Can Eating Bird Droppings in a Smoothie Lead to Avian Flu? - Otolaryngology

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Is it possible to contract avian influenza from consuming bird droppings?


Hello Doctor, this afternoon (June 6), I went to a convenience store to buy a smoothie.
While walking home, I accidentally opened the cup lid (near my residential building) and closed it again within about a minute.
If, during those few seconds when the lid was open, bird droppings happened to fall into the smoothie, and I drank the entire cup, is there a risk of contracting avian influenza? Since the smoothie was made with milk and chocolate chips, it was difficult to visually detect any bird droppings.
I felt fine while drinking it, but afterward, my tongue felt a bit strange, perhaps due to the cold drink? I'm suddenly very worried about having ingested bird droppings.
Doctor, what should I do? What symptoms should I look for that would require medical attention? Thank you, Doctor.

Yu, 20~29 year old female. Ask Date: 2016/06/06

Dr. Zheng Jueyi reply Otolaryngology


Hello: The likelihood of this occurring is extremely low.
If you experience symptoms such as a cold accompanied by fever or diarrhea, please visit a hospital for examination.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/06/06

More Info


Eating bird droppings, particularly in the context of avian flu (H5N1), raises valid concerns, especially for those who may have had accidental exposure. However, the likelihood of contracting avian flu from ingesting bird droppings in a smoothie is quite low, especially in the scenario you described.

Avian influenza, commonly known as bird flu, is primarily transmitted through direct contact with infected birds or their droppings, secretions, or contaminated surfaces. The virus can survive in droppings for a period, but it is not easily transmitted through ingestion unless the droppings contain a high viral load and are from an infected bird. The risk of transmission through indirect contact, such as through food or drink, is significantly lower.

In your case, if bird droppings did fall into your smoothie for a brief moment, the risk of contracting avian flu would depend on several factors:
1. Type of Bird: Not all birds carry the avian flu virus. Wild birds, particularly waterfowl, are common carriers, while domestic birds can also be infected. If the droppings were from a healthy bird, the risk is negligible.

2. Viral Load: The concentration of the virus in the droppings is crucial. If the droppings were from an infected bird, the viral load would determine the likelihood of infection.

3. Preparation and Consumption: The smoothie was made with milk and chocolate, which may have some protective effects against pathogens. Additionally, the brief exposure time before you covered the cup again likely limited any potential contamination.

4. Symptoms: If you were to contract avian flu, symptoms would typically appear within 2 to 7 days after exposure and could include fever, cough, sore throat, muscle aches, and in severe cases, difficulty breathing. If you experience any of these symptoms, especially after known exposure to infected birds, it would be prudent to seek medical attention.

Given that you did not experience any immediate adverse effects after consuming the smoothie, it is unlikely that you ingested a significant amount of bird droppings or that they were contaminated with the avian flu virus. However, if you notice any unusual symptoms in the coming days, it would be wise to consult a healthcare professional for further evaluation.

In summary, while the scenario you described raises concerns, the actual risk of contracting avian flu from a brief exposure to bird droppings in a smoothie is low. Maintaining good hygiene practices, such as washing hands after potential exposure to bird droppings and avoiding contact with sick birds, can further reduce any risk. If you have ongoing concerns or develop symptoms, do not hesitate to reach out to a healthcare provider for personalized advice and care.

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