Histoplasmosis
Histoplasmosis is a respiratory disease in humans caused by inhaling spores from the fungus Histoplasma capsula-tum. Birds do not spread the disease directly — spores are spread by the wind and the disease is contracted by inhalation. Bird droppings enrich the soil and promote growth of the fungus. Notable sources for histoplasmosis infection include: (1) traditional bird roosts, (2) poultry farms, (3) enclosed buildings where birds or bats have roosted, and (4) natural or organic fertilizers. In addition, the fungus can grow in various natural soils, with or without droppings. In some areas, such as the Ohio Valley, histoplasmosis is so widespread that 95% of the human population becomes infected, whether associated with birds or not.
Infection by only a few spores generally produces a mild case in humans and people are often unaware that they have contracted the disease (unless it is detected later through a skin reactivity test or lung X ray that reveals healed lesions). A more severe infection may result in an acute respiratory illness with flu-like symptoms (in fact, histoplasmosis is often misdiagnosed as flu). The most serious infections, usually resulting from massive spore inhalation, may involve a dissemination of the fungus through the blood stream. Such cases may become chronic, recurring at later times, and affect organs other than the lungs. Treatment with an antifungal agent such as amphotericin B or imidazole ketoconazole may be prescribed in more severe cases.
Not all blackbird or starling roosts pose immediate public health problems related to histoplasmosis. The histoplasmosis fungus grows readily in the soil beneath bird roosts, but it cannot form spores under the acidic conditions of fresh droppings. An active, undisturbed roost may only give off a few spores. Old or abandoned roosts, however, can pose a significant threat to human health. After the droppings have dried out or been leached by the rain, the right conditions develop for spore release. If the soil is stirred up under dusty conditions, as may be the case in land clearing or bulldozing, massive amounts of spores may be released. Severe epidemics have occurred in association with bird roosts under such conditions.
Birds in large roosts can be dispersed by the use of various frightening devices or by roost thinning or clearing (see Bird Dispersal Techniques). Precautions should be taken when working around an old or abandoned roost site. It is wise to test for the presence of histoplasmosis before beginning any work. Wear a self-contained breathing apparatus or face mask with a dust filter (less than 2 microns) to prevent inhalation of the spores. Wear protective clothing, gloves, and boots that can be removed and disinfected with formalin and washed. If an area that was once a bird roost is going to be cleared or bulldozed, the area should be dampened with water or work should be done when the weather is wet or cold or both. Avoid working under dry, dusty conditions in late summer. A roost may be decontaminated by spraying it with a 3% to 5% solution of formaldehyde before clearing, but this option is very expensive.
Ornithosis (Chlamydia psittaci, psittacosis)
Ornithosis is an infectious respiratory disease caused by Chlamydia psittaci, a viruslike organism that affects humans, pets, and livestock. It usually leads to a mild pneumonia-or flu-like infection, but it can be a rapidly fatal disease (less than 1% of the cases reported in the United States). In humans many cases occur that are undetected or incorrectly diagnosed. Pigeons are most commonly associated with the transmission of ornithosis to humans. Birds have adapted to the disease and show no symptoms, but act as healthy carriers, shedding the organism in their feces, which later may become airborne as dust. The disease may also be contracted from parakeets, farm poultry, or waterfowl.
People working in dry, dusty areas where bird droppings are present, should wear face masks or respirators to avoid inhaling airborne avian fecal material. Spray work areas with water and/or disinfectants to minimize the potential for airborne infections particles. Medical attention, including antibiotic treatments are recommended for disease treatment.
Salmonellosis
The Salmonella group of bacteria can also be transmitted by birds. Refer to Commensal Rodent-borne Diseases (above) for additional information.
Other Bird-borne Diseases
Pigeons, starlings, sparrows, blackbirds, and other types of birds have been implicated in the transmission of various diseases of significance to humans or livestock. Starlings have been shown to be vectors of transmissible gastroenteritis (TGE) of swine. The virus can be carried in an infective state in the birds’ intestines or on their feet for up to 30 hours. It is generally fatal to baby pigs and causes weight loss in adults. Starlings may also be involved in the transmission of hog cholera. Cryptococcosis is a fungal disease spread by pigeons and starlings that results in chronic, usually fatal, meningitis. Various species of birds may also play a part in the transmission of encephalitis, Newcastle disease, aspergillosis, toxoplasmosis, pseudotuberculosis, avian tuberculosis, and coccidiosis.