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Published Date: 2009-05-11 13:00:06
Subject: PRO/AH/EDR> Influenza A (H1N1) - worldwide (22): case counts
Archive Number: 20090511.1759

INFLUENZA A (H1N1) - WORLDWIDE (22): CASE COUNTS
************************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

[Please note that there may be discrepancies between the various sources of
information due to different times of "closure" of daily figures reported.
Times of daily report closures where known are listed in the table of
contents below. Oftentimes a newswire will mention a confirmed case in a
location that has not been on the official reporting entity list as the
confirmation arrived after closure of the day's report. - Mod.MPP]

In this update:
[1] WHO - global update (07:30 GMT)
[2] PAHO - Americas regional update (17:00 GMT-4)
[3] CDC - USA update (11:00 GMT -4)
[4] Mexico - MOH update (none 10 May 2009)
[5] Canada - Health Protection Agency (15:00 GMT -4)
[6] News briefs

******
[1] WHO - global update (07:30 GMT)
Date: Sun 10 May 2009
Source: WHO Epidemic and Pandemic Alert and Response (EPR) [edited]
<http://www.who.int/csr/en/>

Influenza A (H1N1) - update 24 -- 10 May 2009
<http://www.who.int/csr/don/2009_05_10/en/index.html>

As of 07:30 GMT, 10 May 2009, 29 countries have officially reported 4379
cases of influenza A (H1N1) infection.

Mexico has reported 1626 laboratory confirmed human cases of infection,
including 45 deaths. The United States has reported 2254 laboratory
confirmed human cases, including 2 deaths. Canada has reported 280
laboratory confirmed human cases, including one death. Costa Rica has
reported 8 laboratory confirmed human cases, including one death.

The following countries have reported laboratory confirmed cases with no
deaths - Argentina (1), Australia (1), Austria (1), Brazil (6), China, Hong
Kong Special Administrative Region (1), Colombia (1), Denmark (1), El
Salvador (2), France (12), Germany (11), Guatemala (1), Ireland (1), Israel
(7), Italy (9), Japan (4), Netherlands (3), New Zealand (7), Panama (3),
Poland (1), Portugal (1), Republic of Korea (3), Spain (93), Sweden (1),
Switzerland (1), and the United Kingdom (39).

******
Summary table of cases reported to WHO 30 Apr -- 10 May 2009
----------------
Country: no. cases (deaths) 2009 Apr: 30 / May: 1 / 2 / 3 / 4 / 5 / 6 / 7 /
8 / 9 / 10
Argentina: 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 1 / 1
Australia: 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 1 / 1
Austria: 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1
Brazil: 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 4 / 6 / 6
Canada: 19 / 34 / 51 / 85 / 101 / 140 / 165 / 201 / 214 / 242 (1) / 280 (1)
China, Hong Kong, SAR: 0 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1
Colombia: 0 / 0 / 0 / 0 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1
Costa Rica: 0 / 0 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 8 (1)
Denmark: 0 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1
El Salvador: 0 / 0 / 0 / 0 / 2 / 2 / 2 / 2 / 2 / 2 / 2
France: 0 / 0 / 2 / 2 / 4 / 4 / 5 / 5 / 12 / 12 / 12
Germany: 3 / 4 / 6 / 8 / 8 / 9 / 9 / 10 / 11 / 11 / 11
Guatemala: 0 / 0 / 0 / 0 / 0 / 0 / 1 / 1 / 1 / 1 / 1
Ireland: 0 / 0 / 0 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1
Israel: 2 / 2 / 3 / 3 / 4 / 4 / 4 / 6 / 7 / 7 / 7
Italy: 0 / 0 / 0 / 1 / 2 / 5 / 5 / 5 / 6 / 6 / 9
Japan: 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 3 / 4
Mexico: 97(7) / 156 (9) / 397 (16) / 506 (19) / 590 (25) / 822 (29) / 942
(29) / 1112 (42) / 1204 (44) / 1364 (45) / 1626 (45)
Netherlands: 1 / 1 / 1 / 1 / 1 / 1 / 1 / 2 / 3 / 3 / 3
New Zealand: 3 / 4 / 4 / 4 / 6 / 6 / 5 / 5 / 5 / 5 / 7
Panama: 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 2 /3
Poland: 0 / 0 / 0 / 0 / 0 / 0 / 0 / 1 / 1 / 1 / 1
Portugal: 0 / 0 / 0 / 0 / 1 / 1 / 1 / 1 / 1 / 1 / 1
Republic of Korea: 0 / 0 / 1 / 1 / 1 / 2 / 2 / 3 / 3 / 3 / 3
Spain: 13 / 13 / 13 / 40 / 54 / 57 / 73 / 81 / 88 / 88 / 93
Sweden: 0 / 0 / 0 / 0 / 0 / 0 / 1 / 1 / 1 / 1 / 1
Switzerland: 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1
United Kingdom: 8 / 8 / 15 / 15 / 18 / 27 / 28 / 32 / 34 / 34 / 39
United States: 109 (1) / 141 (1) / 160 (1) / 226 (1) / 286 (1) / 403 (1) /
642 (2) / 896 (2) / 1639 (2) / 2254 (2)
Total No. countries reporting cases: 11 / 13 / 16 / 18 / 21 / 21 / 23 / 24
/ 25 / 29
Total cases reported: 257 (8) / 367 (10) / 658 (17) / 898 (20) / 1085 (26)
/ 1490 (30) / 1893 (31) / 2371 (44) / 2500 (46) / 4379 (49)

--
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ProMED-mail rapporteur Marianne Hopp

******
[2] PAHO - Americas regional update (17:00 GMT-4)
Date: Sun 10 May 2009
Source: PAHO H1N1 flu website [edited]
<http://new.paho.org/hq/index.php?option=com_content&task=view&id=1336&Itemid=569>

Today 10 May [2009] USA reports a new death due to influenza A (H1N1) in
the state of Washington and Panama has increased to 15 the number of
confirmed cases.

As of 10 May 2009, the total number of confirmed cases of influenza A
(H1N1) recorded is 4476, including 53 deaths, in 10 countries of the
Americas (Argentina, Brazil, Canada, Colombia, Costa Rica, El Salvador,
Guatemala, Mexico, Panama, and the United States).

To date the United States has confirmed a total of 2532 cases of influenza
A (H1N1), including 3 deaths (2 in Texas and one in the state of
Washington), in 44 States (including the District of Columbia): 4 in
Alabama, 182 in Arizona, 282 in California, 39 in Colorado, 24 in
Connecticut, 44 in Delaware, 53 in Florida, 3 in Georgia, 6 in Hawaii, 1 in
Idaho, 466 in Illinois, 39 in Indiana, 43 in Iowa, 36 in Kansas, 3 in
Kentucky, 9 in Louisiana, 4 in Maine, 23 in Maryland, 88 in Massachusetts,
114 in Michigan, 7 in Minnesota, 10 in Missouri, 13 in Nebraska, 9 in
Nevada, 4 in New Hampshire, 7 in New Jersey, 30 in New Mexico, 190 in New
York, 7 in North Carolina, 6 in Ohio, 14 in Oklahoma, 17 in Oregon, 10 in
Pennsylvania, 7 in Rhode Island, 32 in South Carolina, 1 in South Dakota,
54 in Tennessee, 108 in Texas, 63 in Utah, 1 in Vermont, 16 in Virginia,
102 in Washington, 4 in Washington DC, and 357 in Wisconsin. Other
suspected cases are being investigated.

From [1 Mar 2009 to 9 May 2009], Mexico has reported 2062 confirmed cases
of influenza A (H1N1), including 48 deaths, in 30 of 32 states. The states
with the highest number of confirmed cases are the Federal District (Mexico
City), State of Mexico, San Luis Potosi, and Hidalgo. In Canada, up to 10
May [2009] 284 human cases of influenza A (H1N1) have been confirmed,
including 1 death in Alberta, in 9 of 13 Provinces (48 in Alberta, 79 in
British Columbia, 2 in New Brunswick, 56 in Nova Scotia, 15 in Quebec, 1 in
Manitoba, 76 in Ontario, 3 in Prince Edward Island and 4 in Saskatchewan).

To date Costa Rica has reported 8 confirmed cases of influenza A (H1N1)
including 1 death. On 3 May [2009], Colombia reported 1 confirmed case of
influenza A (H1N1), while El Salvador reported 2 confirmed cases of
influenza A (H1N1). On 5 May [2009], Guatemala notified 1 confirmed case of
influenza A (H1N1). On 8 May [2009], Argentina reported 1 confirmed case of
influenza A (H1N1). To date Brazil has reported 6 confirmed cases of
influenza A (H1N1), and Panama has confirmed 15 cases.

Various countries of the Region are reporting suspected and probable cases.
This indicates that surveillance enhancement is producing results.

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******
[3] CDC - USA update (11:00 GMT -4)
Date: Sun 10 May 2009
Source: CDC H1N1 flu website [edited]
<http://www.cdc.gov/h1n1flu/>

H1N1 flu (swine flu)
--------------------
States: cumulative no. of lab. confirmed cases (deaths) 2009 Apr: 30 / May:
1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9 / 10
Alabama 0 / 0 / 0 / 1 / 4 / 5 / 4 / 4 / 4 / 4 / 4
Arizona: 1 / 4 / 4 /18 / 17 / 17 / 48 / 48 / 131 / 182 / 182
California: 14 / 13 / 24 / 26 / 30 / 49 / 67 / 106 / 107 / 171 / 282
Colorado: 0 / 2 / 2 / 4 / 7 / 6 / 17 / 17 / 25 / 41 / 39
Connecticut: 0 / 0 / 1 / 2 / 2 / 2 / 4 / 4 / 4 / 14 / 24
Delaware: 0 / 4 / 4 / 10 / 20 / 20 / 33 / 28 / 39 / 44 / 44
Florida: 0 / 0 / 2 / 3 / 5 / 5 / 5 / 5 / 6 / 43 / 53
Georgia: 0 / 0 / 0 / 0 / 0 / 1 / 3 / 3 / 3 / 3 / 3
Hawaii: 0 / 0 / 0 / 0 / 0 / 0 / 3 / 3 / 5 / 6 / 6
Idaho: 0 / 0 / 0 / 0 / 1 / 1 / 1 / 1 / 1 / 1 / 1
Illinois: 0 / 3 / 3 / 3 / 8 / 82 / 122 / 204 / 392 / 421 / 466
Indiana: 1 / 3 / 3 / 3 / 3 / 3 / 15 / 15 / 29 / 39 / 39
Iowa: 0 / 0 / 0 / 1 / 1 / 1 / 1 / 5 / 5 / 43 / 43
Kansas: 2 / 2 / 2 / 2 / 2 / 2 / 2 / 7 / 12 / 12 / 36
Kentucky*: 0 / 1 / 1 / 1 / 1 / 1 / 2 / 2 / 3 / 3 / 3
Louisiana: 0 / 0 / 0 / 0 / 7 / 7 / 7 / 7 / 7 / 9 / 9
Maine: 0 / 0 / 0 / 0 / 0 / 1 / 1 / 4 / 4 / 4 / 4
Maryland: 0 / 0 / 0 / 0 / 4 / 4 / 4 / 4 / 4 / 23 / 23
Massachusetts: 2 / 2 / 8 / 7 / 6 / 6 / 45 / 71 / 83 / 89 / 88
Michigan: 1 / 2 / 2 / 2 / 2 / 2 / 8 / 9 / 49 / 103 / 114
Minnesota: 0 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 7
Missouri: 0 / 0 / 1 / 1 / 1 / 1 / 2 / 4 / 9 / 10 / 10
Nebraska: 0 / 1 / 0 / 1 / 1 / 1 / 4 / 4 / 4 / 13 / 13
Nevada: 1 / 1 / 1 / 1 / 1 / 1 / 5 / 5 / 8 / 9 / 9
New Hampshire: 0 / 0 / 0 / 1 / 1 / 1 / 2 / 2 / 3 / 4 / 4
New Jersey: 0 / 5 / 7 / 7 / 7 / 6 / 7 / 7 / 7 / 7 / 7
New Mexico: 0 / 0 / 0 / 1 / 1 / 1 / 3 / 8 / 8 / 30 / 30
New York: 50 / 50 / 50 / 63 / 73 / 90 / 97 / 98 / 174 / 190 / 190
North Carolina: 0 / 0 / 0 / 0 / 1 / 1 / 7 / 7 / 7 / 7 / 7
Ohio: 1 / 1 / 1 / 3 / 3 / 3 / 5 / 5 / 6 / 12 / 6
Oklahoma: 0 / 0 / 0 / 0 / 0 / 0 / 1 / 1 / 4 / 4 / 14
Oregon: 0 / 0 / 0 / 0 / 3 / 15 / 15 / 15 / 15 / 15 / 17
Pennsylvania: 0 / 0 / 0 / 0 / 1 / 1 / 1 / 2 / 2 / 10 / 10
Rhode Island: 0 / 0 / 0 / 1 / 1 / 1 / 2 / 2 / 7 / 7 / 7
South Carolina: 10 / 16 / 13 / 15 / 15 / 16 / 16 / 17 / 29 / 42 / 32
South Dakota: 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 1 / 1 / 1
Tennessee: 0 / 0 / 0 / 1 / 1 / 2 / 2 / 2 / 36 / 46 / 54
Texas: 26 (1) / 28 (1) / 28 (1) / 40 (1) / 41 (1) / 41 (1) / 61 (2) / 91
(2) / 93 (2) / 110 (2) / 108 (2)
Utah: 0 / 0 / 0 / 1 / 1 / 1 / 1 / 8 / 24 / 60 / 63
Vermont: 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 1 / 1
Virginia: 0 / 2 / 2 / 3 / 3 / 3 / 3 / 11 / 14 / 16 / 16
Washington: 0 / 0 / 0 / 0 / 0 / 0 / 9 / 23 / 33 / 83 / 102
Washington, DC: 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 1 / 4 / 4
Wisconsin: 0 / 0 / 0 / 3 / 3 / 3 / 6 / 26 / 240 / 317 / 357
Total number of states: 11 / 19 / 21 / 30 / 36 / 38 / 41 / 41 / 43 / 44 / 44
Total counts, cases (deaths): 109 (1) / 141 (1) / 160 (1) / 226 (1) / 279
(1) / 403 (1) / 642 (2) / 896 (2) / 1639 (2) / 2254 (2) / 2532 (3)
*Case is resident of KY but currently hospitalized in GA.

[For a map of number of cases by state, see
<http://www.cdc.gov/h1n1flu/update.htm>. - Mod.MPP]

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******
[4] Mexico - MOH update (none 10 May 2009)
Date: Sun 10 May 2009
Source: Secretaria de Salud website (MOH) [in Spanish, trans. Mod.MPP, edited]
<http://portal.salud.gob.mx/contenidos/noticias/influenza/estadisticas.html>

No update available for 10 May 2009
Case counts: 2009 Apr: 29 / May: 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9
Number of confirmed cases: 99 / 397 / 443 / 506 / 727 / 866 / 1112 / 1204 /
1364 / 1626
Number of deaths: 8 / 16 / 16 / 19 / 26 / 26 / 42 / 44 / 45 / 48

[For the updated 9 May 2009 graphics on the status of the epidemic with
epidemic curve and geographic distribution of cases, a link to the
downloadable *pdf file can be found by following the link for 09/Mayo/2009
"situacion actual de la Epidemia available at
<http://portal.salud.gob.mx/contenidos/noticias/influenza/estadisticas.html>.
- Mod.MPP]

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[5] Canada - Health Protection Agency (15:00 GMT -4)
Date: Sun 10 May 2009
Source: Health Protection Agency [edited]
<http://www.phac-aspc.gc.ca/alert-alerte/swine-porcine/surveillance-eng.php>

Cumulative confirmed cases (deaths) of human swine influenza by province
and date
Province: Apr: 30 / May: 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9 / 10
Alberta: 6 / 8 / 15 / 18 / 24 / 26 / 30 / 33 / 42 (1) / 46 (1) / 48 (1)
British Columbia: 11 / 15 / 22 / 29 / 39 / 46 / 54 / 54 / 60 / 79 / 79
Manitoba: 0 / 0 / 0 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1
Nova Scotia: 8 / 14 / 16 / 33 / 38 / 48 / 53 / 53 / 56 / 56 / 56
New Brunswick: 0 / 1 / 1 / 1 / 2 / 2 / 2 / 2 / 2 / 2 / 2
Ontario: 8 / 12 / 14 / 16 / 31 / 36 / 49 / 56 / 61 / 76 / 76
Prince Edward Island: 0 / 0 / 0 / 0 / 2 / 2 / 2 / 2 / 3 / 3 / 3
Quebec: 1 / 1 / 2 / 3 / 3 / 4 / 10 / 11 / 15 / 15 / 15
Saskatchewan: 0 / 0 / 0 / 0 / 0 / 0 / 0 / 2 / 2 / 2 / 4
Total no. provinces with cases: 5 / 6 / 6 / 7 / 8 / 8 / 8 / 9 / 9 / 9 / 9
Total: 34 / 51 / 70 / 101 / 140 / 165 / 201 / 214 / 242 (1) / 280 (1) / 284 (1)

[An epidemic curve available at the URL link above illustrates the course
of the current H1N1 flu virus (human swine flu) outbreak in Canada. It
shows the date when symptoms of H1N1 flu virus (human swine flu) began for
each of the laboratory-confirmed cases.

Provinces not submitting reports today (10 May 2009) are: British Columbia,
Ontario, Nova Scotia, Quebec, and Northwest Territories. - Mod.MPP]

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[6] News briefs
Date: Sun 10 May 2009

[Below are links to newswires with information on confirmed cases in
countries not yet included in official updates, and other events of
potential interest. The newswires are full of reports of suspected cases in
many countries. Reports have been filtered and discarded as more
information becomes available during the day. - Mod.MPP]

Asia:
China - 1st confirmed case on mainland, history of travel to USA
<http://news.xinhuanet.com/english/2009-05/11/content_11352085.htm>

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[Before presenting the summary of the status of reported cases of influenza
A (H1N1) infection as of 10 May 2009 it is important to mention that many
of the reporting units did not have reports from today (10 May 2009) so it
is highly likely that there may be a backlog of specimens to be processed
on 11 May 2009 that may result in an "artificial" increase in reports as
this backlog is processed on 11 May 2009.

To summarize the current situation, as of 10 May 2009 a total of 4379 cases
and 49 deaths of influenza A (H1N1) infection have been officially reported
to WHO/PAHO from 29 countries, up from 3440 confirmed cases and 48 deaths
from 29 countries yesterday (9 May 2009). There are no newly added
countries in the past 24 hours. According to newswires published on 9 May
2009 there is a confirmed case in Norway, and newswires published on 10 May
2009 mention a confirmed case in mainland China.

The USA has officially reported 2532 laboratory confirmed cases coming from
44 states (compared with 2254 cases from 44 states on 9 May 2009), and 3
deaths (one in a Mexican child with pre-existing illness visiting in the
USA, a 2nd in a resident of Texas with known pre-existing illness, and a
3rd in Washington State with known pre-existing illness). Canada has
reported 284 cases from 9 provinces with 1 death in an individual with
pre-existing illness, up from 280 cases and one death reported from 9
provinces on 9 May 2009. Mexico has reported 2062 confirmed cases with 48
deaths (compared with 1626 cases and 48 deaths on 9 May 2009.

For a map of reported confirmed cases, worldwide, as of 07:30 GMT 10 May
2009, see
<http://www.who.int/csr/don/GlobalSubnationalMaster_20090510_0800.jpg>. For
an interactive map of reported confirmed cases in the Americas, as of 13:00
GMT -4 (8 May 2009) showing burden of disease by state/province, see
<http://ais.paho.org/flu/sm/en/atlas.html> . - Mod.MPP]

See Also