Bird flu (avian influenza)

Bird flu is caused by a type of influenza virus that rarely infects humans. But when bird flu does strike humans, it's often deadly. More than half the people who become infected with bird flu die of the disease.
In recent years, outbreaks of bird flu have occurred in Asia, Africa and parts of Europe. Most people who have developed symptoms of bird flu have had close contact with sick birds. In a few cases, bird flu has passed from one person to another.



Health officials worry that a global outbreak could occur if a bird flu virus mutates into a form that transmits more easily from person to person. Researchers are working on vaccines to help protect people from bird flu.

SYMPTOMS
Signs and symptoms of bird flu typically begin within two to five days of infection. In most cases, they resemble those of conventional influenza, including:
Cough Fever Sore throat Muscle aches
Some people also experience nausea, vomiting or diarrhea. And in a few cases, a mild eye infection (conjunctivitis) is the only indication of the disease.

CAUSES
Bird flu occurs naturally in wild waterfowl and can spread into domestic poultry, such as chickens, turkeys, ducks and geese. The disease is transmitted via contact with an infected bird's feces, or secretions from its nose, mouth or eyes.
Open-air markets, where eggs and birds are sold in crowded and unsanitary conditions, are hotbeds of infection and can spread the disease into the wider community.
According to the Food and Drug Administration, bird flu cannot be transmitted by eating properly cooked poultry meat or eggs from infected birds. Poultry meat is safe to eat if it's been cooked to an internal temperature of 165 F (74 C). Eggs should be cooked until the yolk and white are firm.

COMPLICATIONS
People with bird flu may develop life-threatening complications, including:
Pneumonia Collapsed lung Respiratory failure Kidney dysfunction Heart problems
Although bird flu kills more than half the people it infects, the number of fatalities is still low because so few people have had bird flu. According to the World Health Organization, a few hundred people have died of bird flu since 2003.

In contrast, the Centers for Disease Control and Prevention estimates that seasonal influenza is responsible for thousands of deaths each year in the United States alone.

DIAGNOSIS
Samples of fluids from your nose or throat can be tested for evidence of bird flu virus. These samples must be taken within the first few days after symptoms appear. Depending upon the type of test, results can take weeks or just a few hours.

Imaging tests

X-rays may be useful in assessing the condition of your lungs, which can help determine the proper diagnosis and the best treatment options for your signs and symptoms.

TREATMENT
Many influenza viruses have become resistant to the effects of a category of antiviral drugs that includes amantadine and rimantadine. Health officials recommend the use of oseltamivir (Tamiflu) and possibly zanamivir (Relenza) instead.

These drugs must be taken within two days after the appearance of symptoms, something that may prove logistically difficult on a worldwide scale, even if there were enough to go around. Because they're in short supply, it's not entirely clear how flu drugs would be allocated if there were a widespread epidemic.

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