The five health and fitness care personnel had been definitively seronegative versus H5 in all assays, which suggests they weren't contaminated with H5. * Avian influenza H5N1, excreted in large amounts within the droppings of contaminated birds, is endemic. Sporadic human cases acquired by direct contact with poultry are noted https://www.dailypioneer.com/2025/state-editions/husband-wife-accuse-each-other-of-religious-conversion.html