H5N1 Avian Influenza virus confirmed on Oahu

On Friday 11/15/2024, the Hawaii Department of Agriculture announced they had confirmed multiple bird deaths due to H5N1 from a backyard flock in Central Oahu near the Wahiawa wastewater treatment plant. HDOA pathologists performed necropsies on the dead birds, and confirmatory tests for H5N1 were performed at NVSL and Hawaii Department of Health. Affected birds from this site included ducks, a goose, and a zebra dove.

HDOA has issued a quarantine order on this site, which requires all birds on the property to be depopulated and the premises cleaned and disinfected.

Human illness from H5N1 is uncommon, and people in Hawaii are still unlikely to get sick from avian influenza at this time. 

Veterinarians and the public should continue to be vigilant for illness or mass die-offs in poultry or waterfowl flocks, and report any multiple or unusual illnesses or deaths to HDOA Animal Industry Division at 808-483-7102 or 808-837-8092.

Symptoms of avian influenza in poultry and other birds include:

  • Sudden death without any prior symptoms of illness
  • Lack of energy and appetite
  • A drop in egg production or soft-shelled, misshapen eggs
  • Swelling of the eyelids, comb, wattles and shanks
  • Purple discoloration of the wattles, comb and legs
  • Gasping for air (difficulty breathing)
  • Nasal discharge, coughing, sneezing
  • Twisting of the head and neck (torticollis)
  • Stumbling or falling down
  • Diarrhea

Specialized BHI swabs for AI PCR testing of poulty and waterfowl are available from HDOA. In poultry, collect oropharyngeal swabs; in waterfowl, collect cloacal swabs. Swabs can be pooled and stored in the BHI media refrigerated for up to 1 week prior to submission to the Halawa Veterinary Laboratory. Please see these instructions and contact Dr. Raquel Wong at the HDOA Animal Industry Division (808-483-7100) to obtain the appropriate media and swabs.

Talking points for the public:

  • The risk of H5N1 to humans and animals in Hawaii is currently low.
  • Do not touch sick or dead birds without appropriate personal protective equipment such as gloves, facemasks, protective gowns and footwear.
  • Poultry or other bird owners should increase biosecurity for their flocks.
  • Multiple sick or dead birds should be reported to the HDOA Animal Industry Division.

Read the full HDOA Press Release from 11/15/2024 here.

More information can be found in these resources:
Hawaii Department of Agriculture (HDOA)
Hawaii Department of Health (DOH)
Centers for Disease Control and Prevention (CDC)
United States Department of Agriculture (USDA)

Updated 11/23/2024: Check out HDOA’s HPAI Guidance for Veterinary Clinics

HPAI Possible Exposure at Mililani Pet Fair

DOH NOTIFIES PUBLIC OF POTENTIAL EXPOSURE TO AVIAN INFLUENZA AT MILILANI PET FAIR HELD NOV. 2

November 17, 2024                                                                                                    24-147

Investigation by the Hawaiʻi Department of Health (DOH) and Hawaiʻi Department of Agriculture (HDOA) of confirmed H5N1 avian influenza in a backyard flock of various birds in Central Oʻahu has identified a potential exposure to members of the public who attended the Mililani Pet Fair held on Nov. 2, 2024.

While certain birds from the infected flock were present at the fair, the first signs of infection in the flock did not occur until several days after the fair. As the birds were not showing signs of infection at the time of the fair, the likelihood of spreading H5N1 to humans is low. However, out of an abundance of caution, DOH recommends that individuals who attended the fair and touched a duck or goose monitor for influenza-like illness (ILI) and conjunctivitis (“pink eye”) symptoms.

Individuals who attended the fair and have not developed symptoms can be reassured. Symptoms of avian influenza in humans usually develop within two to five days of exposure but can take up to 10 days to develop in some cases. Symptoms that are associated with bird flu infection in humans are typical mild and may include the following:

  • Fever
  • Cough
  • Sore throat
  • Conjunctivitis (“pink eye”)

Avian influenza in humans can be treated with antiviral medications.

The DOH advises anyone who attended the fair, touched a duck or goose at the fair, and is currently experiencing ongoing symptoms to isolate at home. Please contact your primary care provider for evaluation and testing, as well as the DOH Disease Reporting Line at 808-586-4586 for further guidance (calls answered 24/7). Please also call the DOH Disease Reporting Line if you’ve experienced symptoms that have since been resolved. Health care providers can submit specimen samples to Hawaiʻi’s State Laboratory Division (SLD) for bird flu testing.

If other animals had contact with a duck or goose at the fair and are exhibiting signs of illness, owners should contact their veterinarians. The likelihood of transmission is low; however, HDOA veterinarians have advised local private veterinarians of the situation and asked them to report any possible cases of infection.

To report multiple or unusual illnesses in poultry, livestock, or other wild birds or animals, contact HDOA’s Animal Industry Division at 808-483-7102, Monday to Friday from 7:45 a.m. to 4:30 p.m. or 808-837-8092 during non-business hours and holidays.

For more information about avian influenza, visit the DOH website: https://health.hawaii.gov/docd/disease_listing/avian-influenza/

CDC Importation Rabies Rule Update

The Centers for Disease Control and Prevention (CDC) has issued its final rule that it hopes will reduce public health risks of the dog-maintained rabies virus variant (DMRVV) associated with the importation of dogs into the United States. The final rule addresses the importation of cats as part of overall changes to the regulations affecting both dogs and cats, but the final rule does not require that imported cats be accompanied by proof of rabies vaccination and does not substantively change how cats are imported into the United States.

In this final rule, CDC aligns U.S. import requirements for dogs with the importation requirements of other DMRVV-free countries by requiring proof of rabies vaccination and adequate serologic test results from a CDC-approved laboratory. Requirements that need to be met for dogs to be imported include: a microchip, six-month minimum age requirement for admission, and importer submission of a CDC import form. The rule also requires airlines to confirm documentation, provide safe housing for animals, and assist public health officials in determining the cause of an animal’s illness or death.

The final rule was published in the Federal Register on May 13 and is effective August 1, 2024.

AVMA articlehttps://www.avma.org/news/dog-import-requirements-strengthened-prevent-canine-rabies-return

Here are some resources released by the CDC:

https://www.cdc.gov/importation/bringing-an-animal-into-the-united-states/dogs.html

https://www.cdc.gov/importation/bringing-an-animal-into-the-united-states/dogs-entering-us-after-august-1.html

AVMA Updates

AVMA Vitals

The AVMA has made monthly need-to-know updates available on the following topics:

  • Better integrating veterinary technicians’ robust skill set into practice
  • Highly pathogenic avian influenza found in Texas, Kansas dairy cattle
  • HHS, senators ask DEA to use marijuana restrictions
  • ACVIM issues updated guidance on canine leptospirosis
  • Number of NAVLE test takers increases; Overall scores drop
  • More veterinary colleges in line for accreditation evaluations
  • Education Department to forgive loans for some borrowers; recertification deadline extended
  • Find veterinary clinic trials
  • Two new resources support equine practitioners
  • Pet food safety resources protect patients and clients
  • Managing toxicosis cases: Tips from the experts
  • Curiosity can lead to discovery: Embracing neurodiversity
  • Discover your advocacy path
  • Stay in the know–and qualify to earn rewards
  • Help for veterinarians and animals affected by wildfires
  • AVMA Convention 2024
  • Test yourself: Animal Welfare Assessment Contest

View the full AVMA Vitals update here.

AVMA Expands Mentorship Program

Any AVMA member with less than 10 years of professional experience can now get free professional mentoring through MentorVet Connect, brought to you by the AVMA. Learn more.

Hawaii Pet Expo 2024

It’s that time of year again; the Hawaii Pet Expo is coming up on May 4-5, 2024! We’re looking for volunteers to help make this event spectacular for the community!!! All volunteers get FREE t-shirts and a FREE lunch (if they volunteer in the morning of Saturday, May 4 or Sunday, May 5) for helping out! Check out all the volunteer descriptions and slot availability with the email attachment. If you’re interested in volunteering, please complete the volunteer sign-up link HERE no later than April 20, 2024 before 6:00 PM HST. If you have any questions, please email Jerrisa Ching.

Pet Expo 2024

HVMA’s Pet Expo 2024 will be held on May 4-5, 2024 from 10am-4pm each day at the Neal Blaisdell Center in Honolulu, Hawaii. Join us for a wide range of informative booths and pet merchandise, keiki crafts, contests, and more! Please bring a few canned goods for donation to the Hawaii Food Bank in lieu of an admission fee.

To register as a vendor for the event, please call 808-845-1762 or send an email.

Pono Pet Parents

Submitted by Michelle Barbieri, DVM

The HVMA is providing a landing page for resources for veterinarians, technicians, and pet owners called Pono Pet Parents. This information campaign currently focuses on cats, but the hope is that in the future, it can be expanded to dogs and more. Cat owners can learn about how to raise their beloved pets in a thoughtful way that strengthens their bond with their cats, keeps them happy and healthy, and benefits wild animals and our island home.

Resources are grouped by the following sections:

  • Ensure my cat has a happy home for life
  • Keep my cat safe indoors
  • Create an enriching home environment
  • Spay/neuter and microchip
  • Dispose of litter in the garbage
  • Learn about the unique Hawai’i environment I’m protecting

Pet owners can then take the Pono Cat Pledge, which includes a commitment to these activities. These pages are the result of a combined effort of humane society representatives on Oahu and Kauai, and local, state and federal conservation groups hoping to realize the shared goals of responsible pet ownership and wildlife and ecosystem health.

Please share this resource with your clients and colleagues. And if you have any feedback or want to help get involved with future steps in this information campaign, contact Michelle Barbieri.

2024 Hawaii Legislative Update

The 2024 legislative session is up and running! Several introduced bills may have direct impacts on veterinary practice in Hawaii. Here are the bills we are watching:

  • HB2086 / SB2749 RELATING TO HEALTH. Requires the administrator of the narcotics enforcement administration to make an emergency scheduling by placing xylazine into schedule III on an emergency basis. [HVMA working to include a veterinary use exemption]
  • HB1527 / SB2562 RELATING TO VETERINARY MEDICINE. Prohibits animal owners and their employees from performing any surgical procedures on the owner’s animal or animals. Prohibits the elastration, or castration via banding, of a pet animal. Provides that a violation of the prohibitions is a class C felony. Clarifies that the offense of cruelty to animals in the first degree does not apply to accepted veterinary practices and cropping or docking as customarily practiced when the procedures are performed by a licensed veterinarian.
  • HB1580 RELATING TO ANIMAL CRUELTY. Amends the criminal penalties for various animal cruelty offenses by increasing the category of offense
  • SB2114 RELATING TO FERAL ANIMALS. Prohibits the feeding of feral animals within a certain distance from Department of Education public school campuses; establishes fines
  • SB2564 RELATING TO PET ANIMALS. Prohibits insurers from refusing to issue, refusing to renew, canceling, or establishing higher rates for a homeowners insurance policy or dwelling fire insurance policy based on the breed of any dog that is kept on the premises. Requires any pet animal found on the premises during an eviction to be given to the owner or taken in by an animal control agency. Limits the monetary amount of pet deposits and pet rent. Clarifies that a provision allowing a lien on an animal to secure payment for caring for or feeding the animal does not apply to pet animals.
  • SB2692 RELATING TO DANGEROUS DOGS. Establishes requirements and penalties for owners of dangerous dogs. Allows for impounding of dangerous dogs under certain conditions. 

Please keep an eye out for calls to submit testimony on these bills in the near future. We will send out an alert once any of the bills that may impact veterinary practice are scheduled for a hearing. At that time testimony may be submitted online at https://www.capitol.hawaii.gov/.