"First H5N5 Bird Flu Death Marks Pandemic Preparedness Crossroads"

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Saturday, Nov 22, 2025 9:33 am ET2min read
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- First human death from H5N5 bird flu reported in Washington state, with the patient having underlying health conditions and contact with poultry/wild birds.

- No person-to-person transmission detected; health officials emphasize low public risk but stress vigilance in poultry/wildlife monitoring.

- WHO warns of H5 virus genetic diversity and pandemic potential, while vaccine makers monitor H5N5 despite no current specific vaccine.

- Case highlights zoonotic disease risks and the need for global surveillance systems to prevent emerging threats like avian influenza.

A Washington state resident has become the first documented human to die from the H5N5 strain of bird flu, marking a significant development in the ongoing global surveillance of avian influenza. The patient, an older adult with underlying health conditions, was hospitalized in early November and succumbed to the infection,

. The case, confirmed by the Centers for Disease Control and Prevention, from this strain, which had previously been detected only in birds.

The individual, who lived in Grays Harbor County, maintained a backyard flock of domestic poultry exposed to wild birds. Health officials suspect either the domestic flock or the wild birds as the source of infection, though

. The DOH emphasized that the risk to the general public remains low, with no evidence of person-to-person transmission detected.

H5N5 is a subtype of avian influenza, typically circulating in wild aquatic birds and occasionally spilling over to domestic poultry. Human infections are exceedingly rare, with most cases linked to direct contact with infected birds or contaminated environments. Symptoms range from mild-fever, cough, and muscle aches-to severe complications like pneumonia and acute respiratory distress, which can be fatal. The deceased patient exhibited severe symptoms, including high fever, confusion, and respiratory failure

.

Public health agencies have underscored the importance of vigilance despite the low risk. The World Health Organization notes that influenza A (H5) viruses are genetically diverse and capable of reassorting, potentially creating new variants with increased transmissibility. While the current risk is minimal, officials stress the need for continued surveillance in both human and animal populations.

Preventive measures include avoiding contact with sick or dead birds, using protective gear when handling poultry, and practicing good hygiene. The DOH also recommends seasonal flu vaccinations to reduce the risk of co-infections, which could theoretically facilitate the emergence of a more transmissible avian influenza strain

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This case follows a broader pattern of sporadic human infections with avian flu subtypes, such as H5N1. The CDC declared the H5N1 bird flu emergency over in July 2025 after a decline in animal cases and no human infections since February

.
However, the detection of H5N5 in a human underscores the unpredictable nature of viral evolution and the necessity of robust global health systems.

Vaccine manufacturers, including GSK, Sanofi, and Moderna, are monitoring the situation, though no specific H5N5 vaccine is currently available. The U.S. bird flu vaccine stockpile includes products targeting other subtypes, such as H5N1

.

As the investigation continues, health authorities are urging poultry owners and wildlife handlers to report sick animals promptly and adhere to safety protocols. The case serves as a reminder of the interconnectedness between animal and human health, highlighting the critical role of early detection in preventing potential pandemics

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