The United States has reported its first outbreak of H5N9 bird flu on a duck farm in California, according to the World Organization for Animal Health. The farm also tested positive for the more common H5N1 strain, and nearly 119,000 birds have died. This marks the first confirmation of highly pathogenic avian influenza (HPAI) H5N9 in poultry in the United States. The US Department of Agriculture is conducting an investigation and enhancing surveillance in response to the HPAI-related events.