2009 flu pandemic in Argentina | |
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Disease | Swine influenza |
Virus strain | H1N1 |
First outbreak | from Mexico DF |
Arrival date | 29 June 2009 |
Confirmed cases | 12,010 [1] |
Deaths | 626 [1] |
Total ILI cases | 1,479,988 [1] |
Government website | |
H1N1 at the Ministry of Health website |
The influenza A virus subtype H1N1 (initially known as swine influenza virus or as new flu, and also locally known as gripe A, gripe porcina, and influenza porcina) arrived in Argentina in late April 2009, through air traffic contact with endemic areas, especially Mexico and the United States. The World Health Organization (WHO) and the Argentine health authorities expressed their concern from the beginning of the outbreak, that the imminent arrival of the southern winter could cause "more serious" effects in the southern hemisphere than those caused in Mexico, [2] [3] and could lead to a rebound of the epidemic around the world. The flu or influenza is mainly a seasonal disease that becomes most prevalent in winter. [4]
The first infection was confirmed on May 7 in a man who had come from Mexico City and had entered the country without symptoms on April 24. The second case was detected on May 22. Towards the end of May infection started in some schools in the northern community of the City of Buenos Aires and its suburbs, the main part of the country affected by the epidemic.
On June 15 the first death was announced: a three-month-old baby in the Greater Buenos Aires area. [5] In the second half of June, coinciding with the onset of winter, the virus was widely transmitted in Buenos Aires and spread to other parts of the country, especially the Province of Santa Fe, with its center in the city of Rosario.
On June 29, the Government decided to close schools throughout the month of July, a measure which affected 11 million students. [6] Pregnant women and other categories at risk were also dispensed from working. The measures taken by the authorities were primarily targeted to limit contagion during the winter months until the start of spring. [7]
The peak of infection lasted from the end of June until the beginning of July, increasing normal hospital demand fivefold and causing the collapse of the systems organizing hospital wards, home doctors and work place doctors. [8] The most affected area was Greater Buenos Aires, home to some 12 million people. It was estimated that up to 10% of the population of that region (approximately 1,200,000 people) could be affected by the pandemic of influenza A. [9]
In Argentina, seasonal flu outbreaks kill about 4,000 people each year, equivalent to a rate of 10 deaths per 100,000 inhabitants. [10] The contingency plan developed in 2006 to face a possible influenza pandemic estimated that the dead could reach 13,000 in the event of a moderate rate of infection (15%) and 30,000 in the event of a serious infection rate (35%). [11]
April 26: The Ministry of Health issued an Epidemic Alert order asking airlines to report passengers with influenza symptoms arriving from Mexico and United States. The government also stepped up safety checks, and thermal scanners were used in airports to detect passengers running fevers. [12]
April 28: The Argentine government suspended all flights originating in Mexico until May 15 as a precautionary measure. [13] The first flight coming from Mexico arrived at Ezeiza International Airport on May 20.[ citation needed ]
May 1: The Argentine government sent charter flights to Mexico to pick up all Argentine tourists abroad who wished to return.[ citation needed ]
May 7: The first case of Influenza A (H1N1) was confirmed in the country, a tourist who had recently returned from Mexico. This man was from Puerto Madryn, Chubut Province. [14]
May 22: Health Authorities confirmed the second case, a woman who had arrived from the United States about 20 days before. [15]
June 25: A case of human-to-swine transmission was discovered in Buenos Aires province. The hog farm where it occurred was interdicted. This was the second known case of reverse-zoonosis in the world. [16]
June 28: Due to the ongoing legislative elections and the possible resignation of the Health Minister, Graciela Ocaña, reports of confirmed cases and deaths were suspended.[ citation needed ]
June 29: Argentina's Health Minister, Graciela Ocaña, announced her resignation due to some political instability in the country and stated that the current government did not support her on some projects and plans she recommended for the betterment of the country. The Provinces of Santa Fe (after confirming the first two deaths), San Luis (with 5 confirmed cases and more than 30 suspected cases) and Santiago del Estero (which on the same day confirmed 12 cases of swine flu) each decided to suspend all classes of elementary, primary and secondary schools, and recommended that the universities adopt the same procedure.[ citation needed ]
June 30: The government of the Autonomous City of Buenos Aires alongside the government of the Buenos Aires province, decreed a Health Emergency, though public services continued their operations. Winter holidays for students had started two weeks before. [17]
July 2: The newly appointed Health Minister Juan Luis Manzur estimated the number of affected people to be as high as 100,000, as well as 44 confirmed deaths. [18]
July 14: The number of officially recognised cases skyrocketed, with 137 deaths, [19] making the death toll in Argentina the second highest in the world, only behind the United States and surpassing confirmed cases in Mexico.
July 28: Impact on health services diminished significantly according to various specialists, though the death toll continued to increase, partly because of the delay in confirming previous fatalities. There had been no official report by the national Health Ministry since July 14.[ citation needed ]
July 30: Official reports of confirmed deaths from the provinces put the death toll around 260, while Critica newspaper [20] published an interview with Jorge Yabkowski, president of the Sindical Federation of Health Professionals of Argentina (Fesprosa), giving an estimate death toll from H1N1 flu of above 400 (while USA was at 340), based on the false death count in Buenos Aires, where many patients may have "entered the hospitals almost dead and were not tested for H1N1".[ citation needed ]
August 3: The students returned to schools in all except 3 provinces, while awaiting a possible second wave. The estimated cumulative number of H1N1 cases was more than 400,000 Argentinians. [21]
August 5: A new report was released by the ministry of health, [22] showing 762,711 ILI cases up to Aug 1, 2009, of which more than 700,000 were of the A (H1N1) swine flu type. [23] Only 47% of the 337 confirmed H1N1 flu deaths had a history of chronic disease or any other risk factor. Additionally, 402 deaths were in the process of being confirmed, whereas the number of cases began to decrease in 18 of the 24 provinces.[ citation needed ]
August 14: Further decrease in activity levels. Official death count: 404. [24]
August 24: Indicators showed a decreasing activity tendency, while intensity was still high. The impact on health services returned to low, and most provinces had no recent deaths. The official death count was 439. [25]
August 29: Week 32 saw no further decrease in new ILI cases, reaching 818,031 cumulative cases. Confirmed deaths: 465, deaths under study: 349. [26]
September 7: ILI cases reported up to week 33: 1,054,707. Cumulative data up to week 32: 8,384 H1N1 lab-confirmed cases, 512 deaths (+196 under study), respiratory disease cases requiring hospitalization: 8,962. [27]
September 12: Week 35 national report stated that up to week 34 there were 8,851 (+467) total lab-confirmed cases, with 514 (+2) confirmed deaths among them and 196 (+0) additional deaths under study (no provinces specified). The cumulative respiratory disease cases requiring hospitalization were 9,480 (+518), and the cumulative ILI cases reported were 1,060,285 (+5,578). [28]
September 26: There was no official report for week 36. Week 37 national report: 9,036 (+185) total lab-confirmed cases; 538 (+24) confirmed deaths; 252 (+56) additional deaths under study. Cumulative respiratory disease cases requiring hospitalization: 10,306 (+826); cumulative ILI cases reported: 1,098,834 (+38,549). [29]
October 2: Week 38 national report: 9,049 (+13) total lab-confirmed cases; 539 (+1) confirmed deaths; 254 (+2) additional deaths under study. Cumulative respiratory disease cases requiring hospitalization: 10,773 (+467); cumulative ILI cases reported: 1,151,655 (+52,821). [30]
October 10: Week 39 national report: 9,119 (+70) total lab-confirmed cases; 580 (+41) confirmed deaths; 247 (−7) additional deaths under study. Notably, the date of decease of last confirmed death is August 20. Cumulative respiratory disease cases requiring hospitalization: 11,086 (+313); cumulative ILI cases reported: 1,163,433 (+11,778). [31]
October 24: Week 40 national report: 9,196 (+77) total lab-confirmed cases; 585 (+5) confirmed deaths; 247 (+0) additional deaths under study. Last confirmed death: September 5. Cumulative respiratory disease cases requiring hospitalization: 11,689 (+603); cumulative ILI cases reported: 1,187,540 (+24,107). [32]
November 1: Week 42 national report: 10,209 (+1,013) total lab-confirmed cases; 593 (+8) confirmed deaths; 248 (+1) additional deaths under study. Last confirmed death: September 12. Cumulative respiratory disease cases requiring hospitalization: 12,139 (+450); cumulative ILI cases reported: 1,219,949 (+32,409). [33]
2009 | A (H1N1) Flu Outbreak and Pandemic Milestones in Argentina |
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May 7 | First case confirmed in Chubut. |
May 22 | First case confirmed in Buenos Aires province. |
May 23 | First case confirmed in the City of Buenos Aires. |
May 24 | Community outbreaks confirmed. |
May 30 | First case confirmed in Neuquen. |
June 1 | First case confirmed in Santa Fe. |
June 11 | First case confirmed in Misiones. |
June 12 | First case confirmed in Córdoba. |
June 14 | First case confirmed in Tierra del Fuego. |
June 15 | First death confirmed in Buenos Aires province. |
June 16 | First death confirmed in the City of Buenos Aires. |
June 17 | First case confirmed in Chaco. |
June 18 | First case confirmed in Tucuman. |
June 19 | First case confirmed in Santa Cruz. |
June 20 | First case confirmed in San Juan. |
June 21 | First case confirmed in San Luis. |
First case confirmed in Salta. | |
First case confirmed in La Pampa. | |
June 22 | First case confirmed in Jujuy. |
First case confirmed in Rio Negro. | |
First case confirmed in Mendoza. | |
Characterization of the genome of the virus. | |
June 23 | First case confirmed in Corrientes. |
First case confirmed in Entre Rios. | |
First case confirmed in Formosa. | |
June 24 | First death confirmed in Misiones. |
June 26 | Second known cases of reverse zoonosis in the world. |
June 27 | First death confirmed in Santa Fe. |
June 29 | First case confirmed in Santiago del Estero. |
June 30 | First case confirmed in Catamarca. |
July 1 | First death confirmed in Corrientes. |
July 4 | First case confirmed in La Rioja. |
July 5 | First death confirmed in Córdoba. |
July 14 | First death confirmed in La Pampa. |
July 21 | First death confirmed in Mendoza. |
July 24 | First death confirmed in San Luis. |
First death confirmed in Santiago del Estero. | |
August 1 | First death confirmed in Tucuman. |
Provinces | National Health Ministry | Provinces / news reports | Source | |||
---|---|---|---|---|---|---|
Confirmed Cases | Deaths | Confirmed Cases | Deaths | Date / Comment | References | |
9,196 [34] | 585 [34] | 11,459 | 678 | Sum of reports | ||
Buenos Aires | 2,888 | 207 | 2,888 | 207 | Oct 23, PAHO | [34] |
City of Buenos Aires | 3,529 | 196 | 3,529 | 196 | Oct 23, PAHO | [34] |
Santa Fe | 572 | 83 | 760 | 89 | Jul 19/Aug 31 | [35] [36] |
Córdoba | 492 | 26 | 1,327 | 40 | Aug 1/15, news | [37] [38] |
Misiones | 38 | 3 | 195 | 23 | Sep 9, Prov. MH | [39] |
Rio Negro | 129 | 10 | 256 | 21 | Aug 21, news | [40] |
Neuquén | 219 | 11 | 271 | 13 | Aug 16, HSN | [41] |
Corrientes | 129 | 8 | 179 | 13 | Aug 27, news | [42] |
Entre Ríos | 149 | 8 | 199 | 12 | Aug 30, news | [43] |
Santa Cruz | 83 | 7 | 253 | 11 | Aug 9, news | [44] |
Mendoza | 119 | 6 | 150 | 10 | Aug 18, news | [45] |
San Luis | 61 | 5 | 61 | 8 | Sep 9, news | [46] |
Santiago del Estero | 39 | 3 | 110 | 6 | Jul 27/31, news | [47] [48] |
San Juan | 37 | 2 | 41 | 5 | Aug 24, news | [49] |
Salta | 91 | 1 | 91 | 5 | Aug 6, news | [50] |
Tucumán | 50 | 1 | 50 | 5 | Aug 11, news | [51] |
La Pampa | 139 | 4 | 139 | 4 | Aug 5, MSAR | |
Chubut | 80 | 2 | 170 | 3 | Sep 10, Prov. MH | [52] |
Formosa | 80 | 1 | 129 | 3 | Aug 25, news | [53] |
Chaco | 36 | 0 | 157 | 2 | Aug 7, news | [54] |
Jujuy | 22 | 1 | 259 | 1 | Aug 10, news | [55] |
Catamarca | 3 | 0 | 3 | 1 | Aug 27, news | [56] |
Tierra del Fuego | 187 | 0 | 187 | 0 | Aug 12, PAHO | |
La Rioja | 24 | 0 | 55 | 0 | Aug 25, news | [57] |
Latest national report, Oct 29, 2009 (no provinces specified): 10,209 (+1,013) total lab-confirmed cases; 593 (+8) confirmed deaths; 248 (+1) additional deaths under study. Cumulative respiratory disease cases requiring hospitalization 12,139 (+450); cumulative ILI cases reported: 1,219,949 (+32,409). | ||||||
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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).
In March and April 2009, an outbreak of a new strain of influenza commonly referred to as "swine flu" infected many people in Mexico and other parts of the world, causing illness ranging from mild to severe. Initial reports suggested that the outbreak had started in February due to farming practices at a pig farm half-owned by Smithfield Foods. Smithfield Foods stated that it had found no clinical signs or symptoms of the presence of swine influenza in the company's swine herd, or among its employees at its joint ventures in Mexico, that it routinely administers influenza virus vaccination to their swine herds and that it conducts monthly testing for the presence of swine influenza. The new strain was identified as a combination of several different strains of Influenzavirus A, subtype H1N1, including separate strains of this subtype circulating in humans and in pigs.
In March and April 2009, an outbreak of a new strain of influenza commonly referred to as swine flu infected many people in Mexico and parts of the United States causing severe illness in the former. The new strain was identified as a combination of several different strains of Influenzavirus A, subtype H1N1, including separate strains of this subtype circulating in humans and in pigs. Spain was the first country in continental Europe to report cases of swine flu, in late April 2009.
This article deals with the status and efforts regarding the 2009 swine flu pandemic by country and continent/region.
In March and April 2009, an outbreak of a new strain of flu, popularly known as swine flu, was discovered to have infected several people in Mexico and the states of California and Texas in the United States. On April 28 Costa Rica became the first Central American country to report the outbreak of the virus, with a confirmed infection. As of November 4 the Costa Rican Ministry of Health had 1,596 confirmed cases, 1,275 pending cases, 8,000 already discarded, and 38 deaths.
The 2009 swine flu pandemic spread to Brazil on April 25, 2009, with two people, spreading to 34 over the first two weeks. CDC calculate that Africa and Southeast Asia, which have 38% of the world's population, accounted for a disproportionate 51% of the deaths.
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 2009 flu pandemic in Europe was part of a pandemic involving a new strain of influenza, subtype H1N1. H1N1 is commonly called swine flu. The pandemic infected at least 125,550 people in Europe. There were 458 confirmed deaths in Turkey, 438 confirmed deaths in Russia, and 457 confirmed deaths in the United Kingdom.
The Influenza A (H1N1), also known by the name of swine flu, arrived to Uruguay on May 27, 2009.
The 2009 swine flu outbreak in Malaysia was part of a larger flu pandemic involving a new type of influenza A virus subtype H1N1 virus. As of 11 August 2009, the country had over 2,253 cases, beginning with imported cases from affected countries, including the United States and Australia from 15 May 2009 onwards, and the first identified local transmission on 17 June 2009. From 12 August 2009, the Malaysian Health Ministry said that it had discontinued officially updating the total number of H1N1 cases within Malaysia in line with guidelines issued by the World Health Organization. As of 21 August 2009 the unofficial number of cases reported in the media is 5,876 so far. The first death related to the A(H1N1) virus was reported on 23 July 2009 and so far there have been 78 deaths reported. On 6 July 2009 Malaysia announced that it was shifting from containment to mitigation to tackle the spread of the virus. The federal government had declared a national health emergency in Malaysia because of the A(H1N1) outbreak and was considering imposing a health curfew similar to the week-long shutdown of non-essential services and industries in Mexico.
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.
This article presents official statistics gathered during the COVID-19 pandemic in Argentina. The National Ministry of Health publishes official numbers every night.
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