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{{Short description|none}}
{{Current|article|date=April 2009}}
{{seealso|2009 swine flu outbreak timeline}} {{See also|2009 swine flu pandemic timeline|2009 swine flu pandemic tables}}
{{pp-move}}
This article deals with the status and efforts regarding the '''] by country''' and continent.
<!-- "none" is preferred when the title is sufficiently descriptive; see ] -->
{{WebSlice-begin|id=1|title=2009 swine flu outbreak - Cases by country}}
{{Use dmy dates|date=April 2022}}
{{WebSlice-end}}
This article deals with the status and efforts regarding the ] by country and continent/region.
{{2009 swine flu outbreak table}}
{| class="floatright" style="margin: 0.5em 0 0.5em 1em; width:20em; border: 1px solid var(--border-color-base,#a2a9b1); color: inherit; background: var(--background-color-neutral-subtle,#f8f9fa); font-size: 88%; text-align: center;"
|+ <big>'''Pandemic (H1N1) 2009–2010 by country'''</big><br />
Summary of official reports.<sup>]</sup>
|-class="skin-nightmode-reset-color" style="background:lavender"
!rowspan="2"| Country
!colspan="5"| Indicators/
! Cases
! Deaths
|- class="skin-nightmode-reset-color" style="background:lavender;font-size:80%"
!colspan="5"| Spread-Trend/<br />Intensity/Impact<sup>]</sup>
! Confirmed<sup>]</sup>
! Confirmed<br />&nbsp;
|-
|class="skin-nightmode-reset-color" style="background:lavender; font-weight:bold;"| ]&nbsp;total<ref name="ecdc">]: {{Webarchive|url=https://web.archive.org/web/20131031091012/http://ecdc.europa.eu/|date=31 October 2013}}
<!-- **** Update latest report below this and change the date and access-date ****-->
<!-- **** Make sure, to check all refed numbers, when you update the report ****-->
Update:{{cite web |date=19 January 2010 |title=ECDC Daily Update – Pandemic (H1N1) 2009 – 19 January 2010 |url=http://ecdc.europa.eu/en/healthtopics/Documents/100119_Influenza_AH1N1_Situation_Report_0900hrs.pdf |url-status=dead |archive-url=https://web.archive.org/web/20100122161748/http://www.ecdc.europa.eu/en/healthtopics/Documents/100119_Influenza_AH1N1_Situation_Report_0900hrs.pdf |archive-date=22 January 2010 |access-date=19 January 2010}}</ref>
|class="skin-nightmode-reset-color" style="background:lavender; font-weight:bold;" colspan="5"|
|class="skin-nightmode-reset-color" style="background:lavender; font-weight:bold;"|
|class="skin-nightmode-reset-color" style="background:lavender; font-weight:bold;"|14,378
|- style="font-weight:bold"
|class="skin-nightmode-reset-color" style="background:lavender;"| Reports Total
|class="skin-nightmode-reset-color" style="background:lavender;" colspan="5"|
|class="skin-nightmode-reset-color" style="background:lavender;"|6,724,149
|class="skin-nightmode-reset-color" style="background:lavender;"|19,654
|-
|style="text-align:left"|]<sup>]</sup>
|{{no|}}W
|{{Yes-No|}}=
|{{no2}}**
|{{no2}}mod
|<ref name="paho-w43-Nov09">{{cite web|url=http://new.paho.org/hq/index.php?option=com_content&task=blogcategory&id=814&Itemid=1206|title=Regional Update Pandemic (H1N1) 2009|date=9 November 2009|work=Data Status Week 43 (Oct, 31)|publisher=WHO PAHO|access-date=17 November 2009|archive-date=18 November 2009|archive-url=https://web.archive.org/web/20091118230847/http://new.paho.org/hq/index.php?option=com_content&task=blogcategory&id=814&Itemid=1206|url-status=dead}}</ref>
| (113,690)<!--<ref>https://www.usatoday.com/news/health/2009-11-13-1Aflu13_ST_N.htm?obref=obinsite Swine flu has sickened 22 million American, USA Today</ref><ref>https://www.cdc.gov/h1n1flu/estimates_2009_h1n1.htm CDC Estimates of H1N1 Influenza cases in United States</ref>--><ref>Sum of state reported confirmed cases; see ] for more information.</ref>
| 3,433<!-- PLEASE SEE DISCUSSION --><ref>Sum of state reported confirmed deaths in U.S.; see ] for more information.</ref>
|-
|style="text-align:left"| ] <!-- ALL DATA IS OFFICIAL, the sum of all states' health departments press release -->
|{{no2}}R
|{{yes2}}-
|{{Yes-No|}}*
|{{no2}}mod
|<ref name="paho-w43-Okt31">{{cite web|url=http://new.paho.org/hq/index.php?option=com_content&task=blogcategory&id=814&Itemid=1206|title=Regional Update Pandemic (H1N1) 2009|date=9 November 2009|work=Data Status Week 43 (Okt, 31)|publisher=WHO PAHO|access-date=17 November 2009|archive-date=18 November 2009|archive-url=https://web.archive.org/web/20091118230847/http://new.paho.org/hq/index.php?option=com_content&task=blogcategory&id=814&Itemid=1206|url-status=dead}}</ref>
| (58,178)<ref name="brazil">Sum of state reported confirmed deaths; see totals in ] for more information.</ref>
| 2,135<ref>{{cite news |title=84 Muertes por gripe y 675 casos graves en 2010 |url=http://www.ansa.it/ansalatina/notizie/notiziari/brasil/20100715214935114194.html |work=Ansa Latina |date=15 July 2010 |archive-url=https://web.archive.org/web/20110513195958/http://www.ansa.it/ansalatina/notizie/notiziari/brasil/20100715214935114194.html |archive-date=13 May 2011 |access-date=7 February 2011}}</ref>
|-
|style="text-align:left"|]
|{{no|}}W
|{{no2}}+
|{{Yes-No|}}*
|{{yes2}}low
|<ref name="who searo Nov16"/>
| 33,783<ref name="india official">{{cite web |url=http://pib.nic.in/h1n1/h1n1.asp |title=Consolidated Status of Influenza A H1N1 |author1=Ministry of Health |author2=Family Welfare |publisher=Press Information Bureau |date=13 February 2010 |archive-url=https://web.archive.org/web/20100214220332/http://pib.nic.in/h1n1/h1n1.asp |archive-date=14 February 2010 |access-date=13 February 2010}}</ref><ref>{{cite web |url=http://pib.nic.in/release/release.asp?relid=63164 |title=Consolidated Status(Weekly) of Influenza A H1N1 |author1=Ministry of Health |author2=Family Welfare |website=Press Information Bureau |date=12 July 2010 |archive-url=https://web.archive.org/web/20100725034535/http://pib.nic.in/release/release.asp?relid=63164 |archive-date=25 July 2010 |access-date=27 April 2016}}</ref>
<!--PLEASE KEEP THE OFFICIAL REFERENCE FOR INDIA, the reports are updated daily. Just update the date and access-date and take the numbers from the most recent report.-->
| 2,024<ref name="india official" />
|-
|style="text-align:left"|]
|{{no|}}W
|{{no2}}+
|{{no2}}**
|{{no2}}mod
|<ref name="paho-w40-Okt16">{{cite web|url=http://new.paho.org/hq/index.php?option=com_content&task=blogcategory&id=814&Itemid=1206|title=Regional Update Pandemic (H1N1) 2009|date=16 October 2009|work=Data Status Week 40 (Okt, 10)|publisher=WHO PAHO|access-date=19 October 2009|archive-date=16 October 2009|archive-url=https://web.archive.org/web/20091016232403/http://new.paho.org/hq/index.php?option=com_content&task=blogcategory&id=814&Itemid=1206|url-status=dead}}</ref>
<!-- ---Do not discard this reference from the government agency, only update latest bulletin--- http://portal.salud.gob.mx/index.html Secretaría de Salud - Mexican government.--><!-- Update the following: -->
| 70,715<ref name="Mexico official">{{cite web |url=http://portal.salud.gob.mx/contenidos/noticias/influenza/estadisticas.html |title=Influenza A(H1N1 )|date=18 January 2010 |publisher=México, Secretaría de Salud |language=es |archive-url=https://web.archive.org/web/20100128000345/http://portal.salud.gob.mx/contenidos/noticias/influenza/estadisticas.html |archive-date=28 January 2010 |access-date=18 January 2010}}</ref>
<!-- PLEASE KEEP THE OFFICIAL REFERENCE FOR MEXICO, only update latest bulletin. It is updated on a regular basis. -->
| 1,316<ref name="Mexico official" />
|-
|style="text-align:left"| ]
<!-- COUNTS FOR CHINESE MAINLAND ONLY; HONG KONG, MACAU, & TAIWAN ARE SEPARATE ENTITIES! PLEASE NOTE THAT THE WHO UPDATE COMBINES THESE INTO A SINGLE UNIT, SO ISN'T ACCURATE FOR THIS TABLE -->
|colspan="5"|
| 120,940<ref name="china">Productions, Visible. (31 January 2011) {{Webarchive|url=https://web.archive.org/web/20240609110859/https://www.yahoo.com/ |date=9 June 2024 }}. Health.yahoo.com. Retrieved on 7 February 2011.</ref>
| 800<ref> {{Webarchive|url=https://web.archive.org/web/20210224115938/http://www.chinadaily.com.cn/china/2010-04/03/content_9684674.htm |date=24 February 2021 }}. Chinadaily.com.cn. Retrieved on 7 February 2011.</ref>
|-
|style="text-align:left"| ]
|{{no2}}R
|{{no2}}+
|{{no2}}**
|{{no2}}mod
|<ref name="EuroFlu-w45">{{cite web|url=http://www.euroflu.org/index.php|title=EuroFlu – Weekly Electronic Bulletin|date=13 November 2009|work=Data Status Week 45 (Nov, 8)|publisher=WHO/Europe|access-date=18 November 2009|archive-date=19 November 2009|archive-url=https://web.archive.org/web/20091119175417/http://www.euroflu.org/index.php|url-status=live}}</ref>
| 12,316<ref name="turkey">{{cite web |url=http://news.xinhuanet.com/english/2009-11/05/content_12394026.htm|archive-url=https://web.archive.org/web/20110809133633/http://news.xinhuanet.com/english/2009-11/05/content_12394026.htm|url-status=dead|archive-date=9 August 2011|title= A/H1N1 flu death toll rises to 19 in Turkey: ministry |publisher=Xinhua|date=5 November 2009| access-date=5 November 2009}}</ref>
| 656<ref> {{Webarchive|url=https://web.archive.org/web/20160304195733/http://www.romandie.com/ats/news/100729114055.mzs1e0vm.asp |date=4 March 2016 }}. Romandie. Retrieved on 7 February 2011.</ref>
|-
|style="text-align:left"|]
|{{no|}}W
|{{yes2}}-
|{{yes2}}
|{{yes2}}low
|<ref name="argentina official" />
| (11,458)<ref name="argentina official">{{cite web |url=http://www.msal.gov.ar/archivos/Informe%20SE%2049-%20FINAL%20PDF.pdf |title=Influenze Pandémica (H1N1) 2009. República Argentina |date=18 December 2009 |work=week 49 |author=Ministry of Health |language=es |archive-url=https://web.archive.org/web/20111103163545/http://msal.gov.ar/archivos/Informe%20SE%2049-%20FINAL%20PDF.pdf |archive-date=3 November 2011 |access-date=22 December 2009}}</ref>
| 626<ref name="pahoamerica"/>
|-
|style="text-align:left"| ]
|{{no|}}W
|{{no2}}+
|{{no2}}**
|
|<ref name="EuroFlu-w45(SI)+who-w44(T)">A combination of two sources:<br />Spread/Intensanity from: {{cite web|url=http://www.euroflu.org/index.php|title=EuroFlu – Weekly Electronic Bulletin|date=13 November 2009|work=Data Status Week 45 (Nov, 8)|publisher=WHO/Europe|access-date=18 November 2009|archive-date=19 November 2009|archive-url=https://web.archive.org/web/20091119175417/http://www.euroflu.org/index.php|url-status=live}}<br />Trend from: {{cite web|url=http://www.who.int/csr/disease/swineflu/updates/en/index.html|archive-url=https://web.archive.org/web/20090501210352/http://www.who.int/csr/disease/swineflu/updates/en/index.html|url-status=dead|archive-date=1 May 2009|title=Pandemic (H1N1) 2009 – update 74|date=13 November 2009|work=Data Status Week 44 (Nov, 1)|publisher=WHO|access-date=18 November 2009}}</ref><ref>Northwest: L= / * ; Central: S= / * ; South: S= / * ; Volga: S= / * ; Urals: S+ / * ; Siberian:S= / * ; Far East R+ / * ; Source: EuroFlu week 42</ref>
| 25,339<ref name="Russia">]{{User-generated source|date=April 2016}}</ref>
| 604<ref name="Russia"/>
|-
|style="text-align:left"|]<sup>]</sup>
|{{no2}}R
|{{Yes-No|}}=
|{{Yes-No|}}*
|
|<ref name="who-w44">{{cite web|url=http://www.who.int/csr/disease/swineflu/updates/en/index.html|archive-url=https://web.archive.org/web/20090501210352/http://www.who.int/csr/disease/swineflu/updates/en/index.html|url-status=dead|archive-date=1 May 2009|title=Pandemic (H1N1) 2009 – update 74|date=13 November 2009|work=Data Status Week 44 (Nov, 1)|publisher=WHO|access-date=18 November 2009}}</ref><ref>England: W= / * , North Ireland: S- / ** , Scotland: L= / * , Wales: W+ / *. Source: EuroFlu week 45 (Wales: EuroFlu week 45, Scotland: EuroFlu week 45)</ref>
| (28,456)<ref name="HPA51"/>
| 474
|-
|style="text-align:left"| ]
|{{no|}}W
|{{no2}}+
|{{no2}}**
|
|<ref name="paho-w43-Okt31" />
| (25,828)<ref>{{Cite web|url=https://www.canada.ca/en/public-health/services/diseases/flu-influenza/influenza-surveillance.html|title=Flu (influenza): FluWatch surveillance|first=Public Health Agency of|last=Canada|date=19 October 2018|website=www.canada.ca|access-date=29 August 2022|archive-date=29 August 2022|archive-url=https://web.archive.org/web/20220829204758/https://www.canada.ca/en/public-health/services/diseases/flu-influenza/influenza-surveillance.html|url-status=live}}</ref>
| 429<ref> {{Webarchive|url=https://web.archive.org/web/20120419074633/http://www.phac-aspc.gc.ca/fluwatch/09-10/w09_10/index-eng.php |date=19 April 2012 }}. Phac-aspc.gc.ca (12 March 2010). Retrieved on 7 February 2011.</ref>
|-
|style="text-align:left"| ]<sup>]</sup>
|{{no2}}R
|{{Yes-No|}}=
|{{Yes-No|}}*
|{{yes2}}low
|<ref name="EuroFlu-w45" />
| 1,980,000<!-- Do not change this reference from the government agency, only update latest bulletin --><ref name="france1027">{{cite web |url=http://www.grog.org/cgi-files/db.cgi?action=bulletin_grog |title=Situation en France |language=fr |publisher=Groupe régionaux d'observatoire de la grippe |date=18 November 2009 |archive-url=https://web.archive.org/web/20091124030609/http://www.grog.org/cgi-files/db.cgi?action=bulletin_grog |archive-date=24 November 2009 |access-date=18 November 2009}}</ref><ref name="pacific Dec23" />
| 344<ref>{{cite web |url=http://www.invs.sante.fr/display/?doc=surveillance/grippe_dossier/points_grippe/grippe_100310/index.html |title=Institut de veille sanitaire |website=Invs.sante.fr |archive-url=https://web.archive.org/web/20100412111745/http://www.invs.sante.fr/display/?doc=surveillance%2Fgrippe_dossier%2Fpoints_grippe%2Fgrippe_100310%2Findex.html |archive-date=12 April 2010 |access-date=7 February 2011 |url-status=live }}</ref><!--32 other deaths in french overseas territors -->
|-
|style="text-align:left"| ]
|{{no|}}W
|{{no2}}+
|{{Yes-No|}}*
|
|<ref name="EuroFlu-w45" />
| (1,538)<ref name="spain">{{cite web|url=http://www.msps.es/servCiudadanos/alertas/informesGripeA/090723.htm|title=Informe diario de situación Nacional e Internacional. Gripe A/H1N1.|date=23 July 2009|access-date=16 December 2009|archive-date=14 December 2009|archive-url=https://web.archive.org/web/20091214003352/http://www.msps.es/servCiudadanos/alertas/informesGripeA/090723.htm|url-status=dead}}</ref>
| 300<ref> {{Webarchive|url=https://web.archive.org/web/20181116031108/https://www.laopinioncoruna.es/sociedad/2010/01/27/trinidad-jimenez-gripe-afecto-30-poblacion-espanola/353652.html |date=16 November 2018 }}. Laopinioncoruna.es. Retrieved on 7 February 2011.</ref>
|-
|style="text-align:left"|]
|colspan="5"|
| 15,812<ref name="egypt official">Ministry of Health, {{Webarchive|url=https://web.archive.org/web/20100820033412/http://www.mohp.gov.eg/swine_flu/news_details.aspx?id=66&p=1|date=20 August 2010}}| Updated 13 February 2010</ref>
<!--PLEASE KEEP THE OFFICIAL REFERENCE FOR EGYPT, the reports are updated daily. Just update the access-date and take the numbers from the most recent report.-->
| 278<ref> {{Webarchive|url=https://web.archive.org/web/20100820033412/http://www.mohp.gov.eg/swine_flu/news_details.aspx?id=66&p=1 |date=20 August 2010 }}. Mohp.gov.eg. Retrieved on 7 February 2011.</ref>
|-
|style="text-align:left"| ]
|{{yes2}}N
|{{yes2}}=
|{{yes2}}
|{{yes2}}low
|<ref>{{cite web |url=http://www.euroflu.org/index.php |title=EuroFlu – Weekly Electronic Bulletin |issue=2010/27 |access-date=12 October 2021 |archive-date=16 April 2014 |archive-url=https://web.archive.org/web/20140416212430/http://www.euroflu.org/index.php |url-status=live }}</ref>
| (222,360)<ref name="influenza1"> {{Webarchive|url=https://web.archive.org/web/20211011163838/https://influenza.rki.de/ |date=11 October 2021 }}. Influenza.rki.de. Retrieved on 7 February 2011.</ref>
| 258<ref name="influenza1"/>
|-
|style="text-align:left"| ]
|{{no|}}W
|{{no2}}+
|{{Yes-No|}}*
|{{yes2}}low
|
| 107,939<ref name="southkorea">{{cite web |url=http://english.yonhapnews.co.kr/national/2009/11/03/97/0302000000AEN20091103006900320F.HTML |title=S. Korea vows to go all out to curb flu spread |publisher=Yonhap News |date=3 November 2009 |access-date=3 November 2009 |archive-date=9 June 2024 |archive-url=https://web.archive.org/web/20240609110907/https://en.yna.co.kr/ |url-status=live }}</ref>
| 250<ref> {{Webarchive|url=https://web.archive.org/web/20110607233537/http://joongangdaily.joins.com/article/view.asp?aid=2918795 |date=7 June 2011 }}. Joongangdaily.joins.com (6 April 2010). Retrieved on 7 February 2011.</ref>
|-
|style="text-align:left"|]
|{{no2}}R
|{{Yes-No|}}=
|{{Yes-No|}}*
|{{yes2}}low
|<ref name="who searo Nov16"/>
| 31,902<ref name="who searo cases Jan15"/>
| 249<ref> {{Webarchive|url=https://web.archive.org/web/20210307195659/https://www.ryt9.com/s/iq01/971573 |date=7 March 2021 }}. Ryt9.com (26 August 2010). Retrieved on 7 February 2011.</ref>
|-
|style="text-align:left"| ]
|{{no|}}W
|{{no2}}+
|{{no2}}**
|
|<ref name="EuroFlu-w44">{{cite web |url=http://www.euroflu.org/index.php |title=EuroFlu – Weekly Electronic Bulletin |date=6 November 2009 |work=Data Status Week 44 (Nov, 1) |publisher=WHO/Europe |access-date=18 November 2009 |archive-date=19 November 2009 |archive-url=https://web.archive.org/web/20091119175417/http://www.euroflu.org/index.php |url-status=live }}</ref>
| 3,064,933<ref name="italy official">{{cite web |url=http://www.ministerosalute.it/dettaglio/datiFocusNuovo.jsp?id=13&lang=it&area=influenzaA |title=Influenza A/H1N1 – Il punto della situazione |date=26 November 2009 |language=it |archive-url=https://web.archive.org/web/20091127132527/http://www.ministerosalute.it/dettaglio/datiFocusNuovo.jsp?id=13&lang=it&area=influenzaA |archive-date=27 November 2009 |access-date=27 November 2009}}</ref>
| 244<ref name="europa1"> {{Webarchive|url=https://web.archive.org/web/20160915154204/http://ecdc.europa.eu/en/healthtopics/H1N1/epidemiological_data/Pages/number_confirmed_fatal_2009_pandemic_influenza_cases.aspx |date=15 September 2016 }}. Ecdc.europa.eu (3 May 2010). Retrieved on 8 February 2011.</ref>
|-
|style="text-align:left"| ]
<!--Source: http://www.msal.gov.ar/archivos/Parte%20nueva%20influenza%2012-06.pdf -->
|{{no|}}W
|{{no2}}+
|{{Yes-No|}}*
|{{no2}}mod
|<ref name="paho-w43-Okt31" />
| 4,310<ref name=":0">{{cite web|url=https://www.minsalud.gov.co/Documentos%20y%20Publicaciones/AN%C3%81LISIS%20DE%20LA%20PANDEMIA%20DE%20INFLUENZA%20A%20H1N1.pdf|title=ANÁLISIS DE LA PANDEMIA DE INFLUENZA A H1N1 COMPARATIVO 2009 – 2010.|date=1 September 2010|access-date=23 March 2020|author=Ministerio de Protección Social|archive-date=23 March 2020|archive-url=https://web.archive.org/web/20200323214854/https://www.minsalud.gov.co/Documentos%2520y%2520Publicaciones/AN%25C3%2581LISIS%2520DE%2520LA%2520PANDEMIA%2520DE%2520INFLUENZA%2520A%2520H1N1.pdf|url-status=dead}}</ref>
| 272<ref name=":0" />
|-
|style="text-align:left"| ]
<!-- {{cite web |url=http://www.minsa.gob.pe/portada/prensa/notas_auxiliar.asp?nota=7800 |title=COMUNICADO OFICIAL Nº 94 |publisher=Ministerio de Salud |date=24 August 2009 |access-date=24 August 2009}} -->
<!-- IF YOU UPDATE THE NUMBER PLEASE UPDATE THE REFERENCE -->
|{{no|}}W
|{{yes2}}-
|{{Yes-No|}}*
|{{yes2}}low
|<ref name=autogenerated4>{{cite web|url=http://www.disacallao.gob.pe/in_26nov.pdf|title=Informe Regional DIRESA Callao|date=16 October 2009|work=Data Status Week 40 (Okt, 10)|publisher=WHO PAHO|access-date=19 October 2009}}</ref>
| 9,165<ref name="pahoamericas"/>
| 223<ref name="pahoamerica"/>
|-
|style="text-align:left"| ]
|{{no2}}R
|{{no2}}+
|{{no2}}**
|{{no2}}mod
|<ref name="EuroFlu-w45" />
| 494<ref name="ukraine">{{cite web|url=http://www.mhacolorado.org/page/pressroom/index.v3page;jsessionid=14xqbsx4gvws4?nf_v=st&nf_act=0&nf_cid=0&nf_win=1&nf_mv=s&nf_fid=45&nf_sid=98699997|title=Best Practices Reporting|date=15 December 2009|access-date=20 December 2009|archive-date=27 July 2011|archive-url=https://web.archive.org/web/20110727081902/http://www.mhacolorado.org/page/pressroom/index.v3page;jsessionid=14xqbsx4gvws4?nf_v=st&nf_act=0&nf_cid=0&nf_win=1&nf_mv=s&nf_fid=45&nf_sid=98699997|url-status=dead}}</ref>
| 213<ref name="ukraine"/>
|-
|style="text-align:left"| ]
|{{no|}}W
|{{yes2}}-
|{{Yes-No|}}*
|{{yes2}}low
|<ref name="paho-w43-Okt31" />
| 2,251<ref name="pahoamericas"/>
| 200<ref>{{cite news |title=Confirmadas 200 muertes por la gripe A en Ecuador |url=http://lahora.com.ec/index.php/noticias/show/1036312/-1/Confirmadas_200_muertes_por_la_gripe_A_en_Ecuador.html |newspaper=La Hora |location=Quito |agency=ECE |date=18 May 2010 |access-date=7 February 2011}}</ref>
|-
|style="text-align:left"| ]
<!-- Please update using official figures from if possible (http://www.mhlw.go.jp/english/topics/influenza_a/influenza_a02.html) -->
|{{no|}}W
|{{no2}}+
|
|
|<ref name="who-w43">{{cite web|url=http://www.who.int/csr/disease/swineflu/updates/en/index.html|archive-url=https://web.archive.org/web/20090501210352/http://www.who.int/csr/disease/swineflu/updates/en/index.html|url-status=dead|archive-date=1 May 2009|title=Pandemic (H1N1) 2009 – update 73|date=6 November 2009|work=Data Status Week 43 (Okt, 25)|publisher=WHO|access-date=18 November 2009}}</ref>
<!-- The actual number of laboratory-confirmed--not estimated-- cases of A/H1N1 in Japan is listed at around 110,000 as of 8/26. In the meantime, please leave this higher number intact, as it's an actual number (though it seriously understates for now the number of actual cases in Japan.) Japan defines a 'group infection' as at least one laboratory-confirmed case of A/H1N1 among two or more patients with an influenza-like illness in the same group such as school or workplace. -->
| 11,636<ref name=japan>{{cite web |url=https://www.bloomberg.com/apps/news?pid=20601101&sid=agyB.yk1c9.Q |title=Chugai Pharma to Triple Tamiflu Supply in Japan |publisher=] |date=7 September 2009 |access-date=7 September 2009 |archive-date=9 June 2024 |archive-url=https://web.archive.org/web/20240609110901/https://www.bloomberg.com/politics?pid=20601101&sid=agyB.yk1c9.Q |url-status=live }}</ref>
| 198<ref>{{Citation |author=Masayuki Takata |author2=Hideki Hiramoto |publication-date=17 April 2010 |title=Now is the time to rethink new flu tack |newspaper=] |at=Daily Yomiuri Online |publication-place=Japan |url=http://www.yomiuri.co.jp/dy/national/20100417TDY03T05.htm |archive-url=https://web.archive.org/web/20100418114305/http://www.yomiuri.co.jp/dy/national/20100417TDY03T05.htm |archive-date=18 April 2010 }}</ref>
|-
|style="text-align:left"|]
<!-- Update these figures from the official bulletin at http://www.healthemergency.gov.au , don't replace it with a who-link, because www.healthemergency.gov.au updates every 24h.-->
|{{no|}}W
|{{yes2}}-
|
|
|<ref name="who-w38(S)+who-w39(T)">A combination of two sources:<br />Spread from: {{cite web|url=http://www.who.int/csr/disease/swineflu/updates/en/index.html|title=Pandemic (H1N1) 2009 – update 68|date=2 October 2009|work=Data Status Week 38 (Sep, 20)|publisher=WHO|access-date=20 October 2009|archive-date=1 May 2009|archive-url=https://web.archive.org/web/20090501210352/http://www.who.int/csr/disease/swineflu/updates/en/index.html|url-status=live}}<br />Trend from: {{cite web|url=http://www.who.int/csr/disease/swineflu/updates/en/index.html|title=Pandemic (H1N1) 2009 – update 69|date=9 October 2009|work=Data Status Week 39 (Sep, 27)|publisher=WHO|access-date=20 October 2009|archive-date=1 May 2009|archive-url=https://web.archive.org/web/20090501210352/http://www.who.int/csr/disease/swineflu/updates/en/index.html|url-status=live}}</ref>
| 37,484<ref name="pacific Dec23"/>
| 187<ref>{{Citation |publication-date=30 October 2009 |title=PANDEMIC (H1N1) 2009 UPDATE BULLETIN |work=Pandemic (H1N1) Influenza 2009 |issue=1200 AEST on 30 October 2009 |publisher=] |publication-place=Australia |access-date=26 January 2013 |url=http://www.flupandemic.gov.au/internet/panflu/publishing.nsf/Content/B74E65D9ECE4BA81CA25781E000F7FEE/$File/30-0ct-09.pdf |archive-date=11 April 2013 |archive-url=https://web.archive.org/web/20130411053829/http://www.flupandemic.gov.au/internet/panflu/publishing.nsf/Content/B74E65D9ECE4BA81CA25781E000F7FEE/$File/30-0ct-09.pdf |url-status=live }}</ref>
|-
|style="text-align:left"| ]
|{{no|}}W
|{{no2}}+
|{{no2}}**
|{{no2}}mod
|<ref name="EuroFlu-w45" />
| (2,024)<ref name = poland>{{cite news|url=http://news.xinhuanet.com/english/2009-12/15/content_12647335.htm|archive-url=https://web.archive.org/web/20100109214455/http://news.xinhuanet.com/english/2009-12/15/content_12647335.htm|url-status=dead|archive-date=9 January 2010|title=A/H1N1 flu takes more lives in Poland|date=15 December 2009|access-date=15 December 2009}}</ref>
| 181<ref name="europa1"/>
|-
|style="text-align:left"|]
|{{no|}}W
|{{Yes-No|}}=
|{{yes2}}
|{{yes2}}low2
|<ref name="Chile Oficial">{{cite web |url=http://www.redsalud.gov.cl/portal/url/page/minsalcl/g_varios/influenza.html |title=Reporte sobre Influenza |date=4 November 2009 |website=Ministerio de Salud de Chile |language=es |archive-url=https://web.archive.org/web/20091122012748/http://www.redsalud.gov.cl/portal/url/page/minsalcl/g_varios/influenza.html |archive-date=22 November 2009 |access-date=17 November 2009}}</ref>
| 12,258<ref name="chile1104">{{cite web |url=http://www.redsalud.gov.cl/minsalaudios/reporte4noviembre.pdf |title=Influenza Pandémica (H1N1) 2009 |date=4 November 2009 |publisher=Ministerio de Salud de Chile |archive-url=https://web.archive.org/web/20091122065654/http://www.redsalud.gov.cl/minsalaudios/reporte4noviembre.pdf |archive-date=22 November 2009 |access-date=16 November 2009}}</ref>
| 156<ref>" {{Webarchive|url=https://web.archive.org/web/20110208081349/http://new.paho.org/hq/index.php?option=com_docman&task=doc_download&gid=7017&Itemid= |date=8 February 2011 }} (6 July 2010 – 17 h GMT; 12 h EST)", Pan American Health Organization</ref>
|-
|style="text-align:left"| ]
|colspan="5"|
| (452)<ref name="syria">"". Xinhua (27 January 2010). Retrieved on 7 February 2011.</ref>
| 152<ref name="syria"/>
|-
|style="text-align:left"| ]
|{{yes2}}N
|{{no2}}+
|{{Yes-No|}}*
|
|<ref name="EuroFlu-w45" />
| (17,977)<!-- IF YOU UPDATE THE NUMBER PLEASE UPDATE THE REFERENCE --><ref name="greece">{{cite news|url=http://www.protothema.gr/greece/article/?aid=62083|title=Ο αριθμός των νεκρών λόγω γρίπης συνεχώς αυξάνεται|date=26 February 2009|access-date=28 February 2009|language=el|archive-date=2 March 2010|archive-url=https://web.archive.org/web/20100302144044/http://www.protothema.gr/greece/article/?aid=62083|url-status=live}}</ref>
| 149<ref> {{Webarchive|url=https://web.archive.org/web/20170426123320/http://ecdc.europa.eu/en/publications/Publications/100507_SUR_Weekly_Influenza_Surveillance_Overview.pdf |date=26 April 2017 }}, Main surveillance developments in week 17/2010 (26 April 2010 – 2 May 2010)</ref>
|-
|style="text-align:left"| ]
|colspan="5"|
| 3,672<ref name="who emro Jan04"/>
| 147<ref name="ecdc" />
|-
|style="text-align:left"| ]
|{{no|}}W
|{{yes2}}-
|{{Yes-No|}}*
|{{no2}}mod
|<ref name="paho-w43-Okt31" />
| 2,187<ref> {{Webarchive|url=https://web.archive.org/web/20210308031535/https://www.prensa-latina.cu/index.php?option=com_content&task=view&id=157291&Itemid=1 |date=8 March 2021 }}. Prensa-latina.cu (1 January 1970). Retrieved on 7 February 2011.</ref>
| 135<ref>{{in lang|es}} {{Webarchive|url=https://web.archive.org/web/20160303172629/http://www.el-carabobeno.com/p_pag_not.aspx?art=a120810b08&id=t120810-b08 |date=3 March 2016 }}. El-carabobeno.com. Retrieved on 7 February 2011.</ref>
|-
|style="text-align:left"| ]
|{{Yes-No|}}L
|{{no2}}+
|{{yes2}}
|{{yes2}}low
|<ref name="EuroFlu-w45" />
| (283)<ref>{{cite web |url=http://news.xinhuanet.com/english/2009-10/16/content_12244891.htm|archive-url=https://web.archive.org/web/20091017205509/http://news.xinhuanet.com/english/2009-10/16/content_12244891.htm|url-status=dead|archive-date=17 October 2009|title= A/H1N1 flu virus claims 4th victim in Hungary |publisher=Xinhua| date=16 October 2009 |access-date=16 October 2009}}</ref>
| 134<ref name="europa1"/>
|-
|style="text-align:left"| ]
|colspan="5"|
| 14,500<ref name="who emro Jan04"/>
| 128<ref name="who emro Jan04"/>
|-
|style="text-align:left"| ]
|{{no2}}R
|{{no2}}+
|{{Yes-No|}}*
|{{yes2}}low
|<ref name="EuroFlu-w45(STI)+EuroFlu-w42(J)">A combination of two sources:<br />Spread/Trend/Intensity from: {{cite web|url=http://www.euroflu.org/index.php|title=EuroFlu – Weekly Electronic Bulletin|date=13 November 2009|work=Data Status Week 45 (Nov, 8)|publisher=WHO/Europe|access-date=18 November 2009|archive-date=19 November 2009|archive-url=https://web.archive.org/web/20091119175417/http://www.euroflu.org/index.php|url-status=live}}<br />Impact from: {{cite web|url=http://www.euroflu.org/index.php|title=EuroFlu – Weekly Electronic Bulletin|date=23 October 2009|work=Data Status Week 42 (Okt, 18)|publisher=WHO/Europe|access-date=18 November 2009|archive-date=19 November 2009|archive-url=https://web.archive.org/web/20091119175417/http://www.euroflu.org/index.php|url-status=live}}</ref>
| (166,922)<ref>{{cite web |url=http://www.portaldasaude.pt/portal/conteudos/a+saude+em+portugal/ministerio/comunicacao/comunicados+de+imprensa/ponto+lI.htm |title=156.701 casos confirmados em Portugal |website=Portal da Saúde |publisher=Ministério da Saúde |access-date=12 October 2021 |archive-date=27 February 2012 |archive-url=https://web.archive.org/web/20120227014259/http://www.portaldasaude.pt/portal/conteudos/a+saude+em+portugal/ministerio/comunicacao/comunicados+de+imprensa/ponto+lI.htm |url-status=live }}</ref>
| 122<ref name="europa1"/>
|-
|style="text-align:left"| ]
|{{no|}}W
|{{no2}}+
|{{Yes-No|}}*
|{{no2}}mod
|<ref name="EuroFlu-w45" />
| 7,006<ref name=romminhealth20090904>{{Citation |publication-date=4 September 2009 |title=Date statistice privind gripa nouă |language=ro |type=Press Release |work=Comunicate de presă |publisher=] |publication-place=Romania |url=http://www.ms.ro/index.php?pag=62&id=8251&pg=1 |access-date=26 January 2013 |archive-date=4 March 2016 |archive-url=https://web.archive.org/web/20160304001333/http://www.ms.ro/index.php?pag=62&id=8251&pg=1 |url-status=live }}</ref>
| 122<ref name=romminhealth20090904/>
|-
|style="text-align:left"| ]
|{{Yes-No|}}L
|{{no2}}+
|{{yes2}}
|
|<ref name="EuroFlu-w45" />
| 2,445<ref>{{cite news |title=Swine flu claims 101 lives in ČR, low demand for vaccination |url=http://praguemonitor.com/2010/02/25/swine-flu-claims-101-lives-%C4%8Dr-low-demand-vaccination |newspaper=Prague Daily Monitor |date=25 February 2010 |archive-url=https://archive.today/20100225142716/http://praguemonitor.com/2010/02/25/swine-flu-claims-101-lives-%C4%8Dr-low-demand-vaccination |url-status=live |archive-date=25 February 2010}}</ref>
| 102<ref>{{cite news |title=ČR among EU countries with highest swine flu death rate |url=http://praguemonitor.com/2010/03/19/%C4%8Dr-among-eu-countries-highest-swine-flu-death-rate |newspaper=Prague Daily Monitor |date=19 March 2010 |archive-url=https://web.archive.org/web/20100329135901/http://praguemonitor.com/2010/03/19/%C4%8Dr-among-eu-countries-highest-swine-flu-death-rate |archive-date=29 March 2010}}</ref>
|-
|style="text-align:left"| ]
|{{no|}}W
|{{no2}}+
|{{Yes-No|}}*
|{{yes2}}low
|<ref name="EuroFlu-w45" />
| 4,330<ref name="israel">{{cite web|url=http://www.israelnationalnews.com/News/Flash.aspx/173185|title=Swine-Flu Infection Count at 4,330|publisher=Arutz Sheva|date=26 October 2009|access-date=26 October 2009|archive-date=29 October 2009|archive-url=https://web.archive.org/web/20091029152332/http://www.israelnationalnews.com/News/Flash.aspx/173185|url-status=live}}</ref>
| 94<ref> {{Webarchive|url=https://web.archive.org/web/20210307193329/https://www.ynetnews.com/articles/0,7340,L-3850109,00.html |date=7 March 2021 }}. Ynetnews.com (20 June 1995). Retrieved on 7 February 2011.</ref>
|-
|style="text-align:left"| ]
|colspan="5"|
| 12,640<ref name="who afro upd67"/>
| 93<ref name="ecdc" />
|-
|style="text-align:left"| ]
<!-- Official bulletin: http://h1n1.moh.gov.my/index.php?option=com_content&view=article&id=120&catid=902 -->
|colspan="5"|
| 12,210<ref name="malaysia">{{cite web |url=http://news.xinhuanet.com/english/2009-12/04/content_12587660.htm |archive-url=https://web.archive.org/web/20110809133824/http://news.xinhuanet.com/english/2009-12/04/content_12587660.htm |url-status=dead |archive-date=9 August 2011 |title= Malaysia on alert for new A/H1N1 wave |publisher=Xinhua|date=4 December 2009 |access-date=4 December 2009}}</ref>
| 92<ref> {{Webarchive|url=https://web.archive.org/web/20160303184921/http://www.bernama.com/bernama/v5/newsgeneral.php?id=520661 |date=3 March 2016 }}. Bernama (11 August 2010). Retrieved on 7 February 2011.</ref>
|-
|style="text-align:left"| ]
|{{no|}}W
|{{no2}}+
|{{no2}}**
|{{no2}}mod
|<ref name="EuroFlu-w45" />
| 88<ref> {{Webarchive|url=https://web.archive.org/web/20130517140029/http://news.open.by/health/21153 |date=17 May 2013 }}. News.open.by. Retrieved on 7 February 2011.</ref>
|-
|style="text-align:left"| ]
|{{no2}}R
|{{no2}}+
|{{no2}}**
|{{yes2}}low
|<ref name="EuroFlu-w45" />
| 695<ref> {{Webarchive|url=https://web.archive.org/web/20160303221716/http://www.srbija.gov.rs/vesti/vest.php?id=125619 |date=3 March 2016 }}, Влада Републике Србије</ref>
| 83<ref>{{cite news |title=Novi udar gripa? |url=https://www.glas-javnosti.rs/clanak/drustvo/glas-javnosti-10-03-2010/novi-udar-gripa |access-date=15 March 2020 |work=Glas javnosti |archive-url=https://web.archive.org/web/20100414113711/https://www.glas-javnosti.rs/clanak/drustvo/glas-javnosti-10-03-2010/novi-udar-gripa |archive-date=14 April 2010}}</ref>
|-
|style="text-align:left"| ]
<!-- Use official bulletins from Center for Health Protection. The URL for the report is the same and it is reported daily (http://www.chp.gov.hk/files/pdf/Daily_update_on_swine_influenza_bilingual.pdf), so update the date and your access-date.
Please also update the numbers for Mainland China, Taiwan(?) and Macau, as they are reported in this bulletin, too -->
|colspan="5"|
| 33,109<ref name="hongkong">Daily {{cite web|url=http://www.chp.gov.hk/files/pdf/ssfm_17_12_09.pdf|title=Swine and Seasonal Flu Monitor – Volume 1, Number 13|publisher=Surveillance and Epidemiology Branch, Centre for Health Protection|date=17 December 2009|access-date=19 December 2009|archive-date=9 June 2024|archive-url=https://web.archive.org/web/20240609111401/http://www.chp.gov.hk/files/pdf/ssfm_17_12_09.pdf|url-status=live}}</ref>
| 80<ref> {{Webarchive|url=https://web.archive.org/web/20130516113328/http://english.people.com.cn/90001/90782/90880/6952852.html |date=16 May 2013 }}. English.people.com.cn (15 April 2010). Retrieved on 7 February 2011.</ref>
|-
|style="text-align:left"| ]
|{{no|}}W
|{{no2}}+
|{{no2}}**
|{{no2}}mod
|<ref name="paho-w41-Okt26">{{cite web|url=http://new.paho.org/hq/index.php?option=com_content&task=blogcategory&id=814&Itemid=1206|title=Regional Update Pandemic (H1N1) 2009|date=26 October 2009|work=Data Status Week 41 (Okt, 17)|publisher=WHO PAHO|access-date=29 October 2009|archive-date=28 October 2009|archive-url=https://web.archive.org/web/20091028222848/http://new.paho.org/hq/index.php?option=com_content&task=blogcategory&id=814&Itemid=1206|url-status=dead}}</ref>
| 973<ref name="cuba"> {{Webarchive|url=https://web.archive.org/web/20230406091617/https://en.trend.az/regions/world/ocountries/1604204.html |date=6 April 2023 }}. En.trend.az (21 December 2009). Retrieved on 7 February 2011.</ref>
| 69<ref>{{cite news |title=Cuba reporta 69 fallecidos por el virus A (H1N1) |url=https://www.cubanet.org/noticias/cuba-reporta-69-fallecidos-por-el-virus-a-h1n1/ |newspaper=Cubanet.org |date=16 June 2010 |access-date=12 October 2021 |archive-date=8 March 2021 |archive-url=https://web.archive.org/web/20210308130221/https://www.cubanet.org/noticias/cuba-reporta-69-fallecidos-por-el-virus-a-h1n1/ |url-status=live }}</ref>
|-
|style="text-align:left"| ]
|{{no|}}W
|{{yes2}}-
|{{Yes-No|}}*
|{{yes2}}low
|<ref name="paho-w43-Okt31" />
| (1,867)<ref> {{Webarchive|url=https://web.archive.org/web/20240609111403/https://www.larepublica.net/noticia/100_personas_con_gripe_a_en_el_ultimo_mes |date=9 June 2024 }}. LaRepublica.net. Retrieved on 7 February 2011.</ref>
| 67<ref> {{Webarchive|url=https://web.archive.org/web/20160303171309/http://spanish.peopledaily.com.cn/31614/7069111.html |date=3 March 2016 }}. Spanish.peopledaily.com.cn (16 July 2010). Retrieved on 7 February 2011.</ref>
|-
|style="text-align:left"| ]
|colspan="5"|
| 2,890<ref name="who emro Jan04"/>
| 64<ref name="who emro Jan04"/>
|-
|style="text-align:left"| ]<sup>]</sup>
|{{no|}}W
|{{no2}}+
|{{Yes-No|}}*
|{{yes2}}low
|<ref name="EuroFlu-w45" />
| (1,473)<ref name="ecdc Sep28">{{cite web |url=http://ecdc.europa.eu/en/healthtopics/Documents/090928_Influenza_AH1N1_Situation_Report_0900hrs.pdf |title=ECDC Daily Update – Pandemic (H1N1) 2009 – 28 September 2009 |date=28 September 2009 |access-date=28 September 2009 |archive-date=7 October 2009 |archive-url=https://web.archive.org/web/20091007130950/http://www.ecdc.europa.eu/en/healthtopics/Documents/090928_Influenza_AH1N1_Situation_Report_0900hrs.pdf |url-status=dead }}</ref>
| 62<ref name="europa1"/>
|-
|style="text-align:left"| ]
|{{no|}}W
|{{yes2}}-
|{{Yes-No|}}*
|{{yes2}}low
|<ref name="paho-w43-Okt31" />
| 2,310<ref name="pahoamericas"/>
| 59<ref name="ecdc" />
|-
|style="text-align:left"| ]
|colspan="5"|
| 11,186<ref name="xinhuanet1">"". Xinhua (10 February 2010). Retrieved on 7 February 2011.</ref>
| 58<ref name="xinhuanet1"/>
|-
|style="text-align:left"| ]
|colspan="5"|
| 916<ref name="who afro upd67"/>
| 57<ref name="ecdc" />
|-
|style="text-align:left"| ]
|{{no|}}W
|{{no2}}+
|{{no2}}**
|
|<ref name="EuroFlu-w45" />
| 6,122<ref name="finland">{{cite web|url=http://news.xinhuanet.com/english/2009-11/26/content_12546154.htm|archive-url=https://web.archive.org/web/20091129015214/http://news.xinhuanet.com/english/2009-11/26/content_12546154.htm |date=Nov 26, 2009 |url-status=dead|archive-date=29 November 2009|title= Finland to vaccinate entire population against A/H1N1 flu |publisher=Xinhua|access-date=26 November 2009}}</ref>
| 56<ref>{{cite web |url=http://www.ecdc.europa.eu/en/publications/Publications/100813_SUR_Biweekly_Influenza_Surveillance_Overview.pdf |title=Weekly influenza surveillance overview - 13 August 2010 {{!}} Main surveillance developments in Weeks 30–31 2010 (26 July 2010 – 8 August 2010) |website=European Centre for Disease Prevention and Control |access-date=12 October 2021 |archive-date=26 April 2017 |archive-url=https://web.archive.org/web/20170426115229/http://ecdc.europa.eu/en/publications/Publications/100813_SUR_Biweekly_Influenza_Surveillance_Overview.pdf |url-status=live }}</ref>
|-
|style="text-align:left"| ]
|{{yes2}}S
|{{no2}}+
|{{yes2}}
|{{yes2}}low
|<ref name="EuroFlu-w45" />
| 955<ref> {{Webarchive|url=https://web.archive.org/web/20120301201845/http://www.panorama.sk/go/news/news.asp?lang=en&sv=2&id=36214 |date=1 March 2012 }}. Panorama.sk. Retrieved on 7 February 2011.</ref>
| 56<ref> {{Webarchive|url=https://web.archive.org/web/20170416083435/http://ecdc.europa.eu/en/publications/Publications/100416_SUR_Weekly_Influenza_Surveillance_Overview.pdf |date=16 April 2017 }}, Main surveillance developments in week 14/2010 (5 April 2010 – 11 April 2010)</ref>
|-
|style="text-align:left"| ]
|{{Yes-No|}}L
|{{yes2}}-
|{{no2}}**
|
|<ref name="paho-w43-Okt31" />
| 855<ref name="pahoamericas"/>
| 54<ref name="ecdc" /><ref> {{Webarchive|url=https://web.archive.org/web/20210308034846/https://www.prensa-latina.cu/index.php?option=com_content&task=view&id=203722&Itemid=1 |date=8 March 2021 }}. Prensa-latina.cu (1 January 1970). Retrieved on 7 February 2011.</ref>
|-
|style="text-align:left"| ]
<!-- Please update using official media release: http://www.moh.govt.nz/media -->
|{{Yes-No|}}L
|{{Yes-No|}}=
|{{Yes-No|}}*
|{{yes2}}low
|<ref name="who-w44" />
| (3,199)<ref name="pacific Dec23"/>
| 50<ref> {{Webarchive|url=https://web.archive.org/web/20100501142117/http://www.radionz.co.nz/news/stories/2010/04/28/1247fee1e85b |date=1 May 2010 }}. Radionz.co.nz (28 April 2010). Retrieved on 7 February 2011.</ref><ref>{{cite web |url=http://www.moh.govt.nz/moh.nsf/indexmh/influenza-a-h1n1-update-203-260810?Open |title=Pandemic Influenza H1N1 2009 (swine flu) – Update 203 |website=New Zealand Ministry of Health |date=26 August 2010 |archive-url=https://web.archive.org/web/20101119031043/http://moh.govt.nz/moh.nsf/indexmh/influenza-a-h1n1-update-203-260810?Open |archive-date=19 November 2010 |access-date=7 February 2011}}</ref>
|-
|style="text-align:left"| ]
|colspan="5"|
<!-- THE NUMBER BELOW IS LEGITIMATE, BUT INCLUDES ONLY SCHOOL STUDENTS; THERE ARE ADDITIONAL CONFIRMED CASES IN NON-STUDENTS -->
| (5,474)<ref name="taiwan">{{cite web |url=http://www.etaiwannews.com/etn/news_content.php?id=1053678&lang=eng_news |title=174 H1N1 hospitalized cases in Taiwan: health officials |publisher=eTaiwanNews |date=10 September 2009 |access-date=10 September 2009 |archive-date=13 May 2011 |archive-url=https://web.archive.org/web/20110513204302/http://www.etaiwannews.com/etn/news_content.php?id=1053678&lang=eng_news |url-status=dead }}</ref>
| 48<ref>. (PDF) . Retrieved on 7 February 2011.</ref>
|-
|style="text-align:left"| ]
|{{no|}}W
|{{no2}}+
|{{Yes-No|}}*
|{{yes2}}low
|<ref name="who searo Nov16"/>
| 642<ref name="who searo cases Jan15"/>
| 48<ref name="who searo cases Jan15"/>
|-
|style="text-align:left"| ]
|colspan="5"|
| 2,524<ref> {{Webarchive|url=https://web.archive.org/web/20121111005533/http://www.newsmoldova.ru/news.html%3Fnws_id%3D837871 |date=11 November 2012 }}. Newsmoldova.ru (28 January 2011). Retrieved on 7 February 2011.</ref>
| 46<ref> {{Webarchive|url=https://web.archive.org/web/20110926225935/http://www.basa.md/rss/ro/top/item/?359672 |date=26 September 2011 }}. Www.Basa.Md. Retrieved on 7 February 2011.</ref>
|-
<!-- PLEASE NOTE THAT IT'S ERRONEOUS TO REPORT BOTH PALESTINIAN AUTHORITY AND PALESTINIAN TERRITORIES NUMBERS AS SEPARATE ENTITIES, AS THE PA IS A SUBSET OF THE PT; DOING SO PRODUCES AN OVERCOUNT DUE TO OVERLAP -->
|style="text-align:left"| ]
|colspan="5"|
| 1,676<ref name="who emro Jan04"/>
| 43<ref name="who emro Jan04"/>
|-
|style="text-align:left"| ]
|colspan="5"|
| 2,880<ref name="who emro Jan04"/>
| 42<ref name="ecdc" />
|-
|style="text-align:left"| ]
|{{no|}}W
|{{no2}}+
|{{yes2}}
|{{yes2}}low
|<ref name="EuroFlu-w45" />
| (964)<ref name="Austria">{{cite web|url=http://www.monstersandcritics.com/news/health/news/article_1512555.php/First-local-swine-flu-death-reported-in-Austria|title=First local swine flu death reported in Austria|date=10 November 2009|publisher=monstersandcritics.com|access-date=10 November 2009|archive-date=26 November 2009|archive-url=https://web.archive.org/web/20091126091957/http://www.monstersandcritics.com/news/health/news/article_1512555.php/First-local-swine-flu-death-reported-in-Austria|url-status=dead}}</ref>
| 40<ref name="europa1"/>
|-
|style="text-align:left"| ]
|{{no|}}W
|{{no2}}+
|{{no|}}***
|
|<ref name="EuroFlu-w45" />
| 766<ref name="bulgaria">{{cite web|url=http://www.ncipd.org/index.php?page=42|title=ИНФОРМАЦИЯ ОТ НАЦИОНАЛНАТА РЕФЕРЕНТНА ЛАБОРАТОРИЯ ПО ГРИП И ОСТРИ РЕСПИРАТОРНИ ЗАБОЛЯВАНИЯ НА НЦЗПБ|date=9 November 2009|publisher=The Sofia Echo|access-date=10 November 2009|archive-date=30 March 2010|archive-url=https://web.archive.org/web/20100330202725/http://ncipd.org/index.php?page=42|url-status=live}}</ref>
| 40<ref name="europa2"> {{Webarchive|url=https://web.archive.org/web/20170426125759/http://ecdc.europa.eu/en/publications/Publications/100205_EISN_Weekly_Influenza_Surveillance_Overview.pdf |date=26 April 2017 }}, Main surveillance developments in week 4/2010 (25 Jan 2010—31 Jan 2010)</ref>
|- style="padding: 0; margin: 0"
|colspan="8" style="padding: 0; margin: 0"|
{| class="mw-collapsible mw-collapsed" style="margin: 0 auto; width:100%"
|-
!colspan="8"| Countries with < 40 deaths
|- style="font-size:80%"
! class="skin-nightmode-reset-color" style="background:lavender;"| Country
! class="skin-nightmode-reset-color" style="background:lavender;" colspan="5"| Indicators <sup>]</sup>
! class="skin-nightmode-reset-color" style="background:lavender;"| Confirmed cases
! class="skin-nightmode-reset-color" style="background:lavender;"| Deaths
|-
|style="text-align:left"| ]
|{{yes2}}S
|{{no2}}+
|{{yes2}}
|{{yes2}}low
|<ref name="EuroFlu-w45(STI)+EuroFlu-w42(J)" />
| 1,253<ref name="Latvia"> {{Webarchive|url=https://web.archive.org/web/20181213124230/http://www.vm.gov.lv/index.php?setlang=en |date=13 December 2018 }}, Ministry of Health of the Republic of Latvia, 2 February 2011</ref>
| 34<ref> {{Webarchive|url=https://web.archive.org/web/20130516190457/http://ecdc.europa.eu/en/activities/surveillance/EISN/Newsletter/100219_EISN_Weekly_Influenza_Surveillance_Overview.pdf |date=16 May 2013 }}, Main surveillance developments in week 06/2010 (8 Feb 2010—14 Feb 2010)</ref>
|-
|style="text-align:left"| ]
|colspan="5"|
| 7,040<ref>{{cite journal |last1=Al-Mahrezi |first1=Abdulaziz |last2=Samir |first2=Nafisa |last3=Al-Zakwani |first3=Ibrahim |last4=Al-Maharmi |first4=Zakaria |last5=Balkhair |first5=Abdulla |last6=Al-Shafee |first6=Mohammed |date=23 April 2012 |title=Clinical characteristics of influenza A H1N1 versus other influenza-like illnesses amongst outpatients attending a university health center in Oman|url=https://www.ijidonline.com/article/S1201-9712(12)00074-4/fulltext |journal=] |volume=16 |issue=7 |pages=E504–E507 |doi=10.1016/j.ijid.2012.02.015 |pmid=22521779 |access-date=5 December 2022 |archive-date=5 December 2022 |archive-url=https://web.archive.org/web/20221205021620/https://www.ijidonline.com/article/S1201-9712%2812%2900074-4/fulltext |url-status=live|doi-access=free }}</ref>
| 33<ref>{{cite report |author=Department of Communicable Disease Surveillance & Control |date=25 August 2010 |title=Influenza A(H1N1)2009 Pandemic Response, An Overview |url=https://www.researchgate.net/publication/298788199 |publisher=Sultanate of Oman Ministry of Health |page=29 |access-date=5 December 2022 |archive-date=9 June 2024 |archive-url=https://web.archive.org/web/20240609111411/https://www.researchgate.net/publication/298788199_Oman_National_Influenza_AH1N1_report |url-status=live }}</ref>
|-
|style="text-align:left"| ]
|{{Yes-No|}}L
|{{no2}}+
|{{Yes-No|}}*
|{{yes2}}low
|<ref name="EuroFlu-w45" />
| 1,300<ref>. Translate.google.com. Retrieved on 7 February 2011.</ref>
| 33<ref> {{Webarchive|url=https://web.archive.org/web/20100302000703/http://www.rosbalt.ru/2010/02/27/716356.html |date=2 March 2010 }}. Rosbalt.ru. Retrieved on 7 February 2011.</ref>
|-
|style="text-align:left"| ]
|{{no2}}R
|{{Yes-No|}}=
|{{Yes-No|}}*
|{{yes2}}low
|<ref name="paho-w43-Okt31" />
| 834<ref> {{Webarchive|url=https://web.archive.org/web/20130626031413/http://www.sdpnoticias.com/sdp/contenido/2009/12/08/4/547208 |date=26 June 2013 }}. Sdpnoticias.com. Retrieved on 7 February 2011.</ref>
| 33<ref name="pahoamerica"> {{Webarchive|url=https://web.archive.org/web/20110214100417/http://new.paho.org/hq/index.php?option=com_docman&task=doc_download&gid=5355&Itemid= |date=14 February 2011 }} (19 April 2010 – 17 h GMT; 12 h EST)]</ref>
|-
|style="text-align:left"| ]
|{{no|}}W
|{{no2}}+
|{{Yes-No|}}*
|
|<ref name="EuroFlu-w45" />
| (651)<ref name="ecdc Sep28" />
| 33<ref name="europa1"/>
|-
|style="text-align:left"|]
|{{no|}}W
|{{yes2}}-
|{{Yes-No|}}*
|{{yes2}}low
|<ref name="paho-w34(Aug29)-Sep11">{{cite web|url=http://new.paho.org/hq/index.php?option=com_content&task=blogcategory&id=814&Itemid=1206|title=Regional Update Pandemic (H1N1) 2009|date=11 September 2009|publisher=WHO PAHO|access-date=12 September 2009|archive-date=11 September 2009|archive-url=https://web.archive.org/web/20090911231901/http://new.paho.org/hq/index.php?option=com_content&task=blogcategory&id=814&Itemid=1206|url-status=dead}}</ref>
| (550)<ref name="pahoamericas"/>
| 33<ref name="ecdc" />
|-
|style="text-align:left"| ]
|{{no|}}W
|{{yes2}}-
|
|
|<ref name="who-w30">{{cite web|url=http://www.who.int/csr/disease/swineflu/updates/en/index.html|archive-url=https://web.archive.org/web/20090501210352/http://www.who.int/csr/disease/swineflu/updates/en/index.html|url-status=dead|archive-date=1 May 2009|title=Pandemic (H1N1) 2009 – update 60|date=7 August 2009|work=Data Status Week 30 (Jul, 26)|publisher=WHO|access-date=29 September 2009}}</ref>
| 5,212<ref name="philippines">{{cite news|url=http://www.abs-cbnnews.com/nation/10/26/09/over-5000-h1n1-infections-rp|title=Over 5,000 H1N1 infections in RP|date=26 October 2009|publisher=abs-cbnNews|access-date=26 October 2009|archive-date=29 October 2009|archive-url=https://web.archive.org/web/20091029143157/http://www.abs-cbnnews.com/nation/10/26/09/over-5000-h1n1-infections-rp|url-status=live}}</ref>
| 32<ref>{{Dead link|date=October 2023 |bot=InternetArchiveBot |fix-attempted=yes }}. Sunstar.com.ph (31 August 2010). Retrieved on 7 February 2011.</ref>
|-
|style="text-align:left"| ]
|colspan="5"|
| 5,038<ref> {{Webarchive|url=https://web.archive.org/web/20181116045155/http://www.sabanews.net/en/news200844.htm |date=16 November 2018 }}. Sabanews.net. Retrieved on 7 February 2011.</ref>
| 31<ref name="who emro Jan04"/>
|-
|style="text-align:left"| ]
|colspan="5"|
| 8,669<ref>{{cite news |script-title=ar:الصالح: 19 ألفاً تطعَّموا ضد إنفلونزا الخنازير و64 ألفاً ضد الموسمية |url=http://www.aljarida.com/aljarida/Article.aspx?id=142393 |newspaper=Al-Jarida |location=Kuwait |language=ar |date=5 January 2010 |archive-url=https://web.archive.org/web/20101023085411/http://aljarida.com/aljarida/Article.aspx?id=142393 |archive-date=23 October 2010 |access-date=7 February 2011}}</ref>
| 30<ref name="ecdc" />
|-
|style="text-align:left"| ]
|colspan="5"|
| 1,259<ref> {{Webarchive|url=https://web.archive.org/web/20120222032724/http://ubpost.mongolnews.mn/index.php?option=com_content&task=view&id=4268&Itemid=36 |date=22 February 2012 }}. Ubpost.mongolnews.mn (15 January 2010). Retrieved on 7 February 2011.</ref>
| 30<ref>{{cite news | url=https://www.reuters.com/article/idUSTRE62A2OV20100311 | work=Reuters | title=Mongolian protestors demand health minister resign | date=11 March 2010 | access-date=12 October 2021 | archive-date=9 March 2021 | archive-url=https://web.archive.org/web/20210309040425/https://www.reuters.com/article/idUSTRE62A2OV20100311 | url-status=live }}</ref>
|-
|style="text-align:left"| ]
|{{no|}}W
|{{yes2}}-
|{{Yes-No|}}*
|{{yes2}}low
|<ref name="EuroFlu-w45" />
| (12,654)<!--Please use only this official reference of the Public Health Institute. Don't forget to update the access-date below--><ref>{{cite web |url=http://www.fhi.no/eway/default.aspx?pid=233&trg=MainLeft_5565&MainArea_5661=5565:0:15,1214:1:0:0:::0:0&MainLeft_5565=5544:81539::1:5569:2:::0:0 |title=Ukentlig Rapport |publisher=Public Health Institute |date=16 December 2009 |language=no |archive-url=https://web.archive.org/web/20110513200225/http://www.fhi.no/eway/default.aspx?pid=233&trg=MainLeft_5565&MainArea_5661=5565:0:15,1214:1:0:0:::0:0&MainLeft_5565=5544:81539::1:5569:2:::0:0 |archive-date=13 May 2011 |access-date=16 December 2009}}</ref><ref name="ecdc"/>
| 29<ref name="ecdc" />
|-
|style="text-align:left"| ]
|{{no|}}W
|{{no2}}+
|{{no|}}***
|{{no2}}mod
|<ref name="EuroFlu-w45" />
| (10,985)<ref>. Translate.google.com (26 January 2010). Retrieved on 7 February 2011.</ref>
| 29<ref name="europa1"/>
|-
|style="text-align:left"| ]
|{{no|}}W
|{{Yes-No|}}=
|{{no|}}***
|{{no2}}mod
|<ref name="EuroFlu-w45" />
| (3,189)<ref name="ireland">{{cite web|url=http://www.hpsc.ie/hpsc/A-Z/EmergencyPlanning/AvianPandemicInfluenza/SwineInfluenza/Surveillance%20Reports/|title=Pandemic (H1N1) 2009 Surveillance Report|publisher=Health Protection Surveillance Centre|date=5 November 2009|access-date=6 November 2009|archive-date=8 November 2009|archive-url=https://web.archive.org/web/20091108133442/http://www.hpsc.ie/hpsc/A-Z/EmergencyPlanning/AvianPandemicInfluenza/SwineInfluenza/Surveillance%20Reports/|url-status=dead}}</ref>
| 26<ref name="europa1"/>
|-
|style="text-align:left"| ]
|{{yes2}}N
|{{yes2}}-
|
|
|<ref name="who-w33">{{cite web|url=http://www.who.int/csr/disease/swineflu/updates/en/index.html|archive-url=https://web.archive.org/web/20090501210352/http://www.who.int/csr/disease/swineflu/updates/en/index.html|url-status=dead|archive-date=1 May 2009|title=Pandemic (H1N1) 2009 – update 63|date=28 August 2009|work=Data Status Week 33 (Aug, 16)|publisher=WHO|access-date=29 September 2009}}</ref>
| (2,600)<ref name="macedonia">{{cite web|url=http://news.xinhuanet.com/english/2009-11/29/content_12557402.htm|archive-url=https://web.archive.org/web/20091130063609/http://news.xinhuanet.com/english/2009-11/29/content_12557402.htm|url-status=dead|archive-date=30 November 2009|title= A/H1N1 flu virus claims third victim in Macedonia |date=29 November 2009 |publisher=Xinhua |access-date=29 November 2009}}</ref>
| 26<ref> {{Webarchive|url=https://web.archive.org/web/20210225041130/http://www.idividi.com.mk/English/Macedonia/579674/index.html |date=25 February 2021 }}. Idividi. Retrieved on 7 February 2011.</ref>
|-
|style="text-align:left"| ]
|{{no|}}W
|{{no2}}+
|{{yes2}}
|{{yes2}}low
|<ref name="EuroFlu-w45" />
| (50,255)<ref name="croatia">{{cite web |url=http://www.hzjz.hr/epidemiologija/svinjska_gripa.htm |title= Gripa uzrokovana novim virusom A/H1N1 |language=hr |publisher=HZJZ |date=16 December 2009 |archive-url=https://web.archive.org/web/20091221100621/http://www.hzjz.hr/epidemiologija/svinjska_gripa.htm |archive-date=21 December 2009 |access-date=27 April 2016}}</ref>
| 26<ref name="ecdc" />
|-
|style="text-align:left"| ]
|colspan="5"|
| 253<ref>{{cite news |title=Swine flu killed 24 people |url=http://www.dawn.com/news/954101/swine-flu-killed-24-people |newspaper=DAWN |date=27 January 2010 |access-date=12 October 2021 |archive-date=28 February 2021 |archive-url=https://web.archive.org/web/20210228082108/https://www.dawn.com/news/954101/swine-flu-killed-24-people |url-status=live }}</ref>
| 25<ref> {{Webarchive|url=https://web.archive.org/web/20231103031144/http://www.individual.com/storyrss.php?story=114870022&hash=78b8fa7dbc274bcc270f41a33d3a89e0 |date=3 November 2023 }}. Individual.com. Retrieved on 7 February 2011.</ref>
|-
|style="text-align:left"| ]
|colspan="5"|
| 1,200<ref name="who emro Jan04"/>
| 24<ref name="who emro Jan04"/>
|-
|style="text-align:left"| ]
|{{yes2}}N
|{{yes2}}-
|{{Yes-No|}}*
|{{yes2}}low
|<ref name="paho-w43-Okt31" />
| 1,170<ref name="pahoamericas"/>
| 24<ref>{{cite news |title=6 Muertos en el año por gripe a/H1N1 en Guatemala |url=http://www.ansa.it/ansalatina/notizie/notiziari/amcentr/20100506200535075084.html |work=Ansa Latina|date=3 January 2010 |archive-url=https://web.archive.org/web/20101021005151/http://ansa.it/ansalatina/notizie/notiziari/brasil/20100715214935114194.html |archive-date=21 October 2010 |access-date=7 February 2011}}</ref>
|-
|style="text-align:left"| ]
|{{no2}}R
|{{no2}}+
|{{no2}}**
|{{no2}}mod
|<ref name="paho-w43-Okt31" />
| 491<ref name="pahoamericas"/>
| 23<ref name="ecdc" />
|-
|style="text-align:left"| ]
|{{yes2}}S
|{{no2}}+
|{{yes2}}
|{{yes2}}low
|<ref name="EuroFlu-w45" />
| 68<ref name="lithuania">{{cite web|url=http://balticreports.com/?p=4094|title=70 cadets quarantined for swine flu|date=4 November 2009|access-date=10 November 2009|publisher=Baltic Reports|archive-date=7 July 2011|archive-url=https://web.archive.org/web/20110707210029/http://balticreports.com/?p=4094|url-status=live}}</ref>
| 23<ref> {{Webarchive|url=https://web.archive.org/web/20170426125243/http://ecdc.europa.eu/en/publications/Publications/100226_EISN_Weekly_Influenza_Surveillance_Overview.pdf |date=26 April 2017 }}, Main surveillance developments in week 7/2010 (15 February 2010 – 21 February 2010)</ref>
|-
|style="text-align:left"| ]
|colspan="5"|
| (1,217)<ref name="singapore">{{cite web |url=http://www.moh.gov.sg/mohcorp/default.aspx |title=Situational Update of Cases |publisher=Ministry of Health, Singapore |date=7 July 2009 |access-date=8 July 2009 |archive-date=27 September 2007 |archive-url=https://web.archive.org/web/20070927235831/http://www.moh.gov.sg/mohcorp/default.aspx |url-status=dead }}</ref>
| 21<ref>{{cite news |title=Boy, 5, dies from H1N1 |url=http://www.straitstimes.com/BreakingNews/Singapore/Story/STIStory_495268.html |newspaper=Straits Times |archive-url=https://web.archive.org/web/20100301080956/http://www.straitstimes.com/BreakingNews/Singapore/Story/STIStory_495268.html |archive-date=1 March 2010}}</ref>
|-
|style="text-align:left"| ]
|{{Yes-No|}}L
|{{no2}}+
|{{Yes-No|}}*
|{{no2}}mod
|<ref name="EuroFlu-w45" />
| (738)<ref>{{cite web |url=http://tervisekaitse.ee/?module=news&id=308 |title=Ülemiste hingamisteede viirusnakkused ja gripp 51. nädalal |date=23 December 2009 |publisher=Tervisekaitseinspektsioon (Estonian Health Protection Inspectorate) |language=et |access-date=24 December 2009 |archive-date=13 May 2011 |archive-url=https://web.archive.org/web/20110513194712/http://tervisekaitse.ee/?module=news&id=308 |url-status=live }}</ref>
| 21<ref> {{Webarchive|url=https://web.archive.org/web/20120229161935/http://www.delfi.ee/news/paevauudised/seagripp/seagripp-noudis-eestis-21-ohvri.d?id=29703255 |date=29 February 2012 }}. Delfi.ee. Retrieved on 7 February 2011.</ref>
|-
|style="text-align:left"| ]
|{{no|}}W
|{{yes2}}-
|{{Yes-No|}}*
|{{yes2}}low
|<ref name="EuroFlu-w45" />
| 76,973<ref>{{Cite web |url=http://www.influenza.be/fr/_documents/2009-11-19_Communique_de_presse_111_semaine_46_FR.pdf |title=Communiqué de Presse, 2009-11-19 |access-date=12 October 2021 |archive-date=22 February 2012 |archive-url=https://web.archive.org/web/20120222225834/http://www.influenza.be/fr/_documents/2009-11-19_Communique_de_presse_111_semaine_46_FR.pdf |url-status=live }}</ref><ref name="belgium">{{cite web |url=http://www.hbvl.be/nieuws/binnenland/aid874916/mexicaanse-griep-treft-deze-week-40-000-belgen.aspx |title=Mexicaanse griep treft 40.000 Belgen in een week, twee doden |language=nl |publisher=hbvl.be |date=29 October 2009 |access-date=29 October 2009 |archive-date=9 June 2024 |archive-url=https://web.archive.org/web/20240609111908/https://www.hbvl.be/cnt/aid874916 |url-status=live }}</ref>
| 19<ref name="europa1"/>
|-
|style="text-align:left"| ]
|colspan="5"|
| 3,033<ref> {{Webarchive|url=https://web.archive.org/web/20210412084259/http://www.jordantimes.com/?news=22420 |date=12 April 2021 }}. Jordan Times (17 December 2009). Retrieved on 7 February 2011.</ref>
| 19<ref name="ecdc" />
|-
|style="text-align:left"| ]
|{{Yes-No|}}L
|{{no2}}+
|{{Yes-No|}}*
|
|<ref name="EuroFlu-w45" />
| (990)<ref name="IJZS">{{cite news |url=http://ustavimo-gripo.si/index.php/novice/objava/shtevilo_obolelih_strmo_narashcha_proti_pandemski_gripi_cepljenih_vech_kot_/ |title=Število obolelih strmo narašča, proti pandemski gripi cepljenih več kot 32.000 ljudi |date=26 November 2009 |publisher=Inštitut za varovanje zdravja RS |archive-url=https://web.archive.org/web/20091203103741/http://ustavimo-gripo.si/index.php/novice/objava/shtevilo_obolelih_strmo_narashcha_proti_pandemski_gripi_cepljenih_vech_kot_ |archive-date=3 December 2009 |access-date=26 November 2009}}</ref>
| 19<ref name="europa2"/>
|-
|style="text-align:left"| ]
<!-- http://www.bag.admin.ch/influenza/06411/index.html?lang=de&download=M3wBPgDB/8ull6Du36WcnojN14in3qSbnpWZa2qWnE6p1rJgsYfhyt3NhqbdqIV+baqwbKbXrZ6lhuDZz8mMps2go6fo -->
|{{no|}}W
|{{no2}}+
|{{Yes-No|}}*
|{{yes2}}low
|<ref name="EuroFlu-w45" />
| 11,221<ref>{{Cite web |url=http://www.bag.admin.ch/influenza/06411/index.html?lang=de |title = Bundesamt f r Gesundheit – Grippe A(H1N1) |access-date=12 October 2021 |archive-date=14 May 2009 |archive-url=https://web.archive.org/web/20090514094915/http://www.bag.admin.ch/influenza/06411/index.html?lang=de |url-status=dead }}</ref>
| 18<ref>. Swissinfo.ch. Retrieved on 7 February 2011.</ref>
|-
|style="text-align:left"| ]
|{{no|}}W
|{{yes2}}-
|{{Yes-No|}}*
|{{yes2}}low
|<ref name="paho-w39-Okt16">{{cite web|url=http://new.paho.org/hq/index.php?option=com_content&task=blogcategory&id=814&Itemid=1206|title=Regional Update Pandemic (H1N1) 2009|date=16 October 2009|work=Data Status Week 39 (Okt, 03)|publisher=WHO PAHO|access-date=19 October 2009|archive-date=16 October 2009|archive-url=https://web.archive.org/web/20091016232403/http://new.paho.org/hq/index.php?option=com_content&task=blogcategory&id=814&Itemid=1206|url-status=dead}}</ref>
| 560<ref name="pahoamericas"/>
| 18<ref> {{Webarchive|url=https://web.archive.org/web/20101202155741/http://www.latribuna.hn/web2.0/?p=110850 |date=2 December 2010 }}. LaTribuna.hn (19 March 2010). Retrieved on 7 February 2011.</ref>
|-
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| 853<ref name="afghanistan">{{cite web|url=http://news.xinhuanet.com/english/2009-12/12/content_12637268.htm|archive-url=https://web.archive.org/web/20110809133640/http://news.xinhuanet.com/english/2009-12/12/content_12637268.htm|url-status=dead|archive-date=9 August 2011|title= A/H1N1 kills 17 in Afghanistan |date=12 December 2009|publisher=Xinhua|access-date=12 December 2009}}</ref>
| 17<ref name="ecdc" />
|-
|style="text-align:left"| ]
|colspan="5"|
| 98<ref name="kosovo">{{cite web|url=http://www.setimes.com/cocoon/setimes/xhtml/en_GB/newsbriefs/setimes/newsbriefs/2009/11/24/nb-12|title=Kosovo reports third swine flu death|publisher=SETimes|date=24 November 2009|access-date=24 November 2009|archive-date=27 November 2009|archive-url=https://web.archive.org/web/20091127025131/http://www.setimes.com/cocoon/setimes/xhtml/en_GB/newsbriefs/setimes/newsbriefs/2009/11/24/nb-12|url-status=live}}</ref>
| 14<ref name="ecdc" />
|-
|style="text-align:left"| ]
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|
|
|
|<ref name="who-w29(Jul19)-Jul31">{{cite web |url=http://www.who.int/csr/don/2009_08_04/en/index.html |archive-url=https://web.archive.org/web/20090805062231/http://www.who.int/csr/don/2009_08_04/en/index.html |url-status=dead |archive-date=5 August 2009 |title=Pandemic (H1N1) 2009 – update 60 |date=31 July 2009|work=Data Status Week 29 (July, 19) |publisher=World Health Organization |access-date=5 August 2009}}</ref>
| 714<ref> {{Webarchive|url=https://web.archive.org/web/20240609111910/https://www-fmoh-gov-ba.translate.goog/page?id=197&_x_tr_sch=http&_x_tr_sl=sr&_x_tr_tl=en&_x_tr_hl=en-US |date=9 June 2024 }}. Translate.google.com. Retrieved on 7 February 2011.</ref>
| 13<ref> {{Webarchive|url=https://web.archive.org/web/20240609111910/https://www-nezavisne-com.translate.goog/novosti/bih/Umrla-dva-pacijenta-zarazena-H1N1/54611?_x_tr_sl=sr&_x_tr_tl=en&_x_tr_hl=en-US |date=9 June 2024 }}. Translate.google.com. Retrieved on 7 February 2011.</ref>
|-
|style="text-align:left"| ]
|{{no|}}W
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|{{yes2}}low
|<ref name="paho-w42-Nov09">{{cite web|url=http://new.paho.org/hq/index.php?option=com_content&task=blogcategory&id=814&Itemid=1206|title=Regional Update Pandemic (H1N1) 2009|date=9 November 2009|work=Data Status Week 42 (Okt, 24)|publisher=WHO PAHO|access-date=17 November 2009|archive-date=18 November 2009|archive-url=https://web.archive.org/web/20091118230847/http://new.paho.org/hq/index.php?option=com_content&task=blogcategory&id=814&Itemid=1206|url-status=dead}}</ref>
| 813<ref>. Prensa-latina.cu (1 January 1970). Retrieved on 7 February 2011.</ref>
| 12<ref name="pahoamerica"/>
|-
|style="text-align:left"| ]
|{{yes2}}S
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| 426<ref name="albania"> {{Webarchive|url=https://web.archive.org/web/20210314172334/http://www.setimes.com/cocoon/setimes/xhtml/en_GB/newsbriefs/setimes/newsbriefs/2009/12/21/nb-10 |date=14 March 2021 }}. SETimes.com (21 December 2009). Retrieved on 7 February 2011.</ref>
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|-
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| 2,172<ref name="pahoamericas"/>
| 11<ref name="pahoamerica"/>
|-
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|<ref>{{cite web|url=http://www.searo.who.int/EN/Section10/Section2562.htm|archive-url=https://web.archive.org/web/20090503221233/http://www.searo.who.int/EN/Section10/Section2562.htm|url-status=dead|archive-date=3 May 2009|title=Pandemic H1N1 2009|date=27 September 2009|publisher=WHO SEARO|access-date=16 October 2009}}</ref>
| 1,098<ref name="who searo cases Jan15">{{cite web|url=http://www.searo.who.int/EN/Section10/Section2562.htm|archive-url=https://web.archive.org/web/20090503221233/http://www.searo.who.int/EN/Section10/Section2562.htm|url-status=dead|archive-date=3 May 2009|title=Pandemic (H1N1) 2009 in SAE Region|date=18 February 2010|publisher=WHO SEARO|access-date=22 February 2010}}</ref>
| 10<ref name="ecdc" />
|-
|style="text-align:left"| ]
|colspan="5"|
| 550<ref name="qatar">{{cite web|url=http://www.thepeninsulaqatar.com/Display_news.asp?section=local_news&month=october2009&file=local_news20091004109.xml|title=Qatar to get H1N1 vaccine in November|publisher=Peninsula Daily|date=4 October 2009|access-date=9 October 2009|archive-date=3 March 2016|archive-url=https://web.archive.org/web/20160303185658/http://www.thepeninsulaqatar.com/Display_news.asp?section=local_news&month=october2009&file=local_news20091004109.xml|url-status=live}}</ref>
| 10<ref name="ecdc" />
|-
|style="text-align:left"| ]
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|
|
|
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| (297)<ref name="ecdc Sep28" />
| 10<ref>{{cite news |title=Eighth death from swine flu |url=http://www.cyprus-mail.com/cyprus/eighth-death-swine-flu/20100123 |newspaper=Cyprus Mail |date=23 January 2010 |access-date=7 February 2011 |archive-date=13 May 2011 |archive-url=https://web.archive.org/web/20110513195553/http://www.cyprus-mail.com/cyprus/eighth-death-swine-flu/20100123 |url-status=live }}</ref>
|-
|style="text-align:left"| ]
|colspan="5"|
| 28<ref name="who searo cases Jan15"/>
| 10<ref> {{Webarchive|url=https://web.archive.org/web/20170906225715/http://goodfriendsusa.blogspot.com/2009/12/north-korea-today-no-311no311-1-hot.html |date=6 September 2017 }}. Goodfriendsusa.blogspot.com (8 December 2009). Retrieved on 7 February 2011.</ref><ref>{{cite news |title=SKorean president offers swine flu aid to NKorea |url=http://www.sandiegouniontribune.com/news/2009/dec/07/skorean-president-offers-swine-flu-aid-to-nkorea/ |newspaper=The San Diego Union Tribune |agency=Associated Press |date=7 December 2009 |access-date=10 December 2009 |archive-date=9 June 2024 |archive-url=https://web.archive.org/web/20240609111909/https://www.sandiegouniontribune.com/sdut-skorean-president-offers-swine-flu-aid-to-nkorea-2009dec07-story.html |url-status=live }}</ref>
|-
|style="text-align:left"| ]
|colspan="5"|
| 1,325<ref name="who emro Jan04">{{cite web |url=http://www.emro.who.int/csr/h1n1/ |title=Latest situation in the Region |date=5 January 2010 |publisher=WHO EMRO |access-date=7 January 2010 |archive-date=14 March 2010 |archive-url=https://web.archive.org/web/20100314201249/http://www.emro.who.int/csr/h1n1/ |url-status=live }}</ref>
| 8<ref name="who emro Jan04"/>
|-
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|colspan="5"|
| (69)<ref name="who afro upd67"/>
| 8<ref name="ecdc" />
|-
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|<ref name="who searo Nov16">{{cite web|url=http://www.searo.who.int/EN/Section10/Section2562.htm|archive-url=https://web.archive.org/web/20090503221233/http://www.searo.who.int/EN/Section10/Section2562.htm|url-status=dead|archive-date=3 May 2009|title=Summary of Situation of Pandemic (H1N1) 2009|date=19 November 2009|work=Week of 10 Nov – 16 Nov 2009 |publisher=WHO SEARO|access-date=21 November 2009}}</ref>
| 1,015<ref name="who searo cases Jan15"/>
| 7<ref name="who searo cases Jan15"/>
|-
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|<ref name="paho-w38-Okt09">{{cite web|url=http://new.paho.org/hq/index.php?option=com_content&task=blogcategory&id=814&Itemid=1206|title=Regional Update Pandemic (H1N1) 2009|date=9 October 2009|work=Data Status Week 38 (Sep, 26)|publisher=WHO PAHO|access-date=12 October 2009|archive-date=9 October 2009|archive-url=https://web.archive.org/web/20091009232635/http://new.paho.org/hq/index.php?option=com_content&task=blogcategory&id=814&Itemid=1206|url-status=dead}}</ref>
| 191<ref> {{Webarchive|url=https://web.archive.org/web/20120301234254/http://go-jamaica.com/news/read_article.php?id=15580 |date=1 March 2012 }}. Go-Jamaica (29 December 2009). Retrieved on 7 February 2011.</ref>
| 7<ref name="ecdc" />
|-
|style="text-align:left"| ]
|{{yes2}}N
|
|
|
|<ref name="who-w41">{{cite web|url=http://www.who.int/csr/disease/swineflu/updates/en/index.html|archive-url=https://web.archive.org/web/20090501210352/http://www.who.int/csr/disease/swineflu/updates/en/index.html|url-status=dead|archive-date=1 May 2009|title=Pandemic (H1N1) 2009 – update 71|date=23 October 2009|work=Data Status Week 41 (Okt, 11)|publisher=WHO|access-date=25 October 2009}}</ref>
| 119<ref> {{Webarchive|url=https://web.archive.org/web/20160305072209/http://www.romandie.com/ats/news/091202155552.e1gsn912.asp |date=5 March 2016 }}. Romandie. Retrieved on 7 February 2011.</ref>
| 7<ref name="ecdc" />
|-
|style="text-align:left"| ]
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|
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| 531<ref>. Xinhua (18 December 2009). Retrieved on 7 February 2011.</ref>
| 6<ref name="ecdc" />
|-
|style="text-align:left"| ]
|colspan="5"|
| 125<ref name="ecdc Aug9">{{cite web|url=http://ecdc.europa.eu/en/healthtopics/Documents/090809_Influenza_AH1N1_Situation_Report_1700hrs.pdf|title=SITUATION REPORT Pandemic influenza (H1N1) 2009|date=9 August 2009|publisher=ECDC|access-date=27 September 2009|archive-date=20 February 2010|archive-url=https://web.archive.org/web/20100220155845/http://ecdc.europa.eu/en/healthtopics/Documents/090809_Influenza_AH1N1_Situation_Report_1700hrs.pdf|url-status=dead}}</ref>
| 6<ref name="ecdc" />
|-
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| 1,838<ref name="who emro Jan04"/>
| 5<ref name="ecdc" />
|-
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|
|<ref name="EuroFlu-w43">{{cite web|url=http://www.euroflu.org/index.php|title=EuroFlu – Weekly Electronic Bulletin|date=30 October 2009|work=Data Status Week 43 (Okt, 25)|publisher=WHO/Europe|access-date=18 November 2009|archive-date=19 November 2009|archive-url=https://web.archive.org/web/20091119175417/http://www.euroflu.org/index.php|url-status=live}}</ref>
| (718)<ref name="EISNw16">{{cite web|url=http://ecdc.europa.eu/en/activities/surveillance/EISN/Newsletter/091030_EISN_Weekly_Influenza_Surveillance_Overview.pdf|title=Weekly influenza surveillance overview|date=30 October 2009|publisher=ECDC|access-date=31 October 2009|archive-date=23 November 2009|archive-url=https://web.archive.org/web/20091123062820/http://www.ecdc.europa.eu/en/activities/surveillance/EISN/Newsletter/091030_EISN_Weekly_Influenza_Surveillance_Overview.pdf|url-status=dead}}</ref>
| 5<ref> {{Webarchive|url=https://web.archive.org/web/20230406014304/https://timesofmalta.com/articles/view/20100122/local/fifth-swine-flu-death |date=6 April 2023 }}. timesofmalta.com (14 July 2009). Retrieved on 7 February 2011.</ref>
|-
|style="text-align:left"| ]
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|<ref name="paho-w30(Aug1)-Aug28">{{cite web|url=http://new.paho.org/hq/index.php?option=com_docman&task=doc_download&gid=2731&Itemid=|title=Regional Update Pandemic (H1N1) 2009|date=28 August 2009|work=Data Status Week 30 (August, 1)|publisher=WHO PAHO|access-date=1 September 2009}}</ref>
| 211<ref name="pahoamericas"/>
| 5<ref name="ecdc" />
|-
|style="text-align:left"| ]
|colspan="5"|
| 145<ref>. Xinhua (28 December 2009). Retrieved on 7 February 2011.</ref>
| 5<ref name="ecdc" />
|-
|style="text-align:left"| ]
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|<ref name="paho-w40-Okt26">{{cite web|url=http://new.paho.org/hq/index.php?option=com_content&task=blogcategory&id=814&Itemid=1206|title=Regional Update Pandemic (H1N1) 2009|date=26 October 2009|work=Data Status Week 40 (Okt, 10)|publisher=WHO PAHO|access-date=29 October 2009|archive-date=28 October 2009|archive-url=https://web.archive.org/web/20091028222848/http://new.paho.org/hq/index.php?option=com_content&task=blogcategory&id=814&Itemid=1206|url-status=dead}}</ref>
| 29<ref name="ecdc Aug9" />
| 4<ref name="ecdc" />
|-
|style="text-align:left"| ]
|colspan="5"|
| 877<ref name="who afro upd67"/>
| 3<ref name="ecdc" />
|-
|style="text-align:left"| ]
|colspan="5"|
| 676<ref name="who afro upd67"/>
| 3<ref name=r1> {{Webarchive|url=https://web.archive.org/web/20240609111912/http://www.businessghana.com/site/news |date=9 June 2024 }}. BusinessGhana (21 June 2010). Retrieved on 8 February 2011.</ref>
|-
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| 333<ref name="ecdc Sep28" />
| 3<ref name="ecdc" />
|-
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|-
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| 154<ref name="pahoamericas">{{cite web|url=http://new.paho.org/hq/index.php?option=com_docman&task=doc_download&gid=3583&Itemid=|title=Regional Update Pandemic (H1N1) 2009|date=9 November 2009|publisher=WHO PAHO|access-date=11 November 2009|archive-date=18 November 2009|archive-url=https://web.archive.org/web/20091118071905/http://new.paho.org/hq/index.php?option=com_docman&task=doc_download&gid=3583&Itemid=|url-status=live}}</ref>
| 3<ref name="ecdc" />
|-
|style="text-align:left"| ]
|colspan="5"|
| 119<ref> {{Webarchive|url=https://web.archive.org/web/20120229234125/http://www.panorama.am/en/health/2010/02/02/ah1n1/?sw |date=29 February 2012 }}. Panorama.am. Retrieved on 7 February 2011.</ref>
| 3<ref name="ecdc" />
|-
|style="text-align:left"| ]
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|
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| 676<ref>{{cite web |title=Fréttir |trans-title=News |url=http://www.landlaeknir.is/Pages/1055?NewsID=2054 |date=12 November 2009 |website=Landlæknisembættið |language=is |archive-url=https://web.archive.org/web/20120302215559/http://www.landlaeknir.is/Pages/1055?NewsID=2054 |archive-date=2 March 2012}}</ref><ref name="EISNw16"/>
| 2<ref name="ecdc" />
|-
|style="text-align:left"| ]<!-- Official website: http://www.ssm.gov.mo/design/news/swineflu/index.htm -->
|colspan="5"|
| 2,625<!--Hong Kong official bulletin has a daily update for Macau--><ref name="hongkong"/>
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|-
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| 971<ref name="brunei">{{cite web |url=http://www.brudirect.com/index.php/200908195152/Local-News/h1n1-121-cases-in-nine-days-27-school-classes-advised-to-close.html |title=H1N1: 121 Cases In Nine Days, 27 School Classes Advised To Close |publisher=BruDirect.com |date=19 August 2009 |access-date=19 August 2009 |archive-date=22 August 2009 |archive-url=https://web.archive.org/web/20090822230039/http://www.brudirect.com/index.php/200908195152/Local-News/h1n1-121-cases-in-nine-days-27-school-classes-advised-to-close.html |url-status=live }}</ref>
| 2<ref> {{Webarchive|url=https://web.archive.org/web/20210225025044/https://www.brudirect.com/index.php/2010040519015/Third-Stories/second-death-from-h1n1.html |date=25 February 2021 }}. Brudirect.com (6 April 2010). Retrieved on 7 February 2011.</ref>
|-
|style="text-align:left"| ]
|colspan="5"|
| 138<ref name="pacific Dec23"/>
| 2<ref name="ecdc" />
|-
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| 110<ref name="brunei1">{{cite news |title=Suriname And Belize To Begin H1N1 Flu Vaccination |url=http://news.brunei.fm/2010/02/19/suriname-and-belize-to-begin-h1n1-flu-vaccination/ |newspaper=News.brunei.fm |agency=Nam New Network |date=19 February 2010 |archive-url=https://web.archive.org/web/20120226184550/http://news.brunei.fm/2010/02/19/suriname-and-belize-to-begin-h1n1-flu-vaccination/ |archive-date=26 February 2012 |access-date=7 February 2011}}</ref>
| 2<ref name="ecdc" />
|-
|style="text-align:left"| ]
|colspan="5"|
| 66<ref name="who afro upd67"/>
| 2<ref name="ecdc" />
|-
|style="text-align:left"| ]
|colspan="5"|
| 57<ref name="who afro upd67"/>
| 2<ref name="ecdc" />
|-
|style="text-align:left"| ]
|colspan="5"|
| 11<ref name="who afro upd67"/>
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| 6<ref name="pahoamericas"/>
| 2<ref name="ecdc" />
|-
|style="text-align:left"| ]
|colspan="5"|
| 770<ref name="who afro upd67"/>
| 1<ref name="ecdc" />
|-
|style="text-align:left"| ]
|colspan="5"|
| 764<ref name="who emro Jan04"/>
| 1<ref name="ecdc" />
|-
|style="text-align:left"| ]
|colspan="5"|
| 242<ref name="laos">{{cite news|url=http://news.xinhuanet.com/english/2009-08/26/content_11947740.htm|archive-url=https://web.archive.org/web/20110809051914/http://news.xinhuanet.com/english/2009-08/26/content_11947740.htm|url-status=dead|archive-date=9 August 2011|title=A/H1N1 flu cases increase to 242 in Laos|date=26 August 2009|publisher=Xinhua|access-date=26 August 2009}}</ref>
| 1<ref name="ecdc" />
|-
|style="text-align:left"| ]
|colspan="5"|
| 121<ref name="HPA51">{{cite web |url=http://www.hpa.org.uk/web/HPAwebFile/HPAweb_C/1262704894811 |title=HPA Weekly National Influenza Report |date=8 January 2010 |work=Week 01 |publisher=UK HPA |archive-url=https://web.archive.org/web/20110829184514/http://www.hpa.org.uk/web/HPAwebFile/HPAweb_C/1262704894811 |archive-date=29 August 2011 |access-date=9 January 2010}}</ref>
| 1<ref name="ecdc" />
|-
|style="text-align:left"| ]
|colspan="5"|
| 115<ref name="pacific Dec23"/>
| 1<ref name="ecdc" />
|-
|style="text-align:left"| ]
|colspan="5"|
| 106<ref name="pacific Dec23">{{cite web|url=http://www.spc.int/phs/PPHSN/Surveillance/Pandemic_influenza_A_H1N1.htm|title=WHO South Pacific – Pandemic Influenza A / H1N1 2009 Surveillance|date=21 December 2009|publisher=Pacific Public Health Surveillance Network|access-date=26 December 2009|archive-date=14 December 2009|archive-url=https://web.archive.org/web/20091214230402/http://www.spc.int/phs/PPHSN/Surveillance/Pandemic_influenza_A_H1N1.htm|url-status=live}}</ref>
| 1<ref name="ecdc" />
|-
|style="text-align:left"| ]
|colspan="5"|
| 75<ref name="who afro upd67"/>
| 1<ref name="ecdc" />
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| 55<ref name="pahoamericas"/>
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| 35<ref name="who searo cases Jan15"/>
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|-
|style="text-align:left"| ]
|colspan="5"|
| 25<ref name="bermuda"> {{Webarchive|url=https://web.archive.org/web/20230405051448/http://www.bermudasun.bm/main.asp?SectionID=24&SubSectionID=270&ArticleID=44129 |date=5 April 2023 }}. Bermudasun.bm (6 January 2010). Retrieved on 7 February 2011.</ref>
| 1<ref name="ecdc" />
|-
|style="text-align:left"| ]
|colspan="5"|
| 20<ref name="pacific Dec23"/>
| 1<ref name="ecdc" />
|-
|style="text-align:left"| ]
|colspan="5"|
| 7<ref name="HPA51"/>
| 1<ref name="HPA51"/>
|-
|style="text-align:left"| ]
|colspan="5"|
| 4<ref name="pacific Dec23"/>
| 1<ref name="ecdc" />
|-


<!-- -------------------------------------------- OTHER -------------------------------------------- -->
== Affected countries==
|style="text-align:left"| Other
[[Image:H1N1 map.svg|400px|thumb|left|{{legend|#000000|Confirmed cases followed by death}}{{legend|#FF0000|Confirmed cases}}{{legend|#FFA900|Unconfirmed or suspected cases}}
|colspan="5"|
See also: , ]]
| 7,052
{{-}}
| 0
===Africa===
|- style="padding: 0; margin: 0"
====Benin====
|colspan="9" style="padding: 0; margin: 0"|
Results are expected next week on a European woman who returned from Mexico to ] showing flu like symptoms.<ref>, The Times, May 2, 2009</ref>
{| class="mw-collapsible mw-collapsed" style="margin: 0 auto; width:100%"
|-
!colspan="9"| Countries with no deaths
|- style="font-size:80%"
! style="background:#ddf;"| Country
! style="background:#ddf;" colspan="5"| Indicators <sup>]</sup>
! style="background:#ddf;"| Confirmed cases
! style="background:#ddf;"| Deaths
|-


|style="text-align:left"| ]
====Egypt====
|colspan="5"|
The Egyptian government has increased numbers of medical officers at ] and will monitor passengers from Mexico during their stay.<ref name=bbc1>, BBC News, 2009-04-28. Retrieved on 2009-04-30.</ref>
| 1,318<ref name="Zimbabwe">{{cite web|url=http://www.afriquejet.com/news/africa-news/swine-flu-cases-rises-in-zimbabwe-2009102036680.html|title=Swine flu cases rises in Zimbabwe|publisher=Afrique Jet|date=20 October 2009|access-date=6 November 2009|archive-date=27 October 2012|archive-url=https://web.archive.org/web/20121027103437/http://www.afriquejet.com/news/africa-news/swine-flu-cases-rises-in-zimbabwe-2009102036680.html|url-status=live}}</ref>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 726<ref name="Zambia">{{cite web|url=http://allafrica.com/stories/200910010456.html|title=Zambia: Copperbelt Records Highest Swine Flu Cases|date=1 October 2009|publisher=AllAfrica|access-date=1 October 2009|archive-date=16 October 2009|archive-url=https://web.archive.org/web/20091016083238/http://allafrica.com/stories/200910010456.html|url-status=live}}</ref>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 702<ref>{{cite news | url=http://news.bbc.co.uk/2/hi/europe/jersey/8461200.stm | work=BBC News | title=Excess flu jabs could go abroad | date=15 January 2010 | access-date=12 October 2021 | archive-date=12 April 2021 | archive-url=https://web.archive.org/web/20210412084245/http://news.bbc.co.uk/2/hi/europe/jersey/8461200.stm | url-status=live }}</ref>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 482<ref name="who afro upd67"/>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 417<ref name="who afro upd67"/>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 325<ref name="who afro upd67"/>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 263<ref name="who afro upd67"/>
| 0
|-
|style="text-align:left"| ]
|{{yes2}}N
|{{yes2}}-
|{{Yes-No|}}*
|{{yes2}}low
|<ref name="who-w44" />
| 234<ref name="pacific Dec23"/>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 222<ref name="who afro upd67"/>
| 0
|-
|style="text-align:left"| ]
|{{Yes-No|}}L
|{{yes2}}-
|{{yes2}}
|{{yes2}}low
|<ref name="who searo Nov16"/>
| 137<ref name="who searo cases Jan15"/>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 118<ref name="who afro upd67"/>
| 0
|-
|style="text-align:left"| ] (UK)
|colspan="5"|
| 92<ref name="HPA51"/>
| 0
|-
|style="text-align:left"| ]
|{{yes2}}N
|
|
|
|<ref name="who searo Nov16"/>
| 91<ref>{{cite news |title=H1N1 cases reach 91 |url=http://bhutanobserver.bt/2881-bo-news-about-h1n1_cases_reach_91.aspx |newspaper=Bhutan Observer |date=11 June 2010}}</ref>
| 0
|-
|style="text-align:left"| ]
|{{Yes-No|}}L
|{{no2}}+
|
|{{yes2}}low
|<ref name="paho-w?-Sep4">{{cite web|url=http://new.paho.org/hq/index.php?option=com_content&task=blogcategory&id=814&Itemid=1206|title=Regional Update Pandemic (H1N1) 2009|date=4 September 2009|publisher=WHO PAHO|access-date=14 September 2009|archive-date=11 September 2009|archive-url=https://web.archive.org/web/20090911231901/http://new.paho.org/hq/index.php?option=com_content&task=blogcategory&id=814&Itemid=1206|url-status=dead}}</ref>
| 91<ref name="pahoamericas"/>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 82<ref name="pacific Dec23"/>
| 0
|-
|style="text-align:left"| ]
|{{no2}}R
|{{Yes-No|}}=
|{{Yes-No|}}*
|{{yes2}}low
|<ref> {{Webarchive|url=https://web.archive.org/web/20120109212502/http://www.voanews.com/english/news/africa/Cameroon-Launches-Massive-Swine-Flu-Campaign--106293548.html |date=9 January 2012 }}. Voanews.com (29 October 2010). Retrieved on 7 February 2011.</ref>
| 75<ref name="pahoamericas"/>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 75<ref name="HPA51"/>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 65<ref name="who afro upd67"/>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 62<ref name="HPA51"/>
| 0
|-
|style="text-align:left"| ]
|{{yes2}}N
|{{Yes-No|}}=
|{{yes2}}
|{{yes2}}low
|<ref name="EuroFlu-w40">{{cite web|url=http://www.euroflu.org/index.php|title=EuroFlu – Weekly Electronic Bulletin|date=9 October 2009|work=Data Status Week 40 (Okt, 4)|publisher=WHO/Europe|access-date=20 October 2009|archive-date=5 November 2009|archive-url=https://web.archive.org/web/20091105182444/http://www.euroflu.org/index.php|url-status=live}}</ref>
| 61<ref name="kyrgyzstan">{{cite web |url=http://en.trend.az/regions/casia/kyrgyzstan/1584785.html |title=Confirmed swine flu cases rise to 61 in Kyrgyzstan |publisher=Trend.az |date=20 November 2009 |access-date=20 November 2009 |archive-date=23 November 2009 |archive-url=https://web.archive.org/web/20091123121202/http://en.trend.az/regions/casia/kyrgyzstan/1584785.html |url-status=live }}</ref>
| 0
|-
|style="text-align:left"| ]
|{{no|}}W
|{{yes2}}-
|
|{{no2}}mod
|<ref name="paho-w41-Okt26" />
| 49<ref name="brunei1"/>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 49<ref name="who afro upd67"/>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 47<ref name="pacific Dec23"/>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 44<ref name="faroeislands">{{cite web|url=http://www.landslaeknin.fo/upload/enn_fleiri_tilburdir_av_h1n1_stadfestir_i_seinastuni.pdf|title=Tíðindaskriv|date=7 September 2009|publisher=landslaeknin.fo|access-date=23 November 2009|archive-date=3 March 2016|archive-url=https://web.archive.org/web/20160303214203/http://www.landslaeknin.fo/upload/enn_fleiri_tilburdir_av_h1n1_stadfestir_i_seinastuni.pdf|url-status=live}}</ref>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 44<ref name="HPA51"/>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 37<ref name="who afro upd67"/>
| 0
|-
|style="text-align:left"| ]
|{{yes2}}N
|{{Yes-No|}}=
|{{Yes-No|}}*
|{{yes2}}low
|<ref name="paho-w33(Aug22)-Aug28">{{cite web|url=http://new.paho.org/hq/index.php?option=com_docman&task=doc_download&gid=2731&Itemid=|title=Regional Update Pandemic (H1N1) 2009|date=28 August 2009|work=Data Status Week 33 (August, 22)|publisher=WHO PAHO|access-date=1 September 2009|archive-date=5 February 2010|archive-url=https://web.archive.org/web/20100205175002/http://new.paho.org/hq/index.php?option=com_docman&task=doc_download&gid=2731&Itemid=|url-status=live}}</ref>
| 36<ref name="pahoamericas"/>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 36<ref name="monaco">{{cite news |title=Number of A/H1N1 cases explodes |url=http://www.rivieratimes.com/monaco-article/items/number-of-ah1n1-cases-explodes.html |newspaper=The Monaco Times |date=16 November 2009 |archive-url=https://web.archive.org/web/20091118223311/http://www.rivieratimes.com/monaco-article/items/number-of-ah1n1-cases-explodes.html |archive-date=18 November 2009 |access-date=13 December 2009}}</ref>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 33<ref name="who afro upd67"/>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 31<ref name="botswana">{{cite web|url=http://www.mmegi.bw/index.php?sid=1&aid=50&dir=2009/September/Friday25|title=No Swine Flu deaths in Botswana|publisher=Mmegi Online|date=26 September 2009|access-date=26 September 2009|archive-date=13 May 2011|archive-url=https://web.archive.org/web/20110513205537/http://www.mmegi.bw/index.php?sid=1&aid=50&dir=2009/September/Friday25|url-status=live}}</ref>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 29<ref name="who afro upd67"/>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 27<ref>{{cite news |title=Guyana confirms 27th H1N1 case |url=http://guyanachronicle.com/guyana-confirms-27th-h1n1-case/ |newspaper=Guyana Chronicle |date=31 December 2009 |access-date=2 January 2010 |archive-date=9 June 2024 |archive-url=https://web.archive.org/web/20240609112416/https://guyanachronicle.com/2009/12/31/guyana-confirms-27th-h1n1-case/ |url-status=live }}</ref>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 25<ref name="HPA51"/>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 23<ref name="pacific Dec23"/>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 21<ref name="HPA51"/>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 21<ref name="who afro upd67"/>
| 0
|-
|style="text-align:left"| ]
|{{no|}}W
|{{yes2}}-
|{{Yes-No|}}*
|{{no2}}mod
|<ref name="paho-w43-Okt31" />
| 20<ref name="pahoamericas"/>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 19<ref name="who afro upd67"/>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 17<ref name="HPA51"/>
| 0
|-
|style="text-align:left"| ]
|{{no2}}R
|{{no2}}+
|{{no2}}**
|{{no2}}mod
|<ref name="EuroFlu-w45" />
| 17<ref name="ecdc Aug9" />
| 0
|-
|style="text-align:left"| ]
|{{Yes-No|}}L
|{{Yes-No|}}=
|
|
|<ref name="paho-w28(Jul18)-Aug28">{{cite web|url=http://new.paho.org/hq/index.php?option=com_docman&task=doc_download&gid=2731&Itemid=|title=Regional Update Pandemic (H1N1) 2009|date=28 August 2009|work=Data Status Week 28 (July, 18)|publisher=WHO PAHO|access-date=1 September 2009}}</ref>
| 17<ref name="pahoamericas"/>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 16<ref name="tajikistan">{{cite web|url=http://www.investors.com/NewsAndAnalysis/Article.aspx?id=105818682|title=Number of swine flu cases reaches 16 in Tajikistan |date=18 December 2009|access-date=18 December 2009}}</ref>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 15<ref name="who afro upd67"/>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 14<ref name="HPA51"/>
| 0
|-
|style="text-align:left"| ]
|{{Yes-No|}}L
|{{no2}}+
|{{Yes-No|}}*
|{{yes2}}low
|<ref name="EuroFlu-w45" />
| 14<ref name="azerbaijan">{{cite web|url=http://en.trend.az/capital/social/1577901.html|title=Azerbaijan reports new case of swine flu|date=11 November 2009|publisher=APA|access-date=11 November 2009|archive-date=14 November 2009|archive-url=https://web.archive.org/web/20091114100202/http://en.trend.az/capital/social/1577901.html|url-status=live}}</ref>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 12<ref name="pacific Dec23"/>
| 0
|-
<!-- NOTE: THE GOVERNMENT DISCOURAGES THE USE OF THE NAME IVORY COAST, THE NATION'S OLD NAME -->
|style="text-align:left"| ]
|colspan="5"|
| 9<ref name="who afro upd67"/>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 9<ref name="who emro Jan04"/>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 8<ref name="pacific Dec23"/>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 7<ref name="who afro upd67"/>
| 0
|-
|style="text-align:left"| ]
|{{Yes-No|}}L
|{{Yes-No|}}=
|{{yes2}}
|{{yes2}}low
|<ref name="who searo Sep27">{{cite web|url=http://www.searo.who.int/EN/Section10/Section2562.htm|archive-url=https://web.archive.org/web/20090503221233/http://www.searo.who.int/EN/Section10/Section2562.htm|url-status=dead|archive-date=3 May 2009|title=Summary of Situation of Pandemic (H1N1) 2009|date=27 September 2009|work=Week of 21 Sep – 27 Sep 2009 |publisher=WHO SEARO|access-date=16 October 2009}}</ref>
| 7<ref name="who searo cases Jan15"/>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 5<ref name="ecdc Sep28" />
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 5<ref name="sanmarino">{{cite news |title=Influenza A: i casi salgono a 5. Tutti verso la guarigione |url=http://www.smtvsanmarino.sm/attualita/2009/11/10/influenza-casi-salgono-5-tutti-verso-guarigione |work=San Marino RTV |date=10 November 2009 |access-date=8 December 2009 |archive-date=5 September 2012 |archive-url=https://web.archive.org/web/20120905232838/http://www.smtvsanmarino.sm/attualita/2009/11/10/influenza-casi-salgono-5-tutti-verso-guarigione |url-status=live }}</ref>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 5<ref name="swaziland">{{cite web |url=http://www.times.co.sz/index.php?news=10228 |title=E600 to test for swine flu |publisher=Times of Swaziland |date=27 August 2009 |access-date=27 August 2009 |archive-date=22 May 2013 |archive-url=https://web.archive.org/web/20130522185312/http://www.times.co.sz/index.php?news=10228 |url-status=live }}</ref>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 4<ref name="who afro upd67"/>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 4<ref name="who afro upd67"/>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 4<ref name="pacific Dec23"/>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 3<ref name="who afro upd67"/>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 3<ref name="pacific Dec23"/>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 2<ref name="who emro Jan04"/>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 1<ref name="ecdc Aug9" />
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 1<ref name="who afro upd67">{{cite web |url=http://www.afro.who.int/index.php?Itemid=2544 |title=Pandemic (H1N1) 2009 in the African Region: Update 75 |website=WHO Regional Office for Africa |date=17 March 2010 |archive-url=https://web.archive.org/web/20100527053850/http://www.afro.who.int/index.php?Itemid=2544 |archive-date=27 May 2010 |access-date=19 March 2010}}</ref>
| 0
|-
|style="text-align:left"| ]
|colspan="5"|
| 1<ref name="greenland">{{cite web |url=http://www.focus-fen.net/index.php?id=n200083 |title=Swine flu hits Greenland as toll rises in Europe |publisher=Focus Information Agency |date=11 November 2009 |access-date=11 November 2009 |archive-date=9 May 2013 |archive-url=https://web.archive.org/web/20130509022038/http://www.focus-fen.net/index.php?id=n200083 |url-status=dead }}</ref>
| 0
|}
|}
{| class="mw-collapsible mw-collapsed" style="margin: 0 auto; width:100%"
|-
! style="background:#ddf;"|Graph of confirmed cases
|-
<!-- HIDING BEFORE DELETION AS IT HASN'T BEEN UPDATED IN 5 WEEKS
| ] reports, with deaths denoted on the right y-axis. Ratio confirmed cases:confirmed deaths y-axis values 50:1.<ref name="who-situation-updates" />]]
|-
-->
| ] plot of laboratory-confirmed A(H1N1) influenza cases in 2009 according to ] reports.<ref name="who-situation-updates">{{cite web | title=Situation updates – Influenza A(H1N1) | url=http://www.who.int/csr/disease/swineflu/updates/en/index.html | work=Epidemic and Pandemic Alert and Response | publisher=] | access-date=13 May 2009| archive-url= https://web.archive.org/web/20090513070835/http://www.who.int/csr/disease/swineflu/updates/en/index.html| archive-date= 13 May 2009 | url-status= dead}}</ref>]]
|}
{| class="wikitable" style="margin:0; width:100%;"
|- style="font-size:85%; text-align:left; line-height:1.2"
|colspan="4"| {{anchor|template-notes}}
<sup>‡</sup>Qualitative indicators as defined by WHO.<ref>{{cite web|url=http://www.who.int/csr/disease/swineflu/WHO_case_definition_swine_flu_2009_04_29.pdf|title=Human infection with pandemic (H1N1) 2009 virus: updated interim WHO guidance on global surveillance|date=10 July 2009|work=Annex 4|publisher=WHO|pages=16|access-date=25 July 2009|archive-date=14 August 2009|archive-url=https://web.archive.org/web/20090814231148/http://www.who.int/csr/disease/swineflu/WHO_case_definition_swine_flu_2009_04_29.pdf|url-status=live}}</ref> Parameter values:
|-
|Geographic spread
|Trend
|Intensity
|Impact on<br />health care<br />services
|-<!--QI Legend-->
|{{no|}}W(idespread)
|
|{{no|}}*** (very high)
|{{no|}}sev(ere)
|-
|{{no2}}R(egional)
|{{no2}}+ (Increasing)
|{{no2}}** (high)
|{{no2}}mod(erate)
|-
|{{Yes-No|}}L(ocal)
|{{Yes-No|}}= (Unchanged)
|{{Yes-No|}}* (low – moderate)
|
|-
|{{yes2}}S(poradic)<br />I(mported)<br />N(o activity)
|{{yes2}}- (Decreasing)
|{{yes2}}&nbsp;&nbsp;(low)
|{{yes2}}low
|- style="font-size:85%; text-align:left; line-height:1.2"
|colspan="4"| {{anchor|template-notes2}}<sup>‡‡</sup>Many countries are not recommending laboratory tests for all suspect cases, the affected numbers have been put in brackets. Comparisons in time or between these countries should not be made.<br />The number of confirmed cases is lower than the total number of cases,<ref>{{cite journal |vauthors=Dawood FS, Jain S, Finelli L |title=Emergence of a novel swine-origin influenza A (H1N1) virus in humans |journal=N. Engl. J. Med. |volume=360 |issue=25 |pages=2605–15 |date=June 2009 |pmid=19423869 |doi=10.1056/NEJMoa0903810 |quote=the number of confirmed cases is an underestimate of the number of cases that have occurred|display-authors=etal|doi-access=free }}</ref> and may grossly underestimate the true infection rate.<ref name=CDC>{{cite news |author=CDC |publisher=] |url=https://www.cdc.gov/flu/about/disease/us_flu-related_deaths.htm |title=Questions and Answers Regarding Estimating Deaths from Influenza in the United States |date=12 March 2009 |access-date=12 October 2021 |archive-date=1 December 2009 |archive-url=https://web.archive.org/web/20091201101247/http://www.cdc.gov/flu/about/disease/us_flu-related_deaths.htm |url-status=live }}</ref>
|- style="font-size:85%; text-align:left; line-height:1.2"
|colspan="4"|{{anchor|template-country-notes-usa}}<sup>^</sup>Includes ] (695 cases, 45 deaths), ] (338 cases, 2 deaths), ] (85 cases, 1 death), ] (80 cases, 1 death), and ] (6 cases). <!-- PAHO is not a good source-->
|- style="font-size:85%; text-align:left; line-height:1.2"
|colspan="4"|{{anchor|template-country-notes-uk}}<sup>#</sup>Does not include Overseas Territories or Crown Dependencies.
|- style="font-size:85%; text-align:left; line-height:1.2"
|colspan="4"|{{anchor|template-country-notes-france}}<sup>~</sup>Includes ] (500 cases, 9 deaths), ] (183 cases, 7 deaths), ] (759 cases, 7 deaths), ] (164 cases, 2 deaths), ] (261 cases, 1 death), ] (213 cases, 1 death), ] (197 cases, 5 deaths), ] (62 cases), ] (55 cases), ] (2 cases).
|- style="font-size:85%; text-align:left; line-height:1.2"
|colspan="4"|{{anchor|template-country-notes-netherlands}}<sup>+</sup>Includes ] (13 cases) and the ] (98 cases). <!-- Source: PAHO-->
|}
|}
[[File:H1N1 map.svg|300px|thumb|left|
{{legend|#000000|Confirmed cases leading to deaths}}
{{legend|#FF0000|Confirmed cases}}
{{legend|#FFA900|Unconfirmed or suspected cases}}
See also: H1N1 live map, WHO updates]]
[[File:H1N1 map by confirmed deaths.svg|300px|thumb|left|
{{legend|forestgreen|0 deaths}}
{{legend|brown|suspected deaths}}
{{legend|#e0e0e0|1+ deaths}}
{{legend|#c0c0c0|5+ deaths}}
{{legend|#a0a0a0|10+ deaths}}
{{legend|#909090|50+ deaths}}
{{legend|#707070|100+ deaths}}
{{legend|#505050|500+ deaths}}
See also: H1N1 live map, WHO updates]]
[[File:H1N1 map by confirmed community outbreaks.svg|300px|thumb|left|{{image reference needed|date=November 2022}}{{legend|#ff6600|Confirmed community outbreaks}}
See also: H1N1 live map, WHO updates]]
]
]
]


As the ] progressed, laboratory testing and confirmation decreased. Confirmed figures for the ], in particular, are only meaningful up to 2 July, when routine testing stopped and presumed cases were treated without laboratory confirmation of diagnosis. Following the recommendations of the ] (WHO), many countries stopped issuing estimates of the infected population, making this list inaccurate.
The government ordered the mass slaughter of all pigs in Egypt on April 29,<ref>, ABC News, 2009-04-30. Retrieved on 2009-04-30</ref> even though the current strain is a human-human transmittable, human influenza that has already previously hybridized with avian and swine flu.<ref name=food> {{cite news | first= | last= | coauthors= |authorlink= | title=OIE position on safety of international trade of pigs and products of pig origin | date=April 28, 2009 | publisher=World Organization for Animal Health | url =http://www.oie.int/eng/press/en_090428.htm | work = | pages = | accessdate = 2009-04-30 | language = }}</ref> The ] called the swine killing "scientifically unjustified".<ref name=food />
{| class="wikitable sortable"
|+ The ten countries and territories with most confirmed cases per capita
! class="unsortable" style="text-align:center;"| Pos.
! Country
! Population<ref group="nb">All population figures are estimates for July 2009 from the source: {{cite web|url=https://www.cia.gov/library/publications/the-world-factbook/ |title=CIA – The World Factbook |publisher=] |access-date=21 June 2009 |archive-url=https://web.archive.org/web/20070601020457/https://www.cia.gov/library/publications/the-world-factbook/ |archive-date=1 June 2007 |url-status=dead }}</ref>
! Confirmed<br /> cases
! Confirmed cases <br /> per 1,000 inhabitants
|- align=center
| 1
| align=left|{{Flagu|Iceland}}
| 306,694
| 8,650
| 28.20
|- align=center
| 2
| align=left|{{Flagu|Belgium}}
| 10,414,336
| 214,531<ref>{{cite news|title=Crisisbeheer Mexicaanse griep opgeheven|url=https://www.demorgen.be/lifestyle/crisisbeheer-mexicaanse-griep-opgeheven-b2b3591d/|access-date=24 January 2018|work=]|date=25 March 2010|language=nl-BE|archive-date=25 January 2018|archive-url=https://web.archive.org/web/20180125135018/https://www.demorgen.be/lifestyle/crisisbeheer-mexicaanse-griep-opgeheven-b2b3591d/|url-status=live}}</ref>
| 20.59
|- align=center
| 3
| align=left|{{Flagu|Portugal}}
| 10,707,924
| 166,922
| 15.59
|- align=center
| –
| align=left|''{{Flagu|Cook Islands}}''
| ''11,870''
| ''106''
| ''8.93''
|- align=center
| –
| align=left|''{{Flagu|Macao}}''
| ''559,846''
| ''2,625''
| ''4.68''
|- align=center
| –
| align=left|''{{Flagu|Hong Kong}}''
| ''7,055,071''
| ''31,554''
| ''4.47''
|- align=center
| 4
| align=left| {{Flagu|Spain}}
|46,700,000
|155,051
|3.32
|- align=center
| 5
| align=left|{{Flagu|Kuwait}}
| 2,691,158
| 8,622
| 3.20
|- align=center
| 6
| align=left|{{Flagu|Brunei}}
| 338,190
| 972
| 2.87
|- align=center
| –
| align=left|''{{Flagu|Jersey}}''
| ''91,626''
| ''234''
| ''2.55''
|- align=center
| 7
| align=left|{{Flagu|Germany}}
| 82,080,000
| 192,348
| 2.34
|- align=center
| 8
| align=left|{{Flagu|South Korea}}
| 48,600,000
| 107,939
| 2.22
|- align=center
| 9
| align=left|{{Flagu|Palau}}
| 20,796
| 46
| 2.21
|- align=center
| –
| align=left|''{{Flagu|Cayman Islands}}''
| ''49,035''
| ''105''
| ''2.14''
|- align=center
|10
| align=left|{{Flagu|Malta}}
| 405,165
| 718
| 1.77
|- align=center


<!-- |-align=center
====Ghana====
|10
Ghana has banned the importation of pork and pork products.<ref>{{cite news|url=http://gbcghana.com/news/25813detail.html|title=Ghana bans importation of pork and pork products |publisher=Ghana Broadcasting Corporation|date=2009-04-28|accessdate=2009-04-30}}</ref>
| align=left|{{Flagu|Australia}}
====Nigeria====
| 21,262,641
]n Health Minister ] said that the country is stockpiling antiviral treatments, informing the public and increasing surveillance.<ref name=bbc1/>
| 37,039
| 1.74
|-align=center
| 11
| align=left|{{Flagu|Bahrain}}
| 727,785
| 793
| 1.80
|-align=center
| 11
| align=left|{{Flagu|Marshall Islands}}
| 64,522
| 109
| 1.68
| 10
| align=left|{{NZ}}
| 4,213,418
| 3,175
| 0.75
|-align=center
| 10
| align=left|{{Flagu|Chile}}
| 16,601,707
| 12,257
| 0.73
|-align=center
| 10
| align=left|{{Flagu|Luxembourg}}
| 491,775
| 333
| 0.67
|-align=center
| 10
| align=left|{{Flagu|Qatar}}
| 833,285
| 550
| 0.66
|-align=center
| 10
| align=left|{{Flagu|American Samoa}}
| 219,998
| 138
| 0.62 -->
|- style="text-align:center; background:#ffc;" class="sortbottom"
|
|''World''
|''6,790,062,216''
|''25,584,595''
|''3.76''
|}


<small>*Includes countries with over 40 confirmed cases only.</small>
====South Africa====
On April 29, ] reported two possible cases of swine flu from two women who had recently travelled in Mexico.<ref name=news24>, News24, April 29, 2009</ref>


== Affected continents/countries ==
====Zambia====
An, emergency task force has been set up by the ].<ref name=bbc1/>


{{Update|date=November 2010}}
===Asia===
====Azerbaijan====
On April 27, ] imposed a ban on import of ] products from America.<ref name="trend">{{cite news|author=|url=http://news-en.trend.az/society/health/1462401.html|agency=]|title=Prevention against "swine flu" stabile in Azerbaijan: minister|date=28 April 2009|accessdate=2009-04-28}}</ref> According to the Chief of the State Veterinary Service under the Agriculture Ministry Ismayil Hasanov, products brought to the country by April 27 received certificates and it was confirmed that those products were safe.<ref>{{cite news|author=|url=http://en.apa.az/news.php?id=101346|agency=]|title=Meeting on swine flu threat held in Azerbaijani Cabinet of Ministers|date=29 April 2009|accessdate=2009-04-29}}</ref> ] took additional safety measures and a sanitary quarantine unit of the Health Ministry started to operate in ] with all aircraft and passengers being checked.<ref>{{cite news|author=|url=http://en.apa.az/news.php?id=101254|agency=Azerbaijan Press Agency|title=All aircraft and passengers examined at Heydar Aliyev International Airport|date=28 April 2009|accessdate=2009-04-29}}</ref>


=== Africa ===
Azeri Minister of Health Ogtay Shiraliyev said the order prepared by him considers implementation of necessary measures in the ] and various medical centers. "Azerbaijan is ready for this issue", he said.<ref>{{cite news|author=|url=http://en.apa.az/news.php?id=101257|agency=Azerbaijan Press Agency|title=Azerbaijani Health Minister: “Special order will be issued regarding the swine flu threat”|date=28 April 2009|accessdate=2009-04-28}}</ref> According to the Agriculture Minister Ismat Abbasov, the State Veterinary Service is holding monitoring in the regions and pigs are kept in closed places in farms.<ref name="trend"/> Abbasov also said: "I can say with full responsibility that the situation on prevention against swine flu virus is stable in Azerbaijan".<ref name="trend"/>
{{Main|2009 swine flu pandemic in Africa}}


{| class="table" style="margin:auto;"
On May 2 all ] on borders with Russia passed to the medium security and disinfection barriers for both cars and pedestrians were installed at the Samur, Shirvanovka and Khan Oba checkpoints in ] and ].<ref name="apa">{{cite news|author=|url=http://en.apa.az/news.php?id=101573|agency=]|title=Azerbaijan-Russia border checkpoints pass to medium security|date=2 May 2009|accessdate=2009-05-02}}</ref> The veterinary services at checkpoints intensified their activities while hog farms in the northern regions passed to the closed farming regime.<ref name="apa"/>
|- valign="top"
|]
|]
|}


The Egyptian government ordered the mass slaughter of all pigs in Egypt on 29 April,<ref>{{cite web |url=http://www.abc.net.au/news/stories/2009/04/30/2556545.htm?section=justin%20Egypt%20orders%20pig%20cull |title=Egypt orders pig cull – ABC News (Australian Broadcasting Corporation) |publisher=ABC |location=Australia |access-date=27 September 2009 |date=29 April 2009 |archive-date=13 May 2011 |archive-url=https://web.archive.org/web/20110513205313/http://www.abc.net.au/news/stories/2009/04/30/2556545.htm?section=justin%20Egypt%20orders%20pig%20cull |url-status=live }}</ref> even though the current strain was a human-human transmittable, human ] that had previously hybridized with ] and ]. The ] called the swine killing "scientifically unjustified".<ref name=food>{{cite news | title=OIE position on safety of international trade of pigs and products of pig origin | date=28 April 2009 | publisher=World Organization for Animal Health | url =http://www.oie.int/eng/press/en_090428.htm | access-date =30 April 2009 | archive-url=https://web.archive.org/web/20090501134026/http://www.oie.int/eng/press/en_090428.htm| archive-date= 1 May 2009 | url-status= dead}}</ref>
====Cambodia====
Cambodia's health authorities remain alert but confident that the country is prepared for a swine flu pandemic. In terms of ensuring that infected pigs do not spread the disease to Cambodia, the Cambodian Pig Raiser Association said it has told the government it should ban live pig imports.
But Khlauk Chuon, the deputy director of Camcontrol at the Ministry of Commerce, said they would only ban live pig imports from a country that has been hit with swine flu.<br /> "We are very worried about this new disease because it can transfer from pig to human, from human to human and from human to pig," Khlauk Chuon added.<ref>{{cite web|url=http://www.phnompenhpost.com/index.php/2009042925585/National-news/Regional-flu-cases-cause-concern.html|title=Regional flu cases cause concern |publisher=phnompenhpost.com|date=|accessdate=2009-04-29}}</ref>


The first case of the ] was discovered in ] on 2 June 2009, in a 12-year-old girl coming from the US with her mother. Only the girl was infected and the officials caught the case before letting her out of the airport.{{Citation needed|date=October 2009}} A second and third case were discovered on Sunday 7 June, two students at the ].<ref>{{cite news |last=Johnston |first=Cynthia |date=8 June 2009 |title=Egypt quarantines 234 in university dorm over H1N1 |url=https://www.reuters.com/article/us-flu-egypt/egypt-quarantines-234-in-university-dorm-over-h1n1-idUSTRE5571M720090608 |work=Reuters |access-date=5 December 2022 |url-status=live |archive-url=https://web.archive.org/web/20200111204830/https://www.reuters.com/article/us-flu-egypt/egypt-quarantines-234-in-university-dorm-over-h1n1-idUSTRE5571M720090608 |archive-date=11 January 2020}}</ref><ref>{{cite news| url=https://af.reuters.com/article/topNews/idAFJOE5510ED20090602 | archive-url=https://web.archive.org/web/20090605174842/http://af.reuters.com/article/topNews/idAFJOE5510ED20090602 | url-status=dead | archive-date=5 June 2009 | work=Reuters | title=Egypt detects first H1N1 flu case: WHO official | date=2 June 2009| access-date=14 November 2009 }}</ref> On 11 June 2 more cases were discovered, bringing the total number of cases to 12.<ref>{{cite web|url=https://www.google.com/hostednews/afp/article/ALeqM5iP1qStvCULJ_rKgmloiXfwbJcKGA|title=Toddler latest swine flu case in Egypt|access-date=12 June 2009| archive-url= https://web.archive.org/web/20090616125702/https://www.google.com/hostednews/afp/article/ALeqM5iP1qStvCULJ_rKgmloiXfwbJcKGA| archive-date= 16 June 2009 | url-status= dead}}</ref>
====China====
{{seealso|Disease surveillance in China}}


The swine flu was confirmed in 21 African countries: Egypt, South Africa, Morocco, Algeria, Tunisia, Ethiopia, Côte d'Ivoire, Seychelles, Cape Verde, Libya, Kenya,<ref>{{cite web
The ] (AQSIQ) of China issued an emergency notice on the evening of 26 April that visitors returning from flu-affected areas who experienced flu-like symptoms within two weeks would be quarantined.<ref name="reuters">{{cite web|url=http://www.reuters.com/article/europeCrisis/idUST344175|title=FACTBOX-Asia moves to ward off new flu virus|publisher=Reuters|date=2009-02-09|accessdate=2009-04-26}}</ref> The ] has started prevention measures, and initiated cooperation with the ] and the relevant departments of the Mexican and U.S. governments to help contain the outbreak. According to Wang Jing of the China Inspection and Quarantine Science Research Institute, the measures already in place in China against ] are sufficient for this new disease.<ref>{{cite web|url=http://www.ottawacitizen.com/Health/Canadian+cases+swine+Health+officials/1535987/story.html|title=Four 'mild' cases of swine flu confirmed in Nova Scotia|publisher=Ottawacitizen.com|date=|accessdate=2009-04-26}}</ref>
|title=Introduction and Transmission of 2009 Pandemic Influenza A (H1N1) Virus --- Kenya, June—July 2009
|url=https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5841a1.htm
|work=Morbidity and Mortality Weekly Report
|publisher=Centers for Disease Control and Prevention (CDC)
|date=23 October 2009
|access-date=23 October 2009
|archive-url=https://web.archive.org/web/20091025120730/http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5841a1.htm
|archive-date=25 October 2009
|url-status=live
}}</ref> Uganda, Botswana, Zimbabwe, Tanzania, Mauritius, Somalia, Sudan, Namibia, Zambia, Gabon, and Rwanda.
<!-- this ends the Africa section -->


The H1N1 virus was a concern in the months leading up to the ], which took place in June 2010 in South Africa.<ref>{{cite web|url=http://health.iafrica.com/healthnews/2256901.htm|title=iafrica.com Winter raises H1N1 fears|work=iAfrica.com|access-date=17 March 2010|archive-url=https://web.archive.org/web/20100507122616/http://health.iafrica.com/healthnews/2256901.htm|archive-date=7 May 2010|url-status=dead}}</ref><ref>{{cite web|url=http://www.goal.com/en/news/1863/world-cup-2010/2010/02/16/1793220/world-cup-2010-swine-flu-threat-in-mind|title=FINISHED: World Cup 2010: Swine Flu Threat In Mind - Goal.com|work=Goal.com|access-date=17 March 2010|archive-date=24 February 2021|archive-url=https://web.archive.org/web/20210224234436/https://www.goal.com/en/news/1863/world-cup-2010/2010/02/16/1793220/world-cup-2010-swine-flu-threat-in-mind|url-status=live}}</ref>
Authorities confirmed on May 1 that a Mexican citizen in ] had tested positive for swine flu, making it the first reported case in China.<ref name="wissenschaft1">{{cite web|url=http://www.spiegel.de/wissenschaft/mensch/0,1518,622374,00.html|title=Erste bestätigte Fälle in Dänemark und Hongkong|publisher=Spiegel Online|date=|accessdate=2009-05-01}}</ref> Hundreds of guests and staff were under quarantine in ] on Saturday after health officials determined that a hotel guest had contracted the H1N1 virus. Nearly 200 hotel guests and 100 staff members were ordered to stay in Metropark Hotel in Hong Kong for seven days to stop the spread of the H1N1 virus, a government spokesman said.<ref>{{cite web|url=http://edition.cnn.com/2009/HEALTH/05/02/swine.flu/index.html |title=Number of confirmed H1N1 cases worldwide soars - CNN.com |publisher=Edition.cnn.com |date= |accessdate=2009-05-02}}</ref>. At 10:00 GMT, the ] confirmed its first confirmed ] case.


=== Asia ===
May 2, the Chinese government has decided to suspend flights from Mexico to ] in east China, the Foreign Ministry said.<ref>{{cite web|url=http://news.xinhuanet.com/english/2009-05/02/content_11297034.htm|title=China suspends flights from Mexico|publisher=XinHua|date=|accessdate=2009-05-02}}</ref> Meanwhile, the ] also assigned a charter to transport stranded Chinese visitors back home. Among all carriers, ] was the first choice as it is based in Shanghai, where the original and the only Sino-Mexican flight disembarks, but later the job has fallen onto the ] based ], as China Eastern's aircrafts don't fit the facility at ]. The replacing China Southern flight would leave ] at 21:00 on May 3 as a normal flight until it reaches the stop-over at Los Angeles, and then fly empty toward Mexico City to pick up the 120 stranded tourists. The charter flight estimates to be back in Shanghai 11:00 in the morning on May 5, and all passengers onboard will then go through health to see if further action is needed. <ref>{{cite web|url=http://news.xinhuanet.com/newscenter/2009-05/02/content_11300720.htm|title=China Southern charter picking up 120 Chinese visitors in Mexico on May 5|publisher=XinHua|date=|accessdate=2009-05-02}} {{Languageicon|zh-hans}}</ref>
{{Main|2009 swine flu pandemic in Asia}}
{| class="table" style="margin:auto;"
|- valign="top"
|]
|]
|}


==== Hong Kong==== ==== Western and Central Asia ====
] ]
]
]
On 27 April, Azerbaijan imposed a ban on import of ] products from America.<ref name="trend">{{cite news|url=http://en.trend.az/news/society/health/1462401.html|agency=]|title=Prevention against "swine flu" stabile in Azerbaijan: minister|date=28 April 2009|access-date=28 April 2009|archive-date=13 May 2011|archive-url=https://web.archive.org/web/20110513205647/http://en.trend.az/news/society/health/1462401.html|url-status=live}}</ref> ] took additional safety measures and a sanitary ] unit of the Health Ministry started to operate in ], checking all aircraft and passengers.<ref>{{cite news|url=http://en.apa.az/news.php?id=101254|agency=Azerbaijan Press Agency|title=All aircraft and passengers examined at Heydar Aliyev International Airport|date=28 April 2009|access-date=29 April 2009|archive-url=https://web.archive.org/web/20090503171300/http://en.apa.az/news.php?id=101254|archive-date=3 May 2009|url-status=dead}}</ref> On 2 May ]s with disinfection barriers for both cars and pedestrians were installed at the Samur, Shirvanovka and Khan Oba checkpoints in ] and ].<ref name="apa">{{cite news|url=http://en.apa.az/news.php?id=101573|agency=]|title=Azerbaijan-Russia border checkpoints pass to medium security|date=2 May 2009|access-date=2 May 2009|archive-url=https://web.archive.org/web/20090503171339/http://en.apa.az/news.php?id=101573|archive-date=3 May 2009|url-status=dead}}</ref> The ] at checkpoints intensified their activities while hog farms in the northern regions switched to a closed farming regime.<ref name="apa"/>
The ]<ref name="LatestNews">{{cite web|url=http://www.chp.gov.hk/view_content.asp?lang=en&info_id=16615 |title=Latest News of Center for Health Protection &#124;publisher=Centre for Health Protection, Hong Kong |publisher=Chp.gov.hk |date= |accessdate=2009-05-02}}</ref> issued travel advice for ] on 26 April, 2009, which advised Hong Kong residents not to travel to Mexico unless absolutely necessary.<ref name="publications1">{{cite web|url=http://www.fhb.gov.hk/en/press_and_publications/press/2009/press090426a.htm |title=Secretary for Food and Health on the issue of swine flu (press releases) |publisher=Fhb.gov.hk |date=2009-04-26 |accessdate=2009-05-02}}</ref> The Bureau also escalated the alert level from "alert" to "Serious" on the same day,<ref name="healthandcommunity1">{{cite web|url=http://sc.info.gov.hk/gb/www.news.gov.hk/en/category/healthandcommunity/090426/html/090426en05004.htm |title=Swine flu alert raised to 'serious' |publisher=Sc.info.gov.hk |date=2009-04-26 |accessdate=2009-05-02}}</ref> which activated health protection measures in all ] of Hong Kong. As such, temperature screening machines are used at all checkpoints to identify passengers with fever and respiratory symptoms. Any passenger who fails the temperature test and confirmed having a fever will be quarantined and sent to public hospital for further investigation.<ref name="publications1"/> Hong Kong also became one of the first countries to declare the swine flu as a ], and much of the procedures against the spread of the swine flu were learned from the ], of which Hong Kong was the epicenter of the outbreak.<ref>{{cite web|url=http://www.channelnewsasia.com/stories/eastasia/view/425512/1/.html|title=HK steps up SARS-like emergency precautions against swine flu |last=Tang|first=Leslie|date=28 April 2009|publisher=Channel News Asia|accessdate=2009-04-29}}</ref><ref name="TimeTheLessonsFromSARS">{{cite news|url=http://www.time.com/time/health/article/0,8599,1894072,00.html?iid=tsmodule|title=The Lessons from SARS |last=Webley|first=Kayla|date=27 April, 2009|publisher=Time|accessdate=2009-04-29}}</ref>


Seventy-seven cases were confirmed in Israel.<ref>{{cite news |url=http://www.haaretz.com/hasen/spages/1082352.html |title=Two more Israelis test negative for swine flu |newspaper=Haaretz |date=1 May 2009 |access-date=1 May 2009| archive-url= https://web.archive.org/web/20090503090752/http://www.haaretz.com/hasen/spages/1082352.html| archive-date= 3 May 2009 | url-status= live}}</ref> In response to the outbreak, the Israeli Deputy ], ], suggested that out of respect for the religious sensibilities of Jews and Muslims, the flu should be called "Mexican Flu." This was done so as to not confuse the population into thinking that they could not acquire the virus if they did not eat pork.<ref>BBC News, {{Webarchive|url=https://web.archive.org/web/20090430130529/http://news.bbc.co.uk/1/hi/world/americas/8021301.stm |date=30 April 2009 }}, 27 April 2009 . Retrieved 28 April 2009.</ref><ref name=ap20090427>{{Citation
The ] ] states that special attention will be paid to passengers who come from countries where human infection of swine influenza cases have been reported.<ref name="healthandcommunity1"/>
|date=27 April 2009 |title=Israeli official: Swine flu name offensive |series=Associated Press |publisher=Yahoo News |at=news.yahoo.com |url=https://news.yahoo.com/s/ap/20090427/ap_on_re_mi_ea/ml_odd_israel_kosher_flu |access-date=28 April 2009 |archive-date=2 May 2009 |archive-url=https://web.archive.org/web/20090502072711/http://news.yahoo.com/s/ap/20090427/ap_on_re_mi_ea/ml_odd_israel_kosher_flu }}</ref> The Israeli government retracted this proposal following Mexican complaints.<ref>{{cite news|url=https://www.theguardian.com/world/2009/apr/28/mexican-swine-flu-pork-name |title=What's in a name? Governments debate 'swine flu' versus 'Mexican flu' {{pipe}} World news |work=The Guardian |location=London |date= 28 April 2009|access-date=30 April 2009 | first=Ed | last=Pilkington| archive-url= https://web.archive.org/web/20090501104953/http://www.guardian.co.uk/world/2009/apr/28/mexican-swine-flu-pork-name| archive-date= 1 May 2009 | url-status= live}}</ref>


The first confirmed cases were reported in Kuwait on 23 May, after about 18 people on U.S. military bases tested positive.<ref>{{cite web|url=http://www.fayobserver.com/print?id=327234&type=article|archive-url=https://web.archive.org/web/20090530175313/http://www.fayobserver.com/print?id=327234&type=article|url-status=dead|archive-date=30 May 2009|title=Swine flu cases found on U.S. bases in Kuwait |first1=John |last1=Ramsey |date=May 23, 2009 |website=The Fayetteville Observer}}</ref>
As of April 30, according to the ], there are no confirmed human case of swine influenza A (H1N1) infections in Hong Kong. There were 9 patients who fulfilled the designated reporting criteria, 8 of which tested negative in swine influenza.<ref>{{cite web |url=http://www.chp.gov.hk/files/pdf/Daily_update_on_swine_influenza_bilingual.pdf |title= Update on Swine Influenza Infection in Humans |type=PDF |publisher=Centre for Health Protection, Hong Kong |date=2009-04-30 |accessdate=2009-04-30}}</ref>


On 30 May 2009 the first three cases were confirmed in Lebanon. "One Lebanese man who was in Spain and two Canadians who arrived in Lebanon a week ago are suffering from swine flu," the health minister said. "We put them in quarantine and the blood samples we have taken every day have proven to be positive. The Lebanese man and the two visiting Canadians – a woman and her daughter – were given the proper medical treatment in time and they are well now." The Lebanese Health Minister had previously asked citizens to stop the habit of social kissing, that affected schoolchildren be kept at home and that travel to countries in which cases have been confirmed be avoided.<ref>{{cite news|url=http://uk.reuters.com/article/lifestyleMolt/idUKTRE53R3D320090428 |title=Lebanese told not to kiss in anti-swine flu drive {{pipe}} Lifestyle |publisher=Reuters |date=9 February 2009 |access-date=30 April 2009 |first=Nadim |last=Ladki| archive-url= https://web.archive.org/web/20090501145551/http://uk.reuters.com/article/lifestyleMolt/idUKTRE53R3D320090428| archive-date= 1 May 2009 | url-status= dead}}</ref> Beirut also banned the import of pork.<ref>{{cite web|url=http://foodbizdaily.com/articles/28988-swine-flu-fear-prompts-lebanon-to-ban-pork-imports.aspx |title=News: Swine flu Fear Prompts Lebanon to Ban Pork Imports |publisher=FoodBizDaily |date=April 28, 2009 |access-date=30 April 2009| archive-url= https://web.archive.org/web/20090503110754/http://foodbizdaily.com/articles/28988-swine-flu-fear-prompts-lebanon-to-ban-pork-imports.aspx| archive-date= 3 May 2009 | url-status= dead}}</ref>
On May 1, one case became the first confirmed case of swine flu in Hong Kong and also the first in Asia after being tested positive by ] and the ]. The Mexican patient, who travelled with two companions from Mexico to Hong Kong with a stopover in Shanghai ], arrived in Hong Kong on April 30. Metropark Hotel ], where the patient stayed, was cordoned off by the police and health officials from the ].<ref>{{cite web |url=http://www.rthk.org.hk/rthk/news/englishnews/news.htm?main&20090501&56&578437 |title=Emergency in force after case confirmed| publisher=Radio Television Hong Kong |date=2009-05-01 |accessdate=2009-05-01}}</ref><ref>{{cite web |url=http://www.reuters.com/article/latestCrisis/idUST24603| title=Hong Kong govt confirms first H1N1 flu case | publisher=Reuters |date=2009-05-01 |accessdate=2009-05-01}}</ref><ref>{{cite web |url=http://www.bloomberg.com/apps/news?pid=20601080&sid=aKgrGEIztqyQ&refer=asia| title=Hong Kong Confirms Swine Flu Case, Declares Emergency | publisher=Bloomberg |date=2009-05-01 |accessdate=2009-05-01}}</ref><ref>{{cite web |url=http://www.chp.gov.hk/view_content.asp?lang=en&info_id=16785| title=SFH on human swine flu press conference on 1/5 | publisher=Centre for Health Protection, Hong Kong|date=2009-05-01}}</ref> All 350 guests and hotel staff have to remain inside the hotel for seven days. After the first swine flu case was confirmed by laboratory, Chief Executive ] raised Hong Kong's response level from "serious" to "emergency".<ref>{{cite web|url=http://www.news.gov.hk/en/category/healthandcommunity/090501/html/090501en05004.htm |title=1st H1N1 case confirmed in HK |publisher=News.gov.hk |date= |accessdate=2009-05-02}}</ref>


In Saudi Arabia, the first case, which affected a Filipino nurse working at ], was confirmed on 1 June. The Health Ministry, in cooperation with the hospital, applied the national plan for the prevention of swine flu in accordance with WHO's recommendations. Accordingly, the patient was isolated and treated.<ref>{{cite web|url=http://www.spa.gov.sa/English/details.php?id=670933|title=Health Ministry announces detection of a Swine Flu case in Riyadh |url-status=dead |archive-url=https://web.archive.org/web/20210308032243/http://www.spa.gov.sa/viewstory.php?newsid=670933 |archive-date=Mar 8, 2021 |website= وكالة الأنباء السعودية}}</ref>
On May 2, a total of 12 Metropark Hotel guests who were not willing to stay in the hotel were moved to Lady MacLehose Holiday Village in Sai Kung for quarantine.<ref>{{cite web |url=http://www.info.gov.hk/gia/general/200905/02/P200905020026.htm| title=Lodgers of Metropark Hotel moved to holiday village | publisher=Hong Kong SAR Goverment|date=2009-05-02}}</ref>


====India==== ==== Southern Asia ====
{| class="table" style="float:right;"
The ] has decided to screen all people entering ] via the main airport hubs of ], ], ], ], ], ], ] and ]. It said the primary focus will be on passengers entering from the ], ], ], ], ], and ]. A team of 32 medical professionals have been posted at these airports. The Ministry of Health is also trying to track down people who have entered India from Mexico in the last 10 days.<ref>{{cite web|url=http://timesofindia.indiatimes.com/India/American--European-visitors-to-be-screened-for-swine-flu/articleshow/4457075.cms | title=American & European visitors to be screened for swine flu | publisher=Times Of India | date=2009-04-28}}</ref> It has been reported that one person recently traveled from Texas to Hyderabad with flu symptoms and was quarantined, but authorities refused to divulge his identity.<ref>{{cite web|url=http://timesofindia.indiatimes.com/Swine-flu-reaches-India/articleshow/4465683.cms |title=NRI from Texas arrives in Hyderabad with swine flu symptoms - India - The Times of India |publisher=Timesofindia.indiatimes.com |date= |accessdate=2009-04-30}}</ref> Government health officials & WHO subsequently stated that there is no Swine flu in India and the said patient recovered from a common cold.<ref>{{cite web|url=http://timesofindia.indiatimes.com/India/No-swine-flu-in-India-Government/articleshow/4468614.cms |title=Flu watch: NRI test result in 2 days - India - The Times of India |publisher=Timesofindia.indiatimes.com |date= |accessdate=2009-05-01}}</ref> Three other suspected cases of swine flu have been noticed.<ref>{{cite web|url=http://timesofindia.indiatimes.com/3-suspected-cases-of-swine-flu-in-India/articleshow/4474629.cms |title=3 suspected cases of swine flu in India |publisher=TimesofIndia.Indiatimes.com |date= |accessdate=2009-05-02}}</ref> Two of them were flying from Chicago and the other one, who is UK citizen, aged 35, arrived from London. All of whom have been kept under observation in a hospital.<ref>{{cite web|url=http://ibnlive.in.com/news/swine-flu-scare-in-india-2-under-observation/91610-17.html |title=Swine flu scare in India, 2 under observation |date= |accessdate=2009-05-02}}</ref>
|-
|]
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|]
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All people entering India via the main airport hubs of ], New Delhi, ] and other metro cities were screened. The primary focus was on passengers entering from the US, ], Canada, Mexico, France and New Zealand.<ref>{{cite news|url=https://timesofindia.indiatimes.com/india/American-European-visitors-to-be-screened-for-swine-flu/articleshow/4457075.cms |archive-url=https://web.archive.org/web/20110811132837/http://articles.timesofindia.indiatimes.com/2009-04-28/india/28039180_1_health-secretary-naresh-dayal-swine-flu-health-ministry |url-status=live |archive-date=11 August 2011 | title=American & European visitors to be screened for swine flu | date=28 April 2009 | first1=Kounteya | last1=Sinha|work=] | access-date=14 November 2009 }}</ref> As of 25 October, over 13,000 cases had been confirmed in India, with 444 deaths, starting with a 13-year-old girl's death in the city of ], where almost 91 people died.<ref>{{cite news|url=http://timesofindia.indiatimes.com/videos/news/13-year-old-girl-dies-of-swine-flu-in-Pune-toll-rises-to-8/videoshow/4879963.cms|title=13-year-old girl dies of swine flu in Pune, toll reaches 8|access-date=11 August 2009|work=The Times of India|archive-date=27 January 2016|archive-url=https://web.archive.org/web/20160127222533/http://timesofindia.indiatimes.com/videos/news/13-year-old-girl-dies-of-swine-flu-in-Pune-toll-rises-to-8/videoshow/4879963.cms|url-status=live}}</ref>
====Indonesia====
After a coordination meeting about the flu on April 27, 2009, the ]n government halted the importation of pigs and initiated the examination of 9 million pigs in Indonesia.<ref>{{cite web|url=http://nasional.kompas.com/read/xml/2009/04/27/11120229/cegah.flu.babi.pemerintah.gelar.rapat.koordinasi|title=Cegah flu babi, pemerintah gelar rapat koordinasi|date=2009-04-27|publisher=Kompas newspaper}}</ref> ]s which can detect human body temperature have been installed at Indonesian ports of entry. Temperatures above 38 degrees Celsius (100.4 Fahrenheit) cause the devices to beep, indicating fever. The devices have been installed in ] and Halim Perdana Kusuma Airport in ], Juanda Airport in ], Hang Nadim Airport in ], Hasanudin Airport in ], Ngurah Rai Airport in ], Sepinggan Airport in ], and Tanjung Priok Seaport, gates one and two in Jakarta.<ref>{{cite web|url=http://www.kompas.com/read/xml/2009/04/27/13282547/Takut.Flu.Babi..Indonesia.Hentikan.Impor.Babi|title=Takut flu babi, Indonesia hentikan impor babi|date=2009-04-27|publisher=Kompas newspaper}}</ref>


In the Maldives, a ministerial committee was established to supervise preventive measures to avoid an outbreak. All visitors arriving at the ] International Airport and the country's three commercial seaports were screened.<ref>{{cite web |title=Maldives prepares for swine flu |author=Ibrahim Mohamed |url=http://www.minivannews.com/news_detail.php?id=6428 |archive-url=https://web.archive.org/web/20090504035933/http://www.minivannews.com/news_detail.php?id=6428 |archive-date=4 May 2009 |date=30 April 2009 |access-date=30 April 2009 |url-status=dead }}</ref>
====Israel====
Four cases have been confirmed in ].<ref>{{cite news |url=http://www.haaretz.com/hasen/spages/1082352.html |title=Two more Israelis test negative for swine flu |publisher=Haaretz |date=2009-05-01 |accessdate=2009-05-01}}</ref> In response to the outbreak, the Israeli Deputy ], ], has said that because ''swine'' are unclean, the outbreak needs to be renamed, and so in Israel, out of respect for the religious sensibilities of Jews and Muslims, it should be called "Mexican Flu". This was done so as to not confuse the population into thinking that they could not acquire the virus if they did not eat pork.<ref> BBC News, , 27 April 2009 . Retrieved 28 April 2009.</ref><ref> Yahoo News, , Associated Press, 27 April 2009 . Retrieved 28 April 2009.</ref> The Israeli government retracted this proposal following Mexican complaints.<ref>{{cite web|url=http://www.guardian.co.uk/world/2009/apr/28/mexican-swine-flu-pork-name |title=What's in a name? Governments debate 'swine flu' versus 'Mexican flu' &#124; World news &#124; guardian.co.uk |publisher=Guardian |date= |accessdate=2009-04-30}}</ref>


Pakistan took precautionary measures at its international airports to check passengers coming from affected countries.<ref>{{cite web |url=http://www.dawn.com/wps/wcm/connect/dawn-content-library/dawn/news/pakistan/14-pakistan-mobilises-against-swine-flu-officials-zj-04 |title=Pakistan mobilises against swine flu |date=29 April 2009 |publisher=The Dawn |access-date=14 November 2009 |archive-date=14 August 2009 |archive-url=https://web.archive.org/web/20090814050312/http://www.dawn.com/wps/wcm/connect/dawn-content-library/dawn/news/pakistan/14-pakistan-mobilises-against-swine-flu-officials-zj-04 |url-status=live }}</ref> Doctors checked incoming passengers and allowed entry only to those with no symptoms. Major hospitals were placed on high alert.{{citation needed|date=August 2022}}
====Japan====
The ] of Japan instructed animal quarantine offices across ] to examine any live pigs being brought into Japan to make sure they are not infected with the influenza.<ref>{{cite web|url=http://home.kyodo.co.jp/modules/fstStory/index.php?storyid=435522|title=Japan on high alert for swine flu after outbreak in Mexico|publisher=]|date= 2009-04-26|accessdate=2009-04-26}}</ref> Japanese Agriculture Minister ] appeared on television to reassure customers that it was safe to eat pork.<ref name="Press"/> The Japanese farm ministry said that it would not ask for restrictions on pork imports because the virus was unlikely to turn up in pork, and would be killed by cooking.<ref name=Reuters426>{{cite web|url=http://www.reuters.com/article/europeCrisis/idUST344175|title=FACTBOX-Asia moves to ward off new flu virus|date=2009-04-26|publisher=Reuters}}</ref>


==== Southeastern Asia ====
On April 30, 2009 the first suspected case was detected at ]. However, the case turned out to be of a conventional strain of influenza A subtype H3N2 (Hong Kong A strain).<ref>{{cite web|url=http://www.yomiuri.co.jp/feature/20090425-436828/news/20090430-OYT1T01003.htm|title=A female passenger arriving from Los Angels suspected of the new influenza|publisher=]|date=2009-04-30|accessdate=2009-05-01}}</ref> On May 1, 2009 the second suspected case was detected in Yokohama.<ref>{{cite web|url=http://home.kyodo.co.jp/modules/fstStory/index.php?storyid=436501|title=Japan's 1st suspected case of new influenza virus detected|publisher=]|date=2009-05-01|accessdate=2009-05-01}}</ref> This case also turned out to be a conventional strain of influenza A subtype H1N1 (Russian A strain).<ref>{{cite web|url=http://www.yomiuri.co.jp/national/news/20090501-OYT1T00789.htm?from=top|title=Yokohama high school student confirmed to be not carrying the new influenza|publisher=]|date=2009-05-01|accessdate=2009-05-01}}</ref> Meanwhile Japan has not stopped any flights or means of travelling between Japan and Mexico.
Since 8 July a total of 207 cases were reported in Brunei.<ref>{{cite web|url=http://www.brudirect.com/index.php/200907082062/First-Stories/swine-flu-hits-record-in-brunei-as-more-falls-sick.html|title=Disease Crosses The 200 mark|date=8 July 2009|access-date=8 July 2009|publisher=Brudirect.com|archive-date=12 July 2009|archive-url=https://web.archive.org/web/20090712235620/http://www.brudirect.com/index.php/200907082062/First-Stories/swine-flu-hits-record-in-brunei-as-more-falls-sick.html|url-status=live}}</ref>


The Cambodian Pig Raiser Association told the government it should ban live pig imports. But Khlauk Chuon, the deputy director of Camcontrol at the Ministry of Commerce, said they would only ban live pig imports from affected countries.<ref>{{cite web|url=http://www.phnompenhpost.com/index.php/2009042925585/National-news/Regional-flu-cases-cause-concern.html|title=Regional flu cases cause concern|publisher=phnompenhpost.com|access-date=29 April 2009|archive-date=8 June 2022|archive-url=https://web.archive.org/web/20220608083652/https://www.phnompenhpost.com/index.php?option=com_jcs|url-status=live}}</ref>
====Laos====
The ] agreed to buy 10 thermal imaging machines and install them at the country's major immigration border checkpoints. The machines would help officials identify anyone entering the country with a high temperature and create confidence among Lao people, foreigners living in ] and people traveling to Laos. Health officials would be on hand at international border checkpoints to ensure anyone found to be infected could be treated immediately. Each machine could cost about US$25,000. The decision to buy them was made after the government found visitors to Laos included people coming from the United States, Spain and other affected countries.


The Indonesian government halted the importation of pigs and initiated the examination of 9 million pigs.<ref>{{cite web|url=http://nasional.kompas.com/read/xml/2009/04/27/11120229/cegah.flu.babi.pemerintah.gelar.rapat.koordinasi|title=Cegah flu babi, pemerintah gelar rapat koordinasi|date=27 April 2009|publisher=Kompas newspaper|access-date=14 November 2009|archive-date=1 May 2009|archive-url=https://web.archive.org/web/20090501235943/http://nasional.kompas.com/read/xml/2009/04/27/11120229/cegah.flu.babi.pemerintah.gelar.rapat.koordinasi|url-status=live}}</ref> ]s that can detect human body temperature were installed at Indonesian ports of entry.<ref>{{cite web|url=http://www.kompas.com/read/xml/2009/04/27/13282547/Takut.Flu.Babi..Indonesia.Hentikan.Impor.Babi|title=Takut flu babi, Indonesia hentikan impor babi|date=27 April 2009|publisher=Kompas newspaper|access-date=14 November 2009|archive-date=30 April 2009|archive-url=https://web.archive.org/web/20090430103045/http://www.kompas.com/read/xml/2009/04/27/13282547/Takut.Flu.Babi..Indonesia.Hentikan.Impor.Babi|url-status=live}}</ref>
The Prime Minister ] said masks should be made available and health officials would be assigned to work at border checkpoints. The machines would help officials identify anyone entering the country with a high temperature and create confidence among Lao people, foreigners living in Laos and people travelling to Laos. Health officials would be on hand at international border checkpoints to ensure anyone found to be infected could be treated immediately.<ref>{{cite web|title=Govt to make swine flu border checks|url=http://www.vientianetimes.org.la/FreeContent/Free_Govt.htm|publisher=Vientiane Times|accessdate=2009-04-29}}</ref>


The Lao government bought 10 thermal imaging machines to install at the country's major immigration border checkpoints. The Prime Minister ] said masks should be made available and health officials would be assigned to border checkpoints.<ref>{{cite web|title=Govt to make swine flu border checks|url=http://www.vientianetimes.org.la/FreeContent/Free_Govt.htm|work=Vientiane Times|access-date=29 April 2009| archive-url= https://web.archive.org/web/20090502010026/http://www.vientianetimes.org.la/FreeContent/Free_Govt.htm| archive-date= 2 May 2009 | url-status= live}}</ref> On 22 July, Laos recorded its first death.<ref>{{cite news|title=First swine flu death in Laos: Official |url=http://timesofindia.indiatimes.com/NEWS/World/Rest-of-World/First-swine-flu-death-in-Laos-Official-/articleshow/4808230.cms |work=The Times of India |access-date=22 July 2009 |date=22 July 2009 |url-status=dead |archive-url=https://web.archive.org/web/20090725225652/http://timesofindia.indiatimes.com/NEWS/World/Rest-of-World/First-swine-flu-death-in-Laos-Official-/articleshow/4808230.cms |archive-date=25 July 2009 }}</ref>
====Lebanon====
The Lebanese Health Minister ] asked citizens to stop the social habit of kissing. He also requested that affected schoolchildren be kept at home and that travel to countries in which cases have been confirmed be avoided.<ref>{{cite web|url=http://uk.reuters.com/article/lifestyleMolt/idUKTRE53R3D320090428 |title=Lebanese told not to kiss in anti-swine flu drive &#124; Lifestyle &#124; Reuters |publisher=Uk.reuters.com |date=2009-02-09 |accessdate=2009-04-30}}</ref> Beirut also banned the import of pork.<ref>{{cite web|url=http://foodbizdaily.com/articles/28988-swine-flu-fear-prompts-lebanon-to-ban-pork-imports.aspx |title=News: Swine flu Fear Prompts Lebanon to Ban Pork Imports |publisher=Foodbizdaily.com |date=1999-02-22 |accessdate=2009-04-30}}</ref>


In Malaysia, health screenings were carried out on passengers traveling to and from Mexico via sea, air and land beginning 17 April.<ref name="Msia Star alert">{{cite news|url=http://thestar.com.my/news/story.asp?file=/2009/4/26/nation/3775744|title=Malaysia on alert after deadly flu hits Mexico|date=26 April 2009|newspaper=]|access-date=14 November 2009|archive-url=https://web.archive.org/web/20090618031946/http://thestar.com.my/news/story.asp?file=%2F2009%2F4%2F26%2Fnation%2F3775744|archive-date=18 June 2009|url-status=dead}}</ref><ref name="Msia Star 2nd case">{{cite news | url=http://thestar.com.my/news/story.asp?file=/2009/5/16/nation/20090516113331 | title=A (H1N1): Second confirmed case in Malaysia (Update 4) | date=16 May 2009 | newspaper=] | access-date=14 November 2009 | archive-url=https://web.archive.org/web/20090618031957/http://thestar.com.my/news/story.asp?file=%2F2009%2F5%2F16%2Fnation%2F20090516113331 | archive-date=18 June 2009 | url-status=dead}}</ref> The Health Ministry's disease control division activated its operations room to monitor the situation and informed medical practitioners treating suspicious cases to inform the district health office immediately.<ref name="Msian Insider operation active">{{cite news|url=http://www.themalaysianinsider.com/index.php/malaysia/24632-operations-room-activated-to-monitor-swine-flu-|title=Operations room activated to monitor swine flu|date=26 April 2009|newspaper=Malaysian Insider|access-date=14 November 2009|archive-date=29 April 2009|archive-url=https://web.archive.org/web/20090429010547/http://www.themalaysianinsider.com/index.php/malaysia/24632-operations-room-activated-to-monitor-swine-flu-|url-status=dead}}</ref> Thermal scanners were installed at ].<ref name="Msia Star 1st case">{{cite news | url=http://thestar.com.my/news/story.asp?file=/2009/5/15/nation/20090515141134 | title=Malaysia confirms first case of A(H1N1) flu (Update 2) | date=15 May 2009 | newspaper=] | access-date=14 November 2009 | archive-url=https://web.archive.org/web/20090519121627/http://thestar.com.my/news/story.asp?file=%2F2009%2F5%2F15%2Fnation%2F20090515141134 | archive-date=19 May 2009 | url-status=dead}}</ref> Screenings were imposed in ], at the ], in late April.<ref name="Msia Star Thai border">{{cite news | url=http://thestar.com.my/news/story.asp?file=/2009/4/29/nation/20090429193202 | title=Swine Flu: Screening team stationed at Thai border | date=29 April 2009 | newspaper=] | access-date=14 November 2009 | archive-date=18 June 2009 | archive-url=https://web.archive.org/web/20090618031218/http://thestar.com.my/news/story.asp?file=%2F2009%2F4%2F29%2Fnation%2F20090429193202 | url-status=live }}</ref> Quarantine rooms were allocated in 28 hospitals<ref name="Msia Star 28 quanrantine rooms">{{cite news | url=http://thestar.com.my/news/story.asp?file=/2009/5/11/nation/3877174 | title=Special quarantine rooms at 28 hospitals for A(H1N1) | date=11 May 2009 | newspaper=] | access-date=14 November 2009 | archive-date=18 June 2009 | archive-url=https://web.archive.org/web/20090618031952/http://thestar.com.my/news/story.asp?file=%2F2009%2F5%2F11%2Fnation%2F3877174 | url-status=live }}</ref> and the country stockpiled more than 2 million doses of ], as of May 2009.<ref name="Msia STimes Tamiflu stockpike">{{cite web|url=http://www.straitstimes.com/Breaking%2BNews/World/Story/STIStory_371052.html |title=H1N1 flu outbreak: H1N1 flu watch |date=2 May 2009 |work=Straits Times |location=Singapore |access-date=14 November 2009 |url-status=dead |archive-url=https://web.archive.org/web/20090504073120/http://www.straitstimes.com/Breaking%2BNews/World/Story/STIStory_371052.html |archive-date=4 May 2009 }}</ref> Schools were issued strict hygiene procedures on 16 May to contain any outbreak.<ref name="Msia Star school procedures">{{cite news| url=http://thestaronline.com/news/story.asp?file=/2009/5/16/nation/20090516121115 | title=A (H1N1): Schools to follow Health Ministry hygiene procedures | date=16 May 2009 | newspaper=]| access-date=14 November 2009 }}</ref> On 15 May, the Health Ministry confirmed Malaysia's first case: a male student who had arrived via air from ].<ref name="Msia Star 2nd case"/><ref name="Msia Star 1st case"/><ref name="Msia Star 1st case 2">{{cite news | url=http://thestar.com.my/news/story.asp?file=/2009/5/16/nation/3921680 | title=21-year-old student from US has H1N1 | date=16 May 2009 | newspaper=] | access-date=14 November 2009 | archive-date=18 June 2009 | archive-url=https://web.archive.org/web/20090618031223/http://thestar.com.my/news/story.asp?file=/2009/5/16/nation/3921680 | url-status=live }}</ref><ref name="Msia Star case 2 Penang flight">{{cite news | url=http://thestar.com.my/news/story.asp?file=/2009/5/17/nation/20090517102332 | title=Home quarantine for passengers and crew of AirAsia flight (Update) | date=17 May 2009 | newspaper=] | access-date=14 November 2009 | archive-url=https://web.archive.org/web/20090618032002/http://thestar.com.my/news/story.asp?file=%2F2009%2F5%2F17%2Fnation%2F20090517102332 | archive-date=18 June 2009 | url-status=dead}}</ref> The first death was reported on 23 July.<ref>{{cite web |url=http://www.thesundaily.com/article.cfm?id=36119 |title=First H1N1-related death in Malaysia |date=23 July 2009 |publisher=Sun2Surf |archive-url=https://web.archive.org/web/20090726110656/http://www.thesundaily.com/article.cfm?id=36119 |archive-date=26 July 2009 |url-status=dead |access-date=5 September 2009 }}</ref> As of 11 August there were 2,253 confirmed cases.<ref>{{cite web|url=http://www.straitstimes.com/Breaking%2BNews/SE%2BAsia/Story/STIStory_415256.html |title=6 new flu deaths in M'sia |date=11 August 2009 |work=Straits Times |location=Singapore |access-date=14 November 2009 |url-status=dead |archive-url=https://web.archive.org/web/20090814173307/http://www.straitstimes.com/Breaking%2BNews/SE%2BAsia/Story/STIStory_415256.html |archive-date=14 August 2009 }}</ref> As of 12 August the total number of deaths in Malaysia stood at 44.<ref>{{cite news| url=http://themalaysianinsider.com/index.php/malaysia/34979-two-toddlers-die-of-h1n1-fatalities-now-at-44| title=Two toddlers die of H1N1, fatalities now at 44| date=12 August 2009| newspaper=Malaysian Insider| access-date=14 November 2009| archive-date=17 September 2009| archive-url=https://web.archive.org/web/20090917225505/http://www.themalaysianinsider.com/index.php/malaysia/34979-two-toddlers-die-of-h1n1-fatalities-now-at-44| url-status=dead}}</ref>
====Malaysia====
According to the ]n Health Ministry, health screenings will be carried out on passengers traveling to and from Mexico beginning on April 17.<ref>{{cite web|url=http://thestar.com.my/news/story.asp?file=/2009/4/26/nation/3775744&sec=nation|title=Malaysia on alert after deadly flu hits Mexico|date=2009-04-26|publisher=TheStar Online}}</ref> The Health Ministry's disease control division has activated its operations room to monitor the swine flu situation and informed medical practitioners who are treating cases with symptoms of influenza-like illness or severe pneumonia and persons who had visited Mexico, California or Texas to inform the district health office immediately for preventive and control measures. There is no suspected case right until 4 May 2009.<ref>{{cite web|url=http://www.themalaysianinsider.com/index.php/malaysia/24632-operations-room-activated-to-monitor-swine-flu-|title=Operations room activated to monitor swine flu| date= 2009-04-26|publisher=Malaysian Insider}}</ref>


In the Philippines, thermal imaging equipment at airports was implemented to screen passengers coming from the US.<ref>{{cite web|url=http://mb.com.ph/articles/203772/quarantine-screening-us-passengers-ordered|title=Quarantine screening of US passengers ordered {{pipe}} Manila Bulletin|work=Manila Bulletin|access-date=26 April 2009| archive-url= https://web.archive.org/web/20090429172557/http://mb.com.ph/articles/203772/quarantine-screening-us-passengers-ordered| archive-date= 29 April 2009 | url-status= live}}</ref><ref> {{Webarchive|url=https://web.archive.org/web/20120829121615/http://www.earthtimes.org/articles/show/266059,philippines-steps-up-airport-screening-against-swine-flu.html |date=29 August 2012 }} with ] Symptoms</ref> The Philippines quarantined travellers arriving from Mexico with fever.<ref name=Jordans425>{{cite news|url=http://wtop.com/?nid=383&sid=1660299|title=WHO declares international concern over swine flu|author=Frank Jordans|date=25 April 2009|agency=Associated Press|access-date=14 November 2009|archive-date=24 February 2021|archive-url=https://web.archive.org/web/20210224125557/https://wtop.com/?nid=383&sid=1660299|url-status=live}}</ref> The importation of hogs from the U.S. and Mexico was banned and the restriction of vaccine use was retracted.<ref>{{cite web|url=http://www.abs-cbnnews.com/nation/04/25/09/rp-bans-pork-hogs-us-mexico|title=RP bans pork, hogs from US, Mexico|publisher=]|date=26 April 2009|access-date=26 April 2009| archive-url= https://web.archive.org/web/20090427102102/http://www.abs-cbnnews.com/nation/04/25/09/rp-bans-pork-hogs-us-mexico| archive-date= 27 April 2009 | url-status= live}}</ref> On 18 May, a Filipina girl who arrived from ] was the first confirmed case in the Philippines.<ref>{{cite web|url=http://newsinfo.inquirer.net/breakingnews/nation/view/20090521-206396/DoH-confirms-first-AH1N1-case-in-RP|title=DoH confirms first A(H1N1) case in RP|author=Anna Valmero|date=21 May 2009|access-date=14 November 2009|archive-date=25 May 2009|archive-url=https://web.archive.org/web/20090525104432/http://newsinfo.inquirer.net/breakingnews/nation/view/20090521-206396/DoH-confirms-first-AH1N1-case-in-RP|url-status=live}}</ref> As of 15 June, there were 193 confirmed cases.<ref>{{cite news|url=http://www.doh.gov.ph/node/2319 |title=Update 41 -Duque Reports 33 More A(H1N1) Cases Sent Home Over the Weekend While Confirming Community Outbreak in 1 Brgy in Jaen |date=15 June 2009 |access-date=16 June 2009 |archive-url=https://web.archive.org/web/20090618043744/http://www.doh.gov.ph/node/2319 |archive-date=18 June 2009 |url-status=live }}</ref> On 22 June, the first death was reported.<ref name="DOH reported first death">{{cite news|url=http://www.doh.gov.ph/h1n1/index.php?option=com_content&view=article&id=120:update-no-48-duque-reports-high-risk-patient-who-dies-of-heart-attack-found-with-ah1n184-if-all-reported-cases-have-fully-recovered&catid=35:daily-influenza-a-h1n1-updates&Itemid=61 |archive-url=https://web.archive.org/web/20090630162346/http://www.doh.gov.ph/h1n1/index.php?option=com_content&view=article&id=120%3Aupdate-no-48-duque-reports-high-risk-patient-who-dies-of-heart-attack-found-with-ah1n184-if-all-reported-cases-have-fully-recovered&catid=35%3Adaily-influenza-a-h1n1-updates&Itemid=61 |url-status=dead |archive-date=30 June 2009 |title=Update No. 48 – Duque Reports High Risk Patient who Dies of Heart Attack Found with A(h1N1);84% if all Reported Cases have Fully Recovered |publisher=Department of Health |access-date=22 June 2009 }}</ref>
====Maldives====
A ministerial committee has been established to supervise swine flu preventive measures to avoid an outbreak. All visitors arriving at the ] International Airport on ] and the country’s three commercial seaports are being screened.<ref>{{cite web|title=Maldives prepares for swine flu |author=Ibrahim Mohamed |url=http://www.minivannews.com/news_detail.php?id=6428|date=2009-04-30|accessdate=2009-04-30}}</ref>


The first case in Singapore was confirmed on 27 May. It was announced on 18 June that Singapore appeared to have its first case.<ref>{{cite news|url=http://www.straitstimes.com/Breaking%2BNews/Singapore/Story/STIStory_392225.html |title=Possible 1st local case |date=18 June 2009 |newspaper=New Straits Times |access-date=14 November 2009 |url-status=dead |archive-url=https://web.archive.org/web/20090621162653/http://www.straitstimes.com/Breaking%2BNews/Singapore/Story/STIStory_392225.html |archive-date=21 June 2009 }}</ref> As of 7 July 1,217 confirmed cases had been reported.<ref>{{cite web|url=http://news.xinhuanet.com/english/2009-06/21/content_11574449.htm |title=Singapore confirms 23 new flu A/ H1N1 cases |date=21 June 2009 |publisher=Xinhua |archive-url=https://web.archive.org/web/20090623081233/http://news.xinhuanet.com/english/2009-06/21/content_11574449.htm |archive-date=23 June 2009 |url-status=dead |access-date=5 September 2009 }}</ref> As of 25 July, there were 4 confirmed deaths.<ref>{{cite web|url=http://news.xinhuanet.com/english/2009-07/22/content_11755009.htm |title=Singapore reports two more A/H1N1 related deaths |date=22 June 2009 |publisher=Xinhua |archive-url=https://web.archive.org/web/20090723224717/http://news.xinhuanet.com/english/2009-07/22/content_11755009.htm |archive-date=23 July 2009 |url-status=dead |access-date=5 September 2009 }}</ref><ref>{{cite web|url=http://www.straitstimes.com/Breaking%2BNews/Singapore/Story/STIStory_407814.html |title=Fourth H1N1-related death |date=25 July 2009 |work=Straits Times |location=Singapore |access-date=14 November 2009 |url-status=dead |archive-url=https://web.archive.org/web/20090727164256/http://www.straitstimes.com/Breaking%2BNews/Singapore/Story/STIStory_407814.html |archive-date=27 July 2009 }}</ref>
====Myanmar====
Deputy Health Minister inspects human flu preventive measures at airport
YANGON, 1 May-Chairman of Global Human Flu Prevention and Response Work Committee Deputy Minister for Health Dr Mya Oo inspected preventive measures against the human flu at Yangon International Airport today.
<ref></ref>


Vietnam's Ministry of Health released an emergency dispatch and urged agencies to take precautionary measures.<ref>{{cite web|url=http://www.thanhniennews.com/healthy/?catid=8&newsid=48212 |title=Vietnam on alert as new killer flu stalks Mexico, US |publisher=] |access-date=27 April 2009 |archive-url=https://web.archive.org/web/20090429172712/http://www.thanhniennews.com/healthy/?catid=8&newsid=48212 |archive-date=29 April 2009 |url-status=dead }}</ref> Thermal imaging devices were dispatched to airports and border gates to screen passengers.<ref>{{cite web|url=http://www.tuoitre.com.vn/Tianyon/Index.aspx?ArticleID=313150&ChannelID=2|title=Thế giới báo động đại dịch cúm heo|publisher=]|access-date=27 April 2009|language=vi}}{{Dead link|date=May 2009|fix-attempted=yes}}</ref> In response to ], Vietnam on 30 April raised its alert level to 4, which indicated a "threat of community level outbreaks" while local authorities executed precautionary measures.<ref>{{cite web|url=http://thanhniennews.com/healthy/?catid=8&newsid=48308 |title=Vietnam raises swine flu alert level |publisher=] |access-date=30 April 2009 |author=Thanh Nien staff & VNA |archive-url=https://web.archive.org/web/20090502084327/http://www.thanhniennews.com/healthy/?catid=8&newsid=48308 |archive-date=2 May 2009 |url-status=dead }}</ref> On 1 May 2009 a Ministry of Industry and Trade official said that the Ministry was considering a ] on pork import "under certain situations".<ref>{{cite news|url=http://www.thanhniennews.com/healthy/?catid=8&newsid=48407 |title=Vietnam considers ban on pork import, raises swine flu alert |access-date=2 May 2009 |author=Thanh Nien staff |archive-url=https://web.archive.org/web/20090503091039/http://www.thanhniennews.com/healthy/?catid=8&newsid=48407 |archive-date=3 May 2009 |url-status=dead }}</ref> On 31 May Vietnam announced its first case, a 23-year-old student recently returned from the United States.<ref>{{cite news|url=http://www.gmanews.tv/story/163643/Vietnam-reports-first-swine-flu-case|title=First Case of A(H1N1) virus in Vietnam|access-date=31 May 2009| archive-url= https://web.archive.org/web/20090602070007/http://www.gmanews.tv/story/163643/Vietnam-reports-first-swine-flu-case| archive-date= 2 June 2009 | url-status= live}}</ref>
====Pakistan====
Pakistan has taken precautionary measures at the international airports to check passengers coming from swine flu affected countries.<ref>{{cite web|url=http://www.dawn.com/wps/wcm/connect/dawn-content-library/dawn/news/pakistan/14-pakistan-mobilises-against-swine-flu-officials-zj-04 |title= Pakistan mobilises against swine flu| date=2009-04-29|publisher=The Dawn}}</ref> Doctors are checking the incoming passengers and allow entry only to those with no flu symptoms. The major hospitals in all the big cities are on high alert.


====Philippines==== ==== Eastern Asia ====
<!-- DO NOT add country headers here! They go in ] -->
]' Health Secretary Francisco T. Duque III has ordered the Bureau of Quarantine to use thermal imaging equipment at airports to screen passengers coming from the US for flu symptoms.<ref>{{cite web|url=http://mb.com.ph/articles/203772/quarantine-screening-us-passengers-ordered|title=Quarantine screening of US passengers ordered &#124; Manila Bulletin|publisher=Mb.com.ph|date=|accessdate=2009-04-26}}</ref><ref> with ] Symptoms</ref> The Philippines may quarantine travelers arriving from Mexico with fevers.<ref name=Jordans425 /> Also, the Secretary of the ] of the ] issued an order banning the importation of hogs from the U.S. and Mexico, and the retraction of the restriction of swine influenza vaccine use.<ref>{{cite web|url=http://www.abs-cbnnews.com/nation/04/25/09/rp-bans-pork-hogs-us-mexico|title=RP bans pork, hogs from US, Mexico|publisher=]|date=2009-04-26|accessdate=2009-04-26}}</ref> The medical alert phase is already ], the highest.<ref>{{cite web|url=http://news.xinhuanet.com/english/2009-04/29/content_11282377.htm|title=Philippines on high alert against swine flu|Publisher=news.xinhuanet.com|date=|accessdate=2009-05-01}}</ref>
]


On 26 April, visitors returning from flu-affected areas to China who experienced flu-like symptoms within two weeks were to be quarantined.<ref name="reuters">{{cite news|url=https://www.reuters.com/article/europeCrisis/idUST344175|title=FACTBOX-Asia moves to ward off new flu virus|work=Reuters|date=9 February 2009|access-date=26 April 2009| archive-url= https://web.archive.org/web/20090430041910/https://www.reuters.com/article/europeCrisis/idUST344175| archive-date= 30 April 2009 | url-status= live}}</ref> On 2 May, the ] suspended flights from ] to Shanghai.<ref>{{cite web|url=http://news.xinhuanet.com/english/2009-05/02/content_11297034.htm|title=China suspends flights from Mexico|publisher=XinHua|access-date=2 May 2009| archive-url= https://web.archive.org/web/20090503205713/http://news.xinhuanet.com/english/2009-05/02/content_11297034.htm| archive-date= 3 May 2009 | url-status= dead}}</ref> Meanwhile, the ] assigned a charter to transport stranded Chinese visitors home.<ref>{{cite web|url=http://news.xinhuanet.com/newscenter/2009-05/02/content_11300720.htm|title=China Southern charter picking up 120 Chinese visitors in Mexico on May 5|publisher=XinHua|access-date=2 May 2009| archive-url= https://web.archive.org/web/20090505132113/http://news.xinhuanet.com/newscenter/2009-05/02/content_11300720.htm| archive-date= 5 May 2009 | url-status= dead}} {{in lang|zh}}</ref> The first suspected case was reported on 10 May 2009.<ref>{{Cite web|url=http://www.seattlepi.com/health/1500ap_as_china_swine_flu.html|title=SeattlePI}}</ref> China made aggressive use of quarantines, as by early July tens of thousands of suspected cases were quarantined in government-sanctioned facilities.<ref>{{Cite journal |last1=Schwartz |first1=Rachel D. |last2=Schwartz |first2=Jonathan |date=Spring 2010 |title=Confronting Global Pandemics: Lessons from China and the U.S. |url=https://blogs.shu.edu/wp-content/blogs.dir/109/files/2011/11/Schwartz-and-Schwartz_Confronting-Global-Pandemics_Spring-2010.pdf |journal=Global Health Governance |volume=3 |issue=2 |access-date=10 December 2022 |archive-date=10 December 2022 |archive-url=https://web.archive.org/web/20221210051447/https://blogs.shu.edu/wp-content/blogs.dir/109/files/2011/11/Schwartz-and-Schwartz_Confronting-Global-Pandemics_Spring-2010.pdf |url-status=live }}</ref>
====Saudi Arabia====
In the ] all airports and borders, both land and sea, are being installed with thermal cameras to monitor the incoming passengers, announced the ministry of health and quarantine officials at airports and seaports have been instructed to be on alert to check passengers who come from infected countries for fever until all the digital surveillance starts. Beginning next week, the ministry would launch a nationwide awareness campaign, Health Ministry spokesman Khaled Mirghalani said.<ref>{{cite web|url=http://www.arabnews.com/?page=1&section=0&article=122061&d=30&m=4&y=2009|title=Swine flu surveillance to start in 48 hours: Official|author=Mohammed Rasooldeen|publisher=Arab News|date=2009-04-30|accessdate=2009-04-30}}</ref> Flights from affected countries have also been halted as a precautionary measure.<ref>{{cite web|url=http://www.saudigazette.com.sa/index.cfm?method=home.regcon&contentID=2009043036555|title=KSA stops flights from countries hit by swine flu|publisher=saudigazette.com.sa|date=|accessdate=2009-04-30}}</ref>''
''


On 29 April the ]<ref name="LatestNews">{{cite web |title=Latest News of Center for Health Protection |url=https://www.chp.gov.hk/en/view_content/16615.html |website=chp.gov.hk |publisher=Centre for Health Protection, Hong Kong |access-date=2 May 2009 |archive-url=https://web.archive.org/web/20091221181425/https://www.chp.gov.hk/en/view_content/16615.html |archive-date=December 21, 2009 |date=December 18, 2009 |url-status=dead}}</ref> advised Hong Kong residents not to travel to Mexico unless absolutely necessary. The first case was a Mexican who arrived from Shanghai. The Bureau escalated the alert level from "alert" to "serious",<ref name="healthandcommunity1">{{cite web |url=http://sc.info.gov.hk/gb/www.news.gov.hk/en/category/healthandcommunity/090426/html/090426en05004.htm |archive-url=https://web.archive.org/web/20090429175100/http://sc.info.gov.hk/gb/www.news.gov.hk/en/category/healthandcommunity/090426/html/090426en05004.htm |archive-date=29 April 2009 |title=Swine flu alert raised to 'serious' |publisher=Sc.info.gov.hk |date=26 April 2009 |access-date=2 May 2009 |url-status=dead }}</ref> which activated health protection measures in all ] of Hong Kong. Thermal screening machines were used to identify passengers with fever and respiratory symptoms. Any passenger who is confirmed to have a fever were quarantined and sent to public hospital for investigation.<ref name="publications1">{{cite web |url=http://www.fhb.gov.hk/en/press_and_publications/press/2009/press090426a.htm |title=Secretary for Food and Health on the issue of swine flu (press releases) |publisher=Fhb.gov.hk |date=26 April 2009 |access-date=2 May 2009 |archive-date=30 April 2009 |archive-url=https://web.archive.org/web/20090430001120/http://www.fhb.gov.hk/en/press_and_publications/press/2009/press090426a.htm |url-status=live }}</ref> Hong Kong became one of the first jurisdictions to declare the swine flu as a ]. Much of the procedures against the contagion were learned from the ], of which Hong Kong was the epicenter of the outbreak.<ref>{{cite web|url=http://www.channelnewsasia.com/stories/eastasia/view/425512/1/.html|title=HK steps up SARS-like emergency precautions against swine flu|last=Tang|first=Leslie|date=28 April 2009|publisher=Channel News Asia|access-date=29 April 2009|archive-date=2 December 2012|archive-url=https://web.archive.org/web/20121202044822/http://www.channelnewsasia.com/stories/eastasia/view/425512/1/.html|url-status=dead}}</ref><ref name="TimeTheLessonsFromSARS">{{cite news|url=http://www.time.com/time/health/article/0,8599,1894072,00.html?iid=tsmodule |title=The Lessons from SARS |last=Webley |first=Kayla |date=27 April 2009 |magazine=Time |access-date=29 April 2009 |archive-url=https://web.archive.org/web/20090430111642/http://www.time.com/time/health/article/0%2C8599%2C1894072%2C00.html?iid=tsmodule |archive-date=30 April 2009 |url-status=dead }}</ref> On 1 May, the first case in Hong Kong and also the first in Asia was confirmed. The Mexican patient arrived in Hong Kong on 30 April. Metropark Hotel ], where the patient stayed, was quarantined.<ref>{{cite web |url=http://www.rthk.org.hk/rthk/news/englishnews/news.htm?main&20090501&56&578437 |title=Emergency in force after case confirmed| publisher=Radio Television Hong Kong |date=1 May 2009 |access-date=1 May 2009| archive-url= https://web.archive.org/web/20090503091908/http://www.rthk.org.hk/rthk/news/englishnews/news.htm?main&20090501&56&578437| archive-date= 3 May 2009 | url-status= live}}</ref><ref>{{cite news |url=https://www.reuters.com/article/latestCrisis/idUST24603| title=Hong Kong govt confirms first H1N1 flu case | work=Reuters |date=1 May 2009 |access-date=1 May 2009| archive-url= https://web.archive.org/web/20090503210320/https://www.reuters.com/article/latestCrisis/idUST24603| archive-date= 3 May 2009 | url-status= live}}</ref><ref>{{cite web|url=https://www.bloomberg.com/apps/news?pid=20601080&sid=aKgrGEIztqyQ|title=Hong Kong Confirms Swine Flu Case, Declares Emergency|publisher=Bloomberg L.P.|date=1 May 2009|access-date=1 May 2009|archive-date=9 June 2024|archive-url=https://web.archive.org/web/20240609112414/https://www.bloomberg.com/politics?pid=20601080&sid=aKgrGEIztqyQ|url-status=live}}</ref><ref>{{cite web|url=http://www.chp.gov.hk/view_content.asp?lang=en&info_id=16785|title=SFH on human swine flu press conference on 1/5|publisher=Centre for Health Protection, Hong Kong|date=1 May 2009|access-date=14 November 2009|archive-date=9 June 2024|archive-url=https://web.archive.org/web/20240609112418/https://www.chp.gov.hk/en/features/16785.html|url-status=live}}</ref> After the first case was confirmed, Hong Kong's response level was raised from "serious" to "emergency".<ref>{{cite web|url=http://www.news.gov.hk/en/category/healthandcommunity/090501/html/090501en05004.htm |archive-url=https://web.archive.org/web/20090502215841/http://www.news.gov.hk/en/category/healthandcommunity/090501/html/090501en05004.htm |archive-date=2 May 2009 |title=1st H1N1 case confirmed in HK |publisher=News.gov.hk |access-date=2 May 2009 |url-status=dead }}</ref>
====Singapore====
As of 5 May, there are no human cases of ] in ]. Out of 29 people who have been investigated so far, 28 have tested negative and one is pending laboratory testing .<ref name="MOH PR 5 May">, Singapore Ministry of Health</ref>


In Japan, live pig imports were inspected.<ref>{{cite news|url=http://home.kyodo.co.jp/modules/fstStory/index.php?storyid=435522 |title=Japan on high alert for swine flu after outbreak in Mexico |agency=Kyodo News |date=26 April 2009 |access-date=26 April 2009 |archive-url=https://web.archive.org/web/20090429203043/http://home.kyodo.co.jp/modules/fstStory/index.php?storyid=435522 |archive-date=29 April 2009 |url-status=dead }}</ref> Japanese Agriculture Minister ] appeared on television to reassure customers that it was safe to eat pork.<ref name="Press"/> The Japanese farm ministry said that it would not ask for restrictions on pork imports because the virus was unlikely to turn up in pork and would be killed by cooking.<ref name=Reuters426>{{cite news |url=https://www.reuters.com/article/europeCrisis/idUST344175 |title=FACTBOX-Asia moves to ward off new flu virus |date=26 April 2009 |work=Reuters |access-date=14 November 2009 |archive-date=30 April 2009 |archive-url=https://web.archive.org/web/20090430041910/https://www.reuters.com/article/europeCrisis/idUST344175 |url-status=live }}</ref> On 8 May, the first three cases were confirmed. The infected patients had spent time in Canada and returned to Japan via Detroit.<ref>{{cite news |title=Japáo confirma primeiros três casos de gripe H1N1 |url=http://oglobo.globo.com/mundo/mat/2009/05/08/japao-confirma-primeiros-tres-casos-de-gripe-h1n1-755778368.asp |agency=O Globo |date=8 May 2009 |access-date=8 May 2009 |language=pt |archive-date=15 June 2011 |archive-url=https://web.archive.org/web/20110615094915/http://oglobo.globo.com/mundo/mat/2009/05/08/japao-confirma-primeiros-tres-casos-de-gripe-h1n1-755778368.asp |url-status=live }}</ref><ref>{{cite news|title=Japan confirms 3 cases of new flu strain |url=https://www.reuters.com/article/latestCrisis/idUST50010 |work=Reuters |date=8 May 2009<!-- 5:47&nbsp;pm EDT--> |access-date=9 May 2009 |first=Yoko |last=Kubota |archive-url=https://web.archive.org/web/20090515232344/https://www.reuters.com/article/latestCrisis/idUST50010 |archive-date=15 May 2009 |url-status=live }}</ref> The first domestic infection was confirmed on 16 May in ].<ref>{{cite web |date=16 May 2009 |url=http://search.japantimes.co.jp/cgi-bin/nn20090516x1.html |title=First domestic case of H1NI flu infection confirmed in Japan |work=The Japan Times |access-date=16 May 2009 |archive-date=22 July 2010 |archive-url=https://web.archive.org/web/20100722034550/http://search.japantimes.co.jp/cgi-bin/nn20090516x1.html |url-status=live }}</ref> As of 18 May 130 cases had been confirmed.<ref name="japan1">{{cite web |url=http://news.xinhuanet.com/english/2009-06/04/content_11486526.htm |archive-url=https://web.archive.org/web/20110809133818/http://news.xinhuanet.com/english/2009-06/04/content_11486526.htm |url-status=dead |archive-date=9 August 2011 |title=Patients of A/H1N1 flu amount to 410 in Japan |publisher=Xinhua |date=4 June 2009 |access-date=4 June 2009}}</ref>
]'s Minister of Health ] has urged citizens to limit travel to affected areas such as Mexico and the United States. The Health Ministry has advised the public to seek immediate medical attention if they experience influenza symptoms within seven days after arriving from affected areas, to maintain good hygiene, and for those who are sick with respiratory illnesses to avoid crowded areas and wear masks.<ref name=Reuters426 />


South Korea warned against travel to Mexico City and three Mexican states.<ref name="Press"/> The government stepped up quarantine and safety checks on travelers arriving from the United States and Mexico, and pork imports from those countries. An emergency quarantine system was instituted, with simple tests conducted on people with flu symptoms at airports.<ref name="reuters"/> On 28 April, South Korea reported its first probable case after positive preliminary tests on a nun who had recently returned from Mexico.<ref> {{Webarchive|url=https://web.archive.org/web/20090501052609/http://health.asiaone.com/Health/News/Story/A1Story20090428-138037.html |date=1 May 2009 }}, 28 April 2009.</ref> One case was confirmed on 30 April.<ref>{{cite web|url=http://www.swivel.com/graphs/show/33115823 |title=Swine Flu: Lab Confirmed Cases by Country |publisher=Swivel |access-date=1 May 2009| archive-url= https://web.archive.org/web/20090502004758/http://www.swivel.com/graphs/show/33115823| archive-date= 2 May 2009 | url-status= live}}</ref><ref>{{cite web |url=https://maps.google.com/maps/ms?msa=0&msid=108544464229376653670.00046882ec31a0adcb220 |title=Swine Flu Interactive Map – Google Maps |publisher=Google Maps |date=1 January 1970 |access-date=1 May 2009 |archive-date=11 November 2012 |archive-url=https://web.archive.org/web/20121111132532/http://maps.google.com/maps/ms?msa=0&msid=108544464229376653670.00046882ec31a0adcb220 |url-status=live }}</ref> On 2 May, the first suspected woman turned out to be infected. South Korea became the second infected nation in Asia.<ref>{{cite web|url=http://news.sbs.co.kr/section_news/news_read.jsp?news_id=N1000586383 |title=the first suspected is 'confirmed' as new influenza infected in S.Korea |publisher=SBS |date=2 May 2009 |access-date=2 May 2009| archive-url= https://web.archive.org/web/20090504022913/http://news.sbs.co.kr/section_news/news_read.jsp?news_id=N1000586383| archive-date= 4 May 2009 | url-status= live}}</ref> On 13 September, five people died, and 1 person experienced brain death. As of November, 107,939 had been infected.<ref>{{cite web |url=http://news.hankooki.com/lpage/health/200909/h2009090823064584500.htm |title=the brain death is caused by the irruption of new influenza on brain |publisher=Kooki news |date=8 September 2009 |access-date=8 September 2009 |archive-url=https://web.archive.org/web/20110613224324/http://news.hankooki.com/lpage/health/200909/h2009090823064584500.htm |archive-date=13 June 2011 |url-status=dead }}</ref>
On 28 April, Singapore's raised its to a Yellow alert, the second level of a 5 color alert scale.<ref name="MOH PR">, Singapore Ministry of Health</ref> On 30 April, the was raised to an Orange alert, the third level of a 5 color alert scale.<ref name="MOH PR 30 apr">, Singapore Ministry of Health</ref>


On 20 May the first case of the influenza was confirmed in Taiwan.<ref>{{cite web|url=http://www.chinapost.com.tw/health/infectious-diseases/2009/05/20/208865/Taiwan-issues.htm|title=The China Post|website=The China Post|access-date=20 May 2009|archive-date=21 May 2009|archive-url=https://web.archive.org/web/20090521131546/http://www.chinapost.com.tw/health/infectious-diseases/2009/05/20/208865/Taiwan%2Dissues.htm|url-status=live}}</ref> The government had previously taken steps to prevent an outbreak, including a command center, travel alerts for infected nations,<ref name="Press">. ] {{webarchive |url=https://web.archive.org/web/20090429235551/http://english.cna.com.tw/SearchNews/doDetail.aspx?id=200904280012 |date=29 April 2009 }}</ref> and more severe health checks at international ports. Taiwan said visitors who arrived from affected areas with fevers would be quarantined.<ref>. ]</ref> According to ] (DOH), Taiwan had a sufficient supply of surgical masks and vaccine to deal with the flu. The DOH stated that they had 50 to 60 million masks in stock and that local manufacturers had the capability of producing 200,000 doses of the flu vaccine a month.<ref name=autogenerated3>{{dead link|date=December 2010|fix-attempted=yes}}. ]</ref> The Centers for Disease Control announced on 28 April that every flight from the Americas, specifically Canada and the United States, that arrived in Taiwan would be subject to a strict on-board screening procedure.<ref name=autogenerated1>. ] {{webarchive |url=https://web.archive.org/web/20090724012333/http://english.cna.com.tw/SearchNews/doDetail.aspx?id=200904280023 |date=24 July 2009 }}</ref>
Those who have been to Mexico in the past 7 days will be quarantined for 7 days under a home quarantine order (HQO) when they enter Singapore and undergo phone surveillance for symptoms of swine flu. Those who develop symptoms will be brought to the CDC for a thorough assessment.<ref name="MOH PR 4 May">, Singapore Ministry of Health</ref> A dedicated ambulance service (993) has been activated to convey persons suspected of swine flu to Tan Tock Seng Hospital Emergency Department. Any person guilty of breaking the HQO shall be liable to a maximum fine of $10,000, or imprisonment of six months, or both. In the case of a second or subsequent offence, the person will be liable to a maximum fine of $20,000, or imprisonment of 12 months, or both.<ref name="MOH PR 2 May">, Singapore Ministry of Health</ref> Travellers arriving from other areas with evidence of community transmission of swine flu (i.e., the US and the state of Nova Scotia in Canada) are advised to stay at home for seven days and check themselves for symptoms of flu-like illness. If such symptoms develop they should call 993. <ref name="MOH PR 3 May">, Singapore Ministry of Health</ref> Schools were ordered to perform students and staff temperature measurement every day until further notice.


On 2 July, the first case of ]-resistant virus in Asia was announced in Japan, in a woman who had been taking Tamiflu ].<ref>Reuters, {{Webarchive|url=https://web.archive.org/web/20201122160032/https://www.reuters.com/article/internal_ReutersNewsRoom_ExclusivesAndWins_MOLT/idUSTRE5614TW20090702 |date=22 November 2020 }}, ''Yoko Kubota'', 2 July 2009</ref>
Hospital staff are now required to don full Personal Protective Equipment (PPE) in all areas with patient contact. Patients in hospitals would be restricted to one visitor so as to facilitate contact tracing and reduce unnecessary risk of exposure. Temperature screening and screening for flu like symptoms is done for all visitors to clinical care areas.<ref name="MOH PR 30 apr" /> Patients with flu-like symptoms and who have a travel history to affected areas or contact with someone who has will be isolated within the hospitals. Elective admissions have been rescheduled, the number of visitors to patients have been cut down, and contact particulars of visitors are recorded so as to help reduce unnecessary exposure, provide for surge capacity and to facilitate contact tracing when the need arises.<ref name="MOH PR" /> Thermal scanning has been deployed at ], Seletar airport, sea checkpoints and land checkpoints.<ref name="MOH PR 3 May" />


On 18 July 2009, Hong Kong had its first swine flu death.{{citation needed|date=August 2022}}
====South Korea====
South Korea warned against travel to Mexico City and three Mexican states.<ref name="Press"/> The government has also stepped up quarantine and safety checks on travelers arriving from the United States and Mexico, and pork imports from those countries. An emergency quarantine system is also in place, with simple tests conducted on people arriving with flu symptoms at airports.<ref name="reuters"/> On April 28, South Korea reported its first probable case of swine flu after positive preliminary tests on a nun who had recently returned from a trip to Mexico.<ref>, 28 April 2009.</ref>
Several sources have informed that one case has been confirmed by lab in South Korea, on April 30.<ref>{{cite web|url=http://www.swivel.com/graphs/show/33115823 |title=Swine Flu: Lab Confirmed Cases by Country |publisher=Swivel |date= |accessdate=2009-05-01}}</ref><ref>{{cite web|url=http://maps.google.com/maps/ms?msa=0&msid=108544464229376653670.00046882ec31a0adcb220 |title=Swine Flu Interactive Map - Google Maps |publisher=Maps.google.com |date=1970-01-01 |accessdate=2009-05-01}}</ref> On May 2, the first suspected woman turned out to be infected with the influenza A subtype H1N1. South Korea became the second infected nation in Asia.<ref>{{cite web|url=http://news.sbs.co.kr/section_news/news_read.jsp?news_id=N1000586383 |title=the first suspected is 'confirmed' as new influenza infected in S.Korea |publisher=SBS |date=2009-05-02 |accessdate=2009-05-02}}</ref>


On 3 July, a case of Tamiflu-resistant virus was discovered. The woman had not previously taken Tamiflu, so concern has been expressed that she may have contracted an already resistant virus from someone else.<ref>Canadian Press, , ''Helen Branswell'', 6 July 2009</ref>
====Taiwan====
Although no cases of the influenza have been confirmed in ], the government has already taken several steps to prevent the possible outbreak of Swine Flu, including a command center set up, travel alerts for infected nations,<ref name="Press">. ]</ref> and more severe health check been conducted at international ports. Taiwan said visitors who came back from affected areas with fevers would be quarantined.<ref>. ]</ref> According to ] (DOH), Taiwan has a sufficient supply of surgical masks and vaccine to deal with the flu. The DOH also stated that they have 50 million to 60 million masks in stock and local manufacturers have the capability of producing 200,000 doses of the flu vaccine a month.<ref name=autogenerated3>. ]</ref> In an effort to prevent the entry of the swine influenza, the Centers for Disease Control has announced on April 28 that every flight from the Americas, specifically Canada and the United States, that arrives in Taiwan from April 29 and onward will be subject to a strict on-board screening procedure.<ref name=autogenerated1>. ]</ref>


On 28 August 2009, the Japanese ] announced that it estimated approximately 760,000 people would be infected and 46,400 hospitalized per day during the expected peak month of October. Overall they predicted that 20% of rural Japanese would become infected and 30% in city areas.<ref>] 29 August 2009 ver.13S page 1</ref>
====Thailand====
] to prevent the spreading of swine flu.]] On the April 28, 2009, the Thai Public Health Ministry issued a warning for Thais to avoid visiting the United States and Mexico which have been hit by the swine flu outbreak. The ] has installed thermal scanners in ] and other ]. Airport health officials began using thermal screening equipment to monitor passengers.
Thailand raised its swine-flu preventive measures to "maximum", with all visitors entering the country subjected to thermal scanners and even dignitaries not exempt.
Deputy Public Health Minister Manit Nopamornbodee said the Public Health Ministry had stepped up surveillance after the first cases of the virus were confirmed in ] and ]. He said the six thermal scanners at Bangkok's Suvarnabhumi Airport would check every passenger coming through the regional travel hub round the clock. Four million masks are ready for public distribution, and ] are to set up swine-flu screening centres as was done for bird flu, Paijit added. Permanent Secretary for Public Health Prat Boonyawongwirot said all passengers from countries at risk would be asked to fill in a questionnaire. All who pass the scanners will get a "health-awarenss card" to watch for flu-like symptoms throughout their first fortnight in Thailand. The ministry has printed one million cards. Those who pass thermal scanning and physical examination will be followed by a medical team for a week, he said, and those with high body temperature will be put under close surveillance in hospital.<ref>{{cite web|url=http://nationmultimedia.com/2009/05/03/national/national_30101848.php|title=Swine-flu prevention raised to 'maximum'|publisher=Nationmultimedia.com |date= |accessdate=2009-04-03}}</ref>


=== Europe ===
The Thai cabinet has formed a national emergency committee to oversee prevention operations against swine flu, Prime Minister ] said.<ref>{{cite web|last=Nation |first=The |url=http://nationmultimedia.com/2009/04/28/national/national_30101478.php |title=Swine flu scanners at 3 key airports |publisher=Nationmultimedia.com |date= |accessdate=2009-04-27}}</ref><ref>{{cite web|url=http://nationmultimedia.com/2009/04/28/national/national_30101540.php |title=Health ministry warns against travelling to US and Mexico |publisher=Nationmultimedia.com |date= |accessdate=2009-04-28}}</ref>
]
An initial test on a 42-year-old woman who had flu-like symptoms after returning from a trip to Mexico and the US between April 3 and 19 proved negative.
]
She was admitted to ] after having a fever since Thursday when she travelled to ].<ref>{{cite web|last=Nation |first=The|url=http://nationmultimedia.com/2009/04/29/national/national_30101584.php|title=Lecturer does not have Mexican flu|publisher=TheNation.com |date= |accessdate=2009-04-28}}</ref>


{{Main|2009 swine flu pandemic in Europe}}
Public Health Minister Witthaya Kaewparadai instructed provincial public health offices to stock up influenza drug to cope with possible outbreak of the swine flu.
Witthaya said he had instructed chief provincial public health officers nationwide to check stock of ] anti-viral drug, used for influenza treatment, in their provinces and make sure the drug is available.<ref>{{cite web|last=Nation |first=The|url=http://nationmultimedia.com/breakingnews/30101634/Witthaya-orders-public-health-offices-to-stock-up-|title=Witthaya orders public health offices to stock up on flu drug nationwide|publisher=TheNation.com |date= |accessdate=2009-04-29}}</ref>
<br />Bangkok governor ] will hand out a hundred thousand free face masks to taxi drivers and tourists in Bangkok in an effort to prevent swine flu from spreading to the Thai population, deputy governor Malinee Sukavejworakit said. The gauze masks would be handed out to foreigners staying at guesthouses. The ] ] is also encouraging taxi drivers to wear face masks while driving passengers.
General public could go and get free masks at the ] on Friday.<ref>{{cite web|last=Bangkokpost |first=The|url=http://www.bangkokpost.com/breakingnews/141958/tourists-drivers-to-get-free-masks|title=Tourists, cabbies to get free masks|publisher=BangkokPost.com |date= |accessdate=2009-04-23}}</ref>
<br />Thailand will send 5,000 face masks and hand washing gels to Mexico which has been hard hit by Mexico human flu, Foreign Ministry's spokesman Tharit Jarungwat said Thursday. The Thai embassy in Mexico will distributed the masks and the gels to Thais living there, he said.<ref>{{cite web|last=Nation |first=The|url=http://nationmultimedia.com/2009/04/30/national/national_30101728.php|title=Bangkok to send 5,000 face masks to flu-hit Mexico : Thai FM|publisher=TheNation.com |date= |accessdate=2009-04-30}}</ref>


On 27 April, the Spanish Ministry of Health and Social Policy announced its first case (the first in Europe) in a 23-year-old man who had recently returned from Mexico on 22 April and had been quarantined on the 25th.<ref>{{cite news|url=http://news.abs-cbn.com/world/04/27/09/europes-first-swine-flu-case-confirmed-spain|title=Europe's first swine flu case confirmed in Spain|date=27 April 2009|agency=Agence France-Presse|access-date=24 January 2018|archive-date=25 January 2018|archive-url=https://web.archive.org/web/20180125134431/http://news.abs-cbn.com/world/04/27/09/europes-first-swine-flu-case-confirmed-spain|url-status=live}}</ref> The day the ] health commissioner advised Europeans not to travel to the United States or Mexico unless urgent.<ref name="Guardian 27/4">{{cite news | url=https://www.theguardian.com/world/2009/apr/27/swine-flu-mexico | title=Europeans urged to avoid Mexico and US as swine flu death toll exceeds 100 | date=27 April 2009 | work=The Guardian | location=London | access-date=24 January 2018 | first1=Chris | last1=McGreal | first2=Jo | last2=Tuckman | first3=Rachel | last3=Williams | first4=Daniel | last4=Nasaw | archive-date=30 April 2009 | archive-url=https://web.archive.org/web/20090430094402/http://www.guardian.co.uk/world/2009/apr/27/swine-flu-mexico | url-status=live }}</ref>
The Government Pharmaceutical Organisation has produced an extra million antiviral tablets to make sure there are enough supplies if the country is hit by an outbreak of swine flu.
The emergency production of anti-flu drugs by the state pharmaceutical company comes as the ] raised the ] of the influenza pandemic alert from phase 4 to phase 5, under which all countries are required to immediately activate their pandemic preparedness plans.Prime Minister ] said ] would host a meeting of the ] public health ministers next Thursday and Friday (May 7-8) to map out regional cooperation in combating the potential flu ].<br>


On 14 June, it was reported that the United Kingdom had its first confirmed death.{{citation needed|date=August 2022}}
The Government Pharmaceutical Organisation (GPO) is stockpiling antiviral medicine, aiming to have 6 million tablets of ] available by June, but says the existing supply is enough if H1N1 infections are found in the country. GPO managing director Witit Artavatkun said the government aimed to raise the local supply of the antiviral drugs to 6 million tablets, which would cover 10% of the total population, by stepping up local production at the GPO facility.
Currently, 3.2 million tablets of Oseltamivir are stored at the Bureau of Emerging Infectious Diseases with another 1.2 million kept at the GPO.<ref>{{cite web|name=BangkokPost.com|url=http://www.bangkokpost.com/breakingnews/142431/gpo-confident-of-enough-flu-drug|title=GPO confident of enough flu drug|publisher=BangkokPost.com |date= |accessdate=2009-05-05}}</ref>
] phosphate is the generic term for Tamiflu. The drug would be prescribed to suspected swine flu cases or to people who developed a fever after visiting countries affected by the H1N1 flu virus outbreak, Dr Witit said.Suspected cases would be given the medication within 48 hours for five days, he said. The Government Pharmaceutical Organisation has been instructed to buy ingredients for ] to produce two million tablets of the influenza drug. Public Health Minister Witthaya Kaewparadai said Thailand had put in place a national influenza preparedness scheme in response to the pandemic alert level being raised.This included increasing staff at the swine flu "war room" to improve surveillance and response operations, the minister said.<ref>{{cite web|name=Bangkokpost.com|url=http://www.bangkokpost.com/news/local/15935/gpo-boosts-antiviral-drug-production-to-combat-flu|title=GPO boosts antiviral drug production to combat flu|publisher=BangkokPost.com |date= |accessdate=2009-04-31}}</ref><br>
Fourteen Thais, who returned from Mexico, were discharged from the Bamrasnaradura Hospital, Public Health Minister Witthaya Kaewparadai said. They left the hospital at 10 am after they were tested negative to A(H1N1) influenza. Two Thais and a German who were detected with high temperature have been quarantined to check whether they have contacted the A(H1N1) influenza virus.
<ref>{{cite web|name=TheNation.com|url=http://nationmultimedia.com/breakingnews/30102026/2-Thais-one-German-quarantined-as-suspected-A(H1N1|title=2 Thais, one German quarantined as suspected A(H1N1) cases|publisher=TheNation.com |date= |accessdate=2009-05-05}}</ref>


As of 22 December, every European country, apart from the 5 microstates had confirmed deaths. France had 27; Spain, 33; Norway, 29 (4 January 2010); Italy, 6; Belgium and Germany, 8; Sweden, 3 (3 November); Malta and Greece, 3; Denmark, Finland,<ref>{{cite news|title=Finland faces first swine flu death|url=https://yle.fi/uutiset/osasto/news/finland_faces_first_swine_flu_death/5906283|access-date=24 January 2018|work=]|date=26 October 2009|language=en|archive-date=29 October 2009|archive-url=https://web.archive.org/web/20091029174718/http://yle.fi/uutiset/news/2009/10/finland_faces_first_swine_flu_death_1110950.html|url-status=live}}</ref> Hungary and Luxemburg, 1; Ireland and the Netherlands, 10, and the United Kingdom, 79. The British government suggested 55,000 new cases in the week up to 16 July.
====Vietnam====
]'s Ministry of Health released an emergency dispatch and urged agencies to take precautionary measures against swine flu. In addition, the Preventive Health and Environment Bureau requested all health facilities to carefully monitor any suspected H1N1 case and Bureau head Nguyen Huy Nga also warned that the pandemic could enter Vietnam through imported swine or border gates.<ref>{{cite web|url=http://www.thanhniennews.com/healthy/?catid=8&newsid=48212|title=Vietnam on alert as new killer flu stalks Mexico, US|publisher=]|accessdate=2009-04-27}}</ref> Thermal imaging devices were dispatched to airports and border gates to screen passengers.<ref>{{cite web|url=http://www.tuoitre.com.vn/Tianyon/Index.aspx?ArticleID=313150&ChannelID=2|title=Thế giới báo động đại dịch cúm heo|publisher=]|accessdate=2009-04-27|language=Vietnamese}}{{dead link|date=May 2009}}</ref> In response to ], Vietnam on April 30, 2009 raised its swine flu alert level to 4 which indicated a "threat of community level outbreaks" while local authorities have been executing precautionary measures.<ref>{{cite web|url=http://thanhniennews.com/healthy/?catid=8&newsid=48308|title=Vietnam raises swine flu alert level|publisher=]|accessdate=2009-04-30|author=Thanh Nien staff & VNA}}</ref>


Hungary reported the first death in the country on 22 July.<ref>{{cite web | title=Hungary reports first death from H1N1 flu | website=Reuters | date=2009-07-22 | url=https://www.reuters.com/article/idUSTRE56L3DG/ | access-date=2024-07-03}}</ref> Ireland reported its first death on 7 August.<ref>{{cite news|last1=Doyle|first1=Killian|title=First swine flu death in Ireland announced|url=https://www.irishtimes.com/news/first-swine-flu-death-in-ireland-announced-1.844489|access-date=24 January 2018|newspaper=]|date=7 August 2009|archive-date=8 March 2021|archive-url=https://web.archive.org/web/20210308174453/https://www.irishtimes.com/news/first-swine-flu-death-in-ireland-announced-1.844489|url-status=live}}</ref>
On May 1, 2009 an ]'s Ministry of Industry and Trade official said that Ministry was considering a ] on pork import "under certain situations" to prevent swine flu from entering Vietnam.<ref>{{cite news|url=http://www.thanhniennews.com/healthy/?catid=8&newsid=48407|title=Vietnam considers ban on pork import, raises swine flu alert|accessdate=2009-05-02|author=Thanh Nien staff}}</ref>


As of 19 August, all European countries with the exception of the micro states San Marino and Vatican City had reported cases.{{citation needed|date=August 2022}}
===Central America and Caribbean===
====Aruba====
], the Director of the Aruban ], announced that all passengers arriving by ] or ] will have to fill out a health ] beginning on April 27, 2009.<ref name=amigoe> {{cite news |first=|last=|title=Aruba checks disembarking passengers: Precautionary measures regarding swine influenza|url=http://www.amigoe.com/artman/publish/artikel_55845.php |work=Amigoe|publisher=|date=2009-04-27|accessdate=2009-04-29}}</ref> Hotels and resorts are required to report to authorities if any tourists are showing flu-like symptoms.<ref name=amigoe/> The government of Aruba also ordered ] medication and other supplies from the ] and the ].<ref name=amigoe/> No swine flu cases have been reported.<ref name=amigoe/>


{{Clear}} <!-- this ends the Europe section -->
====The Bahamas====
Ten students and teachers who arrived from Mexico in the last week of April are in quarantine.<ref name="suspectedcaribbeancases">{{cite news|url=http://www.caribbean360.com/News/Caribbean/Stories/2009/04/30/NEWS0000007287.html|title=Suspected swine flu cases in Caribbean as WHO raises alert level|date=2009-04-30|publisher=Caribbean360.com}}</ref>


====Barbados==== === North America ===
]
The Minister Of Health, Donville Inniss has confirmed that 2 samples have been sent off to the Caribbean Epidemology Cantre in ] to be tested for the virus.<ref name="suspectedcaribbeancases"/>
]


{{Main|2009 swine flu pandemic in North America}}
====Belize====
There are two suspected cases of swine flu currently under investigation in Belize. As a result, all major public events have been cancelled. This includes the National Agriculture and Trade Show.<ref name="suspectedcaribbeancases"/>


The swine flu began in ], which turn out to be a ] of ] and the first case could have been as early as March or April. In Canada, roughly 10% of the populace were infected with the virus,<ref name=G&M-rxn>{{cite news|url=https://www.theglobeandmail.com/life/health/h1n1-swine-flu/severe-allergic-reaction-seen-after-h1n1-flu-shot/article1377795/ |title=Severe allergic reaction seen after H1N1 flu shot |date=25 November 2009 |work=Globe and Mail |access-date=28 November 2009 |location=Toronto |first=Caroline |last=Alphonso| archive-url= https://web.archive.org/web/20091127143648/http://www.theglobeandmail.com/life/health/h1n1-swine-flu/severe-allergic-reaction-seen-after-h1n1-flu-shot/article1377795/| archive-date= 27 November 2009 | url-status= dead}} "Roughly 10 per cent of Canadians have been infected, and another 25 per cent have been immunized."</ref> with 363 confirmed deaths (as of 8 December); confirmed cases had reached 10,000 when ] stopped counting in July.<ref>Government of Canada – Health Canada: {{Webarchive|url=https://web.archive.org/web/20090818093622/http://www.phac-aspc.gc.ca/alert-alerte/swine_200904-eng.php |date=18 August 2009 }}</ref> Canada began its vaccination campaign in October and vaccinated a higher proportion of its citizens than any other country.<ref name=G&M-rxn /><ref>{{cite web|url=https://www.cbc.ca/news/science/the-road-to-rollout-1.807612|title=CBC – The Road to Rollout, 6 Nov. 2009|access-date=28 November 2009|archive-date=1 November 2009|archive-url=https://web.archive.org/web/20091101134234/http://www.cbc.ca/health/story/2009/10/28/f-swine-flu-vaccine-ingredients-approval.html|url-status=live}}</ref><ref name="PHAC current">{{cite news |url=http://www.phac-aspc.gc.ca/alert-alerte/swine-porcine/surveillance-eng.php |title=Bi-weekly and cumulative number of deaths due to Pandemic (H1N1) 2009, by province/territory, Canada |date=26 November 2009 |publisher=Public Health Agency of Canada |access-date=26 November 2009 | archive-url= https://web.archive.org/web/20090805225833/http://www.phac-aspc.gc.ca/alert-alerte/swine-porcine/surveillance-eng.php| archive-date=5 August 2009| url-status= live}}</ref><ref>{{cite news|url=http://www.healthzone.ca/health/newsfeatures/swineflu/article/726443--one-quarter-of-canadians-immunized-for-h1n1-top-doc |title=One quarter of Canadians immunized for H1N1: Top doc |date=16 November 2009 |work=Toronto Star |access-date=28 November 2009 | archive-url= https://web.archive.org/web/20091119145756/http://www.healthzone.ca/health/newsfeatures/swineflu/article/726443--one-quarter-of-canadians-immunized-for-h1n1-top-doc| archive-date= 19 November 2009 | url-status= live}} "The ] says almost one-quarter of Canadians have been immunized against swine flu. Dr. ] says Canada is leading the world when it comes to the percentage of the population vaccinated."</ref> The pandemic was a concern in the months leading to the ], which took place in ] in February 2010.<ref name="uk.eurosport.yahoo.com">{{Cite web|url=https://uk.sports.yahoo.com/|title=Yahoo UK & Ireland - Sports News &#124; Live Scores &#124; Results|website=uk.sports.yahoo.com}}</ref>
====Costa Rica====
A 21 year old woman was confirmed as carrying the swine flu virus on April 28. The woman came back from Mexico by airplane.<ref name="ticos1">{{cite web |url=http://www.nacion.com/ln_ee/2009/abril/28/pais1948013.html |title=Confirmada primera tica con fiebre porcina |publisher=]|accessdate=2009-04-28|language=Spanish}}</ref> A second case was confirmed on the same day, a 30-year old man who traveled to Mexico the week before.<ref name="ticos2">{{cite web |url=http://www.nacion.com/ln_ee/2009/abril/28/pais1948709.html |title=Confirmado segundo tico con fiebre porcina |publisher=]|date=2009-04-28 |accessdate=2009-04-28|language=Spanish}}</ref>
On May 2 the Costa Rican Ministry of Health confirmed two more cases.<ref name="ticos3">{{cite web |url=http://www.nacion.com/ln_ee/2009/mayo/02/pais1952519.html |title=Salud reporta dos nuevos casos de gripe porcina en el país |publisher=]|date=2009-04-30 |accessdate=2009-05-02|language=Spanish}}</ref> Four more cases were confirmed on May 4 by the Costa Rican "''Centro Nacional de Referencia en Virología''." As of May 4, a total of 424 suspected cases have been reported, but 369 have been already discarded as swine flu.<ref name="ticos4"/> 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. Out the eight cases confirmed by local authorities just one has been confirmed so far by the US ].<ref name="ticos4">{{cite web |url=http://www.nacion.com/ln_ee/2009/mayo/04/pais1954697.html |title=Sube a ocho cifra de ticos infectados con gripe pandémica |publisher=]|date=2009-05-04 |accessdate=2009-05-04|language=Spanish}}</ref>


], Mexico's ], stated that since March 2009, over 1,995 suspected cases and 149 deaths were confirmed. Twenty were confirmed to be linked to a new strain of Influenza A virus subtype H1N1.<ref>{{cite news|url=http://hosted.ap.org/dynamic/stories/L/LT_SWINE_FLU_MEXICO?SITE=AP&SECTION=HOME&TEMPLATE=DEFAULT&CTIME=2009-04-27-13-01-26 |title=Mexico closes schools nationwide due to swine flu |agency=Associated Press |access-date=14 November 2009 |url-status=dead |archive-url=https://web.archive.org/web/20090429232957/http://hosted.ap.org/dynamic/stories/L/LT_SWINE_FLU_MEXICO?SITE=AP&SECTION=HOME&TEMPLATE=DEFAULT&CTIME=2009-04-27-13-01-26 |archive-date=29 April 2009 }}</ref><ref>{{cite web|url=https://www.who.int/csr/don/2009_04_24/en/index.html|title=Influenza-Like Illness in the United States and Mexico|publisher=]|access-date=6 December 2010| archive-url= https://web.archive.org/web/20101212220219/http://www.who.int/csr/don/2009_04_24/en/index.html| archive-date=12 December 2010| url-status= dead}}</ref> "'As many as 23,000 Mexicans were likely infected with the swine flu virus,' Neil Ferguson of Imperial College London and colleagues reported in the journal Science."<ref>{{Cite news |date=2009-05-11 |title=Mexican H1N1 flu spreads easily: study |language=en |work=Reuters |url=https://www.reuters.com/article/us-flu-origin-idUSTRE54A59O20090511 |access-date=2023-05-11}}</ref> Soldiers mobilized by the government have handed out six million ] to citizens in and around ].<ref name="ap_race">{{cite web | last=Neergaard | first=Lauran | title=World Races to Contain Swine Flu | website=Lakeland Ledger | date=2009-04-26 | url=https://www.theledger.com/story/news/2009/04/26/world-races-to-contain-swine-flu/26012872007/ | access-date=2024-07-03}}</ref>
====Cuba====
On 24 April 2009, schools (from pre-school to university level) as well as libraries, museums, concerts and any public gathering place, were shut down by the government in Mexico City and the neighboring ] to prevent the disease from spreading further; the schools in Mexico City, the State of Mexico, and the state of ] would remain quarantined until at least 5 May.<ref>{{cite news|url=https://www.google.com/hostednews/ap/article/ALeqM5g8-DEMtAE9q4i4ySQ0eV_qZefmRQD97PR9N00 |title=AP Top News at 9:11&nbsp;pm EDT |agency=Associated Press |date=25 April 2009 |access-date=25 April 2009 }}{{dead link|date=June 2024|bot=medic|fix-attempted=yes}}{{cbignore|bot=medic}}</ref> ], ], asked all night-life operators to shut down their places of business for ten days to prevent further infections.<ref>{{cite web|url=http://www.reforma.com/libre/online07/preacceso/articulos/default.aspx?plazaconsulta=reforma&url=http%3A%2F%2Fwww.reforma.com%2Fciudad%2Farticulo%2F495%2F989963%2F&dircobertura=&tipocob=0&urlredirect=http%3A%2F%2Fwww.reforma.com%2Fciudad%2Farticulo%2F495%2F989963%2Fdefault.asp%3FPlazaConsulta%3Dreforma&DirCobertura=&TipoCob=0|title=Estima SSA 10 dias de alerta por influenza|date=25 April 2009|publisher=Reforma|access-date=14 April 2013|archive-date=30 June 2013|archive-url=https://archive.today/20130630055008/http://www.reforma.com/libre/online07/preacceso/articulos/default.aspx?plazaconsulta=reforma&url=http://www.reforma.com/ciudad/articulo/495/989963/&dircobertura=&tipocob=0&urlredirect=http://www.reforma.com/ciudad/articulo/495/989963/default.asp%3FPlazaConsulta=reforma&DirCobertura=&TipoCob=0|url-status=dead}}</ref>
Cuba's Health Ministry is adopting precautionary measures to prevent the illness from coming into the country. The government has advised citizens to go to seek medical treatment if experiencing flu-like symptoms.<ref name="Cuba Swine flu">{{cite news|url=http://news.xinhuanet.com/english/2009-04/28/content_11272417.htm|title=Latin American countries adopt preventive measures against swine flu|date=2009-04-28|publisher=China View|accessdate=2009-04-29}}</ref> Cuba has also banned flights to and from Mexico for 48 hours.<ref name="Cuba suspends Mexico flights because of swine flu">{{cite news|url=http://seattletimes.nwsource.com/html/travel/2009138651_webflucuba28.html|title=Cuba suspends Mexico flights because of swine flu|date=April 28, 2009|publisher=Seattle Times|accessdate=2009-04-29}}</ref>
On 25 April, President ] declared an emergency which granted him the power to suspend public events and order ]s.<ref name=CalderonEmergency>{{cite news|url=https://www.bloomberg.com/apps/news?pid=20601087&sid=aEsNownABJ6Q|title=Mexico's Calderon Declares Emergency Amid Swine Flu Outbreak|date=25 April 2009|publisher=Bloomberg L.P.| access-date=14 November 2009 }}</ref> On 26 April, the ] announced US$25&nbsp;million in immediate aid loans to Mexico, an additional US$180&nbsp;million for long-term assistance to address the outbreak, and advice on how other nations have responded to similar crises.<ref name="ap_race" /> On 27 April, the ] announced that all schools in Mexico would remain closed at least until 6 May.<ref>{{cite news|url=http://cnnwire.blogs.cnn.com/2009/04/27/all-schools-closed-in-mexico-4/|title=All schools closed in Mexico|date=27 April 2009|publisher=CNN|access-date=14 November 2009|archive-date=30 April 2009|archive-url=https://web.archive.org/web/20090430010318/http://cnnwire.blogs.cnn.com/2009/04/27/all-schools-closed-in-mexico-4/|url-status=dead}}</ref> On 28 April, the Mexico City government closed all restaurants and cinemas. The ] closed all archaeological sites and museums, including the most famous Mayan and Aztec ruins, until further notice.


] chart of laboratory-confirmed A(H1N1) influenza cases by date according to ] reports.<ref name="who-situation-updates"/><!-- defined by Template:2009-2010 flu pandemic table --> Mexico, USA, and Canada are shown as a breakdown of the total.]]
====Guatemala====
A 29-year-old, who had recently visited Mexico, was being tested for a suspected case of swine flu.<ref name=Guatemala>{{cite news|url=http://uk.reuters.com/article/latestCrisis/idUKN27528938|title=Guatemala tests patient for suspected swine flu|publisher=Reuters|date=2009-04-29|accessdate=2009-04-30}}</ref>


In the United States, initial reports of atypical flu in two individuals in southern California led to the discovery of the virus by the ] in mid-April. More than a hundred cases were confirmed in the following two weeks, across a dozen states.<ref name = cdcinvestigation>{{cite web|url=https://www.cdc.gov/swineflu/investigation.htm|title=Human Swine Influenza Investigation|publisher=] (CDC)| access-date=14 November 2009 | archive-url= https://web.archive.org/web/20091112110628/http://www.cdc.gov/swineflu/investigation.htm| archive-date= 12 November 2009| url-status= live}}</ref> Outside of California and Texas, initial cases were all tied to recent travel to Mexico or close contact with those who had. ], a private school in New York, was the center of a large cluster of cases after a ] trip by several students. It was one of the first US schools to be closed during the early outbreak.<ref>{{cite web|url=http://www.ny1.com/content/top_stories/98039/mayor-says-city-confirms-20-more-cases-of-swine-flu/Default.aspx|date=27 April 2009|title=Mayor Says City Confirms 20 More Cases of Swine Flu|publisher=]|access-date=14 November 2009|archive-date=30 April 2009|archive-url=https://web.archive.org/web/20090430123003/http://ny1.com/content/top_stories/98039/mayor-says-city-confirms-20-more-cases-of-swine-flu/Default.aspx|url-status=dead}}</ref> Most of the cases in California and Texas were not linked and may have reflected localized outbreaks.<ref name=LATimes0424>{{cite news
Guatemala is checking all travelers arriving from Mexico for signs of flu and stopping anyone with symptoms of the virus at border crossings.<ref name=Guatemala />

====Honduras====
There are a number of suspected cases in Honduras. There are 15 suspected cases, none of which have been confirmed.<ref>{{cite web|author=Lilian MejĂ­a |url=http://www.laprensahn.com/Sintesis/Lo-ultimo/Ediciones/2009/04/29/Noticias/Honduras-15-casos-sospechosos-de-gripe-porcina |title=(29 April) |language={{es icon}} |publisher=La Prensa.hn |date= |accessdate=2009-05-02}}</ref>

====Jamaica====
There have been no reports of the swine flu in Jamaica. Health Minister Ruddy Spencer told Parliament that the country has been placed on high alert. There has been heightened surveillance at health care facilities and port entry's.<ref name="Jamaica Prepares for Swine Flu">{{cite news|url=http://www.jamaicaobserver.com/news/html/20090428T210000-0500_150371_OBS_JAMAICA_PREPARES_FOR_SWINE_FLU_.asp|title=Jamaica Prepares for Swine Flu|date=April 29, 2009|publisher=Jamaica Bserver|accessdate=2009-04-30}}</ref>

====Puerto Rico====
A 5-year-old boy was showing influenza-like symptoms. He was taken to the hospital for testing. He and his mother are from Texas.

====Trinidad and Tobago====
The members of the Under 17 Trinidad and Tobago football team have taken Flu tests after returning from a World Cup qualifying football match in Mexico City.<ref>{{cite web|author=Agile Telecom Ltd. and Xidemia |url=http://www.newsday.co.tt/sport/0,99297.html |title=Young Warriors take Flu tests(April 29) |publisher=Newsday |date= |accessdate=2009-05-02}}</ref>

===Europe===
]

====European Union====
On April 27, the ] health commissioner advised Europeans not to travel to the United States or Mexico unless urgent. This followed the discovery of the first confirmed case in Spain.<ref name="Guardian 27/4">{{cite news|url=http://www.guardian.co.uk/world/2009/apr/27/swine-flu-mexico|title=Europeans urged to avoid Mexico and US as swine flu death toll exceeds 100|date=27 April 2009|publisher=Guardian|accessdate=2009-04-27}}</ref>

EU Foreign relations commissioner ] said on April 29 the halt of all travel to Mexico and disinfecting all airports due to the global flu outbreak is being considered.<ref>{{dead link|date=May 2009}}</ref>

====Austria====
]

Several possible cases in Austria turned out to be negative, whereas one test, that of a 28-year-old woman from Vienna, had a positive result. Therefore Austria is the 9th country affected by a confirmed case of swine flu.<ref>{{cite web|url=http://orf.at/090429-37798/index.html |title=Neue Verdachtsfälle in Vorarlberg und Wien |language={{de icon}} |publisher=Orf.at |date= |accessdate=2009-04-30}}</ref> There are still two suspected cases being tested.<ref>{{cite web|url=http://www.alertnet.org/thenews/newsdesk/VIE001386.htm |title=Austria confirms first case of swine flu 29 April |publisher=Alertnet.org |date= |accessdate=2009-05-02}}</ref>

====Belgium====
Six suspected cases of swine flu in Belgium ultimately tested negative.<ref>{{cite web|url=http://www.influenza.be/nl/persberichten/2009-04-27_Communique-touslescassontnegatifs_nl.pdf|title=www.influenza.be/nl/persberichten/2009-04-27_Communique-touslescassontnegatifs_nl.pdf<!--INSERT TITLE-->|format=PDF}}</ref>

====Croatia====
On ] it was announced that a 22-year old traveller from Florida had been held in quarantine in ] under suspicion of swine flu.<ref>{{cite web|url=http://www.index.hr/vijesti/clanak/svinjska-gripa-i-u-hrvatskoj/431720.aspx |title=Svinjska gripa i u Hrvatskoj? |publisher=Index.hr |date= |accessdate=2009-05-02}}</ref>
However, later that day director of infectious disease epidemiology agency, Dr. Ira Gjenero Margan, stated results of the testing were negative "with 99% certainty".<ref>{{cite web|url=http://www.net.hr/vijesti/hrvatska/page/2009/04/29/0641006.html |title=Net.hr |publisher=Net.hr |date= |accessdate=2009-04-30}}</ref> On April 30, a child was held in quarantine in ] but the results were negative.<ref>{{cite web|url=http://www.index.hr/vijesti/clanak/potvrdjeno-kod-djeteta-nije-utvrdjen-virus-svinjske-gripe/431788.aspx |title=Potvrđeno: Kod djeteta nije utvrđen virus svinjske gripe |publisher=Index.hr |date= |accessdate=2009-05-02}}</ref>

====Denmark====
Authorities confirmed on May 1 that a Danish citizen had tested positive for swine flu, making it the first reported case in ].<ref name="wissenschaft1"/><ref>{{cite news|url=http://www.bt.dk/article/20090501/nyheder/90501055/|title=Dansker smittet med svineinfluenza|publisher=Berlingske Tidende|date=2009-05-01|accessdate=2009-05-01}}</ref>

====Finland====
Two suspected cases were announced but soon discovered as false alerts.<ref>{{cite web|author=18:07 |url=http://yle.fi/uutiset/kotimaa/2009/04/lahden_influenssaepaily_aiheeton_715332.html |title=Lahden sikainfluenssaepäily aiheeton |publisher=Yle.fi |date= |accessdate=2009-04-30}}</ref>. The first suspected case was investigated in ]&ndash;the patient returned from Mexico with flu symptoms. The patient was released from hospital as the initial results for swine flu were negative. However, she is self-quarantined at home until final results will come.<ref>{{cite web|url=http://yle.fi/uutiset/news/2009/04/false_alarm_in_first_suspected_finnish_swine_flu_case_715585.html |title=False Alarm in First Suspected Finnish Swine Flu Case &#124; News &#124; YLE Uutiset |publisher=yle.fi |date= |accessdate=2009-04-30}}</ref> The second suspect, who recently returned from Spain, is being investigated in ].<ref>{{cite web|url=http://www.iltasanomat.fi/uutiset/kotimaa/uutinen.asp?id=1679979 |title=Jo toinen sikainfluenssaepäily Suomessa - Suomi - Uutiset - Ilta-Sanomat |publisher=Iltasanomat.fi |date= |accessdate=2009-04-30}}</ref> The H1N1 strain of influeza has been 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.<ref>{{cite web|url=http://www.mediuutiset.fi/uutisarkisto/article280002.ece?s=r&wtm=mediuutiset/-29042009 |title=Sikainfluenssa lisätään tartuntatautiasetukseen - Uutisarkisto - Mediuutiset |language={{fi icon}} |publisher=Mediuutiset.fi |date= |accessdate=2009-04-30}}</ref>

====France====
As of April 28 there were twenty suspected cases of swine flu being investigated in France. Since April 25, over 100 cases of ] have been reported, of which 30 were identified as possible cases. 10 of those cases have since been excluded.<ref>{{cite web |url=http://fr.news.yahoo.com/4/20090428/tts-grippe-france-972e905.html |title=Vingt cas suspects de grippe porcine en cours d'étude en France |date=2009-04-28 |publisher=Reuters |accessdate=2009-04-29}}</ref> On April 30, the number of suspected cases was revised to 50 (including 4 probable cases).<ref>{{cite web|url=http://www.invs.sante.fr/display/?doc=surveillance/grippe_dossier/points_h1n1/grippe_porcine_300409/index.html|title=Cas humains de nouvelle grippe à A(H1N1). Point au 30 avril 2009 - 17h00|date=2009-04-30|publisher=InVS|accessdate=2009-04-30}}</ref>

On May 1, the French Health Minister has confirmed, during the 8 p.m. TF1 news, that 2 cases of A(H1N1) flu have been detected in France.<ref>{{cite web|url=http://www.lexpress.fr/actualite/sciences/sante/grippe-a-deux-cas-averes-en-france_757934.html#xtor=AL-447 |title=Grippe A: deux cas avérés en France |publisher=Lexpress.fr |date= |accessdate=2009-05-02}}</ref>

On may 4th, two new cases have been confirmed bringing to 4<ref>{{cite web|url=http://www.mysinchew.com/node/24016 |title=Two new cases of swine flu confirmed in France |publisher=MySinchew.com |date= |accessdate=2009-05-04}}</ref> the total number of people infected.

====Germany====
]

Two men and a woman from ] who had been suspected of having the virus tested negative on influenza type A.<ref>{{cite web|url=http://www.spiegel.de/wissenschaft/mensch/0,1518,621426,00.html|title=Spiegel Online: Bielefeld - Entwarnung bei Schweinegrippe-Verdachtsfällen|publisher=Spiegel Online|date=2009-04-27|accessdate=2009-04-27}}</ref>

On April 29, the first case of swine flu in Germany was confirmed by the ] in the area of ].<ref>{{cite web|url=http://www.spiegel.de/wissenschaft/natur/0,1518,621844,00.html|title=Spiegel Online: Erster Schweinegrippe-Fall in Deutschland|publisher=Spiegel Online|date=2009-04-29|accessdate=2009-04-29}}</ref><ref name="case-bavaria">{{cite web | title=Bavaria reports first case of swine flu in Germany | url=http://www.alertnet.org/thenews/newsdesk/BAT002878.htm | work= | publisher=Reuters | date= | accessdate=2009-04-29}}</ref><ref name="spiegel-flu">{{cite news |url=http://www.spiegel.de/wissenschaft/natur/0,1518,621868,00.html |title=Virologen stellen drei Schweinegrippe-Fälle in Deutschland fest |publisher=Spiegel online|date=2009-04-29 |accessdate=2009-04-29 }}</ref> A 22-year-old woman from ] is also confirmed to have been infected by swine flu during a trip to Mexico.<ref name="spiegel-flu" /> A 37-year-old woman from ] is also confirmed to have become infected during a similar trip.<ref name="spiegel-flu" /> Further suspected cases are in examination.<ref name="spiegel-flu" />

On May 1, ] confirmed the first case of human-to-human spreading of swine flu in ]. Infected was the nurse who had contact with one of the infected people. At approx. 10:00 she was claimed to be already healed.<ref>{{cite web|url=http://www.spiegel.de/wissenschaft/mensch/0,1518,622339,00.html|title=Spiegel Online: Erste Mensch-zu-Mensch-Infektion mit Schweinegrippe in Deutschland|publisher=Spiegel Online|date=2009-05-01|accessdate=2009-05-01}}</ref> At the time of 13:00 one further infection in ] was confirmed, but the patient is also claimed to be healthy again.<ref>{{cite web|url=http://www.spiegel.de/wissenschaft/mensch/0,1518,622358,00.html|title=Spiegel Online: Virologen erwarten weitere Schweinegrippe-Infektionen in Deutschland|publisher=Spiegel Online|date=2009-05-01|accessdate=2009-05-01}}</ref>

On May 2, a new human-to-human infection, in the same hospital in ], 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.<ref>{{cite web|url=http://www.spiegel.de/wissenschaft/natur/0,1518,622442,00.html|title=Spiegel Online: Zweite Mensch-zu-Mensch-Infektion in Deutschland|publisher=Spiegel Online|date=2009-05-02|accessdate=2009-05-02}}</ref>

On May 3, two further cases of swine flu in ] were reported. Infected are two people from the same flight as patient in ]. <ref>{{cite web|url=http://www.focus.de/gesundheit/ratgeber/schweinegrippe/h1n1-schweinegrippe-erreicht-brandenburg_aid_395606.html|title=Schweinegrippe erreicht Brandenburg|publisher=Focus Online|date=2009-05-03|accessdate=2009-05-03}}</ref>

On May 5th, one new case in ] has been confirmed bringing to 9<ref>{{cite web|url=http://www.spiegel.de/wissenschaft/natur/0,1518,622914,00.html |title=Spiegel Online: Neunter Schweinegrippe-Fall in Deutschland |publisher=Spiegel Online |date=2009-05-05 |accessdate=2009-05-05}}</ref> the total number of people infected.

====Hungary====
According to the ] as of 29 April six suspected cases have been reported in Hungary, none of them confirmed to be the swine flu.
Samples of the virus from the US health authorities are due to arrive to Hungary in a few days enabling the start of vaccine production.<ref>. ]. 2009-04-29. Retrieved on 2009-04-30</ref>

====Iceland====
Iceland is currently being briefed by the ] and is cooperating closely with ], ] and the ] 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 ] people traveling to Mexico were advised to cancel their trip unless its very urgent.<ref>{{cite web|author=мsland |url=http://www.ruv.is/heim/frettir/frett/store64/item262503/ |title=RзV - TvЖ hugsanleg svМnaflensutilfelli |language={{is icon}} |publisher=Ruv.is |date= |accessdate=2009-04-30}}</ref><ref>{{cite web|url=http://www.landlaeknir.is/Pages/1055?NewsID=1897 |title=Landlæknisembættið - Fréttir |publisher=Landlaeknir.is |date= |accessdate=2009-04-27}}</ref>

On ] it was announced that passengers arriving in Iceland from the United States or Mexico would be monitored and will undergo ] even if the slightest signs of influenza are detected.<ref name="farthegum1">{{cite web|url=http://www.mbl.is/mm/frettir/innlent/2009/04/28/fylgst_med_farthegum/ |title=Fylgst með farþegum |publisher=mbl.is |date= |accessdate=2009-04-28}}</ref>

On ] Haraldur Briem, Head of Infectious Disease Control, announced that two individuals arriving from the United States will be undergoing medical examination because of discomfort and vague symptoms. He added that its unlikely that they are suffering from swine flu.<ref>{{cite web|url=http://www.mbl.is/mm/frettir/innlent/2009/04/28/tvo_ostadfest_tilfelli/ |title=Tvö óstaðfest tilfelli |publisher=mbl.is |date= |accessdate=2009-04-30}}</ref> On ] it was announced that the case of the two individuals arriving from the United States had been a false alarm and that they did in fact not have the swine flu.<ref>{{cite web|url=http://visir.is/article/20090429/FRETTIR01/727631714 |title=Grunur um svínaflensu á Íslandi ekki á rökum reistur |publisher=visir.is |date= |accessdate=2009-04-29}}</ref>

Iceland has stocks of ] and ] for one-third of its population.<ref name="farthegum1"/>

In a risk assessment made by the Icelandic government in 2008 in case of a influenza ] two scenarios are envisioned:
* A worst-case scenario where 50% of the Icelandic population are infected and 3% of the infected population die.
* A milder scenario where precautionary measures prevent infection, 25% of the Icelandic population are infected and 1% die.<ref>{{cite paper|url=http://www.influensa.is/lisalib/getfile.aspx?itemid=3515 |title= |publisher= |date=2008 |accessdate=2009-05-01}}</ref>

====Ireland====
Ireland has over two million doses of anti-virals (Tamiflu and Relenza; enough for half the population) and a pandemic plan in place should the outbreak reach the country.

On 29 April, 2009, notices were put in place at Irish ports and airports offering advice to people returning from countries affected by the Influenza A(H1N1) virus.<ref>{{cite web|url=http://www.rte.ie/news/2009/0429/swineflu.html |title=RTÉ News (29 April 2009) - '&#39;Flu information in Irish ports today'&#39; |publisher=RTÉ.ie |date= |accessdate=2009-05-02}}</ref>

On 30 April, 2009, the ] Chief Medical Officer, Doctor Tom Holohan, announced the first probable confirmed case in Ireland. The case is an adult male living in the east of the country who had recently been to Mexico. He has been on anti-viral treatment as have any people he has come into close contact with as a precaution.<ref>{{cite web|url=http://www.rte.ie/news/2009/0430/swineflu.html |title=RTÉ News (30 April 2009) - '&#39;First probable Irish swine flu case identified'&#39; |publisher=RTÉ.ie |date= |accessdate=2009-05-02}}</ref>

On 2 May, 2009, the "probable" case was announced as being the first confirmed case of Influenza A(H1N1) in Ireland by the Department of Health. There are currently no other suspected, probable or confirmed cases of the virus in the country.<ref>{{cite web|url=http://www.rte.ie/news/2009/0502/swineflu.html |title=RTÉ News (2 May 2009) - '&#39;Swine flu confirmed in Ireland'&#39; |publisher=RTÉ.ie |date= |accessdate=2009-05-02}}</ref>

On 3 May 2009, the Chief Medical Officer of Ireland, Dr. Tony Holohan said the man was recovering well, and that all appropriate clinical and public health actions had been taken. However the Health Service Executive in the country also admitted that there is still a probable chance of further cases being reported in Ireland. <ref></ref>

====Italy====
]

Italy's agriculture lobby, Coldiretti, warned against panic reaction, noting that farmers lost hundreds of millions of ] due to consumer boycotts during the 2001 mad cow scare and the 2005 bird flu outbreak.<ref name="ap-canada"/>

A woman who returned from ] was hospitalised in ] for suspected swine flu.<ref>{{cite web|url=http://www.javno.com/en-world/possible-swine-flu-case-in-venice_254041 |title=Possible Swine Flu Case in Venice |publisher=Javno.com |date= |accessdate=2009-05-02}}</ref>

As of April 30, about 20 suspected cases of swine flu are monitored in Italy.<ref>{{cite web|url=http://news.xinhuanet.com/english/2009-04/30/content_11284403.htm |title=About 20 suspected cases of swine flu monitored in Italy |publisher=News.xinhuanet.com |date= |accessdate=2009-05-02}}</ref>

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

====Lithuania====
As of April 29, one possible case (tourist returned from Mexico) in Lithuania is currently under investigation. The institutions already confirmed that it is the A type influenza, but the details as to whether it is ] are still not known.<ref name="Delfi.lt">.</ref> For further investigation sample was sent to the laboratory located in London.<ref name="LR">{{cite web|author=BNS ir lrytas.lt |url=http://www.lrytas.lt/-12410164621239844827-lietuvoje-pirmieji-%C4%AFtarimai-d%C4%97l-kiauli%C5%B3-gripo-papildyta.htm |title="Lietuvoje - pirmieji įtarimai dėl kiaulių gripo" |publisher=lrytas.lt |date= |accessdate=2009-05-02}}</ref>

====Macedonia====
On April 27 2009, the government of the Republic of Macedonia prohibited all exports and imports of live pigs. Even though Macedonia is not affected from the Swine Flu, the government ordered a ten days health monitoring period for everybody that comes from an affected country.<ref>{{cite news|url=http://news.xinhuanet.com/english/2009-04/29/content_11282523.htm |title=Macedonian senior officials monitored for possible swine flu|author=Deng Shasha|date=2009-04-29}}</ref>

====Netherlands====
The ] advised any traveller who returned from Mexico since April 17 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.<ref name=Jordans425>{{cite news|url=http://wtop.com/?nid=383&sid=1660299|title=WHO declares international concern over swine flu|author=Frank Jordans|date=2009-04-25|agency=Associated Press}}</ref>
On April 30, 2009 a three year old child tested positive for the swine flu. The child returned from Mexico to the Netherlands on April 27, 2009. The parents tested negative to the swine flu.
The child is doing well.<ref>{{cite news|url=http://www.nu.nl/algemeen/1957170/mexicaanse-griep-in-nederland.html|title=Mexicaanse griep in Nederland |date=2009-04-30|agency=ANP}}</ref>

====Norway====
Norway has a stockpile of 1.2 million doses of Tamiflu, and have ordered 200 000 doses of Relenza.

As of April 28, three persons have tested negative for swine flu.<ref>{{cite web|url=http://www.dagbladet.no/2009/04/27/nyheter/svineinfluensa/utenriks/folkehelseinstituttet/mexico/5951692/ |title=Avblåser svineinfluensa i Tromsø |publisher=Dagbladet.no |date= |accessdate=2009-04-28}}</ref> Test results are not yet in for a two year old boy from ], ], who returned from vacation in Mexico with flu-like symptoms.<ref>{{cite web|url=http://www.tv2nyhetene.no/innenriks/article2702020.ece |title=Mistanke om svineinfluensa hos toåring |publisher=TV 2 Nyhetene |date= |accessdate=2009-04-27}}</ref>

On May 2, Influenza-A was confirmed for a woman in her 20s, in Trondheim. She had returned from Mexico one week earlier. Tests for whether it is swine-flu is still pending.

The Norwegian government projects that in the worst case, 1.2 million Norwegians may fall ill and 13,000 may die.<ref>{{cite web|url=http://www.vg.no/nyheter/innenriks/artikkel.php?artid=542579 |title=13.000 døde av svineinfluensa - VG Nett om Svineinfluensa |publisher=Vg.no |date= |accessdate=2009-04-27}}</ref>

====Poland====
As of May 5, five cases are under investigation, according to the National Institute of Public Health and news channel ].<ref>{{cite web |url=http://www.pzh.gov.pl/page/index.php?id=964 |title=Stan na dzień 5 maja 2009 r. z godziny 11:00 |date=2009-05-05 |accessdate=2009-05-05}}</ref><ref>{{cite web |url=http://www.tvn24.pl/0,1598463,0,1,wirus-zaatakowal-1003-osoby,wiadomosc.html |title=Wirus zaatakował 1003 osoby |date=2009-05-04 |accessdate=2009-05-04}}</ref> At least 19 other patients had been previously investigated but tests turned out negative.<ref>{{cite web|url=http://www.tvn24.pl/12690,1597906,,,w-polsce-nie-stwierdzono-swinskiej-grypy,wiadomosc.html |title=W Polsce nie stwierdzono świńskiej grypy |publisher=tvn24.pl |date= |accessdate=2009-04-29}}</ref><ref>{{cite web|url=http://fakty.interia.pl/raport/swinska-grypa/news/para-wrocila-z-meksyku-trafila-na-obserwacje,1297669,2943.html |title=Para wróciła z Meksyku, trafiła na obserwację |publisher=interia.pl |date= |accessdate=2009-04-28}}</ref> The Polish Foreign Ministry issued a statement recommending that citizens avoid travel to affected areas until the outbreak is totally contained.<ref name=Jordans425 />

====Portugal====
As of May 4, there has been one confirmed case in Portugal<ref>http://ultimahora.publico.clix.pt/noticia.aspx?id=1378416&idCanal=62</ref>.

====Romania====
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In Sâmbăteni, ], 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 Swine Flu. Tests returned negative.<ref>{{cite web|url=http://www.hotnews.ro/stiri-ultima_ora-5651541-tanar-din-arad-care-intors-recent-din-spania-portugalia-este-suspect-gripa-porcina.htm |title=UPDATE Suspiciunea de gripa porcina in cazul copilului din Arad a fost infirmata (30 April) |publisher=Hotnews.ro |date= |accessdate=2009-05-02}}</ref><ref>{{cite web|url=http://www.antena3.ro/stiri/romania/prima-persoana-suspecta-de-gripa-porcina-la-arad_70475.html |title=O mamă şi un copil din Arad, suspecţi de gripă porcină. Streinu Cercel: "E o alarmă falsă" (30 April) |publisher=Antena3.ro |date= |accessdate=2009-05-02}}</ref>

====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).<ref>{{cite web|url=http://www.rian.ru/economy/20090427/169311219.html|title=Russia-ban on meat import|date=27 April 2009|publisher=Ria Novosti|language=Russian}}</ref><ref>{{cite web|url=http://www.fsvps.ru/fsvps/news/details.jsp?id=1677&_language=ru|title=О мерах Россельхознадзора в связи со вспышками гриппа, вызванного вирусом H1N1, в Мексике и США|date=26 April 2009|publisher=Rosselkhoznadzor|language=Russian}}</ref><ref>{{cite web|url=http://www.fsvps.ru/fsvps/news/details.jsp?id=1681&_language=ru|title=В дополнение к указанию от 26.04.2009 № ФС-2-02/179 о запрете на ввоз поднадзорных грузов в связи с распространением гриппа H1N1|date=26 April 2009|publisher=Rosselkhoznadzor|language=Russian}}</ref>

The President instructed the regional governors to take urgent steps to prevent swine flu from spreading to Russia. ] also instructed the presidential plenipotentiary envoys in the federal districts to personally supervise the preventive measures to ensure the disease did not spread and stipulated monthly reports on the situation.<ref>{{cite web|url=http://www.kremlin.ru/text/news/2009/04/215526.shtml|title=Dmitry Medvedev instructed Russia's regional authorities to take urgent measures to prevent the spread of swine flu in Russia|date=27 April 2009|publisher=kremlin.ru|language=Russian}}</ref>

On May 1 officials confirmed that two women who came from USA trip were suspected to have swine flu. Currently both are in hospital for further treatment.<ref>{{cite web|url=http://www.1tv.ru/news/health/142921|title=Две россиянки госпитализированы с подозрением на "калифорнийский грипп"|date=01 May 2009|publisher=]|language=Russian}}</ref>
As on May 2, both tourists are reported not to be infected with new strain.<ref>{{cite web|url=http://www.1tv.ru/news/health/142934|title=У гражданок России, прилетевших накануне из США, не обнаружили опасной инфекции|date=02 May 2009|publisher=]|language=Russian}}</ref>

====Serbia====
According to Deputy Health Minister Svetlana Mijatović, Serbia will adhere to all WHO recommendations for monitoring the swine flu epidemic.<ref name="b92">{{cite web | title= Serbia to follow WHO flu recommendations | url= http://www.b92.net/eng/news/society-article.php?yyyy=2009&mm=04&dd=28&nav_id=58792 | work= | publisher= B92 | date= | accessdate=2009-04-28}}</ref> "A sanitary inspection, together with ] (MUP), is checking travelers, while the media and all the agencies throughout the world, as well as our own, are constantly informing the public that if anyone feels ill, or is coming from a contaminated area, to consult the authorities at any airport in the world ," Mijatović said.<ref name="b92" />

Flights and holidays to Mexico and the U.S. have yet to be canceled, and the advice to citizens traveling to infected countries is to take precautions in terms of immunity and to maintain personal hygiene.<ref name="b92" />

A 71 year old tourist from ] asked to be tested for swine flu at the Provincial hospital in ], on April 30. Results were negative.<ref>{{cite web|url=http://www.rts.rs/page/stories/sr/story/125/Dru%C5%A1tvo/58713/Nema+meksi%C4%8Dkog+gripa+u+Novom+Sadu.html |title=Nema meksičkog gripa u Novom Sadu |language={{sr icon}} |publisher=Rts.rs |date= |accessdate=2009-05-02}}</ref>

====Slovenia====
''Institute of Public Health of the Republic of Slovenia'' has established a web site with information about H1N1 induced influenza. Status of this webpage is updated twice a day. As of May 5th, there were 5 people tested, all negative.<ref name="svn-ivz">{{cite web |url=http://www.ivz.si/index.php?akcija=novica&n=1782 |title=Informacije o bolezni, ki jo povzroča novi virus gripe |publisher=Institute of Public Health of the Republic of Slovenia, Ljubljana| date= | accessdate=2009-05-05}}</ref>

====Spain====
{{Main|2009 swine flu outbreak in Spain}}
]
On April 27 the Spanish Ministry of Health and Social Policy announced that a man in ] who had recently returned from Mexico had contracted the disease. The man, aged 23, had returned from Mexico on April 22 and had been quarantined on the 25th. This was the first confirmed case in Europe.<ref>{{cite web|url=http://www.abs-cbnnews.com/world/04/27/09/europes-first-swine-flu-case-confirmed-spain|title=Europe's first swine flu case confirmed in Spain|date=27 April 2009|publisher=Agence France-Presse|accessdate=2009-04-27}}</ref>

The ] is also observing other 35 possible swine flu cases in the ], ], the ], ], ], ] and the ].<ref name="fluinspain">{{cite web|url=http://www.eitb.com/noticias/sociedad/detalle/135987/sanidad-confirma-caso-gripe-porcina-albacete/|title=Sanidad confirma un caso de gripe porcina en Albacete|publisher=eitb.com |accessdate=2009-04-27}}</ref>

], the Spanish state owned company who manages all Spanish airports and ] established a protocol for the flights coming from and to ] from the affected areas.<ref>{{cite web|url=http://www.aena.es/csee/ccurl/Nota%20gripe%20porcina.pdf|title=Sanitary protocol to follow, recommended by AENA|publisher=aena.es|accessdate=2009-04-26|language=es|format=PDF}}</ref> Three patients who had just returned from Mexico were under observation in multiple regions of Spain.<ref name="ap-canada">{{cite news|author=Jordans Frank|url=http://www.google.com/hostednews/ap/article/ALeqM5g-G1kSAM9yaH00eBrXD2S5s-3ZhgD97Q6EUG0|agency=The Associated Press|title=Swine flu fears prompt quarantine plans, pork bans|date=26 April 2009|accessdate=2009-04-26}}</ref>

====Sweden====
On April 28, at least eighteen Swedish people were tested for swine flu after returning from trips in Mexico and the USA, but the results were negative.<ref>{{cite web|author=TT |url=http://www.svd.se/nyheter/inrikes/artikel_2806453.svd |title=Ingen konstaterad smitta i Sverige &#124; Inrikes &#124; SvD |language={{sv icon}} |publisher=Svd.se |date= |accessdate=2009-04-27}}</ref><ref>{{cite web|author=TT |url=http://www.dn.se/nyheter/sverige/nya-misstankta-fall-i-sverige-var-negativa-1.854770 |title=Nya misstänkta fall i Sverige var negativa &#124; Sverige &#124; DN |language={{sv icon}} |publisher=DN.se |date= |accessdate=2009-04-28}}</ref> On April 29 two people, recently returned from Mexico with flu like symptoms were tested.<ref>{{cite web|author=Dalarnas tidningar |url=http://svt.se/2.22620/1.1538413/tva_misstanks_ha_influensan_i_dalarna?lid=puff_1537962&lpos=extra_0 |title=Två misstänks ha influensan i Dalarna &#124; Sverige &#124; SVT |language={{sv icon}} |publisher=svt.se |date=2009-04-29 |accessdate=2009-05-01}}</ref>

====Switzerland====
]
The first suspicious case was officially confirmed on April 27. A young man returning from holiday in Mexico informed his family doctor about fever and flu-like symptoms. He was immediately put under quarantine in a hospital. 8 more people are under observation. A container of inactive swine flu virus samples packed in ] exploded on a Swiss train, injuring one person but posing no other risks to humans.<ref>{{cite web|url=http://www.nzz.ch/nachrichten/panorama/verdachtsfall_von_schweinegrippe_im_aargau__1.2467178.html |title=Verdachtsfall von Schweinegrippe im Aargau (Panorama, NZZ Online) |publisher=Nzz.ch |date=2009-02-24 |accessdate=2009-04-28}}</ref>

Switzerland has confirmed its first case of swine flu in a 19-year-old student who returned from Mexico on April 30. The state hospital in ] said in a statement that the National Influenza Center in Geneva confirmed the disease shortly after the student was mistakenly released from hospital day before.<ref>{{cite web|url=http://www.thejakartapost.com/news/2009/04/30/switzerland-confirms-1st-case-swine-flu.html |title=Switzerland confirms 1st case of swine flu |publisher=Thejakartapost.com |date=2009-03-30 |accessdate=2009-05-02}}</ref>

====Ukraine====
Imports of pork and live pigs from all affected countries have been banned. The ban also applies to all shipments after April 21.<ref name=bbc1/>

====United Kingdom====
{{Main|2009 swine flu outbreak in the United Kingdom}}
]

On April 25, 2009, a member of ] cabin crew was taken to ] in ] and quarantined after falling ill with flu-like symptoms on a flight from ] though he was later found not to have swine flu.<ref>{{cite web|url=http://www.guardian.co.uk/world/2009/apr/25/swine-flu-pandemic-mexico-flight|title=Cabin crew member in hospital after flight from swine flu-struck Mexico|publisher=Guardian|date=|accessdate=2009-04-27}}</ref>

On April 26, two people were admitted to hospital in Scotland suffering from mild flu-like symptoms after returning from Mexico, later confirmed as swine flu.<ref name=BBC-HealthMinister>{{cite news|url=http://news.bbc.co.uk/1/hi/scotland/glasgow_and_west/8020208.stm |title=Scotland &#124; Glasgow, Lanarkshire and West &#124; Scots swine flu cases confirmed |publisher=BBC News |date= |accessdate=2009-04-27}}</ref> The Scottish Health Minister reported that seven of the 22 people who were in "close contact" with the two confirmed Scottish cases after they returned home were showing flu-like symptoms.<ref name=BBC-HealthMinister /> Four people were given medication and advised to stay in their home in ], again after returning from Mexico with mild flu-like symptoms.<ref name="northamptonshire1">{{cite news|url=http://news.bbc.co.uk/1/hi/england/northamptonshire/8019536.stm|title=England &#124; Northamptonshire &#124; Family alert to swine flu illness|publisher=BBC News|date=2009-04-26}}</ref> On May 1 a friend of the Falkirk couple was awaiting results of tests which would make him the first British person to have caught the swine flu virus from another person<ref>{{cite news|url=http://news.bbc.co.uk/1/hi/scotland/8028305.stm |title=Bbc News |publisher=BBC News |date= |accessdate=2009-05-02}}</ref>

On April 27 the UK Health Secretary Alan Johnson told the House of Commons that 25 possible cases had been reported. He also stated that protective facemasks were not planned, as despite their use in Mexico, scientific evidence did not suggest that they proved an effective preventative measure.<ref>{{cite news|url=http://news.bbc.co.uk/1/hi/uk/8020222.stm | title = UK probes '17 swine flu reports'}}</ref> On the same date, passengers were held on planes arriving at Heathrow, from Mexico City, whilst officials carried out health checks.<ref>{{cite news|url=http://www.telegraph.co.uk/health/healthnews/5225730/Swine-flu-passengers-flying-in-to-Heathrow-from-Mexico-inspected-on-runway.html|title=Swine flu: passengers flying in to Heathrow from Mexico inspected on runway|publisher=The Daily Telegraph|date=2009-04-26|accessdate=2009-04-26}}</ref>

On 29 April the government officially made public three more confirmed cases in the UK. These were two adults (one in Redditch, and one in London), and a 12-year-old girl in Torbay, Devon. All three new cases had recently arrived back from Mexico.

As of late April 2009 Britain has a stockpile of about 33 million courses of antiviral drugs effective against this strain.{{Fact|date=April 2009}} There is a pandemic plan covering topics from distributing the drugs and setting up helplines to closing schools and banning public events which was tested in a large exercise in 2007.<ref name=BBC-UKprepared>{{cite news|url=http://news.bbc.co.uk/1/hi/uk/8021916.stm|title=UK prepared for swine flu - Brown|publisher=BBC News|date=2009-04-28|accessdate=2009-04-28}}</ref>

On 30 April Three new cases of swine flu were diagnosed in the UK, bringing the total number to eight, the Department of Health has confirmed.
Two of the cases are in London and one in Newcastle, where two students who shared a house with the patient are now being treated with an antiviral drug.
The unidentified person recently returned from a trip to Mexico.

On 1 May the first UK person to person transmission was confirmed. Graeme Pacitti, 24, of Falkirk, picked up the virus after contact with the UK's first cases Iain and Dawn Askham.<ref>{{cite news|url=http://news.bbc.co.uk/1/hi/uk/8028974.stm |title=UK &#124; Tests confirm flu transfer in UK |publisher=BBC News |date= |accessdate=2009-05-01}}</ref>

A child from Downend, South Gloucestershire is also confirmed to have the disease.

A 42 year old man, also in South Gloucestershire, is thought to be the second "onward transmission" case in the United Kingdom, although officials said the two Gloucestershire cases were not connected.

===North America===
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====Canada====
{{Main|2009 swine flu outbreak in Canada}}
]

As of May 4, 140 cases of swine flu have been confirmed in the country; thirty-eight in ], thirty-nine in ], twenty-four in ], thirty-one in ], three in ], two in ] one in ] and two in ]. .<ref name=cbccanada>{{cite news |url=http://www.cbc.ca/canada/story/2009/04/26/mexico-swine-flu.html |title=4 cases of swine flu confirmed in Nova Scotia, 2 in B.C. |date=2009-04-26 |publisher=]}}</ref><ref>{{cite news |url=http://www.cbc.ca/canada/edmonton/story/2009/04/28/edm-alberta-swine-flu.html|title=Alberta confirms 2 cases of swine flu |date=2009-04-28 |publisher=]}}</ref><ref>{{cite news|url=http://www.ctv.ca/servlet/ArticleNews/story/CTVNews/20090429/Cda_Mex_warning_090429/20090429?hub=TopStories|title=Six more Canadians diagnosed with swine flu|date=2009-04-29|publisher=]}}</ref><ref>{{cite news |url=http://www.ctv.ca/servlet/ArticleNews/story/CTVNews/20090430/alta_flu_090430/20090430?hub=TopStories|title=New 'swine flu' cases bring Canadian total to 34|date=2009-04-30|publisher=]}}</ref> Nova Scotia's chief medical officer, Dr. Robert Strang, said on 26 April that the ] in Winnipeg confirmed late the previous day, that four young people in the province were recovering from "relatively mild" cases of the disease. The four all attended ] preparatory school in ]; and one of the four infected students had been on a recent school trip to the ].<ref name="cbccanada" /><ref>{{cite press release| title=Flu Update |publisher=King's-Edgehill School |date=April 26, 2009 |url=http://www.kes.ns.ca/news.asp?nid=461 |accessdate=April 26, 2009}}</ref> There is evidence that the disease is spreading beyond the first 4 Nova Scotia cases, as friends and relatives are starting to show symptoms. Dr. Robert Strang indicated that he expects the disease to spread to the rest of Nova Scotia within a few weeks.<ref>{{cite news |url=http://www.cbc.ca/canada/nova-scotia/story/2009/04/27/ns-swine-flu-windsor.html |title=www.cbc.ca/canada/story/2009/04/26/mexico-swine-flu.html |title=4 cases of swine flu confirmed in Nova Scotia, 2 in B.C. |date=2009-04-26 |publisher=]}}</ref> On April 30, the first case of swine flu affecting someone who had not travelled to Mexico was confirmed in Nova Scotia.<ref>{{cite news |url=http://www.healthzone.ca/health/article/626843 |title=N.S. has first Canadian person-to-person flu case |date=2009-04-30 |publisher=]}}</ref>

Dr. Michael Gardam, director of infectious disease prevention and control at Ontario's public health agency, said in an interview with the ] that an outbreak of swine flu in ], Canada's most populous province, would not be as serious as the 2003 ] epidemic.<ref name = REUTERS-O>{{cite news| title = Swine flu not as serious as SARS: Canada's Ontario |agency=Reuters |url=http://www.reuters.com/article/newsOne/idUSTRE53N4PB20090424 |date=24 April 2009}}</ref> In preparing for and dealing with an influenza pandemic, the ] follows the ] categories, but has expanded them somewhat.<ref>{{cite web |url=http://www.phac-aspc.gc.ca/cpip-pclcpi/index-eng.php|title=Public Health Agency of Canada: The Canadian Pandemic Influenza Plan for the Health Sector |publisher=Phac-aspc.gc.ca |date=2009-01-06 |accessdate=2009-04-27}}</ref> Despite initial reports of two swine influenza cases in a Montreal hospital, an official on the Montreal regional health board confirmed negative results for all quarantined patients at the hospital and that no quarantines were currently in effect at the hospital.<ref name="gazette">{{cite news |url=http://www.montrealgazette.com/Health/Swine+fears+Lakeshore+General+unfounded/1534676/story.html |title=Swine-flu fears at Lakeshore General unfounded|publisher=] (Montreal) |date=2009-04-25 |accessdate=2009-04-25}}</ref>

Canada's Chief Public Health Officer, Dr. ], stated that the six affected Canadians suffered from only mild symptoms and have already started to recover. Butler-Jones warned against complacency though, 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."<ref>{{cite news |author=Richard J. Brennan |url=http://www.healthzone.ca/health/article/624655|title=Swine flu confirmed in Canada, Unlike deadly outbreak in Mexico, the cases in Nova Scotia and B.C. were mild and didn't require hospitalization |publisher=] |date=26 April 2009 |accessdate=2009-04-27}}</ref> In both provinces, the cases either involved people who had recently returned from Mexico or those in close contact with them.<ref>{{cite news |url=http://www.ctv.ca/servlet/ArticleNews/story/CTVNews/20090426/swine_flu_090426/20090426?hub=TopStories |title=Six swine flu cases confirmed in Canada |publisher=CTV News |date=April 26, 2009}}</ref> Early monday morning a girl from ] was diagnosed with a severe case of the H1N1 virus, the first severe one in Canada. The girl's case is still being researched.<ref name="Canada identifies first severe flu case">{{cite web|url=http://news.brisbanetimes.com.au/breaking-news-world/canada-identifies-first-severe-flu-case-20090505-asxl.html|title=Canada identifies first severe flu case|date=May 5, 2009: Australia|publisher=brisbanetimes|accessdate=2009-05-05}}</ref>

====Mexico====
{{main|2009 swine flu outbreak in Mexico}}
]
]

Dr. ], Mexico's ], stated that since March 2009, there have been over 1,995 suspected cases and 149 deaths, with 20 confirmed to be linked to a new ] strain of Influenza A virus subtype H1N1.<ref>{{cite news|url=http://hosted.ap.org/dynamic/stories/L/LT_SWINE_FLU_MEXICO?SITE=AP&SECTION=HOME&TEMPLATE=DEFAULT&CTIME=2009-04-27-13-01-26|title=Mexico closes schools nationwide due to swine flu|work=Associated Press}}</ref><ref>{{cite web|url=http://www.who.int/csr/don/2009_04_24/en/index.html|title=Influenza-Like Illness in the United States and Mexico|publisher=]}}</ref> As of April 26 there had been 1,614 cases, with 103 deaths and about 400 patients in hospital; approximately two-thirds of the sick patients had recovered.<ref>{{cite web|url=http://www.alertnet.org/thenews/newsdesk/N26489254.htm |title=Reuters AlertNet - Swine flu death toll in Mexico rises to 103 |publisher=Alertnet.org |date= |accessdate=2009-04-27}}</ref>

]
Soldiers mobilized by the government have handed out six million ] to citizens in and around ].<ref name="ap_race">{{cite news|url=http://www.google.com/hostednews/ap/article/ALeqM5gzz357patY4-QaJFvo9O95zMM_EQD97QDHLO1|title= World govts race to contain swine flu outbreak|agency=Associated Press|accessdate=2009-04-26|date=2009-04-26|author=Neergaard, Lauran}}</ref>
On April 24, 2009, schools (from pre-school to university level) as well as libraries, museums, concerts and any public gathering place, were shut down by the government in Mexico City and the neighboring ] to prevent the disease from spreading further; the schools in Mexico City, the State of Mexico, and the state of ] will remain closed until at least May 5.<ref>{{cite news|url=http://www.google.com/hostednews/ap/article/ALeqM5g8-DEMtAE9q4i4ySQ0eV_qZefmRQD97PR9N00|title=AP Top News at 9:11 p.m. EDT|agency=Associated Press|date=2009-04-25|accessdate=2009-04-25}}</ref> ], ], has also asked all night-life operators to shut down their places of business for ten days to prevent further infections.<ref>{{cite web|url=Pide Ebrard parar 10 días vida nocturna|title=Estima SSA 10 dias de alerta por influenza|date=2009-04-25|publisher=Reforma}}</ref>
], federal ], said on April 24 that schools will probably be suspended for at least the following week then, and that it will take around ten days to see the evolution of the virus' behavior, and to consider other measures after such.<ref>{{cite web|url=http://www.eluniversal.com.mx/notas/593562.html|title=Estima SSA 10 dias de alerta por influenza|date=2009-04-25|publisher=El Universal}}</ref> On April 25, ] ] declared an emergency which granted him the power to suspend public events and order ].<ref name=CalderonEmergency>{{cite news|url=http://www.bloomberg.com/apps/news?pid=20601087&sid=aEsNownABJ6Q&refer=worldwide|title=Mexico’s Calderon Declares Emergency Amid Swine Flu Outbreak|date=2009-04-25|publisher=Bloomberg}}</ref> Hours later, Córdova announced that classes in Mexico City would be officially suspended through May 6.<ref>{{cite web|url=http://www.exonline.com.mx/diario/noticia/primera/pulsonacional/se_suspenden_clases_hasta_el_6_de_mayo/580763|title=Se suspenden clases hasta el 6 de mayo|date=2009-04-25|publisher=Excélsior|language=Spanish}}</ref> On 26 April, ], governor of the northeastern State of Nuevo León, announced that state-wide schools will remain closed until 6 May, and established a quarantine system in airports, central bus stations and the creation of observation points mainly in the southern part of the state at the nearest highways to the borders with other states, in order to realize tests conducted on people arriving from other states. However, as for April 27, there are no confirmed reported cases of infection in this state.<ref>{{cite web|url=http://www.milenio.com/node/205306|title=Nuevo Leon schools to be closed down until 6 May|date=2009-04-26|publisher=El Universal|language=Spanish}}</ref>

On 26 April, the ] announced ] 25 million in immediate aid loans to Mexico, an additional US$ 180 million for long-term assistance to address the outbreak, and advice on how other nations have responded to similar crises.<ref name="ap_race" />

On 27 April, the ] announced that all schools in Mexico will remain closed at least until ].<ref>{{cite news|url=http://cnnwire.blogs.cnn.com/2009/04/27/all-schools-closed-in-mexico-4/|title=All schools closed in Mexico|date=2009-04-27|publisher=CNN}}</ref>

On 28 April, the Mexico City government closed all restaurants and cinemas. The ] also closed all its archaeological sites and museums, including the most famous Mayan and Aztec ruins, until further notice.

====United States====
]
]
{{main|2009 swine flu outbreak in the United States}}

Initial reports of atypical flu in two individual in southern California led to the discovery of the novel swine flu virus by the CDC in mid-April. More than a hundred cases were confirmed in the next two weeks, spread through a dozen states.<ref name = cdcinvestigation>{{cite web|url=http://www.cdc.gov/swineflu/investigation.htm|title=Human Swine Influenza Investigation|publisher=]}}</ref> Outside of California and Texas, initial cases were all tied to recent travel to Mexico or close contact with those who had. ], a private school in New York, is the center of a large cluster of cases after a Spring Break trip by some students and was one of the first U.S. schools closed as a public health measure during the outbreak.<ref>{{cite web|url=http://www.ny1.com/content/top_stories/98039/mayor-says-city-confirms-20-more-cases-of-swine-flu/Default.aspx|date=April 27, 2009 |title=Mayor Says City Confirms 20 More Cases Of Swine Flu
|publisher=]}}</ref> Most of the cases in California and Texas are not linked and may reflect localized outbreaks of this virus in those areas.<ref name=LATimes0424>{{cite news
|title=Eight swine flu cases identified in U.S.: All victims, six of them in California, have recovered. Officials say the new virus is easily passed, but does not appear to be especially virulent. Researchers plan to go to Mexico, where the viruses in 12 cases match six in the U.S. |title=Eight swine flu cases identified in U.S.: All victims, six of them in California, have recovered. Officials say the new virus is easily passed, but does not appear to be especially virulent. Researchers plan to go to Mexico, where the viruses in 12 cases match six in the U.S.
|author=Thomas H. Maugh II |author=Thomas H. Maugh II
|publisher=Los Angeles Times |work=Los Angeles Times
|date=April 24, 2009 |date=24 April 2009
}}</ref> The disease was not as virulent outside of Mexico, for reasons not fully understood. The US declared a state of ], but this was said to be standard procedure in cases as divergent as the recent inauguration and flooding.<ref>{{cite web | title=U.S. Declares Public Health Emergency For Swine Flu | website=Lakeland Ledger | date=2009-04-26 | url=https://www.theledger.com/story/news/2009/04/26/u-s-declares-public-health/26012841007/ | access-date=2024-07-03}}</ref> On 29 April, the US had its first confirmed death,<ref>, CNN, 29 April 2009</ref> and on 5 May the first US citizen died from swine flu.<ref>{{cite news |url=http://news.bbc.co.uk/2/hi/americas/8034991.stm|title=US resident dies from swine flu|publisher=BBC|date=5 May 2009| access-date=14 November 2009 }}</ref> On 6 June, there were 17 confirmed deaths from swine flu in the US.<ref>{{cite web|url=https://www.who.int/csr/don/2009_06_05/en/index.html|archive-url=https://web.archive.org/web/20090605221257/http://www.who.int/csr/don/2009_06_05/en/index.html|url-status=dead|archive-date=5 June 2009|title=WHO – Influenza A(H1N1) – update 44}}</ref> By mid-May 2009 many states had abandoned testing unless serious illness and/or hospitalization were present.<ref>{{cite news |title=Demand, flu patterns lead states to reduce testing |url=http://www.cidrap.umn.edu/cidrap/content/influenza/swineflu/news/may0809testing.html |date= 8 May 2009 |publisher=University of Minnesota| access-date=14 November 2009 | archive-url= https://web.archive.org/web/20091012194526/http://www.cidrap.umn.edu/cidrap/content/influenza/swineflu/news/may0809testing.html| archive-date=12 October 2009| url-status= live}}</ref> Because reported numbers represented only confirmed cases, they were a "very great understatement" of the total number of cases of infection, according to the CDC.<ref>{{cite web |title=CDC: H1N1 Flu Numbers Represent a "Very Great Underestimate" |author=Emma Hitt, PhD |url=http://www.medscape.com/viewarticle/702607 |date=9 May 2009| access-date=14 November 2009 }}</ref>
|accessdate=April 26, 2009
From 12 April 2009 to 10 April 2010, CDC estimated there were 60.8&nbsp;million cases, 274,304 hospitalizations, and 12,469 deaths in the US due to the virus.<ref>{{cite web |title=2009 H1N1 Pandemic |url=https://www.cdc.gov/flu/pandemic-resources/2009-h1n1-pandemic.html |website=US Centers For Disease Control and Prevention |access-date=17 April 2020}}</ref>
}}</ref> To April 30, the disease was not deadly in the U.S. or in any country outside Mexico for reasons not immediately understood.


==== Caribbean ====
The United States of America has declared a state of ] but it was said that this is standard procedure in cases as divergent as the recent inauguration and flooding.<ref>{{cite news|url=http://www.nytimes.com/aponline/2009/04/26/us/politics/AP-US-Swine-Flu-Emergency.html|title=US Declares Public Health Emergency for Swine Flu|agency=Associated Press}}</ref> According to the ], "the emergency declaration frees resources to be used toward diagnosing or preventing additional cases and releases money for more antiviral drugs," including the transfer of approximately 12 million influenza medications from a federal stockpile to states.<ref name="ap_race" /><ref>{{cite news|title=U.S. declares public health emergency over swine flu|url=http://www.nytimes.com/2009/04/27/world/27flu.html|date=26 April 2009|publisher=New York Times|author=Healy Jack, Stolberg, Sheryl Gay}} </ref> The U.S. plans to follow a guidebook developed over the past five years to fight a pandemic flu, such as H5N1. The situation has developed rapidly with the White House initially looking into the matter according to press releases on ], but rapidly adopting a more serious stance as the WHO and CDC issue stronger recommendations.
]


In Aruba, all passengers arriving by airplane or ] were required to fill out a health ] beginning on 27 April 2009.<ref name=amigoe>{{cite news|title=Aruba checks disembarking passengers: Precautionary measures regarding swine influenza|url=http://www.amigoe.com/artman/publish/artikel_55845.php|work=Amigoe|date=27 April 2009|access-date=29 April 2009|archive-url=https://web.archive.org/web/20190202233112/https://amigoe.com/artman/publish/artikel_55845.php|archive-date=2 February 2019|url-status=dead}}</ref> Hotels and resorts were required to report to authorities if any tourists were showing flu-like symptoms.<ref name=amigoe/> The government ordered ] medication and other supplies from the Netherlands and the United States.<ref name=amigoe/> No cases were reported.<ref name=amigoe/>
On April 28, the US suffered its first confirmed death of swine flu. The ] officially confirmed through tests that a 23-month old child died due to the flu. When the sickness continued to worsen the next day, he was transferred to Texas Children's Hospital in Houston.<ref>, CNN, April 29, 2009</ref><ref>, BBC, April 29, 2009</ref><ref>{{cite web|url=http://www.valleycentral.com/news/news_story.aspx?id=293669 |title=Brownsville Hospital Officials speak out |publisher=Valleycentral.com |date= |accessdate=2009-05-02}}</ref>


In Barbados, the first confirmed case occurred on 3 June 2009.<ref name="barbadosfirstcase">{{cite news|url=http://www.nationnews.com/news/local/swine-flu-virus-FRONT-PAGE-LEAD |title=UNDER CONTROL |date=4 June 2009 |newspaper=Nation News |access-date=10 June 2009 }}{{dead link|date=May 2016|bot=medic|fix-attempted=yes}}{{cbignore|bot=medic}}</ref> The second case was confirmed on 6 June.<ref name="barbadossecondcase">{{cite news|url=http://www.nationnews.com/news/local/LEAD-second-swine-flu-3-FRONT-PAGE-OTHER |title=Second case of H1N1 |date=9 June 2009 |newspaper=Nation News |access-date=10 June 2009 |archive-url=https://web.archive.org/web/20090612195216/http://www.nationnews.com/news/local/LEAD-second-swine-flu-3-FRONT-PAGE-OTHER |archive-date=12 June 2009 |url-status=dead }}</ref> The third case was confirmed on 10 June.<ref name="barbadosthirdcase">{{cite news|url=http://www.nationnews.com/news/local/3rd-swine-flu-case |title=Third H1N1 flu case |date=10 June 2009 |newspaper=Nation News |access-date=10 June 2009 }}{{dead link|date=May 2016|bot=medic|fix-attempted=yes}}{{cbignore|bot=medic}}</ref> The fourth case was confirmed on 17 June.<ref name="barbadosfourthcase">{{cite news |url=http://www.nationnews.com/news/local/LEAD-H1N1-Case-4-confirmed-copy-for-web |title=4th confirmed case of H1N1 |date=18 June 2009 |newspaper=Nation News |access-date=18 June 2009 |archive-url=https://web.archive.org/web/20090621081333/http://www.nationnews.com/news/local/LEAD-H1N1-Case-4-confirmed-copy-for-web |archive-date=21 June 2009 |url-status=dead }}</ref> Twenty five samples were sent to the ].<ref name="barbadosfourthcase" />
===Oceania===
====Australia====
{{main|2009 swine flu outbreak in Australia}}
As of 4 May 2009, Australia has reported at least 76 suspected cases of swine flu that are being tested. Australia has a stockpile of 8.7 million doses of ] and ].<ref name="australians1">{{cite web |url=http://www.theage.com.au/national/70-australians-tested-for-swine-flu-20090428-alvp.html?page=-1 |title=70 Australians tested for swine flu |publisher=AAP |accessdate=2009-04-28}}</ref> Airlines have been required to report passengers from the Americas with influenza symptoms, and nurses have been deployed at international airports.<ref name="australians1"/>


Cuba suspended flights to and from Mexico for 48 hours.<ref name="Cuba suspends Mexico flights because of swine flu">{{cite news|url=http://seattletimes.nwsource.com/html/travel/2009138651_webflucuba28.html|title=Cuba suspends Mexico flights because of swine flu|date=28 April 2009|newspaper=Seattle Times|access-date=29 April 2009| archive-url= https://web.archive.org/web/20090503150702/http://seattletimes.nwsource.com/html/travel/2009138651_webflucuba28.html| archive-date= 3 May 2009 | url-status= live}}</ref> The first case in Cuba was confirmed in mid-May.<ref name=ap20090512tucson>{{Citation |date=12 May 2009 |title=Cuba confirms its first swine flu case |newspaper=] |at=tucsoncitizen.com |series=Associated Press |url=http://tucsoncitizen.com/morgue/2009/05/12/116329-cuba-confirms-its-first-swine-flu-case/ |access-date=26 January 2013 |archive-url=https://web.archive.org/web/20131203012607/http://tucsoncitizen.com/morgue/2009/05/12/116329-cuba-confirms-its-first-swine-flu-case/ |archive-date=3 December 2013 |url-status=dead }}</ref>
====Fiji====
Fiji on Wednesday moved to high alert against the swine flu virus, with the authorities admitting the Pacific island nation was not immune to the rapidly spreading global threat.<ref name="fiji">{{cite web |url=http://news.xinhuanet.com/english/2009-04/29/content_11282228.htm |title= Fiji on high alert against swine flu virus |publisher=|accessdate=2009-04-28}}</ref>


The first two cases in the Dominican Republic were confirmed on 27 May.<ref>{{cite news |url=http://www.diariolibre.com/noticias_det.php?id=201290 |title=Two cases confirmed in the Dominican Republic |publisher=DiarioLibre.com |date=27 May 2009 | access-date=14 November 2009 }}</ref> By 7 June 93 cases had been confirmed, primarily mild infections.<ref name=diario20090613>{{citation
On Thursday April 30, 2009, a traveller suspected of being infected by the swine flu virus is under close surveillance at Lautoka Hospital, said the Health Ministry.<ref name="fiji2">{{cite web |url=http://www.fijitimes.com/story.aspx?id=120407 |title= Fiji records first probable swine flu case |publisher=|accessdate=2009-04-28}}</ref> Hours later, the Health Ministry said there are two suspected cases.<ref name="fiji3">{{cite web |url=http://www.fijivillage.com/?mod=story&id=30040982b23b41b0558dd72dbc9fb5 |title= 2 suspected cases of Swine Flu travelled to Fiji |publisher=|accessdate=2009-04-28}}</ref>
|url=http://www.listin.com.do/la-republica/2009/6/12/104478/Salud-Publica-Confirman-un-nuevo-caso-de-la-gripe-A |title=Salud Pública Confirman un nuevo caso de la gripe A |date=13 June 2009 |language=es |newspaper=] |access-date=26 January 2013 }}</ref>


As of 7 July 2009, 33 cases were confirmed in Jamaica. Health Minister Ruddy Spencer told Parliament that the country had been placed on high alert. There was heightened surveillance at health care facilities and ports of entry.<ref name="Jamaica Prepares for Swine Flu">{{cite news|url=http://www.jamaicaobserver.com/news/html/20090428T210000-0500_150371_OBS_JAMAICA_PREPARES_FOR_SWINE_FLU_.asp |title=Jamaica Prepares for Swine Flu |date=29 April 2009 |publisher=Jamaica Bserver |access-date=30 April 2009 |archive-url=https://web.archive.org/web/20090502131100/http://www.jamaicaobserver.com/news/html/20090428T210000-0500_150371_OBS_JAMAICA_PREPARES_FOR_SWINE_FLU_.asp |archive-date=2 May 2009 |url-status=dead }}</ref>
====French Polynesia====
] has reported no cases of swine flu so far.<ref name=tahitipresse> {{cite news |first=|last=|title=No swine flu cases in French Polynesia
|url=http://www.tahitipresse.pf/index.cfm?snav=see&presse=27384&lang=2 |work=Tahitipresse|publisher=|date=2009-04-28|accessdate=2009-04-29}}</ref> Officials installed a ] on April 27, 2009, at ] in ] to screen all arriving international passengers.<ref name=tahitipresse/> French Polynesia has 48,000 ] ] treatments available in case of an outbreak,<ref name=tahitipresse/> and more can be flown into Tahiti within twenty-four hours.<ref name=tahitipresse/>


In Trinidad and Tobago, one female case was confirmed.<ref>Trinidad Express – {{cite web|url=http://www.trinidadexpress.com/index.pl/article_news?id%3D161487721 |title = Trinidad News, Trinidad Newspaper, Trinidad Sports, Trinidad politics, Trinidad and Tobago, Tobago News, Trinidad classifieds, Trinidad TV, Sports, Business |access-date=7 June 2009 |url-status=dead |archive-url=https://web.archive.org/web/20090610151316/http://www.trinidadexpress.com/index.pl/article_news?id=161487721 |archive-date=10 June 2009 }}</ref>
====New Zealand====
The impact in New Zealand has been almost negligible with no fatalities reported in this country. There is no evidence of community transmission in New Zealand. All of the cases are people who have recently returned from travelling to affected areas, or are close contacts of known cases.


In the Bahamas, ten students and teachers who arrived from Mexico in the last week of April were in quarantine.<ref name="suspectedcaribbeancases">{{cite news|url=http://www.caribbean360.com/News/Caribbean/Stories/2009/04/30/NEWS0000007287.html|title=Suspected swine flu cases in Caribbean as WHO raises alert level|date=30 April 2009|publisher=Caribbean360.com|access-date=14 November 2009|archive-date=3 May 2009|archive-url=https://web.archive.org/web/20090503154400/http://www.caribbean360.com/News/Caribbean/Stories/2009/04/30/NEWS0000007287.html|url-status=dead}}</ref>
On Saturday ] 2009 ten students from ], a secondary school in ], ], exhibited influenza symptoms on returning from a three week language trip to Mexico. All 22 students and three accompanying teachers from the trip and those in close contact with them were placed in voluntary home isolation and treated with ]. The ten students tested positive for an influenza A virus,<ref>{{cite web|url=http://www.3news.co.nz/News/Students-likely-to-have-swine-flu/tabid/209/articleID/101271/cat/87/Default.aspx|title=Students likely to have swine flu|publisher=]|date=2009-04-06|accessdate=2009-04-26}}</ref><ref>{{cite news|url=http://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=10568751|title=NZ students in swine flu scare|publisher=]|date=April 26, 2009}}</ref> with three of them later testing positive for swine flu.<ref>{{cite web|url=http://www.moh.govt.nz/moh.nsf/indexmh/results-of-h1n1-swine-flu-testing-280409 |title=RESULTS OF H1N1 (Swine flu) testing |publisher=Moh.govt.nz |date= |accessdate=2009-04-28}}</ref> The symptoms were reportedly mild and all affected individuals are recovering.<ref>{{cite web|url=http://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=10569271&pnum=0|title=Swine flu: Airline passengers held in transit over flu concerns|date=2009-04-28|publisher=New Zealand Herald}}</ref>


==== Central America ====
New Zealand has had a well developed Influenza Pandemic action plan since 2006.<ref>{{cite web|url=http://www.moh.govt.nz/moh.nsf/indexmh/nz-influenza-pandemic-action-plan-2006|title=New Zealand Influenza Pandemic Action Plan - 2006|publisher=New Zealand minstry of Health|date=September 2006|accessdate=2009-04-28}}</ref> Following this plan New Zealand immediately upgraded its influenza pandemic alert status to code yellow.<ref>{{cite web|url=http://www.nzdoctor.co.nz/news?article=0977f2fa-2d51-45f6-b8dc-82b5fcabcf03|title=Daily News|publisher=New Zealand Doctor Online|date=2009-04-27|accessdate=2009-04-28}}</ref> The national stockpile of 1.4 million doses of oseltamivir was released to regional health authorities. The initial response as specified in the Pandemic Action Plan is a policy of border control and cluster control via voluntary quarantine and treatment of contacts with oseltamivir.
]


The first two cases of the ], both of whom had traveled to Mexico, were confirmed on 28 April.<ref name="ticos1">{{cite web|url=http://www.nacion.com/ln_ee/2009/abril/28/pais1948013.html |title=Confirmada primera tica con fiebre porcina |publisher=] |access-date=28 April 2009 |language=es |archive-url=https://web.archive.org/web/20090501104645/http://www.nacion.com/ln_ee/2009/abril/28/pais1948013.html |archive-date=1 May 2009 |url-status=dead }}</ref><ref name="ticos2">{{cite web|url=http://www.nacion.com/ln_ee/2009/abril/28/pais1948709.html |title=Confirmado segundo tico con fiebre porcina |publisher=] |date=28 April 2009 |access-date=28 April 2009 |language=es |archive-url=https://web.archive.org/web/20090501104805/http://www.nacion.com/ln_ee/2009/abril/28/pais1948709.html |archive-date=1 May 2009 |url-status=dead }}</ref> On 31 July local authorities announced that the country was among the sample countries that would test the ] developed by Swiss pharmaceutical giant ]. The local sample would include 784 Costa Ricans ages 3 to 64. Besides Costa Rica, this vaccine prototype would be tested in Mexico and the United States.<ref>{{cite news|url=http://www.nacion.com/ln_ee/2009/julio/31/pais2043450.html |title=Ensayo de vacuna contra virus AH1N1 incluirá a Costa Rica |publisher=] |date=31 July 2009 |access-date=1 August 2009 |language=es |archive-url=https://web.archive.org/web/20090803084546/http://www.nacion.com/ln_ee/2009/julio/31/pais2043450.html |archive-date=3 August 2009 |url-status=live }}</ref>
As of May 4, New Zealand has 6 laboratory confirmed cases, 15 probable cases and 92 suspected cases.<ref name="NZMOH24" />
Confirmed cases have tested positive for the Mexican swine flu strain of influenza type A. Probable cases have tested positive for influenza type A after possible recent exposure to the Mexican strain. Suspected cases have flu symptoms after possible recent exposure to the Mexican strain. In total there are 309 people in voluntary isolation being treated with oseltamivir. This includes people with no symptoms who are isolated because they are in close contact with a suspected case. None are hospitalised.


On 11 August, it was confirmed that Costa Rica's president, ], was infected with the virus, becoming the first ].<ref name=CRPresident1>{{cite news|url=http://www.nacion.com/ln_ee/2009/agosto/11/pais2056024.html |title=Presidente Arias contagiado con gripe AH1N1 |publisher=] |date=11 August 2009 |access-date=11 August 2009 |language=es |url-status=dead |archive-url=https://web.archive.org/web/20090814200927/http://www.nacion.com/ln_ee/2009/agosto/11/pais2056024.html |archive-date=14 August 2009 }}</ref><ref name=CRPresident2>{{cite news|url=http://edition.cnn.com/2009/WORLD/americas/08/11/costa.rica.president.h1n1.flu/index.html|title=Costa Rican president sick with swine flu|publisher=CNN|date=11 August 2009 |access-date=11 August 2009}}</ref> President Arias returned to normal activities after one week of isolation.<ref name=CRPresident3>{{cite news|url=http://www.nacion.com/ln_ee/2009/agosto/18/pais2062147.html |title=Presidente retoma hoy actividades públicas |publisher=] |date=18 August 2009 |access-date=31 August 2009 |language=es |url-status=dead |archive-url=https://web.archive.org/web/20090821144242/http://www.nacion.com/ln_ee/2009/agosto/18/pais2062147.html |archive-date=21 August 2009 }}</ref> As of 15 October the Costa Rican Ministry of Health had 1,530 confirmed cases, 1,242 pending cases and 38 deaths.<ref name="LatestCRI">{{cite web|url=http://www.ministeriodesalud.go.cr/emergencia_sanitaria/boletines/comunicado_oficial_influenza_15_de_octubre_del_2009.pdf |title=Comunicado Oficial: Situación de la Influenza Pandémica en Costa Rica al 15 de octubre de 2009 – Boletín N. 62 |author=Ministerio de Salud de Costa Rica |date=15 October 2009 |access-date=24 October 2009 |language=es }}{{dead link|date=May 2016|bot=medic|fix-attempted=yes}}{{cbignore|bot=medic}}</ref>
New Zealand had about 48,000 influenza cases in the 2008 flu season – 42% of which were type A – and approximately 100 deaths a year directly attributed to influenza viruses.<ref>{{cite news|url=http://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=10569496 |title=Big jump in suspected swine flu cases |work=National |publisher=New Zealand Herald |location=Auckland |first=Jacqueline |last=Smith |coauthor=Associated Press |date= 2009-4-29 |accessdate=2009-04-30}}</ref>


Guatemala checked all travelers arriving from Mexico and stopped anyone with symptoms at border crossings.<ref name=Guatemala>{{cite news|url=http://uk.reuters.com/article/latestCrisis/idUKN27528938|title=Guatemala tests patient for suspected swine flu|work=Reuters|date=29 April 2009|access-date=30 April 2009| archive-url= https://web.archive.org/web/20090430170351/http://uk.reuters.com/article/latestCrisis/idUKN27528938| archive-date= 30 April 2009 | url-status= dead}}</ref> On 5 May, in a meeting with Health Minister and the Vice President, it was announced that an 11-year-old girl was infected.<ref>{{cite web|url=http://www.elperiodico.com.gt/es/20090505/pais/99779/|title=País entre los que más roban señal de TV de paga|work=elPeriodico|access-date=5 May 2009|archive-date=8 March 2012|archive-url=https://web.archive.org/web/20120308164541/http://www.elperiodico.com.gt/es/20090505/pais/99779/|url-status=dead}}</ref> As of 7 July Guatemala had 286 confirmed cases leading to two fatalities.<ref name="Latest">{{cite web |url=http://www.ministeriodesalud.go.cr/emergencia_sanitaria/boletines/comunicado_oficial_influenza_pandemica_07_de_julio_2009.pdf |title=Comunicado Oficial: Situación de la Influenza Pandémica en Costa Rica |publisher=Ministerio de Salud de Costa Rica |date=7 July 2009 |access-date=8 July 2009 |language=es |archive-url=https://web.archive.org/web/20090920000340/http://www.ministeriodesalud.go.cr/emergencia_sanitaria/boletines/comunicado_oficial_influenza_pandemica_07_de_julio_2009.pdf |archive-date=20 September 2009 |url-status=dead }}</ref>
====Palau====
Palau has issued a health alert for swine flu.


Honduras reported its first confirmed case on 27 May. By 7 June the country had reported 67 cases, mostly in ] and along the Atlantic Coastline. All airports and commercial sites as well as public events were monitored. As of 7 July there were 123 confirmed cases and one fatality.<ref name="Latest"/>
Health Minister Dr. Stevenson Kuartei told reporters that although there is no reported case in Palau, a Task Force has been convened to increase screening of passengers entering the country.<ref>{{cite web|url=http://www.mvarietynews.com/index.php?option=com_content&view=article&id=16553:palau-on-health-alert-for-swine-flu-&catid=17:palau-news&Itemid=5|title=Palau on health alert for swine flu |publisher=|date= 2009-4-30|accessdate=2009-04-30}}</ref>


As on 4 June 179 confirmed cases had been reported by Panamanian health authorities.<ref>{{cite web|url=http://mensual.prensa.com/mensual/contenido/2009/05/17/hoy/panorama/1788866.asp|title=Once personas más afectadas por virus|work=La Prensa|access-date=17 May 2009|archive-url=https://web.archive.org/web/20110513203656/http://mensual.prensa.com/mensual/contenido/2009/05/17/hoy/panorama/1788866.asp|archive-date=13 May 2011|url-status=dead}}</ref> Of these, 91 were male and 88 were female. Schools with positive cases were being disinfected. Thermal cameras had been deployed in ] to identify symptomatic passengers.{{citation needed|date=August 2022}}
====Solomon Islands====
A multi-sectoral task force has been activated by the Solomon Islands Ministry of Health to deal with the swine influenza virus.


As of 7 July, El Salvador reported 319 confirmed cases, and Nicaragua 321. Panama and Nicaragua reported no fatalities.<ref name="Latest"/>
Permanent Secretary of the Ministry of Health and Medical Service Lester Ross said a task force is managing the Solomon Island Ministry of health's response to recent threat of swine flu epidemic.<ref> {{cite news |first=|last=|title= Solomon Islands issues swine flu alert
|url=http://news.xinhuanet.com/english/2009-04/30/content_11287192.htm |work=|publisher=|date=2009-04-29|accessdate=2009-04-30}}</ref>


====Tonga==== === Oceania ===
]
Tonga has set up an Emergency Taskforce and is performing screen checks at its International Airport for passengers experiencing influenza symptoms, most importantly from flights originating from Los Angeles.{{Fact|date=April 2009}}
]


{{Main|2009 swine flu pandemic in Oceania}}
====Nauru====
The first confirmed case in Australia was reported on 9 May.<ref name="QLD">{{cite news|title=First confirmed case of swine flu in Australia |work=News.com.au |date=9 May 2009 |url=http://www.news.com.au/story/0,27574,25452286-5018988,00.html |access-date=9 May 2009 |archive-url=https://web.archive.org/web/20090511005950/http://www.news.com.au/story/0%2C27574%2C25452286-5018988%2C00.html |archive-date=11 May 2009 |url-status=dead }}</ref> As of 3 July, Australia had 7,290 confirmed cases. The first Australian death was on 19 June and the total death toll reached 20.<ref name="Australia"><!-- ---Do not change this reference from the government agency, only update latest bulletin----->{{cite web|url=http://www.healthemergency.gov.au/internet/healthemergency/publishing.nsf/Content/3F3956D6384E104ACA2575EB00192925/$File/h1n1-update-20090709.pdf|title=National tally of people being tested for Swine Influenza as at 12&nbsp;pm, 9 July 2009|date=9 July 2009|publisher=]|access-date=9 July 2009|archive-date=15 July 2009|archive-url=https://web.archive.org/web/20090715211556/http://www.healthemergency.gov.au/internet/healthemergency/publishing.nsf/Content/3F3956D6384E104ACA2575EB00192925/$File/h1n1-update-20090709.pdf|url-status=dead}}</ref> The alert level was raised from "delay" to "contain", giving authorities in all states the option to close schools.<ref name="AustUpgrade">{{cite web|url=http://www.abc.net.au/news/stories/2009/05/23/2579007.htm|title=Rudd defends swine flu threat upgrade|date=23 May 2009|work=ABC News|publisher=Australian Broadcasting Corporation|access-date=23 May 2009| archive-url= https://web.archive.org/web/20090527085158/http://www.abc.net.au/news/stories/2009/05/23/2579007.htm| archive-date= 27 May 2009 | url-status= live}}</ref> Australia stockpiled 8.7&nbsp;million doses of Tamiflu and ].<ref name="australians1">{{cite news |url=http://www.theage.com.au/national/70-australians-tested-for-swine-flu-20090428-alvp.html?page=-1 |title=70 Australians tested for swine flu |publisher=AAP |access-date=28 April 2009 | location=Melbourne | date=29 April 2009| archive-url= https://web.archive.org/web/20090430094929/http://www.theage.com.au/national/70-australians-tested-for-swine-flu-20090428-alvp.html?page=-1| archive-date= 30 April 2009 | url-status= live}}</ref> At the beginning of the outbreak airlines were required to report passengers from the Americas with influenza symptoms and nurses were deployed at international airports.<ref name="australians1"/>
One suspected case of swine flu has been identified in Nauru. Travelers entering Nauru are now screened for influenza symptoms, most importantly from flights originating from North America.{{Fact|date=April 2009}}


Researchers in Australia and New Zealand reaffirmed that infants under the age of 1 had the highest risk of developing severe illness.<ref name="reliefweb">{{cite web|author=World Health Organization|url=http://www.reliefweb.int/rw/rwb.nsf/db900SID/SKEA-7WVHUP?OpenDocument|title=Pandemic (H1N1) 2009 – update 70|date=16 October 2009|publisher=ReliefWeb|access-date=27 October 2009|author-link=World Health Organization}}</ref> Canadian health officials reported that swine flu is hospitalizing three to four times as many children as regular seasonal flu.<ref name=morechildren>{{cite news
===South America===
| url = https://vancouversun.com/health/H1N1+putting+more+children+hospital+than+seasonal+variety/2268189/story.html
]
| title = H1N1 flu putting more children in hospital than seasonal variety
| agency = ]
| newspaper = ]
| first = Sharon
| last = Kirkey
| date = 26 November 2009
| access-date = 7 December 2009
}}{{Dead link|date=October 2023 |bot=InternetArchiveBot |fix-attempted=yes }}</ref>
<!-- DO NOT add country headers here! They go in ] -->


On 30 May, New Zealand had 9 confirmed cases and 10 probables. During June cases in New Zealand rose rapidly. On 14 June the Ministry of Health announced a 65% increase in cases in just 24 hours. On 4 July, the Ministry of Health announced the first New Zealand deaths. Three confirmed deaths were confirmed, however two had known underlying medical conditions. The total number of confirmed cases reached 945.<ref>{{cite web|title=Influenza A (H1N1) Swine Flu – Update Ninety-five |url=http://www.moh.govt.nz/moh.nsf/indexmh/influenza-a-h1n1-update-ninety-five-040709?Open |archive-url=https://web.archive.org/web/20100523125223/http://www.moh.govt.nz/moh.nsf/indexmh/influenza-a-h1n1-update-ninety-five-040709?Open |archive-date=23 May 2010 |url-status=live |access-date=5 September 2009 }}</ref>
====Argentina====
According to an Epidemic Alert order issued by the Ministry of Health, Airlines have been required to report passengers with influenza symptoms arriving from Mexico and United States. Passengers from these countries must fill out a form to be located should they experience any symptoms.<ref>{{cite news |author=Heguy, Silvina| title= La Argentina ya controla a los pasajeros que llegan a Ezeiza|url=http://www.clarin.com/diario/2009/04/26/elmundo/i-01906060.htm |work= ]|date= April 26, 2009|accessdate=April 28, 2009|language=Spanish}}</ref> In addition, the government has also stepped up safety checks, and thermal scanners are being used on airports to detect passangers with fever and other influenza symptoms.
As of April 28, the Government has suspended all flights originated from Mexico until May 4 as a precautionary measure.<ref>{{cite news |title= Por la gripe porcina, el Gobierno suspende los vuelos con México|url=http://www.clarin.com/diario/2009/04/28/um/m-01907438.htm |work= ]|date= April 27, 2009|accessdate=April 28, 2009|language=Spanish}}</ref>


Two cases were confirmed in the Pacific Islands. Both cases were confirmed on 15 June, one in the Solomon Islands and another in Samoa.<ref>{{cite news|title='Solomon Islands may lack capacity to deal with H1N1 outbreak' says official|url=http://australianetworknews.com/stories/200906/2598896.htm?desktop|date=15 June 2009|access-date=15 June 2009|archive-url=https://web.archive.org/web/20090616122100/http://australianetworknews.com/stories/200906/2598896.htm?desktop|archive-date=16 June 2009|url-status=dead}}</ref><ref>{{cite web|url=http://www.rnzi.com/pages/news.php?op=read&id=47175|title=Samoa confirms positive swine flu test for Australian student |date= 15 June 2009|access-date=15 June 2009| archive-url= https://web.archive.org/web/20090618010600/http://www.rnzi.com/pages/news.php?op=read&id=47175|archive-date= 18 June 2009 | url-status= live}}</ref> 5 cases were confirmed in Fiji as of 24 June and 1 case in Vanuatu.
13 cases are being studied under isolation as possible swine flu infections. Health Authorities have also informed that 21 earlier suspected cases were dismissed.<ref>{{cite web |url=http://www.lanacion.com.ar/nota.asp?nota_id=1123873 |title= En el país hay 13 casos sospechosos en estudio |work= ]|date= April 29, 2009|accessdate=April 29, 2009|language=Spanish}}</ref>


====Brazil==== === South America ===
] ]
]


{{Main|2009 swine flu pandemic in South America}}
Two people who had arrived in Brazil from Mexico with symptoms of an undefined illness were hospitalized in ] on April 25. It was initially suspected that they were suffering from the swine flu virus.<ref>{{cite news|title=Hospital em SP examina suspeita de gripe suína no País|url=http://br.noticias.yahoo.com/s/26042009/25/manchetes-hospital-sp-examina-suspeita-gripe.html |agency=Agencia Estado|date=2009-04-26|accessdate=2009-04-27|language=Portuguese}}</ref> 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&nbsp;°C, accompanied by coughing and/or a headache, muscle and joint ]."''<ref>{{cite press release |title=
Ocorrências de casos humanos de influenza suína no México e nos EUA|url=http://portal.saude.gov.br/portal/aplicacoes/noticias/default.cfm?pg=dspDetalheNoticia&id_area=124&CO_NOTICIA=10121|language=Portuguese |publisher=Brazilian Ministry of Health|date=2009-04-26|accessdate=2009-04-27}}</ref>


In Argentina, as of April, passengers with symptoms arriving from Mexico and United States were required to list where they would be should they experience any symptoms.<ref>{{cite news|author=Heguy, Silvina|title=La Argentina ya controla a los pasajeros que llegan a Ezeiza|url=http://www.clarin.com/diario/2009/04/26/elmundo/i-01906060.htm|work=]|date=26 April 2009|access-date=28 April 2009|language=es|archive-date=27 April 2009|archive-url=https://web.archive.org/web/20090427213915/http://www.clarin.com/diario/2009/04/26/elmundo/i-01906060.htm|url-status=dead}}</ref> In addition, the government stepped up safety checks, and thermal scanners were being used at airports to detect passengers with fever and other influenza symptoms. Flights from Mexico were temporarily suspended.<ref>{{cite news|title= Por la gripe porcina, el Gobierno suspende los vuelos con México|url= http://www.clarin.com/diario/2009/04/28/um/m-01907438.htm|work= ]|date= 27 April 2009|access-date= 28 April 2009|language= es|archive-date= 1 May 2009|archive-url= https://web.archive.org/web/20090501140637/http://www.clarin.com/diario/2009/04/28/um/m-01907438.htm|url-status= dead}}</ref> These measures proved to be largely ineffective. As of 22 June, Argentina had 1,213 confirmed cases and 10 confirmed deaths,<ref>{{cite web |title=Ministerio de Salud de la Nación |url=http://www.msal.gov.ar/htm/site/alerta-epidemiologico.asp |archive-url=https://web.archive.org/web/20090515001132/http://www.msal.gov.ar/htm/site/alerta-epidemiologico.asp |archive-date=15 May 2009 |url-status=dead |access-date=5 September 2009 }}</ref> increasing to 52 confirmed deaths<ref>{{cite news|title=Confirman seis muertes más por el virus en la ciudad |url=http://www.lanacion.com.ar/nota.asp?nota_id=1146524&pid=6801339&toi=6256 |work=] |date=3 July 2009 |access-date=3 July 2009 |language=es |archive-url=https://web.archive.org/web/20090706234425/http://www.lanacion.com.ar/nota.asp?nota_id=1146524&pid=6801339&toi=6256 |archive-date=6 July 2009 |url-status=live }}</ref> and an estimated number of as many as 100,000 infected on 2 July, as confirmed by Minister of Health ].<ref>{{cite news|title=Ya hay en el país 100.000 contagiados por la gripe A |url=http://www.lanacion.com.ar/nota.asp?nota_id=1146304&pid=6796181&toi=6256 |work=] |date=2 July 2009 |access-date=2 July 2009 |language=es |archive-url=https://web.archive.org/web/20090706042251/http://www.lanacion.com.ar/nota.asp?nota_id=1146304&pid=6796181&toi=6256 |archive-date=6 July 2009 |url-status=live }}</ref> As of 14 July, the number of officially recognised cases skyrocketed, with 137 deaths,<ref>{{cite news |title= La Argentina es el segundo país en cantidad de muertos por gripe A|url=http://www.lanacion.com.ar/nota.asp?nota_id=1150437&pid=6880178&toi=6256 |work= ]|date= 14 July 2009|access-date=14 July 2009|language=es}}</ref> making the death toll in Argentina the second highest in the world at the time, behind only the US.
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.


As of April, Brazilian airports were monitoring arrivals from affected areas, under the direction of the National Sanitary Surveillance Agency (ANVISA). Air crews were trained on signs and symptoms.<ref>{{cite press release |title=Ocorrências de casos humanos de influenza suína no México e nos EUA |url=http://portal.saude.gov.br/portal/aplicacoes/noticias/default.cfm?pg=dspDetalheNoticia&id_area=124&CO_NOTICIA=10121|language=pt |publisher=Brazilian Ministry of Health |date=26 April 2009 |access-date=27 April 2009| archive-url= https://web.archive.org/web/20090429172311/http://portal.saude.gov.br/portal/aplicacoes/noticias/default.cfm?pg=dspDetalheNoticia&id_area=124&CO_NOTICIA=10121| archive-date= 29 April 2009 | url-status= live}}</ref> As of 4 June, there were 28 confirmed cases.
On April 27, a person who had arrived in Salvador, Bahia, from the United States was hospitalized.<ref>{{cite news|title=Salvador tem primeiro caso suspeito de gripe suína |url=http://www.atarde.com.br/cidades/noticia.jsf?id=1133465 |agency=Agencia A Tarde|date=2009-04-28|accessdate=2009-04-28|language=Portuguese}}</ref>


The first case flu in Chile was confirmed on 17 May.<ref name="emol.com">{{cite web|url=http://www.emol.com/noticias/nacional/detalle/detallenoticias.asp?idnoticia=358513|title=Confirman primer caso de influenza H1N1 en Chile|date=17 May 2009|access-date=17 May 2009| archive-url= https://web.archive.org/web/20090520141655/http://www.emol.com/noticias/nacional/detalle/detallenoticias.asp?idnoticia=358513| archive-date= 20 May 2009 | url-status= live}}</ref> On 29 May, the Chilean Health ministry confirmed the number of cases had risen to 226.<ref name="emol.com"/><ref>{{cite web|url=http://news.xinhuanet.com/english/2009-05/30/content_11455221.htm|title=A/H1N1 flu infections rise to 224 in Chile |date=29 May 2009|access-date=30 May 2009| archive-url= https://web.archive.org/web/20090618012249/http://news.xinhuanet.com/english/2009-05/30/content_11455221.htm| archive-date= 18 June 2009 | url-status= dead}}</ref> On 3 June Chile had its first confirmed death, a 37-year-old man from ].<ref>{{cite web |url=http://www.emol.com/noticias/nacional/detalle/detallenoticias.asp?idnoticia=360983|title=ISP confirms first swine flu death in Chile|publisher=El Mercurio Online|date=2 June 2009| access-date=14 November 2009 }}</ref> To the date, and since laboratory tests were no longer mandatory, the estimate of cases in Chile reached 500.000 cases.<ref name=autogenerated2>{{cite web|url=http://www.emol.com/noticias/nacional/detalle/detallenoticias.asp?idnoticia=365988 |title=Especialista estima en 500.000 los casos de influenza en Chile |date=6 July 2009 |access-date=6 July 2009 |publisher=] |author=EMOL |language=es |archive-url=https://web.archive.org/web/20150924142305/http://www.emol.com/noticias/nacional/detalle/detallenoticias.asp?idnoticia=365988 |archive-date=24 September 2015 |url-status=live }}</ref>
====Chile====
On April 27, the Assistant Secretary of Health Jeanette Vega, confirmed that there are eight suspected cases of swine influenza in the country, which are being examined at the ] in ]. Five other cases have been dismissed by the authorities.<ref>{{cite web|url=http://www.emol.com/noticias/nacional/detalle/detallenoticias.asp?idnoticia=355563 |title=El sitio de noticias online de Chile |publisher=Emol.com |date= |accessdate=2009-04-28}}</ref>


On 3 May, Minister Palacio confirmed the first case in Colombia,<ref name="elespectador-04">{{cite news|url=http://elespectador.com/node/138253/|title=Bajan a cuatro los casos de sospecha de gripe porcina en Colombia|date=28 April 2009|access-date=28 April 2009|newspaper=]|author=EFE|language=es| archive-url= https://web.archive.org/web/20090503085457/http://elespectador.com/node/138253/| archive-date= 3 May 2009 | url-status= live}}</ref> in a 42-year-old, who had recently traveled to Mexico.<ref name="caracolradio-conf">{{cite news|url=http://caracol.com.co/nota.aspx?id=805147|title=Bajo tratamiento médico y estable se encuentra primer contagiado en Colombia con AH1N1|date=2 May 2009|access-date=3 May 2009|publisher=]|language=es|archive-date=17 July 2011|archive-url=https://web.archive.org/web/20110717020241/http://caracol.com.co/nota.aspx?id=805147|url-status=dead}}</ref> According to Palacio, only one of 18 tests sent to ] was positive. The patient was isolated and put under medical treatment. On the same day, Palacio stated there were 108 suspect cases in the country.<ref name="caracolradio-conf" /> On 27 April, the Government declared a "national disaster" state<ref name="caracoltv-disaster">{{cite news|url=http://www.caracoltv.com/node/136917|title=Colombia declara situación de desastre para enfrentar la gripe porcina|date=27 April 2009|access-date=28 April 2009|publisher=]|language=es| archive-url= https://web.archive.org/web/20090503080414/http://www.caracoltv.com/node/136917| archive-date= 3 May 2009 | url-status= live}}</ref> which allowed health authorities to have a special budget.<ref name="colreports-emergency">{{cite news|url=http://colombiareports.com/colombia-news/news/3775-colombia-declares-state-of-emergency-over-swine-flu-threat.html|title=Colombia declares state of emergency over swine flu threat|date=27 April 2009|access-date=28 April 2009|publisher=Colombia Reports| archive-url= https://web.archive.org/web/20090429225520/http://colombiareports.com/colombia-news/news/3775-colombia-declares-state-of-emergency-over-swine-flu-threat.html| archive-date= 29 April 2009 | url-status= live}}</ref> The government purchased 400,000 ] (Tamiflu) doses, to be distributed through the Social Protection ministry.<ref name="caracoltv-tamiflu">{{cite news|url=http://www.caracoltv.com/node/137220|title=Medicamento para tratar gripe porcina ya está en Colombia|date=29 April 2009|access-date=29 April 2009|publisher=]|language=es| archive-url= https://web.archive.org/web/20090503080626/http://www.caracoltv.com/node/137220| archive-date= 3 May 2009 | url-status= live}}</ref>
On April 28 the Health Ministry announced 26 cases under investigation: 16 in Santiago; 2 in Atacama; 2 in Valparaíso; 4 in O´Higgins Region; 1 in Biobío and 1 in Araucanía. 16 other cases have been dismissed.<ref>{{cite web|url=http://www.latercera.com/contenido/680_123554_9.shtml |title=Minsal confirma 26 casos en estudio por gripe porcina en el país |date=2009-04-29 |accessdate=2009-04-29}}</ref>


Health officials examined arrivals with flu symptoms.<ref name=bbc1>, BBC News, 28 April 2009. Retrieved 30 April 2009.</ref>
On May 1, the Health Ministry announced that it continued to investigate 4 suspected cases: 2 in Santiago, 1 in Valparaíso and 1 in Araucanía. To date, 80 suspected cases have been examined by the Health Ministry; 76 of those have been dismissed.<ref>{{cite web|url=http://www.emol.com/noticias/nacional/detalle/detallenoticias.asp?idnoticia=356191 |title=Minsal analiza cuatro casos sospechosos de influenza humana en Chile |date=2009-05-1 |accessdate=2009-05-1}}</ref> Another suspected case was identified on May 2, bringing the number of cases under investigation to 5. <ref>{{cite web|url=http://latercera.com/contenido/680_124171_9.shtml |title=Minsal informa que existen cinco casos en estudio por gripe porcina en el país |date=2009-05-2 |accessdate=2009-05-2}}</ref>
On 29 April, Ecuador closed its borders to Mexican citizens and foreigners of other nationalities arriving from Mexico for 30 days.<ref> {{Webarchive|url=https://web.archive.org/web/20090502080048/http://www.eluniversal.com.mx/notas/594671.html |date=2 May 2009 }}, '']'', 29 April 2009.</ref> On 15 May, health officials confirmed the first case in Ecuador.<ref>{{Cite web|url=http://www.ecuadorinmediato.com/noticias/especial/104315|archive-url=https://web.archive.org/web/20090518033202/http://www.ecuadorinmediato.com/noticias/especial/104315|url-status=dead|title=ECUADOR HABRIA CONFIRMADO PRIMER CASO DE GRIPE AH1N1|archive-date=18 May 2009}}</ref> On 20 May, the Health Department confirmed 7 more new cases, raising the total to 8,<ref>{{cite web|url=http://eluniverso.com/2009/05/20/1/1384/EF26D2D8E533454B8918EAC264EFE819.html|title=Ministra de Salud de Ecuador confirma 8 casos de gripe AH1N1|work=El Universo|date=20 May 2009 }}</ref> and then to 41.<ref>{{cite web|url=http://www.eluniverso.com/2009/06/02/1/1384/EF11A9A1F8CC4B96B4068EF48F380F27.html|title=2 personas más con gripe porcina|work=El Universo|date=2 June 2009 }}</ref>


The first case in Peru was confirmed on 14 May. On 17 May, the second case was confirmed. He had returned from the US on 12 May, showing symptoms only two days later.<ref name="peru">{{cite news|url=http://www.chron.com/disp/story.mpl/ap/tx/6428563.html |title=Peru confirms 2nd swine flu case in US man |work=Houston Chronicle |date=17 May 2009 |access-date=17 May 2009 |archive-url=https://web.archive.org/web/20090519201633/http://www.chron.com/disp/story.mpl/ap/tx/6428563.html |archive-date=19 May 2009 |url-status=dead }}</ref> On 18 May a new case was confirmed, a scholar returning from a trip to Dominican Republic. Another case of a scholar came from the same trip. The student had contact with the third victim and both studied in the same school.<ref>{{cite web|url=http://elcomercio.pe/lima/288650/noticia-escolar-infectada-virus-ah1n1-tercer-no-cuarto-caso-peru|archive-url=https://archive.today/20120729055113/http://elcomercio.pe/lima/288650/noticia-escolar-infectada-virus-ah1n1-tercer-no-cuarto-caso-peru|url-status=dead|title=Escolar infectada con el virus AH1N1 es el tercer y no el cuarto caso...|date=29 July 2012|archive-date=29 July 2012}}</ref> The Governor of ] ordered that all passengers from any infected country be checked before their entry into Peruvian territory. The Peruvian government was to be warned of any case or symptom. This step affected the main port and airport of Peru, located in Callao. The government prepared a special area at the Hospital "Daniel Alcides Carrión" to treat cases.<ref name="precauciones1">{{cite web|url=http://www.rpp.com.pe/2009-04-24-peru-toma-medidas-para-evitar-el-ingreso-de-la-gripe-porcina-noticia_177656.html|title= Perú toma precauciones con la gripe porcina|publisher=]|date=24 April 2009|access-date=25 April 2009|language=es}}</ref> Slaughterhouses were inspected and screened incoming passengers from problem areas.<ref>{{cite web|url=http://www.livinginperu.com/news/8912 |title=News " Five Peru patients test negative for swine flu – Government discards threat |publisher=Living in Peru |access-date=30 April 2009 |archive-url=https://archive.today/20090503160816/http://www.livinginperu.com/news/8912 |archive-date=3 May 2009 |url-status=live }}</ref> All commercial flights from Mexico to Peru were suspended on 29 April.{{citation needed|date=August 2022}}
====Colombia====
]
The Minister of Social Protection, Diego Palacio Betancourt, announced on April 26, 2009, that 12 suspect cases had been detected, 9 in ] and 3 on the ]. Samples of the virus have been sent to the USA for comparisons and analysis. Results of the testing were expected within few days. On April 27, the Government declared a "national disaster" state<ref name="caracoltv-disaster">{{cite news|url=http://www.caracoltv.com/node/136917|title=Colombia declara situación de desastre para enfrentar la gripe porcina|date=2009-04-27|accessdate=2009-04-28|publisher=]|language=Spanish}}</ref> in order to face the emergency, which allowed health authorities to have a special budget to do so.<ref name="colreports-emergency">{{cite news|url=http://colombiareports.com/colombia-news/news/3775-colombia-declares-state-of-emergency-over-swine-flu-threat.html|title=Colombia declares state of emergency over swine flu threat|date=2009-04-27|accessdate=2009-04-28|publisher=Colombia Reports}}</ref> As of April 28, most of the suspect cases were excluded, with only four remaining: three Mexican teachers in Bogotá, and one person in ].<ref name="elespectador-04">{{cite news|url=http://elespectador.com/node/138253/|title=Bajan a cuatro los casos de sospecha de gripe porcina en Colombia|date=2009-04-28|accessdate=2009-04-28|publisher=]|author=EFE|language=Spanish}}</ref> Another 38 suspect cases were under observation.<ref name="caracoltv-42">{{cite news|url=http://www.caracoltv.com/node/137074|title=A 42 se elevan los casos sospechosos de gripe porcina en Colombia|date=2009-04-28|accessdate=2009-04-28|publisher=]||language=Spanish}}</ref> On April 29, the suspect cases raised to 49, with 10 of them "highly" suspect.<ref name="caracolradio-49">{{cite news|url=http://caracol.com.co/nota.aspx?id=803330|title=Aumentan casos 'sospechosos' de gripe porcina en Colombia|date=2009-04-29|accessdate=2009-04-29|publisher=]||language=Spanish}}</ref> The government purchased 400,000 ] doses, which will be distributed through the Social Protection ministry to the affected if there are confirmed cases.<ref name="caracoltv-tamiflu">{{cite news|url=http://www.caracoltv.com/node/137220|title=Medicamento para tratar gripe porcina ya está en Colombia|date=2009-04-29|accessdate=2009-04-29|publisher=]||language=Spanish}}</ref>


In Venezuela, controls were raised at airports to prevent contagion from spreading. Travellers from the United States and Mexico with symptoms were isolated until they cleared. Pig farms in the country were "closely inspected" and medicine stockpiled.<ref name=bbc1/> On 28 May Health Minister ] confirmed the first case in a Venezuelan citizen who flew from Panama. He was isolated and treated. The following day, a second case was confirmed from another person on the same flight.{{citation needed|date=January 2022}}
On May 3, 2009, Minister Palacio confirmed the first case of A(H1N1) in Colombia,<ref name="elespectador-conf" /> in a 42-year-old person from ], who recently travelled to Mexico.<ref name="caracolradio-conf" /> According to Palacio, only one out of 18 tests sent to ] was positive. The patient was isolated and put under medical treatment. On the same day, Palacio stated there were 108 suspect cases in the country.<ref name="caracolradio-conf" />


== Reporting bias ==
====Ecuador====
Health officials are carrying out checks on people with flu symptoms entering the country from sea or air.<ref name=bbc1/>
On 29 April, Ecuador closed its borders to Mexican citizens and foreigners of other nationalities arriving from Mexico for a period of 30 days.<ref>, ''],'' 29 Apr 2009.</ref>


Epidemiologists cautioned that the number of cases reported in the early days of an outbreak could be very inaccurate.<ref name = bias>{{cite news |url=https://www.nytimes.com/2009/04/28/health/28docs.html |title=Sound the alarm? A swine flu bind |author=Altman Lawrence K |date=28 April 2009 |work=The New York Times |access-date=30 April 2009| archive-url= https://web.archive.org/web/20090503111111/http://www.nytimes.com/2009/04/28/health/28docs.html?hpw| archive-date=3 May 2009| url-status= live}}</ref> Causes included selection bias, media bias and incorrect reporting by governments.{{citation needed|date=August 2022}}
====Peru====
The Governor of ], ], ordered that all passengers from any infected country, mainly ], ] and ], must be checked before their arrival on ]vian territory. Also, the Peruvian government must be warned of any case or symptom of fever. This step is in order to prevent any infections, since the main port and airport of ] are located in ]. Also, the government has prepared a special area at the Hospital "Daniel Alcides Carrión" to treat cases of this disease.<ref name="precauciones1">{{cite web|url=http://www.rpp.com.pe/2009-04-24-peru-toma-medidas-para-evitar-el-ingreso-de-la-gripe-porcina-noticia_177656.html|title= Perú toma precauciones con la gripe porcina|publisher=]|date=2009-04-24|accessdate=2009-04-25|language=Spanish}}</ref>


] in ] occurs when authorities in different jurisdictions look at differing sets of patient. For example, in the early days of the pandemic, doctors in Mexico may have been concentrating on patients in hospitals, rather than the larger vulnerable population. This may in part explain the higher mortality recorded there.<ref name = bias/> Conversely, it is implausible that few, if any, died in Mexico while Brazil and the United States accumulated hundreds of additional lab-confirmed deaths. ] may have skewed incidence maps based on these media reports. Countries with poor health care systems and poor laboratory facilities may take longer to identify suspected cases, analyse those cases and report them.<ref>{{cite news |agency=Reuters |url=http://www.alertnet.org/thenews/newsdesk/IRIN/2687d9562c28b487c30aca4e889c5e93.htm |title=GLOBAL: No A (H1N1) cases – reality or poor lab facilities? |date=8 May 2009 |access-date=9 May 2009| archive-url= https://web.archive.org/web/20090511130411/http://www.alertnet.org/thenews/newsdesk/IRIN/2687d9562c28b487c30aca4e889c5e93.htm| archive-date= 11 May 2009 | url-status= live}}</ref>
The first suspicious case has been detected in the morning of April 27, 2009. It was a Peruvian woman who returned from Mexico.<ref>{{cite web|url=http://www.elcomercio.com.pe/noticia/278904/detectan-viajero-mexicano-aparentes-sintomas-gripe-porcina-aeropuerto-jorge-chavez |title=Viajero procedente de México tiene aparentes síntomas de gripe porcina |date=2009-04-27|work=]|date= |accessdate=2009-04-27|language=Spanish}}</ref>


Passive data collection methodologies (waiting for the patient to arrive at a health care facility) are considered inferior to active data collection techniques (performing random ]) due to selection bias<ref>{{cite web |url=http://www.collegeboard.com/prod_downloads/yes/4297_MODULE_19.pdf |title=Observational studies and bias in epidemiology |publisher=College board |year=2004 |access-date=30 April 2009| archive-url= https://web.archive.org/web/20090423151327/http://www.collegeboard.com/prod_downloads/yes/4297_MODULE_19.pdf| archive-date= 23 April 2009 | url-status= live}}</ref> and because laboratory facilities to perform swift genetic tests on patient samples are not widely available.<ref name = bias/> {{As of|2009|07}} no properly controlled epidemiological studies had been conducted for the 2009 outbreak.{{citation needed|date=August 2022}}
In Peru 5 people were considered suspects with the virus, but as of April 28 have been confirmed to be healthy and not carrying the H1N1 virus. The government has stated that the country is clean, but efforts are being made to examine slaughterhouses and they are screening incoming passengers from problem areas.<ref>{{cite web|url=http://www.livinginperu.com/news/8912 |title=News » Five Peru patients test negative for swine flu - Government discards threat |publisher=Living in Peru |date= |accessdate=2009-04-30}}</ref>


== See also ==
On April 29, Peru's Health Minister Oscar Ugarte confirmed one case of swine flu. On April 30, he said the case is not entirely confirmed. Having recently visited Mexico, the patient was flying in a Copa Airlines airplane from Panama to Buenos Aires on April 28, but the flight was diverted to Lima due to her illness. The crew only notified of the suspicion of swine flu only after the passenger had checked in the airport. Three more suspected cases were being investigated. Ugarte also announced the suspension of all commercial flights from Mexico to Peru.<ref name="precauciones1"/>
* ]


====Venezuela==== == Notes ==
<references group="nb"/>
Controls have been raised at airports to prevent contagion from spreading. Travellers from the United States and Mexico with flu symptoms are being isolated until they are given the all clear. Pig farms in the country are being "closely inspected" and stockpiles of medicines built up.<ref name=bbc1/>


== References ==
==Reporting bias==
{{reflist|colwidth=30em}}
]]
Epidemiologists caution that the number of cases reported in the early days of an outbreak can be very inaccurate and deceptive.<ref name = bias>{{cite news|url=http://www.nytimes.com/2009/04/28/health/28docs.html?hpw|title=Sound the Alarm? A Swine Flu Bind |last=Altman|first=Lawrence K|date=2009-04-28|publisher=New York Times|accessdate=2009-04-30}}</ref> This can be due to several causes:
*], as authorities in different countries may be looking at different patient populations. For example, doctors in Mexico may be concenterating on patients in hospitals, rather than the larger vulnerable population, and this may explain the higher mortality recorded in the country.<ref name = bias/>
*] in reporting swine flu cases and deaths may skew incidence maps based on these media reports. Countries with poor health care systems and poor laboratory facilities may take longer to identify suspected cases and analyze those cases. Passive data collection methodologies (waiting for the patient to come to you) are considered inferior to active data collection techniques (performing random ]) because of various forms of selection bias.<ref>{{cite web |url=http://www.collegeboard.com/prod_downloads/yes/4297_MODULE_19.pdf |title=Observational Studies and Bias in Epidemiology |publisher=College board |date=2004 |accessdate=April 30, 2009}}</ref>
* If national governments and local health care services do not accurately report their own data on suspected cases and deaths this will produce a bias in any conclusions drawn for such data. For instance, the ] accused China of under-reporting cases of ] during the ].<ref>{{cite web |url=http://www.highbeam.com/doc/1G1-100176015.html |title=WHO accuses China of hiding SARS|publisher=] |date=April 16, 2003 |accessdate=April 30, 2009}}</ref>


== External links ==
Gathering accurate data for the flu outbreak is further complicated by the possibility of further mutations of the virus,<ref name="mutate">{{cite web|url=http://sciencenow.sciencemag.org/cgi/content/full/2009/429/1?rss=1|title=As Swine Flu Spreads, Its Chances to Mutate Increase|last=Normile|first=Dennis|date=2009-04-30| publisher=]|accessdate=2009-04-30}}</ref> and because laboratory facilities to perform swift genetic tests on patient samples are not widely available.<ref name = bias/> {{As of|2009|04}} there are no properly controlled epidemiological studies for the 2009 swine flu outbreak.
{{Commons category}}

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{{2009 swine flu}} {{2009 swine flu}}
{{Influenza}} {{Influenza}}


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Latest revision as of 22:19, 27 December 2024

See also: 2009 swine flu pandemic timeline and 2009 swine flu pandemic tables

This article deals with the status and efforts regarding the 2009 swine flu pandemic by country and continent/region.

Pandemic (H1N1) 2009–2010 by country
Summary of official reports.
Country Indicators/ Cases Deaths
Spread-Trend/
Intensity/Impact
Confirmed Confirmed
 
ECDC total 14,378
Reports Total 6,724,149 19,654
United States W = ** mod (113,690) 3,433
Brazil R - * mod (58,178) 2,135
India W + * low 33,783 2,024
Mexico W + ** mod 70,715 1,316
China (mainland) 120,940 800
Turkey R + ** mod 12,316 656
Argentina W - low (11,458) 626
Russia W + ** 25,339 604
United Kingdom R = * (28,456) 474
Canada W + ** (25,828) 429
France R = * low 1,980,000 344
Spain W + * (1,538) 300
Egypt 15,812 278
Germany N = low (222,360) 258
South Korea W + * low 107,939 250
Thailand R = * low 31,902 249
Italy W + ** 3,064,933 244
Colombia W + * mod 4,310 272
Peru W - * low 9,165 223
Ukraine R + ** mod 494 213
Ecuador W - * low 2,251 200
Japan W + 11,636 198
Australia W - 37,484 187
Poland W + ** mod (2,024) 181
Chile W = low2 12,258 156
Syria (452) 152
Greece N + * (17,977) 149
Iran 3,672 147
Venezuela W - * mod 2,187 135
Hungary L + low (283) 134
Saudi Arabia 14,500 128
Portugal R + * low (166,922) 122
Romania W + * mod 7,006 122
Czech Republic L + 2,445 102
Israel W + * low 4,330 94
South Africa 12,640 93
Malaysia 12,210 92
Belarus W + ** mod 88
Serbia R + ** low 695 83
Hong Kong 33,109 80
Cuba W + ** mod 973 69
Costa Rica W - * low (1,867) 67
Morocco 2,890 64
Netherlands W + * low (1,473) 62
Bolivia W - * low 2,310 59
Vietnam 11,186 58
Algeria 916 57
Finland W + ** 6,122 56
Slovakia S + low 955 56
Paraguay L - ** 855 54
New Zealand L = * low (3,199) 50
Taiwan (5,474) 48
Sri Lanka W + * low 642 48
Moldova 2,524 46
Palestinian Territories 1,676 43
Iraq 2,880 42
Austria W + low (964) 40
Bulgaria W + *** 766 40
Countries with < 40 deaths
Country Indicators Confirmed cases Deaths
Latvia S + low 1,253 34
Oman 7,040 33
Georgia L + * low 1,300 33
El Salvador R = * low 834 33
Denmark W + * (651) 33
Uruguay W - * low (550) 33
Philippines W - 5,212 32
Yemen 5,038 31
Kuwait 8,669 30
Mongolia 1,259 30
Norway W - * low (12,654) 29
Sweden W + *** mod (10,985) 29
Ireland W = *** mod (3,189) 26
Macedonia N - (2,600) 26
Croatia W + low (50,255) 26
Pakistan 253 25
Tunisia 1,200 24
Guatemala N - * low 1,170 24
Dominican Republic R + ** mod 491 23
Lithuania S + low 68 23
Singapore (1,217) 21
Estonia L + * mod (738) 21
Belgium W - * low 76,973 19
Jordan 3,033 19
Slovenia L + * (990) 19
Switzerland W + * low 11,221 18
Honduras W - * low 560 18
Afghanistan 853 17
Kosovo 98 14
Bosnia and Herzegovina L 714 13
Panama W - * low 813 12
Albania S + * mod 426 12
Nicaragua W - * low 2,172 11
Indonesia R = * mod 1,098 10
Qatar 550 10
Cyprus N (297) 10
North Korea 28 10
Bahrain 1,325 8
Mauritius (69) 8
Bangladesh R - * low 1,015 7
Jamaica W + * low 191 7
Montenegro N 119 7
Cambodia R + * 531 6
United Arab Emirates 125 6
Lebanon 1,838 5
Malta R + ** (718) 5
Trinidad and Tobago W = * low 211 5
Sudan 145 5
Bahamas W + * mod 29 4
Madagascar 877 3
Ghana 676 3
Luxembourg W + ** low 333 3
Nepal R + * low 172 3
Barbados W - * low 154 3
Armenia 119 3
Iceland W - *** 676 2
Macau (PRC) 2,625 2
Brunei W - * mod 971 2
Samoa 138 2
Suriname N = * low 110 2
São Tomé and Príncipe 66 2
Mozambique 57 2
Nigeria 11 2
St. Kitts and Nevis N = * low 6 2
Tanzania 770 1
Libya 764 1
Laos 242 1
Cayman Islands (UK) 121 1
Marshall Islands 115 1
Cook Islands (NZ) 106 1
Namibia 75 1
St. Lucia W - * mod 55 1
Maldives L - low 35 1
Bermuda (UK) 25 1
Tonga 20 1
Falkland Islands (UK) 7 1
Solomon Islands 4 1
Other 7,052 0
Countries with no deaths
Country Indicators Confirmed cases Deaths
Zimbabwe 1,318 0
Zambia 726 0
Jersey (UK) 702 0
Rwanda 482 0
Kenya 417 0
Senegal 325 0
Uganda 263 0
Fiji N - * low 234 0
Democratic Republic of the Congo 222 0
Myanmar L - low 137 0
Cape Verde 118 0
Akrotiri and Dhekelia (UK) 92 0
Bhutan N 91 0
Haiti L + low 91 0
Micronesia 82 0
Antigua and Barbuda R = * low 75 0
Isle of Man (UK) 75 0
Lesotho 65 0
Gibraltar (UK) 62 0
Kyrgyzstan N = low 61 0
Belize W - mod 49 0
Niger 49 0
Palau 47 0
Faroe Islands 44 0
Turks and Caicos Islands (UK) 44 0
Angola 37 0
Dominica N = * low 36 0
Monaco 36 0
Seychelles 33 0
Botswana 31 0
Mali 29 0
Guyana 27 0
British Virgin Islands (UK) 25 0
Tuvalu 23 0
Montserrat 21 0
Republic of the Congo 21 0
Grenada W - * mod 20 0
Ethiopia 19 0
Guernsey (UK) 17 0
Kazakhstan R + ** mod 17 0
St. Vincent and the Grenadines L = 17 0
Tajikistan 16 0
Mauritania 15 0
Anguilla (UK) 14 0
Azerbaijan L + * low 14 0
Papua New Guinea 12 0
Côte d'Ivoire 9 0
Djibouti 9 0
Nauru 8 0
Burundi 7 0
Timor-Leste L = low 7 0
Liechtenstein 5 0
San Marino 5 0
Swaziland 5 0
Cameroon 4 0
Gabon 4 0
Kiribati 4 0
Guinea 3 0
Vanuatu 3 0
Somalia 2 0
Andorra 1 0
Chad 1 0
Greenland 1 0
Graph of confirmed cases
Semi-logarithmic plot of laboratory-confirmed A(H1N1) influenza cases in 2009 according to WHO reports.

Qualitative indicators as defined by WHO. Parameter values:

Geographic spread Trend Intensity Impact on
health care
services
W(idespread) *** (very high) sev(ere)
R(egional) + (Increasing) ** (high) mod(erate)
L(ocal) = (Unchanged) * (low – moderate)
S(poradic)
I(mported)
N(o activity)
- (Decreasing)   (low) low
Many countries are not recommending laboratory tests for all suspect cases, the affected numbers have been put in brackets. Comparisons in time or between these countries should not be made.
The number of confirmed cases is lower than the total number of cases, and may grossly underestimate the true infection rate.
Includes Puerto Rico (695 cases, 45 deaths), Guam (338 cases, 2 deaths), American Samoa (85 cases, 1 death), U.S. Virgin Islands (80 cases, 1 death), and Northern Mariana Islands (6 cases).
Does not include Overseas Territories or Crown Dependencies.
Includes New Caledonia (500 cases, 9 deaths), French Polynesia (183 cases, 7 deaths), Réunion (759 cases, 7 deaths), Mayotte (164 cases, 2 deaths), Martinique (261 cases, 1 death), French Guiana (213 cases, 1 death), Guadeloupe (197 cases, 5 deaths), Saint Martin (62 cases), Wallis and Futuna (55 cases), Saint-Barthélemy (2 cases).
Includes Aruba (13 cases) and the Netherlands Antilles (98 cases).
  Confirmed cases leading to deaths   Confirmed cases   Unconfirmed or suspected cases See also: H1N1 live map, WHO updates
  0 deaths   suspected deaths   1+ deaths   5+ deaths   10+ deaths   50+ deaths   100+ deaths   500+ deaths See also: H1N1 live map, WHO updates
  Confirmed community outbreaks See also: H1N1 live map, WHO updates
  Confirmed mutation of H1N1 virus
  Confirmed double infections
  Confirmed cases of tamiflu resistance

As the pandemic progressed, laboratory testing and confirmation decreased. Confirmed figures for the United Kingdom, in particular, are only meaningful up to 2 July, when routine testing stopped and presumed cases were treated without laboratory confirmation of diagnosis. Following the recommendations of the World Health Organization (WHO), many countries stopped issuing estimates of the infected population, making this list inaccurate.

The ten countries and territories with most confirmed cases per capita
Pos. Country Population Confirmed
cases
Confirmed cases
per 1,000 inhabitants
1  Iceland 306,694 8,650 28.20
2  Belgium 10,414,336 214,531 20.59
3  Portugal 10,707,924 166,922 15.59
 Cook Islands 11,870 106 8.93
 Macao 559,846 2,625 4.68
 Hong Kong 7,055,071 31,554 4.47
4  Spain 46,700,000 155,051 3.32
5  Kuwait 2,691,158 8,622 3.20
6  Brunei 338,190 972 2.87
 Jersey 91,626 234 2.55
7  Germany 82,080,000 192,348 2.34
8  South Korea 48,600,000 107,939 2.22
9  Palau 20,796 46 2.21
 Cayman Islands 49,035 105 2.14
10  Malta 405,165 718 1.77
World 6,790,062,216 25,584,595 3.76

*Includes countries with over 40 confirmed cases only.

Affected continents/countries

This article needs to be updated. Please help update this article to reflect recent events or newly available information. (November 2010)

Africa

Main article: 2009 swine flu pandemic in Africa
2009 flu pandemic
in Africa:
  Confirmed deaths  Confirmed cases  Suspect cases  No reported cases
  No deaths  1+ deaths  5+ deaths  10+ deaths  50+ deaths  100+ deaths

The Egyptian government ordered the mass slaughter of all pigs in Egypt on 29 April, even though the current strain was a human-human transmittable, human influenza that had previously hybridized with avian flu and swine flu. The World Organization for Animal Health called the swine killing "scientifically unjustified".

The first case of the H1N1 virus was discovered in Cairo, Egypt on 2 June 2009, in a 12-year-old girl coming from the US with her mother. Only the girl was infected and the officials caught the case before letting her out of the airport. A second and third case were discovered on Sunday 7 June, two students at the American University of Cairo. On 11 June 2 more cases were discovered, bringing the total number of cases to 12.

The swine flu was confirmed in 21 African countries: Egypt, South Africa, Morocco, Algeria, Tunisia, Ethiopia, Côte d'Ivoire, Seychelles, Cape Verde, Libya, Kenya, Uganda, Botswana, Zimbabwe, Tanzania, Mauritius, Somalia, Sudan, Namibia, Zambia, Gabon, and Rwanda.

The H1N1 virus was a concern in the months leading up to the 2010 FIFA World Cup, which took place in June 2010 in South Africa.

Asia

Main article: 2009 swine flu pandemic in Asia
2009 flu pandemic
in Asia
  Deaths  Confirmed cases  Suspected cases  No reported cases
  No deaths  1+ deaths  5+ deaths  10+ deaths  50+ deaths  100+ deaths

Western and Central Asia

H1N1 in Central Asia  Deaths  Confirmed cases  Suspected cases  No reported cases
H1N1 in Southwest Asia  Deaths  Confirmed cases  Suspected cases  No reported cases

On 27 April, Azerbaijan imposed a ban on import of animal husbandry products from America. AZAL took additional safety measures and a sanitary quarantine unit of the Health Ministry started to operate in Heydar Aliyev International Airport, checking all aircraft and passengers. On 2 May Border checkpoints with disinfection barriers for both cars and pedestrians were installed at the Samur, Shirvanovka and Khan Oba checkpoints in Qusar and Khachmaz Raions. The veterinary services at checkpoints intensified their activities while hog farms in the northern regions switched to a closed farming regime.

Seventy-seven cases were confirmed in Israel. In response to the outbreak, the Israeli Deputy Minister of Health, Yaakov Litzman, suggested that out of respect for the religious sensibilities of Jews and Muslims, the flu should be called "Mexican Flu." This was done so as to not confuse the slot thailand population into thinking that they could not acquire the virus if they did not eat pork. The Israeli government retracted this proposal following Mexican complaints.

The first confirmed cases were reported in Kuwait on 23 May, after about 18 people on U.S. military bases tested positive.

On 30 May 2009 the first three cases were confirmed in Lebanon. "One Lebanese man who was in Spain and two Canadians who arrived in Lebanon a week ago are suffering from swine flu," the health minister said. "We put them in quarantine and the blood samples we have taken every day have proven to be positive. The Lebanese man and the two visiting Canadians – a woman and her daughter – were given the proper medical treatment in time and they are well now." The Lebanese Health Minister had previously asked citizens to stop the habit of social kissing, that affected schoolchildren be kept at home and that travel to countries in which cases have been confirmed be avoided. Beirut also banned the import of pork.

In Saudi Arabia, the first case, which affected a Filipino nurse working at King Faisal Specialist Hospital and Research Center, was confirmed on 1 June. The Health Ministry, in cooperation with the hospital, applied the national plan for the prevention of swine flu in accordance with WHO's recommendations. Accordingly, the patient was isolated and treated.

Southern Asia

H1N1 in South Asia  Deaths  Confirmed cases  Suspected cases  No reported cases
H1N1 in Southeast Asia  Deaths  Confirmed cases  Suspected cases  No reported cases

All people entering India via the main airport hubs of Mumbai, New Delhi, Bengaluru and other metro cities were screened. The primary focus was on passengers entering from the US, the United Kingdom, Canada, Mexico, France and New Zealand. As of 25 October, over 13,000 cases had been confirmed in India, with 444 deaths, starting with a 13-year-old girl's death in the city of Pune, where almost 91 people died.

In the Maldives, a ministerial committee was established to supervise preventive measures to avoid an outbreak. All visitors arriving at the Malé International Airport and the country's three commercial seaports were screened.

Pakistan took precautionary measures at its international airports to check passengers coming from affected countries. Doctors checked incoming passengers and allowed entry only to those with no symptoms. Major hospitals were placed on high alert.

Southeastern Asia

Since 8 July a total of 207 cases were reported in Brunei.

The Cambodian Pig Raiser Association told the government it should ban live pig imports. But Khlauk Chuon, the deputy director of Camcontrol at the Ministry of Commerce, said they would only ban live pig imports from affected countries.

The Indonesian government halted the importation of pigs and initiated the examination of 9 million pigs. Thermal scanners that can detect human body temperature were installed at Indonesian ports of entry.

The Lao government bought 10 thermal imaging machines to install at the country's major immigration border checkpoints. The Prime Minister Bouasone Bouphavanh said masks should be made available and health officials would be assigned to border checkpoints. On 22 July, Laos recorded its first death.

In Malaysia, health screenings were carried out on passengers traveling to and from Mexico via sea, air and land beginning 17 April. The Health Ministry's disease control division activated its operations room to monitor the situation and informed medical practitioners treating suspicious cases to inform the district health office immediately. Thermal scanners were installed at Kuala Lumpur International Airport. Screenings were imposed in Pengkalan Hulu, at the border with Thailand, in late April. Quarantine rooms were allocated in 28 hospitals and the country stockpiled more than 2 million doses of Tamiflu, as of May 2009. Schools were issued strict hygiene procedures on 16 May to contain any outbreak. On 15 May, the Health Ministry confirmed Malaysia's first case: a male student who had arrived via air from Newark. The first death was reported on 23 July. As of 11 August there were 2,253 confirmed cases. As of 12 August the total number of deaths in Malaysia stood at 44.

In the Philippines, thermal imaging equipment at airports was implemented to screen passengers coming from the US. The Philippines quarantined travellers arriving from Mexico with fever. The importation of hogs from the U.S. and Mexico was banned and the restriction of vaccine use was retracted. On 18 May, a Filipina girl who arrived from Houston was the first confirmed case in the Philippines. As of 15 June, there were 193 confirmed cases. On 22 June, the first death was reported.

The first case in Singapore was confirmed on 27 May. It was announced on 18 June that Singapore appeared to have its first case. As of 7 July 1,217 confirmed cases had been reported. As of 25 July, there were 4 confirmed deaths.

Vietnam's Ministry of Health released an emergency dispatch and urged agencies to take precautionary measures. Thermal imaging devices were dispatched to airports and border gates to screen passengers. In response to WHO's warnings, Vietnam on 30 April raised its alert level to 4, which indicated a "threat of community level outbreaks" while local authorities executed precautionary measures. On 1 May 2009 a Ministry of Industry and Trade official said that the Ministry was considering a ban on pork import "under certain situations". On 31 May Vietnam announced its first case, a 23-year-old student recently returned from the United States.

Eastern Asia

H1N1 in Eastern Asia  Deaths  Confirmed cases  Suspected cases  No reported cases

On 26 April, visitors returning from flu-affected areas to China who experienced flu-like symptoms within two weeks were to be quarantined. On 2 May, the Chinese government suspended flights from Tijuana to Shanghai. Meanwhile, the Civil Aviation Administration of China assigned a charter to transport stranded Chinese visitors home. The first suspected case was reported on 10 May 2009. China made aggressive use of quarantines, as by early July tens of thousands of suspected cases were quarantined in government-sanctioned facilities.

On 29 April the Food and Health Bureau of Hong Kong advised Hong Kong residents not to travel to Mexico unless absolutely necessary. The first case was a Mexican who arrived from Shanghai. The Bureau escalated the alert level from "alert" to "serious", which activated health protection measures in all ports of entry of Hong Kong. Thermal screening machines were used to identify passengers with fever and respiratory symptoms. Any passenger who is confirmed to have a fever were quarantined and sent to public hospital for investigation. Hong Kong became one of the first jurisdictions to declare the swine flu as a notifiable disease. Much of the procedures against the contagion were learned from the 2003 SARS outbreak, of which Hong Kong was the epicenter of the outbreak. On 1 May, the first case in Hong Kong and also the first in Asia was confirmed. The Mexican patient arrived in Hong Kong on 30 April. Metropark Hotel Wanchai, where the patient stayed, was quarantined. After the first case was confirmed, Hong Kong's response level was raised from "serious" to "emergency".

In Japan, live pig imports were inspected. Japanese Agriculture Minister Shigeru Ishiba appeared on television to reassure customers that it was safe to eat pork. The Japanese farm ministry said that it would not ask for restrictions on pork imports because the virus was unlikely to turn up in pork and would be killed by cooking. On 8 May, the first three cases were confirmed. The infected patients had spent time in Canada and returned to Japan via Detroit. The first domestic infection was confirmed on 16 May in Kobe. As of 18 May 130 cases had been confirmed.

South Korea warned against travel to Mexico City and three Mexican states. The government stepped up quarantine and safety checks on travelers arriving from the United States and Mexico, and pork imports from those countries. An emergency quarantine system was instituted, with simple tests conducted on people with flu symptoms at airports. On 28 April, South Korea reported its first probable case after positive preliminary tests on a nun who had recently returned from Mexico. One case was confirmed on 30 April. On 2 May, the first suspected woman turned out to be infected. South Korea became the second infected nation in Asia. On 13 September, five people died, and 1 person experienced brain death. As of November, 107,939 had been infected.

On 20 May the first case of the influenza was confirmed in Taiwan. The government had previously taken steps to prevent an outbreak, including a command center, travel alerts for infected nations, and more severe health checks at international ports. Taiwan said visitors who arrived from affected areas with fevers would be quarantined. According to The Department of Health (DOH), Taiwan had a sufficient supply of surgical masks and vaccine to deal with the flu. The DOH stated that they had 50 to 60 million masks in stock and that local manufacturers had the capability of producing 200,000 doses of the flu vaccine a month. The Centers for Disease Control announced on 28 April that every flight from the Americas, specifically Canada and the United States, that arrived in Taiwan would be subject to a strict on-board screening procedure.

On 2 July, the first case of oseltamivir-resistant virus in Asia was announced in Japan, in a woman who had been taking Tamiflu prophylactically.

On 18 July 2009, Hong Kong had its first swine flu death.

On 3 July, a case of Tamiflu-resistant virus was discovered. The woman had not previously taken Tamiflu, so concern has been expressed that she may have contracted an already resistant virus from someone else.

On 28 August 2009, the Japanese Ministry of Health, Labour and Welfare announced that it estimated approximately 760,000 people would be infected and 46,400 hospitalized per day during the expected peak month of October. Overall they predicted that 20% of rural Japanese would become infected and 30% in city areas.

Europe

Outbreak evolution in Europe:
  Deaths  Confirmed cases  Suspect cases  No cases
  No deaths  1+ deaths  5+ deaths  10+ deaths  50+ deaths  100+ deaths  500+ deaths  1000+ deaths  5000+ deaths
Main article: 2009 swine flu pandemic in Europe

On 27 April, the Spanish Ministry of Health and Social Policy announced its first case (the first in Europe) in a 23-year-old man who had recently returned from Mexico on 22 April and had been quarantined on the 25th. The day the European Union health commissioner advised Europeans not to travel to the United States or Mexico unless urgent.

On 14 June, it was reported that the United Kingdom had its first confirmed death.

As of 22 December, every European country, apart from the 5 microstates had confirmed deaths. France had 27; Spain, 33; Norway, 29 (4 January 2010); Italy, 6; Belgium and Germany, 8; Sweden, 3 (3 November); Malta and Greece, 3; Denmark, Finland, Hungary and Luxemburg, 1; Ireland and the Netherlands, 10, and the United Kingdom, 79. The British government suggested 55,000 new cases in the week up to 16 July.

Hungary reported the first death in the country on 22 July. Ireland reported its first death on 7 August.

As of 19 August, all European countries with the exception of the micro states San Marino and Vatican City had reported cases.

North America

Outbreak distribution in North America:
  Deaths  Confirmed cases  Suspect cases  No cases
  No deaths  1+ deaths  5+ deaths  10+ deaths  50+ deaths  100+ deaths  500+ deaths  1,000+ deaths  5,000+ deaths
Main article: 2009 swine flu pandemic in North America

The swine flu began in Mexico, North America, which turn out to be a new strain of H1N1 virus and the first case could have been as early as March or April. In Canada, roughly 10% of the populace were infected with the virus, with 363 confirmed deaths (as of 8 December); confirmed cases had reached 10,000 when Health Canada stopped counting in July. Canada began its vaccination campaign in October and vaccinated a higher proportion of its citizens than any other country. The pandemic was a concern in the months leading to the XXI Olympic Winter Games, which took place in Vancouver in February 2010.

José Ángel Córdova Villalobos, Mexico's Secretariat of Health, stated that since March 2009, over 1,995 suspected cases and 149 deaths were confirmed. Twenty were confirmed to be linked to a new strain of Influenza A virus subtype H1N1. "'As many as 23,000 Mexicans were likely infected with the swine flu virus,' Neil Ferguson of Imperial College London and colleagues reported in the journal Science." Soldiers mobilized by the government have handed out six million surgical masks to citizens in and around Mexico City. On 24 April 2009, schools (from pre-school to university level) as well as libraries, museums, concerts and any public gathering place, were shut down by the government in Mexico City and the neighboring State of Mexico to prevent the disease from spreading further; the schools in Mexico City, the State of Mexico, and the state of San Luis Potosí would remain quarantined until at least 5 May. Marcelo Ebrard, Mexico City's mayor, asked all night-life operators to shut down their places of business for ten days to prevent further infections. On 25 April, President Felipe Calderón declared an emergency which granted him the power to suspend public events and order quarantines. On 26 April, the World Bank announced US$25 million in immediate aid loans to Mexico, an additional US$180 million for long-term assistance to address the outbreak, and advice on how other nations have responded to similar crises. On 27 April, the Secretariat of Public Education announced that all schools in Mexico would remain closed at least until 6 May. On 28 April, the Mexico City government closed all restaurants and cinemas. The National History and Anthropology Institute closed all archaeological sites and museums, including the most famous Mayan and Aztec ruins, until further notice.

A semi-logarithmic chart of laboratory-confirmed A(H1N1) influenza cases by date according to WHO reports. Mexico, USA, and Canada are shown as a breakdown of the total.

In the United States, initial reports of atypical flu in two individuals in southern California led to the discovery of the virus by the Center for Disease Control in mid-April. More than a hundred cases were confirmed in the following two weeks, across a dozen states. Outside of California and Texas, initial cases were all tied to recent travel to Mexico or close contact with those who had. St. Francis Preparatory School, a private school in New York, was the center of a large cluster of cases after a spring break trip by several students. It was one of the first US schools to be closed during the early outbreak. Most of the cases in California and Texas were not linked and may have reflected localized outbreaks. The disease was not as virulent outside of Mexico, for reasons not fully understood. The US declared a state of Public Health Emergency, but this was said to be standard procedure in cases as divergent as the recent inauguration and flooding. On 29 April, the US had its first confirmed death, and on 5 May the first US citizen died from swine flu. On 6 June, there were 17 confirmed deaths from swine flu in the US. By mid-May 2009 many states had abandoned testing unless serious illness and/or hospitalization were present. Because reported numbers represented only confirmed cases, they were a "very great understatement" of the total number of cases of infection, according to the CDC. From 12 April 2009 to 10 April 2010, CDC estimated there were 60.8 million cases, 274,304 hospitalizations, and 12,469 deaths in the US due to the virus.

Caribbean

H1N1 in Caribbean and Central America  Deaths  Confirmed cases  Suspect cases  No cases

In Aruba, all passengers arriving by airplane or cruise ship were required to fill out a health questionnaire beginning on 27 April 2009. Hotels and resorts were required to report to authorities if any tourists were showing flu-like symptoms. The government ordered antiviral medication and other supplies from the Netherlands and the United States. No cases were reported.

In Barbados, the first confirmed case occurred on 3 June 2009. The second case was confirmed on 6 June. The third case was confirmed on 10 June. The fourth case was confirmed on 17 June. Twenty five samples were sent to the Caribbean Epidemiology Center.

Cuba suspended flights to and from Mexico for 48 hours. The first case in Cuba was confirmed in mid-May.

The first two cases in the Dominican Republic were confirmed on 27 May. By 7 June 93 cases had been confirmed, primarily mild infections.

As of 7 July 2009, 33 cases were confirmed in Jamaica. Health Minister Ruddy Spencer told Parliament that the country had been placed on high alert. There was heightened surveillance at health care facilities and ports of entry.

In Trinidad and Tobago, one female case was confirmed.

In the Bahamas, ten students and teachers who arrived from Mexico in the last week of April were in quarantine.

Central America

  No deaths  1+ deaths  5+ deaths  10+ deaths  50+ deaths  100+ deaths  500+ deaths  1,000+ deaths  5,000+ deaths

The first two cases of the flu in Costa Rica, both of whom had traveled to Mexico, were confirmed on 28 April. On 31 July local authorities announced that the country was among the sample countries that would test the vaccine developed by Swiss pharmaceutical giant Novartis. The local sample would include 784 Costa Ricans ages 3 to 64. Besides Costa Rica, this vaccine prototype would be tested in Mexico and the United States.

On 11 August, it was confirmed that Costa Rica's president, Óscar Arias Sánchez, was infected with the virus, becoming the first head of state. President Arias returned to normal activities after one week of isolation. As of 15 October the Costa Rican Ministry of Health had 1,530 confirmed cases, 1,242 pending cases and 38 deaths.

Guatemala checked all travelers arriving from Mexico and stopped anyone with symptoms at border crossings. On 5 May, in a meeting with Health Minister and the Vice President, it was announced that an 11-year-old girl was infected. As of 7 July Guatemala had 286 confirmed cases leading to two fatalities.

Honduras reported its first confirmed case on 27 May. By 7 June the country had reported 67 cases, mostly in San Pedro Sula and along the Atlantic Coastline. All airports and commercial sites as well as public events were monitored. As of 7 July there were 123 confirmed cases and one fatality.

As on 4 June 179 confirmed cases had been reported by Panamanian health authorities. Of these, 91 were male and 88 were female. Schools with positive cases were being disinfected. Thermal cameras had been deployed in Tocumen International Airport to identify symptomatic passengers.

As of 7 July, El Salvador reported 319 confirmed cases, and Nicaragua 321. Panama and Nicaragua reported no fatalities.

Oceania

Outbreak of the swine flu in Oceania:  Deaths  Confirmed cases  Suspect cases  No cases
  No deaths  1+ deaths  5+ deaths  10+ deaths  50+ deaths  100+ deaths  500+ deaths  1000+ deaths  5000+ deaths
Main article: 2009 swine flu pandemic in Oceania

The first confirmed case in Australia was reported on 9 May. As of 3 July, Australia had 7,290 confirmed cases. The first Australian death was on 19 June and the total death toll reached 20. The alert level was raised from "delay" to "contain", giving authorities in all states the option to close schools. Australia stockpiled 8.7 million doses of Tamiflu and Relenza. At the beginning of the outbreak airlines were required to report passengers from the Americas with influenza symptoms and nurses were deployed at international airports.

Researchers in Australia and New Zealand reaffirmed that infants under the age of 1 had the highest risk of developing severe illness. Canadian health officials reported that swine flu is hospitalizing three to four times as many children as regular seasonal flu.

On 30 May, New Zealand had 9 confirmed cases and 10 probables. During June cases in New Zealand rose rapidly. On 14 June the Ministry of Health announced a 65% increase in cases in just 24 hours. On 4 July, the Ministry of Health announced the first New Zealand deaths. Three confirmed deaths were confirmed, however two had known underlying medical conditions. The total number of confirmed cases reached 945.

Two cases were confirmed in the Pacific Islands. Both cases were confirmed on 15 June, one in the Solomon Islands and another in Samoa. 5 cases were confirmed in Fiji as of 24 June and 1 case in Vanuatu.

South America

Outbreak evolution in South America:  Deaths  Confirmed cases  Suspected cases  No reported cases
  No deaths  1+ deaths  5+ deaths  10+ deaths  50+ deaths  100+ deaths  500+ deaths  1000+ deaths  5000+ deaths
Main article: 2009 swine flu pandemic in South America

In Argentina, as of April, passengers with symptoms arriving from Mexico and United States were required to list where they would be should they experience any symptoms. In addition, the government stepped up safety checks, and thermal scanners were being used at airports to detect passengers with fever and other influenza symptoms. Flights from Mexico were temporarily suspended. These measures proved to be largely ineffective. As of 22 June, Argentina had 1,213 confirmed cases and 10 confirmed deaths, increasing to 52 confirmed deaths and an estimated number of as many as 100,000 infected on 2 July, as confirmed by Minister of Health Juan Luis Manzur. As of 14 July, the number of officially recognised cases skyrocketed, with 137 deaths, making the death toll in Argentina the second highest in the world at the time, behind only the US.

As of April, Brazilian airports were monitoring arrivals from affected areas, under the direction of the National Sanitary Surveillance Agency (ANVISA). Air crews were trained on signs and symptoms. As of 4 June, there were 28 confirmed cases.

The first case flu in Chile was confirmed on 17 May. On 29 May, the Chilean Health ministry confirmed the number of cases had risen to 226. On 3 June Chile had its first confirmed death, a 37-year-old man from Puerto Montt. To the date, and since laboratory tests were no longer mandatory, the estimate of cases in Chile reached 500.000 cases.

On 3 May, Minister Palacio confirmed the first case in Colombia, in a 42-year-old, who had recently traveled to Mexico. According to Palacio, only one of 18 tests sent to Atlanta was positive. The patient was isolated and put under medical treatment. On the same day, Palacio stated there were 108 suspect cases in the country. On 27 April, the Government declared a "national disaster" state which allowed health authorities to have a special budget. The government purchased 400,000 oseltamivir (Tamiflu) doses, to be distributed through the Social Protection ministry.

Health officials examined arrivals with flu symptoms. On 29 April, Ecuador closed its borders to Mexican citizens and foreigners of other nationalities arriving from Mexico for 30 days. On 15 May, health officials confirmed the first case in Ecuador. On 20 May, the Health Department confirmed 7 more new cases, raising the total to 8, and then to 41.

The first case in Peru was confirmed on 14 May. On 17 May, the second case was confirmed. He had returned from the US on 12 May, showing symptoms only two days later. On 18 May a new case was confirmed, a scholar returning from a trip to Dominican Republic. Another case of a scholar came from the same trip. The student had contact with the third victim and both studied in the same school. The Governor of Callao ordered that all passengers from any infected country be checked before their entry into Peruvian territory. The Peruvian government was to be warned of any case or symptom. This step affected the main port and airport of Peru, located in Callao. The government prepared a special area at the Hospital "Daniel Alcides Carrión" to treat cases. Slaughterhouses were inspected and screened incoming passengers from problem areas. All commercial flights from Mexico to Peru were suspended on 29 April.

In Venezuela, controls were raised at airports to prevent contagion from spreading. Travellers from the United States and Mexico with symptoms were isolated until they cleared. Pig farms in the country were "closely inspected" and medicine stockpiled. On 28 May Health Minister Jesús Mantilla confirmed the first case in a Venezuelan citizen who flew from Panama. He was isolated and treated. The following day, a second case was confirmed from another person on the same flight.

Reporting bias

Epidemiologists cautioned that the number of cases reported in the early days of an outbreak could be very inaccurate. Causes included selection bias, media bias and incorrect reporting by governments.

Selection bias in epidemiology occurs when authorities in different jurisdictions look at differing sets of patient. For example, in the early days of the pandemic, doctors in Mexico may have been concentrating on patients in hospitals, rather than the larger vulnerable population. This may in part explain the higher mortality recorded there. Conversely, it is implausible that few, if any, died in Mexico while Brazil and the United States accumulated hundreds of additional lab-confirmed deaths. Media bias may have skewed incidence maps based on these media reports. Countries with poor health care systems and poor laboratory facilities may take longer to identify suspected cases, analyse those cases and report them.

Passive data collection methodologies (waiting for the patient to arrive at a health care facility) are considered inferior to active data collection techniques (performing random stratified sampling) due to selection bias and because laboratory facilities to perform swift genetic tests on patient samples are not widely available. As of July 2009 no properly controlled epidemiological studies had been conducted for the 2009 outbreak.

See also

Notes

  1. All population figures are estimates for July 2009 from the source: "CIA – The World Factbook". Central Intelligence Agency. Archived from the original on 1 June 2007. Retrieved 21 June 2009.

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