NEW YORK — All live poultry markets in New York City and some of its suburbs were ordered Friday to close for a week after the detection of seven cases of avian flu, which has also hit farms nationwide.

Governor Kathy Hochul said that there was no immediate threat to public health and that the temporary closure of bird markets in the city and its Westchester County and Long Island suburbs came out of an abundance of caution. No cases of avian flu have been detected among humans in New York, officials said. 

The birds infected with the virus were found during routine inspections of live bird markets in the New York City boroughs of the Bronx, Brooklyn and Queens. 

The U.S. Centers for Disease Control and Prevention has said the virus poses low risk to the general public. The agency said there have been 67 confirmed cases of bird flu in humans in the U.S., with illnesses mild and mostly detected among farmworkers who were exposed to sick poultry or sick dairy cows. 

The first bird flu death in the U.S. was reported last month in Louisiana, with health officials saying the person was older than 65, had underlying medical problems and had been in contact with sick and dead birds in a backyard flock. 

In New York, live bird markets where the virus was detected have to dispose of all poultry in a sanitary manner, according to the state’s order. Other bird markets that do not have cases will have to sell off remaining poultry within three days, clean and disinfect their operations, and then remain closed for at least five days and be inspected by state officials before reopening. 

Ahead of the mandatory disposal order for markets with no cases, employees at La Granja, a halal-certified poultry market in Manhattan’s Harlem neighborhood, raced to sell the remaining inventory: around 200 live chickens of different varieties, along with turkeys, quail, ducks, roosters, pigeons and rabbits. 

Any remaining animals would be slaughtered and given to employees and longtime customers, according to Jose Fernandez, the owner. 

“We’re going to lose money, for now,” he said. “But the law is the law. They know what they’re doing.” 

The H5N1 strain of bird flu has been spreading among wild birds, poultry, cows and other animals. Officials have urged people who come into contact with sick or dead birds to wear respiratory and eye protection and gloves when handling poultry. 

More than 156 million birds nationwide have been affected by the outbreak, many at large farming operations that have had to slaughter their entire flocks. 

Despite growing attention on the avian flu, New York City’s poultry markets appeared to be doing brisk business Friday. 

Outside the Wallabout Poultry market in Brooklyn, a line of customers took numbers and picked their chickens, which employees snatched from crowded cages, weighing them upside down, before taking them to a back room to be slaughtered. 

“I’m not worried about any bird flu,” said Stan Tara, 42, of Brooklyn, as he purchased a large chicken for $22.50. “It’s the same as you buy from the supermarket. A little more expensive, but at least it’s fresh.” 

Some animal rights groups, meanwhile, questioned the purpose of a state order that allowed the markets to continue selling fowl, rather than shutting them down immediately. 

“The public is going into markets where no one knows if there are outbreaks of avian flu, then taking home dead birds that may or may not be infected,” said Edita Birnkrant, executive director of NYCLASS, which has long raised alarms about conditions within the city’s roughly 70 live animal markets. “It’s ludicrous.” 

U.S. egg prices are likely to remain high past Easter and well into 2025, largely because of avian flu, according to CoBank, a Denver-based provider of loans and other financial services to the agriculture sector. 

The highly contagious virus has affected nearly 100 million egg-laying hens in the U.S. since 2022. 

But CoBank said other factors are also causing supply constraints and driving up prices, such as skyrocketing consumer demand for eggs in recent years. Fast-growing breakfast and brunch chains are also eating up supplies. 
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NEW YORK — The U.S. winter virus season is in full force, and by one measure is the most intense in 15 years.

One indicator of flu activity is the percentage of doctor’s office visits driven by flu-like symptoms. Last week, that number was clearly higher than the peak of any winter flu season since 2009-10, according to data posted Friday by the U.S. Centers for Disease Control and Prevention.

Of course, other viral infections can be mistaken for flu. But COVID-19 appears to be on the decline, according to hospital data and CDC modeling projections. Available data also suggests another respiratory illness, RSV, or respiratory syncytial virus, has been fading nationally.

The flu has forced schools to shut down in some states. The Godley Independent School District, a 3,200-student system near Fort Worth, Texas, last week closed for three days after 650 students and 60 staff were out Tuesday.

Jeff Meador, a district spokesman, said most illnesses there have been flu, plus some strep throat. He called it the worst flu season he could remember.

So far this season, the CDC estimates, there have been at least 24 million flu illnesses, 310,000 hospitalizations and 13,000 deaths — including at least 57 children.

Traditionally, flu season peaks around February.

Overall, 43 states reported high or very high flu activity last week. Flu was most intense in the South, Southwest and Western states.

In Rochester, New York, the flu season has been intense but not necessarily worse than at the peak of other years, said Dr. Elizabeth Murray, a pediatric emergency medicine doctor at the University of Rochester Medical Center.

She said there is a lot of flu, but there is also still a lot of RSV and a surprising number of babies with COVID-19.

“All of the respiratory illnesses are around, with a vengeance,” Murray added.

The CDC declined to let an Associated Press reporter speak to an agency flu expert about recent trends. The Trump administration ordered a temporary “pause” on health agency communications and has continued to refuse interview requests that were routinely granted in the past.

U.S. health officials recommend that everyone 6 months and older get an annual flu vaccination.

About 44% of adults got flu shots this winter, the same as last winter. But coverage of children is down, at about 45% this winter. It’s usually around 50%, according to CDC data.

About 23% of U.S. adults were up to date on their COVID-19 vaccinations as of late January, up from about 20% at the same point in time the year before. COVID-19 vaccination rates for kids were about the same, at around 12%.

The government has not yet reported its estimates of how well this season’s flu vaccine is working.

Testing results from patients indicate that two strains of seasonal flu are causing the most illnesses: type A H1N1 and H3N2. Health officials are closely watching a third strain — H5N1 bird flu — that has sickened tens of millions of animals and is known to have infected 67 people in the U.S.

To avoid seasonal viruses, doctors say you should avoid touching your eyes, nose and mouth because germs can spread that way. You should also wash your hands with soap and water, clean frequently touched surfaces, and avoid close contact with people who are sick.
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JOHANNESBURG, SOUTH AFRICA — Some South African organizations that assist people with HIV are in limbo, after the United States put a 90-day freeze on most foreign aid. The U.S. State Department later added a waiver for “lifesaving” aid, but NGOs that have already shut their doors say the next steps aren’t clear, and they are worried this could set back years of progress.

South Africa has the highest number of HIV-positive people in the world — about 8 million — but has also been a huge success story in terms of treatment and preventing new infections.

That’s largely due to the money poured into expert HIV care here, 17% of which comes from a U.S. program called the President’s Emergency Plan for AIDS Relief, also known as PEPFAR.

But, a 90-day foreign aid funding freeze is in effect, following an executive order by U.S. President Donald Trump last month to check if U.S.-funded programs overseas are aligned with U.S. policies. This has caused some confusion in South Africa with health care organizations and their patients.

Thamsanqa Siyo, an HIV-positive transgender woman in South Africa, is anxious.

“People are frustrated, they’re living in fear, they don’t know what’s going to happen,” said Siyo. “They don’t know if it’s stopped temporarily or not temporarily.”

The Cape Town clinic that Siyo used to go to has now been closed for two weeks.

While the State Department has issued a waiver to continue paying for “lifesaving” services, what that includes remains unclear to many South African organizations that receive funding from PEPFAR.

U.S. Secretary of State Marco Rubio said this week that the waiver was clear.

“If it saves lives, if it’s emergency lifesaving aid — food, medicine, whatever — they have a waiver,” said Rubio. “I don’t know how much clearer we can be.”

The State Department also issued written clarification and guidance on February 1 regarding which activities are and are not covered by the waiver for PEPFAR programs.

The South African government said it was blindsided by the U.S. aid freeze, according to Health Minister Aaron Motsoaledi, who convened a meeting about PEPFAR on Wednesday.

Motsoaledi also said he has sought clarity on the waiver.

“If you say American money cannot be used for LGBTQWI+ and we do the counseling and testing and somebody who falls within that category, transgender, tests positive, can they not be helped?” he asked. “Even if it’s lifesaving?”

Linda-Gail Bekker is a doctor and scientist who heads the Desmond Tutu HIV Center in South Africa.

“This is not one homogenous picture,” said Bekker. “In some places, it’s parts of services that have been stopped. In other places, the whole clinic, if it was supplied by PEPFAR, has been closed down.”

She also said that some transgender health services have been completely closed, and in other areas, counselors haven’t been able to come in.

In addition, she said some services and drugs are no longer available, such as community-based testing and pre-exposure prophylaxis, a medicine that prevents people at high risk from contracting HIV.

Ling Sheperd, who works for Triangle Project, an nongovernmental organization that provides services for the queer community, said there’s a risk of “undoing decades of progress.”

“The impact is devastating,” said Sheperd. “The PEPFAR funding has been a lifeline for millions and it ensures access to HIV treatment, prevention services, and of course community-based health care. And without it we are seeing interruptions in medication supply, clinics are scaling back services, and community health workers have literally been losing their livelihoods.”

About 5.5 million South Africans are on anti-retroviral medication for HIV. Motsoaledi noted that most of that is funded by the government here.

However, he said, a PEPFAR shortfall will affect training, facilities and service delivery. The government said it is working on contingency plans that would reduce dependence on foreign aid in the HIV sector.

On Wednesday, a group of health organizations sent a letter to the South African government saying at least 900,000 patients with HIV were directly affected by the U.S. stop-work orders.
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U.S. dairy cattle tested positive for a strain of bird flu that previously had not been seen in cows, the U.S. Department of Agriculture said on Wednesday, ramping up concerns about the persistent spread of the virus. 

The H5N1 virus has reduced milk output in cattle, pushed up egg prices by wiping out millions of hens, and infected nearly 70 people since April as it has spread across the country. 

Genome sequencing of milk from Nevada identified the different strain, known as the D1.1 genotype, in dairy cows for the first time, the USDA said. Previously, all 957 bird flu infections among dairy herds reported since last March had been caused by another strain, the B3.13 genotype, according to the agency. 

Reuters reported news of the detection of the second strain on Wednesday ahead of USDA’s announcement. 

The second strain was the predominant genotype among wild birds this past fall and winter and has also been found in poultry, the USDA said. It was identified in dairy cattle through an agency program that began testing milk for bird flu in December. 

“We’re seeing the H5N1 virus itself be smarter than all of us,” said Beth Thompson, South Dakota’s state veterinarian.  

“It’s modifying itself so it’s not just staying in the poultry and the wild waterfowl. It’s picking up a home in the mammals.”  

Wild birds likely transmitted the second strain to cattle in Nevada, said J.J. Goicoechea, Nevada’s agriculture director. Farmers need to ramp up safety and security measures to protect their animals, he said. 

“We obviously aren’t doing everything we can and everything we should or the virus wouldn’t be getting in,” he said. 

The Nevada Department of Agriculture said on Jan. 31 that herds in two counties had been placed under quarantine because of bird flu detections.  

It is important for the USDA to contain the outbreak in the state quickly, so the strain does not spread to dairy cattle elsewhere, said Gail Hansen, a veterinary and public health consultant. 

Last year, bird flu spread across the country as infected cattle were shipped from Texas after the virus first leapt to cows from wild birds. 

“We didn’t get a hold on it before,” Hansen said. “We want to avoid that same scenario from happening in Nevada.” 

Dairy herds that were formerly infected may be at risk again from the second strain, experts said. 

“Now it looks like we have new strains of virus that may escape some of the immunity associated with the other strains of viruses that could exacerbate the epidemics among animals and wildlife,” said Gregory Gray, a University of Texas Medical Branch professor studying cattle diseases.  

“It’s alarming.”
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BUENOS AIRES — President Javier Milei has ordered Argentina’s withdrawal from the World Health Organization due to profound differences with the U.N. agency, a presidential spokesperson said Wednesday.

Milei’s action echoes that of his ally, U.S. President Donald Trump, who began the process of pulling the United States out of the WHO with an executive order on his first day back in office on Jan. 21.

Argentina’s decision is based on “profound differences in health management, especially during the [COVID19] pandemic,” spokesperson Manuel Adorni said at a news conference in Buenos Aires. He said that WHO guidelines at the time had led to the largest shutdown “in the history of mankind.”

He also said that the WHO lacked independence because of the political influence of some countries, without elaborating which countries.

Argentina will not allow an international organization to intervene in its sovereignty “and much less in our health,” Adorni said.

The WHO is the United Nations’ specialized health agency and is the only organization mandated to coordinate global responses to acute health crises, particularly outbreaks of new diseases and persistent threats such as Ebola, AIDS and mpox.
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Scientists are testing a novel technique to deter poachers targeting endangered rhinoceroses for their prized horns. As part of a pilot study in South Africa, researchers have injected small, radioactive pellets into the horns of live rhinos. The goal is to make the horns radioactive so there is less demand for them on the black market. Marize de Klerk reports from the UNESCO Waterberg Biosphere Reserve.
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Abuja, Nigeria — Nigerian officials have launched a committee to develop a transition and sustainability plan for USAID-funded health programs following U.S. President Donald Trump’s 90-day halt of most foreign aid. The multi-ministerial committee aims to secure new financial support for critical health programs. 

Nigeria’s health minister said the committee—comprising officials from the ministries of finance, health, and environment—intends to ensure that patients receiving treatment for HIV, tuberculosis, and malaria do not experience setbacks amid the uncertainty over U.S. foreign policy.

Shortly after taking office two weeks ago, U.S. President Donald Trump ordered a 90-day pause on U.S. foreign aid. But days later, he approved a temporary waiver for life-saving humanitarian assistance, covering medicine, medical services, food, and shelter.

Despite the exemption, concerns remain over the future of U.S. funding for global health programs.

Public health expert Ejike Orji welcomed Nigeria’s proactive response to the U.S. funding freeze.

“What this means is that they’re going to do a review, situation assessment of what’s going on and that would give them the opportunity to make recommendations to the government. They (U.S.) gave a ninety-day review because of the strategic importance of continuing the HIV program in Nigeria, so that means there’s still a possibility after their review, they might say, ‘Look, we don’t want to continue this funding,” said Orji.

Nigeria is a significant recipient of U.S. foreign aid, receiving $1.02 billion in 2023, much of it through agencies like USAID.

USAID funding to Nigeria plays a pivotal role in HIV/AIDS treatment, maternal and child care, and disease prevention efforts.

On Monday, the Nigerian Federal Executive Council approved $1 billion for healthcare sector reforms and allocated an additional $3.2 million to procure 150,000 HIV treatment packs over the next four months.

Authorities said the new funding will support improvements in primary healthcare services, maternal and child healthcare, and training of healthcare professionals.

But Ndeayo Iwot, general secretary of the Health Sector Reforms Coalition, said it will be difficult to sustain those programs without continued U.S. support.

“Even when they’re releasing the available funds on time, they will not be able to cover all the areas that those funds [aid] were helping them to achieve. It will take time, probably two, three years,” said Iwot.

Approximately 1.8 million Nigerians are living with HIV. The country also accounts for the world’s highest number of malaria deaths and ranks among the top countries for tuberculosis cases.

Iwot said Nigeria needs new partnerships for health programs.

“Health needs a multi sectoral approach, it works on partnerships, there are certain things you shouldn’t do alone as a country. Going through resource pulling from many partners and stakeholders is a recommended approach to financing health activities,” said Iwot.

Currently, only about 4% of Nigeria’s annual budget is allocated to the health sector—far below the 15 percent target set by African leaders in the 2001 Abuja Declaration.

It’s unclear whether the U.S. will reverse its decision after the 90-day pause. But with uncertainty looming, analysts say careful implementation of policies and new partnerships may be Nigeria’s best path forward.
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Washington — Robert F. Kennedy Jr., the controversial environmental lawyer turned public health critic, cleared his first hurdle on Tuesday to become the nation’s top health official when the senate finance committee voted to advance his nomination for a floor vote. 

Republicans voted together to advance his nomination, while Democrats all opposed. 

His nomination now will face a full senate vote, despite concerns about the work he’s done to sow doubts around vaccine safety and his potential to profit off lawsuits over drugmakers. 

To gain control of the $1.7 trillion Health and Human Services agency, Kennedy will need support from all but three Republicans if Democrats uniformly oppose him. 

Republican Sen. Bill Cassidy of Louisiana, who is also a physician and sits on the finance committee, voted to advance Kennedy’s confirmation. Last week, during Kennedy’s hearings, Cassidy repeatedly implored Kennedy to reject a disproven theory that vaccines cause autism, to no avail. He ended the hearing by saying he was “struggling” with the vote. 

“Your past, undermining confidence in vaccines with unfounded or misleading arguments, concerns me,” Cassidy told Kennedy. 

Republican Sens. Susan Collins of Maine, Lisa Murkowski of Alaska and Mitch McConnell of Kentucky are all seen as potential no votes, too, because they voted against President Donald Trump’s defense secretary nominee and have expressed concerns about Kennedy’s anti-vaccine work. 

In a CBS “60 Minutes” interview that aired Sunday, McConnell declined to say how he would vote on Kennedy’s nomination but reiterated “vaccines are critically important.” 

Democrats, meanwhile, continue to raise alarms about Kennedy’s potential to financially benefit from changing vaccine guidelines or weakening federal lawsuit protections against vaccine makers if confirmed as health secretary. 

“It seems possible that many different types of vaccine-related decisions and communications — which you would be empowered to make and influence as Secretary — could result in significant financial compensation for your family,” Democratic Sens. Elizabeth Warren of Massachusetts and Ron Wyden of Oregon wrote in a letter sent over the weekend to Kennedy. 

Kennedy said he’ll give his son all of the referral fees in legal cases against vaccine makers, including the fees he gets from referring clients in a case against Merck. Kennedy told the committee he’s referred hundreds of clients to a law firm that’s suing Merck’s Gardasil, the human papillomavirus vaccine that prevents cervical cancer. He’s earned $2.5 million from the deal over the past three years. 

As secretary, Kennedy will oversee vaccine recommendations and public health campaigns for the $1.7 trillion agency, which is also responsible for food and hospital inspections, providing health insurance for millions of Americans and researching deadly diseases. 

Kennedy, a longtime Democrat, ran for president but withdrew last year to throw his support to Trump in exchange for an influential job in his Republican administration. Together, they have forged a new and unusual coalition made up of conservatives who oppose vaccines and liberals who want to see the government promote healthier foods. Trump and Kennedy have branded the movement as “Make America Healthy Again.” 
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Uganda began a vaccine trial Monday against the Sudan strain of Ebola that has killed one person in the outbreak declared last week.

World Health Organization Director-General Tedros Adhanom Ghebreyesus said Monday in a post on the X social media platform that the trial was “initiated with record speed, only three days since the outbreak was declared, while ensuring full compliance with international and national regulatory and ethical requirements.”

Officials have not identified the vaccine manufacturer that is providing the East African country with access to more than 2,000 doses of the candidate vaccine.

WHO is supporting Uganda’s response to the outbreak with a $1 million allocation from its Contingency Fund for Emergencies.

So far, there has been only one death attributed to the virus — a nurse who worked at the Mulago National Referral Hospital in Kampala, Uganda’s capital. Two more cases were confirmed on Monday. The Associated Press reported they were members of the nurse’s family.

The nurse sought treatment at several hospitals and had also consulted with a traditional healer before tests confirmed an Ebola diagnosis, according to authorities.

Dr. Matshidiso Moeti, WHO regional director for Africa said in a statement after the outbreak was confirmed, “We welcome the prompt declaration of this outbreak, and as a comprehensive response is being established, we are supporting the government and partners to scale up measures to quicky identify cases, isolate and provide care, curb the spread of the virus and protect the population.”

Uganda’s Health Ministry has identified at least 234 of the nurse’s contacts, according to the AP. Containing the virus could prove challenging in Kampala with its population of 4 million people.

The symptoms of Ebola, an often-fatal disease, include fever, vomiting, diarrhea, muscle pain and at times internal and external bleeding.

According to the U.S. Centers for Disease Control and Prevention, health care workers and family members caring for someone with Ebola are at high risk for contracting the disease.

WHO said Ebola “is transmitted to people from wild animals (such as fruit bats, porcupines and non-human primates) and then spreads in the human population through direct contact with the blood, secretions, organs or other bodily fluids of infected people, and with surfaces and materials (e.g., bedding, clothing) contaminated with these fluids.”

Ebola’s fatality rate is around 50%, WHO said on its website, but it also said that fatality rates have varied from 25% to 90% in some outbreaks.

The outbreak in Uganda is the first Ebola outbreak since U.S. President Donald Trump announced the U.S. withdrawal from the World Health Organization.

Some information was provided by The Associated Press and Agence France-Presse.
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The recent outbreak of the H5N1 avian influenza virus in the U.S. and the potential for it to mutate has raised concerns among the scientific community that it could result in human-to-human transmission and a new pandemic. Farmers are also concerned about the potential impacts on their livelihood. VOA’s Veronica Balderas Iglesias reports.
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Arlington, Virginia — A baby food maker is recalling edible sticks meant to ease teething pain over a possible choking hazard. 

Gerber announced Friday that it was recalling and discontinuing its brand of “Sooth N Chew” teething sticks after receiving customer complaints about choking. The company said one emergency room visit had been reported. 

The teething sticks are edible teethers marketed to parents and guardians of children six months and older. They come in strawberry-apple and banana flavors. 

Gerber said it was working with the U.S. Food and Drug Administration on the recall. 

Customers who bought the teething sticks should return them to stores where they were purchased for a refund, the company said. 

Anyone concerned about an injury or illness should contact a health care provider. For any additional support needed, Gerber is available 24/7 at 1-800-4-GERBER (1-800-443-7237). 

The company says it is working with the U.S. FDA on this recall and will cooperate with them fully. 
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Kampala, Uganda — Ugandan officials are preparing to deploy a trial vaccine as part of efforts to stem an outbreak of Ebola in the capital, Kampala, a top health official said Sunday.

A range of scientists are developing research protocols relating to the planned deployment of more than 2,000 doses of a candidate vaccine against the Sudan strain of Ebola, said Pontiano Kaleebu, executive director of Uganda Virus Research Institute.

“Protocol is being accelerated” to get all the necessary regulatory approvals, he said. “This vaccine is not yet licensed.”

The World Health Organization said in a statement that its support to Uganda’s response to the outbreak includes access to 2,160 doses of trial vaccine.

“Research teams have been deployed to the field to work along with the surveillance teams as approvals are awaited,” the WHO statement said.

The candidate vaccine as well as candidate treatments are being made available through clinical trial protocols to further test for efficacy and safety, it said.

The vaccine maker wasn’t immediately known. There are no approved vaccines for the Sudan strain of Ebola that killed a nurse employed at Kampala’s main referral hospital. The man died on Wednesday and authorities declared an outbreak the next day.

 Officials are still investigating the source of the outbreak, and there has been no other confirmed case.

Uganda has had access to candidate vaccine doses since the end of an Ebola outbreak in September 2022 that killed at least 55 people. Ugandan officials ran out of time to begin a vaccine study when that outbreak, in central Uganda, was declared over about four months later, Kaleebu said.

A trial vaccine known as rVSV-ZEBOV, used to vaccinate 3,000 people at risk of infection during an outbreak of the Zaire strain of Ebola in eastern Congo between 2018 and 2020, proved effective in containing the spread of the disease there.

Uganda has had multiple Ebola outbreaks, including one in 2000 that killed hundreds. The 2014-16 Ebola outbreak in West Africa killed more than 11,000 people, the disease’s largest death toll.

Tracing contacts is also key to stemming the spread of Ebola, which manifests as a viral hemorrhagic fever.

At least 44 contacts of the victim in the current outbreak have been identified, including 30 health workers and patients, according to Uganda’s Ministry of Health.

Confirmation of Ebola in Uganda is the latest in a series of outbreaks of viral hemorrhagic fevers in the east African region. Tanzania declared an outbreak of the Ebola-like Marburg disease earlier this month, while in December Rwanda announced that its own outbreak of Marburg was over. The ongoing Marburg outbreak in northern Tanzania’s Kagera region has killed at least two people, according to local health authorities.

Kampala’s outbreak could prove difficult to respond to, because the city has a highly mobile population of about 4 million. The nurse who died had sought treatment at a hospital just outside Kampala and later traveled to Mbale, in the country’s east, where he was admitted to a public hospital. Health authorities said the man also sought the services of a traditional healer.

Ebola is spread by contact with bodily fluids of an infected person or contaminated materials. Symptoms include fever, vomiting, diarrhea, muscle pain and at times internal and external bleeding.

Scientists don’t know the natural reservoir of Ebola, but they suspect the first person infected in an outbreak acquired the virus through contact with an infected animal or eating its raw meat.

Ebola was discovered in 1976 in two simultaneous outbreaks in South Sudan and Congo, where it occurred in a village near the Ebola River, after which the disease is named.
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