2009 swine flu outbreak - Cases by country

 

 

is the spread of a new strain of H1N1 influenza virus that was first detected by public health agencies in March 2009.[30] Local outbreaks of influenza-like illness were first detected in three areas of Mexico, but the new strain was not clinically ascertained as such until a month later in cases in Texas and California, whereupon its presence was swiftly confirmed in various Mexican states and Mexico City; within days isolated cases elsewhere in Mexico, the U.S., the Northern Hemisphere were also identified. By April 27, the new strain was confirmed in Canada, Spain, and the United Kingdom and suspected in many other nations, including New Zealand, with over 2,400 candidate cases, prompting the World Health Organization (WHO) to raise their pandemic alert level to 4.[31][32]

The new strain is an apparent reassortment of several strains of influenza A virus subtype H1N1, including a strain endemic in humans and two strains endemic in pigs, as well as an avian influenza.[33]

In April both the WHO and the United States Centers for Disease Control and Prevention (CDC) expressed serious concerns about the situation. It had the potential to become a flu pandemic because the strain was novel, transmitted from human to human against little immunity, and the Mexican mortality rate was unusually high.[34] On April 25, 2009, the WHO determined the situation to be a formal "public health emergency of international concern", with knowledge lacking in regard to "the clinical features, epidemiology, and virology of reported cases and the appropriate responses".[35] Government health agencies around the world also expressed concerns over the outbreak and are monitoring the situation closely.

As of April 26, 2009, Mexico City schools, universities, and all public events remained closed or suspended[36] while other schools in the U.S. closed due to confirmed cases in students.[37][38] On April 27, 2009, Mexican government officials announced a nationwide shut down of schools.

 

Cases by country

 

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