Paraguay has reported a fourth outbreak of bird flu in the department of Boquerón, with the most recent case found in the town of Faro Moro, adding to previous outbreaks in other towns. Despite these outbreaks, the country continues to maintain its status as free from highly pathogenic avian influenza viruses in poultry. The National Animal Health and Quality Service of Paraguay has recommended the implementation of biosecurity measures and cautioned against handling dead or sick birds. In the United States, the government's director of veterinary medicine, Rosemary Sifford, has outlined a potential cost-effective strategy involving limited vaccination of turkeys in states with a high concentration of farms, although a final decision on vaccination has not yet been made.