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Avian Influenza

Current U.S. Bird Flu Situation in Humans

H5N1 Bird Flu: Current Situation
Last Updated: January 15, 2025

Confirmed and probable cases are typically updated by 5 PM EST on Mondays (for cases confirmed by CDC on Friday, Saturday, or Sunday), Wednesdays (for cases confirmed by CDC on Monday or Tuesday), and Fridays (for cases confirmed by CDC on Wednesday and Thursday). Affected states may report cases more frequently.


Confirmed human case summary since 2024, by state and exposure source
  Exposure Associated with Commercial Agriculture & Related Operations      
State Dairy Herds (Cattle) Poultry Farms & Culling Operations Other Animal Exposure Exposure Source Unknown State Total
California 36 0 0 1 37
Colorado 1 9 0 0 10
Iowa 0 1 0 0 1
Louisiana 0 0 1 0 1
Michigan 2 0 0 0 2
Missouri 0 0 0 1 1
Oregon 0 1 0 0 1
Texas 1 0 0 0 1
Washington 0 11 0 0 11
Wisconsin 0 1 0 0 1
Source Total 40 23 1 2 66

NOTE: One additional case was previously detected in a poultry worker in Colorado in 2022. Louisiana reported the first H5 bird flu death in the U.S.


Probable human case summary during the 2024 outbreak, by state and exposure source

When a case tests positive for H5 at a public health laboratory but testing at CDC is not able to confirm H5 infection, per Council of State and Territorial Epidemiologists (CSTE) guidance, a case is reported as probable.

Commercial Poultry Exposure: Probable Cases
  • Washington - 3
  • Arizona - 2
Commercial Dairy Cattle Exposure: Probable Cases
  • California - 1
Unknown Source Exposure: Probable Cases
  • Delaware - 1

H5 Monitoring & Surveillance in Humans

National Flu Surveillance 

CDC has multiple surveillance systems that are used year-round to monitor key flu indicators. These data are reviewed comprehensively each week. Taken together, as of January 10, 2025, these systems currently show no indicators of unusual flu activity in people, including avian influenza A(H5N1) viruses.

Case Reporting

 3 cases detected through national flu surveillance

Public Health Laboratory Monitoring

Since February 25, 2024, 83,048 specimens have been tested using a protocol that would have detected A(H5) and other novel viruses.

Clinical Laboratory Trends

CDC has not identified any unusual trends in reported clinical laboratory data at the national, state, or local levels.

Emergency Departments

CDC has not identified any unusual trends in emergency department visits associated with influenza or potentially related symptoms at the national, state, or local levels.

Wastewater Surveillance For the week ending January 04, 2025, 300 sites reported results for avian influenza A(H5) in wastewater, and 51 (17.0%) sites from 1 state (California) reported H5 detections.

Targeted H5 Surveillance

CDC numbers are based on weekly state aggregate reports since 2022. CDC defers to states for updated information on people being monitored and tested. March 24, 2024, was the date of the first reported dairy cow infections in the United States.

February 2022 - Present

CDC and state and local health departments monitor people exposed to infected birds, poultry, dairy cows or other animals for 10 days after exposure. Between February 2022 and now, there have been:

  • At least 20,900 people monitored and 
  • At least 860 people tested for novel influenza A 
Current HPAI Outbreak (2024) CDC and state and local health departments monitor people exposed to infected birds, poultry, dairy cows and other animals for 10 days after exposure.  Between March 24, 2024, and now, there have been:

  • At least 11,500 people monitored 
    • At least 7,200 with exposures to dairy cows
    • At least 4,300 with exposures to birds and other animals including poultry (non-dairy cow source)
  • At least 570 persons tested for novel influenza A
    • At least 160 with exposures to dairy cows
    • At least 410 with exposures to birds and other animals including poultry (non-dairy cow source)

66 human cases detected through targeted H5 surveillance