Clarification: This story has been updated to clarify between the effects and geographical spread of the H5 and H7 strains.
As cases of bird flu mount overseas, New Zealand officials are bolstering their plans in case the virus arrives on our shores.
Hundreds of millions of birds have now been destroyed around the globe due to infection with highly pathogenic strains of avian influenza, mostly the H5 and H7 strains.
In June, the first human case of H5N2 died in Mexico, and this month, pet cats have been confirmed infected in the United States.
Overseas officials are ramping up testing amid fears of infected beef being eaten by humans, while experts here at home are vaccinating native manu against the deadly virus.
Here's what you need to know.
Bird flu's spread overseas
Avian influenza has been recorded as far back as 1878, but the current outbreak of H5N1 began in 2020 in Europe. From there, the virus spread to the Middle East, Asia, parts of Africa and the Antarctic peninsula, according to the US Centers for Disease Control.
H5 strains have since spread from birds to at least 26 species of mammals, according to Harvard Health Publishing. Among them are mice, bears, foxes, dolphins, otters, alpacas, goats and hedgehogs. In Denmark, millions of mink have been culled after the virus spread through fur farms, and tens of thousands of seals and sea lions have died throughout the Americas, the BBC reported.
This month, the Colorado Veterinary Medical Association reported six domestic cats in the US state had been diagnosed with the virus. This is not the first time it has threatened pets - in 12 cats died of bird flu in Poland and nearly 40 in South Korea. Their deaths were traced back to raw pet food that contained infected chicken and duck.
The BBC estimates at least half a billion farmed birds have been slaughtered due to the H5 strains of bird flu.
In the United States, nearly 200 dairy herds have been infected since March, when the virus jumped from wild birds to cows. The country's Department of Agriculture will in September begin testing beef entering the food supply over concerns the virus could be infecting meat, according to Reuters.
New Zealand, Australia and the Pacific Islands remain free of the H5N1 strain.
Also circulating are H7 strains, which have been the cause of outbreaks in Australia. In June, more than one million birds were slaughtered across Victoria to try to halt the spread of the virus.
In July, ABC News reported nearly 10 percent of Australia's egg laying hens had been affected by the H7 outbreak. McDonald's stopped serving breakfast early to conserve its egg supply and supermarkets imposed restrictions on how many cartons of eggs could be purchased in one transaction.
Human cases of bird flu
Compared to bird flu's spread in animals, relatively few people have been infected so far, and the risk to human health is still classified as low.
In 2020, there were 13 human cases of bird flu reported - mostly in China, with one each in Russia, Hong Kong and Senegal, according to the US Centers for Disease Control.
The following year, 2021, was the deadliest of the epidemic for humans. There were 62 human cases reported in China, of whom 19 died, World Health Organization figures show. All but one of the deceased had the H5N6 strain.
Over the next two years, human cases were reported in the United States (where the majority have been dairy farm workers), the United Kingdom, Cambodia, Vietnam, India, Mexico and Spain, according to the World Health Organization. Two further cases in China died in 2022, while a person from Mexico - the first confirmed human case of H5N2 - died in June.
Australia reported its first human case of the H5N1 strain in May - a child who had likely contracted the virus while on holiday in India.
That development led New Zealand public health experts to issue a warning, saying Aotearoa needed to update its national pandemic plan in response to the "evolving threat" posed by bird flu.
According to the World Health Organization, there have not yet been any cases of H5N1 that have been transferred from person to person. However, the virus is "constantly evolving" and could potentially become transmissible in that way.
"If this occurs, it could be the start of a new influenza pandemic, as was the case with the 1918 and 2009 H1N1 pandemics."
The situation in New Zealand
New Zealand has never had a case of highly pathogenic avian influenza, but the Ministry for Primary Industries has been monitoring its movement around the world for more than 20 years, chief veterinary officer Dr Mary van Andel says.
"New Zealand's geographical isolation has protected us from HPAI in the past, but we can't rely on it forever. Given the unpredictable journey of wild birds who can travel with HPAI, it may still arrive here."
The ministry is most concerned about the H5N1 strain, and is developing a response plan alongside the Department of Conservation, Ministry of Health, Te Whatu Ora and key sector groups, van Andel says. That will cover surveillance, biosecurity, wild bird populations and human health.
This month, representatives from the ministry and the poultry industry visited the United Kingdom to meet with experts and learn about the British response to the H5N1 strain. A small delegation visited Victoria in July.
"Although Australia does not have H5N1, the strain of HPAI we are particularly concerned about, its response to the current H7 outbreak provided useful insights for the New Zealand delegation," van Andel says.
"Both trips will be used to sharpen ongoing operational planning and building of sector resilience at home."
The ministry is working closely with the poultry industry to strengthen on-farm biosecurity and resilience, with the aim of reducing the impact on the sector and ensuring the domestic supply of poultry meat and eggs, she says.
"We are also working closely with New Zealand's wildlife hospitals, poultry industry groups, veterinarians, wildlife hospitals and rehabilitation centres on monitoring and awareness to enable early detection."
The Dunedin Wildlife Hospital is surveilling migratory wild birds and shorebirds and sampling for bird flu, and the ministry is working with Fish & Game to conduct summer surveillance programmes for waterfowl, she says.
Meanwhile, the Department of Conservation has vaccinated 50 native birds, including takahē, kākāpō, tūturuatu, kakī and kākāriki, as part of a trial to see if it is an effective line of defence, The Guardian reported.
The birds, which are about to undergo six-month efficacy tests, are all part of DOC's breeding programmes.
Meanwhile, van Andel says, anyone who sees three or more sick or dead birds is encouraged to report it to the Exotic Pest and Disease hotline on 0800 80 99 66.