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2009 swine flu pandemic timeline

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Template:2009 swine flu outbreak table

Main article: 2009 swine flu outbreak
See also: 2009 swine flu outbreak by country

This article covers the chronology of the 2009 novel influenza A (H1N1)[1] epidemic. Flag icons denote the first announcements of confirmed cases by the respective nation-states, their first deaths (and other major events such as their first intergenerational cases and their first cases of zoonosis), and relevant sessions and announcements of the World Health Organization, European Union, and the U.S. Centers for Disease Control.

Unless otherwise noted, references to terms like S-OIV, H1N1 and such, all refer to this new A(H1N1) strain and not to sundry other strains of H1N1 which are endemic in humans, birds and pigs.

Timeline

March 2009

Probable and confirmed Mexican cases by date of illness onset, March 15 – April 26. —CDC

Mid-March

Mexico Mexico In La Gloria, Veracruz, 60% of the town's population is sickened by a respiratory illness of unknown provenance.[2]

March 17

Mexico Mexico Earliest known onset of a case that is later to be confirmed as Swine-Origin Influenza A (H1N1) Virus Infection.[3]

March 18

Mexico Mexico Surveillance begins picking up a surge in cases of influenza-like illness (ILI).

March 28

Confirmed USA cases with known dates of illness onset (April 27, 2009). —CDC

United States United States Earliest known onset of a USA case later confirmed as swine flu, being a nine-year-old girl residing in Imperial County, California.[4][5]

March 30

United States United States Biosurveillance firm Veratect begins tracking the unusual respiratory illness in Mexico.[6][7]

United States United States A sample is collected from a nine-year-old female patient which is later confirmed to contain the novel virus strain (genetically sequenced as A/California/05/2009(H1N1)).[8][9]

United States United States Onset of illness for a ten-year-old boy residing in San Diego County, California; his case is eventually the first to be confirmed as swine flu, .[5]

April 2009

April 1

United States United States A nasopharyngeal swab is collected from a ten-year-old male patient in San Diego County, later confirmed as containing the novel virus and the first organism of that strain to be completely sequenced (A/California/04/2009(H1N1)).[5][8][10]

April 2

Mexico Mexico In La Gloria, Veracruz, a four-year-old boy falls ill at the end of the outbreak. Only his sample, which was eventually sent abroad, tested positive for A(H1N1). Veracruz officials state that there were no plans to exhume the bodies of two infants who died in the outbreak.[2]

April 6

Mexico Mexico Public health authorities begin investigating unusual cases of pneumonia.[11] 400 people had reportedly sought treatment for pneumonia/influenza-like illness (ILI) in La Gloria the preceding week.[11]

United States United States Veratect publishes the alert "La Gloria: 'Strange' Respiratory Affects 60% of Local Population; Three Pediatric Deaths May be Associated with the Outbreak."[6][11]

April 12

Mexico Mexico The General Directorate of Epidemiology (DGE) reports the outbreak of an ILI in a small community in Veracruz to the Pan American Health Organization (PAHO), which is the Regional Office of the World Health Organization (WHO).[3]

Mexico Mexico A 39-year-old woman dies of severe viral pneumonia in the city of San Luis Potosí; this is later believed to be the earliest known fatality related to the outbreak.[12]

April 13

Mexico Mexico First death in Oaxaca due to what would later be identified as swine flu.[13]

United States United States The Centers for Disease Control (CDC) is advised of a ten-year-old boy with a respiratory illness in San Diego County, California. Test results had revealed an Influenza A virus, but were negative for standard human strains. The San Diego County Health Department is notified.[5]

April 14

United States United States The CDC receives its first sample from California (from the ten-year-old boy in San Diego County), and identifies the virus as a strain of swine influenza A(H1N1).[5]

April 16

Mexico Mexico Authorities notify the PAHO of the atypical pneumonia.[11]

United States United States Veratect publishes the alert "Atypical Pneumonia Cases Reported at Hospital" regarding the Oaxaca cases.[6][11]

April 17

United States United States The CDC receives a second sample from Southern California (taken from the nine-year-old girl in Imperial County), and again identifies the virus as a strain of swine influenza A(H1N1). The California Department of Public Health is notified.[5]

Mexico Mexico A case of atypical pneumonia in Oaxaca prompts enhanced national surveillance. A field investigation is started.[3] Mexico contacts Canada to request more specialized testing.[14]

April 18

Mexico Mexico Mexico sends 14 mucus samples to the CDC and dispatches health teams hospitals to look for patients showing severe influenza- or pnuemonia-like symptoms.[15]

April 20

United States United States Veratect advises the CDC of the Mexican events.[6][11] The CDC is already investigating the California and Texas cases.[6][11][16]

April 21

United States United States The CDC alerts physicians to a similar novel strain of swine influenza A(H1N1) in two cases from Southern California. Local investigations, including investigations in Texas, are underway, and overall surveillance is enhanced.[5][17] The Associated Press covers the alert, the first mention of the A(H1N1) outbreak in English-language media.[16][18] [19]

April 22

Canada Canada Canada receives samples from Mexico for testing.[14]

April 23

Mexico Mexico The Public Health Agency of Canada confirms Mexico cases of swine-origin influenza A (H1N1) virus (S-OIV) infection.[3] Genetic sequence analysis reveals that the Mexican patients were infected with the same S-OIV strain detected in two California children.[3] The PAHO is informed that a cluster in Mexico of severe respiratory illnesses has been laboratory-confirmed as S-OIV infection.[3]

April 24

World Health OrganizationThe WHO issues its first Disease Outbreak Notice on the matter, confirming the infection of a number of people in Mexico and the United States by "Swine Influenza A/H1N1 viruses… not… previously detected in pigs or humans."[20]

United States United States The CDC tells a press conference that seven of the 14 Mexican samples contained the same virus strain as the known in California and Texas, and that indications suggested that containment in the USA was "not very likely".[21]

Mexico Mexico The Minister of Health confirms the Mexican cases of human infection by swine influenza and states that it believes that some of these cases had resulted in death.[21] Health authorities implement public health measures for all airport passengers and the vaccination of health care workers with seasonal influenza vaccine.[3]

April 25

World Health Organization WHO Under the International Health Regulations (IHR), the newly convened Emergency Committee meets for the first time, resulting in the WHO Director-General declaring a formal "public health emergency of international concern".[22][23]

World Health OrganizationThe PAHO Vaccination Week In The Americas starts.[24] The 2009 Week was planned to emphasize the vaccination of entire families, and health worker immunization.[24]

United States United States First closure of an entire school district, the Schertz-Cibolo-Universal City Independent School District outside San Antonio, Texas.[25][26]

April 26

April 27

World Health Organization Regions.

World Health Organization WHO The Emergency Committee meets for the second time. The WHO Director-General issues a statement that containment of the outbreak is not feasible, and elevates the pandemic alert from Phase 3 to Phase 4.[27]

Canada Canada First six cases confirmed, four in Nova Scotia and two in British Columbia.[28]

Spain Spain First confirmed case of swine flu, in Almansa, and thus the first case in Europe; A(H1N1) has spread from the WHO Region of the Americas to the WHO European Region.[29]

United Kingdom United Kingdom First two confirmed cases, in Scotland.[30]

European Union European Union (EU) Health Commissioner advises Europeans not to travel to the United States or Mexico unless the need is urgent. This follows the first confirmed case in Spain.[31]

Mexico Mexico first seven confirmed deaths [32]

April 28

World Health Organization WHO Confirmed cases are now extant in four of six WHO regions (see map). As of 1915 GMT seven countries have officially reported cases of swine influenza A(H1N1) infection.[33]

Israel Israel First confirmed case in Israel and thus the WHO Eastern Mediterranean Region (color-coded yellow), the third region to be affected.[34]

New Zealand New Zealand First three confirmed cases in New Zealand and thus the WHO Western Pacific Region (color-coded red), the fourth region to be affected. [35]

Canada Canada Confirmed: two cases and another four in Alberta and Ontario, respectively[citation needed].

Spain Spain The second confirmed case in Spain is located in Valencia[citation needed].

April 29

World Health Organization WHO The Emergency Committee meets for the third time,[36] and the WHO raises its pandemic alert level from Phase 4 to Phase 5, its second highest.[37] As of 1800 GMT, nine countries have officially reported 148 cases of swine influenza A(H1N1) infection.[38]

European Union EU Foreign Relations Commissioner Benita Ferrero-Waldner announces that the halt of all travel to Mexico and disinfecting all airports due to the global flu outbreak is being considered.[39]

Germany Germany First three confirmed cases, two in Bavaria and one in Hamburg. [40]

Austria Austria First confirmed case.[41]

United States United States First death outside Mexico, a 23-month old Mexican child hospitalized in Texas[citation needed]. Ninety-one cases confirmed cases worldwide to date.

Spain Spain Eight more cases raises the total in Spain to 10, including the first human-to-human intergenerational transmission[42] (in which the patient had not recently been to Mexico but was infected by another patient who had just visited Mexico, namely his girlfriend).[43] This is the first intergenerational transmission to be documented in Europe.

Canada Canada Nineteen confirmed cases[citation needed].

United Kingdom United Kingdom Three more confirmed cases of swine flu, giving a total of five confirmed cases[citation needed].

April 30

Netherlands Netherlands First confirmed case, a three-year-old child.[44] The child returned from Mexico to the Netherlands on April 27, 2009. The parents test negative for A(H1N1).

Switzerland Switzerland First confirmed case[citation needed].

Republic of Ireland Ireland First confirmed case.[45]

United States United States Four cases are confirmed in an outbreak at the University of Delaware; another 12 cases are deemed "probable". One of the confirmed cases is a baseball player, which results in the university cancelling sporting events, a concert by rapper Young Jeezy, and other school activities. [46]

Canada Canada Confirmed: One more case in Toronto, and eight more cases in Nova Scotia, and Alberta bringing total to 28. [47]

United Kingdom United Kingdom Three further confirmed cases of swine flu, giving a total of eight confirmed cases. [48]

May 2009

May 1

World Health Organization WHO As of 0600 GMT, 11 countries have officially reported 331 cases of influenza A(H1N1) infection.[49]

Hong Kong Hong Kong, China

  • 300 people are placed under quarantine at a hotel for seven days due to Hong Kong's first confirmed case there.[50]
  • Chief Executive Donald Tsang raises Hong Kong's response level from "serious" to "emergency".[51]
  • The Director of Health, Dr. PY Lam, orders Metropark Hotel in Wan Chai to be isolated for 7 days.[52]

Denmark Denmark First confirmed case (in Hvidovre).[53]

France France First two confirmed cases. [54]

United Kingdom United Kingdom First and second case of human to human (or intergenerational) transmission within the UK confirmed.[55]

United States United States 155 confirmed cases. Two confirmed cases at the George Washington University's Thurston Hall

Canada Canada 51 Confirmed Cases

Mexico Mexico begins five-day shutdown to fight flu spread.[56]

May 2

World Health Organization WHO As of 0600 GMT 15 countries have officially reported 615 cases of influenza A(H1N1) infection.[57]

Italy Italy First confirmed case.

South Korea South Korea First confirmed case.[58]

Costa Rica Costa Rica First confirmed case, and the first in Central America.

China China suspends flights from Mexico to Shanghai when a case is confirmed on a flight from Mexico[59]

Canada Canada

Mexico Mexico The fatal and confirmed cases are corrected to 101 and 397, respectively.

United States United States 189 confirmed cases.[citation needed] There are more than 430 schools closures in 18 states.[61]

May 3

World Health Organization WHO As of 0600 GMT, 17 countries have officially reported 787 cases of (A)H1N1. [57]

Colombia Colombia First confirmed case in South America. [62]

Portugal Portugal First confirmed case.

Mexico Mexico Final day of lock-down in Mexico.

Canada Canada 101 confirmed cases after seven cases in British Columbia, three in Alberta, two in Nova Scotia and Ontario, and one in Quebec were confirmed.[63]

May 4

World Health Organization WHO As of 06:00 GMT, 20 countries have officially reported 985 cases of influenza A (H1N1) infection. [64][65]

El Salvador El Salvador First confirmed case.

Israel Israel Second confirmed case.

Canada Canada A girl from Edmonton, Alberta was diagnosed with a severe case of the H1N1 virus, the first severe one in Canada.[66]

May 5

World Health Organization WHO As of 06:00 GMT, 21 countries have officially reported 1,124 cases of influenza A (H1N1) infection.[67]

Guatemala Guatemala First confirmed case.

United States United States

  • Second confirmed death, the first of a U.S. resident, a pregnant special education teacher in Texas: Judy Trunnell. The 33-year-old gives birth to her second child via Caesarian section during her eighth month of pregnancy, in a coma whilst on life support.[68][69] Judy Trunnell had several underlying medical conditions, most notably asthma.[70][71][72]
  • Several sailors in San Diego, California fall ill (including a sailor on the USS Dubuque, which results in the cancellation of its deployment). These are the first cases in the U.S. Navy.[73]
  • As the low level of virulence of novel A(H1N1) in the U.S. becomes established, the CDC issues revised criteria for school closures, effectively ending widespread shutdowns.[74]

May 6

World Health Organization WHO As of 06:00 GMT, 22 countries have officially reported 1,516 cases of influenza A (H1N1) infection.[75]

Poland Poland First confirmed case.

Sweden Sweden First confirmed case.

May 7

World Health Organization WHO As of 18:00 GMT, 24 countries have officially reported 2371 cases of influenza A (H1N1) infection.[76]

Argentina Argentina First confirmed case.[77]

Brazil Brazil First four confirmed cases.

Canada Canada Reports suggest that an elderly woman who had swine flu has died in northern Alberta, marking the first death in Canada related to swine flu.[78]

Netherlands The Netherlands A second and a third confirmed case has been reported, by a 53-year old woman and a 52-year old man.

United States USA The New England Journal of Medicine establishes its H1N1 Influenza Center on its website.[79]

May 8

World Health Organization WHO As of 16:00 GMT, 25 countries have officially reported 2,500 cases of influenza A (H1N1) infection.[80]

Japan Japan First three confirmed cases.[81]

Panama Panama First confirmed case [82][83][84].

May 9

World Health Organization WHO As of 06:00 GMT, 29 countries have officially reported 3,440 cases of influenza A(H1N1) infection.[85]

Australia Australia First confirmed case.[86]

Brazil Brasil Two cases confirmed, one of which is thought to be the first case of human-to-human infection in Brazil. [87]

Costa Rica Costa Rica First confirmed death, and also the first death outside of North America.[88][89] Three other confirmed cases, all children, were contaminated by the patient who died.[90]

Norway Norway First two confirmed cases. [91]

United States USA Third confirmed death, a Washington man with underlying heart disease.[92] Also, the USA passes Mexico in the number of confirmed cases of infection, 1693 to 1364, thus becoming the nation-state with the most laboratory-confirmed cases of infection; Canada is third with 242 cases.[93]

May 10

World Health Organization WHO As of 07:30 GMT, 29 countries have officially reported 4,379 cases of influenza A(H1N1) infection.[94]

Sweden Sweden Second confirmed case.

China China First confirmed case.

Brazil Brazil More two cases confirmed. Now the country has 8 confirmed cases.

May 11

World Health Organization WHO As of 06:00 GMT, 30 countries have officially reported 4,694 cases of influenza A(H1N1) infection.[95]

May 12

World Health Organization WHO As of 06:00 GMT, 30 countries have officially reported 5,251 cases of influenza A(H1N1) infection.[96]

Cuba Cuba First confirmed case.

Thailand Thailand First two confirmed cases. Thailand is the first Southeast Asia country to be affected by the virus.

Finland Finland First two confirmed cases.

Brazil Brazil Beyond the eight confirmed cases, the country has 34 suspected cases.

Panama Panama 11 new confirmed cases. 29 total.[97]

Canada Canada The first case in Yukon Territory is confirmed.[98]

Spain Spain 100 cases confirmed. [99]

May 13

World Health Organization WHO As of 06:00 GMT, 13 May 2009, 33 countries have officially reported 5,728 cases of influenza A(H1N1) infection.[100]

China China Second confirmed case.

Hong Kong Hong Kong, China Second confirmed case.

Belgium Belgium First confirmed case. [101]

Panama Panama 10 more cases confirmed today. Total :39. [102]

Argentina Argentina Second confirmed case.

May 14

World Health Organization WHO As of 06:00 GMT, 33 countries have officially reported 6,497 cases of influenza A(H1N1) infection.[103]

Belgium Belgium Second confirmed case. [104]

Colombia Colombia First domestic infections with 3 cases confirmed. Total: 10. [105]

Peru Peru First confirmed case.

May 15

World Health Organization WHO As of 06:00 GMT, 34 countries have officially reported 7,520 cases of influenza A(H1N1) infection. [106]

United States USA Fourth and fifth deaths confirmed, that of an Arizona woman suffering from a lung condition[107][108]and a Texas man in Corpus Christi, respectively.[109][110]

Malaysia Malaysia First confirmed case. [111] Malaysia is the 37th country to be affected by the virus.

Belgium Belgium 2 more cases confirmed today. Total: 4.

Ecuador Ecuador First confirmed case.

Cuba Cuba 2 more cases confirmed today. Total: 3.

Panama Panama 4 new cases confirmed today. Total: 43, 23 of whom are male and 20 of whom are female. 20 of the cases are under 15 years old.[112]

May 16

World Health Organization WHO As of 06:00 GMT 36 countries have officially reported 8,451 cases of influenza A(H1N1) infection.

Malaysia Malaysia Second confirmed case. [113] The first patient is now showing significant improvement from the treatment.

Japan Japan First domestic infection confirmed, in Kobe, a male high school student with no history of travel abroad. [114] The Kobe Festival, planned for May 16 and 17, is cancelled.[115]

World Health Organization Regions.

India India First case confirmed, in Hyderabad. [116]. This marks the arrival of A(H1N1) in the fifth of the WHO's six regions, the South-East Asia Region.

Turkey Turkey First confirmed case.

Panama Panama 11 New confirmed cases. 54 total.[117]

May 17

World Health Organization WHO As of 06:00 GMT 37 countries have officially reported 8,480 cases of influenza A(H1N1) infection.

Panama Panama With 54 confirmed cases, Panama occupies second place, along with Canada, for the number of cases per country.[118]

Chile Chile First confirmed case in the country, and the 41st country affected.

May 18

World Health Organization WHO As of 06:00 GMT, 40 countries have officially reported 8,829 cases of influenza A(H1N1) infection, including 74 deaths.[119]

United States USA The sixth death in the US, and the first in New York —that of an assistant principal.[120][121]

Japan Japan reports 96 confirmed cases;[122] it now ranks fourth in the world in the number of infections. Thousands of schools in 21 cities in the Hyogo and Osaka prefectures are temporarily closed.[123][124]

Greece Greece First confirmed case.

United Kingdom United Kingdom 107 cases confirmed.

May 19

World Health Organization WHO As of 06:00 GMT, 40 countries have officially reported 9,830 cases of influenza A(H1N1) infection, including 79 deaths. [125]

United States United States Seventh confirmed death, that of a 44-year-old Missouri man. [126]

Japan Japan 191 confirmed cases; Hyogo Prefecture has the most at 111.[127]

Peru Peru 2 more cases confirmed today. Total: 3.[128]

Norway Norway 1 more case confirmed today. Total: 3. [129]

Paraguay Paraguay confirmed its first case and became the 43rd affected country. [130]

Taiwan Taiwan confirmed its first case and becomes the 44th affected country.[131]

May 20

World Health Organization WHO As of 06:00 GMT, 40 countries have officially reported 10,243 cases of influenza A(H1N1) infection, including 80 deaths. [132]

United StatesUnited States A patient dies in Arizona[133], and a 22-year-old man dies in Utah[134], the nation's eighth and ninth H1N1 fatalities. Roughly half of the influenza viruses detected by the CDC's routine influenza surveillance systems are now that of novel A(H1N1).[135] An unusual number of outbreaks in schools is reported.[136]

Japan Japan 236 confirmed cases, including the first case in Shiga Prefecture,[137] and Hachioji and Kawasaki city in the Greater Tokyo Area. Two female high school students from Tokyo who had recently attended a Model United Nations conference in New York are presumed to have become infected abroad.[138][139]

Norway Norway 1 more case confirmed today. Total: 4. [140]

Brazil Brazil 1 more confirmed case, now are 9 cases in total.

May 21

World Health Organization WHO As of 06:00 GMT, 41 countries have officially reported 11,034 cases of influenza A(H1N1) infection, including 85 deaths. [141]

Japan Japan 279 confirmed cases; more than 4,800 schools are closed in the Kobe region.[142]

Philippines Philippines confirms first case of influenza A(H1N1) virus.

May 22

World Health Organization WHO As of 06:00 GMT, 42 countries have officially reported 11,168 cases of influenza A(H1N1) infection, including 86 deaths. [143]

Japan Japan 317 confirmed, including first confirmed in Saitama Prefecture.[144] Third confirmed in Tokyo, a 25 year old man who visited Osaka from May 14-20th.[145]

Russia Russia First confirmed case.

Honduras Honduras First confirmed case.

May 23

World Health Organization WHO As of 06:00 GMT, 43 countries have officially reported 12,022 cases of influenza A(H1N1) infection, including 86 deaths. [146]

Iceland Iceland First confirmed case. 4 more cases suspected.[147] [148]

South Korea South Korea has six more confirmed cases. Total: 10

Chile Chile 55 confirmed cases

United Kingdom United Kingdom 122 cases confirmed.

Brazil Brazil has one more confirmed case. Total: 10.

May 24

Kuwait Kuwait First confirmed cases, that of 18 U.S. soldiers. [149]

Australia Australia Two more confirmed cases, which now brings the national toll to 16.[150]

PhilippinesPhilippines Second confirmed case reported by Philippine Health secretary Francisco Duque.

United Kingdom United Kingdom 133 cases confirmed.

Argentina Argentina 3 cases confirmed. Total: 5

United Arab Emirates United Arab Emirates First case confirmed.

May 25

World Health Organization WHO As of 06:00 GMT, 46 countries have officially reported 12,515 cases of influenza A(H1N1) infection, including 91 deaths.[151]

United Kingdom United Kingdom 4 more confirmed cases in the United Kingdom. Total: 137.

Canada Canada Second confirmed death in Ontario.

Australia Australia 22 Confirmed Cases. [152]

Republic of Ireland Ireland Second confirmed case. [153]

Bahrain Bahrain First confirmed case.

United States United States 12th death confirmed.

Czech Republic Czech Republic First confirmed case

May 26

World Health Organization WHO As of 06:00 GMT, 46 countries have officially reported 12,954 cases of influenza A(H1N1) infection, including 92 deaths[154]

Argentina Argentina 14 Confirmed Cases. Total: 19. [155]

United Kingdom United Kingdom 44 new cases confirmed. Total: 184 [156]

Chile Chile 107 confirmed cases. [157]

Australia Australia 61 confirmed cases. [158] [159] [160]

Puerto Rico Puerto Rico First confirmed case[161]

May 27

World Health Organization WHO As of 06:00 GMT, 48 countries have officially reported 13,398 cases of influenza A(H1N1) infection, including 95 deaths[162]

Singapore Singapore First confirmed case. A 22-year-old woman picked up the virus after visiting New York. [163]

Romania Romania First confirmed case. [164]

Philippines Philippines Four more confirmed cases.

Dominican Republic Dominican Republic First two confirmed cases. [165]

United Kingdom United Kingdom 2 new cases confirmed. Total: 186 [166]

Chile Chile 46 new cases confirmed. Total: 165 [167]

Argentina Argentina 37 cases confirmed. [168]

Uruguay Uruguay confirmed its first two cases of Influenza A (H1N1). [169]

Greece Greece confirmed two more cases.[170]

Brazil Brazil has one more confirmed case. Total: 11

May 28

Australia Australia 147 Confirmed Cases. [171]

Slovakia Slovakia First confirmed case.

Singapore Singapore Three more cases confirmed. Total confirmed cases now stands at four. [172]

United Kingdom United Kingdom Seventeen more confirmed cases Total: 203 [173]

Sweden Sweden One more confirmed case. Total 4.

Argentina Argentina 70 cases confirmed.

Chile Chile 199 cases confirmed.

Bolivia Bolivia First 2 cases confirmed.[174]

Venezuela Venezuela First case confirmed.

Philippines Philippines 4 new cases.

Brazil Brazil has 3 new cases, the both are in São Paulo. Now the country has 14 cases.

May 29

World Health Organization WHO As of 06:00 GMT, 53 countries have officially reported 15,510 cases of influenza A(H1N1) infection, including 99 deaths[175]

United Kingdom United Kingdom 14 confirmed cases. Total: 217[176]

Norway Norway One new confirmed case. Total: 5 [177]

Hungary Hungary First confirmed case [178]

Brazil Brazil Another one case confirmed, being the third case of human-to-human transmission inside the country. Total: 15.

Uruguay Uruguay 4 new confirmed cases. Total: 6[179]

Greece Greece Another one case confirmed. Total 4.[180]

Venezuela Venezuela Second confirmed case.

Philippines Philippines Health officials confirmed additional 4 cases. Total:14 cases

May 30

Sweden Sweden One more confirmed case. Total 5.

Norway Norway Two new confirmed cases. Total 7.

United Kingdom United Kingdom 12 more cases. Total: 229.

Cyprus Cyprus First confirmed case.

Estonia Estonia First confirmed case. [181]

Brazil Brazil Five more cases. Total: 20 (15 outside the country and 5 inside the country).

Lebanon Lebanon First three cases confirmed.

Philippines Philippines 2 more cases confirmed

May 31

Vietnam Vietnam First case confirmed.

Antarctica Antarctica First two cases confirmed in two American scientists stationed there.

Singapore Singapore Another confirmed case brings the total confirmed to 5.

Argentina Argentina 100 cases confirmed.

Dominican Republic Dominican Republic Nine more cases confirmed, for a total of 11 cases nationwide.[182]

Uruguay Uruguay 11 cases confirmed.

United Kingdom United Kingdom 14 more cases confirmed Total: 244

The Bahamas Bahamas First confirmed case

June 2009

June 1

World Health Organization WHO As of 06:00 GMT, 62 countries have officially reported 17,410 cases of influenza A(H1N1) infection, including 115 deaths.[183]

Philippines Philippines Additional 5 confirmed cases of A(H1N1) virus, in total of 21 confirmed case.

Australia Australia Total: 401 cases

Romania Romania 5 confirmed cases

Greece Greece one more case confirmed total: 5

Singapore Singapore Another two new confirmed cases. Total: 7 cases

Bulgaria Bulgaria First confirmed case [184]

Israel Israel 7 cases confirmed Total: 33 [185]

United States United States West Virginia is the last USA state to be affected by swine flu

Honduras Honduras 2 more cases confirmed Total:3

Canada Canada 3rd death confirmed. First death in Toronto

Venezuela Venezuela Third confirmed case [186]

June 2

Luxembourg Luxembourg First case confirmed

Thailand Thailand 1 new confirmed case in total of 5 postive cases of A(H1N1) virus.

Ukraine Ukraine First confirmed case of A (H1N1) virus

Singapore Singapore One more confirmed case. Total: 8

Egypt Egypt First confirmed case of A (H1N1) virus. First confirmed case in Africa.

Nicaragua Nicaragua First confirmed case of A (H1N1) virus.

Dominican Republic Dominican Republic Two more cases of A (H1N1) virus. Total confirmed: 14.[182]

United Kingdom United Kingdom New cases brings total to 339.

Sweden Sweden One more confirmed case. Total: 7

Chile Chile First confirmed death, a 37 year old man.

Honduras Honduras 34 comfirmed cases in total. [187]

Bermuda Bermuda First case confirmed [188]

Netherlands Netherlands 1 more case confirmed. Total: 4

Brazil Brazil 3 more case confirmed. Total: 23

June 3

World Health Organization WHO As of 06:00 GMT, 3 June 2009, 66 countries have officially reported 19,273 cases of influenza A(H1N1) infection, including 117 deaths.[189]

Saudi Arabia Saudi Arabia First case confirmed

Philippines Philippines 1 new confirmed case in total of 22 positive cases of A(H1N1) virus

Norway Norway One new confirmed case. Total 8.

Singapore Singapore Three new confirmed cases. Total 11.

United Kingdom United Kingdom More Confirmed cases. Total: 404 [190]

Venezuela Venezuela 4th confirmed case [191]

Dominican Republic Dominican Republic Total amount of confirmed cases rises to 23. [182]

Nicaragua Nicaragua 4 new confirmed cases. Total: 5 [192]

Barbados Barbados First case confirmed

Jamaica Jamaica First 2 cases confirmed

New Zealand New Zealand One further confirmed case, bringing the national total to 11.

Brazil Brazil 2 more cases confirmed. Total: 25

June 4

Philippines Philippines Confirmed cases of A(H1N1) virus rose to 29.

Malaysia Malaysia Three more cases confirmed. One of the patient is a 23-year-old student returned from United States. Another two patients are German tourists who arrived in Singapore but went to Malaysia for holiday. Total: 5 [193]

Norway Norway One new confirmed case. Total 9.

Sweden Sweden First domestic infection. Total 13 (1 domestic)

United States United States The USA report another death in Connecticut, bringing the total up to 29.

Peru Peru 49 confirmed cases of influenza A in Peru [194]

Guatemala Guatemala 23 confirmed cases of influenza A in Guatemala [195]

Colombia Colombia 24 confirmed cases of influenza A in Colombia [196]

Brazil Brazil 3 more cases confirmed. Total: 28 [197]

Singapore Singapore 12th case confirmed. [198]

Panama Panama Cases of influenza A is increased from 155 to 166 in Panama [199]

El Salvador El Salvador Cases of influenza A infection in El Salvador increased to 49 [200]

Austria Austria 3 confirmed cases in Austria [201]

Trinidad and Tobago Trinidad and Tobago First case reported in the country [202]

Uruguay Uruguay 17 cases reported in the country[203]

Ecuador Ecuador 47 cases reported in the country[204]

References

  1. ^ http://www.cdc.gov/h1n1flu/
  2. ^ a b Tuckman, Jo (2009-04-27). "Four-year-old could hold key in search for source of swine flu outbreak". The Guardian. Retrieved 2009-04-28.
  3. ^ a b c d e f g "Outbreak of Swine-Origin Influenza A (H1N1) Virus Infection --- Mexico, March--April 2009". Morbidity and Mortality (Dispatch). Centers for Disease Control. 2009-04-30. Retrieved 2009-05-01.
  4. ^ Brown, David (2009-04-22). "New Strain of Swine Flu Investigated: Two Children in San Diego Area Had No Contact With Pigs". Washington Post. Archived from the original on 2009-05-01. Retrieved 2009-05-01.
  5. ^ a b c d e f g "Swine influenza A (H1N1) infection in two children --- Southern California, March--April 2009". Morbidity and Mortality Weekly Report. Centers for Disease Control. 2009-04-21. Retrieved 2009-04-30.
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  199. ^ http://translate.google.com/translate?js=n&prev=_t&hl=es&ie=UTF-8&u=http://www.adn.es/sociedad/20090603/NWS-0050-Panama-Casos-incrementan-gripe.html&sl=es&tl=en&history_state0=
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  202. ^ http://www.trinidadexpress.com/index.pl/article?id=161486326
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