2009 flu pandemic in the United States by state the Chicago metropolitan area – was reported by state health authorities on May 28, 2009 but this was not reflected in the CDC official numbers by the end of the month. A total of 3,366 cases and 17 deaths have been confirmed in Illinois as of July 24. As of January 2010, a total of 2931 hospitalizations due to confirmed A/H1N1 infection and a total of 97 confirmed deaths due to H1N1 have been reported in Illinois. On April 28, an unidentified Notre Dame student was confirmed as the first case of swine flu in this state. The patient had
President of the Senate U.S. federal government was established in 1789. The vice president with the most tie breaking votes is John Adams (served 1789–1797) with 29. The current Vice President Mike Pence, in office since January 2017, has cast seven tie-breaking votes. In state governments of the United States, the presiding officer of the state senate (the upper house) is a matter decided by the state's constitution. Some states designate the lieutenant governor as president of the senate, while in other states, the Senate elects its own president. The Tennessee Senate elects a senator Speaker of the Senate, who is given the title