The first U.S. bird flu death has been reported — a person in Louisiana who had been hospitalized with severe respiratory symptoms. Louisiana health officials announced the death on Monday. Health officials have said the person was older than 65,

The U.S. has recorded its first human death from bird flu, in a patient hospitalized in Louisiana. The case was considered the country’s first severe human H5N1 infection.

As bird flu wreaks havoc across the United States, with devastating consequences for birds, dairy herds, and even humans, the decision not to vaccinate poultry has increasingly come under scrutiny. While other countries have used vaccines as part of their strategy to control outbreaks of the highly pathogenic H5N1 virus,