2009 swine flu pandemic in the United States by state, Maine
Late on April 29, Maine Governor John Baldacci declared a "civil emergency" and ordered a school and daycare facility in York County to close for seven days.


2009 swine flu pandemic in the United States by state, Maine
As of July 22, there have been 282 cases confirmed throughout Maine. As of November 26, 1562 confirmed cases, 97 hospitalized cases, and 9 deaths have been reported in Maine. Also, 172 schools have reported outbreaks of H1N1 since May, according to Dr. Dora Anne Mills and the Maine CDC. On December 2, 2009, it was announced that H1N1 has killed 2 more Mainers, bringing the death toll to 11.


2009 swine flu pandemic in the United States by state, Maine
As of December 17, 2009, the Maine CDC states that although 203 Mainers have now been hospitalized and the death toll has risen to 17 in Maine, H1N1 flu activity is decreasing in Maine, and vaccine availability is increasing rapidly, so all Mainers can now get the vaccine. Dr. Dora Anne Mills reminded Mainers that 150 Mainers die every year from regular influenza. As of December 24, 2009, Maine was one of the only 7 states reporting widespread influenza activity, though Maine's influenza activity was declining as well.


2009 swine flu pandemic in the United States by state, Maine
As of January 7, 2010, H1N1 activity has decreased from widespread to regional for the first time since October 17, 2009. Although H1N1 activity in Maine has declined for the time being, H1N1 continues to circulate in Maine. H1N1 could return later this year, so it is still very important to get vaccinated against A/H1N1 influenza, Dr. Dora Anne Mills says. So far, 18 deaths, 225 hospitalizations, and 2220 cases have been confirmed.


2009 swine flu pandemic in the United States by state, Maine
As of January 14, the CDC states just 3 more patients required hospital care due to H1N1 disease, no new deaths occurred, and only 6 new cases were confirmed. However, one outbreak in a long-term care facility was confirmed. As of January 28, H1N1 activity has decreased significantly, with the CDC classifying current influenza activity as sporadic. No new cases of A/H1N1 influenza were confirmed between January 21 and January 28.


2009 swine flu pandemic in the United States by state, Maine
However, as of February 4, the Maine CDC reports that influenza activity has increased enough for the state to be again classified as having regional influenza activity, and that one person had died of confirmed A/H1N1 infection over the previous week, bringing the number of confirmed deaths from A/H1N1 to 19 in the state.


2009 swine flu pandemic in the United States by state, Maryland
By May 1, 2009, eleven probable cases had been identified in Maryland, in Anne Arundel, Baltimore, Charles, Prince George's, and Montgomery Counties. One of these cases, that of a high school student in Rockville, resulted in the closing of Rockville High School, the first Maryland school closing due to the outbreak. On May 1, three other schools in the state were closed. As of May 5, Rockville High School has reopened. Takoma Park Middle School also began to take action due to a student catching swine flu.


2009 swine flu pandemic in the United States by state, Maryland
Four of Maryland's probable cases were confirmed on May 4, including two adults and one child in Baltimore County as well as one young child in Anne Arundel county. There were 4 cases of swine flu in Worcester County Public Schools in Maryland. In Washington County in Northeast Maryland there were many cases of the Swine Flu almost causing the closing of four Schools.


2009 swine flu pandemic in the United States by state, Maryland
As of Fall 2009, there have been 954 confirmed cases in Maryland.


2009 swine flu pandemic in the United States by state, Maryland
In late September 2009 a 13-year-old Baltimore resident became the first minor to die from swine flu in Maryland. As of December 2, oseltamivir-resistant H1N1 was confirmed in Maryland. As of January 12, 2010, 43 confirmed deaths from H1N1 have been reported, and at least 969 patients have been hospitalized with A/H1N1 virus infection in Maryland.


2009 swine flu pandemic in the United States by state, Massachusetts
There are 1,398 confirmed cases in Massachusetts, 172 of which have led to hospitalizations. The first death from swine flu in Massachusetts occurred on June 14, 2009 when a 30-year-old Boston woman died. Eleven deaths have been confirmed as being caused by the H1N1 virus in total.


2009 swine flu pandemic in the United States by state, Michigan
On April 29, a 34-year-old woman from Livingston County was Michigan's first reported case of swine flu. On April 30, another 34-year-old woman from Ottawa County was confirmed as Michigan's second case. As of June 13, Michigan reports 655 confirmed flu cases, and as of July 23, nine deaths. The health department has since stopped reporting cases but continues to update deaths.


2009 swine flu pandemic in the United States by state, Michigan
The first death in Michigan was of a 53-year-old woman who lived in Warren and had other under-lying health problems. The second Michigan death occurred in Roscommon County.


2009 swine flu pandemic in the United States by state, Michigan
As of August 10, 2009, ten deaths have been reported in Michigan due to the H1N1 virus. Michigan has stopped keeping a running tally of confirmed cases.


2009 swine flu pandemic in the United States by state, Michigan
On October 28, 2009 157 schools in Michigan were closed due to the swine flu.


2009 swine flu pandemic in the United States by state, Minnesota
On April 30, 2009, the Minnesota Department of Health announced that the first case of "H1N1 novel influenza virus" in the state was confirmed by the CDC. The infected individual is an unidentified resident of Cold Spring, Minnesota. Two schools in the affected city remained closed until May 6, 2009.


2009 swine flu pandemic in the United States by state, Minnesota
On May 4, 2009 the second case of H1N1 was confirmed in Minnesota by the Minnesota Department of Health. The case was reported in a teen boy attending a Minneapolis Public School.


2009 swine flu pandemic in the United States by state, Minnesota
A Minneapolis five-year-old girl had succumbed to the flu during the week of June 8.


2009 swine flu pandemic in the United States by state, Minnesota
As of July 23, 684 cases and three deaths have been reported. As of January 13, 2 more people died of confirmed A/H1N1 influenza, increasing the number of confirmed deaths from H1N1 to 55 in the state. However, H1N1 influenza activity is currently low in Minnesota, with only one school outbreak reported in the first week of 2010.


2009 swine flu pandemic in the United States by state, Missouri
In Missouri, Gov. Jay Nixon announced in a written statement that a probable case had been discovered in a Platte County man, and that a sample had been sent to the CDC for confirmation.


2009 swine flu pandemic in the United States by state, Missouri
As of May 8, 2009, the Missouri Department of Health and Senior Services (DHSS) reported 10 confirmed and 4 probable cases of swine flu.


2009 swine flu pandemic in the United States by state, Missouri
On May 19, 2009, a St. Louis County man became the first death in Missouri due to the Swine Flu.


2009 swine flu pandemic in the United States by state, Missouri
On May 21, 2009, St. Louis Public School District announced one of its students had the Swine Flu but has not been in class since May 15.


2009 swine flu pandemic in the United States by state, Missouri
In St. Charles Missouri it was also found that a student from St. Charles High School who traveled to Mexico City was found infected with swine flu. The student who just came back from Mexico City was in school for a week than kicked out and brought back.


2009 swine flu pandemic in the United States by state, Missouri
On June 11, 2009, a teenager from New Bloomfield (11 miles north of the Jefferson City) in Callaway County became the 50th confirmed case of H1N1 in Missouri.


2009 swine flu pandemic in the United States by state, Missouri
On June 20, 2009, about 20 to 30 campers at a Lake of the Ozarks summer camp in Morgan County reported having mild flu-like symptoms, of which two cases were confirmed to be H1N1. The camp was closed down for a week.


2009 swine flu pandemic in the United States by state, Missouri
Another summer camp in Stone County near Branson reported at least 15 campers who have tested positive for the flu in preliminary tests on June 24. The preliminary results were possibly sent to a lab in neighboring Taney County as local reporters attempted to dispute or deny that any flu cases were reported in Taney County by going as far as to cite that the Taney County Health Department found zero cases of the flu. Official results from the DHSS confirm the camp had five campers with H1N1, but that all the campers were from out of state.


2009 swine flu pandemic in the United States by state, Missouri
Reports from Adair, Buchanan, and Jefferson County were added on June 25 to DHSS's list of confirmed cases, bringing the count to 58 cases. These reports may be based on where people with H1N1 are from rather than where it was located in relation to the H1N1 cases reported at summer camps.


2009 swine flu pandemic in the United States by state, Missouri
The youngest case of H1N1 was confirmed by DHSS in Cole County on June 25, 2009. An infant was reported with having Flu-like symptoms which was confirmed by DHSS.


2009 swine flu pandemic in the United States by state, Missouri
As of July 23, there have been 80 cases in Missouri. Adding to the latest cases are two children from Springfield.


2009 swine flu pandemic in the United States by state, Missouri
As of July 31, there have been 86 cases. Clay and Moniteau Counties were added to the list of counties with confirmed cases.


2009 swine flu pandemic in the United States by state, Missouri
As of August 8, there have been 158 confirmed cases in Missouri.


2009 swine flu pandemic in the United States by state, Missouri
On August 15, a 5-year-old boy from St. Francis County checked into the hospital with H1N1


2009 swine flu pandemic in the United States by state, Missouri
As of September 5, there have been 37 suspected cases of H1N1 at Saint Louis University in St. Louis, MO.


2009 swine flu pandemic in the United States by state, Mississippi
The Mississippi State Department of Health continues to monitor and investigate human cases of a new type of influenza, H1N1 swine influenza (also known as "novel H1N1 influenza") now present in Mississippi. Symptoms of swine flu in humans are similar to those of seasonal flu, causing fever, respiratory symptoms and body aches. H1N1 swine flu has contributed to a number of deaths nationwide, principally in those with pre-existing health conditions. 898 Mississippi cases of H1N1 swine flu have been identified and 7 deaths since May 15. Mississippians are advised to continue to exercise protective hygiene to avoid illness. As of January 25, 14 Mississippians have died of the H1N1 flu, and more than 635 cases have been confirmed.


2009 swine flu pandemic in the United States by state, Montana
On May 11, 2009, the Montana Department of Public Health and Human Services (DPHHH) reported the state's first confirmed case of swine flu. As of July 26, there have been 122 reported cases. As of January 21, there have been 801 confirmed cases of A/H1N1, and 18 confirmed deaths due to H1N1 flu.


2009 swine flu pandemic in the United States by state, Nebraska
As of July 26, 2009, there are 313 confirmed cases of swine flu in Nebraska. Nebraska has recorded sixteen hospitalizations and three deaths. as of December 11,13 deaths from A/H1N1 influenza have been reported.


2009 swine flu pandemic in the United States by state, Nevada
The first confirmed case of the virus was reported in Nevada on April 29. A two-year-old girl from Reno contracted the virus, but it is unclear how as the case did not appear to be linked to any previously affected areas. As of recent the virus has spread to Clark County, where the city of Las Vegas lies. It has also resulted in the closing of Mendive Middle School in Sparks, Reno's neighboring city, where ten students were confirmed to have contracted the virus.


2009 swine flu pandemic in the United States by state, Nevada
Through October 14, 2009 there had been 229 confirmed cases and 12 deaths in Clark County, Nevada, 964 confirmed cases and 2 deaths in Washoe County, Nevada, 265 confirmed cases and 0 deaths in Carson City, Nevada, and 431 confirmed cases and 1 death in the state's remaining 14 counties, totaling in 1871 cases and 15 deaths.


2009 swine flu pandemic in the United States by state, New Hampshire
The New Hampshire Department of Health and Human Services announced the state's first confirmed case of the H1N1 flu May 2, 2009. The confirmed case involved an employee of Concord Hospital in Concord, New Hampshire.


2009 swine flu pandemic in the United States by state, New Hampshire
As of July 6, there had been 232 confirmed cases. As of December 12, at least 9 people had died of H1N1 influenza in New Hampshire.


2009 swine flu pandemic in the United States by state, New Jersey
As of July 22, 2009, the New Jersey Government has confirmed 936 cases of swine flu and 480 probable cases, most of them within a range of 30 minutes of New York or Philadelphia. More swine flu cases are being reported daily, which has caused a widespread in the state.


2009 swine flu pandemic in the United States by state, New Jersey
Counties currently confirmed with swine flu: Atlantic (20), Bergen (63), Burlington (64), Camden (35), Cape May (3), Cumberland (17), Essex (105), Gloucester (12), Hudson (85), Hunterdon(17), Mercer (47), Middlesex (115), Monmouth (60), Morris (45), Ocean (48), Passaic (63), Salem (3), Somerset (37), Sussex (13), Union (62), Warren (22), which indicates that currently 21 counties have confirmed cases of swine flu.


2009 swine flu pandemic in the United States by state, New Jersey
The first swine flu death in New Jersey occurred on June 13, 2009. The man who died was a 49-year-old resident of Essex County. As of January 13, 2010,14 confirmed deaths from H1N1 have been reported, since September 1st in New Jersey.


2009 swine flu pandemic in the United States by state, New Mexico
On April 29, 2009, Gov. Bill Richardson announced that there are two very probable cases in New Mexico. The suspected cases were a 1-year-old boy from Santa Fe County and an 18-year-old man from Valencia County. The 1-year-old tested negative for H1N1, but the 18-year-old man tested positive. More cases were raised in the intervening days, and by May 1 the probable case number was increased to nine.


2009 swine flu pandemic in the United States by state, New Mexico
As of May 30, 2009, the New Mexico Department of Health has confirmed 156 total cases of the H1N1 virus in various counties with the CDC reporting 232 cases. New Mexico has since stopped reporting cases.


2009 swine flu pandemic in the United States by state, New York, Introduction
On April 24, New York City Department of Health and Mental Hygiene dispatched a team of investigators to the private St. Francis Preparatory School in Queens after 150 students complained of symptoms consistent with the disease. Several of the students had recently traveled to Mexico City. New York City Health Commissioner Dr. Thomas Frieden reported on April 25 that eight of the New York school cases were "probable" swine flu.


2009 swine flu pandemic in the United States by state, New York, Introduction
On April 26 the Centers for Disease Control and Prevention (CDC) confirmed that the Queens cases are indeed associated with the H1N1 virus. The students suffered only mild symptoms, and some have since recovered.


2009 swine flu pandemic in the United States by state, New York, Introduction
On April 27 federal officials confirmed 20 new US cases at the same school in New York in which eight cases were confirmed earlier.


2009 swine flu pandemic in the United States by state, New York, Introduction
As of April 29, one undergraduate commuter student on the Queens Campus of St. John's University had contracted the Swine Flu (A/H1N1) virus. The student was treated and recovered.


2009 swine flu pandemic in the United States by state, New York, Introduction
On May 14, three New York City public schools were closed due to the flu symptoms of hundreds of students.


2009 swine flu pandemic in the United States by state, New York, Introduction
On May 17, Mitchell Wiener, the assistant principal at a Queens school was confirmed as New York State's first death due to the disease.


2009 swine flu pandemic in the United States by state, New York, Introduction
On May 24, a woman in her 50s died because of the disease and had other health problems. She is New York State's second death and the 11th in the country. On June 1 a child from the Bronx became the first minor in New York City to die of swine flu. On Wednesday, June 4, a man died in Onondaga County, which marked the first fatality from swine flu in New York outside of New York City.


2009 swine flu pandemic in the United States by state, New York, Introduction
A city health department poll suggested that more than half a million citizens of New York may be infected as of June 11.


2009 swine flu pandemic in the United States by state, New York, Introduction
By June 17, 2009 there had been 30 Swine flu deaths in New York.


2009 swine flu pandemic in the United States by state, New York, Introduction
As of July 24, the CDC has reported 2,738 confirmed cases of the H1N1 flu.


2009 swine flu pandemic in the United States by state, North Carolina
The state health director, Dr. Jeffrey Engel, announced that there had been two probable cases of swine flu in the state. The first case was a man traveling through Wake County, where the capital is located, on business. The other case was an Onslow County resident who had recently traveled to Texas. On a related note, North Carolina is one of 29 states that have deemed to have not stockpiled enough flu medicines by federal guidelines. However, Dr. Engel dismissed these concerns, saying, "I think the commercial supply will keep up at the present time."


2009 swine flu pandemic in the United States by state, North Carolina
North Carolina has 483 confirmed cases as of July 22. There have been six deaths confirmed in the state. The most famous victim of swine flu was Elliott Wilson, a student at North Carolina State University. He contracted the virus on September 10, 2009, and was responsible for infecting 13% of the student population.


2009 swine flu pandemic in the United States by state, North Dakota
As of July 23, North Dakota has 63 confirmed cases of swine flu.


2009 swine flu pandemic in the United States by state, Ohio
On April 26, the Ohio Department of Health reported that a nine-year-old boy attending Elyria City Schools in Elyria, Lorain County, had been diagnosed with a mild case of the new strain of swine influenza and that his immediate family was undergoing testing. After the confirmed case in Ohio and eight in New York occurred Federal officials declared a public health emergency. The Cleveland health department received numerous calls from concerned residents the first week of the outbreak, although it has been difficult to tell whether or not the cases are swine flu, since it is regular flu season. On April 29, a probable case was reported in Columbus, and two new cases were confirmed in Columbus on May 2, one of them being an employee of The Ohio State University Medical Center.


2009 swine flu pandemic in the United States by state, Ohio
As of July 24, 2009 there were 186 confirmed cases of swine flu in Ohio.


2009 swine flu pandemic in the United States by state, Ohio
In September 2009, a 20-year-old Columbus woman died from H1N1 a week after having a c-section to give birth to her child at 32 weeks gestation.


2009 swine flu pandemic in the United States by state, Ohio
As of October 9, 2009 a 14-year-old boy was reported as Ohio's first pediatric death.


2009 swine flu pandemic in the United States by state, Oklahoma
In Muskogee, Oklahoma a man who recently visited Mexico had been admitted into a hospital after having H1N1 flu symptoms, but test results on May 1 returned negative. On May 5, a woman from Pontotoc County was confirmed to have H1N1 flu, On May 7, Oklahoma State Department of Health confirmed three new cases of the H1N1 virus: a child from Oklahoma County, and one adult and a teenage female in Cleveland County. All have recovered but, there has been one death in the state so far. On July 20 it was confirmed that a teenager in Tulsa had the swine flu.


2009 swine flu pandemic in the United States by state, Oklahoma
As of July 22, there have been 203 cases reported.


2009 swine flu pandemic in the United States by state, Oregon
The first probable case of H1N1 flu in Oregon was announced on April 30 by the Oregon Department of Human Services (ODHS). By May 3, three people had been tested positive for swine flu. On May 22, the ODHS announced that 46% of patients who tested positive for flu since March 4 were indeed infected with H1N1 flu, with the rest having just a seasonal flu.


2009 swine flu pandemic in the United States by state, Oregon
H1N1 has been detected in 530 residents of Oregon as of July 24, 2009. Confirmed cases have been found in 21 out of 36 counties, including Benton County, Clackamas County, Clatsop County, Columbia County, Crook County, Deschutes County, Douglas County, Hood River County, Jackson County, Klamath County, Lane County, Lincoln County, Linn County, Marion County, Multnomah County, Polk County, Tillamook County, Umatilla County, Wasco County, Washington County, and Yamhill County.


2009 swine flu pandemic in the United States by state, Oregon
On June 8, 2009, Oregon's first H1N1-related death in Marion County was reported by the ODHS. Since then, five other deaths have been reported; another two in Marion County (June 15, 2009 and July 24, 2009) and three in Multnomah County (June 26, 2009, July 3, 2009, and July 17, 2009).


2009 swine flu pandemic in the United States by state, Pennsylvania
On May 3, The Pennsylvania Department of Health said that a 31-year-old male in Montgomery County had the H1N1 flu. By May 5 probable cases were under investigation in Philadelphia (10), Bucks (2), Chester (2), Dauphin (3) confirmed cases, Allegheny (1), Cambria (1), Franklin (1), Lehigh (1), Luzerne (1), Lycoming (1), Montgomery (1), and York (1) counties.


2009 swine flu pandemic in the United States by state, Pennsylvania
On June 4, a 55-year-old woman in Berks County was confirmed as the first death in Pennsylvania due to swine flu. This was followed by the deaths of a 26-year-old Philadelphia woman with no known underlying conditions on June 7, and a 48-year-old woman in Pike County on June 13.


2009 swine flu pandemic in the United States by state, Pennsylvania
Confirmed and probable case counts and deaths are updated daily at the Pennsylvania Department of Health. As January 19, 2010,2997 people have either had confirmed or probable cases of A/H1N1 influenza in Pennsylvania, and at least 14 have died.


2009 swine flu pandemic in the United States by state, Rhode Island
On May 2, 2009, Rhode Island confirmed its first case of H1N1 Flu in a Westerly woman. Rhode Island reported its first death from swine flu on June 18.


2009 swine flu pandemic in the United States by state, Rhode Island
As of August 26, 2009, the Rhode Island Department of Health has reported 203 confirmed cases of H1N1 flu and two deaths. Three swines from a farm just north of Barrington contracted the flu which gave farmer Jimmy Bo-Brown many headaches. Sick swine have stunted growth and require increased attention from the farmer often leading to headaches. Two of the swines Elliott and Wilson died from dehydration and the last one recovered after about a week and was promptly slaughtered for bacon.


2009 swine flu pandemic in the United States by state, South Carolina
On August 28, 2009 the South Carolina Department of Health and Environmental Control (SCDHEC) announced it will begin the first full week of reporting all laboratory confirmed influenza hospitalizations and deaths to the CDC on September 8, 2009.


2009 swine flu pandemic in the United States by state, South Carolina
The South Carolina Department of Health has reported 313 cases as of July 24 throughout the state.


2009 swine flu pandemic in the United States by state, South Carolina
Thirteen cases of the flu virus were confirmed in South Carolina on April 30. All 13 were students and/or parents from the private Newberry Academy in Newberry, South Carolina; many had traveled to Mexico earlier in the month. All nearby public schools were closed for May 1.


2009 swine flu pandemic in the United States by state, South Carolina
On August 31, South Carolina recorded its first death from influenza A H1N1. The Byrnes Schools High School in Florence, SC closed because of the H1N1 flu from September 23 to September 25.


2009 swine flu pandemic in the United States by state, South Dakota
As of July 24, South Dakota has confirmed 48 cases of swine flu and hospitalized two patients.


2009 swine flu pandemic in the United States by state, Tennessee
As of July 22, there have been 282 confirmed cases of swine flu. On July 15, the state reported its first death. On September 7, the second death was reported in Memphis, TN.


2009 swine flu pandemic in the United States by state, Texas
Texas has reported 4,998 cases and 27 deaths as of July 24. Of the first 13 deaths confirmed in Texas, one was a Mexican citizen.


2009 swine flu pandemic in the United States by state, Texas
Two students attending Byron P. Steele II High School in Cibolo were confirmed to have the A/H1N1 swine flu; the patients recovered. A third possible case in a student who attends the same high school as the two other cases in Texas has been identified and the school is closed temporarily. On April 25, the Texas Department of State Health Services (DSHS) decided to close Byron P. Steele II High School for the following week. Following the discovery of more possible swine flu illnesses, the DSHS ordered that all schools and district facilities in the Schertz-Cibolo-Universal City Independent School District be closed for the week.


2009 swine flu pandemic in the United States by state, Texas
On April 27, a 7-year-old, a 24-year-old, and a 3-month-old in Dallas County were confirmed to have swine flu. All recovering and were not hospitalized. That same day, the Richardson Independent School District in the northern Dallas suburb of Richardson shut down Canyon Creek Elementary School due to a confirmed and two suspected cases of swine flu. All schools in New Braunfels—private schools and all campuses of the Comal and New Braunfels Independent School Districts—announced closures through May 10 on the recommendation of the Medical Authority of Comal County. On May 6, the New Braunfels Herald-Zeitung reported that all schools in Guadalupe and Comal counties would reopen on Thursday, May 7, four days earlier than had previously been announced.


2009 swine flu pandemic in the United States by state, Texas
Due to the swine flu, the University Interscholastic League (UIL) suspended all athletic, musical, and academic competitions and games for primary and secondary public education in the state of Texas until May 11.


2009 swine flu pandemic in the United States by state, Texas
On April 28, the City of Houston Health Department and Texas Children's Hospital sent samples in to the CDC. There are also possible cases at the Baylor College of Medicine outpatient clinic, Memorial Hermann Hospital, and St. Luke's Hospital.


2009 swine flu pandemic in the United States by state, Texas
A 23-month-old Mexican toddler who had been brought to Houston from Brownsville died on April 27, making the child the first US death due to the outbreak. The child had traveled with his family from Mexico to Brownsville to visit relatives. The infant was admitted to a Brownsville hospital after becoming ill, then transferred to Texas Children's Hospital the next day. The toddler suffered from chronic muscle weakness, a heart defect, a swallowing problem and lack of oxygen.


2009 swine flu pandemic in the United States by state, Texas
On April 29, it was confirmed by Harris County that a 17-year-old girl from Fort Bend County attending Episcopal High School in Bellaire had contracted and recovered from the A/H1N1 swine flu. In compliance with the directives of the Harris County Public Health and Environmental Services Department, the school has been closed until further notice. Also in Fort Worth, a rising number of possible and confirmed cases in the district made school officials close all schools starting the next day, April 30. Schools in FWISD remained closed until May 8.


2009 swine flu pandemic in the United States by state, Texas
The district was the biggest in the nation to close resulting in 80,000 students out of school and 11,000 staff members out of their jobs for that time. During the next week 6 school districts in Dallas-Fort Worth shut down. Including Cleburne, Lewisville, Decatur, Denton, Fort Worth, and Ponder. Other schools in Plano, Dallas, and Richardson were also closed, but did not result in a district wide shut down. Other smaller districts also shut down. Also that day, a probable case caused the closure of Lucy Read Pre-Kindergarten Demonstration School in north Austin.


2009 swine flu pandemic in the United States by state, Texas
Denton County reported its first confirmed swine flu case April 30, in a child in Plano; the student attended Wilson Middle School in the Plano Independent School District, and the district decided to close the Collin County school until May 11. Navo Middle School and Lee Elementary School, of Denton Independent School District were also closed after three students at both schools respectively were diagnosed with type A influenza. As of May 2, the rest of Denton ISD officially closed for the following week, but as of May 5, all schools are officially reopening on May 7.


2009 swine flu pandemic in the United States by state, Texas
The Superintendent of Keller Independent School District in Keller reported 3 possible cases, one in each of three schools.


2009 swine flu pandemic in the United States by state, Texas
On April 30, 8 suspected cases were recognized in El Paso County. Lab samples have been sent to CDC. No further information has been provided at this time until cases are confirmed. At this time, international borders will remain open. The El Paso Dept. of Public Health identified 11 more suspect cases of H1N1 flu in El Paso County on Friday, May 1, to bring the total number of suspect cases to 19. Lamar Consolidated ISD closed Lamar Junior High School due to a suspected (probable) case. Weslaco ISD closed all campuses for 7 days after a student was confirmed to have contracted type A influenza.


2009 swine flu pandemic in the United States by state, Texas
On May 5, Judy Trunnell, a woman in her 30s suffering from "chronic underlying health conditions" died of swine flu in Cameron County, near the US-Mexico border. She was the first US citizen to die from the disease. The woman, a special education teacher, had recently given birth to an eight-month-term healthy baby, delivered by caesarian section. She had been in a coma after being admitted to the hospital with breathing problems on April 19. The woman had also suffered from asthma, rheumatoid arthritis and a skin condition.


2009 swine flu pandemic in the United States by state, Texas
On August 28, a 52-year-old woman with underlying health conditions became the first death in Dallas County. Meanwhile, at TCU in Fort Worth there is an outbreak of swine flu on the campus. On Monday August 24, 10 students had possible cases of swine flu, by Wednesday the number had jumped to 88. Students that are sick are being asked to isolate themselves in their dorm rooms. SMU and UT at Arlington are also each reporting less than 5 cases of swine flu each. This is all occurring as schools in the state of Texas return to school.


2009 swine flu pandemic in the United States by state, Texas
On October 14, it was confirmed, that Reality TV star Melissa Rycroft who lived in Newark, New Jersey over the summer and came back to Dallas has swine flu. As of January 2, 2010, 203 Texans have died of H1N1 influenza, 474 Texans were admitted to the intensive care unit due to A/H1N1, and 2,052 Texans have been hospitalized due to A/H1N1 influenza.


2009 swine flu pandemic in the United States by state, Utah
On April 28, 2009, one student in Park City, Utah was suspected to have swine flu. Two more studentsin the school district began showing similar symptoms making three probable cases. All 8 schools in the Park City School District closed the following day. On May 1 the number of probable cases was increased to 9; 6 in Summit County (Park City), 2 in Salt Lake County and 1 in the Morgan-Weber Health District and about 80 suspected cases. May 2 at around 11 o'clock the first confirmation came back for the original case, 7 more were confirmed by the 6th. On May 6 the probable case count was at 30. As of June 11, Utah has reported 684 cases of swine flu and has not updated since; however, the CDC has reported 988 cases as of July 24.


2009 swine flu pandemic in the United States by state, Utah
The first confirmed death from swine flu in Utah, of a 21-year-old man, was reported on May 20, 2009. On June 16, 2009, the number of reported deaths from Swine flu in Utah reached six. All six deaths had occurred in Salt Lake County. The state announced on June 17 two more deaths from swine flu, one of which occurred at an unspecified location outside of Salt Lake County, the other in Salt Lake County. Utah has reported 21 deaths as of October 15, 2009.


2009 swine flu pandemic in the United States by state, Utah
New reports available from Utah's health department as of October 28, 2009 indicated there had been 30 deaths from H1N1 in Utah, 18 through August 31, 2009 and a further 12 since that time.


2009 swine flu pandemic in the United States by state, Utah
On November 18, 2009 the Utah State Health department reported five more deaths from swine flu.


2009 swine flu pandemic in the United States by state, Vermont
The Vermont Department of Health announced a probable case of the H1N1 virus in rural Orleans County. Also, some cases found in Rutland County, 3 adults, 1 minor. Another case of the flu was confirmed involving an adult in Windsor County.


2009 swine flu pandemic in the United States by state, Vermont
As of July 22, there have been 62 laboratory confirmed cases.


2009 swine flu pandemic in the United States by state, Virginia
The Virginia Department of Health had confirmed 14 cases in the state by May 7, and a total of 23 by May 21. The VDH reports cases by Health district, often without narrowing down a specific county, citing HIPAA privacy laws, as well as a desire to avoid creating a "false sense of security". 12 of the cases have been reported for the district containing Lexington, Virginia, following an early outbreak on the campus of Washington and Lee University. Additionally, there have been three cases in Fairfax, two each in the Chesterfield, Arlington and Peninsula Health districts, and one each in the Norfolk and Three Rivers Health districts.


2009 swine flu pandemic in the United States by state, Virginia
Currently, at least 35 deaths resulting from confirmed A/H1N1 influenza have been reported in Virginia.


2009 swine flu pandemic in the United States by state, Washington
As of October 16, 2009, the Washington State Department of Health (WSDOH) reported 174 hospitalizations and 16 deaths between April 26, 2009 and September 19, 2009, and further reported 7 additional deaths and 163 additional hospitalizations from September 19, 2009 to October 16, 2009. All the recent fatal cases and the cases resulting in hospitalizations were spread fairly equally across Western and Eastern Washington.


2009 swine flu pandemic in the United States by state, Washington
As of September 9, 2009, the WSDOH reported 164 hospitalized persons confirmed with 2009 H1N1, and 16 total deaths.


2009 swine flu pandemic in the United States by state, Washington
In its August 28, 2009 report, the WSDOH reported that it would no longer issue updates of the numbers of probable or confirmed cases, but would instead issue reports of state lab-confirmed H1N1 (swine flu) total hospitalizations and deaths. Accordingly, the WSDOH reports that from April 26, 2009 to August 28, 2009 the total number of hospitalizations was 154, and as of August 28, 2009 the total number of deaths stood at 14.


2009 swine flu pandemic in the United States by state, Washington, Deaths
On June 18, 2009, A King County swine flu-related death was reported, making it the third death from swine flu in Washington State.


2009 swine flu pandemic in the United States by state, Washington, Deaths
On June 5, A Pierce County woman in her twenties became Washington's second swine flu-related death.


2009 swine flu pandemic in the United States by state, Washington, Deaths
On May 9, it was announced that a man from Snohomish County, in his thirties with a pre-existing heart condition and active viral pneumonia, became the third confirmed US death from swine flu-involved complications. As of January 23, there have been 1383 confirmed cases of H1N1N that required hospital care in the second wave of H1N1 (since September 19, 2009), and 76 deaths.


2009 swine flu pandemic in the United States by state, Washington, Cases
On July 1, 2009, it was reported that the Tri-Cities had its first case of swine flu. On June 18, 2009, Grant County Health Department reported six cases of swine flu in Quincy.


2009 swine flu pandemic in the United States by state, Washington, Cases
As of the evening of May 22, 2009, Washington state has reported 574 confirmed cases and one death due to swine flu. The health department has since no longer reported anymore cases; however, it has reported seven deaths as of July 24. So far, confirmed cases have been identified in seventeen Washington state counties, with public facilities closed as a precaution in those counties and several others. On May 3, Seattle-King County officials announced that, due to the virus' widespread presence in the community and low rates of severity, schools would no longer be closing due to suspect or probable cases.


2009 swine flu pandemic in the United States by state, Washington, Cases
A majority of confirmed cases (584) have occurred in King County. 115 confirmed cases, one probable case, and one death have been reported in Snohomish County. Thirty-one confirmed cases have also been identified in Pierce County, while seven cases of swine flu have been confirmed in Clark County, bordering the city of Portland, Oregon.


2009 swine flu pandemic in the United States by state, Washington, Cases
Thurston County and Yakima County have reported five cases each. Spokane County and Whatcom County have reported four cases each. Kitsap County and Mason County have each reported three cases. Two cases have been reported in Island County and Skagit County. One case each has been reported in Douglas County, Grays Harbor County, Jefferson County, Kittitas County and Lewis County. An additional case, that of a cruise ship worker, is counted at the state level only. September 19, 2009, the Washington department of health stopped counting individual cases of A/H1N1 influenza, and only counting hospitalizations and deaths from A/H1N1.


2009 swine flu pandemic in the United States by state, West Virginia
As of July 22, there have been 276 reported cases. In November 2009, it was confirmed a West Virginia pediatrician had confirmed A/H1N1 influenza twice, once in July, and again in October. This is very rare, but does occur sporadically, according to the CDC. By November, the only state to have only Double cases (2 times the daily cases) right after South Korea.


2009 swine flu pandemic in the United States by state, Wisconsin
As of July 22, 2009, Wisconsin has 5,147 confirmed cases, including 3,278 in Milwaukee. most of which are in the southern and south-eastern region of the state. So far, cases have been confirmed in 24 counties, however Milwaukee, Dane, Waukesha, and Columbia have the majority of the cases, with 706, 90, 54, and 52 respectively. As of May 24, 2009, Wisconsin currently has the most confirmed cases of swine flu in the United States. On June 1, 2009, it was confirmed that a Milwaukee resident with underlying health issues died from the virus. Two Wisconsin residents have died from the virus.


2009 swine flu pandemic in the United States by state, Wisconsin
As of Friday June 12, 2009 there were 3,008 confirmed and probable cases and one death in Wisconsin reported by the CDC. As of Friday June 19, 2009 the CDC reported no change of these numbers.


2009 swine flu pandemic in the United States by state, Wisconsin, Milwaukee
As of Friday, June 12, 2009, the largest city in Wisconsin, Milwaukee, reported the second death and 1,883 confirmed cases of swine flu. As of Tuesday, June 16, 2009, the city of Milwaukee reported the third death related to the novel flu and more than 2,000 confirmed cases in Milwaukee.


2009 swine flu pandemic in the United States by state, Wisconsin, Milwaukee
As of Thursday, June 18, 2009, Milwaukee reported 2,618 confirmed cases. The CDC update seems not to reflect the rising of case toll from 1,883 (June 12) to 2,618 (June 18) in the city of Milwaukee.


2009 swine flu pandemic in the United States by state, Wisconsin, Dane County
Dane County reported 300 confirmed cases as of Thursday June 18, 2009.


2009 swine flu pandemic in the United States by state, Wisconsin, Columbia County
Columbia County reported 68 confirmed cases as of June 5, 2009.


2009 swine flu pandemic in the United States by state, Wyoming
As of August 27, 2009, the Wyoming Department of Health reported 171 lab-confirmed cases of H1N1.


2009 swine flu pandemic in the United States by state, Wyoming
On August 19, 2009 the Wyoming Department of Health confirmed Wyoming's first death from H1N1 of a state resident infected with the swine flu (novel H1N1) virus as a victim who was a young adult female resident of Fremont County with an underlying health condition associated with higher risk of complications from influenza.


2009 swine flu pandemic in the United States by state, Wyoming
As of July 21, there have been 106 confirmed cases of swine flu in Wyoming.


2009 swine flu pandemic tables
This page summarises the figures from the WHO Influenza A Situation Updates issued roughly once every other day, and since 6 July from ECDC. For each country or territory, the table lists the number of confirmed cases of swine flu on the first reported day each month, and the latest figure. The number of countries affected is shown, and the number of days it has taken for the number of cases to double. The table can be sorted by country, date of first confirmed case or date of first confirmed case by continent.


2009 swine flu pandemic tables
As no global reports have been issued by WHO since 6 July 2009, data since then is taken from the reports of ECDC. ECDC stopped reporting cases outside Europe in August, and only reported deaths from 30 September.


2009 swine flu pandemic tables, Tables by month
The full figures for each month can be found in the following tables:


2009 swine flu pandemic timeline
This article covers the chronology of the 2009 novel influenza A (H1N1) pandemic. 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, cases of zoonosis, and the start of national vaccination campaigns), and relevant sessions and announcements of the World Health Organization (WHO), the European Union (and its agency the European Centre for Disease Prevention and Control),and the U.S. Centers for Disease Control (CDC).


2009 swine flu pandemic timeline
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.


2009 swine flu pandemic timeline, Timeline
Take note that the date of the first confirmations of the disease or any event in a country may be before or after the date of the events in local time because of the International Dateline.


2009 swine flu pandemic timeline, Timeline, March 2009
MexicoIn La Gloria, Veracruz 60% of the town's population is sickened by a respiratory illness of unknown provenance. The government of Mexico believes it to be caused by H3N2 influenza, though at least one patient in La Gloria tested positive for A/H1N1. Two babies died in the outbreak but both were buried without testing.


2009 swine flu pandemic timeline, Timeline, March 2009, March 7
United States In the ninth week of its routine influenza surveillance, the CDC reports on FluView that thirty-five states have reported widespread influenza activity, and 14 states have reported regional activity, but that although the rate of activity was high, that the proportion of deaths attributed to pneumonia and influenza (P&I) was below the epidemic threshold.


2009 swine flu pandemic timeline, Timeline, March 2009, March 14
United States The CDC reports on the 10th week of FluView that thirty states reported widespread influenza activity and 18 states reported regional activity.


2009 swine flu pandemic timeline, Timeline, March 2009, March 17
MexicoEarliest known onset of a case that is later to be confirmed as Swine-Origin Influenza A (H1N1) Virus Infection.


2009 swine flu pandemic timeline, Timeline, March 2009, March 21
United States CDC FluView, Week 11: Widespread influenza activity in twenty-four states; regional activity in 19. Influenza activity continues to decrease.


2009 swine flu pandemic timeline, Timeline, March 2009, March 28
United StatesEarliest known onset of a USA case later confirmed as swine flu, that of a nine-year-old girl residing in Imperial County, California. Thirteen states reported widespread influenza activity and 19 reported regional activity on the CDC's FluView, Week 12.


2009 swine flu pandemic timeline, Timeline, March 2009, March 30
United StatesA 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)).


2009 swine flu pandemic timeline, Timeline, March 2009, March 30
United StatesOnset 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 in the US.


2009 swine flu pandemic timeline, Timeline, April 2009, April 1
United StatesA 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)).


2009 swine flu pandemic timeline, Timeline, April 2009, April 2
MexicoIn 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.


2009 swine flu pandemic timeline, Timeline, April 2009, April 4
United States CDC FluView, Week 13: Widespread influenza activity in four states, regional activity in 18.


2009 swine flu pandemic timeline, Timeline, April 2009, April 5
European UnionThe media monitoring website MedISys reports on a Mexican article about the epidemiological alert.


2009 swine flu pandemic timeline, Timeline, April 2009, April 6
MexicoPublic health authorities begin investigating unusual cases of pneumonia. 400 people had reportedly sought treatment for pneumonia/influenza-like illness (ILI) in La Gloria the preceding week.


2009 swine flu pandemic timeline, Timeline, April 2009, April 6
United StatesBiosurveillance firm Veratect reports the unusual respiratory illness in Mexico. Veratect publishes the alert "La Gloria: 'Strange' Respiratory Affects 60% of Local Population; Three Pediatric Deaths May be Associated with the Outbreak."


2009 swine flu pandemic timeline, Timeline, April 2009, April 11
United States CDC FluView, Week 14: Widespread influenza activity in one state; regional activity in 14.


2009 swine flu pandemic timeline, Timeline, April 2009, April 12
MexicoThe 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). Furthermore, 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.


2009 swine flu pandemic timeline, Timeline, April 2009, April 13
MexicoFirst death in Oaxaca due to what would later be identified as swine flu.


2009 swine flu pandemic timeline, Timeline, April 2009, April 13
United StatesThe U.S. Centers for Disease Control (CDC) is advised of a ten-year-old boy with a respiratory illness in San Diego County, California. Test results revealed an Influenza A virus but were negative for standard human strains. The San Diego County Health Department is notified.


2009 swine flu pandemic timeline, Timeline, April 2009, April 14
United StatesThe 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).


2009 swine flu pandemic timeline, Timeline, April 2009, April 16
United StatesVeratect publishes the alert "Atypical Pneumonia Cases Reported at Hospital" regarding the Oaxaca cases.


2009 swine flu pandemic timeline, Timeline, April 2009, April 17
MexicoA case of atypical pneumonia in Oaxaca prompts enhanced national surveillance. A field investigation is started. Mexico contacts Canada to request more specialized testing.


2009 swine flu pandemic timeline, Timeline, April 2009, April 17
United StatesThe 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.


2009 swine flu pandemic timeline, Timeline, April 2009, April 18
MexicoMexico sends 14 mucus samples to the CDC and dispatches health teams hospitals to look for patients showing severe influenza- or pneumonia-like symptoms.


2009 swine flu pandemic timeline, Timeline, April 2009, April 18
United States CDC FluView, Week 15: "Nine states reported regional activity; 17 states reported local influenza activity; the District of Columbia and 22 states reported sporadic influenza activity; and two states reported no influenza activity. Seven human infections with swine influenza A (H1N1) virus have been confirmed." This is the first mention of A(H1N1) in FluView.


2009 swine flu pandemic timeline, Timeline, April 2009, April 20
United StatesVeratect advises the CDC of the Mexican events. The CDC is already investigating the California and Texas cases.


2009 swine flu pandemic timeline, Timeline, April 2009, April 21
United StatesThe CDC alerts physicians to a similar novel strain of swine influenza A(H1N1) in two cases from Southern California in a Morbidity and Mortality Weekly Report Early Release on its website. Local investigations, including investigations in Texas, are already underway, and overall surveillance is enhanced. The Associated Press covers the alert, the first mention of the A(H1N1) outbreak in English-language news media.


2009 swine flu pandemic timeline, Timeline, April 2009, April 23
MexicoThe Public Health Agency of Canada confirms Mexico cases of swine-origin influenza A (H1N1) virus (S-OIV) infection. Genetic sequence analysis reveals that the Mexican patients were infected with the same S-OIV strain detected in two California children. The PAHO is informed that a cluster in Mexico of severe respiratory illnesses has been laboratory-confirmed as S-OIV infection.


2009 swine flu pandemic timeline, Timeline, April 2009, April 24
The 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".


2009 swine flu pandemic timeline, Timeline, April 2009, April 24
MexicoThe 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. Health authorities implement public health measures for all airport passengers and the vaccination of health care workers with seasonal influenza vaccine.


2009 swine flu pandemic timeline, Timeline, April 2009, April 24
United StatesThe 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". The novel strain had already been reported on the CDC's Morbidity and Mortality Weekly Report website.


2009 swine flu pandemic timeline, Timeline, April 2009, April 25
WHO Under the International Health Regulations (IHR), the Emergency Committee convenes for the first time since its establishment in 2007, resulting in the WHO Director-General declaring a formal "public health emergency of international concern," (PHEIC), the first ever.


2009 swine flu pandemic timeline, Timeline, April 2009, April 25
The PAHO Vaccination Week In The Americas starts. The 2009 Week was planned to emphasize the vaccination of entire families, and health worker immunization.


2009 swine flu pandemic timeline, Timeline, April 2009, April 25
United States First closure of an entire school district, the Schertz-Cibolo-Universal City Independent School District outside San Antonio, Texas.


2009 swine flu pandemic timeline, Timeline, April 2009, April 27
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.


2009 swine flu pandemic timeline, Timeline, April 2009, April 27
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.


2009 swine flu pandemic timeline, Timeline, April 2009, April 27
CanadaFirst six cases confirmed, four in Nova Scotia and two in British Columbia.


2009 swine flu pandemic timeline, Timeline, April 2009, April 27
SpainFirst 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.


2009 swine flu pandemic timeline, Timeline, April 2009, April 28
WHO Confirmed cases are now extant in four of six WHO regions (see map). As of 19:15 GMT seven countries have officially reported cases of swine influenza A(H1N1) infection.


2009 swine flu pandemic timeline, Timeline, April 2009, April 28
CanadaConfirmed: two cases and another four in Alberta and Ontario, respectively.


2009 swine flu pandemic timeline, Timeline, April 2009, April 28
IsraelFirst confirmed case in Israel and thus the WHO Eastern Mediterranean Region (color-coded yellow), the third region to be affected.


2009 swine flu pandemic timeline, Timeline, April 2009, April 28
New ZealandFirst three confirmed cases in New Zealand and thus the WHO Western Pacific Region (color-coded red), the fourth region to be affected.


2009 swine flu pandemic timeline, Timeline, April 2009, April 29
WHOThe Emergency Committee meets for the third time,and the WHO raises its pandemic alert level from Phase 4 to Phase 5, its second highest. As of 1800 GMT, nine countries have officially reported 148 cases of swine influenza A(H1N1) infection.


2009 swine flu pandemic timeline, Timeline, April 2009, April 29
ASEAN ASEAN officials are looking at coordinating measures to address the potential pandemic.


2009 swine flu pandemic timeline, Timeline, April 2009, April 29
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.


2009 swine flu pandemic timeline, Timeline, April 2009, April 29
GermanyFirst three confirmed cases, two in Bavaria and one in Hamburg.


2009 swine flu pandemic timeline, Timeline, April 2009, April 29
SpainEight more cases raises the total in Spain to 10, including the first human-to-human intergenerational transmission (in which the patient had not recently been to Mexico but was infected by another patient who had just visited Mexico, namely his girlfriend). This is the first intergenerational transmission to be documented in Europe.


2009 swine flu pandemic timeline, Timeline, April 2009, April 29
United StatesFirst death outside Mexico, a 23-month-old Mexican child hospitalized in Texas. Ninety-one confirmed cases in the US to date.


2009 swine flu pandemic timeline, Timeline, April 2009, April 29
South AfricaFirst two cases reported within South Africa, by two women that travelled in Mexico weeks earlier. The cases were confirmed on 18 June 2009.


2009 swine flu pandemic timeline, Timeline, April 2009, April 30
CanadaConfirmed: One more case in Toronto, and eight more cases in Nova Scotia, and Alberta bringing total to 28.


2009 swine flu pandemic timeline, Timeline, April 2009, April 30
NetherlandsFirst confirmed case, a three-year-old child. The child returned from Mexico to the Netherlands on April 27, 2009. The parents test negative for A(H1N1).


2009 swine flu pandemic timeline, Timeline, April 2009, April 30
United StatesFour 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.


2009 swine flu pandemic timeline, Timeline, April 2009, April 30
United KingdomThree further confirmed cases of swine flu, giving a total of eight confirmed cases.


2009 swine flu pandemic timeline, Timeline, May 2009, May 1
WHO As of 0600 GMT, 11 countries have officially reported 331 cases of influenza A(H1N1) infection.


2009 swine flu pandemic timeline, Timeline, May 2009, May 1
Mexico begins an unprecedented five-day shutdown to fight the spread of the flu.


2009 swine flu pandemic timeline, Timeline, May 2009, May 1
United KingdomFirst and second case of human to human (or intergenerational) transmission within the UK confirmed.


2009 swine flu pandemic timeline, Timeline, May 2009, May 1
United States155 confirmed cases, including two at George Washington University's Thurston Hall.


2009 swine flu pandemic timeline, Timeline, May 2009, May 2
WHO As of 0600 GMT 15 countries have officially reported 615 cases of influenza A(H1N1) infection.


2009 swine flu pandemic timeline, Timeline, May 2009, May 2
CanadaThe Canadian Food Inspection Agency confirms the first human-to-animal transmission of the virus after an Albertan returns from Mexico and infects a pig farm, the first known case of (reverse) zoonosis.


2009 swine flu pandemic timeline, Timeline, May 2009, May 2
United StatesThere are more than 430 school closures in 18 states. CDC FluView Week 17: Widespread activity in seven states, regional activity in 12.


2009 swine flu pandemic timeline, Timeline, May 2009, May 3
WHO As of 0600 GMT, 17 countries have officially reported 787 cases of (A)H1N1.


2009 swine flu pandemic timeline, Timeline, May 2009, May 3
Arab League Health Ministers meet in Riyadh, to discuss human and technical support to be deployed in any Arab affected place.


2009 swine flu pandemic timeline, Timeline, May 2009, May 3
Canada101 confirmed cases after seven cases in British Columbia, three in Alberta, two in Nova Scotia and Ontario, and one in Quebec were confirmed.


2009 swine flu pandemic timeline, Timeline, May 2009, May 4
WHO As of 06:00 GMT, 20 countries have officially reported 985 cases of influenza A (H1N1) infection.


2009 swine flu pandemic timeline, Timeline, May 2009, May 4
Canada A girl from Edmonton, Alberta was diagnosed with a severe case of the H1N1 virus.


2009 swine flu pandemic timeline, Timeline, May 2009, May 5
WHOAs of 06:00 GMT, 21 countries have officially reported 1,124 cases of influenza A (H1N1) infection.


2009 swine flu pandemic timeline, Timeline, May 2009, May 6
WHOAs of 06:00 GMT, 22 countries have officially reported 1,516 cases of influenza A (H1N1) infection.


2009 swine flu pandemic timeline, Timeline, May 2009, May 6
ASEAN A special regional summit to fight possible swine flu pandemic was held in Bangkok and was attended by senior ASEAN health officials along with those from China, Japan and South Korea.


2009 swine flu pandemic timeline, Timeline, May 2009, May 6
Guatemala First confirmed case, and the first in Central America.


2009 swine flu pandemic timeline, Timeline, May 2009, May 7
WHOAs of 18:00 GMT, 24 countries have officially reported 2,371 cases of influenza A (H1N1) infection.


2009 swine flu pandemic timeline, Timeline, May 2009, May 7
CanadaReports suggest that an elderly woman who had swine flu has died in northern Alberta, marking the first death in Canada related to swine flu. Furthermore, an unusual case of zoonosis occurred when a swine flu inspector in improper gear caught the virus from an infected pig.


2009 swine flu pandemic timeline, Timeline, May 2009, May 7
NetherlandsSecond case confirmed, a 53-year-old woman who had recently travelled to Mexico.


2009 swine flu pandemic timeline, Timeline, May 2009, May 7
USAThe New England Journal of Medicine establishes its H1N1 Influenza Center on its website.


2009 swine flu pandemic timeline, Timeline, May 2009, May 8
WHOAs of 16:00 GMT, 25 countries have officially reported 2,500 cases of influenza A (H1N1) infection.


2009 swine flu pandemic timeline, Timeline, May 2009, May 9
WHOAs of 06:00 GMT, 29 countries have officially reported 3,440 cases of influenza A(H1N1) infection.


2009 swine flu pandemic timeline, Timeline, May 2009, May 9
Brazil Two cases confirmed, one of which is thought to be the first case of human-to-human infection in Brazil.


2009 swine flu pandemic timeline, Timeline, May 2009, May 9
Costa Rica First confirmed death, and also the first death outside of North America. Three other confirmed cases, all children, were contaminated by the patient who died.


2009 swine flu pandemic timeline, Timeline, May 2009, May 9
Japan 4th confirmed case, a schoolmate of the first three cases.


2009 swine flu pandemic timeline, Timeline, May 2009, May 9
United States Third confirmed death, a Washington man with underlying heart disease. 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. CDC FluView Week 18: Widespread influenza activity in eight states, regional activity in 14.


2009 swine flu pandemic timeline, Timeline, May 2009, May 10
WHOAs of 07:30 GMT, 29 countries have officially reported 4,379 cases of influenza A(H1N1) infection.


2009 swine flu pandemic timeline, Timeline, May 2009, May 11
WHOAs of 06:00 GMT, 30 countries have officially reported 4,694 cases of influenza A(H1N1) infection.


2009 swine flu pandemic timeline, Timeline, May 2009, May 12
WHO As of 06:00 GMT, 30 countries have officially reported 5,251 cases of influenza A(H1N1) infection.


2009 swine flu pandemic timeline, Timeline, May 2009, May 13
WHO As of 06:00 GMT, 13 May 2009, 33 countries have officially reported 5,728 cases of influenza A(H1N1) infection.


2009 swine flu pandemic timeline, Timeline, May 2009, May 14
WHO As of 06:00 GMT, 33 countries have officially reported 6,497 cases of influenza A(H1N1) infection.


2009 swine flu pandemic timeline, Timeline, May 2009, May 14
Colombia First domestic infections with three cases confirmed. Total: 10.


2009 swine flu pandemic timeline, Timeline, May 2009, May 15
WHO As of 06:00 GMT, 34 countries have officially reported 7,520 cases of influenza A(H1N1) infection.


2009 swine flu pandemic timeline, Timeline, May 2009, May 15
USA Fourth and fifth deaths confirmed, that of an Arizona woman suffering from a lung condition and a Texas man in Corpus Christi, respectively.


2009 swine flu pandemic timeline, Timeline, May 2009, May 15
Malaysia First confirmed case. Malaysia is the 37th country to be affected by the virus.


2009 swine flu pandemic timeline, Timeline, May 2009, May 15
Panama Four 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.


2009 swine flu pandemic timeline, Timeline, May 2009, May 16
WHO As of 06:00 GMT 36 countries have officially reported 8,451 cases of influenza A(H1N1) infection.


2009 swine flu pandemic timeline, Timeline, May 2009, May 16
India First case confirmed, in Hyderabad. This marks the arrival of A(H1N1) in the fifth of the WHO's six regions, the South-East Asia Region.


2009 swine flu pandemic timeline, Timeline, May 2009, May 16
Japan First domestic infection confirmed, in Kobe, a male high school student with no history of travel abroad. The Kobe Festival, planned for May 16 and 17, is cancelled.


2009 swine flu pandemic timeline, Timeline, May 2009, May 16
Malaysia Second confirmed case. The first patient is now showing significant improvement from the treatment.


2009 swine flu pandemic timeline, Timeline, May 2009, May 16
Turkey First confirmed case, that of an American tourist flying from the United States via Amsterdam, discovered at Istanbul's Atatürk International Airport.


2009 swine flu pandemic timeline, Timeline, May 2009, May 16
United States CDC FluView Week 19: Widespread influenza activity in five states, regional activity in 13.


2009 swine flu pandemic timeline, Timeline, May 2009, May 17
WHO As of 06:00 GMT 37 countries have officially reported 8,480 cases of influenza A(H1N1) infection.


2009 swine flu pandemic timeline, Timeline, May 2009, May 17
Panama With 54 confirmed cases, Panama occupies second place, along with Canada, for the number of cases per country.


2009 swine flu pandemic timeline, Timeline, May 2009, May 18
WHOAs of 06:00 GMT, 40 countries have officially reported 8,829 cases of influenza A(H1N1) infection, including 74 deaths.


2009 swine flu pandemic timeline, Timeline, May 2009, May 18
ECDC The European Centre for Disease Control releases its early findings on H1N1's pandemic potential.


2009 swine flu pandemic timeline, Timeline, May 2009, May 18
Japan reports 96 confirmed cases; 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.


2009 swine flu pandemic timeline, Timeline, May 2009, May 18
USA The sixth death in the US, and the first in New York—that of an assistant principal.


2009 swine flu pandemic timeline, Timeline, May 2009, May 19
WHO As of 06:00 GMT, 40 countries have officially reported 9,830 cases of influenza A(H1N1) infection, including 79 deaths.


2009 swine flu pandemic timeline, Timeline, May 2009, May 19
United States Seventh confirmed death, that of a 44-year-old Missouri man.


2009 swine flu pandemic timeline, Timeline, May 2009, May 19
Japan 191 confirmed cases; Hyogo Prefecture has the most at 111.


2009 swine flu pandemic timeline, Timeline, May 2009, May 19
Paraguay confirmed its first case and became the 43rd affected country.


2009 swine flu pandemic timeline, Timeline, May 2009, May 19
Taiwan confirmed its first case and becomes the 44th affected country.


2009 swine flu pandemic timeline, Timeline, May 2009, May 20
WHO As of 06:00 GMT, 40 countries have officially reported 10,243 cases of influenza A(H1N1) infection, including 80 deaths.


2009 swine flu pandemic timeline, Timeline, May 2009, May 20
United States A patient dies in Arizona, and a 22-year-old man dies in Utah, 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). An unusual number of outbreaks in schools is reported.


2009 swine flu pandemic timeline, Timeline, May 2009, May 20
Japan 236 confirmed cases, including the first case in Shiga Prefecture,and the cities of Hachiōji and Kawasaki 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.


2009 swine flu pandemic timeline, Timeline, May 2009, May 21
WHO As of 06:00 GMT, 41 countries have officially reported 11,034 cases of influenza A(H1N1) infection, including 85 deaths.


2009 swine flu pandemic timeline, Timeline, May 2009, May 21
Japan 279 confirmed cases; more than 4,800 schools are closed in the Kobe region.


2009 swine flu pandemic timeline, Timeline, May 2009, May 22
WHO As of 06:00 GMT, 42 countries have officially reported 11,168 cases of influenza A(H1N1) infection, including 86 deaths.


2009 swine flu pandemic timeline, Timeline, May 2009, May 22
Japan 317 confirmed, including first confirmed in Saitama Prefecture. Third confirmed in Tokyo, a 25-year-old man who visited Osaka from May 14-20th.


2009 swine flu pandemic timeline, Timeline, May 2009, May 23
WHO As of 06:00 GMT, 43 countries have officially reported 12,022 cases of influenza A(H1N1) infection, including 86 deaths.


2009 swine flu pandemic timeline, Timeline, May 2009, May 23
Iceland First confirmed case. 4 more cases suspected. United States CDC FluView Week 20: Widespread influenza activity in four states; regional activity in 11.


2009 swine flu pandemic timeline, Timeline, May 2009, May 24
Australia Two more confirmed cases, which now brings the national toll to 16.


2009 swine flu pandemic timeline, Timeline, May 2009, May 25
WHO As of 06:00 GMT, 46 countries have officially reported 12,515 cases of influenza A(H1N1) infection, including 91 deaths.


2009 swine flu pandemic timeline, Timeline, May 2009, May 26
WHO As of 06:00 GMT, 46 countries have officially reported 12,954 cases of influenza A(H1N1) infection, including 92 deaths.


2009 swine flu pandemic timeline, Timeline, May 2009, May 27
WHO As of 06:00 GMT, 48 countries have officially reported 13,398 cases of influenza A(H1N1) infection, including 95 deaths


2009 swine flu pandemic timeline, Timeline, May 2009, May 27
Singapore First confirmed case. A 22-year-old woman picked up the virus after visiting New York.


2009 swine flu pandemic timeline, Timeline, May 2009, May 28
Singapore Three more cases confirmed. Total confirmed cases now stands at four.


2009 swine flu pandemic timeline, Timeline, May 2009, May 29
WHO As of 06:00 GMT, 53 countries have officially reported 15,510 cases of influenza A(H1N1) infection, including 99 deaths


2009 swine flu pandemic timeline, Timeline, May 2009, May 30
United States CDC FluView Week 21: Widespread influenza activity in five states, regional activity in 10.


2009 swine flu pandemic timeline, Timeline, May 2009, May 31
Dominican Republic Nine more cases confirmed, for a total of 11 cases nationwide.


2009 swine flu pandemic timeline, Timeline, June 2009, June 1
WHO As of 06:00 GMT, 62 countries have officially reported 17,410 cases of influenza A(H1N1) infection, including 115 deaths.


2009 swine flu pandemic timeline, Timeline, June 2009, June 3
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.


2009 swine flu pandemic timeline, Timeline, June 2009, June 4
Malaysia Three more cases confirmed. One of the patients is a 23-year-old student returned from the United States. Another two patients are German tourists who arrived in Singapore after having gone to Malaysia for holiday. Total: 5.


2009 swine flu pandemic timeline, Timeline, June 2009, June 5
WHO As of 06:00 GMT, 69 countries have officially reported 21,940 cases of influenza A(H1N1) infection, including 125 deaths.


2009 swine flu pandemic timeline, Timeline, June 2009, June 5
Dominican Republic First fatality, a 17-year-old pregnant girl. Total number of confirmed cases rises to 44.


2009 swine flu pandemic timeline, Timeline, June 2009, June 6
United States CDC FluView Week 22: Widespread influenza activity in eight states, regional activity in nine. "Approximately 89% of all influenza viruses being reported to CDC were novel influenza A (H1N1) viruses."


2009 swine flu pandemic timeline, Timeline, June 2009, June 7
New Zealand Authorities have confirmed that a man traveling from North America has Influenza A(H1N1). Total: 14.


2009 swine flu pandemic timeline, Timeline, June 2009, June 8
WHO As of 06:00 GMT, 73 countries have officially reported 25,288 cases of influenza A(H1N1) infection, including 139 deaths.


2009 swine flu pandemic timeline, Timeline, June 2009, June 8
New Zealand Three more confirmed cases, two of which were from international flights. Total: 17.


2009 swine flu pandemic timeline, Timeline, June 2009, June 10
WHO As of 06:00 GMT, 74 countries have officially reported 27,737 cases of influenza A(H1N1) infection, including 141 deaths.


2009 swine flu pandemic timeline, Timeline, June 2009, June 11
The WHO raises its Pandemic Alert Level to Phase 6, citing significant transmission of the virus.


2009 swine flu pandemic timeline, Timeline, June 2009, June 11
Australia 1263 cases nationally, with more than 1000 cases in the State of Victoria alone.


2009 swine flu pandemic timeline, Timeline, June 2009, June 11
Cuba Sixth case on the island, and that of the first citizen.


2009 swine flu pandemic timeline, Timeline, June 2009, June 12
WHO As of 07:00 GMT, 12 June 2009, 74 countries have officially reported 29,669 cases of Influenza A (H1N1) infections, including 145 deaths.


2009 swine flu pandemic timeline, Timeline, June 2009, June 13
United States Widespread influenza activity in eleven states, regional activity in six. "Over 98% of all subtyped influenza A viruses being reported to CDC were pandemic influenza A (H1N1) viruses."


2009 swine flu pandemic timeline, Timeline, June 2009, June 17
Malaysia Four more cases of H1N1 confirmed. One domestic infection confirmed. Total: 23.


2009 swine flu pandemic timeline, Timeline, June 2009, June 22
Philippines First death in Asia confirmed. H1N1 deaths now confirmed in 3 of 6 WHO regions.


2009 swine flu pandemic timeline, Timeline, June 2009, June 24
United States CDC FluView Week 24: Widespread influenza activity in twelve states, regional activity in seven. "Over 99% of all subtyped influenza A viruses being reported to CDC were pandemic influenza A (H1N1) viruses."


2009 swine flu pandemic timeline, Timeline, June 2009, June 27
United States CDC FluView Week 25: Widespread influenza activity in ten states, regional in 11 states.


2009 swine flu pandemic timeline, Timeline, June 2009, June 29
Denmark First case of Oseltamivir (Tamiflu) resistance found. Confirmed by David Reddy, Roche's pandemic taskforce leader.


2009 swine flu pandemic timeline, Timeline, June 2009, June 29
South Africa South Africa National Health Department confirm community outbreak, with 7 new confirmed cases. The total of confirmed cases grew to 12640 within South Africa over the next few months.


2009 swine flu pandemic timeline, Timeline, July 2009, July 2
Japan Second case found with mutation resulting in Oseltamivir (Tamiflu) resistance.


2009 swine flu pandemic timeline, Timeline, July 2009, July 4
United States CDC FluView Week 26: Widespread influenza activity in nine states, regional influenza activity in 12. "Over 97% of all subtyped influenza A viruses being reported to CDC were novel influenza A (H1N1) viruses."


2009 swine flu pandemic timeline, Timeline, July 2009, July 11
United States CDC FluView Week 27: Widespread influenza activity in nine states, regional activity in 12. "Over 99% of all subtyped influenza A viruses being reported to CDC were novel influenza A (H1N1) viruses."


2009 swine flu pandemic timeline, Timeline, July 2009, July 14
New Zealand Two more deaths confirmed. Total deaths 9. Total confirmed cases: 1,984.


2009 swine flu pandemic timeline, Timeline, July 2009, July 16
Singapore First flu-related death confirmed, that of a 49-year-old man with heart problems.


2009 swine flu pandemic timeline, Timeline, July 2009, July 16
Sudan First two confirmed cases of H1N1 detected, from flights which had arrived from the U.K.


2009 swine flu pandemic timeline, Timeline, July 2009, July 17
Hawaii First death, that of a sexagenarian with underlying health problems.


2009 swine flu pandemic timeline, Timeline, July 2009, July 18
United States CDC FluView Week 28: Widespread influenza activity in seven states, regional activity in 13. "Over 99% of all subtyped influenza A viruses being reported to CDC were novel influenza A (H1N1) viruses."


2009 swine flu pandemic timeline, Timeline, July 2009, July 18
Singapore First death with H1N1 involvement confirmed, that of a 49-year-oldmale who also suffered from diabetes, hypertension and high cholesterol, from a heart attack caused by severe pneumonia.


2009 swine flu pandemic timeline, Timeline, July 2009, July 21
Canada The fourth case of mutation in the world from Tamiflu has been found in a 60-year-old man from Quebec, Canada.


2009 swine flu pandemic timeline, Timeline, July 2009, July 21
Federated States of Micronesia First case confirmed, that of a 27-year-old male.


2009 swine flu pandemic timeline, Timeline, July 2009, July 22
Hungary First death confirmed, that of a man with underlying heart and lungdisease.


2009 swine flu pandemic timeline, Timeline, July 2009, July 23
Arab League Health Ministers hold a summit after the death of a pilgrim who had returned from the Hajj. New regulations were promulgated for the Hajj: anyone younger than 12 or older than 65 or who have "chronic health problems" shall not be allowed to undertake the pilgrimage to Mecca.


2009 swine flu pandemic timeline, Timeline, July 2009, July 23
Malaysia First flu-related death confirmed, that of an obese 30-year-old male.


2009 swine flu pandemic timeline, Timeline, July 2009, July 24
Cayman Islands First death reported, that of a man with underlying medical conditions.


2009 swine flu pandemic timeline, Timeline, July 2009, July 25
Indonesia First H1N1 death confirmed, that of a 6-year-old girl suffering from severe pneumonia.


2009 swine flu pandemic timeline, Timeline, July 2009, July 25
United States It is reported that thousands of Americans are being recruited for H1N1 vaccine testing at several research centers across the country. CDC FluView Week 29: Widespread influenza activity in four states, regional activity in eight. "Over 98% of all subtyped influenza A viruses being reported to CDC were novel influenza A (H1N1) viruses."


2009 swine flu pandemic timeline, Timeline, July 2009, July 26
Norway An international 4H youth camp with 1,700 participants from fifteen nations isshut down after fifty Norwegian participants catch H1N1.


2009 swine flu pandemic timeline, Timeline, July 2009, July 27
Germany Germany's federal infectious disease center, the Robert Koch Institute, states there were 3,810 confirmed cases of H1N1 in the country; nearly all of the cases are mild.


2009 swine flu pandemic timeline, Timeline, July 2009, July 27
Israel First death confirmed, that of a 35-year-old man from Eilat.


2009 swine flu pandemic timeline, Timeline, July 2009, July 27
Saint Kitts and Nevis First death reported, that of a 28-year-old woman.


2009 swine flu pandemic timeline, Timeline, July 2009, July 28
Thailand In the first reported case of vertical transmission of A(H1N1), a baby is born infected.


2009 swine flu pandemic timeline, Timeline, July 2009, July 29
United Kingdom The NHS is not ready for a second wave of swine flu cases expected this autumn, a House of Lords committee has stated. It warned hospitals do not have enough intensive care beds to cope, and furthermore predicted that the recently established A(H1N1) flu helpline could be overwhelmed with calls.


2009 swine flu pandemic timeline, Timeline, July 2009, July 29
United States The U.S. military wants to establish regional teams of military personnel to assist civilian authorities in the event of a significant outbreak of the H1N1 virus this fall, according to Defense Department officials.


2009 swine flu pandemic timeline, Timeline, July 2009, July 30
Azerbaijan First two cases of A(H1N1) confirmed, those of people who had been on holiday in France and the U.K., respectively.


2009 swine flu pandemic timeline, Timeline, July 2009, July 30
Saudi Arabia Second H1N1 death confirmed, that a 28-year-old Indonesian woman.


2009 swine flu pandemic timeline, Timeline, July 2009, July 31
France The cruise ship Voyager of the Seas, which had reported dozens of cases of H1N1 flu amongst its 5,000 passengers and crew, docks in France.


2009 swine flu pandemic timeline, Timeline, August 2009, August 1
Australia First case of reverse zoonosis confirmed in a piggery in Dunedoo.


2009 swine flu pandemic timeline, Timeline, August 2009, August 1
United States CDC FluView Week 30: Widespread influenza activity in four states, regional activity in 11. "Over 98% of all subtyped influenza A viruses being reported to CDC were novel influenza A (H1N1) viruses."


2009 swine flu pandemic timeline, Timeline, August 2009, August 3
South AfricaFirst confirmed death in South Africa. Total number of deaths at end of epidemic 93.


2009 swine flu pandemic timeline, Timeline, August 2009, August 8
United States CDC FluView Week 31: Widespread influenza activity in four states, regional activity in 10.


2009 swine flu pandemic timeline, Timeline, August 2009, August 11
Costa Rica President Óscar Arias is confirmed to have swine flu, the first head of state known to have been infected.


2009 swine flu pandemic timeline, Timeline, August 2009, August 15
United States CDC FluView Week 32: Widespread influenza activity in two states, regional activity in eight.


2009 swine flu pandemic timeline, Timeline, August 2009, August 20
Malaysia One more death confirmed. Total: 68 deaths. The unusually high reported death rate, four times the global average, is investigated by the WHO.


2009 swine flu pandemic timeline, Timeline, August 2009, August 21
Chile H1N1 is found in turkeys on farms in Chile near the port city of Valparaiso in a unique zoonosis cluster.


2009 swine flu pandemic timeline, Timeline, August 2009, August 21
United Kingdom First death confirmed in Northern Ireland, that of woman with underlying health conditions.


2009 swine flu pandemic timeline, Timeline, August 2009, August 22
United States CDC FluView Week 33: Widespread influenza activity in two states, regional activity in 13. Activity appears to be increasing in the Southeast.


2009 swine flu pandemic timeline, Timeline, August 2009, August 24
Kyrgyzstan First two cases confirmed, that of a husband and wife; the man had recently traveled to Dubai.


2009 swine flu pandemic timeline, Timeline, August 2009, August 27
UN;Chile The United Nations issues a warning regarding the discovery of H1N1-infected turkeys on farms in Chile, an unusual case of zoonosis which raises concerns about possible increased genetic reassortment of the virus.


2009 swine flu pandemic timeline, Timeline, August 2009, August 28
WHO Most countries in the Southern Hemisphere (represented by Chile, Argentina, New Zealand, and Australia) appear to have passed their peak of influenza activity and returned to baseline activity.


2009 swine flu pandemic timeline, Timeline, August 2009, August 28
ECDC Based partially on data from the Southern Hemisphere, the ECDC forecasts afirst wave of infections in autumn and winter which stresses hospitals in particular; it is noted, however, that"the overall interruption of essential services in (well-prepared) countries has been manageable".


2009 swine flu pandemic timeline, Timeline, August 2009, August 29
Brazil 602 H1N1 deaths confirmed, the highest number of any nation-state to date.


2009 swine flu pandemic timeline, Timeline, August 2009, August 29
United States CDC FluView Week 34: Influenza activity, which had been largely stable or decreasing in prior weeks, increases in the U.S. "Six states and Puerto Rico reported geographically widespread influenza activity, 13 states reported regional influenza activity, 10 states and the District of Columbia reported local influenza activity, 19 states reported sporadic influenza activity, two states reported no influenza activity, and Guam and the U.S. Virgin Islands did not report." Furthermore, Region IV, i.e. the Southeast, reports increased out-patient ILI above its regional baseline.


2009 swine flu pandemic timeline, Timeline, August 2009, August 30
Colombia President Álvaro Uribe is confirmed to have swine flu, the second Head of state known to have been infected.


2009 swine flu pandemic timeline, Timeline, August 2009, August 30
United Arab Emirates Second death confirmed, that of a thirty-year-old Pakistani expatriate who died following Caesarian section.


2009 swine flu pandemic timeline, Timeline, August 2009, August 31
Bahrain First death confirmed, a South East Asian woman in her thirties withunderyling medical conditions.


2009 swine flu pandemic timeline, Timeline, September 2009, September 3
United States The CDC in its Morbidity and Mortality Weekly Report notes that 67% of thirty-six children who have died from H1N1 early in the epidemic had at least one serious chronic medical condition, with neurodevelopmental conditions such as developmental delay, epilepsy, and cerebral palsy being especially prominent. Roughly one in thirteen deaths have been of school-age children. More than 80% of the children who died were five or older, in contrast with the seasonal flu baseline of half or more of the influenza fatalities being four or younger.


2009 swine flu pandemic timeline, Timeline, September 2009, September 5
United States CDC FluView Week 35: Influenza increases in the U.S. with widespread influenza activity in 11 states and regional activity in 13; the proportion of outpatient visits for influenza-like illness (ILI) is above the national baseline, with four out of ten HHS Surveillance Regions reporting ILI above region-specific baselines. "97% of all subtyped influenza A viruses being reported to CDC were 2009 influenza A (H1N1) viruses."


2009 swine flu pandemic timeline, Timeline, September 2009, September 7
Ecuador Ecuador's chief of presidential security, Col. John Merino,dies of H1N1 fluafter twenty-eight days at Quito Military Hospital.


2009 swine flu pandemic timeline, Timeline, September 2009, September 7
Namibia First death confirmed, that of a 37-year-old businessman who had fallen ill in Angola.


2009 swine flu pandemic timeline, Timeline, September 2009, September 9
USAAn outbreak is confirmed at the gaming convention PAX in Seattle, Washington.


2009 swine flu pandemic timeline, Timeline, September 2009, September 12
United States CDC FluView Week 36: Influenza activity continues to increase with widespread influenza activity in twenty-one states, regional influenza activity in nine. Seven of ten HHS Surveillance Regions report ILI activity above region-specific baselines. "99% of all subtyped influenza A viruses being reported to CDC were 2009 influenza A (H1N1) viruses."


2009 swine flu pandemic timeline, Timeline, September 2009, September 14
Mozambique First death confirmed, that of a 29-year-old female with an unspecified chronic illness.


2009 swine flu pandemic timeline, Timeline, September 2009, September 17
Netherlands The third and fourth deaths are confirmed, that of a 52-year-old man and an 85-year-old woman, respectively, both of whom had underlying medical conditions.


2009 swine flu pandemic timeline, Timeline, September 2009, September 17
United Kingdom Health Minister Andy Burnham states that the second peak of swine flu has started as 5,000 people contracted the virus this week, compared to 3,000 the week before.


2009 swine flu pandemic timeline, Timeline, September 2009, September 19
United States CDC FluView Week 37: Widespread influenza activity in twenty-six states, regional activity in 11. All of the HHS ILI regions report elevated levels of influenza activity above their region-specific baselines except for Region I (New England).


2009 swine flu pandemic timeline, Timeline, September 2009, September 21
China A national vaccination campaign begins in China, making it the first country to issue the H1N1 vaccine.


2009 swine flu pandemic timeline, Timeline, September 2009, September 21
United States The U.S. government orders a total of 251 million doses of H1N1 vaccine from manufacturers, up from the long-planned total of 195 million.


2009 swine flu pandemic timeline, Timeline, September 2009, September 23
Portugal The first death confirmed, that of a Portuguese man living in France.


2009 swine flu pandemic timeline, Timeline, September 2009, September 25
Germany First death confirmed, that of a 36-year-old woman who died of a so-calledsuperinfection which included H1N1.


2009 swine flu pandemic timeline, Timeline, September 2009, September 25
United States Forty-two schools are closed in eight states as the second wave of the pandemicbegins in early autumn.


2009 swine flu pandemic timeline, Timeline, September 2009, September 26
United States CDC FluView Week 38: Widespread influenza activity in twenty-seven states, regional activity in 18.


2009 swine flu pandemic timeline, Timeline, September 2009, September 27
United States The second wave of the H1N1 pandemic begins to stress hospitals in the U.S. and prompts some school closures.


2009 swine flu pandemic timeline, Timeline, September 2009, September 30
Australia Mass vaccination drive begins, the second in the world.


2009 swine flu pandemic timeline, Timeline, September 2009, September 30
China Sinovac Biotech Ltd., the first company worldwide to complete clinical trials for a vaccine, receives an order for an additional 3 million doses of H1N1 vaccine from the PRC government, making for a total of 6.3 million doses.


2009 swine flu pandemic timeline, Timeline, September 2009, September 30
United States 46 states and Washington, D.C. begin ordering what becomes by the next day a cumulative total of 1,378,200 doses of the nasal-spray Live Attenuated Influenza Vaccine (LAIV) for H1N1.


2009 swine flu pandemic timeline, Timeline, October 2009, October 3
United States CDC FluView Week 39: The proportion of deaths attributed to pneumonia and influenza (P&I) reaches the epidemic threshold with eight out of ten HHS ILI regions reporting region-specific ILI activity above region-specific baseline levels. Widespread influenza activity in thirty-seven states, regional activity in 11.


2009 swine flu pandemic timeline, Timeline, October 2009, October 5
United Nations Rich countries should make more vaccines available to poorer nations where the H1N1 virus is starting to hit, United Nations health officials said. They said increased readiness for swine flu was needed in developing countries with weaker medical systems and with large, young populations, who are most vulnerable to the disease. Some countries, such as the United States, Brazil and France, have agreed to make 10 percent of their national vaccine stockpile available to developing countries. Manufacturers have also donated about 150 million doses of vaccine.


2009 swine flu pandemic timeline, Timeline, October 2009, October 10
United States CDC FluView Week 40: The proportion of deaths attributed to pneumonia and influenza (P&I) is officially above the epidemic threshold. Moreover, for the first time all 10 HHS ILI regions reported ILI above region-specific baseline levels. Widespread influenza activity in forty-one states, and regional activity in eight, with only one state—Hawaii—reporting local influenza activity.


2009 swine flu pandemic timeline, Timeline, October 2009, October 12
Vietnam Three cases of Tamiflu resistance (which developed during hospital treatment) are confirmed. The resistant strains were apparently not transmitted, and all three patients survived.


2009 swine flu pandemic timeline, Timeline, October 2009, October 15
United Kingdom The death toll passes 100. Total confirmed deaths: 106. The NHS confirms that second wave of swine flu has begun, with cases in Wales and Northern Ireland being especially high. The Minister of Health confirms that there were 27,000 cases in the last week in England alone, up from 14,000 the week before. The Minister of Health also announced that 415,000 H1N1 vaccinations shall take place on the week beginging 21 October, then 5,000,000 more vaccinations the week after. 20% of all hospitalized cases are now critical, up from 12% the week before. The government believes it can get 50,000,000 Britons vaccinated before Christmas.


2009 swine flu pandemic timeline, Timeline, October 2009, October 16
United States An initial shortfall of swine flu vaccine is predicted shortly after the proportion of deaths attributed to pneumonia and influenza goes above the epidemic threshold in some states, with flu activity widespread in 41 states. It is also announced that the number cases, hospitalizations and deaths are unprecedented for this time of year, with flu-like illnesses accounting for 6.1% of all doctor visits, itself an unusually high number.


2009 swine flu pandemic timeline, Timeline, October 2009, October 17
China Second death confirmed, in the northwestern province of Qinghai.


2009 swine flu pandemic timeline, Timeline, October 2009, October 17
United States CDC FluView Week 41: All 10 HHS ILI regions reported ILI above region-specific baseline levels. Widespread influenza activity in forty-six states, regional activity in three.


2009 swine flu pandemic timeline, Timeline, October 2009, October 19
United States H1N1 is confirmed in a nasal mucus sample taken from a show hog at the Minnesota State Fair in the first case of zoonosis in the country.


2009 swine flu pandemic timeline, Timeline, October 2009, October 20
CanadaH1N1-infected turkeys are confirmed in Ontario, the second such case of zoonosis reported in the world.


2009 swine flu pandemic timeline, Timeline, October 2009, October 20
United StatesIn a unique case of zoonosis, a pet ferret in Oregon is confirmed to be infected with H1N1.


2009 swine flu pandemic timeline, Timeline, October 2009, October 21
Canada A turkey farm in Ontario province has been confirmed infected with A/H1N1 flu, making Canada the second country to report such infection after Chile, health officials confirmed


2009 swine flu pandemic timeline, Timeline, October 2009, October 21
Japan Ten H1N1-infected pigs are discovered in a swine herd in Osaka Prefecture, the first reported case of zoonosis in Asia.


2009 swine flu pandemic timeline, Timeline, October 2009, October 21
UK H1N1 vaccinations begin nationwide, with 14,000,000 high-priority people with conditions such as asthma to be vaccinated initially, then eventually up to 51,000,000 other Britons.


2009 swine flu pandemic timeline, Timeline, October 2009, October 22
IraqFears over the H1N1 virus prompts nearly 2,500 school closures.


2009 swine flu pandemic timeline, Timeline, October 2009, October 23
NetherlandsTwo new deaths reported, that of a 14-year-old girl and 40-year-old man. Total deaths: 6.


2009 swine flu pandemic timeline, Timeline, October 2009, October 23
United States President Barack Obama declares a national emergency, stating "The potential exists for the pandemic to overburden health care resources in some localities."


2009 swine flu pandemic timeline, Timeline, October 2009, October 24
United States Various public health departments across the country run out of the H1N1 vaccine, due to the shortfall of 10 million doses as the national vaccination campaign gets underway in earnest; 40 million doses had initially been projected. According to the CDC's FluView Week 42, influenza activity is widespread in 48 states, with regional activity in just two: Hawaii and South Carolina.


2009 swine flu pandemic timeline, Timeline, October 2009, October 26
China Another death confirmed, in the northwestern province of Xinjiang.


2009 swine flu pandemic timeline, Timeline, October 2009, October 27
Russia First two deaths confirmed, in the far eastern city of Chita.


2009 swine flu pandemic timeline, Timeline, October 2009, October 28
Portugal A ten-year-old dies 48 hours after contracting the flu.


2009 swine flu pandemic timeline, Timeline, October 2009, October 30
ECDC The European Centre for Disease Control reports a total of 302 fatal cases in Europe to date; all of the 27 EU and the four EFTA countries are reporting cases of pandemic (H1N1) 2009 influenza.


2009 swine flu pandemic timeline, Timeline, October 2009, October 30
Ukraine First death confirmed. Meanwhile, Ukrainian Prime Minister Yulia Tymoshenko ordered a massive and for Ukraine unprecedented disease-control programme to go into effect immediately in an attempt to prevent the spread of the disease. A 'full quarantine' will be imposed in seven provinces of Western Ukraine, with police monitoring the entrance and exit of all persons. It will block those lacking justification for travel


2009 swine flu pandemic timeline, Timeline, October 2009, October 31
United States According to the CDC's FluView Week 43, influenza activity is widespread in 48 states, with regional activity in two: Hawaii and Mississippi.


2009 swine flu pandemic timeline, Timeline, November 2009, November 1
Afghanistan Schools are closed for three weeks after the first H1N1 death is recorded.


2009 swine flu pandemic timeline, Timeline, November 2009, November 3
US The USDA reports the first H1N1 zoonosis in commercial swine, in a herd in Indiana.


2009 swine flu pandemic timeline, Timeline, November 2009, November 4
United States The first case in the world of H1N1 zoonosis in a cat is confirmed, in Iowa.


2009 swine flu pandemic timeline, Timeline, November 2009, November 6
Hong Kong Reverse zoonosis is detected in two slaughtered pigs.


2009 swine flu pandemic timeline, Timeline, November 2009, November 7
United States CDC FluView Week 44: Widespread influenza activity in forty-six state, regional activity in four. "The proportion of outpatient visits for influenza-like illness (ILI) was 6.7% which is above the national baseline of 2.3%. All 10 regions reported ILI above region-specific baseline levels."