{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:08:10Z","timestamp":1747188490144,"version":"3.40.5"},"reference-count":19,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,11,27]],"date-time":"2023-11-27T00:00:00Z","timestamp":1701043200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Zoonoses and Public Health"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The risk of infection with avian influenza A viruses currently circulating in wild and domestic birds in the Americas is considered low for the general public; however, detections in humans have been reported and warning signs of increased zoonotic potential have been identified. In December 2022, two Canada geese residing on the grounds of an urban hospital in Maine tested positive for influenza A H5N1 clade 2.3.4.4b.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>Given the opportunity for exposure to staff and hospital visitors through potentially infected faeces on the property, public health authorities determined mitigation efforts were needed to prevent the spread of disease. The ensuing response relied on collaboration between the public health and animal health agencies to guide the hospital through efforts in preventing possible zoonotic transmission to humans.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Mitigation efforts included staff communication and education, environmental cleaning and disinfection, enhanced illness surveillance among staff and patients, and exposure and source reduction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>No human H5N1 cases were identified, and no additional detections in birds on the property occurred. Hospital staff identified barriers to preparedness resulting from a lack of understanding of avian influenza A viruses and transmission prevention methods, including avian influenza risk in resident wild bird populations and proper wildlife management methods.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>As this virus continues to circulate at the animal\u2010human interface, this event and resulting response highlights the need for influenza A H5N1 risk awareness and guidance for facilities and groups not traditionally involved in avian influenza responses.<\/jats:p><\/jats:sec>","DOI":"10.1111\/zph.13097","type":"journal-article","created":{"date-parts":[[2023,11,27]],"date-time":"2023-11-27T22:38:46Z","timestamp":1701124726000},"page":"331-335","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Responding to avian influenza A <scp>H5N1<\/scp> detection on a hospital property in Maine\u2014An interdisciplinary approach"],"prefix":"10.1111","volume":"71","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-1414-3502","authenticated-orcid":false,"given":"Anna","family":"Krueger","sequence":"first","affiliation":[{"name":"Maine Center for Disease Control and Prevention  Augusta Maine United\u00a0States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Devin J. F.","family":"Myles","sequence":"additional","affiliation":[{"name":"Maine Center for Disease Control and Prevention  Augusta Maine United\u00a0States"},{"name":"MCD Global Health  Hallowell Maine United\u00a0States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carrie P.","family":"Rice","sequence":"additional","affiliation":[{"name":"Maine Center for Disease Control and Prevention  Augusta Maine United\u00a0States"},{"name":"MCD Global Health  Hallowell Maine United\u00a0States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tegwin K.","family":"Taylor","sequence":"additional","affiliation":[{"name":"Maine Department of Inland Fisheries &amp; Wildlife  Augusta Maine United\u00a0States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolyn","family":"Hurwitz","sequence":"additional","affiliation":[{"name":"Maine Department of Agriculture, Conservation &amp; Forestry  Augusta Maine United\u00a0States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jesse","family":"Morris","sequence":"additional","affiliation":[{"name":"United States Department of Agriculture Animal and Plant Health Inspection Service  Riverdale Maryland United\u00a0States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Robinson","sequence":"additional","affiliation":[{"name":"Maine Center for Disease Control and Prevention  Augusta Maine United\u00a0States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,11,27]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cmi.2021.11.005"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.3201\/eid2112.150904"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.3201\/eid2805.220318"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1128\/spectrum.02867\u201022"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/v14020280"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010022\u201013447\u2010z"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.2903\/j.efsa.2023.7917"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.3201\/eid2906.230103"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cll.2009.10.005"},{"key":"e_1_2_9_11_1","unstructured":"NCIRD (National Center for Immunization and Respiratory Diseases). (2022).Recommendations for Worker Protection and Use of Personal Protective Equipment (PPE) to Reduce Exposure to Novel Influenza A Viruses Associated with Severe Disease in Humans. U.S. Department of Health & Human Services Centers for Disease Control.https:\/\/www.cdc.gov\/flu\/avianflu\/h5\/worker\u2010protection\u2010ppe.htm"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.3201\/eid2505.181253"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.3201\/eid2809.220879"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.3201\/eid2904.221538"},{"key":"e_1_2_9_15_1","unstructured":"Rolfe E. D. Cole J. N. &Muskie E. S.(2023).Maine.Encyclopedia Britannica.https:\/\/www.britannica.com\/place\/Maine\u2010state"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.3390\/v13020212"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.3390\/pathogens12020168"},{"key":"e_1_2_9_18_1","unstructured":"Weik A.(2005).Waterfowl Assessment. Maine Department of Inland Fisheries and Wildlife Wildlife Division.https:\/\/www.maine.gov\/ifw\/docs\/species\/birds\/waterfowl\/speciesassessment.pdf"},{"key":"e_1_2_9_19_1","unstructured":"World Health Organization. (2023).Cumulative number of confirmed human cases for avian influenza A(H5N1) reported to WHO 2003\u20132023 31 May 2023.https:\/\/www.who.int\/publications\/m\/item\/cumulative\u2010number\u2010of\u2010confirmed\u2010human\u2010cases\u2010for\u2010avian\u2010influenza\u2010a(h5n1)\u2010reported\u2010to\u2010who\u2010\u20102003\u20102023\u2010\u201031\u2010may\u20102023"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/rmv.2099"}],"container-title":["Zoonoses and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/zph.13097","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,4]],"date-time":"2024-04-04T04:56:22Z","timestamp":1712206582000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/zph.13097"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,27]]},"references-count":19,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,5]]}},"alternative-id":["10.1111\/zph.13097"],"URL":"https:\/\/doi.org\/10.1111\/zph.13097","archive":["Portico"],"relation":{},"ISSN":["1863-1959","1863-2378"],"issn-type":[{"type":"print","value":"1863-1959"},{"type":"electronic","value":"1863-2378"}],"subject":[],"published":{"date-parts":[[2023,11,27]]},"assertion":[{"value":"2023-07-31","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-10","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-27","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}