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2009 swine flu pandemic in Spain
Deaths  Confirmed cases
Disease	Swine flu
Virus strain	H1N1
Index case	Almansa
Arrival date	27 April 2009
Confirmed cases	1194
Deaths	17

In March and April 2009, an outbreak of a new strain of influenza commonly referred to as swine flu infected many people in Mexico and parts of the United States causing severe illness in the former. The new strain was identified as a combination of several different strains of Influenzavirus A, subtype H1N1, including separate strains of this subtype circulating in humans (see Human influenza) and in pigs (see Swine influenza). Spain was the first country in continental Europe to report cases of swine flu, in late April 2009.

First cases in Europe

On 27 April, Spain confirmed the first case of Swine influenza in Europe. The patient was a 23-year-old man that had returned from Mexico on the 22nd and was in hospital with flu-like symptoms. The case was confirmed in Almansa, in the province of Albacete.

On 28 April, a second case was confirmed in Valencia. The patient had traveled to Mexico with the first confirmed patient. Other cases in Valencia and the Basque Country were reported soon afterwards.

By 30 April, there were 13 confirmed and 80 unconfirmed cases throughout Spain.

By 5 May, there were 73 confirmed cases, of which only nine had not travelled to Mexico in the previous four months.

By 29 April 2010, Spain had confirmed 1,536 cases and 300 deaths, as well as reporting 155,051 unconfirmed cases.

Response

The Health and Social Policy minister, Trinidad Jiménez, announced that all passengers coming from Mexico, United States, Canada, New Zealand, Colombia, France and Israel have to fill a form during their flight.

There was a reinforcement of medical teams in all airports to handle possible swine flu cases.

The Ministry of Foreign Affairs recommended cancelling any travel to Mexico unless strictly necessary. It also recommended reevaluating the need to travel to the United States.

Affected areas

Confirmed cases

• There are 969 confirmed cases, with the latest all taken by awaiting samples. The Spanish government has affirmed the situation is under constant monitoring and control, recommending the population not to panic.
• Madrid has the greatest number of confirmed cases.
• The North African Spanish cities of Ceuta and Melilla and also La Rioja have not reported any confirmed cases of swine flu.

Deaths

A 19-year-old woman in Spain became the first patient in continental Europe who died because of swine flu. A second death was confirmed on 9 July in the Canary Islands, it was a 41-year-old man with a chronic disease. The second affected land in Europe has reported seven death cases up to 29 July.

Madrid outbreak

In early June, Madrid had an outbreak of swine flu among school children. By 9 June over 100 school children in Madrid had been confirmed to have swine flu.

Confirmed cases by autonomous community

Andalusia

On 21 August 2009 the first death occurred in Andalusia when a 39-year-old woman, 39 weeks pregnant, died six days after being admitted to the Hospital Valme in Sevilla. On the same day, a 50-year-old woman died in the Hospital de La Línea (Cádiz) after being admitted on 3 August.

On 23 August, a morbidly obese 20-year-old woman died after being admitted to the Hospotal San Cecilio de Granada on 19 August. This was the third fatality due to H1N1 that weekend.

Community of Madrid

On 22 May 2009, the Ministry of Defence quarantined the Military Engineering Academy in Hoyo de Manzanares, where there were six confirmed and a further five suspected cases.

On 1 June 2009, the Community of Madrid Health Office (represented by Juan José Güemes) confirmed two cases at the Isaac Albéniz secondary school and announced that this number could increase considerably in the future. The school head reported 25 cases, but these have not been confirmed.

On 9 June 2009, the Community of Madrid Health Office confirmed 121 cases in 17 schools. On 11 June 2009, there were 139 cases confirmed in 22 schools.

On 29 June 2009 a 20-year-old woman died after giving birth, becoming the first to die of H1N1 infection in Spain.

On 16 July, the fourth death in Spain and second in the Community of Madrid occurred. A 71-year-old man with chronic obstructive pulmonary disease died in the Hospital Universitario La Paz, Madrid.

On 24 August 2009, a man died in a Madrid hospital (although his identity was not revealed on his family's request). This was the sixteenth death due to the H1N1 virus in Spain.

Canary Islands

On 9 July 2009 the second death occurred in the Canary Islands. A 41-year-old man died in the ICU of the Hospital Universitario de Gran Canaria Doctor Negrín in Las Palmas. His rapid deterioration was due to a previous condition.

On 12 August, the tenth death due to H1N1 occurred in Spain with the death of a 30-year-old man, admitted to the Hospital Insular de Gran Canaria on 20 July, who also showed additional risk factors.

On 17 August, an 11-year-old boy died of a chronic illness which was aggravated by the H1N1 infection.

Balearic Islands

On 16 July 2009, the third death occurred in the Hospital Son Llàtzer, Palma, Majorca. The deceased was a 33-year-old Nigerian woman with no previous health issues.

Valencian community

On 20 July 2009 in Teulada, Spain a man who had been on dialysis since 1993 died. This was the fifth death at the national level.

On 27 July 2009 the sixth person died: a 53-year-old man, in the Hospital La Ribera in Alzira, Valencia. He had a serious prior pathology.

On 10 August the ninth person died: a 28-year-old woman admitted to the Hospital 9 de Octubre in Valencia.

On 14 August the eleventh person died, a 31-year-old pregnant woman in an irreversible coma in the Hospital General, Castellón de la Plana.

Castilla-La Mancha

On 29 July 2009, a 34-year-old man died (the seventh in Spain) in Villarrobledo, Albacete. He had been admitted on 12 July with a serious illness.

Catalonia

On 4 August 2009 the first death in Catalonia and eighth in the country occurred. The patient, a 35-year-old woman, died in Girona after being admitted to hospital two days before.

Galicia

The first case of H1N1 in Galicia was recorded on 29 April 2009 in the province of Ourense, although it was not confirmed until several days later. The deceased was a woman who had recently travelled to Mexico.

Patients with similar symptoms to those of H1N1 had been recorded previously and were considered as possible cases at the time. The first was detected in Mos on 27 April 2009 in a middle-aged male patient who had arrived from Mexico several days beforehand. The first flu case in Spain was confirmed on the same day in Almansa, but was unrelated. On 1 May 2009 another new suspected case appeared in A Coruña, also in a Mexican person. Several days later these cases were confirmed to be unrelated to H1N1.

On 27 August 2009 a 33-year-old male died in Vigo due to complications from flu, although he had other serious conditions.

See also

• 2009 swine flu pandemic
• Avian influenza
• Spanish flu
• 2009 flu pandemic in France
• 2009 swine flu pandemic in the United States
• 2009 swine flu pandemic in Canada
• 2009 swine flu pandemic in Mexico

References

1. Daily official flu situation in Spain report by the Ministry of Health and Social Policy of Spain Archived 17 July 2009 at the Wayback Machine 15 July 2009
2. "Informe de la situación de la pandemia del ministerio de sanidad" (in Spanish). msps.es. 23 July 2009. Archived from the original on 14 December 2009. Retrieved 5 September 2013.
3. Los aeropuertos españoles, 'blindados' ante la epidemia, In Spanish
4. ^ Last official data given by the Ministry of Health and Social Policy of Spain Archived 14 May 2009 at the Wayback Machine 12 May 2009
5. Reuters, June 30, 2009
6. "Un hombre de 41 años, segunda víctima mortal de la gripe a en España". 9 July 2009. Archived from the original on 12 July 2009. Retrieved 9 July 2009.
7. "Taiwan News, June 10, 2009". Archived from the original on 18 August 2009. Retrieved 16 June 2009.
8. "Infodefensa: Defensa pone en cuarentena la Academia Militar de Ingenieros de Hoyo de Manzanares por un brote de gripe A". Archived from the original on 21 September 2009. Retrieved 6 October 2013.
9. "Dos casos de gripe porcina confirmados en un instituto de Leganés y 42 en estudio". Archived from the original on 14 April 2016. Retrieved 25 August 2016.
10. "Comunicado del 9 June 2009 de la consejería de salud de la comunidad de madrid". madrid.org. Archived from the original on 7 April 2014. Retrieved 6 October 2013.
11. "Nota de prensa del 11 de junio del ministerio de sanidad". msc.es. 11 June 2009. Archived from the original on 15 June 2009. Retrieved 13 June 2009.
12. "Primera victima mortal en España por gripe". RTVE. 30 June 2009. Archived from the original on 22 January 2014. Retrieved 6 October 2013.
13. ^ El País (16 July 2009). "Dos nuevas muertes elevan a cuatro las víctimas en España". El País.
14. 20 minutos (9 July 2009). "Un hombre de 41 años, segunda víctima mortal de la gripe A en España". Archived from the original on 12 July 2009. Retrieved 9 July 2009.{{cite web}}: CS1 maint: numeric names: authors list (link)
15. "Muere un hombre en Gran Canaria, décima víctima mortal de la gripe A en España". 12 August 2009. Archived from the original on 9 June 2024. Retrieved 12 August 2009.
16. "Un niño de 11 años, duodécima víctima mortal de la gripe A en España". 17 August 2009. Archived from the original on 7 April 2014. Retrieved 6 October 2013.
17. "Fallece en Alicante la quinta víctima de la gripe A en España". Archived from the original on 31 May 2014. Retrieved 6 October 2013.
18. "Muere en Valencia un hombre de 53 años con gripe A, el sexto fallecido en España". 27 July 2009. Archived from the original on 10 June 2015. Retrieved 6 October 2013.
19. "Una joven fallecida en Valencia, novena muerte por gripe A en España". 10 August 2009. Archived from the original on 8 April 2014. Retrieved 6 October 2013.
20. "Una mujer que estaba embarazada es la undécima víctima de la gripe A en España". 14 August 2009. Archived from the original on 9 June 2024. Retrieved 6 October 2013.
21. "Un hombre de 34 años de Villarrobledo (Albacete), séptima muerte por gripe A". 29 July 2009. Archived from the original on 7 April 2014. Retrieved 6 October 2013.
22. "Una mujer de 35 años fallecida en Gerona, octava víctima de la gripe A/H1N1 en España – Sociedad_Sanidad – Sociedad – abcdesevilla.es". Archived from the original on 7 August 2009. Retrieved 25 August 2016.
23. A Consellería de Sanidade estuda un segundo caso sospeitoso de gripe humana de orixe porcina en Galicia, web do Sergas, 29 April 2009
24. A ourensá con gripe A continúa illada e con tratamento antiviral Archived 10 June 2015 at the Wayback Machine, La Voz de Galicia, 3 May 2009
25. Detectado en el centro de salud de Mos el primer posible caso de gripe porcina en Galicia Archived 30 April 2009 at the Wayback Machine, La Voz de Galicia, 27 April 2008
26. La Consejería de Sanidad estudia un posible caso sospechoso de gripe humana de origen porcina Archived 30 November 2009 at the Wayback Machine, web de Sergas, 27 April 2009
27. La Consejería de Sanidad estudia un tercer caso sospechoso de nueva gripe en Galicia, web do Sergas, 1 May 2009
28. Comunicado da consellería polo brote de gripe polo novo virus AH1N1, web do Sergas, 2 May 2009
29. Archived 3 March 2016 at the Wayback Machine Muerte de un hombre en Galicia por influenza A H1N1

External links

• Swine Influenza official data (in spanish) – Ministerio de Sanidad y Políticas Sociales. Gobierno de España
• World Health Organization (WHO) Swine Influenza page – Updates periodically and links to archived WHO releases (in English)
• Centers for Disease Control and Prevention (CDC): Swine Influenza (Flu) (in English)
• Medical Encyclopedia Medline Plus: Swine Flu (in English)
• Medical Encyclopedia WebMD: Swine Flu Center (in English)

Spanish Health Services

• Ministry of Health and Social Policy of Spain official website, Special about the swine flu (in Spanish)
• Department of Health of the Basque Government (in Spanish and Basque)
• Official website of the Basque Health Service/Osakidetza (in Spanish and Basque)
• Department of Health of the Generalitat of Catalonia (in Spanish, English, and Catalan)
• Enciclopedia Médica Medline Plus: Gripe porcina (in Spanish)
• Organización Mundial de la Salud (OMS): Gripe porcina (in Spanish)

• 2009 in Spain
• Health disasters in Spain
• 2009 swine flu pandemic by country
• 2009 disasters in Spain