Henry L Niman PhD
hlniman.bsky.social
Henry L Niman PhD
@hlniman.bsky.social
fatal H5N5 case
Grays Harbor Co WA
considerable interest
WSDA has
interactive map with 3 recent conf
incl/ backyard mixed flock (likely patient's flock)
Grays Harbor Co
APHIS update
3 more backyard flocks
Not on map or table
Snohomish
Jefferson
San Juan
www.aphis.usda.gov/livestock-po...
November 26, 2025 at 5:43 PM
A/turkey/South Dakota/024863-003/2025 | 9/5/25
H5 1704
1704
A/turkey/South Dakota/024863-004/2025
1703
A/turkey/South Dakota/024863-001/2025
A/turkey/South Dakota/024863-002/2025
A/Meat-type turkey/South Dakota/023924-001/2025
A/Meat-type turkey/South Dakota/023924-002/2025
November 26, 2025 at 4:12 PM
H5N1 seqs uploaded late yesterday are now in GISAID BLAST database
All from BC and match other new seqs or best with prior seqs also from Pacific flyway
A/Bald_Eagle/BC/AIVPHL-3832/2025 | 10/31/25
H5 1704
1702
A/Canada_Goose/BC/AIVPHL-3816/2025
A/Canada_Goose/BC/AIVPHL-3763/2025
November 26, 2025 at 2:44 PM
Todays CDC Summary of human H5 cases now has
7 cases identified through surveillance

www.cdc.gov/bird-flu/sit...
November 26, 2025 at 3:34 AM
A/Cackling_Goose/BC/AIVPHL-3830/2025 | 10/31/25
A3 No GISAID BLAST
H5 1704
1700
A/chicken/Hokkaido/B008/2025
A/chicken/Hokkaido/B002/2025
1699
A/red fox/USA/028269-001/2024
A/chicken/Hokkaido/E001/2025
A/chicken/Hokkaido/E002/2025
A/chicken/Hokkaido/E003/2025
November 26, 2025 at 3:25 AM
A/Common_Raven/BC/AIVPHL-3821/2025 | 10/27/25
D1.1 No GISAID BLAST
H5 1704
1700
A/Turkey/AB/FAV-0347-1/2025
A/Turkey/AB/FAV-0270/2025
1699
A/chicken/South Dakota/024635-001/2025
A/turkey/Montana/024658-001/2025
A/Chicken/AB/FAV-0340-001/2025
A/Whooping_crane/SK/FAV-0436-2/2025
November 26, 2025 at 2:44 AM
A/Bald_Eagle/BC/AIVPHL-3832/2025 | 10/31/25
D1.1 Not in GISAID BLAST database yet
H5 1704
1702
A/Turkey/AB/FAV-0347-1/2025 | 10/6/25
A/Turkey/AB/FAV-0270/2025 | 9/3/25
1701
A/chicken/South Dakota/024635-001/2025 | 9/8/25
A/turkey/Montana/024658-001/2025 | 9/9/25
November 26, 2025 at 1:33 AM
PHCA uploaded 56 sets of wild bird seqs collected in Oct / Nov 2025 to GISAID
Primarily D1.1
Not yet in GISAID BLAST database
November 26, 2025 at 1:12 AM
A/chicken/South Dakota/024635-001/2025 | 9/8/25
D1.1 Spink WAOH Poultry
GSAID database not updated
H5 1704
1703
A/Turkey/AB/FAV-0347-1/2025
A/Turkey/AB/FAV-0270/2025
1702
A/Chicken/AB/FAV-0340-001/2025
1701
A/Whooping_crane/SK/FAV-0436-2/2025
A/cat/USA/009022-003/2025
November 25, 2025 at 4:35 PM
A/Meat-type turkey/North Dakota/024186-002/2025 | 8/30/25 Dickey
D1.1 H5 1704
1702
A/Chicken/AB/FAV-0340-001/2025
1701
A/canada goose/USA/009017-002/2025
A/canada goose/USA/009017-001/2025
1700
A/Chicken/BC/FAV-0273-2/2024
A/Canada_Goose/BC/OTH-0108-34/2024
November 25, 2025 at 4:14 PM
A/turkey/Montana/024658-001/2025 | 9/9/25
D1.1 Liberty WAOH Poultry
GISAID database not updated
H5 1704
1703
A/Turkey/AB/FAV-0347-1/2025
A/Turkey/AB/FAV-0270/2025
1702
A/Chicken/AB/FAV-0340-001/2025
1701
A/Whooping_crane/SK/FAV-0436-2/2025
A/cat/USA/009022-003/2025
November 25, 2025 at 4:01 PM
A/chicken/New York/023583-003/2025 | 8/21/25
D1.1 BY St Lawrence
GISAID database not update
H5 1704
1702
A/Duck/QC/FAV-0272-2/2025
1701
A/Caspian_Tern/ON/FAV-0181-4/2025
A/caspian tern/USA/019811-002/2025
1700
A/bald eagle/USA/020556-001/2025
A/red-tailed hawk/USA/009646-001/2025
November 25, 2025 at 4:01 PM
A/duck/Michigan/025268-001/2025 | 9/12/25
D1.1 Backyard Flock Monroe or St Clair
GISAID database not updated
H5 1704
1703
A/Chicken/AB/FAV-0340-001/2025
1702
A/canada goose/USA/009017-002/2025
A/canada goose/USA/009017-001/2025
1701
A/Chicken/BC/FAV-0273-2/2024
November 25, 2025 at 3:31 PM
A/chicken/Maryland/024664-001/2025 | 9/9/25
D1.1
GISAID Database not updated
H5 1704
1702
A/mallard/USA/019408-008/2025
A/mallard/USA/019408-007/2025
A/chukar/USA/019408-001/2025
A/chukar/USA/019408-002/2025
A/canada goose/USA/017808-001/2025
A/black vulture/USA/015563-001/2025
November 25, 2025 at 3:20 PM
H5N1 seqs uploaded today with collection dates and state appear to be
California Dairy B3.13 seqs finishing up in Aug
early D1.1 in northern US
North and South Dakota, New York, a few more)
Not in GISAID BLAST database yet but the seqs a bit evolved away from earlier wild birds
November 25, 2025 at 3:08 PM
NVSL has uploaded 57 sets of H5N1 poultry and dairy seqs to GISAID
Collection dates in Aug/Sep 2025 time frame
Include location and collection date
November 25, 2025 at 2:37 PM
CDC updated current conf human H5 current website

2 of the 71 confirmed cases are deaths

Cases detected by surveillance returned to 6

coupled with the 24 targeted cases = 70

Unclear if lowering surveillance cases from 7 to 6 is a clerical error

www.cdc.gov/bird-flu/sit...
November 25, 2025 at 4:49 AM
H5 confirmed
Ontonagon Co
MI
Backyard flock
November 24, 2025 at 7:31 PM
Public Facing H5N5 A6 Geno Human WA Time Line
early Nov Grays Harbor Thurston King Co Hosps
11/10 BAL collect
11/13 Presump + H5 Univ WA Virology
11/14 Full seq upload Genbank GISAID H5N5 A6
11/17 Presump + backyard flock Grays Harbor
11/18 H5 conf map location
11/21 patient died
November 24, 2025 at 10:50 AM
H5 confirmed
Strathroy-Caradoc
Ontario
Commercial poultry
November 23, 2025 at 5:52 PM
treatment in King County after previously being treated in Thurston and Grays Harbor counties

from 11/13/25 PR WA DoH

11/14 conf & full H5N5 seq uploaded
Genbank & GISAID
Refute bogus timeline claiming
11/17 admission Grays Harbor Co
11/20 unsubtypable

doh.wa.gov/newsroom/gra...
Grays Harbor County resident tests preliminarily positive for avian influenza
For immediate release: November 13, 2025 (25-136) Contact: DOH Communications
doh.wa.gov
November 23, 2025 at 3:30 PM
WARNING - AI generated
There is a DETAILED (FALSE) report (7 hours ago) on H5N5 patient with IMPOSSIBLE dates
Dates are totally inconsistant with true dates of complete seq released by Wash U
11/10 BAL collection
11/14 Full seq completed
11/17 Seq PUBLIC
A/Washington/2148/2025
November 23, 2025 at 12:24 PM
H5 confirmed
Grande Prairie Co
Alberta
Non-commercial poultry
November 22, 2025 at 9:51 PM
A bronchoalveolar lavage (BAL) collection on ECMO

Note that full seq (at Genbank and GISAID)
of the fatally infected patient
was a BAL col on 11/10/25
A/Washington/2148/2025 | 11/10/25
indirectly suggesting patient was on ECMO at the time of collection
doh.wa.gov/newsroom/gra...
November 22, 2025 at 1:23 PM
undergoing treatment for H5N5 avian influenza
died today

From yesterday's WA DoH PR
CDC did update H5 website on total H5 cases - 71
no mentioned of H5N5
Also no mention of death
Full seq from patient
uploaded to Genbank and GISAID by Univ Washington
No seq from CDC
H5N5 CFR 100%
November 22, 2025 at 10:31 AM