Canada has detected its first presumptive case of H5 bird flu in a person, a teenager in the western province of British Columbia, health officials said on Saturday.

The H5 bird flu is widespread in wild birds and is causing outbreaks in U.S. poultry and dairy farms, the CDC says. There have been outbreaks in 443 U.S. dairy herds, and 48 states have reported outbreaks in poultry.

The CDC study provides the largest window to date into how the bird virus first detected in March in dairy cows may be spreading to people. It suggests that the virus has infected more humans than the 46 farmworkers identified in the U.S. as of Thursday. Nearly all were in contact with infected dairy cows or infected poultry.

Following a CDC study showing bird flu exposure among dairy workers, health officials recommend increased testing and preventative measures for farmworkers, even if they show no symptoms, to prevent virus spread and mutation.

A new study found some dairy workers showed signs of infection, even when they didn’t report feeling sick. Blood tests from 115 farmworkers in Colorado and Michigan found eight had antibodies that indicated previous infection with the virus.