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Tarrant County health officials brief Fort Worth Council on H5N1 risks and surveillance

2218747 · February 4, 2025
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Summary

Tarrant County Public Health presented an update on highly pathogenic avian influenza (H5N1), describing animal outbreaks, human case monitoring, and enhanced hospital testing and wastewater surveillance while noting current human‑to‑human transmission remains limited.

Tarrant County Public Health officials told the Fort Worth City Council on Feb. 11 that while the H5N1 avian influenza virus is mutating and spreading among animals, evidence of sustained human‑to‑human transmission remains limited; county officials described surveillance, hospital testing guidance and recommended precautions for people with poultry exposure.

The update: “Thus far, bird flu hasn't caused us too much trouble because it's mostly, or completely jumping from cows to humans or birds to humans. However, this virus is mutating very quickly,” Brian Byrd, representing Tarrant County Public Health, said as he introduced the briefing. The county’s chief epidemiologist, Russ Jones, detailed the virus’s history, animal spread and current surveillance posture.

Why it matters: County officials said monitoring and early detection matter because the virus can infect a wide range of animals and has caused severe disease in some human cases; they urged hospitals to subtype influenza specimens for early identification of H5N1 and described steps taken to monitor exposed people.

Surveillance and clinical guidance - The Centers for Disease Control and Prevention issued a health advisory asking hospitals to subtype influenza A specimens from hospitalized patients so public health can identify potential H5N1 cases, officials said. - Tarrant County’s syndromic surveillance showed a recent rise in emergency‑department visits for influenza‑like illness; county staff said they watch for changes in symptom patterns (for example, conjunctivitis) that would suggest H5N1 activity. - County officials said about 22,000 people had been identified as exposed and monitored nationally in recent years; they reported 66 U.S. human cases in 2024 and said H5N1 detection in U.S. animals has included poultry and dairy cattle.

Animal and household risks Officials described animal transmission routes and recommended reporting and precautions for people with backyard or commercial flocks. “When they’re around domesticated flocks, they can transmit the disease there and it can decimate a domestic flock of poultry,” Russ Jones, chief epidemiologist for Tarrant County, said.

County actions and public guidance Officials said they are coordinating with the state and federal partners, using wastewater surveillance and laboratory testing to detect unusual influenza strains, and monitoring exposed people. They reviewed personal‑protective guidance for people who work on farms and noted potential vaccine candidates exist but are not yet tailored to the currently circulating clade.

Council questions Council members raised practical questions about identifying sick birds, reporting dead poultry and treatment for mastitis in cattle; county officials answered that birds typically become sick rapidly and that veterinarians must report livestock illnesses to public health, and they described agency orders used to limit movement of affected lactating cows in some circumstances.

Bottom line: County public‑health officials said the present human risk is low but that the virus is being monitored closely because of its spread in animals and capacity to mutate; they urged reporting of sick or dead animals and hospital subtyping of influenza specimens.