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Published Date: 2009-05-21 23:50:00
Subject: PRO/AH/EDR> Influenza A (H1N1) - worldwide (40): case counts
Archive Number: 20090521.1906

INFLUENZA A (H1N1) - WORLDWIDE (40): 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 updates (06:00 GMT)
[2] PAHO - Americas regional update (18:00 GMT-4)
[3] CDC - USA update (11:00 GMT -4); hospitalized cases
[4] Mexico - MOH update (09:00 GMT-4)
[5] News briefs

******
[1] WHO - global update
Date: 21 May 2009
Source: WHO Epidemic and Pandemic Alert and Response (EPR) [edited]
<http://www.who.int/csr/en/>

Influenza A(H1N1) - update 35 -- 21 May 2009
<http://www.who.int/csr/don/2009_05_21/en/index.html>

Summary table of cases reported to WHO 30 Apr -- 21 May 2009
----------------------------------------
Country: No. cases (deaths) Apr 30 / May 1 / 2 / 3 / 4 / 5 / 6 / 7 /
8 / 9 / 10 / 11 / 12 / 13 / 14 / 15 / 16 / 17 / 18 / 19 / 20 / 21
Argentina: 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 1 / 1 / 1 / 1 / 1 / 1
/ 1 / 1 / 1 / 1 / 1 / 1 / 1
Australia: 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 1 / 1 / 1 / 1 / 1 / 1
/ 1 / 1 / 1 / 1 / 1 / 1 / 3
Austria: 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 /
1 / 1 / 1 / 1 / 1 / 1 / 1
Belgium: 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 /
1 / 2 / 4 / 5 / 5 / 5 / 5
Brazil: 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 4 / 6 / 6 / 8 / 8 / 8 / 8 / 8
/ 8 / 8 / 8 / 8 / 8 / 8
Canada: 19 / 34 / 51 / 85 / 101 / 140 / 165 / 201 / 214 / 242(1) /
280(1) / 284(1) / 330(1) / 358(1) / 389(1) / 449(1) / 496(1) / 496(1)
/ 496(1) / 496(1) / 496(1) / 719(1)
Chile: 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0
/ 0 / 0 / 1 / 4 / 5 / 5
China, Hong Kong SAR, mainland: 0 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1
/ 1 / 2 / 2 / 3 / 4 / 4 / 4 / 5 / 6 / 7 / 7 / 8
Colombia: 0 / 0 / 0 / 0 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 3 / 3 / 6 / 7 /
10 / 11 / 11 / 11 / 11 / 12 / 12
Costa Rica: 0 / 0 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 8(1) / 8(1) /
8(1) / 8(1) / 8(1) / 8(1) / 9(1) / 9(1) / 9 (1) / 9 (1) / 9(1) / 20(1)
Cuba: 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 1 / 1 / 3 /
3 / 3 / 3 / 3 / 3 / 4
Denmark: 0 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 /
1 / 1 / 1 / 1 / 1 / 1 / 1
Ecuador: 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 /
0 / 1 / 1 / 1 / 1 / 1 / 1
El Salvador: 0 / 0 / 0 / 0 / 2 / 2 / 2 / 2 / 2 / 2 / 2 / 4 / 4 / 4 /
4 / 4 / 4 / 4 / 4 / 6 / 6 / 6
Finland: 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 2 / 2 /
2 / 2 / 2 / 2 / 2 / 2 / 2
France: 0 / 0 / 2 / 2 / 4 / 4 / 5 / 5 / 12 / 12 / 12 / 13 / 13 / 13 /
14 / 14 / 14 / 14 / 14 / 14 / 15 / 16
Germany: 3 / 4 / 6 / 8 / 8 / 9 / 9 / 10 / 11 / 11 / 11 / 11 / 12 / 12
/ 12 / 12 / 14 / 14 / 14 / 14 / 14 / 14
Greece: 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0
/ 0 / 0 / 0 / 0 / 1 / 1
Guatemala: 0 / 0 / 0 / 0 / 0 / 0 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 3 / 3
/ 3 / 3 / 3 / 3 / 3 / 3 / 4
India: 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0
/ 0 / 1 / 1 / 1 / 1 / 1
Ireland: 0 / 0 / 0 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 /
1 / 1 / 1 / 1 / 1 / 1 / 1
Israel: 2 / 2 / 3 / 3 / 4 / 4 / 4 / 6 / 7 / 7 / 7 / 7 / 7 / 7 / 7 / 7
/ 7 / 7 / 7 / 7 / 7 / 7
Italy: 0 / 0 / 0 / 1 / 2 / 5 / 5 / 5 / 6 / 6 / 9 / 9 / 9 / 9 / 9 / 9
/ 9 / 9 / 9 / 9 / 9 / 10
Japan: 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 3 / 4 / 4 / 4 / 4 / 4 / 4
/ 4 / 7 / 125 / 159 / 210 / 259
Korea, Republic of: 0 / 0 / 1 / 1 / 1 / 2 / 2 / 3 / 3 / 3 / 3 / 3 / 3
/ 3 / 3 / 3 / 3 / 3 / 3 / 3 / 3 / 3
Malaysia: 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 /
0 / 0 / 2 / 2 / 2 / 2 / 2 / 2
Mexico: 97(7) / 156(9) / 397(16) / 506(19) / 590(25) / 822(29) /
942(29) / 1112(42) / 1204(44) / 1364(45) / 1626(45) / 1626(48) /
2059(56) / 2059(56) / 2446(60) / 2446(60) / 2895 (66) / 2895(66) /
3103(68) / 3648(72) / 3648(72) / 3892(75)
Netherlands: 1 / 1 / 1 / 1 / 1 / 1 / 1 / 2 / 3 / 3 / 3 / 3 / 3 / 3 /
3 / 3 / 3 / 3 / 3 / 3 / 3 / 3
New Zealand: 3 / 4 / 4 / 4 / 6 / 6 / 5 / 5 / 5 / 5 / 7 / 7 / 7 / 7 /
7 / 7 / 9 / 9 / 9 / 9 / 9 / 9
Norway: 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 2 / 2 / 2 / 2 / 2
/ 2 / 2 / 2 / 2 / 2 / 3
Panama: 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 2 / 3 / 15 / 16 / 29 / 29
/ 40 / 43 / 54 / 54 / 59 / 65 / 69
Peru: 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 /
1 / 1 / 1 / 2 / 3 / 3
Poland: 0 / 0 / 0 / 0 / 0 / 0 / 0 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1
/ 1 / 1 / 1 / 1 / 2 / 2
Portugal: 0 / 0 / 0 / 0 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 /
1 / 1 / 1 / 1 / 1 / 1 / 1
Spain: 13 / 13 / 13 / 40 / 54 / 57 / 73 / 81 / 88 / 88 / 93 / 95 / 95
/ 98 / 100 / 100 / 100 / 103 / 103 / 103 / 107 / 111
Sweden: 0 / 0 / 0 / 0 / 0 / 1 / 1 / 1 / 1 / 1 / 1 / 2 / 2 / 2 / 2 / 2
/ 2 / 3 / 3 / 3 / 3 / 3
Switzerland: 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 /
1 / 1 / 1 / 1 / 1 / 1 / 1 / 1
Thailand: 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 2 / 2 /
2 / 2 / 2 / 2 / 2 / 2 / 2
Turkey: 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0
/ 0 / 1 / 2 / 2 / 2 / 2
United Kingdom: 8 / 8 / 15 / 15 / 18 / 27 / 28 / 32 / 34 / 85 / 39 /
47 / 55 / 68 / 71 / 71 / 78 / 82 / 101 / 102 / 102 / 109
United States: 109(1) / 141(1) / 160(1) / 226(1) / 286(1) / 403(1) /
642(2) / 896(2) / 896(2) / 1639(2) / 2254(2) / 2532(3) / 2600(3) /
3009(3) / 3352(3) / 4298(3) / 4714(4) / 4714(4) / 4714(4) / 5123(5) /
5469(6) / 5710(8)

Total No. countries reporting cases: 11 / 13 / 16 / 18 / 21 / 21 / 23
/ 24 / 25 / 29 / 29 / 30 / 30 / 33 / 33 / 34 / 36 / 39 / 40 / 40 / 41 / 41
Total cases reported: 257(8) / 367(10) / 658(17) / 898(20) / 1085(26)
/ 1490(30) / 1893(31) / 2371(44) / 2500(46) / 2440(48) / 4379(49) /
4694(53) / 5251(61) / 5728(61) / 6497(65) / 7520(65) / 8451(72) /
8480(72) / 8829(74) / 9830(79) / 10 243(80) / 11 034(85)

--
Communicated by:
ProMED-mail Rapporteur Marianne Hopp

******
[2] PAHO - Americas regional update (18:00 GMT-4)
Date: 20 May 2009
Source: PAHO H1N1 flu website [edited]
<http://new.paho.org/hq/index.php?option=com_content&task=blogcategory&id=814&Itemid=1167>

Up to 21 May 2009, 10 540 confirmed cases of the new virus influenza
A (H1N1) infection, including 86 deaths, have been notified in 14
countries of the Americas: Argentina, Brazil, Canada, Chile,
Colombia, Costa Rica, Cuba, Ecuador, El Salvador, Guatemala, Mexico,
Panama, Peru and the United States. The date of the onset of symptoms
of the 1st confirmed case was [28 Mar 2009] in the United States.

WHO is not recommending any travel restrictions related to the
outbreak of the Influenza A (H1N1) virus.

The new virus influenza A (H1N1) is sensitive in vitro to
Oseltamivir. However, it should be emphasized that the knowledge of
the safety and efficacy of this drug comes from the experience in the
treatment of seasonal influenza.

In the event of confirmed or suspected cases of infection by the new
virus influenza A (H1N1) that fulfill clinical criteria of severity,
the treatment with Oseltamivir has to be initiated immediately.

--
Communicated by:
ProMED-mail Rapporteur Marianne Hopp

******
[3] CDC - USA update
Date: 21 May 2009 (11:00 GMT-4)
Source: CDC H1N1 flu website [edited]
<http://www.cdc.gov/h1n1flu/>

H1N1 flu (swine flu)
--------------------
Cumulative total of laboratory confirmed cases (deaths), by state, 30
Apr -- 21 May 2009
States: Cases (deaths) Apr 30 / May 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9
/ 10 / 11 / 12 / 13 / 14 / 15 / 18 / 19 / 20 / 21
Alabama: 0 / 0 / 0 / 1 / 4 / 4 / 4 / 4 / 4 / 4 / 4 / 4 / 9 / 9 / 41 /
55 / 61 / 61 / 64 / 64
Arkansas: 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 1 /
2 / 3 / 3 / 3 / 3
Arizona: 1 / 4 / 4 / 18 / 17 / 17 / 48 / 48 / 131 / 182 / 182 / 182 /
187 / 187 / 432 / 435(1) / 476(1) / 488(2) / 488(2) / 488(2)
California: 14 / 13 / 24 / 26 / 30 / 49 / 67 / 106 / 107 / 171 / 282
/ 191 / 193 / 221 / 473 / 504 / 553 / 553 / 553 / 553
Colorado: 0 / 2 / 2 / 4 / 7 / 6 / 17 / 17 / 25 / 41 / 39 / 39 / 44 /
44 / 47 / 55 / 56 / 56 / 55 / 55
Connecticut: 0 / 0 / 1 / 2 / 2 / 2 / 4 / 4 / 4 / 14 / 24 / 24 / 28 /
33 / 38 / 47 / 53 / 56 / 59 / 59
Delaware: 0 / 4 / 4 / 10 / 20 / 20 / 33 / 38 / 39 / 44 / 44 / 44 / 45
/ 54 / 58 / 60 / 65 / 69 / 88 / 88
Florida: 0 / 0 / 2 / 3 / 5 / 5 / 5 / 5 / 6 / 43 / 53 / 54 / 55 / 58 /
65 / 68 / 101 / 103 / 122 / 122
Georgia: 0 / 0 / 0 / 0 / 0 / 1 / 3 / 3 / 3 / 3 / 3 / 3 / 4 / 8 / 36 /
18 / 24 / 25 / 25 / 25
Hawaii: 0 / 0 / 0 / 0 / 0 / 0 / 3 / 3 / 5 / 6 / 6 / 6 / 6 / 6 / 10 /
10 / 21 / 21 / 26 / 30
Idaho: 0 / 0 / 0 / 0 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 2 / 3 / 5 / 5
/ 8 / 8 / 8 / 8
Illinois: 0 / 3 / 3 / 3 / 8 / 82 / 122 / 204 / 392 / 421 / 466 / 487
/ 554 / 592 / 620 / 638 / 696 / 707 / 794 / 794
Indiana: 1 / 3 / 3 / 3 / 3 / 3 / 15 / 15 / 29 / 39 / 39 / 39 / 61 /
70 / 70 / 71 / 81 / 96 / 105 / 105
Iowa: 0 / 0 / 0 / 1 / 1 / 1 / 1 / 5 / 5 / 43 / 43 / 43 / 55 / 55 / 58
/ 66 / 66 / 71 / 71 / 71
Kansas: 2 / 2 / 2 / 2 / 2 / 2 / 2 / 7 / 12 / 12 / 36 / 18 / 22 / 23 /
28 / 30 / 34 / 34 / 34 / 34
Kentucky*: 0 / 1 / 1 / 1 / 1 / 1 / 2 / 2 / 3 / 3 / 3 / 10 / 10 / 10 /
13 / 13 / 14 / 16 / 20 / 20
Louisiana: 0 / 0 / 0 / 0 / 7 / 7 / 7 / 7 / 7 / 9 / 9 / 9 / 20 / 33 /
45 / 57 / 57 / 65 / 73 / 73
Maine: 0 / 0 / 0 / 0 / 0 / 4 / 1 / 4 / 4 / 4 / 4 / 4 / 6 / 6 / 13 /
14 / 12 / 10 / 9 / 9
Maryland: 0 / 0 / 0 / 0 / 4 / 4 / 4 / 4 / 4 / 23 / 23 / 23 / 23 / 23
/ 28 / 28 / 34 / 39 / 39 / 39
Massachusetts: 2 / 2 / 6 / 7 / 6 / 6 / 45 / 71 / 83 / 89 / 88 / 88 /
107 / 107 / 109 / 135 / 143 / 156 / 175 / 175
Michigan: 2 / 2 / 2 / 2 / 2 / 2 / 8 / 9 / 49 / 103 / 114 / 130 / 133
/ 134 / 141 / 142 / 158 / 165 / 171 / 171
Minnesota: 0 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 1 / 7 / 7 / 24 / 31 /
34 / 36 / 38 / 38 / 39 / 39
Mississippi: 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 /
0 / 0 / 3 / 4 / 5 / 5
Missouri: 0 / 0 / 1 / 1 / 1 / 1 / 2 / 4 / 9 / 10 / 10 / 14 / 14 / 18
/ 20 / 19 / 19 / 20 / 20(1) / 20(1)
Montana: 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 1 / 1 / 5 /
4 / 4 / 9 / 9 / 9
Nebraska: 0 / 0 / 0 / 1 / 1 / 1 / 4 / 4 / 4 / 13 / 13 / 13 / 19 / 21
/ 23 / 27 / 28 / 28 / 28 / 28
Nevada: 1 / 1 / 1 / 1 / 1 / 1 / 5 / 5 / 8 / 9 / 9 / 9 / 12 / 21 / 25
/ 26 / 30 / 31 / 33 / 33
New Hampshire: 0 / 0 / 0 / 1 / 1 / 1 / 2 / 2 / 3 / 4 / 4 / 4 / 16 /
17 / 18 / 18 / 19 / 20 / 22 / 22
New Jersey: 0 / 5 / 7 / 7 / 7 / 6 / 7 / 7 / 7 / 7 / 7 / 7 / 7 / 8 /
12 / 14 / 15 / 18 / 22 / 22
New Mexico: 0 / 0 / 0 / 1 / 1 / 1 / 3 / 8 / 8 / 30 / 30 / 30 / 30 /
44 / 51 / 68 / 68 / 68 / 68 / 68
New York: 51 / 50 / 51 / 63 / 73 / 90 / 97 / 98 / 174 / 190 / 190 /
190 / 192 / 211 / 224 / 242 / 254 / 267 / 284(1) / 284(1)
North Carolina: 0 / 0 / 0 / 0 / 1 / 1 / 7 / 7 / 7 / 7 / 7 / 11 / 11 /
12 / 12 / 12 / 12 / 12 / 12 / 12
North Dakota: 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 /
1 / 2 / 3 / 3 / 5 / 5
Ohio: 1 / 1 / 1 / 3 / 3 / 3 / 5 / 5 / 6 / 12 / 6 / 6 / 7 / 11 / 12 /
14 / 13 / 13 / 13 / 13
Oklahoma: 0 / 0 / 0 / 0 / 0 / 0 / 1 / 11 / 4 / 4 / 14 / 14 / 14 / 22
/ 22 / 26 / 32 / 42 / 43 / 43
Oregon: 0 / 0 / 0 / 0 / 3 / 15 / 15 / 15 / 15 / 15 / 17 / 17 / 74 /
74 / 94 / 94 / 94 / 94 / 94 / 94
Pennsylvania: 0 / 0 / 0 / 0 / 1 / 1 / 1 / 2 / 2 / 10 / 10 / 10 / 17 /
22 / 50 / 47 / 56 / 55 / 55 / 61
Rhode Island: 0 / 0 / 0 / 1 / 1 / 1 / 2 / 2 / 7 / 7 / 7 / 7 / 7 / 7 /
8 / 8 / 8 / 8 / 8 / 8
South Carolina: 0 / 16 / 13 / 15 / 15 / 16 / 16 / 17 / 29 / 42 / 32 /
32 / 32 / 32 / 34 / 36 / 36 / 36 / 36 / 36
South Dakota: 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 1 / 1 / 1 / 1 / 3 / 3 /
5 / 4 / 4 / 4 / 4 / 4
Tennessee: 0 / 0 / 0 / 1 / 1 / 2 / 2 / 2 / 36 / 46 / 54 / 54 / 54 /
57 / 63 / 74 / 82 / 85 / 86 / 86
Texas: 16(1) / 28(1) / 28(1) / 40(1) / 41(1) / 41(1) / 61(2) / 91(2)
/ 93(2) / 110(2) / 108(2) / 179(2) / 206(2) / 293(2) / 439(2) /
506(2) / 556(3) / 556(3) / 556(3) / 556(3)
Utah: 0 / 0 / 0 / 1 / 1 / 3 / 1 / 8 / 24 / 60 / 63 / 63 / 67 / 72 /
80 / 91 / 91 / 91 / 91 / 116 / 116(1)
Vermont: 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 1 / 1 / 1 / 1 / 1 / 1 /
1 / 1 / 1 / 1 / 1
Virginia: 0 / 2 / 2 / 3 / 3 / 3 / 3 / 11 / 14 / 16 / 16 / 16 / 17 /
17 / 20 / 21 / 21 / 23 / 23 / 23
Washington: 0 / 0 / 0 / 0 / 0 / 0 / 9 / 23 / 33 / 83 / 102(1) /
128(1) / 176(1) / 176(1) / 195(1) / 246(1) / 294(1) / 362(1) / 411(1) / 411(1)
Washington, DC: 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 1 / 4 / 4 / 4 / 7 / 9
/ 10 / 12 / 13 / 13 / 13 / 13
Wisconsin: 0 / 0 / 0 / 3 / 3 / 3 / 6 / 26 / 240 / 317 / 357 / 384 /
437 / 496 / 510 / 613 / 613 / 766 / 766 / 766

Total number of states: 10 / 19 / 21 / 30 / 36 / 38 / 41 / 41 / 43 /
44 / 44 / 44 / 45 / 45 / 47 / 47 / 48 / 48 / 48 / 48
Total counts, cases (deaths): 91(1) / 141(1) / 160(1) / 226(1) /
279(1) / 403(1) / 642(2) / 896(2) / 1639(2) / 2254(2) / 2532(3) /
2600(3) / 3009(3) / 3352(3) / 4298(3) / 4714(4) / 5123(5) / 5469(6) /
5710(8) / 5764(9)

*Case is resident of KY but hospitalized in GA.

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

--
Communicated by:
ProMED-mail <promed@promedmail.org>

******
[4] Mexico - MOH update 09:00 GMT-4
Date: 20 May 2009
Source: Secretaria de Salud website (MOH) [trans. Mod.MPP, edited]
<http://portal.salud.gob.mx/contenidos/noticias/influenza/estadisticas.html>

Case counts: 29 Apr 2009 / May 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9 / 11
/ 12 / 13 / 14 / 15 / 19 / 20 / 21
Number of confirmed cases: 99 / 397 / 443 / 506 / 727 / 866 / 1112 /
1204 / 1364 / 1626 / 2059 / 2282 / 2446 / 2656 / 2895 / 3648 / 3892 / 4008
Number of deaths: 8 / 16 / 16 / 19 / 26 / 26 / 42 / 44 / 45 / 48 / 56
/ 58 / 60 / 64 / 66 / 72 / 75 / 78

--
Communicated by:
ProMED-mail <promed@promedmail.org>

[For a detailed update on the epidemiologic situation of the outbreak
in Mexico as of 21 May 2009, see
<http://portal.salud.gob.mx/descargas/pdf/influenza/situacion_actual_epidemia_210509.pdf>.
The report contains graphs and charts detailing the epidemic curve,
variables related to age specific morbidity and mortality, geographic
distribution, clinical presentation of fatal cases and population
based attack rates. A close look at the epidemic curve presented in
this update reveals one laboratory confirmed case on 11 Mar 2009 (as
the earliest confirmed case), and the most recent date of onset of
symptoms with laboratory confirmation with 2 cases on 18 May 2009.
The peak number of confirmed cases on a daily basis occurred on 26
and 27 Apr 2009. The overall case fatality rate (CFR) is now down to
1.9 percent (in the 1st report on CFRs on 6 May 2009 the overall CFR
was 3.8 percent). Pre-existing illnesses among the fatal cases
included: metabolic abnormalities such as diabetes and/or obesity
(29.3 percent), cardiac disease (13.3 percent), smoking history (10.7
percent), respiratory disease (5.3 percent), infectious diseases (4.0
percent), autoimmune diseases (1.3 percent) and malignancies (.3
percent). - Mod.MPP]

******
[5] News briefs
Date: 21 May 2009

[Below are links to newswires with information on confirmed cases in
countries not included in official updates from 19 May 2009, 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]

Americas:
Honduras - 1st case confirmed, 9 year old in San Pedro Sula with no
history of travel
<http://about.reuters.com/dynamic/countrypages/chile/1242941153nN21454545.ASP>

Asia:
Philippines - 1st case confirmed, history of travel to USA and Canada
<http://www.alertnet.org/thenews/newsdesk/SP494554.htm>

Oceana:
Australia - 1st locally transmitted cases
<http://www.watoday.com.au/national/two-girls-first-swine-flu-cases-without-travelling-overseas-20090522-bhjn.html>

--
Communicated by:
ProMED-mail <promed@promedmail.org>
ProMED-mail Rapporteur Mary Marshall

[To summarize the current situation, as of 6:00 AM GMT on 21 May 2009
there have been a total of 11 034 cases and 85 deaths of influenza A
(H1N1) infection officially reported to WHO coming from 41 countries,
up from 10 243 confirmed cases and 80 deaths from 41 countries
yesterday (20 May 2009). According to the WHO update, there were no
new countries reporting cases in the past 24 hours. According to
newswires, the Philippines have confirmed a 1st case of influenza
A(H1N1) infection in a 10-year-old girl with a history of travel to
the USA and Canada. Of note is the newswire with confirmation of a
1st case in Honduras with no history of travel. One suspects that
there is more widespread distribution of the influenza A(H1N1) virus
around the world than has been officially confirmed, especially when
many locations have implemented active surveillance of cases among
people with known epidemiologic links to locations where the virus
has been documented.

The USA has officially reported 5764 laboratory confirmed cases
coming from 48 states (compared with 5710 cases from 48 states on 20
May 2009), and 9 deaths. Mexico has reported 4008 cases and 78 deaths
(compared with 3892 cases and 77 deaths on 20 May 2009). Canada has
reported 719 cases and one death (compared with 496 cases and one
death on 15 May 2009).

For a map of reported confirmed cases, worldwide, as of 06:00 GMT 21
May 2009, see <http://www.who.int/csr/don/h1n1_20090521_0600.jpg>. - Mod.MPP]

Influenza A (H1N1) - worldwide (39) 20090521.1903
Influenza A (H1N1) - worldwide (38): case counts 20090520.1895
Influenza A (H1N1) - worldwide (37) 20090520.1893
Influenza A (H1N1) - worldwide (36): case counts, amended 20090519.1882
Influenza A (H1N1) - worldwide (35): case counts 20090518.1867
Influenza A (H1N1) - worldwide (34): 20090518.1863
Influenza A (H1N1) - worldwide (33): case counts 20090517.1848
Influenza A (H1N1) - worldwide (32): case counts 20090517.1845
Influenza A (H1N1) - worldwide (31) 20090516.1835
Influenza A (H1N1) - worldwide (30): case counts 20090516.1831
Influenza A (H1N1) - worldwide (29) 20090515.1824
Influenza A (H1N1) - worldwide (28): case counts 20090515.1822
Influenza A (H1N1) - worldwide (27): case counts 20090514.1800
Influenza A (H1N1) - worldwide (26) 20090514.1798
Influenza A (H1N1) - worldwide (25): case counts 20090513.1785
Influenza A (H1N1) - worldwide (24): case counts 20090512.1772
Influenza A (H1N1) - worldwide (23) 20090511.1764
Influenza A (H1N1) - worldwide (22): case counts 20090511.1759
Influenza A (H1N1) - worldwide (21) 20090510.1749
Influenza A (H1N1) - worldwide (20): case counts 20090510.1741
Influenza A (H1N1) - worldwide (19) 20090509.1733
Influenza A (H1N1) - worldwide (18): case counts 20090509.1728
Influenza A (H1N1) - worldwide (17) 20090508.1722
Influenza A (H1N1) - worldwide (16): case counts 20090507.1715
Influenza A (H1N1) - worldwide (15) 20090507.1709
Influenza A (H1N1) - worldwide (14): case counts 20090507.1702
Influenza A (H1N1) - worldwide (13) 20090506.1695
Influenza A (H1N1) - worldwide (12): case counts 20090505.1681
Influenza A (H1N1) - worldwide (11): coincident H3N2 variation 20090505.1679
Influenza A (H1N1) - worldwide (10): case counts 20090504.1675
Influenza A (H1N1) - worldwide (09) 20090504.1673
Influenza A (H1N1) - worldwide (08): case counts 20090503.1660
Influenza A (H1N1) - worldwide (07) 20090503.1658
Influenza A (H1N1) - worldwide (06): case counts 20090502.1654
Influenza A (H1N1) - worldwide (05) 20090503.1657
Influenza A (H1N1) - worldwide (04): case counts 20090501.1648
Influenza A (H1N1) - worldwide (03) 20090501.1646
Influenza A (H1N1) - worldwide (02): case counts 20090430.1638
Influenza A (H1N1) - worldwide 20090430.1636
Influenza A (H1N1) "swine flu": worldwide (07), update, pandemic 5
20090429.1622
Influenza A (H1N1) "swine flu": worldwide (06) 20090429.1614
Influenza A (H1N1) "swine flu": worldwide (05) 20090428.1609
Influenza A (H1N1) "swine flu": worldwide (04) 20090428.1601
Influenza A (H1N1) "swine flu": worldwide (03) 20090428.1600
Influenza A (H1N1) "swine flu": Worldwide (02) 20090427.1586
Influenza A (H1N1) "swine flu": Worldwide 20090427.1583
Influenza A (H1N1) virus, human: worldwide 20090426.1577
Influenza A (H1N1) virus, human - New Zealand, susp 20090426.1574
Influenza A (H1N1) virus, human - N America (04) 20090426.1569
Influenza A (H1N1) virus, human - N America (03) 20090426.1566
Influenza A (H1N1) virus, human - N America (02) 20090425.1557
Influenza A (H1N1) virus, human - N America 20090425.1552
Acute respiratory disease - Mexico, swine virus susp 20090424.1546
Influenza A (H1N1) virus, swine, human - USA (02): (CA, TX) 20090424.1541
Influenza A (H1N1) virus, swine, human - USA: (CA) 20090422.1516
Influenza A (H1N1) virus, swine, human - Spain 20090220.0715
2008
----
Influenza A (H1N1) virus, swine, human - USA (TX) 20081125.3715
2007
----
Influenza A (H2N3) virus, swine - USA 20071219.4079
Influenza, swine, human - USA (IA): November 2006 20070108.0077
...................................................mpp/msp/mpp

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See Also