Although avian influenza isn’t new, research has ramped up concerning how milk and meat products might be impacted and how that could affect consumers.
Since 2003, H5N1 influenza viruses have circulated in 23 countries, primarily affecting wild birds and poultry, with about 900 human cases reported in that span, primarily among people who have had close contact with infected birds.
In the past few years, however, a highly pathogenic avian influenza virus called HPAI H5N1 has spread to infect more than 50 animal species, and in late March, the United States reported a viral outbreak among dairy cows in Texas. To date, 52 cattle herds across nine states have been affected, with two human infections detected in farm workers with conjunctivitis.
Although the virus has shown no genetic evidence of acquiring the ability to spread from person to person, public health officials are closely monitoring the dairy cow situation as part of overarching pandemic preparedness efforts.
One key takeaway from recent information about H5N1 particles found in beef and milk is that pasteurized and cooked; the virus is easily killed and rendered ineffective. Because of the limited information available about the possible transmission of HPAI A (H5N1) viruses in raw milk, the Food and Drug Administration recommends that the industry does not manufacture or sell raw milk or raw milk cheese products made with milk from cows showing symptoms of illness.
Research shows H5N1 influenza levels in mice given raw milk from infected cattle
New research Mice administered raw milk samples from dairy cows infected with H5N1 influenza experienced high virus levels in their respiratory organs and lower virus levels in other vital organs, according to findings published in the New England Journal of Medicine. The results suggest that consumption of raw milk by animals poses a risk for H5N1 infection and raises questions about its potential risk in humans.
To assess the risk of H5N1 infection by consuming raw milk, researchers from the University of Wisconsin-Madison and Texas A&M Veterinary Medical Diagnostic Laboratory fed droplets of raw milk from infected dairy cattle to five mice. The animals demonstrated signs of illness, including lethargy, on day one and were euthanized on day four to determine organ virus levels. The researchers discovered high levels of virus in the animals’ nasal passages, trachea and lungs and moderate-to-low virus levels in other organs, consistent with H5N1 infections found in other mammals.
In addition to the mice studies, the researchers also tested to determine which temperatures and time intervals inactivate the H5N1 virus in raw milk from dairy cows. Four milk samples with confirmed high H5N1 levels were tested at 63 degrees Celsius (145.4 degrees Fahrenheit) for 5, 10, 20, and 30 minutes or at 72 degrees Celsius (161.6 degrees Fahrenheit) for 5, 10, 15, 20, and/or 30 seconds. Each of the time intervals at 63℃ successfully killed the virus. At 72℃, virus levels were diminished but not completely inactivated after 15 and 20 seconds.
The authors emphasize, however, that their laboratory study was not identical to large-scale industrial pasteurization of raw milk and reflects experimental conditions that should be replicated with direct measurement of infected milk in commercial pasteurization equipment.
In a separate experiment, the researchers stored raw milk infected with H5N1 at 4℃ (39.2 degrees Fahrenheit) for five weeks and found only a small decline in virus levels, suggesting that the virus in raw milk may remain infectious when maintained at refrigerated temperatures.
States have individual laws regarding the sale of raw milk: California and Pennsylvania, for example, allow retail sales of raw milk, while Nevada and Rhode Island ban it entirely for human consumption. Other states fall somewhere in between, like Texas and Illinois allowing on-farm sales of raw milk.
To date, the U.S. Food and Drug Administration concludes that the totality of evidence continues to indicate that the commercial milk supply is safe. While laboratory benchtop studies provide essential, useful information, some limitations challenge inferences to real-world commercial processing and pasteurization. The FDA conducted an initial survey of 297 retail dairy products collected at retail locations in 17 states and represented products produced at 132 processing locations in 38 states. All of the samples were found to be negative for viable virus. These results underscore the opportunity to conduct additional studies that closely replicate real-world conditions.
The FDA, in partnership with USDA, is conducting pasteurization validation studies, including using a homogenizer and continuous flow pasteurizer. Additional results will be made available as soon as they are available.
»Related: CDC: Domestic cats prove more susceptible to HPAI infection
