Thursday, August 14, 2025

Revisiting the Environmental Persistence and Airborne Spread of HPAI H5


#18,838


Not quite two weeks ago, in Preprint: Surveillance on California Dairy Farms Reveals Multiple Sources of H5N1 Transmission, we looked at a (yet-to-be-peer-reviewed) paper that found evidence of extensive environmental (air, water & milking equipment) contamination on HPAI H5 infected dairy farms.

That report - when combined with a recent study (see Dairy Cows Infected with Influenza A(H5N1) Reveals Low Infectious Dose and Transmission Barriers) - would seem to challenge the popular assumption that cow-to-cow transmission of HPAI was primarily due to contaminated milking machines.

Two days ago the Journal Nature took note of the California study:

NATURE BRIEFING
12 August 2025
Daily briefing: Bird flu is ‘everywhere’ on dairy farms

H5N1 avian influenza might be airborne, helping it to spread rapidly in dairy cows

Yesterday UNMC's Global Center for Health Security - which quoted Dr. Richard Webby as saying  It’s a ridiculously contaminated environment” -  published:

Bird Flu on Dairy Farms May Be Airborne After All

These airborne concerns go far beyond just`exhaled' breath from infected cattle in milking parlors, or `milk spray', as contaminated milk and manure from infected cows must be safely handled and disposed of (along with farm wastewater); none of which are trivial tasks.  

While the USDA has issued biosecurity guidelines (link), the details (and enforcement) are left up to local officials and the producers. 

Any way you slice it, HPAI infected poultry and dairy farms must deal with extensive environmental contamination issues. A concern because we've seen environmental persistence studies showing that - under the right conditions - HPAI H5 can survive for days, weeks, or even months outside of a living host. 

How long avian flu viruses may remain viable, and how far they might be carried (by personnel, vehicles, peridomestic mammals, birds, flies, or even the wind), continues to be poorly understood.

As recently as last February - in Preprint: Genetic & Meteorological Data Supporting Windborne Transmission of HPAI H5N1 - we saw a study that strongly suggested that windborne spread of HPAI H5 virus particles may have spread the virus as far as 8 km between poultry farms in the Czech Republic.


Separation of Farms In Study

We can go back more than a dozen years to find other studies which came to similar conclusions, including. 
  • In the spring of 2015 during the North American H5Nx epizootic, the idea of farm-to-farm spread via infected dust was openly discussed by the USDA (see Bird Flu’s Airborne `Division’).
In 2022's Zoonoses & Public Health: Aerosol Exposure of Live Bird Market Workers to Viable Influenza A/H5N1 and A/H9N2 Viruses, Cambodia, researchers were able to extract viable avian flu viruses from the air in and around live bird markets in Cambodia.

And last January, in Osterholm Podcast: The Potential Environmental (Airborne) Spread of H5N1, Dr. Mike Osterholm discussed the real possibility that the H5N1 virus may be carried by contaminated `dust' from poultry farms, infecting other nearby farms, animals, and potentially even humans.

As we discussed yesterday, a big concern is the potential introduction of HPAI to swine (see Frontiers Vet. Sci (Review): Emerging Threats of HPAI H5N1 Clade 2.3.4.4b in Swine).  Airborne spread between farms is one plausible way that could happen.

Whether H5N1 has the ability to spark a pandemic remains to be seen - but even if it can't - it can still do tremendous damage to agricultural interests and to the economy.  

Which is why a fuller understanding of its abilities (both existing and evolving) is crucial if we hope to avoid a larger crisis.