Avian influenza (“bird flu”) is caused by the Type “A” influenza virus. This virus can affect several species of food-producing birds (chickens, turkeys, quails, guinea fowl, etc.), as well as pet and wild birds. Avian influenza viruses are generally categorized based on the severity of disease they cause in birds, namely:
While most avian influenza viruses are low pathogenic, causing little or no signs of illness in birds, some avian influenza viruses are highly pathogenic and can cause severe illness and death in birds. H5N1 Highly Pathogenic Avian Influenza (HPAI) has been has been detected in Canada , including Toronto. The Canadian Food Inspection Agency (CFIA) is responding to cases in farmed birds, backyard poultry and wild birds. See the CFIA’s HPAI monitoring dashboard
. If you have backyard hens, practice enhanced infection prevention and biosecurity measures
. If you see a sick or dead bird in Toronto, contact 311.
Bird flu is spread by direct contact between infected birds and healthy birds. It can spread when healthy birds come into contact with or interact with equipment (including water and feed) contaminated by the saliva, secretions or feces of infected birds.
Although bird flu mostly spreads among birds, it can spread to other species, such as mammals. While very rare, transmission to humans can occur through exposure to infected birds or contaminated environments, such as live poultry markets. Most avian influenza viruses do not cause disease in humans. Exposure to infected sick or dead animals is the main risk factor for getting avian influenza. Exposure to surfaces contaminated with animal secretions/excretions like saliva, mucus, and animal feces (poop) is another risk. Eating undercooked or uncooked poultry or eggs from an infected bird, or consuming unpasteurized milk from an infected dairy cow, could also be an exposure risk for infection with avian influenza A viruses1.
Bird flu is present in wild bird populations across the world. Typically, wild birds (particularly waterfowl) carry bird flu without symptoms, but they can still spread the virus to domestic birds. Once infected, birds such as chickens, ducks and turkeys may show one or many of these symptoms:
While rare, humans infected with bird flu have symptoms ranging from conjunctivitis (i.e. red eyes with discharge) to influenza-like illness (i.e. fever, sore throat, muscle aches) to severe respiratory illness and in very rare circumstances, death.
Highly pathogenic avian influenza (HPAI) A(H5N1) mainly affects birds but can infect mammals and, rarely, humans. There is no evidence of sustained human-to-human transmission, and the general public risk remains low.
In June 2025, Health Canada approved the Arepanrix™ H5N1 vaccine for individuals who face ongoing occupational exposure to the virus.
Due to the low risk of human transmission in Ontario, the vaccine is currently offered only to individuals with ongoing, high-risk exposure to avian influenza A(H5N1), including:
2. Those working with the live virus in labs:
The vaccine is a two-dose series, with doses given at least 21 days apart. Summer 2025 is the ideal time to start the series, ahead of increased risk during fall bird migration and to allow spacing from the seasonal flu vaccine.
People who receive the H5N1 vaccine are not protected against the yearly seasonal influenza viruses and should still get the seasonal flu shot this fall.
A six-week interval between Arepanrix™ H5N1 and other vaccines is recommended, unless urgent immunization is needed.
Pregnant or breastfeeding individuals may consider vaccination after discussing the risks and benefits with a healthcare provider.
For additional support, talk to your health care provider or Toronto Public Health at 416-338-7600 or call 811 to connect with a registered nurse day or night for free, secure, and confidential health service. To learn more, visit the following: