WHO ALERT - Deadly Novel Coronavirus nCoV outbreak

coronavirus

The World Health Organization (WHO) is on high alert for a recently mutated form of the SARS Coronavirus recently named the novel coronavirus (nCoV) also known as Human coronavirus.  

According to a recent alert from the World Health Origanization, the following people should be investigated and tested for nCoV novel coronavirus:

A person with an acute respiratory infection, which may include history of fever and cough and indications of pulmonary parenchymal disease (e.g. pneumonia or ARDS), based on clinical or radiological evidence of consolidation, who requires admission to hospital.

1.  In addition, clinicians should be alert to the possibility of atypical presentations in patients who are immunocompromised. AND any of the following:

• The disease is in a cluster that occurs within a 10- day period, without regard to place of residence or history of travel, unless another a etiology has been identified.
• The disease occurs in a health care worker who has been working in an environment where patients with severe acute respiratory infections are being cared for, particularly patients requiring intensive care, without regard to place of residence or history of travel, unless another a etiology has been identified.
• The person has history of travel to the Middle East within 10 days before onset of illness, unless another a etiology has been identified. 
• The person develops an unusual or unexpected clinical course, especially sudden deterioration despite appropriate treatment, without regard to place of residence or history of travel, even if another a etiology has been identified, if that alternate a etiology does not fully explain the presentation or clinical course of the patient.

2.  Individuals with acute respiratory illness of any degree of severity who, within 10 days before onset of illness, were in close physical contact with a confirmed or probable case of novel coronavirus infection (nCoV), while that patient was ill.

3.  For countries in the Middle East, the minimum standard for surveillance should be testing of patients with severe respiratory disease requiring mechanical ventilation. The minimum standard should also include investigation of all those in three categories listed above
patients with unexplained pneumonia or ARDS occurring in clusters; health care workers requiring admission for respiratory disease and patients with unusual presentation or clinical course. However, countries in the Middle East are also strongly encouraged to consider adding testing for novel coronavirus nCoV to current testing algorithms as part of routine sentinel respiratory disease surveillance and, if local capacity can support it, some testing of patients with milder, unexplained, community - acquired pneumonia requiring admission to hospital.

 

Since April 2012, there have been 40 laboratory-confirmed cases of human infection with novel coronavirus (nCoV). Several countries in the Middle East have been affected, including Jordan, Saudi Arabia, the United Arab Emirates (UAE), and Qatar. Cases have also been reported by three countries in Europe: France, Germany, and the United Kingdom. All of the European cases have had a direct or indirect connection to the Middle East. However, in France and the United Kingdom, there has been limited local transmission among close contacts who had not been to the Middle East but had been in contact with a traveller recently returned from the Middle East. 

About Coronavirus (It is important to differentiate between the common coronavirus and the recently announced Novel Corona Virus (nCoV) most of the Q&A applies to the common coronavirus with some additions specific to SARS CoV and nCoV

 Q:What is the coronaviruses?
 A: Coronaviruses are common viruses most people get some time in their life. Human coronaviruses usually cause mild to moderate upper-respiratory tract illnesses. Coronaviruses are named for the crown-like spikes on their surface.
 There are three main sub-groupings of coronaviruses, known as alpha, beta and gamma, and a fourth provisionally-assigned new group called delta coronaviruses. Human coronaviruses were first identified in the mid 1960s. The five coronaviruses that can infect people are: alpha coronaviruses 229E and NL63 and beta coronaviruses OC43, HKU1, and SARS-CoV, the coronavirus that causes severe acute respiratory syndrome. Coronaviruses may also infect animals. Most of these coronaviruses usually infect only one animal species or, at most, a small number of closely related species. However, SARS-CoV can infect people and animals, including monkeys, Himalayan palm civets, raccoon dogs, cats, dogs, and rodents.  

 Q: How common are human coronavirus infections?  
 A: People around the world commonly get infected with human coronaviruses. Until May 2013, the more serious strain of the Coronavirus know as SARS Coronavirus or SARS-CoV was not known to spread from human to human.

 Q: Who can get infected?  
 A: Most people will get infected with human coronaviruses in their life time. Young children are most likely to get infected. However, you can have multiple infections in your life time. The more serious novel Corona Virus nCoV has started its' spread in the Middle East. The WHO is warning anyone travelling to or in contact with anyone who has travelled to the Middle east to beware of the Symptoms of nCoV

  Q: How do I get infected?
   A: The ways that human coronaviruses spread have not been studied very much, except for SARS. However, it is likely that human coronaviruses spread from an infected person to others through— the air by coughing and sneezing, and close personal contact, such as touching or shaking hands. These viruses may also spread by touching contaminated objects or surfaces then touching your mouth, nose, or eyes.

  Q: When can I get infected?
 A: In the United States, people usually get infected with the common human coronaviruses in the fall and winter. However, you can get infected at any time of the year.

  Q: What are the symptoms of SARS CoV / Coronavirus / nCoV?
  A: Human coronaviruses usually cause mild to moderate upper-respiratory tract illnesses of short duration. Symptoms may include runny nose, cough, sore throat, and fever. These viruses can sometimes cause lower-respiratory tract illnesses, such as pneumonia. This is more common in people with cardiopulmonary disease or compromised immune systems, or the elderly.
Symptoms of Novel coronavirus nCoV All confirmed cases of novel corona virus nCoV have had respiratory disease and most have had pneumonia However, one immunocompromised patient presented initially with fever and diarrhea and was only incidentally found to have pneumonia on a radiograph. Half of all confirmed cases have died. Complications during the course of novel coronavirus nCoV have included severe pneumonia with respiratory failure requiring mechanical ventilation , acute respiratory distress syndrome (ARDS) with multi-organ failure, renal failure requiring dialysis, consumptive coagulopathyand pericarditis. A number of novel coronavirus nCoV cases have also had gastrointestinal
symptoms including diarrhea during the course of their contracting novel corona virus nCoV.


 Q: How can I protect myself from the various strains of the Coronavirus including novel coronavirus nCoV ?
  A: There are currently no vaccines available to protect you against human coronavirus infection and especially not the more deadly novel coronavirus nCoV. You may be able to reduce your risk of infection by— washing your hands often with soap and water, not touching your eyes, nose, or mouth, and avoiding close contact with people who may have been exposed to novel coronavirus. Currently the novel coronavirus nCoV strain of the coronavirus has seen an outbreak in area's of the middle east. With modern methods of travel, the WHO is concerned the novel coronavirus will soon spread to the rest of the world.

  Q: What should I do if I experience symptoms of the novel coronavirus nCoV?
  A: If you have an illness caused by human coronaviruses, you can help protect others by— staying home while you are sick, avoiding close contact with others, covering your mouth and nose when you cough or sneeze, and keeping objects and surfaces clean and disinfected.
If you feel you have the symptoms of the more serious novel coronavirus nCoV, the WHO is recommending you seek immediate medical treatment. It is believed standard nasal swab testing is not  as accurate as obtaining a lower respiratory sample.

  Q: How do I get diagnosed for novel coronavirus nCoV ?
  A: Laboratory tests can be done to confirm whether your illness may be caused by human coronaviruses. However, these tests are not used very often because people usually have mild illness. Also, testing may be limited to a few specialized laboratories. Specific laboratory tests may include: virus isolation in cell culture, polymerase chain reaction (PCR) assays that are more practical and available commercially, and serological testing for antibodies to human coronaviruses. In the case of the novel coronavirus nCoV strain, a lower respiratory specimen is recommended if a nasal swab does not detect nCoV in a patient displaying symptoms of nCoV.

  Q: Are there treatments?
 A: There are no specific treatments for illnesses caused by human coronaviruses. Most people with coronavirus illness will recover on their own. However, some things can be done to relieve your symptoms, such as— taking pain and fever medications (Caution: Aspirin should not be given to children), and using a room humidifier or taking a hot shower to help ease a sore throat and cough. If you are sick, you should — drink plenty of liquids, and stay home and rest.
IMPORTANT - The above is for common coronavirus. If you are displaying symptoms of novel coronavirus (nCoV) you should seek IMMEDIATE medical attention. There is no known common cure for novel coronavirus (nCoV) as over half of those infected with nCoV have died. If you are concerned about your symptoms, you should see you healthcare provider.

Basic information on coronaviruses as a whole. 
(Partially obtained from Wikipedia)

Coronaviruses are species in the genera of virus belonging to the subfamily Coronavirinae in the family Coronaviridae. Coronaviruses are enveloped viruses with a positive-sense RNA genome and with a nucleocapsid of helical symmetry. The genomic size of coronaviruses ranges from approximately 26 to 32 kilobases, extraordinarily large for an RNA virus.

The name "coronavirus" is derived from the Latin corona, meaning crown or halo, and refers to the characteristic appearance of virions under electron microscopy (E.M.) with a fringe of large, bulbous surface projections creating an image reminiscent of the solar corona. This morphology is created by the viral spike (S) peplomers, which are proteins that populate the surface of the virus and determine host tropism.

Coronaviruses are grouped in the order Nidovirales, named for the Latin nidus, meaning nest, as all viruses in this order produce a 3' co-terminal nested set of subgenomic mRNA's during infection. Proteins that contribute to the overall structure of all coronaviruses are the spike (S), envelope (E), membrane (M) and nucleocapsid (N). In the specific case of the SARS coronavirus, a defined receptor-binding domain on S mediates the attachment of the virus to its cellular receptor, angiotensin-converting enzyme 2 (ACE2).

Some coronaviruses (specifically the members of Betacoronavirus subgroup A) also have a shorter spike-like protein called hemagglutinin esterase (HE). Coronaviruses primarily infect the upper respiratory and gastrointestinal tract of mammals and birds. Four to five different currently known strains of coronaviruses infect humans. The most publicized human coronavirus, SARS-CoV which causes SARS, has a unique pathogenesis because it causes both upper and lower respiratory tract infections and can also cause gastroenteritis. Coronaviruses are believed to cause a significant percentage of all common colds in human adults. Coronaviruses cause colds in humans primarily in the winter and early spring seasons.


The significance and economic impact of coronaviruses as causative agents of the common cold are hard to assess because, unlike rhinoviruses (another common cold virus), human coronaviruses are difficult to grow in the laboratory. In chickens, the Infectious bronchitis virus (IBV), a coronavirus, targets not only the respiratory tract but also the uro-genital tract. The virus can spread to different organs throughout the chicken. Coronaviruses also cause a range of diseases in farm animals and domesticated pets, some of which can be serious and are a threat to the farming industry. Economically significant coronaviruses of farm animals include porcine coronavirus (transmissible gastroenteritis coronavirus, TGE) and bovine coronavirus, which both result in diarrhea in young animals.

Feline Coronavirus: two forms, Feline enteric coronavirus is a pathogen of minor clinical significance, but spontaneous mutation of this virus can result in feline infectious peritonitis (FIP), a disease associated with high mortality. There are two types of canine coronavirus (CCoV), one that causes mild gastrointestinal disease and one that has been found to cause respiratory disease.

Mouse hepatitis virus (MHV) is a coronavirus that causes an epidemic murine illness with high mortality, especially among colonies of laboratory mice.

Prior to the discovery of SARS-CoV, MHV had been the best-studied coronavirus both in vivo and in vitro as well as at the molecular level. Some strains of MHV cause a progressive demyelinating encephalitis in mice which has been used as a murine model for multiple sclerosis.

Significant research efforts have been focused on elucidating the viral pathogenesis of these animal coronaviruses, especially by virologists interested in veterinary and zoonotic diseases. Following the high-profile publicity of SARS outbreaks, there has been a renewed interest in coronaviruses in the field of virology.

For many years, scientists knew only about the existence of two human coronaviruses (HCoV-229E and HCoV-OC43). The discovery of SARS-CoV added another human coronavirus to the list. By the end of 2004, three independent research labs reported the discovery of a fourth human coronavirus. It has been named NL63, NL or the New Haven coronavirus by the different research groups. The naming of this fourth coronavirus is still a controversial issue, because the three labs are still battling over who actually discovered the virus first and hence earns the right to name the virus.

Early in 2005, a research team at the University of Hong Kong reported finding a fifth human coronavirus in two pneumonia patients, and subsequently named it HKU1. In September 2012, what is believed to be a new type of coronavirus, tentatively referred to as Novel Coronavirus 2012 (nCoV), being similar to SARS (but still distinct from it, and also different from the common cold-causing coronavirus) was discovered in Qatar and Saudi Arabia.

The World Health Organisation has issued a global alert accordingly and issued an interim case definition to help countries strengthen health protection measures against the new virus. The WHO update on 28 September 2012 said that the virus did not seem to transmit easily from person to person. However, on May 12, 2013, a case of contamination from human to human was confirmed by French Ministry of Social Affairs and Health. Some confusion exists between Novel Corona Virus 2012 (NCoV) and Human Corona Virus-Erasmus Medical Centre (HCoV-EMC). Both variants are the same. The name Novel Corona Virus 2012 (NCoV) was given to the virus before it was properly sequenced. When the Dutch Erasmus Medical Centre managed to do just that, the virus was given its proper scientific name, in line with accepted procedure.

President Obama declares H1N1 flu a national emergency

President Obama Saturday declared the H1N1 flu a national emergency, clearing the way for legal waivers to allow hospitals and doctors offices to better handle a surge of new patients. The proclamation will grant Secretary of Health and Human Services Kathleen Sebelius the power to authorize the waivers as individual medical facilities request them, officials said. It says that Obama does "hereby find and proclaim that, given that the rapid increase in illness across the Nation may overburden health care resources and that the temporary waiver of certain standard Federal requirements may be warranted in order to enable U.S. health care facilities to implement emergency operations plans, the 2009 H1N1 influenza pandemic in the United States constitutes a national emergency."

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White House officials played down the dramatic-sounding language, saying the president's action was not prompted by a new assessment of the dangers posed to the public by the flu. Instead, officials said the action provides greater flexibility for hospitals which may suddenly find themselves confronted with a surge of new patients as the virus sweeps through their communities. "The H1N1 is moving rapidly, as expected. By the time regions or healthcare systems recognize they are becoming overburdened, they need to implement disaster plans quickly," White House spokesman Reid Cherlin said Saturday.

The waivers authorized by the president's actions still require individual requests by the hospitals, Cherlin said. "Adding a potential delay while waiting for a National Emergency Declaration is not in the best interest of the public, particularly if this step can be done proactively as we are doing here," he said. If granted a waiver, hospitals would be freed from some regulations that guide their behavior during normal day-to-day operations. Cherlin provided the following example: "Requirements under the Emergency Medical Treatment and Active Labor Act would prohibit hospitals from certain rapid triage or sorting activities and prevent the establishment of off-site, alternate care facilities that could off-load emergency department demand," he said.

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Public health experts praised the move, saying it was an important precautionary step that could help hospitals and other first responders care for large numbers of sick people as the outbreak continues. "We know a number of hospitals are already experiencing high but manageable loads. It's not a stretch to imagine that hospitals could be strained," said Jennifer Nuzzo of the University of Pittsburgh's Center for Biosecurity. "It's a just a precautionary move so if need be we can focus on the care of patients rather than focus on administrative hurdles. In disasters, you often don't have the time or luxury to keep the paperwork in order. You want hospitals focusing on patients." Others agreed, likening the move to getting snow plows and salt supplies ready before a large snow storm. "You get ready -- make sure everything is battened down," said Arthur Caplan, a University of Pennsylvania bioethicist. But Caplan was concerned that the dramatic language could create unnecessary anxiety, in the same way that the World Health Organization's progressive elevation of pandemic alerts last spring caused widespread concern. "From the point of the view of the public, I think it's, 'Holy cow,' " Caplan said. "It gets heard very differently."

The declaration could sharply increase demand for the vaccine, which is becoming available much more slowly than originally expected. "I've already gotten a couple of calls from people today asking, 'Where can I get the vaccine?' whereas yesterday it was, 'I don't want that vaccine,' " Caplan said. "I'm worried about people getting panicky and vaccine being diverted away from those who need it most." Said David P. Fidler, a professor of law at the University of Indiana, "The declaration has political implications in that it will intensify scrutiny of the federal government's preparedness and response for this kind of event (e.g., are we seeing a nationwide microbial Katrina unfolding, or are the CDC and DHHS, in fact, doin' a heck of a job). "I also wonder whether the increasing impact of H1N1, coupled with the presidential declaration, will make the U.S. move more slowly in sharing the H1N1 vaccine it promised to donate to developing countries . . . especially in light of all the problems being experienced with access to the vaccine in the U.S. now and for the foreseeable future," Fidler said in an e-mail.

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The federal Centers for Disease Control and Prevention reported on Friday that the flu was spreading widely in at least 46 states and had already hospitalized at least 20,000 Americans. More than 1,000 confirmed deaths have occurred due to the virus and more than 2,400 additional deaths that were likely associated with it, officials said. Health authorities are especially concerned about pregnant women, young adults and children. At least 95 children have already died from the virus, far more than usually die during an entire typical flu season. Although officials had hoped at least 40 million doses of vaccine would be available by this time, production problems have delayed the federal government's massive inoculation campaign. Only about 16 million doses have become available so far.

PNEUMONIC PLAGUE OUTBREAK IN CHINA

Thousands of people have been placed in quarantine in north-western China after two people died of pneumonic plague. At this time, the China Outbreak of Pneumonic Plague is limited to 10 people who are apparently relatives of those who died of Pneumonic Plague.

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The Chinese government has not yet said when the man died but it has sealed off the town where the outbreak occurred. According to reports, there are enough supplies to feed the 10,000 or so people who live in the town of Ziketan, near Xinghai in Qinghai province, during the quarantine period.

Pneumonic plague is a virulent form Pneumonia. It can spread from person to person, or from animals to people. Initial symptoms of Pneumonic plague include fever, headache and shortness of breath. To reduce the chances of death as a result of Pneumonic plague, anyone infected with Pneumonic plague must receive treatment within 24 hours of when the first symptoms appear.

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This Pneumonic plague outbreak in China comes just months after a worldwide outbreak of H1N1 Swine flu which originated from China and has also led to thousands of people being quarantined.

Early reports from the W.H.O. indicate this outbreak of pneumonic plague in China is unlikely to cause the mass fatalities associated with historical outbreaks.

While Pneumonic plague can kill 60 percent of its victims if left unchecked, early diagnosis and treatment of Pneumonic plague with generic antibiotics such as streptomycin and tetracycline cuts plague patients’ mortality rate to less than 15 percent. Pneumonic plague is the most serious and least common of three forms of the infectious disease. Plague is caused by the Yersinia pestis bacteria, found mainly in rodents, particularly rats, and in the fleas that feed on them.

Pneumonic plague, on the other hand, occurs when the bacteria infect the lungs, causing symptoms including fever, headache and weakness, and may lead to potentially fatal cases of pneumonia. In almost all cases, only the pneumonic form of plague can be passed from person to person.

Vivian Tan - spokeswoman for the WHO in China said “These things do happen sporadically in different countries. It’s not something we’re very worried about, but we are keeping an eye on it.”

Pneumonic Plague is not to be confused with the Black Plague which kill Millions. The Black Plague was initially spread by rats. This does not seem to be the case with this outbreak of Pneumonic Plague in China, although the W.H.O. is not taking any chances.

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TECHNOLOGY and the SWINE FLU - GOOGLE SWINE FLU MAP

The SWINE FLU situation is reaching PANDEMIC status. With hundreds dead and even more infected all over the world, one has to wonder when and if the SWINE FLU will be contained.
Technology definately has given the world a better view of the SWINE FLU situation. GOOGLE MAPS has come up with a GOOGLE SWINE FLU MAP. This interactive map shows an as up to date as possible WORLDWIDE MAP OF SWINE FLU CASES. By looking at the map, one can see the connection of the world via airplane has made the spread of the SWINE FLU, which started in MEXICO, impossible to contain. With reported cases of the SWINE FLU all across North America, Europe and even as far away as Australia where 2 suspected cases of SWINE FLU are being treated in a QUEENSLAND hospital and another 3 susepcted cases of SWINE FLU have popped up in neighbouring NEW ZEALAND.

Below is a small version of the GOOGLE SWINE FLU MAP. For a larger GOOGLE SWINE FLU MAP click here

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Here is the GOOGLE SWINE FLU MAP

View H1N1 Swine Flu in a larger map

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CALIFORNIA San Diego County
30/03/2009 boy aged 10 years who lives in San Diego County, California. The patient had onset of fever, cough, and vomiting on March 30, 2009. He was taken to an outpatient clinic, and a nasopharyngea...
30/03/2009 boy aged 10 years who lives in San Diego County, California. The patient had onset of fever, cough, and vomiting on March 30, 2009. He was taken to an outpatient clinic, and a nasopharyngeal swab was collected for testing as part of a clinical study. The boy received symptomatic treatment, and all his symptoms resolved uneventfully within approximately 1 week.
confirmed cases are 100 miles apart
CALIFORNIA Imperial County
28/03/2009 girl aged 9 years who resides in Imperial County, California, adjacent to San Diego County. On March 28, 2009, she had onset of cough and fever (104.3°F [40.2°C]). She was taken to an outpa...
28/03/2009 girl aged 9 years who resides in Imperial County, California, adjacent to San Diego County. On March 28, 2009, she had onset of cough and fever (104.3°F [40.2°C]). She was taken to an outpatient facility that was participating in an influenza surveillance project, treated with amoxicillin/clavulanate potassium and an antihistamine, and has since recovered uneventfully.

confirmed cases are 100 miles apart
CALIFORNIA San Diego County
01/04/2009 patient's mother had respiratory symptoms without fever in the first few days of April 2009 confirmed cases are 100 miles apart
01/04/2009 patient's mother had respiratory symptoms without fever in the first few days of April 2009
confirmed cases are 100 miles apart
CALIFORNIA San Diego County
15/03/2009 brother aged 8 years had a respiratory illness 2 weeks before illness onset in the patient and had a second illness with cough, fever, and rhinorrhea on April 11, 2009. confirmed cases are ...
15/03/2009 brother aged 8 years had a respiratory illness 2 weeks before illness onset in the patient and had a second illness with cough, fever, and rhinorrhea on April 11, 2009.

confirmed cases are 100 miles apart
CALIFORNIA Imperial County
01/04/2009 brother aged 13 years had influenza-like symptoms on April 1, 2009 confirmed cases are 100 miles apart
01/04/2009 brother aged 13 years had influenza-like symptoms on April 1, 2009

confirmed cases are 100 miles apart
CALIFORNIA Imperial County
25/03/2009 male cousin aged 13 years living in the home had influenza-like symptoms on March 25, 2009, 3 days before onset of the patient's symptoms. confirmed cases are 100 miles apart
25/03/2009 male cousin aged 13 years living in the home had influenza-like symptoms on March 25, 2009, 3 days before onset of the patient's symptoms.
confirmed cases are 100 miles apart
CALIFORNIA Imperial County
12/04/2009 A woman aged 41 years with an autoimmune illness who resided in Imperial County developed fever, headache, sore throat, diarrhea, vomiting, and myalgias on April 12. She was hospitalized on...
12/04/2009 A woman aged 41 years with an autoimmune illness who resided in Imperial County developed fever, headache, sore throat, diarrhea, vomiting, and myalgias on April 12. She was hospitalized on April 15. She recovered and was discharged on April 22. A respiratory specimen obtained April 16 was found to be influenza A positive by RT-PCR at the San Diego Country Health Department Laboratory, but could not be further subtyped. The woman had not been vaccinated against seasonal influenza viruses during the 2008--09 season. Three household contacts of the woman reported no recent respiratory illness.

TEXAS Guadalupe County Cibolo
10/04/2009 two 16-year-old Steele High School students were diagnosed with swine flu earlier this month. “One became ill on April 10, the other on April 14. Their illnesses were relatively mild. Neith...
10/04/2009 two 16-year-old Steele High School students were diagnosed with swine flu earlier this month. “One became ill on April 10, the other on April 14. Their illnesses were relatively mild. Neither was hospitalized. Both have recovered. Though the boys are friends, it has not been determined how either became infected.”

A woman aged 41 years with an autoimmune illness who resided in Imperial County developed fever, headache, sore throat, diarrhea, vomiting, and myalgias on April 12. She was hospitalized on April 15. She recovered and was discharged on April 22. A respiratory specimen obtained April 16 was found to be influenza A positive by RT-PCR at the San Diego Country Health Department Laboratory, but could not be further subtyped. The woman had not been vaccinated against seasonal influenza viruses during the 2008--09 season. Three household contacts of the woman reported no recent respiratory illness.

TEXAS Guadalupe County Cibolo
14/04/2009 two 16-year-old Steele High School students were diagnosed with swine flu earlier this month. “One became ill on April 10, the other on April 14. Their illnesses were relatively mild. Neith...
14/04/2009 two 16-year-old Steele High School students were diagnosed with swine flu earlier this month. “One became ill on April 10, the other on April 14. Their illnesses were relatively mild. Neither was hospitalized. Both have recovered. Though the boys are friends, it has not been determined how either became infected.”

A woman aged 41 years with an autoimmune illness who resided in Imperial County developed fever, headache, sore throat, diarrhea, vomiting, and myalgias on April 12. She was hospitalized on April 15. She recovered and was discharged on April 22. A respiratory specimen obtained April 16 was found to be influenza A positive by RT-PCR at the San Diego Country Health Department Laboratory, but could not be further subtyped. The woman had not been vaccinated against seasonal influenza viruses during the 2008--09 season. Three household contacts of the woman reported no recent respiratory illness.

CALIFORNIA San Diego Country
05/04/2009 adolescent girl aged 16 years and her father aged 54 years went to a San Diego County clinic with acute respiratory illness. The youth had onset of illness on April 5. Her symptoms included...
05/04/2009 adolescent girl aged 16 years and her father aged 54 years went to a San Diego County clinic with acute respiratory illness. The youth had onset of illness on April 5. Her symptoms included fever, cough, headache, and rhinorrhea. The father had onset of illness on April 6 with symptoms that included fever, cough, and rhinorrhea. Both had self-limited illnesses and have recovered. The father had received seasonal influenza vaccine in October 2008; the daughter was unvaccinated.
CALIFORNIA San Diego County
06/04/2009 her father aged 54 years went to a San Diego County clinic with acute respiratory illness with daughter, an adolescent girl aged 16 years. The youth had onset of illness on April 5. Her sym...
06/04/2009 her father aged 54 years went to a San Diego County clinic with acute respiratory illness with daughter, an adolescent girl aged 16 years. The youth had onset of illness on April 5. Her symptoms included fever, cough, headache, and rhinorrhea. The father had onset of illness on April 6 with symptoms that included fever, cough, and rhinorrhea. Both had self-limited illnesses and have recovered. The father had received seasonal influenza vaccine in October 2008; the daughter was unvaccinated.
MEXICO Mexico City
24/04/2009 57 deaths in the Mexico City area
24/04/2009 57 deaths in the Mexico City area
MEXICO Mexico City
24/04/2009 57 deaths in the Mexico City area
24/04/2009 57 deaths in the Mexico City area
MEXICO Mexico City
24/04/2009 57 deaths in the Mexico City area
24/04/2009 57 deaths in the Mexico City area
MEXICO San Lusi Potosi
24/04/2009 3 deaths and 24 symtomatic
24/04/2009 3 deaths and 24 symtomatic
MEXICO San Luis Potosi
24/04/2009 3 deaths and 24 symtomatic
24/04/2009 3 deaths and 24 symtomatic
MEXICO San Luis Potosi
24/04/2009 3 deaths and 24 symtomatic
24/04/2009 3 deaths and 24 symtomatic
MEXICO Mexico City
24/04/2009 57 deaths and 800 symtomatic
24/04/2009 57 deaths and 800 symtomatic
MEXICO Mexico City
24/04/2009 57 deaths and 800 symtomatic
24/04/2009 57 deaths and 800 symtomatic
MEXICO Baja California Norte
24/04/2009 Two fatalities Thirteen fatal cases of severe respiratory illness were reported in Mexico City; four in San Luis Potosi, a city north of the capital; two in the state of Baja California Nor...
24/04/2009 Two fatalities
Thirteen fatal cases of severe respiratory illness were reported in Mexico City; four in San Luis Potosi, a city north of the capital; two in the state of Baja California Norte, bordering California; and another in Oaxaca city in the south.
MEXICO Baja California Norte
24/04/2009 Two fatalities Thirteen fatal cases of severe respiratory illness were reported in Mexico City; four in San Luis Potosi, a city north of the capital; two in the state of Baja California Nor...
24/04/2009 Two fatalities
Thirteen fatal cases of severe respiratory illness were reported in Mexico City; four in San Luis Potosi, a city north of the capital; two in the state of Baja California Norte, bordering California; and another in Oaxaca city in the south.
MEXICO Oaxaco City
24/04/2009 One fatality Thirteen fatal cases of severe respiratory illness were reported in Mexico City; four in San Luis Potosi, a city north of the capital; two in the state of Baja California Norte...
24/04/2009 One fatality

Thirteen fatal cases of severe respiratory illness were reported in Mexico City; four in San Luis Potosi, a city north of the capital; two in the state of Baja California Norte, bordering California; and another in Oaxaca city in the south.
MEXICO Oaxaca
24/04/2009 girl six years old, allegedly by influenza.Regional Hospital ISSSTE Juarez last night reported the death of a
24/04/2009 girl six years old, allegedly by influenza.Regional Hospital ISSSTE Juarez last night reported the death of a
MEXICO Mexicali
24/04/2009 Mexicali, near the border with the United States, four cases of ILI, with no deaths, have been reported.
24/04/2009 Mexicali, near the border with the United States, four cases of ILI, with no deaths, have been reported.

MEXICO Mexicali
24/04/2009 Mexicali, near the border with the United States, four cases of ILI, with no deaths, have been reported.
24/04/2009 Mexicali, near the border with the United States, four cases of ILI, with no deaths, have been reported.

MEXICO Mexicali
24/04/2009 Mexicali, near the border with the United States, four cases of ILI, with no deaths, have been reported.
24/04/2009 Mexicali, near the border with the United States, four cases of ILI, with no deaths, have been reported.

MEXICO Mexicali
24/04/2009 Mexicali, near the border with the United States, four cases of ILI, with no deaths, have been reported.
24/04/2009 Mexicali, near the border with the United States, four cases of ILI, with no deaths, have been reported.

MEXICO
42/04/2009 Mexican cases, 18 have been laboratory confirmed in Canada as Swine Influenza A/H1N1
42/04/2009 Mexican cases, 18 have been laboratory confirmed in Canada as Swine Influenza A/H1N1
MEXICO
Mexican cases, 18 have been laboratory confirmed in Canada as Swine Influenza A/H1N1
Mexican cases, 18 have been laboratory confirmed in Canada as Swine Influenza A/H1N1
MEXICO
24/04/2009 Mexican cases, 18 have been laboratory confirmed in Canada as Swine Influenza A/H1N1
24/04/2009 Mexican cases, 18 have been laboratory confirmed in Canada as Swine Influenza A/H1N1
CALIFORNIA San Diego County
24/04/2009 7 year old girl
24/04/2009 7 year old girl
MEXICO
24/04/2009 preliminary CDC tests on seven out of 14 samples from patients in Mexico had matched the virus found in the US.
24/04/2009 preliminary CDC tests on seven out of 14 samples from patients in Mexico had matched the virus found in the US.

MEXICO
24/04/2009 preliminary CDC tests on seven out of 14 samples from patients in Mexico had matched the virus found in the US.
24/04/2009 preliminary CDC tests on seven out of 14 samples from patients in Mexico had matched the virus found in the US.

MEXICO
24/04/2009 preliminary CDC tests on seven out of 14 samples from patients in Mexico had matched the virus found in the US.
24/04/2009 preliminary CDC tests on seven out of 14 samples from patients in Mexico had matched the virus found in the US.

CALIFORNIA San Diego County
08/04/2009 Two household contacts of the patients have reported recent mild acute respiratory illnesses; specimens have been collected from these household members for testing.
08/04/2009 Two household contacts of the patients have reported recent mild acute respiratory illnesses; specimens have been collected from these household members for testing.
CALIFORNIA San Diego County
08/04/2009 Two household contacts of the patients have reported recent mild acute respiratory illnesses; specimens have been collected from these household members for testing.
08/04/2009 Two household contacts of the patients have reported recent mild acute respiratory illnesses; specimens have been collected from these household members for testing.
NEW YORK Queens
24/04/2009 As many as 75 students at St. Francis Preparatory School in Queens became sick with flu-like symptoms on Thursday, and more fell ill on Friday, WCBS television reported. Health officials ha...
24/04/2009 As many as 75 students at St. Francis Preparatory School in Queens became sick with flu-like symptoms on Thursday, and more fell ill on Friday, WCBS television reported. Health officials had tested the students and were investigating, and the school canceled its Friday evening programs.


NEW YORK Queens
24/04/2009 As many as 75 students at St. Francis Preparatory School in Queens became sick with flu-like symptoms on Thursday, and more fell ill on Friday, WCBS television reported. Health officials ha...
24/04/2009 As many as 75 students at St. Francis Preparatory School in Queens became sick with flu-like symptoms on Thursday, and more fell ill on Friday, WCBS television reported. Health officials had tested the students and were investigating, and the school canceled its Friday evening programs.


NEW YORK Queens
25/04/2009 75 students at St. Francis Preparatory School had complained Thursday of nausea, fever, dizziness and aches and pains. Several of the students were said to have recently traveled to Mexico,...
25/04/2009 75 students at St. Francis Preparatory School had complained Thursday of nausea, fever, dizziness and aches and pains. Several of the students were said to have recently traveled to Mexico, where as many as 61 people have died and possibly hundreds more have been infected in an outbreak of swine flu in recent weeks.
NEW YORK Quenns
25/04/2009 75 students at St. Francis Preparatory School had complained Thursday of nausea, fever, dizziness and aches and pains. Several of the students were said to have recently traveled to Mexico,...
25/04/2009 75 students at St. Francis Preparatory School had complained Thursday of nausea, fever, dizziness and aches and pains. Several of the students were said to have recently traveled to Mexico, where as many as 61 people have died and possibly hundreds more have been infected in an outbreak of swine flu in recent weeks.
TEXAS Guadalupe County Cibolo
24/04/2009 Hayden had become the third confirmed case of swine flu at his Texas high school. It is a virus that has killed 68 people in Mexico and infected at least eight people in the United States. ...
24/04/2009 Hayden had become the third confirmed case of swine flu at his Texas high school. It is a virus that has killed 68 people in Mexico and infected at least eight people in the United States.

Health officials arrived at the Henshaws' house Friday and drew blood from the whole family, then told them to stay inside and away from the public, Henshaw told CNN.

KANSAS Dickenson County
Kansas health officials said they had confirmed swine flu in a married couple living in the central part of the state after the husband visited Mexico.The couple were not hospitalised, and the state d...
Kansas health officials said they had confirmed swine flu in a married couple living in the central part of the state after the husband visited Mexico.The couple were not hospitalised, and the state described their illnesses as mild.Jason Eberhart-Phillips, the state health officer, said, "Fortunately, the man and woman understand the gravity of the situation and are very willing to isolate themselves."The man travelled to Mexico last week for a professional conference and became ill after he returned home. His wife became ill later. Their doctor suspected swine flu, but it wasn't confirmed until flu specimens were flown to the federal Centre for Disease Control and Prevention in Atlanta.

The man and woman, who live in Dickinson County, were not hospitalized and the state is describing their illnesses as mild.
KANSAS Dickenson County
Kansas health officials said they had confirmed swine flu in a married couple living in the central part of the state after the husband visited Mexico.The couple were not hospitalised, and the state d...
Kansas health officials said they had confirmed swine flu in a married couple living in the central part of the state after the husband visited Mexico.The couple were not hospitalised, and the state described their illnesses as mild.Jason Eberhart-Phillips, the state health officer, said, "Fortunately, the man and woman understand the gravity of the situation and are very willing to isolate themselves."The man travelled to Mexico last week for a professional conference and became ill after he returned home. His wife became ill later. Their doctor suspected swine flu, but it wasn't confirmed until flu specimens were flown to the federal Centre for Disease Control and Prevention in Atlanta.

The man and woman, who live in Dickinson County, were not hospitalized and the state is describing their illnesses as mild.
NEW ZEALAND Aukland North Shore
Three teachers and 22 senior students at Rangitoto College, New Zealand's largest secondary school, on Auckland's North Shore, yesterday returned to Auckland on a flight from Los Angeles, after a thre...
Three teachers and 22 senior students at Rangitoto College, New Zealand's largest secondary school, on Auckland's North Shore, yesterday returned to Auckland on a flight from Los Angeles, after a three week trip to Mexico.

Auckland Regional Public Health Service (ARPHS) said today some had symptoms of an influenza-like illness and were remaining in home isolation as a precaution while tests to exclude or confirm swine influenza were carried out.

One student was believed to be in hospital.
NEW ZEALAND Aukland North Shore
Three teachers and 22 senior students at Rangitoto College, New Zealand's largest secondary school, on Auckland's North Shore, yesterday returned to Auckland on a flight from Los Angeles, after a thre...
Three teachers and 22 senior students at Rangitoto College, New Zealand's largest secondary school, on Auckland's North Shore, yesterday returned to Auckland on a flight from Los Angeles, after a three week trip to Mexico.

Auckland Regional Public Health Service (ARPHS) said today some had symptoms of an influenza-like illness and were remaining in home isolation as a precaution while tests to exclude or confirm swine influenza were carried out.

One student was believed to be in hospital.
NEW YORK Queens
eight New York city schoolchildren had a type A influenza virus, likely swine flu. But officials are not sure of the strain type. Samples have been sent to the U.S. Centers for Disease Control and Pre...
eight New York city schoolchildren had a type A influenza virus, likely swine flu. But officials are not sure of the strain type. Samples have been sent to the U.S. Centers for Disease Control and Prevention (CDC) for further testing.
FRANCE Bordeaux
one who is in the Bordeaux region and one in the Marseille region "Currently, we have identified two suspects, two people who returned from Mexico and had a fever and are currently under investigation...
one who is in the Bordeaux region and one in the Marseille region

"Currently, we have identified two suspects, two people who returned from Mexico and had a fever and are currently under investigation

French Health Ministry officials said four possible cases of swine flu are currently under investigation, including a family of three in the northern Nord region and a woman in the Paris region. The four recently returned from Mexico. Tests on two separate cases of suspected swine flu proved negative, they said.
FRANCE Marseille
one who is in the Bordeaux region and one in the Marseille region "Currently, we have identified two suspects, two people who returned from Mexico and had a fever and are currently under investigation...
one who is in the Bordeaux region and one in the Marseille region

"Currently, we have identified two suspects, two people who returned from Mexico and had a fever and are currently under investigation

French Health Ministry officials said four possible cases of swine flu are currently under investigation, including a family of three in the northern Nord region and a woman in the Paris region. The four recently returned from Mexico. Tests on two separate cases of suspected swine flu proved negative, they said.
ISRAEL Netanya
A 26-year-old Israeli man was hospitalized Sunday in Netanya after returning from Mexico with signs of swine flu, local news service Ynet reported. The man has been isolated and doctors are trying to ...
A 26-year-old Israeli man was hospitalized Sunday in Netanya after returning from Mexico with signs of swine flu, local news service Ynet reported.

The man has been isolated and doctors are trying to determine whether he has been infected with the swine flu virus, which has led to the death of dozens of people in Mexico, said the report.


NEW ZEALAND Aukland North Shore
Ten New Zealand students who had recently returned from a trip to Mexico have been confirmed as carrying Swine Flu
Ten New Zealand students who had recently returned from a trip to Mexico have been confirmed as carrying Swine Flu
NEW ZEALAND Aukland North Shore
Ten New Zealand students who had recently returned from a trip to Mexico have been confirmed as carrying Swine Flu
Ten New Zealand students who had recently returned from a trip to Mexico have been confirmed as carrying Swine Flu
NEW ZEALAND Aukland North Shore
Ten New Zealand students who had recently returned from a trip to Mexico have been confirmed as carrying Swine Flu
Ten New Zealand students who had recently returned from a trip to Mexico have been confirmed as carrying Swine Flu
FRANCE Nord region
French Health Ministry officials said four possible cases of swine flu are currently under investigation, including a family of three in the northern Nord region and a woman in the Paris region. The f...
French Health Ministry officials said four possible cases of swine flu are currently under investigation, including a family of three in the northern Nord region and a woman in the Paris region. The four recently returned from Mexico. Tests on two separate cases of suspected swine flu proved negative, they said.
FRANCE Nord region
French Health Ministry officials said four possible cases of swine flu are currently under investigation, including a family of three in the northern Nord region and a woman in the Paris region. The f...
French Health Ministry officials said four possible cases of swine flu are currently under investigation, including a family of three in the northern Nord region and a woman in the Paris region. The four recently returned from Mexico. Tests on two separate cases of suspected swine flu proved negative, they said.
FRANCE Norde region
French Health Ministry officials said four possible cases of swine flu are currently under investigation, including a family of three in the northern Nord region and a woman in the Paris region. The f...
French Health Ministry officials said four possible cases of swine flu are currently under investigation, including a family of three in the northern Nord region and a woman in the Paris region. The four recently returned from Mexico. Tests on two separate cases of suspected swine flu proved negative, they said.
FRANCE Paris
French Health Ministry officials said four possible cases of swine flu are currently under investigation, including a family of three in the northern Nord region and a woman in the Paris region. The f...
French Health Ministry officials said four possible cases of swine flu are currently under investigation, including a family of three in the northern Nord region and a woman in the Paris region. The four recently returned from Mexico. Tests on two separate cases of suspected swine flu proved negative, they said.
SPAIN Bilbao
The three have been hospitalised in the northern city of Bilbao, Almansa in the southeast and the eastern city of Valencia. Three Spanish nationals have been placed in isolation after showing flu symp...
The three have been hospitalised in the northern city of Bilbao, Almansa in the southeast and the eastern city of Valencia.

Three Spanish nationals have been placed in isolation after showing flu symptoms following a recent visit to Mexico


SPAIN Almansa
25/04/2009 Spain's Health Ministry confirmed the country's first case of swine flu on Monday and said another 20 people are suspected of having the disease. The man with the confirmed case is from the...
25/04/2009 Spain's Health Ministry confirmed the country's first case of swine flu on Monday and said another 20 people are suspected of having the disease.

The man with the confirmed case is from the town of Almansa in the Castilla-La Mancha region, according to regional health authorities.

He checked in to a clinic Saturday complaining of fever and respiratory problems and was eventually hospitalized, the regional health department's Web site says.

The three have been hospitalised in the northern city of Bilbao, Almansa in the southeast and the eastern city of Valencia.

Three Spanish nationals have been placed in isolation after showing flu symptoms following a recent visit to Mexico
SPAIN Valencia
The three have been hospitalised in the northern city of Bilbao, Almansa in the southeast and the eastern city of Valencia. Three Spanish nationals have been placed in isolation after showing flu symp...
The three have been hospitalised in the northern city of Bilbao, Almansa in the southeast and the eastern city of Valencia.

Three Spanish nationals have been placed in isolation after showing flu symptoms following a recent visit to Mexico
NEW YORK Bronx
children at a Bronx day care facility are infected. Two Manhattan families contacted health officials, saying they had just returned from Mexico and may have it.
children at a Bronx day care facility are infected. Two Manhattan families contacted health officials, saying they had just returned from Mexico and may have it.

NEW YORK Manhattan
Two Manhattan families contacted health officials, saying they had just returned from Mexico and may have it. children at a Bronx day care facility are being tested to see ifinfected
Two Manhattan families contacted health officials, saying they had just returned from Mexico and may have it.
children at a Bronx day care facility are being tested to see ifinfected

NEW YORK Manhattan
Two Manhattan families contacted health officials, saying they had just returned from Mexico and may have it. children at a Bronx day care facility are being tested to see ifinfected
Two Manhattan families contacted health officials, saying they had just returned from Mexico and may have it.
children at a Bronx day care facility are being tested to see ifinfected

CANADA Nova Scotia Windsor
24/04/2009 four confirmed cases are students attending King's-Edgehill School, a private high school in the Windsor, N.S., area Nova Scotia and British Columbia have both discovered cases of people in...
24/04/2009 four confirmed cases are students attending King's-Edgehill School, a private high school in the Windsor, N.S., area
Nova Scotia and British Columbia have both discovered cases of people infected with unidentifiable influenza A viruses, which are being tested at the National Microbiology Laboratory in Winnipeg.
Sources say Nova Scotia has three cases, in people with a travel link to Mexico. Officials in the province have called a press conference for this afternoon.

Sources say Nova Scotia has three cases, in people with a travel link to Mexico. Officials in the province have called a press conference for this afternoon.


Sources say British Columbia has found a pair of cases but it is not yet clear if they have a link to Mexico.

CANADA Nova Scotia Windsor
24/04/2009 four confirmed cases are students attending King's-Edgehill School, a private high school in the Windsor, N.S., Nova Scotia and British Columbia have both discovered cases of people infecte...
24/04/2009 four confirmed cases are students attending King's-Edgehill School, a private high school in the Windsor, N.S., Nova Scotia and British Columbia have both discovered cases of people infected with unidentifiable influenza A viruses, which are being tested at the National Microbiology Laboratory in Winnipeg.
Sources say Nova Scotia has three cases, in people with a travel link to Mexico. Officials in the province have called a press conference for this afternoon.

Sources say Nova Scotia has three cases, in people with a travel link to Mexico. Officials in the province have called a press conference for this afternoon.


Sources say British Columbia has found a pair of cases but it is not yet clear if they have a link to Mexico.

CANADA Nova Scotia Windsor
24/04/2009 four confirmed cases are students attending King's-Edgehill School, a private high school in the Windsor, N.S., area Nova Scotia and British Columbia have both discovered cases of people in...
24/04/2009 four confirmed cases are students attending King's-Edgehill School, a private high school in the Windsor, N.S., area
Nova Scotia and British Columbia have both discovered cases of people infected with unidentifiable influenza A viruses, which are being tested at the National Microbiology Laboratory in Winnipeg.
Sources say Nova Scotia has three cases, in people with a travel link to Mexico. Officials in the province have called a press conference for this afternoon.

Sources say Nova Scotia has three cases, in people with a travel link to Mexico. Officials in the province have called a press conference for this afternoon.


Sources say British Columbia has found a pair of cases but it is not yet clear if they have a link to Mexico.

CANADA British Columbia Vancouver
24/04/2009 men, aged between 25 and 35, contracted a form of swine flu while visiting Mexico. B.C.'s Centre for Disease Control on Sunday confirmed cases of swine flu involving two people from the pro...
24/04/2009 men, aged between 25 and 35, contracted a form of swine flu while visiting Mexico.

B.C.'s Centre for Disease Control on Sunday confirmed cases of swine flu involving two people from the province who recently returned from Mexico.
Nova Scotia and British Columbia have both discovered cases of people infected with unidentifiable influenza A viruses, which are being tested at the National Microbiology Laboratory in Winnipeg.
Sources say Nova Scotia has three cases, in people with a travel link to Mexico. Officials in the province have called a press conference for this afternoon.

Sources say Nova Scotia has three cases, in people with a travel link to Mexico. Officials in the province have called a press conference for this afternoon.


Sources say British Columbia has found a pair of cases but it is not yet clear if they have a link to Mexico.

CANADA British Columbia Vancouver
24/04/2009 men, aged between 25 and 35, contracted a form of swine flu while visiting Mexico. B.C.'s Centre for Disease Control on Sunday confirmed cases of swine flu involving two people from the pro...
24/04/2009 men, aged between 25 and 35, contracted a form of swine flu while visiting Mexico.
B.C.'s Centre for Disease Control on Sunday confirmed cases of swine flu involving two people from the province who recently returned from Mexico.
Nova Scotia and British Columbia have both discovered cases of people infected with unidentifiable influenza A viruses, which are being tested at the National Microbiology Laboratory in Winnipeg.
Sources say Nova Scotia has three cases, in people with a travel link to Mexico. Officials in the province have called a press conference for this afternoon.

Sources say Nova Scotia has three cases, in people with a travel link to Mexico. Officials in the province have called a press conference for this afternoon.


Sources say British Columbia has found a pair of cases but it is not yet clear if they have a link to Mexico.

New York Queens
8 Cases confirmed in Queens High School
8 Cases confirmed in Queens High School
NEW YORK Queens
8 Cases confirmed in Queens High School
8 Cases confirmed in Queens High School
NEW YORK Queens
8 Cases confirmed in Queens High School
8 Cases confirmed in Queens High School
NEW YORK Queens
8 Cases confirmed in Queens High School
8 Cases confirmed in Queens High School
MEXICO Escobedo
woman of 36 years resident of the municipality of Escobedo during Easter vacation in Mexico City and returned with the influenza virus, six died in the clinic of the Instituto Mexicano del Seguro
woman of 36 years resident of the municipality of Escobedo during Easter vacation in Mexico City and returned with the influenza virus, six died in the clinic of the Instituto Mexicano del Seguro
SCOTLAND Falkirk Polomont
couple from the Polmont area of Falkirk, in Central Scotland, who had been on holiday to Mexico, were recovering well at Monklands Hospital in Airdrie. She went on: "In addition, there are currently a...
couple from the Polmont area of Falkirk, in Central Scotland, who had been on holiday to Mexico, were recovering well at Monklands Hospital in Airdrie. She went on: "In addition, there are currently a further seven people among the 22 who have been in contact with the two infected people who have now developed mild symptoms and are being appropriately cared for.
for precautionary assessment, who returned from Mexico on April 21 but had not travelled in any areas affected by the outbreaks. “Precautionary tests are being conducted on these people and results of these further tests are expected later this weekend, or early next week.

“The patients have displayed mild flu-like symptoms and their current condition is not causing concern.

SCOTLAND Falkirk Polmont
couple from the Polmont area of Falkirk, in Central Scotland, who had been on holiday to Mexico, were recovering well at Monklands Hospital in Airdrie. She went on: "In addition, there are currently a...
couple from the Polmont area of Falkirk, in Central Scotland, who had been on holiday to Mexico, were recovering well at Monklands Hospital in Airdrie. She went on: "In addition, there are currently a further seven people among the 22 who have been in contact with the two infected people who have now developed mild symptoms and are being appropriately cared for.
who returned from Mexico on April 21 but had not travelled in any areas affected by the outbreaks. “Precautionary tests are being conducted on these people and results of these further tests are expected later this weekend, or early next week.

“The patients have displayed mild flu-like symptoms and their current condition is not causing concern.

OHIO Lorain County
26/04/2009 9-year-old boy from Lorain County Sunday CDC confirmed at White House Press conference
26/04/2009 9-year-old boy from Lorain County Sunday

CDC confirmed at White House Press conference
MEXICO Mexico City
26/04/2009 two more people have died of swine flu overnight in the capital, and three other deaths are suspected to have been caused by the new strain. Marcelo Ebrard says 73 more people have been hos...
26/04/2009 two more people have died of swine flu overnight in the capital, and three other deaths are suspected to have been caused by the new strain.
Marcelo Ebrard says 73 more people have been hospitalized with influenza and authorities are investigating how many of them may have been infected with swine flu.

MEXICO Mexico City
26/04/2009 two more people have died of swine flu overnight in the capital, and three other deaths are suspected to have been caused by the new strain. Marcelo Ebrard says 73 more people have been hos...
26/04/2009 two more people have died of swine flu overnight in the capital, and three other deaths are suspected to have been caused by the new strain.
Marcelo Ebrard says 73 more people have been hospitalized with influenza and authorities are investigating how many of them may have been infected with swine flu.

MEXICO Mexico City
26/04/2009 two more people have died of swine flu overnight in the capital, and three other deaths are suspected to have been caused by the new strain. Marcelo Ebrard says 73 more people have been hos...
26/04/2009 two more people have died of swine flu overnight in the capital, and three other deaths are suspected to have been caused by the new strain.
Marcelo Ebrard says 73 more people have been hospitalized with influenza and authorities are investigating how many of them may have been infected with swine flu.

MEXICO Mexico City
26/04/2009 two more people have died of swine flu overnight in the capital, and three other deaths are suspected to have been caused by the new strain. Marcelo Ebrard says 73 more people have been hos...
26/04/2009 two more people have died of swine flu overnight in the capital, and three other deaths are suspected to have been caused by the new strain.
Marcelo Ebrard says 73 more people have been hospitalized with influenza and authorities are investigating how many of them may have been infected with swine flu.

MEXICO Mexico City
26/04/2009 two more people have died of swine flu overnight in the capital, and three other deaths are suspected to have been caused by the new strain. Marcelo Ebrard says 73 more people have been hos...
26/04/2009 two more people have died of swine flu overnight in the capital, and three other deaths are suspected to have been caused by the new strain.
Marcelo Ebrard says 73 more people have been hospitalized with influenza and authorities are investigating how many of them may have been infected with swine flu.

CANADA Nova Scotia Windsor
24/04/2009 four confirmed cases are students attending King's-Edgehill School, a private high school in the Windsor, N.S.,
24/04/2009 four confirmed cases are students attending King's-Edgehill School, a private high school in the Windsor, N.S.,
CANADA Quebec Montreal
2 suspected cases in Quebec: one in Montreal and one in Mauricie
2 suspected cases in Quebec: one in Montreal and one in Mauricie

CANADA Quebec Mauricie
2 suspected cases in Quebec: one in Montreal and one in Mauricie
2 suspected cases in Quebec: one in Montreal and one in Mauricie

COLOMBIA Bogota
eight adults and one child came less than seven days in Mexico where the virus was detected and its arrival in Colombia showed symptoms of influenza or respiratory illness.
eight adults and one child came less than seven days in Mexico where the virus was detected and its arrival in Colombia showed symptoms of influenza or respiratory illness.
COLOMBIA Bogota
eight adults and one child came less than seven days in Mexico where the virus was detected and its arrival in Colombia showed symptoms of influenza or respiratory illness.
eight adults and one child came less than seven days in Mexico where the virus was detected and its arrival in Colombia showed symptoms of influenza or respiratory illness.
COLOMBIA Bogota
eight adults and one child came less than seven days in Mexico where the virus was detected and its arrival in Colombia showed symptoms of influenza or respiratory illness.
eight adults and one child came less than seven days in Mexico where the virus was detected and its arrival in Colombia showed symptoms of influenza or respiratory illness.
MEXICO Veracruz Perote
Hernandez Edgar Hernandez, a native of the community of La Gloria in the municipality of Perote.
Hernandez Edgar Hernandez, a native of the community of La Gloria in the municipality of Perote.
MEXICO Veracruz
23 people suspected of containing the virus
23 people suspected of containing the virus
SPAIN Catelonia
# three in Catalonia: two in one in Barcelona and Girona. # Un séptimo en Teruel, todos hospitalizados. A seventh in Teruel, all hospitalized. # Todos los afectados acababan de regresar de México. Eve...
# three in Catalonia: two in one in Barcelona and Girona.
# Un séptimo en Teruel, todos hospitalizados. A seventh in Teruel, all hospitalized.
# Todos los afectados acababan de regresar de México. Everyone involved had just returned from Mexico.
SPAIN Catelonua
# three in Catalonia: two in one in Barcelona and Girona. # Un séptimo en Teruel, todos hospitalizados. A seventh in Teruel, all hospitalized. # Todos los afectados acababan de regresar de México. Eve...
# three in Catalonia: two in one in Barcelona and Girona.
# Un séptimo en Teruel, todos hospitalizados. A seventh in Teruel, all hospitalized.
# Todos los afectados acababan de regresar de México. Everyone involved had just returned from Mexico.
SPAIN Catelonia
# three in Catalonia: two in one in Barcelona and Girona. # Un séptimo en Teruel, todos hospitalizados. A seventh in Teruel, all hospitalized. # Todos los afectados acababan de regresar de México. Eve...
# three in Catalonia: two in one in Barcelona and Girona.
# Un séptimo en Teruel, todos hospitalizados. A seventh in Teruel, all hospitalized.
# Todos los afectados acababan de regresar de México. Everyone involved had just returned from Mexico.
SPAIN Barcelona
# three in Catalonia: two in one in Barcelona and Girona. # Un séptimo en Teruel, todos hospitalizados. A seventh in Teruel, all hospitalized. # Todos los afectados acababan de regresar de México. Eve...
# three in Catalonia: two in one in Barcelona and Girona.
# Un séptimo en Teruel, todos hospitalizados. A seventh in Teruel, all hospitalized.
# Todos los afectados acababan de regresar de México. Everyone involved had just returned from Mexico.
SPAIN Barcelona
# three in Catalonia: two in one in Barcelona and Girona. # Un séptimo en Teruel, todos hospitalizados. A seventh in Teruel, all hospitalized. # Todos los afectados acababan de regresar de México. Eve...
# three in Catalonia: two in one in Barcelona and Girona.
# Un séptimo en Teruel, todos hospitalizados. A seventh in Teruel, all hospitalized.
# Todos los afectados acababan de regresar de México. Everyone involved had just returned from Mexico.
SPAIN Girona
# three in Catalonia: two in one in Barcelona and Girona. # Un séptimo en Teruel, todos hospitalizados. A seventh in Teruel, all hospitalized. # Todos los afectados acababan de regresar de México. Eve...
# three in Catalonia: two in one in Barcelona and Girona.
# Un séptimo en Teruel, todos hospitalizados. A seventh in Teruel, all hospitalized.
# Todos los afectados acababan de regresar de México. Everyone involved had just returned from Mexico.
SPAIN Teruel
# three in Catalonia: two in one in Barcelona and Girona. # Un séptimo en Teruel, todos hospitalizados. A seventh in Teruel, all hospitalized. # Todos los afectados acababan de regresar de México. Eve...
# three in Catalonia: two in one in Barcelona and Girona.
# Un séptimo en Teruel, todos hospitalizados. A seventh in Teruel, all hospitalized.
# Todos los afectados acababan de regresar de México. Everyone involved had just returned from Mexico.
OHIO Wood County
in the process of figuring out if a person in Wood County has come down with the Swine Flu
in the process of figuring out if a person in Wood County has come down with the Swine Flu
TEXAS Dallas County
athe three cases involve a 24-year-old, a 7-year-old and a 3-month-old. He said the Centers for Disease Control and Prevention confirmed the North Texas cases on Monday. 24-year-old, a 7-year-old and ...
athe three cases involve a 24-year-old, a 7-year-old and a 3-month-old. He said the Centers for Disease Control and Prevention confirmed the North Texas cases on Monday.

24-year-old, a 7-year-old and a 3-month-old – has been hospitalized, and the cases do not appear to be related, officials said. It is unclear whether any of the three had traveled to Mexico recently.

TEXAS Dallas County
the three cases involve a 24-year-old, a 7-year-old and a 3-month-old. He said the Centers for Disease Control and Prevention confirmed the North Texas cases on Monday. a 24-year-old, a 7-year-old and...
the three cases involve a 24-year-old, a 7-year-old and a 3-month-old. He said the Centers for Disease Control and Prevention confirmed the North Texas cases on Monday.


a 24-year-old, a 7-year-old and a 3-month-old – has been hospitalized, and the cases do not appear to be related, officials said. It is unclear whether any of the three had traveled to Mexico recently.

TEXAS Dallas County
the three cases involve a 24-year-old, a 7-year-old and a 3-month-old. He said the Centers for Disease Control and Prevention confirmed the North Texas cases on Monday. a 24-year-old, a 7-year-old and...
the three cases involve a 24-year-old, a 7-year-old and a 3-month-old. He said the Centers for Disease Control and Prevention confirmed the North Texas cases on Monday.

a 24-year-old, a 7-year-old and a 3-month-old – has been hospitalized, and the cases do not appear to be related, officials said. It is unclear whether any of the three had traveled to Mexico recently.

AUSTRALIA Queensland
two cases of people admitted to hospital with symptoms and require testing," said the Prime Minister of the State of Queensland,
two cases of people admitted to hospital with symptoms and require testing," said the Prime Minister of the State of Queensland,
AUSTRALIA Queensland
two cases of people admitted to hospital with symptoms and require testing," said the Prime Minister of the State of Queensland,
two cases of people admitted to hospital with symptoms and require testing," said the Prime Minister of the State of Queensland,
CALIFORNIA Fair Oaks
A seventh-grader from a private school in Fair Oaks has tested positive for swine flu see if a seventh grader at the school has a flu linked to the widening swine flu outbreak. Fair Oaks school is clo...
A seventh-grader from a private school in Fair Oaks has tested positive for swine flu

see if a seventh grader at the school has a flu linked to the widening swine flu outbreak.
Fair Oaks school is closed while public health officials determine whether a there is a link between a sick student and the swine flu, officials said Sunday.

St. Mel's Catholic School will be closed until at least Thursday
TEXAS Guadalupe County Cibolo
five of the cases being tested were in the Guadalupe County
five of the cases being tested were in the Guadalupe County
TEXAS Guadalupe County Cibolo
five of the cases being tested were in the Guadalupe County
five of the cases being tested were in the Guadalupe County
TEXAS Guadalupe Cibolo
five of the cases being tested were in the Guadalupe County
five of the cases being tested were in the Guadalupe County
TEXAS Guadalupe County Cibolo
five of the cases being tested were in the Guadalupe County
five of the cases being tested were in the Guadalupe County
TEXAS Guadalupe County Cibolo
five of the cases being tested were in the Guadalupe County
five of the cases being tested were in the Guadalupe County
INDIANA
two samples that went to the CDC did not match other strains of flu found locally this year, she said.
two samples that went to the CDC did not match other strains of flu found locally this year, she said.
INDIANA
two samples that went to the CDC did not match other strains of flu found locally this year, she said.
two samples that went to the CDC did not match other strains of flu found locally this year, she said.
UNITED KINGDOM Northamptonshire Stanwich
British businessman who became ill after returning from Mexico, his wife and two children have been told to stay in quarantine amid concerns they may have swine flu.
British businessman who became ill after returning from Mexico, his wife and two children have been told to stay in quarantine amid concerns they may have swine flu.
AUSTRALIA New South Wales Sydney
five of those people - four in Sydney and one on the Central Coast - would now be tested for swine flu with, results expected by the end of the week.
five of those people - four in Sydney and one on the Central Coast - would now be tested for swine flu with, results expected by the end of the week.

AUSTRALIA New South Wales Sydney
five of those people - four in Sydney and one on the Central Coast - would now be tested for swine flu with, results expected by the end of the week.
five of those people - four in Sydney and one on the Central Coast - would now be tested for swine flu with, results expected by the end of the week.

AUSTRALIA New South Wales Sydney
five of those people - four in Sydney and one on the Central Coast - would now be tested for swine flu with, results expected by the end of the week.
five of those people - four in Sydney and one on the Central Coast - would now be tested for swine flu with, results expected by the end of the week.

AUSTRALIA New South Wales Sydney
five of those people - four in Sydney and one on the Central Coast - would now be tested for swine flu with, results expected by the end of the week.
five of those people - four in Sydney and one on the Central Coast - would now be tested for swine flu with, results expected by the end of the week.

AUSTRALIA New South Wales Central Coast
five of those people - four in Sydney and one on the Central Coast - would now be tested for swine flu with, results expected by the end of the week.
five of those people - four in Sydney and one on the Central Coast - would now be tested for swine flu with, results expected by the end of the week.

MEXICO Aguascalientes
24/04/2009 confirmed the existence of two cases of influenza in the state and a third suspect who is likely to be positive.
24/04/2009 confirmed the existence of two cases of influenza in the state and a third suspect who is likely to be positive.

MEXICO Aguascalientes
24/04/2009 confirmed the existence of two cases of influenza in the state and a third suspect who is likely to be positive.
24/04/2009 confirmed the existence of two cases of influenza in the state and a third suspect who is likely to be positive.

MEXICO Aguacalientes
24/04/2009 confirmed the existence of two cases of influenza in the state and a third suspect who is likely to be positive.
24/04/2009 confirmed the existence of two cases of influenza in the state and a third suspect who is likely to be positive.

MEXICO Aguacalientes
26/04/2009 confirmed 32 cases of patients with influenza, which included the two deaths that have been filed until yesterday.
26/04/2009 confirmed 32 cases of patients with influenza, which included the two deaths that have been filed until yesterday.

MEXICO Aguacalientes
26/04/2009 confirmed 32 cases of patients with influenza, which included the two deaths that have been filed until yesterday.
26/04/2009 confirmed 32 cases of patients with influenza, which included the two deaths that have been filed until yesterday.

NEW ZEALAND Aukland
24/04/2009 three students from a second school group, Northcote College - which also returned from Mexico on Saturday - have also exhibited flu-like symptoms.
24/04/2009 three students from a second school group, Northcote College - which also returned from Mexico on Saturday - have also exhibited flu-like symptoms.
NEW ZEALAND Aukland
24/04/2009 three students from a second school group, Northcote College - which also returned from Mexico on Saturday - have also exhibited flu-like symptoms.
24/04/2009 three students from a second school group, Northcote College - which also returned from Mexico on Saturday - have also exhibited flu-like symptoms.
NEW ZEALAND Aukland
24/04/2009 three students from a second school group, Northcote College - which also returned from Mexico on Saturday - have also exhibited flu-like symptoms.
24/04/2009 three students from a second school group, Northcote College - which also returned from Mexico on Saturday - have also exhibited flu-like symptoms.
NEW ZEALAND Otago
Otago District Health Board was also dealing with suspected cases of swine flu
Otago District Health Board was also dealing with suspected cases of swine flu
NEW ZEALAND Otago
Otago District Health Board was also dealing with suspected cases of swine flu
Otago District Health Board was also dealing with suspected cases of swine flu
NEW ZEALAND Waikato
two possible cases reported in Waikato
two possible cases reported in Waikato
NEW ZEALAND Waikato
two possible cases reported in Waikato
two possible cases reported in Waikato
NEW ZEALAND Nelson-Tasman
further cases in the Nelson-Tasman region.
further cases in the Nelson-Tasman region.
NEW ZEALAND Nelson-Tasman
further cases in the Nelson-Tasman region.
further cases in the Nelson-Tasman region.
CALIFORNIA Palm Springs
two people who returned from Mexico had flu-like symptoms and were tested at a hospital in Palm Springs, with results pending, public health officials said today.
two people who returned from Mexico had flu-like symptoms and were tested at a hospital in Palm Springs, with results pending, public health officials said today.
CALIFORNIA Palm Springs
two people who returned from Mexico had flu-like symptoms and were tested at a hospital in Palm Springs, with results pending, public health officials said today.
two people who returned from Mexico had flu-like symptoms and were tested at a hospital in Palm Springs, with results pending, public health officials said today.
DENMARK Copenhagen Hvidovre Hospital
person who has been hospitalized at Hvidovre Hospital, according to infectious medical department to DR News.
person who has been hospitalized at Hvidovre Hospital, according to infectious medical department to DR News.
DENMARK Copenhagen Rigshospitalet
25/04/2009 two other Danes at Rigshospitalet hospitalized with symptoms of swine flu.
25/04/2009 two other Danes at Rigshospitalet hospitalized with symptoms of swine flu.
DENMARK Copenhagen
25/04/2009 two other Danes at Rigshospitalet hospitalized with symptoms of swine flu.
25/04/2009 two other Danes at Rigshospitalet hospitalized with symptoms of swine flu.
SPAIN Catilona
22 casos de posible contagio en Cataluña (10), Andalucía (3), Baleares (2), Castilla y León (1), Madrid (1), Bilbao (1), Valencia (1), Teruel (1), Murcia (1) y Navarra (1)
22 casos de posible contagio en Cataluña (10), Andalucía (3), Baleares (2), Castilla y León (1), Madrid (1), Bilbao (1), Valencia (1), Teruel (1), Murcia (1) y Navarra (1)
SPAIN Cataluna
22 casos de posible contagio en Cataluña (10), Andalucía (3), Baleares (2), Castilla y León (1), Madrid (1), Bilbao (1), Valencia (1), Teruel (1), Murcia (1) y Navarra (1)
22 casos de posible contagio en Cataluña (10), Andalucía (3), Baleares (2), Castilla y León (1), Madrid (1), Bilbao (1), Valencia (1), Teruel (1), Murcia (1) y Navarra (1)
SPAIN Cateluna
22 casos de posible contagio en Cataluña (10), Andalucía (3), Baleares (2), Castilla y León (1), Madrid (1), Bilbao (1), Valencia (1), Teruel (1), Murcia (1) y Navarra (1)
22 casos de posible contagio en Cataluña (10), Andalucía (3), Baleares (2), Castilla y León (1), Madrid (1), Bilbao (1), Valencia (1), Teruel (1), Murcia (1) y Navarra (1)
SPAIN Cateluna
22 casos de posible contagio en Cataluña (10), Andalucía (3), Baleares (2), Castilla y León (1), Madrid (1), Bilbao (1), Valencia (1), Teruel (1), Murcia (1) y Navarra (1)
22 casos de posible contagio en Cataluña (10), Andalucía (3), Baleares (2), Castilla y León (1), Madrid (1), Bilbao (1), Valencia (1), Teruel (1), Murcia (1) y Navarra (1)
SPAIN Andalucia
22 casos de posible contagio en Cataluña (10), Andalucía (3), Baleares (2), Castilla y León (1), Madrid (1), Bilbao (1), Valencia (1), Teruel (1), Murcia (1) y Navarra (1)
22 casos de posible contagio en Cataluña (10), Andalucía (3), Baleares (2), Castilla y León (1), Madrid (1), Bilbao (1), Valencia (1), Teruel (1), Murcia (1) y Navarra (1)
SPAIN Andalucia
22 casos de posible contagio en Cataluña (10), Andalucía (3), Baleares (2), Castilla y León (1), Madrid (1), Bilbao (1), Valencia (1), Teruel (1), Murcia (1) y Navarra (1)
22 casos de posible contagio en Cataluña (10), Andalucía (3), Baleares (2), Castilla y León (1), Madrid (1), Bilbao (1), Valencia (1), Teruel (1), Murcia (1) y Navarra (1)
SPAIN Andalucia
22 casos de posible contagio en Cataluña (10), Andalucía (3), Baleares (2), Castilla y León (1), Madrid (1), Bilbao (1), Valencia (1), Teruel (1), Murcia (1) y Navarra (1)
22 casos de posible contagio en Cataluña (10), Andalucía (3), Baleares (2), Castilla y León (1), Madrid (1), Bilbao (1), Valencia (1), Teruel (1), Murcia (1) y Navarra (1)
SPAIN Baleares
22 casos de posible contagio en Cataluña (10), Andalucía (3), Baleares (2), Castilla y León (1), Madrid (1), Bilbao (1), Valencia (1), Teruel (1), Murcia (1) y Navarra (1).
22 casos de posible contagio en Cataluña (10), Andalucía (3), Baleares (2), Castilla y León (1), Madrid (1), Bilbao (1), Valencia (1), Teruel (1), Murcia (1) y Navarra (1).
SPAIN Baleares
22 casos de posible contagio en Cataluña (10), Andalucía (3), Baleares (2), Castilla y León (1), Madrid (1), Bilbao (1), Valencia (1), Teruel (1), Murcia (1) y Navarra (1).
22 casos de posible contagio en Cataluña (10), Andalucía (3), Baleares (2), Castilla y León (1), Madrid (1), Bilbao (1), Valencia (1), Teruel (1), Murcia (1) y Navarra (1).
SPAIN Castille and Leon
22 casos de posible contagio en Cataluña (10), Andalucía (3), Baleares (2), Castilla y León (1), Madrid (1), Bilbao (1), Valencia (1), Teruel (1), Murcia (1) y Navarra (1)
22 casos de posible contagio en Cataluña (10), Andalucía (3), Baleares (2), Castilla y León (1), Madrid (1), Bilbao (1), Valencia (1), Teruel (1), Murcia (1) y Navarra (1)
SPAIN Madrid
22 casos de posible contagio en Cataluña (10), Andalucía (3), Baleares (2), Castilla y León (1), Madrid (1), Bilbao (1), Valencia (1), Teruel (1), Murcia (1) y Navarra (1)
22 casos de posible contagio en Cataluña (10), Andalucía (3), Baleares (2), Castilla y León (1), Madrid (1), Bilbao (1), Valencia (1), Teruel (1), Murcia (1) y Navarra (1)
SPAIN Murcia
22 casos de posible contagio en Cataluña (10), Andalucía (3), Baleares (2), Castilla y León (1), Madrid (1), Bilbao (1), Valencia (1), Teruel (1), Murcia (1) y Navarra (1)
22 casos de posible contagio en Cataluña (10), Andalucía (3), Baleares (2), Castilla y León (1), Madrid (1), Bilbao (1), Valencia (1), Teruel (1), Murcia (1) y Navarra (1)
SPAIN Navarra
22 casos de posible contagio en Cataluña (10), Andalucía (3), Baleares (2), Castilla y León (1), Madrid (1), Bilbao (1), Valencia (1), Teruel (1), Murcia (1) y Navarra (1)
22 casos de posible contagio en Cataluña (10), Andalucía (3), Baleares (2), Castilla y León (1), Madrid (1), Bilbao (1), Valencia (1), Teruel (1), Murcia (1) y Navarra (1)
ITALY Venice
Italian woman is suspected of swine flu and is hospitalized in Venice
Italian woman is suspected of swine flu and is hospitalized in Venice
MICHGAN Livingston County
34-year-old woman of Livingston County has a probable case of the swine influenza A (H1N1) virus. The state laboratory results will be sent to the Centers for Disease Control and Prevention (CDC) toda...
34-year-old woman of Livingston County has a probable case of the swine influenza A (H1N1) virus. The state laboratory results will be sent to the Centers for Disease Control and Prevention (CDC) today to determine if the case is positive.

The woman, who recently traveled to the Texas and Mexican border, experienced flu-like symptoms and is recovering at home. The woman’s doctor has instructed her to stay home until further notice.

NEW YORK Queens
23/94/2009 20 confirmed cases in addition to 8 confirmed cases reported earlier. Also 17 probable cases
23/94/2009 20 confirmed cases in addition to 8 confirmed cases reported earlier. Also 17 probable cases
NEW YORK Queens
23/04/2009 17 probable cases in addition to 28 confirmed students.
23/04/2009 17 probable cases in addition to 28 confirmed students.
NORTH CAROLINA
the suspected cases involve patients with severe flu symptoms. The state is encouraging medical providers to only report more severe cases _ people with higher fevers or more prominent respiratory pro...
the suspected cases involve patients with severe flu symptoms. The state is encouraging medical providers to only report more severe cases _ people with higher fevers or more prominent respiratory problems.
handful of suspected cases are sporadically located in various parts of the state.

NORTH CAROLINA
the suspected cases involve patients with severe flu symptoms. The state is encouraging medical providers to only report more severe cases _ people with higher fevers or more prominent respiratory pro...
the suspected cases involve patients with severe flu symptoms. The state is encouraging medical providers to only report more severe cases _ people with higher fevers or more prominent respiratory problems.
handful of suspected cases are sporadically located in various parts of the state.

NORTH CAROLINA
the suspected cases involve patients with severe flu symptoms. The state is encouraging medical providers to only report more severe cases _ people with higher fevers or more prominent respiratory pro...
the suspected cases involve patients with severe flu symptoms. The state is encouraging medical providers to only report more severe cases _ people with higher fevers or more prominent respiratory problems.
handful of suspected cases are sporadically located in various parts of the state.

NORTH CAROLINA
the suspected cases involve patients with severe flu symptoms. The state is encouraging medical providers to only report more severe cases _ people with higher fevers or more prominent respiratory pro...
the suspected cases involve patients with severe flu symptoms. The state is encouraging medical providers to only report more severe cases _ people with higher fevers or more prominent respiratory problems.
handful of suspected cases are sporadically located in various parts of the state.

CALIFORNIA
California has confirmed 11 cases of the swine flu that threatens to become a full pandemic, state health officials said on Monday.
California has confirmed 11 cases of the swine flu that threatens to become a full pandemic, state health officials said on Monday.

CALIFORNIA
California has confirmed 11 cases of the swine flu that threatens to become a full pandemic, state health officials said on Monday.
California has confirmed 11 cases of the swine flu that threatens to become a full pandemic, state health officials said on Monday.

CALIFORNIA
California has confirmed 11 cases of the swine flu that threatens to become a full pandemic, state health officials said on Monday.
California has confirmed 11 cases of the swine flu that threatens to become a full pandemic, state health officials said on Monday.

CALIFORNIA Sacramento County Fair Oaks
three 7th graders at St. Mel's School in the Sacramento County suburb of Fair Oaks was sick with swine flu.
three 7th graders at St. Mel's School in the Sacramento County suburb of Fair Oaks was sick with swine flu.
CALIFORNIA Sacramento County Fair Oaks
three 7th graders at St. Mel's School in the Sacramento County suburb of Fair Oaks was sick with swine flu.
three 7th graders at St. Mel's School in the Sacramento County suburb of Fair Oaks was sick with swine flu.
CALIFORNIA Santa Clarita
two "clusters" of patients with influenza-like symptoms in Santa Clarita,
two "clusters" of patients with influenza-like symptoms in Santa Clarita,
CALIFORNIA Santa Clarita
two "clusters" of patients with influenza-like symptoms in Santa Clarita,
two "clusters" of patients with influenza-like symptoms in Santa Clarita,
CALIFORNIA Santa Clarita
two "clusters" of patients with influenza-like symptoms in Santa Clarita,
two "clusters" of patients with influenza-like symptoms in Santa Clarita,
CALIFORNIA Santa Clarita
two "clusters" of patients with influenza-like symptoms in Santa Clarita,
two "clusters" of patients with influenza-like symptoms in Santa Clarita,
CALIFORNIA San Diego County Mira Mesa
six teachers became ill, San Diego County health officials said. Tests were being conducted to determine if the teachers contracted swine flu. private school in Mira Mesa was closed
six teachers became ill, San Diego County health officials said. Tests were being conducted to determine if the teachers contracted swine flu.
private school in Mira Mesa was closed
CALIFORNIA San Diego County Mira Mesa
six teachers became ill, San Diego County health officials said. Tests were being conducted to determine if the teachers contracted swine flu. private school in Mira Mesa was closed
six teachers became ill, San Diego County health officials said. Tests were being conducted to determine if the teachers contracted swine flu.
private school in Mira Mesa was closed
CALIFORNIA San Diego County Mira Mesa
six teachers became ill, San Diego County health officials said. Tests were being conducted to determine if the teachers contracted swine flu. private school in Mira Mesa was closed
six teachers became ill, San Diego County health officials said. Tests were being conducted to determine if the teachers contracted swine flu.
private school in Mira Mesa was closed
CALIFORNIA Los Angeles Airport
six people aboard a Qantas flight that originated in Los Angeles and landed in Australia Monday were being examined by medical authorities after showing possible flu-like symptoms
six people aboard a Qantas flight that originated in Los Angeles and landed in Australia Monday were being examined by medical authorities after showing possible flu-like symptoms
CALIFORNIA Los Angeles Airport
six people aboard a Qantas flight that originated in Los Angeles and landed in Australia Monday were being examined by medical authorities after showing possible flu-like symptoms
six people aboard a Qantas flight that originated in Los Angeles and landed in Australia Monday were being examined by medical authorities after showing possible flu-like symptoms
CALIFORNIA Los Angeles Airport
six people aboard a Qantas flight that originated in Los Angeles and landed in Australia Monday were being examined by medical authorities after showing possible flu-like symptoms
six people aboard a Qantas flight that originated in Los Angeles and landed in Australia Monday were being examined by medical authorities after showing possible flu-like symptoms
NEW JERSEY
five probable cases of swine flu in people who recently traveled to Mexico and California.
five probable cases of swine flu in people who recently traveled to Mexico and California.
NEW JERSEY
five probable cases of swine flu in people who recently traveled to Mexico and California.
five probable cases of swine flu in people who recently traveled to Mexico and California.
NEW JERSEY
five probable cases of swine flu in people who recently traveled to Mexico and California.
five probable cases of swine flu in people who recently traveled to Mexico and California.
NEW JERSEY
five probable cases of swine flu in people who recently traveled to Mexico and California.
five probable cases of swine flu in people who recently traveled to Mexico and California.
NEW JERSEY
five probable cases of swine flu in people who recently traveled to Mexico and California.
five probable cases of swine flu in people who recently traveled to Mexico and California.
MICHIGAN Allegan County
Allegan County man is being tested for swine flu, health department officials said Monday evening, April 27. The man had flu-like symptoms and had traveled to Mexico within the past week,
Allegan County man is being tested for swine flu, health department officials said Monday evening, April 27.

The man had flu-like symptoms and had traveled to Mexico within the past week,
SOUTH CAROLINA Newberry County
Newberry Academy students had swine flu because their high fever and body aches began during and shortly after a senior class trip to Cancun.
Newberry Academy students had swine flu because their high fever and body aches began during and shortly after a senior class trip to Cancun.
SOUTH CAROLINA Newberry County
Newberry Academy students had swine flu because their high fever and body aches began during and shortly after a senior class trip to Cancun.
Newberry Academy students had swine flu because their high fever and body aches began during and shortly after a senior class trip to Cancun.
SOUTH CAROLINA Newberry County
Newberry Academy students had swine flu because their high fever and body aches began during and shortly after a senior class trip to Cancun.
Newberry Academy students had swine flu because their high fever and body aches began during and shortly after a senior class trip to Cancun.
SOUTH CAROLINA Newberry County
Newberry Academy students had swine flu because their high fever and body aches began during and shortly after a senior class trip to Cancun.
Newberry Academy students had swine flu because their high fever and body aches began during and shortly after a senior class trip to Cancun.
SOUTH CAROLINA Newberry County
Newberry Academy students had swine flu because their high fever and body aches began during and shortly after a senior class trip to Cancun.
Newberry Academy students had swine flu because their high fever and body aches began during and shortly after a senior class trip to Cancun.
SOUTH CAROLINA Newberry County
Newberry Academy students had swine flu because their high fever and body aches began during and shortly after a senior class trip to Cancun.
Newberry Academy students had swine flu because their high fever and body aches began during and shortly after a senior class trip to Cancun.
RUSSIA Moscow Airport ex-Mexico City
airport recorded a temperature from 29-year-old passenger, arrived at Moscow airport" Sheremetyevo "flight from Mexico City with change in Paris .
airport recorded a temperature from 29-year-old passenger, arrived at Moscow airport" Sheremetyevo "flight from Mexico City with change in Paris .
CZECH REPUBLIC Prague
three people hospitalized with suspected "pig flu". "На Мотоле" и "На Буловце". Comprehensive survey of patients undergoing in infectious ward "At Motol" and "At Bulovtse. These people have recently r...
three people hospitalized with suspected "pig flu". "На Мотоле" и "На Буловце". Comprehensive survey of patients undergoing in infectious ward "At Motol" and "At Bulovtse. These people have recently returned from Mexico.
CZECH REPUBLIC Prague
three people hospitalized with suspected "pig flu". "На Мотоле" и "На Буловце". Comprehensive survey of patients undergoing in infectious ward "At Motol" and "At Bulovtse. These people have recently r...
three people hospitalized with suspected "pig flu". "На Мотоле" и "На Буловце". Comprehensive survey of patients undergoing in infectious ward "At Motol" and "At Bulovtse. These people have recently returned from Mexico.
CZECH REPUBLIC Prague
three people hospitalized with suspected "pig flu". "На Мотоле" и "На Буловце". Comprehensive survey of patients undergoing in infectious ward "At Motol" and "At Bulovtse. These people have recently r...
three people hospitalized with suspected "pig flu". "На Мотоле" и "На Буловце". Comprehensive survey of patients undergoing in infectious ward "At Motol" and "At Bulovtse. These people have recently returned from Mexico.
CHILE Santiago
4 are hospitalized in Torax Hospital, in Santiago
4 are hospitalized in
Torax Hospital, in Santiago
CHILE Santiago
4 are hospitalized in Torax Hospital, in Santiago
4 are hospitalized in
Torax Hospital, in Santiago
CHILE Santiago
4 are hospitalized in Torax Hospital, in Santiago
4 are hospitalized in
Torax Hospital, in Santiago
CHILE Santiago
4 are hospitalized in Torax Hospital, in Santiago
4 are hospitalized in
Torax Hospital, in Santiago
CHILE Atacama
4 in other zones of Chile (Atacama, Valparaíso, La Araucanía y Aysén)
4 in other zones of Chile (Atacama,
Valparaíso, La Araucanía y Aysén)
CHILE Valparaíso
4 in other zones of Chile (Atacama, Valparaíso, La Araucanía y Aysén)
4 in other zones of Chile (Atacama,
Valparaíso, La Araucanía y Aysén)
CHILE La Araucanía
4 in other zones of Chile (Atacama, Valparaíso, La Araucanía y Aysén
4 in other zones of Chile (Atacama,
Valparaíso, La Araucanía y Aysén
CHILE Ayse
4 in other zones of Chile (Atacama, Valparaíso, La Araucanía y Aysé
4 in other zones of Chile (Atacama,
Valparaíso, La Araucanía y Aysé
MEXICO Veracruz La Gloria
four-year-old boy, Edgar Hernandez Hernandez. The federal government said tonight that he tested positive for the same strain of the virus which has claimed lives in Mexico.
four-year-old boy, Edgar Hernandez Hernandez. The federal government said tonight that he tested positive for the same strain of the virus which has claimed lives in Mexico.
MEXICO Veracruz la Gloria
But two babies from the same village died during the outbreak. Sufferers complained of symptoms including fever, severe cough, and large amounts of phlegm.
But two babies from the same village died during the outbreak. Sufferers complained of symptoms including fever, severe cough, and large amounts of phlegm.
ENGLAND Manchester Sale
Canadian woman is undergoing tests at a hospital in Manchester to determine if she represents England's first case of swine flu.
Canadian woman is undergoing tests at a hospital in Manchester to determine if she represents England's first case of swine flu.
NORTH CAROLINA Boone Appalachian State University
five college students at Appalachian State University for the Swine Flu virus. The students just returned from a trip in Mexico and experienced flu-like symptoms.
five college students at Appalachian State University for the Swine Flu virus. The students just returned from a trip in Mexico and experienced flu-like symptoms.
NORTH CAROLINA Boone
five college students at Appalachian State University for the Swine Flu virus. The students just returned from a trip in Mexico and experienced flu-like symptoms.
five college students at Appalachian State University for the Swine Flu virus. The students just returned from a trip in Mexico and experienced flu-like symptoms.
NORTH CAROLINA Boone
five college students at Appalachian State University
NORTH CAROLINA Boone
five college students at Appalachian State University for the Swine Flu virus. The students just returned from a trip in Mexico and experienced flu-like symptoms.
five college students at Appalachian State University for the Swine Flu virus. The students just returned from a trip in Mexico and experienced flu-like symptoms.
NORTH CAROLINA Boone
five college students at Appalachian State University for the Swine Flu virus. The students just returned from a trip in Mexico and experienced flu-like symptoms.
five college students at Appalachian State University for the Swine Flu virus. The students just returned from a trip in Mexico and experienced flu-like symptoms.
NORTH CAROLINA Buncombe County
Buncombe County, N.C. is also testing to people for the virus.
Buncombe County, N.C. is also testing to people for the virus.
NORTH CAROLINA Buncombe County
Buncombe County, N.C. is also testing to people for the virus.
Buncombe County, N.C. is also testing to people for the virus.
TEXAS Starr County
two students at Veterans Middle School are believed to have swine flu, and the school has been closed until next Monday, May 4,
two students at Veterans Middle School are believed to have swine flu, and the school has been closed until next Monday, May 4,
TEXAS Starr County
two students at Veterans Middle School are believed to have swine flu, and the school has been closed until next Monday, May 4,
two students at Veterans Middle School are believed to have swine flu, and the school has been closed until next Monday, May 4,
IDAHO Ada
resident with flu-like symptoms is being tested for presence of the swine flu,
resident with flu-like symptoms is being tested for presence of the swine flu,
IDAHO Madison County
other cases were detected in Madison County
other cases were detected in Madison County
IDAHO Fremont
fourth case, from Fremont County
fourth case, from Fremont County
NORWAY Vestfold Revetal
2 year old in Revetal, Vestfold, Norway
2 year old in Revetal, Vestfold, Norway
SPAIN Catelonia
Councilor for the Health of the Generalitat, Marina Geli, noted that some of the suspected cases are individuals who have passed through the Federal District on their trip to Mexico. . They are in Bar...
Councilor for the Health of the Generalitat, Marina Geli, noted that some of the suspected cases are individuals who have passed through the Federal District on their trip to Mexico. . They are in Barcelona, and Girona Granollers All have begun in recent days, a mild respiratory table, cough, general fatigue and fever, but developing well.

SPAIN Asturias
31 years who remains hospitalized in isolation in hospital Cabueñes in Gijón. . She spent between 6 and April 12 in Mexico. The 21 days began to have fever over 38 degrees, cough and muscle and joint ...
31 years who remains hospitalized in isolation in hospital Cabueñes in Gijón. . She spent between 6 and April 12 in Mexico. The 21 days began to have fever over 38 degrees, cough and muscle and joint aches.
SPAIN Madrid
Have been detected and four cases, one is a man who came from Mexico, which is entered in isolation at the Hospital Carlos III, informed sources from the Ministry of Health.
Have been detected and four cases, one is a man who came from Mexico, which is entered in isolation at the Hospital Carlos III, informed sources from the Ministry of Health.

SPAIN Madrid
Have been detected and four cases, one is a man who came from Mexico, which is entered in isolation at the Hospital Carlos III, informed sources from the Ministry of Health.
Have been detected and four cases, one is a man who came from Mexico, which is entered in isolation at the Hospital Carlos III, informed sources from the Ministry of Health.

SPAIN Madrid
Have been detected and four cases, one is a man who came from Mexico, which is entered in isolation at the Hospital Carlos III, informed sources from the Ministry of Health.
Have been detected and four cases, one is a man who came from Mexico, which is entered in isolation at the Hospital Carlos III, informed sources from the Ministry of Health.

SPAIN Basque Country
At least one of the suspected cases are in Bilbao. Basque Health Counselor, Gabriel Inclán, said that "there is no risk to the population."
At least one of the suspected cases are in Bilbao. Basque Health Counselor, Gabriel Inclán, said that "there is no risk to the population."

SPAIN Aragon
22 years, which remains in isolation from this Sunday at the Hospital Obispo Polanco de Teruel. Volvió de un viaje a México hace una semana. Returned from a trip to Mexico a week ago
22 years, which remains in isolation from this Sunday at the Hospital Obispo Polanco de Teruel. Volvió de un viaje a México hace una semana. Returned from a trip to Mexico a week ago
SOUTH KOREA Gyenoggi
51-year-old woman living in Gyeonggi province (surrounding Seoul) has been classified as a suspected case he arrived in Mexico via Los Angeles on April 17 and returned home via the same city on April ...
51-year-old woman living in Gyeonggi province (surrounding Seoul) has been classified as a suspected case

he arrived in Mexico via Los Angeles on April 17 and returned home via the same city on April 26.

"Before taking a flight back home, she was coughing and felt a chill. Upon returning home, she reported to health authorities," he said.
SCOTLAND Falkirk
"In addition, there are currently a further seven people among the 22 who have been in contact with the two infected people who have now developed mild symptoms and are being appropriately cared for.
"In addition, there are currently a further seven people among the 22 who have been in contact with the two infected people who have now developed mild symptoms and are being appropriately cared for.
SCOTLAND Falkirk
"In addition, there are currently a further seven people among the 22 who have been in contact with the two infected people who have now developed mild symptoms and are being appropriately cared for.
"In addition, there are currently a further seven people among the 22 who have been in contact with the two infected people who have now developed mild symptoms and are being appropriately cared for.
SCOTLAND Falkirk
"In addition, there are currently a further seven people among the 22 who have been in contact with the two infected people who have now developed mild symptoms and are being appropriately cared for.
"In addition, there are currently a further seven people among the 22 who have been in contact with the two infected people who have now developed mild symptoms and are being appropriately cared for.
SCOTLAND Falkirk
"In addition, there are currently a further seven people among the 22 who have been in contact with the two infected people who have now developed mild symptoms and are being appropriately cared for.
"In addition, there are currently a further seven people among the 22 who have been in contact with the two infected people who have now developed mild symptoms and are being appropriately cared for.
SCOTLAND Falkirk
"In addition, there are currently a further seven people among the 22 who have been in contact with the two infected people who have now developed mild symptoms and are being appropriately cared for.
"In addition, there are currently a further seven people among the 22 who have been in contact with the two infected people who have now developed mild symptoms and are being appropriately cared for.
SCOTLAND Falkirk
"In addition, there are currently a further seven people among the 22 who have been in contact with the two infected people who have now developed mild symptoms and are being appropriately cared for.
"In addition, there are currently a further seven people among the 22 who have been in contact with the two infected people who have now developed mild symptoms and are being appropriately cared for.
SCOTLAND Falkirk
"In addition, there are currently a further seven people among the 22 who have been in contact with the two infected people who have now developed mild symptoms and are being appropriately cared for.
"In addition, there are currently a further seven people among the 22 who have been in contact with the two infected people who have now developed mild symptoms and are being appropriately cared for.
HONG KONG
Four people are being tested in Hong Kong for possible swine flu, a health official said on Tuesday.
Four people are being tested in Hong Kong for possible swine flu, a health official said on Tuesday.
HONG KONG
Four people are being tested in Hong Kong for possible swine flu, a health official said on Tuesday.
Four people are being tested in Hong Kong for possible swine flu, a health official said on Tuesday.
HONG KONG
Four people are being tested in Hong Kong for possible swine flu, a health official said on Tuesday.
Four people are being tested in Hong Kong for possible swine flu, a health official said on Tuesday.
HONG KONG
Four people are being tested in Hong Kong for possible swine flu, a health official said on Tuesday.
Four people are being tested in Hong Kong for possible swine flu, a health official said on Tuesday.
PENNSYLVANIA Philadelphia Airport ex-Ontario
24-year-old woman from Ontario was taken to Methodist Hospital after her flight from Mexico landed about 4 p.m. Monday at Philadelphia International Airport. She had complained of flu-like symptoms. H...
24-year-old woman from Ontario was taken to Methodist Hospital after her flight from Mexico landed about 4 p.m. Monday at Philadelphia International Airport. She had complained of flu-like symptoms.

Hospital officials are awaiting test results from the Centers for Disease Control and Prevention on whether the woman has swine flu.

She is in isolation at the hospital until tests are completed.
BRAZIL San Paulo
Alexandre Magno, 40 years, landed at the International Airport Luis Eduardo Magalhaes, from Miami, presenting symptoms of the disease, such as fever, cough and body pain, and is hospitalized in Octavi...
Alexandre Magno, 40 years, landed at the International Airport Luis Eduardo Magalhaes, from Miami, presenting symptoms of the disease, such as fever, cough and body pain, and is hospitalized in Octavio Mangabeira Hospital in the district of Pau Kid, according to the newspaper "The Afternoon". According to the newspaper, he was subjected to tests and is under observation. . The wife of Magno, who traveled with him, no symptoms of influenza.
UNITED KINGDOM Wiltshire
All seven, who have either recently returned from Mexico or have links with someone who has, are being kept at home while tests are being carried out. Hospital treatment has not been required.
All seven, who have either recently returned from Mexico or have links with someone who has, are being kept at home while tests are being carried out. Hospital treatment has not been required.
UNITED KINGDOM Wiltshire
All seven, who have either recently returned from Mexico or have links with someone who has, are being kept at home while tests are being carried out. Hospital treatment has not been required.
All seven, who have either recently returned from Mexico or have links with someone who has, are being kept at home while tests are being carried out. Hospital treatment has not been required.
UNITED KINGDOM Wiltshire
All seven, who have either recently returned from Mexico or have links with someone who has, are being kept at home while tests are being carried out. Hospital treatment has not been required.
All seven, who have either recently returned from Mexico or have links with someone who has, are being kept at home while tests are being carried out. Hospital treatment has not been required.
IRELAND
four others already analysed
four others already analysed
IRELAND
four others already analysed
four others already analysed
IRELAND
four others already analysed
four others already analysed
IRELAND
four others already analysed
four others already analysed
IRELAND
further two people were being tested in the Irish Republic on Tuesday for possible swine flu.
further two people were being tested in the Irish Republic on Tuesday for possible swine flu.
IRELAND
further two people were being tested in the Irish Republic on Tuesday for possible swine flu.
further two people were being tested in the Irish Republic on Tuesday for possible swine flu.
BRAZIL Belo Horizonte
A couple was hospitalized with suspicion of swine influenza in the Hospital das Clínicas, Belo Horizonte, this Monday (27).
A couple was hospitalized with suspicion of swine influenza in the Hospital das Clínicas, Belo Horizonte, this Monday (27).
BRAZIL Belo Horizonte
A couple was hospitalized with suspicion of swine influenza

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