The 2009 flu pandemic hit Africa two months later than other continents with the first case reported in Egypt on June 2, 2009. As of December 1, 30 countries in Africa had reported cases and 7 countries in Africa had reported a total of 108 deaths. It was the least affected continent.
Symptoms of H1N1 swine flu are like regular flu symptoms and include fever, cough, sore throat, runny nose, body aches, headache, chills, and fatigue. Many people with swine flu have had diarrhea and vomiting, but these symptoms can also be caused by many other conditions. That means that you and your doctor can't know, just based on your symptoms, if you've got swine flu. Healthcare professionals may offer a rapid flu test, although a negative result doesn't mean you don't have the flu. The accuracy of the test depends on the quality of the manufacturer's test, the sample collection method, and how much of the virus a person is emitting at the time of testing.
Like seasonal flu, pandemic swine flu can cause neurological symptoms in children. These events are rare, but, as cases associated with seasonal flu have shown, they can be very severe and often fatal. Symptoms include seizures or changes in mental status (confusion or sudden cognitive or behavioral changes). It's not clear why these symptoms occur, although they may be caused by Reye's syndrome. Reye's syndrome usually occurs in children with a viral illness who have taken aspirin—something that should always be avoided. [1]
Country | Cases | Deaths | |
---|---|---|---|
Laboratory confirmed | Laboratory confirmed | ||
Total | 28,616 | 345 | |
South Africa | 12,631 [2] | 93 [3] | |
Egypt | 11,765 [4] | 210 [5] | |
Morocco | 2980 [4] | 50 [3] | |
Algeria | 672 [2] | 47 [3] | |
Mauritius | 69 [2] | 8 [3] | |
Tunisia | 1200 [4] | 18 [3] | |
Madagascar | 877 [2] | 3 [3] | |
Mozambique | 101 [2] | 2 [3] | |
São Tomé and Príncipe | 41 [2] | 2 [3] | |
Nigeria | 11 [2] | 2 [3] | |
Tanzania | 677 [2] | 1 [3] | |
Libya | 233 [4] | 1 [3] | |
Namibia | 72 [2] | 1 [3] | |
Sudan | 145 [4] | 5 [3] | |
Kenya | 417 [2] | 0 | |
Rwanda | 331 [2] | 0 | |
Uganda | 251 [2] | 0 | |
Zambia | 90 [2] | 0 | |
Democratic Republic of Congo | 222 [2] | 0 | |
Lesotho | 65 [2] | 0 | |
Cape Verde | 62 [2] | 0 | |
Ghana | 54 [2] | 0 | |
Zimbabwe | 41 [2] | 0 | |
Angola | 37 [2] | 0 | |
Seychelles | 33 [2] | 0 | |
Botswana | 23 [2] | 0 | |
Republic of the Congo | 21 [2] | 0 | |
Djibouti | 9 [4] | 0 | |
Burundi | 7 [2] | 0 | |
Mali | 7 [2] | 0 | |
Ethiopia | 6 [2] | 0 | |
Cameroon | 4 [2] | 0 | |
Malawi | 4 [2] | 0 | |
Côte d'Ivoire | 3 [2] | 0 | |
Swaziland | 2 [2] | 0 | |
Gabon | 1 [2] | 0 | |
Summary: Number of African countries with confirmed cases: 35 (13 November 2009) |
The first case of swine influenza was detected in Algeria on June 20. This was an Algerian national, resident in Frankfurt and coming from Miami with her two children.
This first case was detected at Houari Boumediene Airport. Many Algerian immigrants and tourists were arriving during this holiday period, increasing the risk of spreading the virus. The woman suffering from flu was immediately transferred to the hospital of El-Kettar’ in Algiers. [6]
As of May 2, 2009 there was one suspected case of swine flu in Benin. [7]
The Egyptian government increased numbers of medical officers at Cairo Airport and pledged to monitor passengers from Mexico during their stay. [8]
The government ordered the mass slaughter of all pigs in Egypt on April 29, [9] even though the pandemic strain was a human-human transmittable, human influenza that has already previously hybridized with avian and swine flu. [10] The World Organization for Animal Health called the swine killing "scientifically unjustified". [10]
Egypt commenced the slaughter on 2 May 2009. [11] On the next day in Cairo, an estimated 300 Coptic Christian residents of the Manshiyat Nasr district set up blockades on the street in attempt to keep government officers from confiscating their pigs, [12] which led to clashes with the police. [13] Al-Ahram , a widely circulated Egyptian newspaper, reported that owners of destroyed pigs would receive E£1,000 (approximately US$177.70) per animal in compensation, [14] but Reuters reported that the issue was still "under discussion", citing an Egyptian cabinet spokesman. [14]
The first case of the novel H1N1 virus was discovered in Cairo, Egypt on the second of June, in a 12-year-old girl coming from the US with her mother. Only the girl was infected, and the officials caught the case before she left the airport.
A second and third case were discovered on Sunday 7 June: two students at the American University of Cairo. [15]
As of June 9, there was 8 confirmed case of swine flu in Egypt.
On June 11, 2 more cases were discovered, along with 2 cases discovered a day earlier, bringing the total number of swine flu cases to 12. [16]
As of December 3, the confirmed cases were 3558 and the deaths of 24. As of January 31, there were 258 confirmed deaths from A/H1N1 influenza in Egypt, and in excess of 15,800 confirmed cases of H1N1. [17]
On June 19, 2009 the Ethiopian government reported two cases of swine flu. They were both in girls who had returned from school in the United States for summer break. [18] [19] One additional case was reported by July 6. [20] By December 14, 2009, six cases had been reported with no deaths contributed to the flu. [2]
Ghana banned the importation of pork and pork products. [21] As of December 14, 2009, Ghana had 54 cases with no deaths reported. [2]
Kenya health authorities started screening travellers at Jomo Kenyatta and Moi international airports on April 28. Public Health and Sanitation minister Beth Mugo said travellers from Mexico and those from Texas, California and New York were being screened. [22]
On June 29, a British medical student became the first confirmed case of swine flu in Kenya. The student, who was in a group of 33, was in Kenya to attend a series of medical camps in Nyanza province. The whole group was quarantined in their hotel in Kisumu while undergoing treatment.
There was a panic in Nairobi as mobile text messages circulated warning people to stay away from Sarit centre, a popular commercial establishment where another suspected case had been diagnosed. The patient's test results, however, came back negative for the H1N1 virus. [23] [24] [25]
As of December 14, 2009, Kenya had 417 cases with no deaths reported. [2]
On 6 July 2009, Libya had its first confirmed case of swine flu from a man that had travelled from Thailand via Dubai. [26] As of December 5, 2009, Libya had 124 cases with no deaths. [27]
Morocco confirmed the first case of novel human swine flu (A/H1N1-2009) on 12 June, in an 18-year-old university student returning from Canada. [28] As of December 5, 2009, Morocco had 1,763 cases with 5 deaths. [27]
Namibia confirmed its first two cases of swine flu on July 20.
Both cases involved young adults who had been traveling in other countries: a 13-year-old boy from Rehoboth who returned from a rugby trip with 20 other students in South Africa and a young student returning from Europe. The latter was taken by ambulance to hospital directly from the international airport in Windhoek as she showed severe signs of flu. [29]
Nigerian Health Minister Babatunde Osotimehin announced that the country was stockpiling antiviral treatments, informing the public and increasing surveillance. [8]
The first A/H1N1 death was confirmed in Nigeria on 5 January 2010, with the victim being a 38-year-old woman from Lagos who was infected in the US.
Tunisia confirmed the two first cases of swine flu (A/H1N1-2009) on June 22. Both cases were returning from the United States, and recovered quickly. [30]
On April 29, South Africa reported two possible cases of swine flu from two women who had recently travelled in Mexico. [31] On June 18, the first case was confirmed. Later, on 29 June the South African National Department of Health confirmed 7 cases of swine influenza in the country. [32]
The first death in South Africa was confirmed on 3 August. The victim was a student at the University of Stellenbosch. A few days later the second confirmed death was announced: a male in Durban, Mount Edgecombe [33] As of December 14, 2009, South Africa had 12631 cases with 91 deaths. [27]
The H1N1 virus was a concern for the 2010 FIFA World Cup, which took place in June 2010 but there were not any major issues with the flu during the tournament. [34] [35]
The first case of swine flu in Sudan was confirmed in mid-July 2009. At the end of November the first case was confirmed in Southern Sudan. [36]
As of December 28, 2009, there were five deaths and over 150 confirmed cases of swine flu in Sudan. [37]
An emergency task force was set up by the Zambian government. [8]
Swine influenza is an infection caused by any of several types of swine influenza viruses. Swine influenza virus (SIV) or swine-origin influenza virus (S-OIV) refers to any strain of the influenza family of viruses that is endemic in pigs. As of 2009, identified SIV strains include influenza C and the subtypes of influenza A known as H1N1, H1N2, H2N1, H3N1, H3N2, and H2N3.
In virology, influenza A virus subtype H1N1 (A/H1N1) is a subtype of influenza A virus. Major outbreaks of H1N1 strains in humans include the 1918 Spanish flu pandemic, the 1977 Russian flu pandemic and the 2009 swine flu pandemic. It is an orthomyxovirus that contains the glycoproteins hemagglutinin (H) and neuraminidase (N), antigens whose subtypes are used to classify the strains of the virus as H1N1, H1N2 etc. Hemagglutinin causes red blood cells to clump together and binds the virus to the infected cell. Neuraminidase is a type of glycoside hydrolase enzyme which helps to move the virus particles through the infected cell and assist in budding from the host cells.
The 2009 swine flu pandemic, caused by the H1N1/swine flu/influenza virus and declared by the World Health Organization (WHO) from June 2009 to August 2010, was the third recent flu pandemic involving the H1N1 virus. The first identified human case was in La Gloria, Mexico, a rural town in Veracruz. The virus appeared to be a new strain of H1N1 that resulted from a previous triple reassortment of bird, swine, and human flu viruses which further combined with a Eurasian pig flu virus, leading to the term "swine flu".
The 2009 flu pandemic in the United States was caused by a novel strain of the Influenza A/H1N1 virus, commonly referred to as "swine flu", that was first detected on 15 April 2009. While the 2009 H1N1 virus strain was commonly referred to as "swine flu", there is no evidence that it is endemic to pigs or of transmission from pigs to people; instead, the virus spreads from person to person. On April 25, the World Health Organization declared a public health emergency, followed concurringly by the Obama administration on April 26.
The 2009 swine flu pandemic in Canada was part of an epidemic in 2009 of a new strain of influenza A virus subtype H1N1 causing what has been commonly called swine flu. In Canada, roughly 10% of the populace has been infected with the virus, with 428 confirmed deaths ; non-fatal individual cases are for the most part no longer being recorded. About 40% of Canadians have been immunized against H1N1 since a national vaccination campaign began in October 2009, with Canada among the countries in the world leading in the percentage of the population that has been vaccinated. The widespread effect of H1N1 in Canada raised concerns during the months leading to the XXI Olympic Winter Games, which took place in Vancouver in February 2010.
This article covers the chronology of the 2009 novel influenza A (H1N1) pandemic. Flag icons denote the first announcements of confirmed cases by the respective nation-states, their first deaths, and relevant sessions and announcements of the World Health Organization (WHO), the European Union , and the U.S. Centers for Disease Control (CDC).
Australia had 37,537 confirmed cases of H1N1 Influenza 2009 and 191 deaths reported by Department of Health but only 77 deaths reported by the Australian Bureau of Statistics. The actual numbers are much larger, as only serious cases warranted being tested and treated at the time. Suspected cases have not been reported by the Department of Health and Ageing since 18 May 2009 because they were changing too quickly to report. Sources say that as many as 1600 Australians may have actually died as a result of this virus. On 23rd of May 2009 the federal government classified the outbreak as CONTAIN phase except in Victoria where it was escalated to the SUSTAIN phase on 3rd of June 2009. This gave government authorities permission to close schools in order to slow the spread of the disease. On 17 June 2009 the Department of Health and Ageing introduced a new phase called PROTECT. This modified the response to focus on people with high risk of complications from the disease. Testing at airports was discontinued. The national stockpile of antiviral drugs were no longer made available to people with the flu unless there were more than mild symptoms or a high risk of dying.
This article deals with the status and efforts regarding the 2009 swine flu pandemic by country and continent/region.
In reaction to the 2009 flu pandemic, governments around the world have responded with sometimes extreme reactions against pigs, which has included the official extermination of all domestic pigs in Egypt and the culling of three wild boars at the Baghdad Zoo in Iraq. Many of these slaughters occurred in Muslim countries, and religious restrictions on the consumption of pork have been cited as influencing the decision to take such action. Many other countries have banned international trade in pigs and pork products.
The pandemic H1N1/09 virus is a swine origin influenza A virus subtype H1N1 strain that was responsible for the 2009 swine flu pandemic. This strain is often called swine flu by the public media due to the prevailing belief that it originated in pigs. The virus is believed to have originated around September 2008 in central Mexico.
The 2009 flu pandemic in South America was part of a global epidemic in 2009 of a new strain of influenza A virus subtype H1N1, causing what has been commonly called swine flu. As of 9 June 2009, the virus had affected at least 2,000 people in South America, with at least 4 confirmed deaths. On 3 May 2009, the first case of the flu in South America was confirmed in a Colombian man who recently travelled from Mexico – since then, it has spread throughout the continent. By far, the most affected country has been Chile, with more than 12,000 confirmed cases, 104 deaths, and the highest per capita incidence in the world.
The 2009 flu pandemic in Asia, part of an epidemic in 2009 of a new strain of influenza A virus subtype H1N1 causing what has been commonly called swine flu, afflicted at least 394,133 people in Asia with 2,137 confirmed deaths: there were 1,035 deaths confirmed in India, 737 deaths in China, 415 deaths in Turkey, 192 deaths in Thailand, and 170 deaths in South Korea. Among the Asian countries, South Korea had the most confirmed cases, followed by China, Hong Kong, and Thailand.
The 2009 swine flu pandemic in North America, part of a pandemic in 2009 of a new strain of influenza A virus subtype H1N1 causing what has been commonly called swine flu, began in the United States or Mexico.
The 2009 flu pandemic in Oceania, part of an epidemic in 2009 of a new strain of influenza A virus subtype H1N1 causing what has been commonly called swine flu, has afflicted at over 22,000 people in Oceania, with 56 confirmed deaths. Almost all of the cases in Oceania have been in Australia, where the majority of cases have resulted from internal community spread of the virus. In addition, the government of New Zealand, where most of the remainder of cases in Oceania have occurred, is on high alert for any people travelling into the country with flu-like symptoms.
The United States experienced the beginnings of a pandemic of a novel strain of the influenza A/H1N1 virus, commonly referred to as "swine flu", in the spring of 2009. The earliest reported cases in the US began appearing in late March 2009 in California, then spreading to infect people in Texas, New York, and other states by mid-April. Early cases were associated with recent travel to Mexico; many were students who had traveled to Mexico for Spring Break. This spread continued across the country's population and by the end of May there were approximately 0 confirmed cases throughout all 50 states.
The 2009 swine flu pandemic in New Zealand was caused by a novel strain of the A/H1N1 influenza virus. A total of 3,175 cases and 69 deaths were recorded, although a seroprevalence study estimated that around 800,000 individuals may have been infected during the initial wave of the pandemic.
The 2009 flu pandemic in the Philippines began on May 21, 2009, when a young Filipina girl first contracted the A(H1N1) virus while in the United States. In the following days, several local cases were reported to be caused by contact with two infected Taiwanese women who attended a wedding ceremony in Zambales.
The 2009 swine flu pandemic in India was the outbreak of swine flu in various parts of India. Soon after the outbreak of H1N1 virus in the United States and Mexico in March, the Government of India started screening people coming from the affected countries at airports for swine flu symptoms. The first case of the flu in India was found on the Hyderabad airport on 13 May, when a man traveling from US to India was found H1N1 positive. Subsequently, more confirmed cases were reported and as the rate of transmission of the flu increased in the beginning of August, with the first death due to swine flu in India in Pune, panic began to spread. As of 24 May 2010, 10193 cases of swine flu have been confirmed with 1035 deaths.
The 2009 flu pandemic was a global outbreak of a new strain of influenza A virus subtype H1N1, first identified in April 2009, termed Pandemic H1N1/09 virus by the World Health Organization (WHO) and colloquially called swine flu. The outbreak was first observed in Mexico, and quickly spread globally. On 11 June 2009, WHO declared the outbreak to be a pandemic. The overwhelming majority of patients experience mild symptoms", but some persons are in higher risk groups, such as those with asthma, diabetes, obesity, heart disease, or who are pregnant or have a weakened immune system. In the rare severe cases, around 3–5 days after symptoms manifest, the person's condition declines quickly, often to the point respiratory failure.
The 2009 flu pandemic was a global outbreak of a new strain of influenza A virus subtype H1N1, first identified in April 2009, termed Pandemic H1N1/09 virus by the World Health Organization (WHO) and colloquially called swine flu. The outbreak was first observed in Mexico, and quickly spread globally. On the 11th of June 2009, the WHO declared the outbreak to be a pandemic. The overwhelming majority of patients experience mild symptoms, but some persons are at higher risk of suffering more serious effects; such as those with asthma, diabetes, obesity, heart disease, or those who are pregnant or have a weakened immune system. In the rare severe cases, around 3–5 days after symptoms manifest, the sufferer's condition declines quickly, often to the point respiratory failure. Although Ukraine was not (very) affected at first there was on outbreak of the virus in Western Ukraine in early November 2009 that led to the closing of public buildings and cancellation of meetings for three weeks.