The forum focused on HPAI’s significance for human and animal health, food safety and the U.S. economy. Experts also shared biosecurity, education and training resources for poultry, dairy and swine producers, which are listed below.
Poultry and Livestock
The current HPAI outbreak began in early 2022, when a new strain of the virus in migrating birds infected poultry and wild birds along the Atlantic Flyway in the eastern United States.
In poultry, HPAI is a deadly and fast-spreading virus. To contain outbreaks, the U.S. has relied on culling infected flocks.
HPAI has had the greatest impact on pullets and egg-laying poultry, where bird housing density is higher, said Dr. Lisa Rochette, a veterinarian with the U.S. Department of Agriculture’s Animal and Plant Health Inspection Service (USDA APHIS).
In the U.S., the current HPAI outbreak has affected 168.62 million birds since it began in February 2022, according to USDA APHIS records. The outbreak has involved 1,689 flocks, 781 of which were commercial and 908 of which were backyard flocks.
In March 2024, HPAI was detected in U.S. dairy cattle for the first time. Testing in April 2024 confirmed the virus in one herd in North Carolina.
“We’re very experienced in dealing with HPAI in poultry,” said Rochette, a North Carolina native based in Raleigh, North Carolina. “High-path in dairy cattle has been a worrying experience for all of us.”
To date, 1,025 U.S. dairy herds in 17 states have tested positive for HPAI. While the virus can cause illness in cows, they usually recover within a few weeks.
The North Carolina dairy herd was isolated until it tested negative for the virus in late April 2024, and no subsequent cases in cows have been detected in the state.
The first case of HPAI in pigs was reported in Oregon in late 2024 on a small farm. To date, no other HPAI cases have been confirmed in U.S. pigs.
Human and Animal Health
For the general population, the risk of contracting HPAI is low. People who work in poultry or dairy operations or have backyard flocks are at higher risk.
In all, 70 people in the U.S. have been infected with HPAI, almost all of whom were exposed during poultry culling or while working on dairy farms. Many experienced mild symptoms such as conjunctivitis, or pinkeye. One death from HPAI was reported in a Louisiana man with underlying health issues.
No evidence has been found of person-to-person spread of HPAI, said Emily Herring, a public health veterinarian with the North Carolina Department of Health and Human Services (NC DHHS). Since 2022, the state has monitored 432 people for possible exposure and tested 33 with symptoms, but no one in North Carolina has tested positive for avian flu, she said.
North Carolina’s ongoing HPAI surveillance efforts include hospital and emergency room reporting, epidemiologists across the state, wastewater testing, and FluSurv-NET, a voluntary Centers for Disease Control and Prevention (CDC) program in some North Carolina hospitals, Herring said.
Food Safety
From farm to plate, the USDA, CDC, and Food and Drug Administration work in collaboration to detect and stop HPAI outbreaks, said Lee-Ann Jaykus, William Neal Reynolds Distinguished Professor Emeritus with NC State University.
Jaykus, a food virologist, has expertise in how viruses affect food safety. Fortunately, HPAI is “quite heat-sensitive,” she said. “It is clearly inactivated by pasteurization and cooking our food.”
It’s safe to consume pasteurized milk, products made with pasteurized milk, and eggs, poultry and meat that have been cooked thoroughly, Jaykus said.
HPAI is one of many reasons to avoid raw or unpasteurized milk and dairy products. “Don’t drink raw milk,” Jaykus said. “Stay away from raw milk cheeses.”
Viruses that are able to “spill over” from one species to another, as HPAI has done from birds to mammals, are of greatest concern to experts.
“Pandemics are generally ignited by an event where a virus jumps species,” Jaykus said.
By the end of 2022, HPAI had been found in mammal species that included mink, bottlenose dolphins, gray and harbor seals, and an American black bear in Hyde County, North Carolina.
In 2024, barn cats were key to finding HPAI in dairy cattle. Several domestic cats died after they drank raw milk or ate food made with raw ingredients that contained the virus. Dozens of other cats, from feral cats to big cats in zoos have been infected.
Finding HPAI in pigs in October 2024 was concerning because they can be infected with multiple types of flu, which could enable bird viruses to become better adapted to humans.
“What we worry about with flu virus is its unique genetic ability to change,” said Dr. Stacey Schultz-Cherry, a professor and dean at St. Jude Children’s Hospital, which began studying and tracking flu viruses 50 years ago because of the health risks for immunocompromised children.
Schultz-Cherry’s team continues to do in-depth research on HPAI’s effects in mammals.
Trade and U.S. Food Policy
Although HPAI poultry vaccines have been licensed, none have been approved for use in the U.S.
One reason for the current approach is that vaccination can cause issues with detecting HPAI, said Dawn Hunter, DVM, MSc, a trade policy advisor with the USDA Animal and Plant Health Inspection Service’s Veterinary Service.
“When you vaccinate a flock, they can have virus at very low levels, but they still can be infected and infect others. It can mask the infection.”
A complex network of trade agreements would have to be renegotiated for the U.S. to export poultry products from vaccinated flocks. The U.S. itself doesn’t allow imports of some commodities from HPAI regions or countries that vaccinate against HPAI, Hunter said.
The U.S. could face billions in losses from bans and halts on poultry exports, Hunter said. Anticipated trade effects if the U.S. were to vaccinate poultry would be an immediate indefinite ban from four countries, an immediate conditional ban from 24 countries and temporary halts from 5 countries, she said.
If, as expected, renegotiating trade terms took months to a year, U.S. producers would stand to lose market share, she added.
Poultry Biosecurity
Dr. Rebecca Mansell, director of poultry programs, joined the N.C. Department of Agriculture & Consumer Services state veterinary office in 2022, one month before the current HPAI outbreak began. She explained what happens when a suspected case of HPAI is reported after telltale signs such as deaths in the flock and among wild birds, like vultures, that feed on carrion.
First 24 hours
- Farm quarantine
- Sample collection and testing, lab confirmation (3 hours for PCR result)
- Establish control area
- Complete USDA indemnity/financial agreements with farmers and companies
- Depopulation
Next steps
- Disposal
- Cleaning and disinfection
- Surveillance testing/permitting
- Epidemiology investigation ongoing during process
Resources for Poultry Farmers
National Poultry Improvement Plan (NPIP)
Certifies flocks as free of pullorum-typhoid and avian influenza. Requires a biosecurity plan, training, reporting and a biennial biosecurity audit
NC Diagnostic Laboratory System
Provides veterinary testing
N.C. Poultry Resource and Education Program (NC PREP)
Offers resources for backyard flock owners.
Dairy Biosecurity
National Milk Producers Federation’s Farmers Assuring Responsible Management (FARM) ProgramI
In April 2025, the FARM program offered its first in-person enhanced biosecurity training.
Swine Biosecurity
Rapid Access Biosecurity application (RABapp™)
Developed by infectious disease experts at NC State University, RABapp™ is a web-based software tool that allows swine producers and animal health officials to easily and continuously store, review and update Secure Pork Supply (SPS) biosecurity plans and animal movement information.
Pork Quality Assurance Plus® (PQA Plus®) This education and certification program is designed to help pig farmers and their employees continually improve production practices. It addresses food safety, animal well-being, environmental stewardship, worker safety, public health and community.
Certified Swine Sample Collection Program
Training in how to collect animal samples for analysis.
Source : ncsu.edu