The Dr. Niman Show 11242024

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Dr. Niman
Well, welcome to the Dr. Niman podcast this Sunday November 2 4, 2 02 4 and tonight we're gonna talk a little bit about the confirmation Confirmation of the Toddler in Alameda county in Northern California, and then potentially related Issue, which was the discovery of H5 and one in raw milk from Fresno, California and those two areas are not that far apart, although I had actually visited the website of the Distributor of the wrong milk with the H5 and one and they actually delivered their milk nationally and I took a look in the Philadelphia area. They got a product finder on their website and just put in the ZIP Code and I put in ZIP Code for suburban Philadelphia and there were nine stories that actually carry their Rome. Including those in New Jersey in Delaware so there's a potential that this is fairly widespread, but I'm gonna start with with the toddler and the toddler was the third Case it's H5 and one positive with an unknown source and The location for the toddler is it pretty much at the intersection Where there's two potential sources one would be from the Cattle or the cows actually in the central Valley in California and the numbers on Friday actually got up to they broke 400 so there's 40 2 farms that have been 85 and one confirmed and there's only a little over 1100 farms in California, even though the number one producer in the United States And so it's it's well above 35 % now of all the farms have had confirmation of each five and one and the CDC actually has a as a wastewater Map of facilities that were tested for H 5 and It is remarkable because the ones that are positive brown dot and the brown dots cover the whole West Coast of just about the whole West Coast of California and a very, very high in in northern California very broad and that's relative It would cover both Alameda and Fresno. Alameda doesn't actually have dairy Farms, but they're in the central Valley and the wastewater is a specific as to the origin of the 8 5 it could be from the dairy farms themselves. It could be from. People actually drinking milk that has Dead virus if it's pasteurized, and then they get into the wastewater Just by flushing it away and then There could be some people that are disposing of of the milk so it's it's not clear if all the five is from dead or live virus but unfortunately from Rob milk it would be from live virus so getting back to the toddler that would be one potential source is that even though there were no dairy farms There there would certainly be milk in the retail stores that had dead virus because it was pasteurized and then there'd be other milk potentially to have the virus is not clear. The positive was on the one. I don't know the size of it but one product that was the tested positive for each five and one exactly how many wrong milk products were tested isn't clear and I don't think it was even clear which milk product it was because the Company actually sells quite a few different products for humans and pets. You can even get wrong for your pets from this company so in the name of the company is raw milk. LLC I think that's all the toddler is the other possibility for the toddlers is the wild bird wild birds are starting to head out and there's quite a few positive wild birds as well as backyard fires as well as Commercial pot tree That have been infected with the wild birds in British Columbia that the numbers go up daily and I think they're up to 53 now confirm farms in British Columbia and most of those are in southern British Columbia very close to the Washington border And the largest outbreak from a poultry farm that was infected with this wild bird version d1.one it was in Franklin County Washington somewhere in southern Washington, but they've been quick case since reported through throughout the Pacific flyway and that would be another potential source for the toddler The toddler tested positive on the first test and then was given Pammy fluid and four days later tested negative although he it's not clear that he are, although the toddler still had Symptoms because there was at least one and some report said there were several other infectious agents that the toddler had parents also had those other infectious agents they they weren't defined, although they said that the symptoms for flu like or like But they gave no further detail details Expecting that the sequence will probably be coming out In the next couple of days or so and That even if it's a partial sequence, it should be possible to Tell the dairy genotype, which is B3. 13 from the wild bird, which is the one that one in there might be a small amount of D1 too Circulating but dominated Ellie so far by has come back from testing wild birds, mostly D Y.one and that There's concern for that version as well as the wild bird wild bird version is the one that has infected the Teen British Columbia, who is in critical condition and in the ICU Keen apparently stable right now and about it has been hospitalized for Well over a week and I guess it's probably getting closer to two weeks now and there really hasn't been an update on the cause there was a nut crap being done on the family dog. We tested negative I think with the. Throat or nasal swab, but the dog is euthanized and they're doing a full nut crap she was started a while ago. It seems that it would be time to announce results from the other. Don't believe there has been an update on on the family dog who was sick the details of the symptoms So we're waiting for that result to come in and there's concerned because the first case of the genotype B3 that 1 3 was a dairy worker and Symptoms in that case where we're relatively mild, but the virus isolated from the dairy farmer was used in a ferret transmission test and that's a standard test are used a lot and influenza research because they mimic humans and the transmission test and bowels infecting the experimental ferrets Which are in a cage than near their cage is additional not been injected and their monitor to see if they can become infected by virus. This passed through the air by the ferret that were infected with this isolate from the. Farmer and indeed it was able to transmit which was not a good sign and then the virus had been sequence, and it does have one genetic change, which is Associated with 1 million adaptation into the race B Who Sequences and It is changed from my E to a career position 62 7 and that's a very well known education and affects the ability of the primary to copy that Connecticut information and sensitive way if it's I got an idiot position optimal of 41 ° Centigrade with this body temperature of a bird and under the K at that position it's optimal temperature is 33 °, which is close to what the temperature is human nose in the winter. It's normally body temperature is 37° C but In the nose, her throat outside breathing and cold air can bring the temperature down a few degrees Fahrenheit. We get closer to 33° F mark so there's there's concern. That the raw milk Has the B3. 13 because that's a specific for Cow in the United States and that is what would've been used to Produce the belt and this could be a significant defect it sounds Like I say that the details have come out how many raw milk samples were tested, but like I said the raw milk Sold by the store and I'm assuming that there They're largely from cows in Fresno and there's a lot of these five and one in cows in the near Fresno and there's a good chance that the one sample that was identified so far was not the only sample And one of the issues is how lethal the H5 and one would be in raw milk since it would not be killed virus it would be live virus and they did not give results to see how easily they could grow. The virus from the long milk in this case. And there is no notice on the website tonight that People should return the Latin XYZ that they actually did have a recall in May that Trump They can go back to bacteria and And once from the same farm and So this one, the There is not been a specific There is no specific information because I don't have the specific information that they really don't know how widespread this is. I would assume they've got all that they would have the sold by date on the. That they tested, and theoretically, it would have a stamp that that identified the farm that originated on and They should be able to find out how much milk came from that farm in that timeframe and potentially issue a recall if they find it then any additional ones, but it would seem that there's a reasonable expectation that there would be problems that you want the warning signs for this virus when it was Spreading in the panhandle Texas, and they didn't really know what was causing the problem. The the barn cats were dying and they were dying because they were drinking the raw milk and so there's there might be some variation there because. They they might be drinking milk that was from a cow and the raw milk here would be pulled, but It is not clear how wide it could be that all of the book came from the same farm, but I'm not sure how many farms are actually selling rock milk in the In California right now, but well, this one's called raw milk so it's easy. It's easy to find a Google and get and especially if you throw in the city but I think this this situation is going to be in the news in the near term and speak to the news we're looking to Potentially move the the podcast To a site that is more amenable to Leaking together some figures to help listeners understand what's being covered when it starts to get kinda technical and we're hoping to do that in the upcoming week so that's it for now and I will have an update in a day or two