remains low, the state is prioritizing containment efforts, raising public awareness, and providing resources to those at higher risk. Key initiatives include the distribution of personal protective equipment (PPE), increased testing, and robust surveillance of infected areas. Through coordinated efforts between agencies like CalOES, CDPH and the California Department of Food and Agriculture, California is leading a cross-agency response that includes multilingual outreach to dairy and poultry workers, a targeted social media campaign to promote preventive practices, and media interviews to keep the public informed. Additionally, the state is ensuring that farm workers have access to additional doses of seasonal flu vaccine from the Centers for Disease Control and Prevention (CDC) to reduce concurrent flu risks. Specifically, the state is: Working with local, state, and federal partners to monitor bird flu in farm animals and people who work closely with poultry and dairy cows. Distributing protective gear to dairy farms and workers who have contact with infected dairy cows or raw milk to reduce the risk of getting bird flu. Helping ensure individuals with symptoms of or exposure to bird flu have access to testing and treatment. Conducting timely public education efforts to ensure those impacted have information about bird flu. How Bird Flu Spreads Touching the eyes, nose, or mouth with unwashed hands after contact with raw milk from an infected cow, or other contaminated items or surfaces. Raw milk from an infected cow splashed into eyes, nose, or mouth. Drinking raw milk from a cow infected with bird flu virus. More Resources For the latest information on the state’s bird flu response, visit CDPH’s Bird Flu webpage and CDFA’s H5N1 Bird Flu Virus in Livestock site. For information on the national bird flu response, see CDC's Bird Flu Response Update. For work-related questions or complaints related to bird flu, contact the Cal/OSHA Call Center in English or Spanish at 1-833-579-0927. Employers can contact the California Occupational Health and Safety Division at 800-963-9424 for a free consultation to strengthen their illness and injury safety program. Farmers should contact the California Department of Food and Agriculture’s bird flu hotline at 866-922-2473 if they suspect their animals are infected with bird flu. Page Last Updated : November 24, 2024 https://www.cdph.ca.gov/Programs/OPA/Pages/NR24-039.aspx

map update https://www.google.com/maps/d/u/1/edit?mid=1OCfYIWOx61CCNsWu-FDaiTeSYn066gY&ll=52.772884370850846%2C-0.19234629765624955&z=10

England/CLIMB-CM7YMUES/2023 England 12/29 collection NSP3 K1155R T3565C (NSP3) NSP6 R252K C18894T (NSP14) Spike L455S NS7b F19L JN.1 NSP3 T1465I G17334T NSP13 Spike F456L Spike V1104L