2009 swine flu pandemic in Australia, Reported cases by state and territory, Victoria
The same situation happened for students in year nine at the University High School in Parkville and also for the Melton campus of Mowbray College after a year 10 student contracted the virus . A 35-year-old man from Colac died on 20 June 2009 at Maroondah Hospital after going to Colac Hospital the previous day. On 23 June 2009, the second swine flu related death in Victoria was reported, that of a 50-year-old woman at the Peter MacCallum Cancer Centre. A third death was reported on 25 June. Two more deaths were reported on the weekend of 27 and 28 June. Two more deaths were reported on 1 July, which included a 3-year-old. Four more deaths were recorded on 8 July.


2009 swine flu pandemic in Australia, Reported cases by state and territory, New South Wales
In New South Wales 51 deaths were recorded. The first confirmed death in New South Wales occurred on 29 June and a second man died on 3 July.


2009 swine flu pandemic in Australia, Reported cases by state and territory, South Australia
South Australia recorded 28 deaths, plus a 'clinical positive' where the test was inconclusive and, after swine-flu-like symptoms were reported, Tamiflu was administered, thus making a future positive confirmation unlikely. Adelaide high schools Eynesbury Senior College and Blackfriars Priory School closed for a week. The first confirmed death from swine flu in South Australia was a 26-year-old Aboriginal man from Kiwirrkurra Community in the Western Desert of Western Australia who died in Royal Adelaide Hospital on 19 June.


2009 swine flu pandemic in Australia, Reported cases by state and territory, Australian Capital Territory
The Australian Capital Territory recorded 2 deaths and confirmed 920 cases by 28 August 2009. Two of the earliest casualties contracted the disease while on the Pacific Dawn cruise ship. The first death in the ACT occurred on 28 July 2009. During the last week of July 2009, Radford College's year 12 cohort was asked to stay home, after a spike of influenza through the year.


2009 swine flu pandemic in Australia, Reported cases by state and territory, Western Australia
There were 27 confirmed deaths in Western Australia. On 26 June 2009, a 26-year-old woman was the first person to die in the state. A 26-year-old Western Australian man died in Adelaide on 19 June.


2009 swine flu pandemic in Australia, Reported cases by state and territory, Tasmania
Tasmania recorded seven deaths. The first person to die in Tasmania was an 85-year-old woman who died in Royal Hobart Hospital on 5 July.


2009 swine flu pandemic in Australia, Reported cases by state and territory, Northern Territory
The Northern Territory confirmed the first infection of a person on 30 May 2009. By this time, six people in the territory had died. The first person in the Territory to die from the epidemic was a man in his early 50s who died at the Royal Darwin Hospital on 6 July.


2009 swine flu pandemic in Australia, Overseas cases
On 25 May, about 3 hours after going off the boat, a case of swine flu was reported on board. This caused a spike in the number of cases, going up much more rapidly than before, and somehow causing "Case 1" (see above). The number of cases was around 20 before the scare but grew to well over 15,000. This cruise ship is believed to have caused almost half of the cases in SA, the WA case, and the TAS case. It also caused a flu scare in New Caledonia.


2009 swine flu pandemic in Australia, Containment and control, Preparations
In 2008, the Australian government prepared for a possible flu pandemic by creating the  Australian Health Management Plan for Pandemic Influenza (AHMPPI). When the outbreak hit its peak in 2009, this plan went into action. The plan followed six steps:


2009 swine flu pandemic in Australia, Containment and control, Preparations
The Australian Government had a stockpile of 40 million surgical grade face masks. However, stocks of face masks in pharmacies were depleted due to personal purchases. The World Health Organization Influenza Centre in North Melbourne was attempting to develop a vaccine for swine flu by growing the live virus as found in California, in chicken embryos. The first one-litre batch of vaccine was announced to be ready on 29 June 2009 by the University of Queensland, but would not be available for use until it was registered as safe with the regulatory authority.


2009 swine flu pandemic in Australia, Containment and control, Preparations
A Commonwealth Health hotline for Swine Influenza was set up on Australian phone number 1802007 by the Department of Health and Ageing. The Australian Government set up a health emergency web site. Daily tallies of suspected cases were given.


2009 swine flu pandemic in Australia, Containment and control, Preparations
The Tasmanian Government set up a Tasmanian Action Plan for Human Influenza Pandemic.


2009 swine flu pandemic in Australia, Containment and control, Preparations
The Queensland Government had an action plan prepared in 2008 and a business continuity plan in 2006. The Australian Capital Territory Chief Medical Officer, Dr Charles Guest, claimed that procedures and systems were very good to detect and respond to the disease outbreak. South Australia nominated eight hospitals to handle the flu: Royal Adelaide, Flinders Medical Centre or Women's and Children's Hospital, Berri, Mount Gambier, Port Lincoln, Whyalla or Port Augusta. The Victorian Government Department of Human Services had a nurse on call to answer questions on the topic.


2009 swine flu pandemic in Australia, Containment and control, Preparations
CSL Limited started to produce a vaccine to immunize against swine flu. The Australian Government ordered ten million doses of the new vaccine.


2009 swine flu pandemic in Australia, Containment and control, Preparations
In Melbourne, seven special clinics for influenza opened on 29 May.


2009 swine flu pandemic in Australia, Containment and control, Government travel advice
Per recommendations by the World Health Organization, Australia decided against closing their borders during the DELAY phase of the outbreak. There were also no restrictions of travel to and from countries where outbreaks were occurring. However, starting on 30 April, thermal imaging was applied to passenger arrivals at international airports and arriving passengers were required to fill in a card. Customs officers checked aeroplane cabins prior to disembarkation of passengers to look for people with flu symptoms.


2009 swine flu pandemic in Australia, Containment and control, Health recommendations
The Australian Government created a nationwide campaign project that encouraged Australians to take up healthy practices such as adequate hand washing, avoiding people who were more susceptible to death from the flu, and getting the vaccine that was available. This was done in media, print, and radio forms so that it could reach the most people as possible. Another main focus of the Australian campaign was to dispel myths about the flu in order to provide citizens with the most factual information available at the time. A large scale immunization effort against swine flu started on Monday 28 September 2009.


2009 swine flu pandemic in Australia, Containment and control, Health recommendations
At the peak of the outbreak, Australia had a stockpile of 8.7 million doses of Tamiflu and Relenza to combat the virus.


2009 swine flu pandemic in Australia, Evaluation
In a 2011 article in the Emerging Health Threats Journal, Peter Collignon commented that the media frequently compared the outbreaks to the 1918 flu pandemic that infected 500 million people and killed tens of millions. Widespread public fear of a similar number of deaths led to "Emergency Departments and doctor surgeries being overwhelmed" with requests for antiviral drugs, jeopardising the supply for the highest risk patients.


2009 swine flu pandemic in Brazil
The 2009 swine flu pandemic in Brazil began on April 25, 2009 with two people, spreading to 34 over the first two weeks. CDC calculate that Africa and Southeast Asia, which have 38% of the world's population, accounted for a disproportionate 51% of the deaths.


2009 swine flu pandemic in Brazil
Two people who had arrived in Brazil from Mexico with symptoms of an undefined illness were hospitalized in São Paulo on April 25. It was initially suspected that they were suffering from the swine flu virus. The Brazilian Ministry of Health later issued a press release stating that while the exact cause of the two patients illnesses remained unknown, they "did not meet the definition of suspected cases of swine influenza because they did not have signs and symptoms consistent with the disease: fever over 39 °C, accompanied by coughing and/or a headache, muscle and joint pain."


2009 swine flu pandemic in Brazil
The press release also stated that airports would monitor travelers arriving from affected areas, under the direction of the National Sanitary Surveillance Agency (ANVISA). Air crews are also being trained on signs and symptoms of swine influenza so that passengers displaying symptoms may receive guidance from ANVISA upon arrival.


2009 swine flu pandemic in Brazil, Timeline, May
On May 7, the first four cases of swine flu were confirmed, two of them in São Paulo state, one of them in Rio de Janeiro state and one in Minas Gerais. Three of the infected patients were recently in Mexico and the other was recently in the United States.


2009 swine flu pandemic in Brazil, Timeline, May
On May 8, another case of swine flu was confirmed, this time in Santa Catarina state. The infected patient was a girl of seven years old, she was recently in United States. The country has another 30 suspected cases. That same day, the sixth case of swine flu was confirmed in Brazil. This case was from Rio de Janeiro state. This was the first confirmed case of transmission inside the country. However, the infected person only had contact with an infected patient and is now under observation and being cured.


2009 swine flu pandemic in Brazil, Timeline, May
On May 9, besides the confirmed cases, the health ministry confirmed the existence of 30 suspected cases in the country: São Paulo (12), Paraná (4), Minas Gerais (4), Federal District (2), Goiás (2), Santa Catarina (1), Mato Grosso do Sul (1), Pernambuco (1), Ceará (1), Rondônia (1) and Rio de Janeiro (1). The two new cases are each at Rio Grande do Sul and Rio de Janeiro.


2009 swine flu pandemic in Brazil, Timeline, May
On May 10, the health ministry informed that the suspected cases in Brazil fell to 18. They are located in São Paulo (6), Rio de Janeiro (2), Minas Gerais (1), Paraná (1), Federal District (3), Santa Catarina (1), Pernambuco (2), Ceará (1) e Rondônia (1). Today in Brazil, the flight with the friends of the first infected man in Rio arrived, probably with this flight more suspected in Rio de Janeiro will confirmed.


2009 swine flu pandemic in Brazil, Timeline, May
On May 10, in the night, the minister of health confirmed two more cases of swine flu, another case in Rio de Janeiro, this patient catch the flu of the others two patients of the Rio. And the first in Rio Grande do Sul, this patient was in several European countries (Germany, Czech Republic, Hungary, Austria, Italy and Spain), before returning to Brazil. As outlined the Ministry of Health, the patient of Rio Grande do Sul is well and showed the first symptoms, light, on May 3 in Italy. Now the country has 8 confirmed cases and 22 suspected cases. The suspected cases are in São Paulo (10), Rio de Janeiro (2), Paraná (1), Distrito Federal (3), Alagoas (1), Pernambuco (3), Ceará (1) e Rondônia (1).


2009 swine flu pandemic in Brazil, Timeline, May
On May 11, the Minister of Health confirmed the existence of 34 suspected cases in Brazil. They are in São Paulo (14), Distrito Federal (4), Rio de Janeiro (4), Alagoas(2), Minas Gerais (2), Paraná (2), Pernambuco (2), Ceará (1) and Rondônia (1). Today confirmed too that the woman with the swine flu in Rio is with pneumonia, but her state is stable.


2009 swine flu pandemic in Brazil, Timeline, May
On May 13, the Minister of Health confirmed the existence of 37 suspected cases in Brazil. They are in São Paulo (14), Distrito Federal (4), Rio de Janeiro (3), Alagoas(2), Minas Gerais (7), Pernambuco (3), Ceará (1), Pará (1), Rio Grande do Sul (1) and Rondônia (1).


2009 swine flu pandemic in Brazil, Timeline, May
On May 27, the Minister of Health confirmed the existence of more two confirmed cases of swine flu in Brazil, they are in São Paulo and Rio de Janeiro. Both cases are patients who had recently in USA. They two pass well.


2009 swine flu pandemic in Brazil, Timeline, May
On May 28, there are more four confirmed cases in the country, one in Santa Catarina and the others three in São Paulo. Both cases came from USA. And they pass well, one of the cases in São Paulo is a boy with 16 years old, the others three are in adults.


2009 swine flu pandemic in Brazil, Timeline, May
On May 29, the Minister of Health confirmed the fifteenth case in Brazil, that one in Rio de Janeiro, and it's the third case by transmission inside the country.


2009 swine flu pandemic in Brazil, Timeline, May
On May 30, the more 5 cases were confirmed, the first in Tocantins, that patient contracted the flu in USA. More two in São Paulo, the both contracted in USA too. And more two in Santa Catarina, but in this time that two contracted the flu in Brazil, these are the 4th and the 5th cases with contracted inside the country in Brazil.


2009 swine flu pandemic in Brazil, Timeline, June
On June 2, another 3 cases were confirmed, two in Rio de Janeiro and one in São Paulo, the case from São Paulo is by a person who contracted the flu inside the country. On June 3, another 3 cases in São Paulo were confirmed. On June 4, two first cases in Mato Grosso were confirmed. Now the country has 28 confirmed cases and 44 suspected cases.


2009 swine flu pandemic in Brazil, Timeline, June
On June 5, the number of cases increases to 31 with new 3 confirmed cases in the country. One in Santa Catarina, this contracted the flu inside the country and one in Tocantins and one in São Paulo.


2009 swine flu pandemic in Brazil, Timeline, June
On June 6, more 4 cases were confirmed, more two in São Paulo, more one in Rio de Janeiro and another in Tocantins. The patient of Tocantins and one of the patients of São Paulo had transmission inside the country.


2009 swine flu pandemic in Brazil, Timeline, June
On June 7, another case was confirmed. The patient is from Rio de Janeiro and he contracted the flu in Canada. Now are 36 confirmed cases and 45 suspected cases.


2009 swine flu pandemic in Brazil, Timeline, June
On June 8, the minister of Health confirmed two other new cases of swine flu. The both in São Paulo, now the country has 38 confirmed cases.


2009 swine flu pandemic in Brazil, Timeline, June
On June 9, the minister confirmed more two cases of swine flu in the country. Another in Santa Catarina and the first in Distrito Federal. Now the country has 40 confirmed cases and 49 suspect cases.


2009 swine flu pandemic in Brazil, Timeline, June
On June 10, the Minister of Health confirmed another 3 cases of swine flu in São Paulo. Another 2 in Santa Catarina, the both contracted the flu inside  the country and 1 in São Paulo, that contracted the flu in USA. Now are 43 confirmed cases.


2009 swine flu pandemic in Brazil, Timeline, June
On June 11, after the WHO elevate a pandemic the swine flu outbreak, the Minister of Health confirmed more 9 cases in the country: 2 in São Paulo, 1 in Rio de Janeiro, 2 in Santa Catarina, 3 in Minas Gerais and 1 in Tocantins. Now there are 52 cases in Brazil.


2009 swine flu pandemic in Brazil, Timeline, June
On June 12, 3 new cases were confirmed by the Minister of Health, 1 in Minas Gerais, 1 in Distrito Federal and 1 in Bahia, the last is the first confirmed case in the Northeast Region, Brazil, and the 55th in the country.


2009 swine flu pandemic in Brazil, Timeline, June
On June 13, 3 new cases were confirmed by the Minister of Health, the 3 are in São Paulo. Two of them contracted the flu inside the country. In that same day, a flight of Florianópolis was stopped for more than two hours, because a woman passenger had swine flu symptoms. The state of Santa Catarina monitors 30 students who returned from a trip to Argentina.


2009 swine flu pandemic in Brazil, Timeline, June
On June 14, 11 more were confirmed in Brazil by the Minister of Health. 7 of them in Santa Catarina and 4 in Minas Gerais. The number of cases increase to 69 and the country has 70 suspected cases. Despite this, the Minister said the transmission in Brazil are not strong.


2009 swine flu pandemic in Brazil, Timeline, June
On June 15, 5 more cases were confirmed, increasing the number of confirmed cases to 74. 4 of them in São Paulo and one in Distrito Federal. The number of suspected cases is 79. Despite this, there are not serious cases in Brazil, nor cases with risk of fatality.


2009 swine flu pandemic in Brazil, Timeline, June
On June 16, 5 more cases were confirmed, 2 in Santa Catarina, 2 in Minas Gerais and 1 in Rio de Janeiro. This increases the number of cases to 79. The number of suspected cases are 96.


2009 swine flu pandemic in Brazil, Timeline, June
On June 17, 17 more cases were confirmed by Minister of Health. 7 of them in São Paulo, 5 in Santa Catarina, 3 in Minas Gerais and 2 in Rio de Janeiro. The Adolf Lutz Institute managed to isolate the virus and discover that the virus in Brazil has a slightly different genetic sequencing of the United States, one  has a mutation. This action can help in the production of vaccine against the virus.


2009 swine flu pandemic in Brazil, Timeline, June
On June 18, 18 more cases were confirmed by the Minister of Health. 7 of them in São Paulo, 5 in Minas Gerais, 2 in Santa Catarina, 2 in Rio de Janeiro and the first 2 infections in Espírito Santo.


2009 swine flu pandemic in Brazil, Timeline, June
On June 19, 17 more cases were confirmed. 14 of them in São Paulo state, the first 2 in Goiás, and the first in Rio Grande do Norte. The Minister of Health confirmed that beyond the 131 confirmed cases, the country has yet 166 suspected cases.


2009 swine flu pandemic in Brazil, Timeline, June
On June 20, 49 more cases were confirmed by the Minister of Health. It's a record of confirmations in just one day. 25 of the confirmed cases are in São Paulo, 11 in Rio de Janeiro, 7 in Distrito Federal, 2 in Rio Grande do Sul, 1 in Bahia, 1 in Minas Gerais and the first two cases in Paraná. The number of cases in Brazil tripled in just seven days. Now there are 180 confirmed cases and another 184 cases are suspected.


2009 swine flu pandemic in Brazil, Timeline, June
On June 21, 35 more cases were confirmed: 15 of them in São Paulo (now this state alone has almost 100 cases), 4 in Minas Gerais, 4 in Rio de Janeiro, 4 in Rio Grande do Sul, 3 in Santa Catarina, 1 in Distrito Federal, 1 in Espírito Santo, 1 in Mato Grosso, 1 in Paraná and the first case in Alagoas.


2009 swine flu pandemic in Brazil, Timeline, June
On June 22, 25 more cases were confirmed, which increases the number of cases to 240: 15 of them in São Paulo, 3 in Espírito Santo, 3 in Santa Catarina, 2 in Distrito Federal, 1 in Minas Gerais and the first case in Maranhão.


2009 swine flu pandemic in Brazil, Timeline, June
On June 23, 94 more cases were confirmed. It's a record of confirmations in just one day. 50 of them in São Paulo, now this state has alone 160 confirmed cases. 17 in Minas Gerais, 13 in Rio de Janeiro, 4 in Santa Catarina, 2 in Bahia, 2 in Espírito Santo, 2 in Paraná, 1 in Alagoas, 1 in Goiás, 1 in Rio Grande do Sul and the first in Sergipe.


2009 swine flu pandemic in Brazil, Timeline, June
Today, the Vale (mining company) closes the 30th floor of a building in Rio de Janeiro with the confirmation that one of the worker has swine flu, 90 another workers are in quarantined in their homes and on observation, because they had contact with the official with swine flu. In Brazil, 4 schools anticipated the holidays with the confirmation of one case of swine flu in each, 3 of them are of São Paulo and the other is in Minas Gerais. A university in São Paulo closes too.


2009 swine flu pandemic in Brazil, Timeline, June
In São Gabriel, Rio Grande do Sul, the mayor declared a state of emergency, because probably 17 people who live in the city has swine flu and contracted in Brazil, for now just one case are confirmed. The Minister of Health decided to alert the public to defer travel to United States, Mexico, Australia, Chile and Argentina, most of the cases of Brazil came from those countries. 2 persons in Rio Grande do Sul are in serious situation, one of that people is a girl of 14 years.


2009 swine flu pandemic in Brazil, Timeline, June
On June 24, 66 more cases were confirmed by the Minister of Health:  26 of them in São Paulo, 11 in Minas Gerais, 9 in Rio Grande do Sul, 4 in Paraná, 4 in Santa Catarina, 3 in Rio de Janeiro, 3 in Sergipe, 2 in Alagoas, 1 in Bahia, the first two cases in Paraíba and the first one in Pernambuco. Now the number of confirmed cases is 400 and 310 are considered suspected.


2009 swine flu pandemic in Brazil, Timeline, June
On June 25, more 53 cases were confirmed. 31 of them in São Paulo, 11 in Rio Grande do Sul, 7 in Minas Gerais, 2 in Rio de Janeiro, 1 in Distrito Federal, 1 in Goiás and the first in Ceará.


2009 swine flu pandemic in Brazil, Timeline, June
On June 26, more 70 cases were confirmed. 43 of them in São Paulo, 6 in Minas Gerais, 5 in Paraná, 5 in Distrito Federal, 4 in Rio de Janeiro, 3 in Santa Catarina, 1 in Espírito Santo, the 2 first cases in Piauí and the first 1 in Pará. In an interview, the Minister of Health said "We have a big increase in the number of cases in the next days." The minister attributed this view to the arrival of winter, the growing number of cases in the world and the beginning of the holiday.


2009 swine flu pandemic in Brazil, Timeline, June
But again emphasized that the situation of Brazil and tranquility. "It is a disease with the same severity of influenza that we have every year." Minister Jose Gomes Temporão also said that three measures will be taken by the government for greater control of influenza A (H1N1) in Brazil.


2009 swine flu pandemic in Brazil, Timeline, June
The first is that the medicine to combat the disease will only be used in patients with worsening health in the first 48 hours since the initial presentation of symptoms, and people at risk of presenting a serious clinical - as children up to two years, people over 60 years, pregnant women and those suffering from immunosuppression. The objective of the initiative is to prevent the misuse of the product and prevent viruses that create resistance to the medication, which today is considered effective.


2009 swine flu pandemic in Brazil, Timeline, June
The ministry will also guide states and municipalities with basic parameters on the suspension or not of activities in public places or groups. In evaluating the ministry, for lack of parameters, there indecision that could have been avoided and that the evaluation of Mantega would have caused an unnecessary panic. In Brazil, 65% of the cases contracted the flu outside the country and just 26% contracted inside.


2009 swine flu pandemic in Brazil, Timeline, June
On June 27, 69 more cases were confirmed: 34 of them in São Paulo, 8 in Rio de Janeiro, 7 in Rio Grande do Sul, 7 in Paraná, 4 in Minas Gerais, 2 in Distrito Federal, 2 in Santa Catarina, 2 in Espírito Santo, 1  in Pará, 1 in Maranhão and the first in Amazonas. An American tourist with suspected of swine flu died in Rio Grande do Sul, he was an engineer and had 58 years old. He was hypertensive and diabetic. The doctors collected material to confirm if he had or not swine flu. He can be the first fatal victim in Brazil.


2009 swine flu pandemic in Brazil, Timeline, June
On June 28, 36 more new cases were confirmed by the Minister of Health: 14 of them in São Paulo, 6 in Rio de Janeiro, 5 in Rio Grande do Sul, 5 in Distrito Federal, 3 in Pernambuco, 2 in Goiás and 1 in Tocantins. The first death was confirmed: a 29-year-old truck driver who lived in Rio Grande do Sul and had recently been in Argentina.


2009 swine flu pandemic in Brazil, Timeline, June
On June 29 and 30, 55 more new cases were confirmed: 45 of them in Rio Grande do Sul, 3 in Piauí, 3 in Santa Catarina, 1 in  Alagoas, 1 in Distrito Federal, 1 in Paraná and 1 in Sergipe. Now the number of confirmed cases increases to 680.


2009 swine flu pandemic in Brazil, Timeline, July
On July 1, 13 more cases were confirmed: 5 of them in Rio Grande do Sul, 4 in São Paulo, 3 in Minas Gerais and 1 in Rio de Janeiro. This increases the number of confirmed cases to 694. For the first time the number of suspected cases are more than 1,000. With that the Minister of Health believes that the number of confirmed cases is growing too fast.


2009 swine flu pandemic in Brazil, Timeline, July
On July 2, 44 more cases were confirmed: 14 of them in Rio de Janeiro, 9 in Rio Grande do Sul, 8 in Minas Gerais, 6 in São Paulo, 3 in Distrito Federal, 2 in Santa Catarina and 2 in Paraná. Now the number of confirmed cases is 737.


2009 swine flu pandemic in Brazil, Timeline, July
On July 3, more 19 cases were confirmed: 7 of them in São Paulo, 6 in Minas Gerais, 2 in Rio de Janeiro, 2 in Rio Grande do Sul, 1 in Paraná and the first in Mato Grosso do Sul.


2009 swine flu pandemic in Brazil, Timeline, July
On July 4, more 56 cases were confirmed. 13 of them in São Paulo, 8 in Rio de Janeiro, 6 in Minas Gerais, 6 in Paraná, 4 in Bahia, 4 in Mato Grosso do Sul, 4 in Pernambuco, 3 in Ceará, 3 in Santa Catarina, 1 in Distrito Federal, 1 in Goiás, 1 in Mato Grosso, 1 in Rio Grande do Sul and the first in Amapá. The number of confirmed cases increases to 812.


2009 swine flu pandemic in Brazil, Timeline, July
On July 5, more 73 cases were confirmed. 61 of them in São Paulo, 4 in Pernambuco, 2 in Paraíba, 2 in Rio Grande do Sul, 2 in Santa Catarina, 1 in Ceará and 1 in  Rio Grande do Norte. The number of confirmed cases increases to 885.


2009 swine flu pandemic in Brazil, Timeline, July
On July 6, more 20 cases were confirmed. 7 of them in Rio Grande do Sul, 6 in Paraná, 3 in Goiás, 3 in São Paulo and 1 in Rio Grande do Norte. The number of confirmed cases increases to 905.


2009 swine flu pandemic in Brazil, Timeline, July
On July 8, more 72 cases were confirmed. 42 of them in São Paulo, 11 in Rio de Janeiro, 7 in Rio Grande do Sul, 3 in Bahia, 2 in Maranhão, 2 in Pernambuco, 1 in Ceará, 1 in Paraná, 1 in Paraíba, 1 in Rio Grande do Norte and the first in Acre.


2009 swine flu pandemic in Brazil, Timeline, July
On July 10, more 52 cases were confirmed. 13 of them in São Paulo, 11 in Minas Gerais, 11 in Rio Grande do Sul, 9 in Rio de Janeiro, 3 in Pará, 3 in Tocantins, 1 in Alagoas and 1 in Pernambuco. The number of confirmed cases increases to 1,027 and the number of suspected increase to 2,973. Today the second death was confirmed in Brazil. The victim was an 11-year-old girl who lived in São Paulo; she died 2 days after presenting symptoms.


2009 swine flu pandemic in Brazil, Timeline, July
On July 15, more 148 cases were confirmed. It's a record of confirmation, most of them in São Paulo, now the state has more than 500 cases of swine flu. The country has 1,175 confirmed cases and 3,956 suspected. 9 more deaths were of confirmed in that day, 2 of them in São Paulo, 6 in Rio Grande do Sul and the first in Rio de Janeiro. On July 16, the minister of Health José Gomes Temporão confirmed the outbreak, confirmed that the virus circulates freely in Brazil.


2009 swine flu pandemic in Brazil, Timeline, July
On July 19, 4 more deaths were confirmed, both in Rio Grande do Sul. The minister estimates that just in Rio Grande do Sul 3,000 people can be with the swine flu.


2009 swine flu pandemic in Brazil, Timeline, July
On July 21, 7 more deaths were confirmed. Six of them were in São Paulo and the first in Paraná. On June 22, more 7 deaths were confirmed and increase the number of confirmed deaths to 29.


2009 swine flu pandemic in Brazil, Timeline, August
On August 17, the students in public schools return to classes after two weeks, because of the swine flu. Every single school in São Paulo now got liquid alcohol and liquid soap. For now, there's no confirmed new cases after this happen, which is expected, once Brazilian government says only "critical cases" will be tested for H1N1; officially, there's no intent to count the cases, but to offer treatment to infected people.


2009 swine flu pandemic in Brazil, Timeline, August
On August 26, Minister of Health reported 557 deaths by swine flu in the country. this announcement led Brazil to surpass United States in numbers of deaths by swine flu and to become the country with the most deaths from swine flu in the world.


2009 swine flu pandemic in Canada
The 2009 swine flu pandemic in Canada was part of an epidemic in 2009 of a new strain of influenza A virus subtype H1N1 causing what has been commonly called swine flu. In Canada, roughly 10% of the populace (or 3.5 million) has been infected with the virus, with 428 confirmed deaths (as of 20 February 2017); non-fatal individual cases are for the most part no longer being recorded.


2009 swine flu pandemic in Canada
About 40% of Canadians have been immunized against H1N1 since a national vaccination campaign began in October 2009, with Canada among the countries in the world leading in the percentage of the population that has been vaccinated. The widespread effect of H1N1 in Canada raised concerns during the months leading to the XXI Olympic Winter Games, which took place in Vancouver in February 2010.


2009 swine flu pandemic in Canada, Human cases, Alberta
As of 9 April 2010, there were 1,278 confirmed hospitalized cases in Alberta.


2009 swine flu pandemic in Canada, Human cases, Alberta
On 2 May 2009, Canadian Food Inspection Agency executive vice-president Brian Evans announced that an infected Alberta farm worker recently returned from Mexico had apparently passed the virus to a swine herd in his care. Although the herd had been quarantined, Evans stressed that the infection represented no threat to food safety and judged the possibility of infected pigs passing the virus back to humans "remote". Evans said the infection of the herd was the first known case of the H1N1 virus being transmitted from humans to pigs. Transmission from the same herd of pigs back to humans was revealed on 20 July, though it occurred on 7 May when the humans, health inspectors, were taking samples from the infected herd with improper self-protective measures.


2009 swine flu pandemic in Canada, Human cases, Alberta
On 8 May, health officials in Alberta confirmed that swine flu contributed to the death of a woman in Northern Alberta on 28 April, Canada's first death associated with the illness.


2009 swine flu pandemic in Canada, Human cases, Alberta
As of 14 August 2009, there were 1,648 confirmed cases of swine flu in Alberta. Health and Wellness Alberta stopped reporting non-hospitalized cases on 21 August.


2009 swine flu pandemic in Canada, Human cases, British Columbia
The B.C. government has reported 1,060 severe flu cases as of 2 February 2010. 49 of 56 fatalities were people with underlying medical conditions. The province is no longer reporting non-severe cases (Total cases reached 676 by 10 August).


2009 swine flu pandemic in Canada, Human cases, British Columbia
The initial cases in British Columbia involved two young men aged 25–35 from the B.C. Lower Mainland who had recently come back from Mexico, according to Danuta Skowronski, head of flu and respiratory illnesses at the BC Centre for Disease Control, run by the provincial government. The cases were discovered by normal flu testing conducted by the disease control centre after the men had visited a doctor about flu-like symptoms. She noted the disease seemed "widespread" in Mexico and should not be mistaken by tourists to be linked only with urban Mexico City.


2009 swine flu pandemic in Canada, Human cases, British Columbia
The first fatality in British Columbia caused by the H1N1 virus occurred on 14 July, and was a young child who died within 24 hours of being rushed to the hospital. There were concerns of H1N1 during the months leading up to the 2010 Winter Olympics that occurred in Vancouver in February 2010, as a result volunteers were required to be vaccinated. On 28 January, Perry Kendall, the provincial health officer, stated that the chances of a third wave of H1N1 were "diminishing". However, he maintained that vaccinations continued to be recommended for all and are vital for reducing the risk of another wave of H1N1.


2009 swine flu pandemic in Canada, Human cases, Manitoba
As of 5 October 2009, there were 892 confirmed cases in the province, with 7 deaths associated with the H1N1 virus. As of 1 February 2010, there had been 1,774 new confirmed cases, with 4 deaths since the start of the "second wave" 6 October.


2009 swine flu pandemic in Canada, Human cases, Manitoba
On 3 May, the first case in Manitoba was confirmed in the Brandon area. The second case in Manitoba was announced on 12 May. The second case, a Winnipeg woman in her 50s was admitted to hospital, although the province noted she also has an unidentified underlying medical condition.


2009 swine flu pandemic in Canada, Human cases, Newfoundland and Labrador
As of 4 January 2010, there were 267 hospitalized cases in the province.


2009 swine flu pandemic in Canada, Human cases, Newfoundland and Labrador
On 13 June, Newfoundland and Labrador reported their first case of swine flu, becoming the final province to do so. The case involves a sample collected from a young man who was treated Thursday 11 June at the hospital in Grand Falls-Windsor.


2009 swine flu pandemic in Canada, Human cases, Newfoundland and Labrador
The first recorded death of a person with swine flu was recorded on 1 November 2009, when a 36-year-old woman died from the virus.


2009 swine flu pandemic in Canada, Human cases, New Brunswick
The first case in New Brunswick was confirmed to be present in Greater Moncton on 1 May 2009.


2009 swine flu pandemic in Canada, Human cases, New Brunswick
By 28 August, there had been 147 confirmed cases in New Brunswick. The first deaths occurred 13 November.


2009 swine flu pandemic in Canada, Human cases, Northwest Territories
On 1 June, the Northwest Territories confirmed their first case of swine flu. The first death occurred in November.


2009 swine flu pandemic in Canada, Human cases, Nova Scotia
From the beginning of the 2009–10 flu season in September until 2 December, there were 739 confirmed cases, including 255 hospitalizations.


2009 swine flu pandemic in Canada, Human cases, Nova Scotia
First cases: Nova Scotia's chief medical officer, Robert Strang, said on 26 April that the National Microbiology Laboratory in Winnipeg confirmed late the previous day that four people in the province between the ages of 12 and 18 were recovering from "relatively mild" cases of the disease. The four people were students attending King's-Edgehill School preparatory school in Windsor, Nova Scotia. One of the infected students had been on a recent school trip to the Yucatán Peninsula in southern Mexico.


2009 swine flu pandemic in Canada, Human cases, Nunavut
On 16 July 2009, Nunavut reported its first swine flu death. As of 5 August, there were 496 confirmed cases of the swine flu.


2009 swine flu pandemic in Canada, Human cases, Ontario
There were 8,633 confirmed cases in Ontario, with 1,725 hospitalizations as of 10 December.


2009 swine flu pandemic in Canada, Human cases, Ontario
On 27 April 2009, four cases were suspected to be swine flu in Ontario. This number grew to ten cases in five days. On 25 May, Ontario Health Minister David Caplan confirmed that a Toronto man in his 40s had died of the virus.


2009 swine flu pandemic in Canada, Human cases, Ontario
The Toronto region acted as a secondary epicentre during the 2003 SARS epidemic, and took extra precautions against the H1N1 virus in the early stages of the pandemic.


2009 swine flu pandemic in Canada, Human cases, Ontario
Ontario is also home to what is believed to be the youngest Canadian death from swine flu. A two-month-old baby was admitted to the London Health Sciences Centre on 2 November 2009; the boy died in the early morning two days later. This death, is one of three recently reported in London, Ontario, and has brought the number of confirmed deaths from H1N1 since April in Ontario to 95 as of 26 November 2009.


2009 swine flu pandemic in Canada, Human cases, Prince Edward Island
As of 8 December 2009, there were 50 hospitalizations in the province, and no deaths.


2009 swine flu pandemic in Canada, Human cases, Prince Edward Island
Prince Edward Island confirmed its first two cases in Charlottetown on 4 May 2009.


2009 swine flu pandemic in Canada, Human cases, Quebec
There had been 2,422 hospitalized cases as of 4 December 2009.


2009 swine flu pandemic in Canada, Human cases, Quebec
While an early case Quebec turned out not to be swine flu, on 30 April 2009, the first case in the province was confirmed in the Greater Montreal Area.


2009 swine flu pandemic in Canada, Human cases, Quebec
The first case of death was announced on 8 June, making the total of 4 deaths for Canada. The person was a more than 65-year-old woman suffering from respiratory diseases before being hospitalized on 2 June. According to medical expertise, she had never traveled to Mexico and had no contact with those who did.


2009 swine flu pandemic in Canada, Human cases, Quebec
Confirmed cases totalled 10,714 between 30 August and 4 December 2009.


2009 swine flu pandemic in Canada, Human cases, Saskatchewan
The first cases were confirmed on 7 May in the Saskatoon and Regina areas.


2009 swine flu pandemic in Canada, Human cases, Saskatchewan
The province stopped counting individual cases as of 23 July 2009. At that point there were 888 confirmed cases.


2009 swine flu pandemic in Canada, Human cases, Yukon
On 12 May 2009, Yukon reported its first case of swine flu. The first death was a school-aged girl who died on 1 November.


2009 swine flu pandemic in Canada, Human cases, Progression Chart
Evolution of the Novel Human Swine Influenza A/H1N1(2009) Mexican Flu in Canada


2009 swine flu pandemic in Canada, Non-human cases
On 2 May, the first incidence in Canada of the flu in pigs was discovered on a farm in Alberta. It is suspected that an infected farmhand who recently returned from Mexico infected the animals.


2009 swine flu pandemic in Canada, Non-human cases
In Canada in early June, the Alberta pig farmer whose herd was infected with the new swine flu virus culled his entire herd. In May he had already culled 500 animals from his herd. The farm owner said the animals could not be marketed because they are under quarantine and he was facing a problem with overcrowding.


2009 swine flu pandemic in Canada, Response
Michael Gardam, director of infectious disease prevention and control at the , said in an interview with the CBC that an outbreak of swine flu in Ontario, Canada's most populous province, would not be as serious as the 2003 SARS epidemic. In preparing for and dealing with an influenza pandemic, the Public Health Agency of Canada follows the WHO's categories, but has expanded them somewhat.


2009 swine flu pandemic in Canada, Response
Despite initial reports of two swine influenza cases in Montreal's Lakeshore General Hospital, Johanne Simard of the  confirmed negative results for all quarantined patients at the hospital and that no quarantines were currently in effect at the hospital. The National Microbiology Laboratory in Winnipeg confirmed cases of human swine influenza virus in clinical specimens sent from Mexico and the Canadian government issued a travel advisory for Mexico, warning Canadians who have returned from the country of the severe respiratory illness.


2009 swine flu pandemic in Canada, Response
On 26 April, the Government of Nova Scotia announced on a live webcast that four students in Windsor, Nova Scotia, have confirmed cases of swine flu. Later that day, the Federal Government confirmed the existence of a total of six cases in Canada; four in Nova Scotia and two in British Columbia. Federal Health minister Leona Aglukkaq said the Canadian federal government would take whatever measures were necessary to keep the public safe, and that as Canada continued to ramp out its surveillance efforts there would likely be more reported cases.


2009 swine flu pandemic in Canada, Response
She also said she had been in contact with her provincial and territorial counterparts and had ordered the Public Health Agency of Canada to alert border authories, quarantine officers and other officials. However, Canada's Chief Public Health Officer, David Butler-Jones, stated that the six affected Canadians suffered from only mild symptoms and have already started to recover. However, Butler-Jones warned against complacency, stating that the fact that only mild cases have been reported so far "doesn't mean we won't see either some more severe illness or potentially deaths." In both provinces, the cases either involved people who had recently returned from Mexico or those in close contact with such people.


2009 swine flu pandemic in Canada, Response
In a step towards understanding the outbreak, and developing a vaccine, Canadian scientists completed the first full genetic sequencing of the H1N1 swine flu virus on 6 May.


2009 swine flu pandemic in Canada, Response
The high percentage of mild to severe cases amongst First Nations Peoples in Manitoba and Northern Ontario, when compared to the general population, have raised questions about the vulnerability of these communities to H1N1 across Canada. Concerns have also risen about whether the Canadian government's pandemic preparation plan is able to properly address the specific needs of these communities.


2009 swine flu pandemic in Costa Rica
In March and April 2009, an outbreak of a new strain of flu (also known as influenza), popularly known as swine flu was discovered to have infected several people in Mexico and the states of California and Texas in the United States. On April 28 Costa Rica became the first Central American country to report the outbreak of the virus, with a confirmed infection. As of November 4 the Costa Rican Ministry of Health had 1,596 confirmed cases, 1,275 pending cases, 8,000 already discarded, and 38 deaths.


2009 swine flu pandemic in Costa Rica
On July 31 local authorities announced that the country was selected among the sample countries that will be part of the test of the vaccine developed by Swiss pharmaceutical Novartis. The local sample will include 784 Costa Ricans ages 3 to 64. Besides Costa Rica, this vaccine prototype will be tested also in Mexico and the United States.


2009 swine flu pandemic in Costa Rica
On August 11 was confirmed that Costa Rica's President, Óscar Arias Sánchez, was infected with the A(H1N1) virus, becoming the first head of state sick with the A(H1N1) virus President Arias returned to his normal activities after one week of isolation at his home.


2009 swine flu pandemic in Costa Rica, Initial outbreak
The first confirmed case of influenza A (H1N1) in Costa Rica was announced on April 28, and was that of a young woman hospitalized in San Jose. On April 28, Minister of Health of Costa Rica, Maria Luisa Avila confirmed the second case, a 29-year-old man hospitalized at the Hospital San Vicente de Paul in Heredia. A National Health Emergency was announced.


2009 swine flu pandemic in Costa Rica, Initial outbreak
The Ministry of Health reported the existence of two new probable cases of swine flu in the country on the morning of May 2. These were a 53-year-old man who had not traveled to Mexico, in a hospital in San Jose, and a 24-year-old woman who is recovering at home. These new patients brought the total number of Costa Ricans affected by the virus to four. Three are listed as probable cases, while one was duly confirmed by the Centers for Disease Control and Prevention in the United States.


2009 swine flu pandemic in Costa Rica, Initial outbreak
Four more cases were confirmed on May 4 by the Costa Rican "Centro Nacional de Referencia en Virología." All of these patients have recently traveled to Mexico. Since April 29 the Ministry of Health recommended to avoid travel to Mexico, Canada, and the U.S. as the number of confirmed cases by local authorities reached eight.


2009 swine flu pandemic in Costa Rica, Initial outbreak
On May 12 the Minister of Health announced that an alert was received from U.S. authorities informing that three members from a Boston chorus, Canta Mundi, that traveled to several tourism places in Costa Rica during April, showed symptoms of AH1N1 flu after returning to the U.S. On May 13 Costa Rican health authorities announced four new probable cases, three of which had contact with the Boston chorus, and a follow-up is being done with those who had contact with the chorus. A couple of English language newspapers questioned whether the chorus members had infected locals, or rather the Boston youngsters picked up the disease in Costa Rica, as the chorus flew directly from the United States to Costa Rica.


2009 swine flu pandemic in Costa Rica, Initial outbreak
Beginning May 20 probable cases are now confirmed locally by the aboratorio de Virología del Instituto Costarricense de Investigación y Enseñanza en Nutrición y Salud (Inciensa), which now is in capacity to confirm the presence of the A (H1N1) virus in 24 hours. Previously, all samples had to be sent to the U.S Centers for Disease Control and Prevention for confirmation. Among the 26 confirmed cases until May 21, six patients had contact with the Boston chorus and the Ministry of Health reported that all patients have a stable condition.


2009 swine flu pandemic in Costa Rica, July and August contagion surge
As a result of a wave of new cases that occurred by early July, the Ministry of Health announced a new strategy to deal with this peak that resulted in increased deaths. Beginning July 11, 2009, testing for the virus will be conducted only on patients with risk factors and critical cases, including those with fever above 39 °C and patients with respiratory difficulties, as the main objective now is to reduce mortality rather than avoid contagion. This policy means that statistics regarding the number of cases will no longer reflect the total number of actual cases. Also, mid-year school vacations were extended one week in order to curb contagion.


2009 swine flu pandemic in Costa Rica, July and August contagion surge
On July 21 the Ministry of Health, in agreement with the Catholic Church, and in order to prevent a massive contagion, prohibited the traditional pilgrimage to the Basílica de Nuestra Señora de los Ángeles (Our Lady of the Angels Basilica), patroness of catholic Costa Ricans. This pilgrimage takes places every year on August 1 since 227 years ago, and this is the first time ever that is suspended. Health authorities estimate the risk of contagion in 20,000 people, as around two million pilgrims would have participated in this traditional religious event.


2009 swine flu pandemic in Costa Rica, July and August contagion surge
On July 31 local authorities announced that the country was selected among the sample countries that will be part of the test of the vaccine developed by Swiss pharmaceutical Novartis. The local sample will include 784 Costa Ricans ages 3 to 64. Besides Costa Rica, this vaccine prototype will be tested also in Mexico and the United States.


2009 swine flu pandemic in Costa Rica, July and August contagion surge
As of November 4 the Costa Rican Ministry of Health had 1,596 confirmed cases, 1,275 pending cases, 8,000 already discarded, and 38 deaths, with an infection rate of 35,32 per 100,000 people.


2009 swine flu pandemic in Costa Rica, First deaths
The Ministry of Health received confirmation on May 8 from the Centers for Disease Control of seven cases of infection with influenza A/H1N1 virus. Health Minister Maria Luisa Avila announced that these were three men, aged 24, 30 and 53, two women, aged 20 and 25, two girls, aged 4 and 11, and a boy aged 3. "They are people who were in Mexico or had contact with travelers to that country", said the Ministry. The 53-year-old man became the first fatality in Costa Rica, confirmed on May 9 by the Minister of Health.


2009 swine flu pandemic in Costa Rica, First deaths
Out of the seven remaining cases confirmed by the US Center for Disease Control, three were children infected by the patient who died, and their condition never was critical. Costa Rica became the fourth country in the world, after Mexico, the United States and Canada to confirm fatalities related to the influenza virus A (H1N1).


2009 swine flu pandemic in Costa Rica, First deaths
The deceased man was suffering other chronic diseases. The Minister of Health informed he had diabetes and also was suffering from chronic obstructive pulmonary disease (COPD). She also informed the man was infected inside Costa Rica because he had not traveled to Mexico, and that a total 51 persons were identified who had contact with the sick man, but only three turned out positive.


2009 swine flu pandemic in Costa Rica, First deaths
The second fatality was a 35-year-old woman, and she died on June 23, less than 24 hours after arriving to the emergency room at a local hospital. The woman was suffering of hypertension and morbid obesity. A third patient died on June 29, a 55-year-old man who presented chronic obstructive pulmonary disease due to smoking. A 45-year-old woman was the fourth fatality. She died on July 4.


2009 swine flu pandemic in Costa Rica, First deaths
The fifth death occurred on July 11. The patient was a 25-year-old woman pregnant with twins. Both five-month-old fetuses died hours before their mother did. The sixth fatality occurred on July 13, a 45-year-old man. This was the first patient to die who was not suffering any of the risk factors previously identified in other deceased patients. The seventh confirmed fatality was a 24-year-old man, who smoke and suffered obesity.


2009 swine flu pandemic in Costa Rica, Current situation
As of October 15 health authorities had confirmed 38 fatalities, the last one having taken place in late September, and also the death of a Costa Rican woman in Nicaragua was also confirmed. The mortality rate is 0.85 deaths by 100,000 people, and the fatality rate is 2.48%. From all deceased patients, 47.3% occurred among San José residents, and only the Guanacaste Province has not had any deaths related to the virus. The age of the deceased varies between 20 and 79 years, with an average age of 41 years.


2009 swine flu pandemic in Costa Rica, Current situation
Until early September, the most frequent risk factors presented by the deceased patients are obesity (36.4%), diabetes (18.2%), asthma (18.2%), pregnancy (9.1%) and chronic obstructive pulmonary disease (6.1%).


2009 swine flu pandemic in Croatia
The 2009 flu pandemic in Croatia or 2009 swine flu in Croatia (Croatian: Pandemija gripe u Hrvatskoj 2009.  ; Pandemija svinjske gripe u Hrvatskoj 2009.) was a pandemic event in Croatia during the 2009 swine flu pandemic.


2009 swine flu pandemic in Croatia
The trail of the 2009 flu pandemic had left 526 people infected and 22 died from the disease.


2009 swine flu pandemic in Croatia, Background
On 29 April it was announced that a 22-year-old traveler from Florida had been held in quarantine in Osijek, Croatia under suspicion of swine flu. Later that day, however, the Director of Infectious Disease Epidemiology Agency, Dr. Ira Gjenero Margan, stated results of the testing for swine flu were negative "with 99% certainty". On 30 April, a child was held in quarantine in Zagreb but the results were negative. On 15 June, health minister Darko Milinovic confirmed the first case of swine flu in Croatia; however a few hours later he said that a laboratory in London, United Kingdom, had cross-contaminated the samples and thus created a false positive result, meaning that there were no infections in Croatia.


2009 swine flu pandemic in Croatia, History
The first case was Laboratory confirmed on 3 July. The patient was a 60-year-old woman, who came from Australia. On 31 October, a 61-year-old man from Split became the first patient in Croatia to die because of swine flu.


2009 swine flu pandemic in Croatia, History
The pandemic throughout its career had managed to infect 526 people and kill 22 people before it ended.


2009 swine flu pandemic in Europe
The 2009 flu pandemic in Europe was part of a pandemic involving a new strain of influenza, subtype H1N1. H1N1 is commonly called swine flu. The pandemic infected at least 125,550 people in Europe. There were 458 confirmed deaths in Turkey, 438 confirmed deaths in Russia, and 457 confirmed deaths in the United Kingdom.


2009 swine flu pandemic in Europe
Multiple cases of narcolepsy developed in youth as the result of a vaccine. Because Sweden and Finland both only used Pandemrix, "an adjuvanted influenza A (H1N1) 2009 monovalent vaccine manufactured by GlaxoSmithKline", the narcolepsy was attributed to it. "In July 2011 the European Medicines Agency restricted the use of Pandemrix to people over 19 years old, as early evidence of the narcolepsy link emerged in Scandinavia." In 2013, the UK Health Protection Agency concluded that Pandemrix "was associated with a risk of one narcolepsy case for every 55,000 children vaccinated.


2009 swine flu pandemic in Europe
The figures suggest that altogether about 700 cases of narcolepsy in children across Europe may be associated with Pandemrix." No link was found to narcolepsy in adults. In 2015, theUK vaccine damage scheme was forced to pay £120,000 to a seven year old boy who developed narcolepsy and was "left severely disabled by narcolepsy caused by the [Pandemrix] vaccine". More than 60 similarly-affected others in the UK were eligible to be compensated through the Vaccine Damage Payment Act. Speculation developed that the powerful chemical adjuvant called AS03 was responsible. It was later found in 2019 that Pandemrix-induced narcolepsy is associated with genes related to immunity and neuronal survival.


2009 swine flu pandemic in Europe, European Union
On 27 April 2009, the European Union health commissioner advised Europeans to avoid traveling to the United States or Mexico when possible. The same day, the first confirmed case of swine flu in the EU was announced in Spain.


2009 swine flu pandemic in Europe, European Union
The EU Commissioner for External Relations at the time, Benita Ferrero-Waldner, said on 27 April all travel to Mexico and the disinfecting of all airports in response to the global flu outbreak were being considered.


2009 swine flu pandemic in Europe, Albania
On 20 July 2009, authorities in Albania reported the country's first positive case of swine flu. The infected person was a student from Gjirokastra, who tested positive to the virus. The student was later reported to have fully recovered from the flu. A few days later, three other cases were confirmed. The infected people, two sailors from the Philippines and one from Romania, were admitted to a Durrës city hospital. By 24 July, there were four cases of swine flu confirmed in Albania. On 3 December 2009, the first death from swine flu was confirmed in Albania.


2009 swine flu pandemic in Europe, Albania
By 10 January 2010, there were 426 confirmed cases of H1N1 in Albania, including 12 fatal cases. Two pregnant women, an 18-year-old from Kuçovë and a 25-year-old from Kukës, were among those who died.


2009 swine flu pandemic in Europe, Austria
Several possible cases in Austria had negative results. One test done on a 28-year-old woman from Vienna had a positive result. Austria was the 9th country affected by a confirmed case of swine flu. There are still two suspected cases being tested. As of 22 July 2009, 64 cases of H1N1 were confirmed in the country.


2009 swine flu pandemic in Europe, Austria
On 2 November 2009, an 11-year-old girl from Bozen died in the hospital of Innsbruck, becoming the first human victim of the virus in Austria.


2009 swine flu pandemic in Europe, Belgium
Six suspected cases of swine flu in Belgium ultimately tested negative.


2009 swine flu pandemic in Europe, Belgium
The Belgian interior ministry announced the first case of H1N1 flu in Belgium on 13 May 2009. The infected person was a 28-year-old man living in Ghent who had returned from a holiday in the United States. A second person tested positive for swine flu in Belgium on 14 May 2009. Two persons tested positive for A/H1N1 flu on 15 May 2009.


2009 swine flu pandemic in Europe, Belgium
A sixth and seventh cases of swine flu were discovered on 21 May 2009. An eighth infection was reported on 26 May 2009.


2009 swine flu pandemic in Europe, Belgium
By 22 July, a total of 126 cases had been confirmed. On 30 July, a woman from Hoogstraten became the first patient in Belgium to die of swine flu.


2009 swine flu pandemic in Europe, Belgium
By 16 August, a total of 2353 cases had been confirmed. As of 18 October, five people had died as a consequence of swine flu it has been estimated that at least 2,010 were infected in Belgium. By 29 October, a total of 76,964 cases were confirmed and seven people had died.


2009 swine flu pandemic in Europe, Belgium
By 25 March, a total of 214,531 cases had been confirmed, with 19 deaths


2009 swine flu pandemic in Europe, Bosnia and Herzegovina
The first case was confirmed in Bosnia and Herzegovina on 29 June. On 16 November 2009 the first fatality in Bosnia and Herzegovina related to the H1N1 virus occurred. The 40-year-old man died in hospital in Mostar.


2009 swine flu pandemic in Europe, Bulgaria
The first case of swine flu in Bulgaria was a person traveling from New York to Sofia on 27 May. The person developed respiratory problems, a cough and a high fever on 29 May.


2009 swine flu pandemic in Europe, Bulgaria
On 30 September 2009 the first fatality related to the H1N1 virus in Sofia occurred. The 30-year-old man died in hospital in the Bulgarian capital.


2009 swine flu pandemic in Europe, Croatia
On 29 April it was announced that a 22-year-old traveler from Florida had been held in quarantine in Osijek, Croatia under suspicion of swine flu. Later that day, however, the Director of Infectious Disease Epidemiology Agency, Dr. Ira Gjenero Margan, stated results of the testing for swine flu were negative "with 99% certainty". On 30 April, a child was held in quarantine in Zagreb but the results were negative.


2009 swine flu pandemic in Europe, Croatia
On 15 June, health minister Darko Milinovic confirmed the first case of swine flu in Croatia; however a few hours later he said that a laboratory in London, United Kingdom, had cross-contaminated the samples and thus created a false positive result, meaning that there were no infections in Croatia. The first case was Laboratory confirmed on 3 July. The patient was a 60-year-old woman, who came from Australia. On 31 October, a 61-year-old man from Split became the first patient in Croatia to die because of swine flu.


2009 swine flu pandemic in Europe, Cyprus
Cyprus identified its first case of H1N1 on 30 May. The infected was a 39-year-old woman from Moldova, living in Cyprus, who had returned from the United States on 28 May. By 11 July 250 cases had been confirmed in Cyprus. In the northern part of Cyprus, all the schools, universities and government offices were shut down for ten days. People were told not to leave their houses unless there was an emergency or it was urgent to do so.


2009 swine flu pandemic in Europe, Czech Republic
The Czech Republic confirmed its first case of swine flu on 25 May. The 29-year-old man was working as a pilot, and he had just returned from New York. He was held in quarantine in the hospital Bulovka in Prague.


2009 swine flu pandemic in Europe, Czech Republic
By 5 August 2009, 135 Czechs had tested positive for swine flu.


2009 swine flu pandemic in Europe, Denmark
Authorities confirmed on 1 May that a Danish citizen had tested positive for swine flu, making it the first reported case in Scandinavia.


2009 swine flu pandemic in Europe, Denmark
By 11 June, a total of 11 cases had been confirmed, including a six-year-old boy.


2009 swine flu pandemic in Europe, Denmark
On 29 June, the first case of Oseltamivir (Tamiflu) resistance in the world was announced.


2009 swine flu pandemic in Europe, Denmark
On 28 August 2009, a truck driver from Pandrup, Denmark, died on duty in Norway. This was discovered by the other driver of the truck. They both had flu-symptoms, and when the living man from Pandrup arrived at Aalborg Sygehus, he tested positive for H1N1, although it is still not known if the passenger who died caused the flu.


2009 swine flu pandemic in Europe, Denmark
In 2009, about 600 Danes tested positive for swine flu. Among them were two in isolation in Indonesia and the first known resistant case using tamiflu.


2009 swine flu pandemic in Europe, Estonia
The first case in Estonia was confirmed in a laboratory on 29 May. The patient was a 29-year-old man who had returned from the United States.


2009 swine flu pandemic in Europe, Estonia
On 7 June, a fourth case was confirmed. The patient was a person who also had returned from the United States on 4 June 2009.


2009 swine flu pandemic in Europe, Estonia
Seven new cases were confirmed on 26 June. Two of the infected people came back from a trip to Mexico. The others were American students who were on a trip to Estonia with the U.S. Student Ambassador program, "People to People".


2009 swine flu pandemic in Europe, Estonia
On 17 July, a young Estonian football player was infected. He had returned from Finland after participating in U-19 European Championships. As of 17 July, there were 22 confirmed cases of A(H1N1).


2009 swine flu pandemic in Europe, Estonia
On 28 July, Ivi Normet, Deputy Secretary General on Health of Ministry of Social Affairs of Estonia, speculated that in the worst-case scenario the swine flu could infect 500,000 Estonians in ten weeks. That's about 30% of the Estonian population.


2009 swine flu pandemic in Europe, Estonia
As of 9 November 2009, there were 130 cases confirmed.


2009 swine flu pandemic in Europe, Estonia
As of 11 November 2009, there were 172 cases of influenza A (H1N1) confirmed, in Harjumaa, Tartumaa, Viljandimaa, Võrumaa, Ida-Virumaa and Lääne-Virumaa.


2009 swine flu pandemic in Europe, Estonia
Since 11 November, the Estonian Health Protection Inspectorate no longer recommends laboratory tests for all suspected cases of A(H1N1).


2009 swine flu pandemic in Europe, Estonia
As of 13 November 2009, there were 79 new cases confirmed in one week. The total cases numbered 217.


2009 swine flu pandemic in Europe, Estonia
As of 20 November 2009, there were 269 cases of influenza A (H1N1) confirmed in 10 counties: Harjumaa, Tartumaa, Viljandimaa, Võrumaa, Ida-Virumaa, Lääne-Virumaa, Jõgevamaa, Põlvamaa, Valgamaa and Pärnumaa.


2009 swine flu pandemic in Europe, Estonia
On 23 November, the first death from swine flu occurred. The victim was a 13-year-old boy, living in the Harjumaa region.


2009 swine flu pandemic in Europe, Estonia
On 29 November, the second death from swine flu occurred. The victim was a 50-year-old male. The total number of confirmed cases had reached 302.


2009 swine flu pandemic in Europe, Estonia
On 4 December, another two deaths were confirmed; and the number of confirmed infections had reached 456.


2009 swine flu pandemic in Europe, Estonia
By 6 January 2010, the number of cases was 808, with 13 deaths.


2009 swine flu pandemic in Europe, Estonia
By 4 March 2010, there were 881 cases confirmed and 20 deaths.


2009 swine flu pandemic in Europe, Finland
On 16 October 2009, the national broadcasting company YLE reported that the first epidemic wave of swine flu had hit Finland. The National Institute for Health and Welfare (THL) said that the H1N1 outbreaks in northern Finland were reaching epidemic proportions. THL also reported that by 16 October there were 377 confirmed cases in Finland.


2009 swine flu pandemic in Europe, Finland
The H1N1 strain of influenza was added to the official list of infectious diseases dangerous to public, ("yleisvaarallinen tartuntatauti"), which guarantees free-of-charge treatment to all residents and allows for involuntary quarantine, effective from 1 May 2009. From the beginning of August it was removed from the list, so free-of-charge treatment is no longer available to residents. Finland's first two H1N1 cases were confirmed on 12 May 2009 in the Helsinki metropolitan area. The first confirmed cases were traveling together in Mexico and came to Finland via Amsterdam on 6 May 2009.


2009 swine flu pandemic in Europe, Finland
According to a Finnish site tracking H1N1 cases, there were currently 1,425 confirmed cases as of 9 November 2009, and laboratory testing of every suspected case was stopped by August. Two serious cases were reported in Finland by 2 September. Thousands were infected in Lapland, northern Finland by 21 October.


2009 swine flu pandemic in Europe, Finland
On 24 October, a 25-year-old woman from Northern Ostrobothnia, who was also suffering a chronic disease, died from H1N1 influenza. On 2 November, an 8-year-old previously healthy girl died from the disease. The girl and her parents had visited a doctor earlier, but were sent back home where the girl later died. According to some estimates, the total number of cases in Finland was probably 10,000–100,000.


2009 swine flu pandemic in Europe, Finland
A two-year-old girl died from the disease (13 November 2009). After publicity of the death of the two-year-old child, Finnish National Institute for Health and Welfare, THL, (13 November 2009) said they will no longer report deaths caused by H1N1.


2009 swine flu pandemic in Europe, France
As of 28 April there were twenty suspected cases of swine flu being investigated in France. Since 25 April, over 100 cases of Influenza-like illness have been reported, of which 30 were identified as possible cases. 10 of those cases have since been excluded. On 30 April, the number of suspected cases was revised to 50 (including 4 probable cases).


2009 swine flu pandemic in Europe, France
On 1 May, the French Health Minister confirmed, during the 8pm TF1 news that two cases of A(H1N1) flu had been detected in France.


2009 swine flu pandemic in Europe, France
On 4 May, two new cases were confirmed, bringing the total number of people infected to 4.


2009 swine flu pandemic in Europe, France
On 6 May, a fifth case was confirmed in the Paris region. Two new cases were also confirmed at the end of the afternoon by the INVS (National Institute for Sanitary Watch), 7 are probable and 32 are suspected.


2009 swine flu pandemic in Europe, France
On 7 May, three new cases were announced by the National Institute for Sanitary Watch.


2009 swine flu pandemic in Europe, France
In November 2009, 351 cases were detected for each 100,000 inhabitants. Since August, it has been estimated that 1,980,000 persons were infected by the flu in metropolitan France. There were 43 deaths. (Rising to 70 if including overseas territories)


2009 swine flu pandemic in Europe, Germany
On 29 April, the first case of swine flu in Germany was confirmed by the Robert Koch Institute in the area of Regensburg. A 22-year-old woman from Hamburg was also confirmed to have been infected by swine flu during a trip to Mexico. A 37-year-old woman from Kulmbach was also confirmed to have become infected during a similar trip.


2009 swine flu pandemic in Europe, Germany
On 1 May, Robert Koch Institute confirmed the first case of human-to-human spreading of swine flu in Munich. A nurse was infected from having contact with infected patients. At approx. 10:00 she claimed to be already healed. At the time of 13:00 one further infection in Bavaria was confirmed, but the patient also claimed to be healthy again.


2009 swine flu pandemic in Europe, Germany
On 2 May, a new human-to-human infection, in the same hospital in Munich, was confirmed. The new patient, who was in the same room with the original infected German that came from Mexico, is currently being reported to show no signs of the new influenza strain anymore.


2009 swine flu pandemic in Europe, Germany
On 3 May, two further cases of swine flu in Brandenburg were reported. Two people from the same flight as patient in Hamburg were also infected.


2009 swine flu pandemic in Europe, Germany
On 5 May, one new case in Saxony-Anhalt was confirmed, bringing the total number of people infected to 9.


2009 swine flu pandemic in Europe, Germany
On 7 May, another new case in Saxony-Anhalt was reported.


2009 swine flu pandemic in Europe, Germany
On 8 May, an adult male living in Bavaria who had recently been to the USA contracted swine flu.


2009 swine flu pandemic in Europe, Germany
On 11 May, the case of a 27-year-old Bavarian woman, who stayed for some weeks in Mexico and medicated patients in a hospital, was reported.


2009 swine flu pandemic in Europe, Germany
On 15 May, two more cases were reported, a female human and her son from Saxony-Anhalt. They were infected by her husband / his father, who had returned from Mexico.


2009 swine flu pandemic in Europe, Germany
On 21 May, a case was found in a 43-year-old woman from Düsseldorf in North Rhine-Westphalia who had returned from New York. One day later, Robert Koch Institute confirmed that her husband had tested positive with swine influenza too. Furthermore, their six-year-old daughter, who did not stay in New York, had been infected by her parents, bringing the total to 17.


2009 swine flu pandemic in Europe, Germany
Up until 5 June 2009, the total number of confirmed cases increased to 49. Most of them were recent travelers to Mexico, the USA or the UK. There was also a single-digit number of isolated in-country-transmissions.


2009 swine flu pandemic in Europe, Greece
On 19 May 2009 the authorities confirmed the first case of swine flu in Greece. The infected person was a 14-year-old American child who lived in Connecticut and who flew to Greece a few days before. He was hospitalised at Sismanogleion but was not gravely ill. The authorities have contacted many of the passengers who sat near this patient on the plane and are examining them for suspicious symptoms. At this point in time Greece has enough anti-virals to cover 12% of the population (at least 10% is the amount proposed by the EU directives). The 14-year-old is now out of the hospital and none of the passengers in his flight are infected.


2009 swine flu pandemic in Europe, Greece
On 27 May 2009 the first case in Northern Greece was announced.


2009 swine flu pandemic in Europe, Greece
On 14 June 2009 the total number of cases have reached 20 and on 17 June 2009 reached 25. On 9 July 2009 the total number of cases reached 216 out of whom 93 have fully recovered.


2009 swine flu pandemic in Europe, Greece
On 13 July 2009 the total number of cases reached 290, of which 128 have fully recovered


2009 swine flu pandemic in Europe, Greece
On 14 July 2009 the total number of cases reached 323 of which 200 have fully recovered


2009 swine flu pandemic in Europe, Greece
On 16 September 2009 the total number of cases reached 2149.


2009 swine flu pandemic in Europe, Greece
On 14 December 2009 the total number of deaths in Greece increased to 51


2009 swine flu pandemic in Europe, Greece
On 30 December 2009 71 people in Greece have died from H1N1.


2009 swine flu pandemic in Europe, Hungary
On 29 May 2009, a case involving a Brazilian man was confirmed. The infected man, later recovered and left the country. On 18 June three new cases of swine flu were confirmed in Hungary: a married couple who returned from New York, and a man who came back from London.


2009 swine flu pandemic in Europe, Iceland
The first case of A(H1N1) in Iceland was reported on 23 May 2009. The infected person came to the country from New York and got sick shortly after he arrived in Iceland. The second case was announced on 9 June. The infected was a male in the Capital Region who also had arrived from the United States. As of 6 August there are 54 cases of H1N1 in Iceland.


2009 swine flu pandemic in Europe, Iceland
Iceland is currently being briefed by the WHO and is cooperating closely with ECDC, CDC and the EU in terms of monitoring and response. Initially the directorate of health warned people traveling to Mexico and the United States (especially California and Texas) to exercise caution and to contact a doctor immediately if they started showing symptoms of swine flu but on 28 April people traveling to Mexico were advised to cancel their trip unless it's very urgent.


2009 swine flu pandemic in Europe, Iceland
On 28 April, it was announced that passengers arriving in Iceland from the United States or Mexico would be monitored and will undergo medical examination even if the slightest signs of influenza are detected.


2009 swine flu pandemic in Europe, Iceland
Iceland has stocks of Tamiflu and Relenza for one-third of its population.


2009 swine flu pandemic in Europe, Iceland
In a risk assessment made by the Icelandic government in 2008 in case of an influenza pandemic two scenarios are envisioned:


2009 swine flu pandemic in Europe, Ireland
Latest details on cases of the swine flu (H1N1) in Ireland was found on the Health Service Executive website. As of 29 June 2009 there were 39 cases in Ireland.


2009 swine flu pandemic in Europe, Ireland
Ireland has over two million doses of anti-virals and a pandemic plan in place.


2009 swine flu pandemic in Europe, Ireland
Around 1,500 people visited GPs last week with suspected swine flu, three times more than the most recent figures released.


2009 swine flu pandemic in Europe, Ireland
Director of the Health Protection Surveillance Centre Dr Darina O'Flanagan said the figure was included in the latest data from the Irish College of General Practitioners.


2009 swine flu pandemic in Europe, Ireland
It represents 37 people per 100,000 and is three times more than figures released yesterday by the Department of Health.


2009 swine flu pandemic in Europe, Ireland
The Department said laboratory tests have confirmed 278 cases of the H1N1 virus have been reported but the actual number exceeds that total as family doctors report an increase in the number of cases they have been diagnosing in recent weeks.


2009 swine flu pandemic in Europe, Ireland
Two patients who contracted human swine flu (H1N1) are still being treated in intensive care units.


2009 swine flu pandemic in Europe, Ireland
Chief Medical Officer Tony Holohan said that the HSE expects some deaths from the virus, and further hospitalisations, over the coming weeks and months.


2009 swine flu pandemic in Europe, Ireland
Dr Holohan said 12 people have been hospitalised so far.


2009 swine flu pandemic in Europe, Ireland
A man in his 30s, who was admitted to St James's Hospital last week, remains 'critically ill' with the virus.


2009 swine flu pandemic in Europe, Ireland
It is believed the man, who is originally from Bratislava in Slovakia, contracted the virus abroad. He has been living in Ireland for several years.


2009 swine flu pandemic in Europe, Ireland
The hospital said that all necessary precautions were being taken and that the Health Service Executive and the Department of Health were being fully informed.


2009 swine flu pandemic in Europe, Ireland
As of 5 January 2010, there had been 3,189 cases and 22 deaths in Ireland from the swine flu.


2009 swine flu pandemic in Europe, Italy
A woman who returned from San Diego was hospitalised in Venice for suspected swine flu.


2009 swine flu pandemic in Europe, Italy
By 30 April 2009, about 20 suspected cases of swine flu were being monitored in Italy.


2009 swine flu pandemic in Europe, Italy
On 2 May 2009, Reuters confirmed that Italy had a case of swine flu. It was recorded in a 50-year-old man in Massa after he returned from Mexico City. He, however, had very mild symptoms (i.e. aches, coughing, but no fever) and was recovering well.


2009 swine flu pandemic in Europe, Italy
On 26 July 2009, the number of swine flu cases was 618, with community outbreaks contributing to the number.


2009 swine flu pandemic in Europe, Italy
On 4 September 2009 the first death was confirmed in Italy. On 19 September of the same year the second death was confirmed.


2009 swine flu pandemic in Europe, Kosovo
On 24 July, the authorities in Kosovo announced that the samples of three suspected cases had been sent to the laboratory for analysis. According to the authorities, the three cases had had contact with other people who were infected by the A/H1N1 virus. Two of them had previously visited Switzerland and Sweden, and one of them was in the United Kingdom.


2009 swine flu pandemic in Europe, Kosovo
On 28 July, the results of these three suspected cases showed that only the person, who recently was in the United Kingdom, was infected with swine flu. This person was a 9-year-old child, living in the United Kingdom, who along with the family came to spend their vacation in Kosovo. The family arrived to the Pristina Airport from London, and during the flight, health inspectors recommended the child to see a doctor, once they arrived to Pristina.


2009 swine flu pandemic in Europe, Kosovo
On 14 November, a first death was confirmed in Kosovo.


2009 swine flu pandemic in Europe, Kosovo
On 28 December there were 14 A/H1N1 confirmed victims in Kosovo.


2009 swine flu pandemic in Europe, Latvia
On 21 June, a woman, who had just returned from North America, was hospitalized in Latvia. Symptoms were observed already when she was still on a plane. It was later confirmed that she has swine flu. It was the first registered case in Latvia.


2009 swine flu pandemic in Europe, Latvia
In early November, after severe outbreaks in Russia and Ukraine, the people suffering from the flu increased. On 5 November, there were 10 new cases registered, increasing the total number of cases to 63. Just four days later, on 9 November, the number reached 89 cases and the first death of H1N1 in Latvia was confirmed. As more people got precautious and the pharmacies weren't supplied enough, the next day, for a short period of time, they ran out of any prophylactic drugs against influenza. On 11 November the number of registered cases reached 132. The next day, with another 33 new cases, the total number had reached 165 people.


2009 swine flu pandemic in Europe, Lithuania
On 26 June Lithuania confirmed country's first influenza A (H1N1) in Tauragė (diagnosed by Lithuanian AIDS Centre).


2009 swine flu pandemic in Europe, Lithuania
On 2 July Lithuania confirmed two more cases of influenza A (H1N1), in Tauragė and Vilnius. Total number of cases – 3.


2009 swine flu pandemic in Europe, Lithuania
On 7 July Lithuania confirmed two more cases of influenza A (H1N1), in Vilnius region. Total number of cases – 5.


2009 swine flu pandemic in Europe, Lithuania
As of 11 July 2009, there was 25 possible cases. Not all of the 25 cases were confirmed.


2009 swine flu pandemic in Europe, Lithuania
On 16 July Lithuania confirmed two more cases of influenza A (H1N1), in Vilnius region. Total number of cases – 7.


2009 swine flu pandemic in Europe, Lithuania
On 23 July Lithuania confirmed three more cases of influenza A (H1N1), in Vilnius, Marijampolė and Kaunas region. Total number of cases – 10.


2009 swine flu pandemic in Europe, Lithuania
On 27 July Lithuania confirmed two more cases of influenza A (H1N1), in Vilnius region. Total number of cases – 12.


2009 swine flu pandemic in Europe, Lithuania
On 29 July Lithuania confirmed three more cases of influenza A (H1N1). Total number of cases – 15.


2009 swine flu pandemic in Europe, Lithuania
On 31 July Lithuania confirmed seven more cases of influenza A (H1N1), in Vilnius, Panevėžys, Klaipėda, Kaunas, Prienai regions. Total number of cases – 22.


2009 swine flu pandemic in Europe, Lithuania
As of 8 August 2009, there was 29 cases. Lithuania confirmed eight more cases of influenza, from Kaunas, Vilnius, Ukmergė rajono and Utena region. One of the infected – an Israeli citizen, came to Lithuania.


2009 swine flu pandemic in Europe, Lithuania
On 11 August, Lithuania confirmed six more cases of influenza A (H1N1), in Vilnius, Panevėžys, Pasvalys, Prienai regions. Total number of cases – 35.


2009 swine flu pandemic in Europe, Lithuania
On 13 August, Lithuania confirmed five more cases of influenza A (H1N1), in Akmenė and Šiauliai. Total number of cases – 40.


2009 swine flu pandemic in Europe, Lithuania
Between 14–22 August, Lithuania confirmed seven more cases of influenza A (H1N1). Total number of cases – 47.


2009 swine flu pandemic in Europe, Lithuania
As of 30 August 2009, there were 48 cases. Lithuania confirmed one more case of influenza.


2009 swine flu pandemic in Europe, Lithuania
As of 7 September 2009, there were 51 cases. Lithuania confirmed three more cases of influenza.


2009 swine flu pandemic in Europe, Lithuania
As of 3 November 2009, there was 57 cases. Lithuania confirmed six more cases of influenza.


2009 swine flu pandemic in Europe, Lithuania
As of mid-November there was 68 cases. Lithuania confirmed eleven more cases of influenza.


2009 swine flu pandemic in Europe, Lithuania
As of 15 November, there were 127 confirmed cases of influenza.


2009 swine flu pandemic in Europe, Lithuania
As of 18 November, the first death of swine influenza was reported. The victim was a 14-year-old boy, living in Kaunas region.


2009 swine flu pandemic in Europe, Lithuania
As of 23 November, the second death of swine influenza was reported. The victim was a 40-year-old male, living in Visaginas.


2009 swine flu pandemic in Europe, Lithuania
On 24 November, an epidemic is announced in the whole of Lithuania.


2009 swine flu pandemic in Europe, Lithuania
As of 28 November, the third death of swine influenza was reported. The victim was a 30-year-old female, living in Šiauliai.


2009 swine flu pandemic in Europe, Lithuania
As of 30 November, the fourth death of swine influenza was reported. The victim was a 45-year-old female, living in Varėna.


2009 swine flu pandemic in Europe, Lithuania
As of 1 December, the fifth death of swine influenza was reported. The victim was a 46-year-old male, living in Vilnius.


2009 swine flu pandemic in Europe, Lithuania
As of 2 December, the sixth death of swine influenza was reported. The victim was a 40-year-old male, living in Kaunas.


2009 swine flu pandemic in Europe, Luxembourg
On 2 June, the first case of swine flu was detected in Luxembourg.


2009 swine flu pandemic in Europe, Luxembourg
On 17 September, the first death relative to swine flu was reported in Luxembourg.


2009 swine flu pandemic in Europe, Luxembourg
On 18 October 785 people were confirmed to have swine flu.


2009 swine flu pandemic in Europe, Luxembourg
On 16 November, a second person died of swine flu.


2009 swine flu pandemic in Europe, Macedonia
On 27 April 2009, the government of the Republic of Macedonia prohibited all exports and imports of live pigs. Even though Macedonia is not affected from swine flu, the government ordered a ten days health monitoring period for everybody that comes from an affected country.


2009 swine flu pandemic in Europe, Macedonia
On 4 July, Macedonia confirmed the first two cases of virus A/H1N1. As of 8 December 2009, 9 death cases due to complications from the swine flu have been recorded in Macedonia.


2009 swine flu pandemic in Europe, Macedonia
As of 29 December 2009, 18 death cases have been confirmed in Macedonia.


2009 swine flu pandemic in Europe, Malta
On 2 July 2009, two men were diagnosed with swine flu after a holiday in Girona, Spain. Malta had so far been the only country in European Union without swine flu cases. On 3 July 2009, 14 more cases were reported, bringing the total to 16. Most cases of swine flu in Malta have been mild, with only two hospital admissions as of 6 July 2009, when there were 24 confirmed cases. Ironically the largest number of cases have occurred in Għarb, Gozo; one of the smallest villages on the islands.


2009 swine flu pandemic in Europe, Malta
On Tuesday 18 August the first death was reported; by then the total cases had increased to 244. On 3 September two deaths from the flu were confirmed. The first death, an 82-year-old-woman, was suffering from a chronic disease whereas the second victim, a 63-year-old-man, had chronic health problems. The third victim, a 32-year-old-woman from Spain, that died at San Pawl il-Baħar area. In December 2010 a 70-year-old British woman died while she was in Malta for a holiday.


2009 swine flu pandemic in Europe, Moldova
As of 10 November 2009, there are 132 confirmed cases, and 3 confirmed deaths in Moldova.


2009 swine flu pandemic in Europe, Monaco
Monaco had reported its first confirmed case of swine flu on 17 June. The victim is a young Monegasque who returned from the United States. He was put in the isolation unit of L'archet Hospital.


2009 swine flu pandemic in Europe, Montenegro
On 1 December 2009, the first case of death due to swine flu was confirmed in Montenegro. Since then, there were a total of 4 fatalities. On 17 December, the Government of Montenegro declared a swine flu epidemic for the whole territory of the country. The only municipalities without any confirmed cases are Žabljak, Šavnik and Rožaje.


2009 swine flu pandemic in Europe, Netherlands
The Netherlands National Institute for Public Health and the Environment advised any traveller who returned from Mexico since 17 April and developed a fever of 38.5 degrees Celsius (101.3 degrees Fahrenheit) within four days of arriving in the Netherlands to stay at home. On 30 April 2009 a three-year-old child tested positive for swine flu. The child returned from Mexico to the Netherlands on 27 April 2009. The parents tested negative to swine flu. The girl was very ill at first according to her parents, but made a full recovery.


2009 swine flu pandemic in Europe, Netherlands
On 7 May a second case and a day later a third case of swine flu in the Netherlands were announced, concerning a 53-year-old woman and a 52-year-old man, respectively. Both of them had returned from Mexico recently and are being treated with Tamiflu. The woman made a full recovery, the man is doing well. There are no connections between each of the three cases. People who were seated close to the infected people in the plane were contacted and are being treated with Tamiflu as a precautionary measure. On 3 July, there were 134 confirmed cases in the Netherlands.


2009 swine flu pandemic in Europe, Netherlands
The number rose to 273 on 24 July and to 517 on 31 July. On 4 August the first person died (after being sick already), and the number of infected people rose to 912 on 7 August. Only 20% of the patients have contracted the flu within the Netherlands. Many of the sick are people who fell ill during or after their holidays in countries like Spain, Greece and the United Kingdom.


2009 swine flu pandemic in Europe, Netherlands
On 6 November the Netherlands National Institute for Public Health and the Environment reported there are 5 more cases of death (this brings the total to 17) and that there is an epidemic, which means more than 51 per 100,000 inhabitants contracted the flu, more than 2 weeks in a row. On 4 December the number of fatalities rose to 42. On 4 January 2011, it was confirmed that another 2 children died of swine flu. One of them would be a 4-year-old girl. They both lived in the region of Nijmegen, Gelderland. They died on 20 and 27 December 2010. There would be no link between the deaths.


2009 swine flu pandemic in Europe, Norway
The Norwegian Institute of Public Health (FHI) updates their homepage with information about the swine flu outbreak in Norway every day at 10:00 (UTC).


2009 swine flu pandemic in Europe, Norway
On 9 May, two Norwegian students from Oslo and Telemark, were confirmed to be infected with swine flu after they came home from studies in Mexico. None of them became seriously ill and they are recovering quickly. A member of one of their families is suspected of being infected as well. One of them (the 20-year-old man from Oslo) have been confirmed completely recovered. These are the first two cases of swine influenza in Norway. By the end of May, there were a total number of 7 infected in Norway.


2009 swine flu pandemic in Europe, Norway
On 4 June, a Norwegian woman from Vest-Agder who recently had been to the United States was confirmed with the swine influenza. The infected woman is recovering well. This is the ninth confirmed case of swine influenza. By the end of June, the total number of infected by influenza A H1N1 rose to 33.


2009 swine flu pandemic in Europe, Norway
As of 20 July, The Norwegian Institute of Public Health (FHI) reports a total of 133 infected. 115 were infected abroad and 18 in Norway. Influenza A H1N1 has now reached 16 out of 19 fylker (counties). Most cases are found in Oslo (42), and in Sør-Trøndelag (30). So far, swine flu has not been registered in Finnmark, Nord-Trøndelag and in Hedmark


2009 swine flu pandemic in Europe, Norway
As of 24 July 197 cases in 18 out of 19 fylker (counties). Most cases are found in Oslo (60), and in Sør-Trøndelag (36). So far, swine flu has not been registered in Hedmark.


2009 swine flu pandemic in Europe, Norway
As of 19 November 23 deaths were reported in Norway.


2009 swine flu pandemic in Europe, Norway
On 22 October, it was confirmed by authorities that over 100,000 people in Norway had been infected with swine flu. 14 people are reported dead by 29 October.


2009 swine flu pandemic in Europe, Poland
Polish Chief Sanitary Inspectorate (GIS) maintains a webpage on the epidemic situation in Poland which includes weekly updates on influenza A/H1N1 outbreak. As of 4 November, it confirmed 187 cases, but there were no death cases.


2009 swine flu pandemic in Europe, Poland
The Polish Foreign Ministry issued a statement on 25 April recommending that citizens avoid travel to affected areas until the outbreak is totally contained.


2009 swine flu pandemic in Europe, Poland
On 13 November, a 37-year-old man died in Gdańsk. It was first death of patient with A/H1N1 in Poland.


2009 swine flu pandemic in Europe, Poland
As of 9 December, there were 1,525 cases and 67 deaths. Number of patients with A/H1N1 could be underestimated because it shows only laboratory confirmed cases.


2009 swine flu pandemic in Europe, Poland
Between May 2009 and May 2010, there were 2,798 cases of laboratory-confirmed A(H1N1)pdm09 influenza resulting in 181 deaths registered in Poland.


2009 swine flu pandemic in Europe, Portugal
As of 4 May, there has been one confirmed case in Lisbon, Portugal, but it did not represent any concern, because the risk of transmission was no longer present at that time.


2009 swine flu pandemic in Europe, Portugal
On 1 June, Ana Jorge, the Portuguese Health Minister, has confirmed the second case in Portugal, a 33-year-old man who travelled from the United States, first landing in Frankfurt, Germany. The case was reported at São João Hospital, Oporto. On 30 June, five new cases were announced in Portugal elevating the total number of cases to 18.


2009 swine flu pandemic in Europe, Portugal
As of 2 July there have been 27 confirmed cases in Portugal.


2009 swine flu pandemic in Europe, Portugal
On 3 July 6 more cases were reported, making a total of 33 cases. As of 4 July, more 5 cases were confirmed, two of them internal transmissions (one in Azores, and the other one in Lisbon).


2009 swine flu pandemic in Europe, Portugal
On 6 July, there have been confirmed 48 cases in Portugal.


2009 swine flu pandemic in Europe, Portugal
As of 7 July, another 12 people infected were confirmed, making a total of 57 cases in the country. On this day, the first school was closed down for prevention, in Lisbon, as well as a kindergarten in Azores.


2009 swine flu pandemic in Europe, Portugal
On 8 July 4 more cases were confirmed, including the first in Braga district, making the total cases 61.


2009 swine flu pandemic in Europe, Portugal
As of 14 July, there are a total of 96 confirmed cases in Portugal. On this day, it was also announced that Faro's Hospital will join, on 15 July, the set of hospitals in the country capable of receiving patients infected with the A/H1N1 flu virus.


2009 swine flu pandemic in Europe, Portugal
Government officials state the worst-case scenario in Portugal is 25% infection with a mortality of 0.1% totaling 8700 casualties in Portugal.


2009 swine flu pandemic in Europe, Portugal
As of 23 August there have been 2244 people infected with the flu in Portugal.


2009 swine flu pandemic in Europe, Portugal
Portugal has the second higher tie of infections in Europe. 20,9 cases per 100,000 persons.


2009 swine flu pandemic in Europe, Portugal
On 13 September 2009, Portugal had 9618 cases officially confirmed.


2009 swine flu pandemic in Europe, Portugal
In total, as of 24 September, there were 12709 cases confirmed in Portugal and the first death was confirmed on the same day.


2009 swine flu pandemic in Europe, Portugal
As of 4 December, there were 121,677 cases confirmed and 24 deaths.


2009 swine flu pandemic in Europe, Romania
In Sâmbăteni, Arad County, Romania, a child of a year and six months and his mother who recently returned from a trip to Portugal and Spain were suspected of having contracted influenza A(H1N1). Tests returned negative.


2009 swine flu pandemic in Europe, Romania
On Wednesday, 27 May a woman returning from America was confirmed with swine flu in Bucharest.


2009 swine flu pandemic in Europe, Romania
As of 11 August, there were 227 confirmed cases in 22 out of 41 counties of Romania.


2009 swine flu pandemic in Europe, Romania
By mid-September the number of cases in Romania had risen to 296.


2009 swine flu pandemic in Europe, Romania
As of 2 November 2009 the number of cases was 555. No deaths.


2009 swine flu pandemic in Europe, Romania
As of 10 November 2009 the number of cases was 1,001. No deaths.


2009 swine flu pandemic in Europe, Romania
As of 19 November 2009 the number of cases was 1,651. No deaths.


2009 swine flu pandemic in Europe, Romania
The first confirmed case of death came on November, 23rd.


2009 swine flu pandemic in Europe, Romania
As of 4 December 2009 the number of cases was 3,660 and 8 deaths.


2009 swine flu pandemic in Europe, Romania
As of 5 December 2009 the number of cases was 3,793 and 10 deaths.


2009 swine flu pandemic in Europe, Romania
As of 6 December 2009 the number of cases was 3,842 and 12 deaths. Health authorities have decided to suspend classes for 7 days, starting Monday, 7 December needle, these educational units: High School "Sabin Dragoi", Deva; High School "Miko", Sfântu Gheorghe and Group School "Avram Iancu", Târgu Mureş.


2009 swine flu pandemic in Europe, Romania
As of 7 December 2009 the number of cases was 3,881 and 12 deaths.


2009 swine flu pandemic in Europe, Romania
As of 8 December 2009 the number of cases was 3,998 and 14 deaths.


2009 swine flu pandemic in Europe, Romania
As of 9 December 2009 the number of cases was 4,113 and 14 deaths.


2009 swine flu pandemic in Europe, Romania
As of 15 December 2009 the number of cases was 4,885 and 27 deaths.


2009 swine flu pandemic in Europe, Romania
As of 24 December 2009 the number of cases was 5,421 and 42 deaths. As of 29 December 2009 the number of cases was 5568 and 52 deaths.


2009 swine flu pandemic in Europe, Romania
On 5 January 2010, actor Toni Tecuceanu from Cronica Cârcotaşilor died morning at around 3.00, the Hospital "Matei Balş" in Bucharest, following complications from lung after contracted the virus A/H1N1. Prof. dr. Secretary of State for Health, said the actor, aged 37 years and suffering from obesity.


2009 swine flu pandemic in Europe, Romania
As of 8 January 2010 the number of cases was 6,061 and 82 deaths.


2009 swine flu pandemic in Europe, Romania
As of 25 January 2010 the number of cases was 6,873 and 111 deaths.


2009 swine flu pandemic in Europe, Romania
As of 9 February 2010 the number of cases was 6,982 and 120 deaths.


2009 swine flu pandemic in Europe, Romania
As of 26 February 2010 the number of cases was 7,003 and 122 deaths.


2009 swine flu pandemic in Europe, Romania
As of 9 April 2010 the number of cases was 7,008 and 122 deaths.


2009 swine flu pandemic in Europe, Russia
Russia has banned the import of pork meat from Guatemala, Honduras, Dominican Republic, Colombia, Costa Rica, Cuba, Nicaragua, Panama, El Salvador, 9 US States (Alabama, Arizona, Arkansas, Georgia, Kansas, Louisiana, New Mexico, Oklahoma and Florida) and all types of meat and meat products from Mexico and 5 US States (California, Texas, Kansas, New York and Ohio).


2009 swine flu pandemic in Europe, Russia
The President instructed the regional governors to take urgent steps to prevent swine flu from spreading to Russia. Dmitry Medvedev also instructed the presidential plenipotentiary envoys in the federal districts to personally supervise the preventive measures to ensure the disease did not spread [in Russia] and stipulated monthly reports on the situation.


2009 swine flu pandemic in Europe, Russia
On 1 May officials confirmed that two women who came from USA trip were suspected to have swine flu. Currently both are in hospital for further treatment. As on 2 May, both tourists are reported not to be infected with new strain.


2009 swine flu pandemic in Europe, Serbia
A 71-year-old tourist from Texas asked to be tested for swine flu at the Provincial hospital in Novi Sad, Serbia on 30 April. The results were negative.


2009 swine flu pandemic in Europe, Serbia
The first confirmed case in Serbia was announced on 24 June. The infected person is a 29-year-old male citizen of Montenegro living in Belgrade who came back from a trip to Argentina two days earlier. As he travelled across Croatia and Germany with other people, they were put in semi quarantine. The second case was confirmed on 25 June. The infected person is a 4-year-old female citizen of Australia who was visiting Sombor. She had contact with 13 people whose health is being monitored.


2009 swine flu pandemic in Europe, Serbia
On 26 June, three more cases were confirmed, out of which two were independent cases while one patient was infected from contact with the previously diagnosed patient. In total 44 people were put under quarantine surveillance. On 28 June 6 more cases were confirmed – three were citizens of Canada, a mother and her 2- and 5-year-old daughters, two were tourists returning from Australia and Egypt and one was infected from contact with the first flu case patient in Serbia.