Analysis of the 38 California human cases of dairy virus infection

https://www.cdc.gov/mmwr/volumes/74/wr/pdfs/mm7408a1-H.pdf
All were infected by the B3.13 dairy genotype of the H5N1 influenza. They seem to be purposefully messing with their reported results for what tests were positive in order to make it look like there were more oral and nasal positive tests than there actually were.  37 of the 38 were tested with eye swabs and 35 of them were positive (only 2 negative for eye swabs).  Only 5 of the 37 had positive nasal swabs.  29 were tested with nasal and oropharyngeal swabs and 8 were positive (the picked up 3 oropharyngeal positives.  The other claims do not make sense as they had sub categories of what had already been claimed.  The one positive oralpharyngeal positive was probably the sick child with gut infection symptoms that had already been claimed to be positive for the oralpharyngeal test in news articles.  This just means that all the tests that did not involve eye swabs were likely underestimating the number of infected.
California only tested 170 dairy workers to find 37 positives.  They relied on voluntary reporting in order to determine who got tested. Antibody results indicated that around 10% of the over 5,000 dairy workers at the infected dairies would have likely been infected.  So they missed around 500 infected dairy workers. Both the CDC and California claimed in October that they were going to test the dairy workers at infected farms, but that never happened.
Their phylogeny figure is pretty worthless because they do not have all the dairies on it nor all the multiple infections at 4 of the dairies. There were 5 dairies with multiple infections (2 with 2 infected workers and 3 with 3 infected workers).  They also do not have an outgroup in their phylogeny so all you get is an unrooted tree so you can't tell how the infections on all the farms are related to each other and it is pretty worthless epidemiology data.
California lost 92 commercial poultry flocks, and it is because they would not keep dairy workers off the poultry farms.  Everyone understood that dairy workers were taking the virus to poultry farms, but the CDC and USDA only recommended that workers at infected farms not go to other farms, and California never made it more than a recommendation.  A recommendation that had never been enforced in any state.  Most states didn't even try to identify all their infected herds so that the workers would know not to go to other farms.  The result is that nearly all the dairy farms in California (over 675 out of around 900) got infected, and they lost 92 commercial flocks that included over 40% of their commercial layer flocks.  Just due to stupidity and denial and an unwillingness to do the right thing.  Why don't they have that in the CDC report?
Ron Okimoto