2009 swine flu pandemic in Asia

Last updated

Detected human cases in Asian countries
CountryCasesDeaths
Laboratory
confirmed		Confirmed
(Suspected) ‡
ECDC  totals (world) † 13,763 [1]
Total394,1333,787
India 19,947 [2] 1035 [1]
China 120,940 [3] 659 [4]
Turkey 1,870 [3] 415 [1]
Thailand 28,939 [5] 192 [1]
South Korea 108,234 [3] 170 [1]
Iran 3,672 [6] 147 [1]
Syria 230 [3] 127 [1]
Saudi Arabia 9,355 [7] 124 [1]
Japan 11,636 [3] 107 [3]
Russia 5,613 [3] 106 [3]
Israel 4,330 [3] 81 [1]
Malaysia 7,066 [3] 77 [3]
Hong Kong 32,091 [8] 55 [1]
Vietnam 10,791 [3] 53 [1]
Iraq 2,130 [7] 42 [1]
Sri Lanka 258 [3] 36 [1]
Taiwan 5,474 [3] 35 [1]
Oman 4,837 [7] 31 [1]
Philippines 5,212 [3] 30 [3]
Yemen 2,070 [3] 28 [1]
Palestine 1,170 [3] 28 [1]
Kuwait 7,718 [3] 27 [1]
Mongolia 1,073 [3] 26 [1]
Jordan 2,794 [3] 19 [1]
Singapore 1,217 [3] 19 [1]
Georgia 120 [9] 18 [1]
Afghanistan 779 [3] 17 [1]
Pakistan 11 [3] 14 [1]
Indonesia 1,097 [3] 10 [1]
North Korea 50 [10] 10
Qatar 550 [3] 8 [1]
Bahrain 13,036 [3] 7 [1]
Bangladesh 800 [3] 6 [1]
United Arab Emirates 125 [3] 6 [1]
Cambodia 313 [3] 6 [1]
Lebanon 1,500 [3] 5 [1]
Armenia 25 [3] 3 [1]
Nepal 145 [3] 2
Azerbaijan 14 [3] 2 [1]
Brunei 971 [3] 1 [1]
Cyprus 297 [3] 1 [3]
Laos 242 [3] 1 [1]
Maldives 6 [3] 1 [1]
Myanmar 65 [3] 0
Kyrgyzstan 63 [3] 0
Kazakhstan 17 [1] 0
Bhutan 6 [3] 0 [3]
Timor-Leste 6 [3] 0
Tajikistan 16 [3] 0
Summary:

Number of Asian countries with confirmed cases: 51

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.

Contents

Azerbaijan

On 27 April 2009 Azerbaijan imposed a ban on import of animal husbandry products from the Americas. AZAL took additional safety measures and a sanitary quarantine unit of the Health Ministry started to operate in Heydar Aliyev International Airport with all aircraft and passengers being checked.

On 31 July, the first case of influenza A (H1N1) was confirmed.

Bahrain

In July, the Ministry of Health launched an awareness campaign ahead of the start of the academic year, with many fearing the reopening of schools would lead to a much greater outbreak of the flu. [11] By early August, 18 confirmed cases of the flu were reported. [12] Haj travel agencies reported that thousands of Bahraini pilgrims cancelled their trips to Mecca over fears of contracting swine flu. [13] Over 180 confirmed cases of the flu were reported in late August, all of whom had returned from traveling abroad. [13]

On 31 August, a 30-year-old Filipino housemaid died after contracting the H1N1 virus, becoming Bahrain's first confirmed death as a result of the virus. [14] On 3 September, it was reported that a 24-year-old Bahraini man died after succumbing to the H1N1 virus, being the first Bahraini to die of the disease. [15] On 8 September, it was announced that patients with flu-like symptoms would be treated with Tamiflu nationwide, regardless of having a fever or not. It was also announced that a million doses of the swine flu vaccine were ordered. [16] The Bahraini Ministry of Education had decided to postpone the opening of schools until October as a precaution, a decision that drew criticism from the World Health Organization. [17] In November 2009, the government stated that up to 1,346 cases of the H1N1 virus were confirmed in the country, along with 15,000 suspected cases of the virus. [18]

Bangladesh

As of 22 August 98 cases of the A (H1N1) virus were confirmed in Bangladesh. [19]

Burma (Myanmar)

On 1 May 2009 Chairman of Global Human Flu Prevention and Response Work Committee Deputy Minister for Health Dr Mya Oo inspected preventive measures against the human flu at Yangon International Airport, Burma (also known as Myanmar). On 27 June, Burmese state-run Radio Myanmar confirmed the first case of influenza A/H1N1 – a 13-year-old girl who just returned from a trip to Singapore. [20] [21]

China

Outbreak evolution in mainland China: Confirmed Cases Confirmed Deaths H1N1 China map.svg
Outbreak evolution in mainland China:
  Confirmed Cases
  Confirmed Deaths

The first suspected case found on mainland China was reported on 11 May 2009. [22] As of 29 July 2009, the number of confirmed A/H1N1 cases on the Chinese mainland topped 2,000, with no deaths or serious cases reported, according to the Ministry of Health (MOH). Of the total 2,003 confirmed cases, 1,853 had recovered, said a statement on the MOH website.

The General Administration of Quality Supervision, Inspection and Quarantine (AQSIQ) of China issued an emergency notice on the evening of 26 April that visitors returning from flu-affected areas who experienced flu-like symptoms within two weeks would be quarantined. [23]

In early September 2009, China's State Food and Drug Administration granted approval to a homegrown swine flu vaccine, which producer Sinovac Biotech claimed to be effective after only one dose. [24] [25]

On 4 January 2010, the Chinese Health Ministry announced that 659 deaths from swine flu have been recorded in 2009, with 120,940 confirmed detected cases throughout the year. [26]

Cyprus

Cyprus identified its first case of H1N1 on 30 May in a 39-year-old woman from Moldova, living in Cyprus, who returned from the United States on 28 May. As of 11 July 250 cases were confirmed in Cyprus. [27]

Hong Kong

Outbreak evolution in Hong Kong: Confirmed cases Deaths H1N1 Hong Kong Map.svg
Outbreak evolution in Hong Kong:
  Confirmed cases
  Deaths
Cumulative confirmed cases per day Hong Kong H1N1 cumulative frequency.png
Cumulative confirmed cases per day
Metropark Hotel Wanchai under swine flu quarantine due to first case HK MetroparkHotelWanchai swine flu 2.jpg
Metropark Hotel Wanchai under swine flu quarantine due to first case

The Food and Health Bureau of Hong Kong [28] issued travel advice for Mexico on 26 April 2009, which advised Hong Kong residents not to travel to Mexico unless absolutely necessary. The first case reported was a Mexican who flew in from Shanghai. The Bureau also escalated the alert level from "alert" to "serious" on the same day, [29] which activated health protection measures in all ports of entry of Hong Kong. As such, temperature screening machines were used at all checkpoints to identify passengers with fever and respiratory symptoms. Any passenger who failed the temperature test and was confirmed as having a fever was quarantined and sent to public hospital for further investigation. [30] Hong Kong also became one of the first jurisdictions to declare swine flu as a notifiable disease, and much of the procedures against the spread of the swine flu were learned from the 2003 SARS outbreak, of which Hong Kong was the epicenter of the outbreak. [31] [32]

The Secretary for Food and Health York Chow stated that special attention will be paid to passengers who came from countries where human infection of swine influenza cases were reported. [29]

On 1 May, one case became the first confirmed case of swine flu in Hong Kong and also the first in Asia after being tested positive by the University of Hong Kong and the Department of Health of Hong Kong. The Mexican patient, who travelled with two companions from Mexico to Hong Kong with a stopover in Shanghai Pudong Airport, arrived in Hong Kong on 30 April. Metropark Hotel Wanchai, where the patient stayed, was cordoned off by the police and health officials from the Centre for Health Protection. [33] [34] [35] [36] All 350 guests and hotel staff had to remain inside the hotel for seven days. After the first swine flu case was confirmed by laboratory, Chief Executive Sir Donald Tsang raised Hong Kong's response level from "serious" to "emergency". [37]

As of 27 August 2009, there have been 10,468 confirmed cases of swine flu in the city. [38]

India

H1N1 in India Confirmed cases Deaths No cases H1N1 India map.svg
H1N1 in India
  Confirmed cases
  Deaths
  No cases

The Government of India decided to screen all people entering India via the main airport hubs of Mumbai, New Delhi, Goa, Jaipur, Kochi, Kolkata, Chennai, Bangalore and Hyderabad, with the primary focus being passengers entering from the United States of America, United Kingdom, Canada, Mexico, France, and New Zealand. All in all, 50,000 people were affected by the virus, with 2,700 confirmed deaths. [39]

Indonesia

Outbreak evolution in Indonesia: Confirmed cases Deaths H1N1 in Indonesia.svg
Outbreak evolution in Indonesia:
  Confirmed cases
  Deaths

After a coordination meeting about the flu on 27 April 2009, the Indonesian government halted the importation of pigs and initiated the examination of 9 million pigs in Indonesia. [40] Thermal scanners, which can detect human body temperature, were installed at Indonesian ports of entry. Temperatures above 38 degrees Celsius (100.4 Fahrenheit) cause the devices to beep, indicating fever.

As of 18 August 2009, one death was reported.

Israel and the West Bank

Outbreak evolution in Israel and the West Bank: Confirmed cases Unconfirmed or suspected cases H1N1 Israel map.svg
Outbreak evolution in Israel and the West Bank:
  Confirmed cases
  Unconfirmed or suspected cases

Over 4000 cases were confirmed in Israel, and over 60 people died. [41] In response to the outbreak, the Israeli Deputy Minister of Health, Yaakov Litzman, said that because swine are unclean, the outbreak needed to be renamed; and so in Israel, out of respect for the religious sensibilities of Muslims, it was called "Mexican Flu". This was done so as to not confuse the population into thinking that they could not acquire the virus if they did not eat pork. [42] [43] The Israeli government retracted this proposal following Mexican complaints. [44]

Japan

H1N1 in Japan Confirmed cases Deaths H1N1 Japan Map.svg
H1N1 in Japan
  Confirmed cases
  Deaths

The Ministry of Agriculture, Forestry and Fisheries of Japan instructed animal quarantine offices across Japan to examine any live pigs being brought into Japan to make sure they were not infected with the influenza. [45] Japanese Agriculture Minister Shigeru Ishiba appeared on television to reassure customers that it was safe to eat pork. [46] The Japanese farm ministry said that it would not ask for restrictions on pork imports because the virus was unlikely to turn up in pork, and would be killed by cooking. [47]

On 8 May, the first three cases were confirmed. The infected patients had spent time in Oakville, Canada and returned to Japan via Detroit. [48] [49] On 10 May, another case was confirmed from a student who came from a school trip to Canada, making it the fourth case in Japan. [50]

There have been 944 case confirmed in Japan as of 24 June 2009. [51]

On 2 July, the first case of oseltamivir-resistant virus in Asia was announced in Japan, in a woman who had been taking Tamiflu prophylactically. [52]

Kazakhstan

The first cases of A (H1N1) virus were discovered in 3 students from the capital Astana according to Natalia Buenko, an advisor to the Ministry of Health of Kazakhstan. [53]

Laos

Outbreak evolution in Laos Deaths Confirmed cases No cases H1N1 Laos map.svg
Outbreak evolution in Laos
  Deaths
  Confirmed cases
  No cases

The Lao government agreed to buy 10 thermal imaging machines and install them at the country's major immigration border checkpoints. The machines would help officials identify anyone entering the country with a high temperature and create confidence among Laotians, foreigners living in Laos and people traveling to Laos. Health officials would be on hand at international border checkpoints to ensure anyone found to be infected could be treated immediately. Each machine could cost about US$25,000. The decision to buy them was made after the government found visitors to Laos included people coming from the United States, Spain and other affected countries.

The Prime Minister Bouasone Bouphavanh said masks should be made available and health officials would be assigned to work at border checkpoints. Health officials would be on hand at international border checkpoints to ensure anyone found to be infected could be treated immediately. On 18 June, the first case in Laos was confirmed. [54]

Lebanon

A Lebanese man suffering from a serious illness died from the H1N1 swine flu strain on Thursday 30 July 2009, which makes the first death in Lebanon, Health Minister Mohammad Khalifeh told Reuters. The 30-year-old victim had been receiving treatment for leukemia when he contracted the virus, possibly from relatives who had just traveled from Australia to Lebanon, the minister said. Lebanon has recorded more than 100 cases of H1N1. [55]

Malaysia

Outbreak evolution in Malaysia Deaths Confirmed cases H1N1 Malaysia map.svg
Outbreak evolution in Malaysia
  Deaths
  Confirmed cases

Malaysia detected the first case of influenza A(H1N1) on 15 May 2009 in a 21-year-old student who returned from the United States. [56] As of 11 August 2009 there were 2,253 confirmed cases in Malaysia. [57] The Health Ministry announced that from 12 August 2009 they had discontinued the counting of the total number of H1N1 cases in line with guidelines issued by the World Health Organization. [58]

Maldives

The first death from H1N1 flu virus was confirmed on 19 November. [59]

Mongolia

H1N1 in Mongolia Deaths Confirmed cases No cases H1N1 Mongolia Map.svg
H1N1 in Mongolia
  Deaths
  Confirmed cases
  No cases

The Mongolian Health Ministry sought to prevent the spread of swine flu in Mongolia by urging people to avoid public places. [60]

As of 22 October 126 cases were confirmed in Mongolia. Just after seven days, the number increased to 394 with five deaths.

North Korea

H1N1 disease in North Korea Deaths Confirmed cases No cases H1N1 North korea map.png
H1N1 disease in North Korea
  Deaths
  Confirmed cases
  No cases

Most defectors with backgrounds in health care agree that, considering the isolation of North Korean society and its highly inadequate health care system, incidents of swine flu are likely to be either suppressed or merely misdiagnosed.

Following the confirmation of the first case of the disease in Mongolia, heightened concerns arose.

On 16 November, the first known case was confirmed by the Ministry of Unification, released in a report by Korea Times . The first case was confirmed in a South Korean worker in Gaeseong Industrial Complex. [61]

Oman

As of 13 August 2009, 337 cases have been confirmed by the National Pandemic Influenza Committee in Oman.

Pakistan

There were 90 confirmed cases as of 26 January 2010. [62]

Philippines

Deaths Confirmed community outbreak Confirmed cases Suspected cases Ph AH1N1 map.PNG
  Deaths
  Confirmed community outbreak
  Confirmed cases
  Suspected cases

Health Secretary Francisco T. Duque III ordered the Bureau of Quarantine to use thermal imaging equipment at airports to screen passengers coming from the US for flu symptoms. [63] [64] The Philippines may quarantine travelers arriving from Mexico with fevers. [65] Also, the Secretary of the Department of Agriculture issued an order banning the importation of hogs from the U.S. and Mexico, and the retraction of the restriction of swine influenza vaccine use. [66] The medical alert phase is already Code White, the lowest. [67]

On 18 May 2009, a Filipina girl who arrived from Houston, Texas, United States was the first confirmed case of H1N1 virus in the Philippines.

The highest confirmed in one day was on 24 June 2009 with 131 cases. [68] The next day, the confirmed cases added was 123. Because of that, the Department of Health ordered the people that should get swab tests are the only people with very complicated cases (e.g. with lung disorders, hearth disorders, babies etc.). The government said that the very fast spreading of the disease was caused by the population density of the country.

Russia

Saudi Arabia

By 17 August, there have been about 2,000 cases of the flu, resulting in 14 deaths.

Singapore

On 30 April 2009, the Singapore Ministry of Health raised its Disease Outbreak Response System to "Alert Orange". The first case of the H1N1 virus in Singapore was confirmed on 27 May 2009, in which a then 22-year-old woman picked up the virus after visiting New York City, United States. [69] As of 7 July 2009, there were 1,217 confirmed cases. [70] As of 17 October 2009, there were 18 confirmed deaths from the H1N1 virus in Singapore. [71] On 12 February 2010, the Singapore Ministry of Health moved its alert level to Green. [72]

Sri Lanka

The first case of Influenza A (H1N1-2009) was confirmed on 16 June 2009 in Sri Lanka.

South Korea

On 28 April, South Korea reported its first probable case of swine flu after positive preliminary tests on a nun who had recently returned from a trip to Mexico. [73] South Korea became the third infected nation in Asia, after Israel and Hong Kong. On 15 August, the first Korean death by the new influenza was confirmed and a second death was announced on 16 August. Around late November 2009, there was a double cases from the US. Around 15000 cases and 14 deaths have been reported as of 12 October 2009.

Taiwan (Republic of China)

Outbreak evolution in Taiwan/ROC: Confirmed cases Deaths H1N1 Taiwan map.svg
Outbreak evolution in Taiwan/ROC:
  Confirmed cases
  Deaths

On 20 May 2009, the first case of the influenza was confirmed in Taiwan. [74]

There were 5,474 confirmed cases of H1N1 in Taiwan. [75]

Thailand

Outbreak evolution in Thailand Deaths Confirmed cases Suspected cases H1N1 Thailand map.png
Outbreak evolution in Thailand
  Deaths
  Confirmed cases
  Suspected cases

Turkey

Outbreak evolution Turkey Deaths Confirmed cases Suspect cases H1N1 Turkey Map.svg
Outbreak evolution Turkey
  Deaths
  Confirmed cases
  Suspect cases

The first case of A(H1N1) in Turkey was reported on 16 May 2009. [76] A U.S. citizen, flying from the United States via Amsterdam was found to be suffering from the swine flu after arriving Istanbul's Atatürk International Airport. [77] Turkey is the 36th country in the world to report an incident of swine flu. The Turkish Government has taken measures at the international airports, using thermal imaging cameras to check passengers coming from international destinations. [78] As of 11 August, there were 312 confirmed cases in Turkey. [79] As of 24 October, there is 1 confirmed death in Turkey. It is reported by Ministry of Health that one person died in Ankara. In addition, there are 958 confirmed cases in Turkey. [80]

Vietnam

Outbreak evolution in Vietnam Deaths Confirmed cases H1N1 Vietnam map.jpg
Outbreak evolution in Vietnam
  Deaths
  Confirmed cases

On 31 May 2009, The government of Vietnam announced its first case of A (H1N1) virus in the country.

Yemen

As of 4 July 2009 there have been reported 7 cases of A(H1N1) flu in Yemen. [81]

Timeline

2009A(H1N1) Outbreak and Pandemic Milestones in Asia
28 April Flag of Israel.svg First case confirmed in Israel.
1 May Flag of Hong Kong.svg First case confirmed in Hong Kong.
2 May Flag of South Korea.svg First case confirmed in South Korea.
8 May Flag of Japan.svg First case confirmed in Japan.
10 May Flag of the People's Republic of China.svg First case confirmed in China.
12 May Flag of Thailand.svg First case confirmed in Thailand.
15 May Flag of Malaysia.svg First case confirmed in Malaysia.
16 May Flag of India.svg First case confirmed in India.
16 May Flag of Turkey.svg First case confirmed in Turkey.
17 May Flag of Japan.svg Community outbreaks confirmed in Japan.
19 May Flag of the Republic of China.svg First case confirmed in Taiwan.
21 May Flag of the Philippines.svg First case confirmed in the Philippines.
22 May Flag of Russia.svg First case confirmed in Russia.
24 May Flag of Kuwait.svg First case confirmed in Kuwait.
Flag of the United Arab Emirates.svg First case confirmed in the United Arab Emirates.
25 May Flag of Bahrain.svg First case confirmed in Bahrain.
27 May Flag of Singapore.svg First case confirmed in Singapore.
30 May Flag of Cyprus.svg First case confirmed in Cyprus.
Flag of Lebanon.svg First case confirmed in Lebanon.
31 May Flag of Vietnam.svg First case confirmed in Vietnam.
3 June Flag of Saudi Arabia.svg First case confirmed in Saudi Arabia.
11 June Flag of Palestine.svg First case confirmed in the Palestinian Territories.
Flag of Hong Kong.svg Community outbreaks confirmed in Hong Kong.
14 June Flag of the Philippines.svg Community outbreaks confirmed in Philippines.
16 June Flag of Jordan.svg First confirmed case in Jordan.
Flag of Qatar.svg First confirmed case in Qatar.
Flag of Sri Lanka.svg First confirmed case in Sri Lanka.
Flag of Thailand.svg Community outbreaks confirmed in Thailand.
Flag of Yemen.svg First confirmed case in Yemen.
17 June Flag of Oman.svg First case confirmed in Oman.
Flag of Malaysia.svg Community outbreaks confirmed in Malaysia.
18 June Flag of Macau.svg First case confirmed in Macau, China.
Flag of Laos.svg First case confirmed in Laos.
19 June Flag of Bangladesh.svg First case confirmed in Bangladesh.
22 June Flag of the Philippines.svg First death confirmed in the Philippines.
Flag of Iran.svg First case confirmed in Iran.
23 June Flag of Macau.svg Community outbreaks confirmed in Macao.
24 June Flag of Indonesia.svg First case confirmed in Indonesia.
Flag of Cambodia.svg First case confirmed in Cambodia.
Flag of Iraq.svg First case confirmed in Iraq.
26 June Flag of the People's Republic of China.svg Community outbreaks confirmed in China.
27 June Flag of Thailand.svg First death confirmed in Thailand.
Flag of Myanmar (1974-2010).svg First case confirmed in Myanmar.
29 June Flag of Nepal.svg First case confirmed in Nepal.
Flag of Singapore.svg Community outbreaks confirmed in Singapore.
1 July Flag of South Korea.svg Community outbreaks confirmed in South Korea.
2 July Flag of Brunei.svg First death confirmed in Brunei.
Flag of Japan.svg First case of Oseltamivir (Tamiflu) resistance found in Japan.
3 July Flag of Hong Kong.svg First case of Oseltamivir (Tamiflu) resistance found in Hong Kong.
4 July Flag of Syria.svg First case confirmed in Syria.
8 July Flag of Afghanistan (2004-2013).svg First case confirmed in Afghanistan.
10 July Flag of Hong Kong.svg First death confirmed in Hong Kong.
13 July Flag of Saudi Arabia.svg Community outbreaks confirmed in Saudi Arabia.
16 July Flag of Singapore.svg First death confirmed in Singapore.
19 July Flag of Georgia.svg First case confirmed in Georgia.
Flag of Israel.svg Community outbreaks confirmed in Israel.
21 July Flag of Indonesia.svg Community outbreaks confirmed in Indonesia.
22 July Flag of India.svg Community outbreaks confirmed in India.
Flag of Vietnam.svg Community outbreaks confirmed in Vietnam.
Flag of Laos.svg First death confirmed in Laos.
23 July Flag of Malaysia.svg First death confirmed in Malaysia.
Flag of Bhutan.svg First case confirmed in Bhutan.
Flag of Kazakhstan.svg First case confirmed in Kazakhstan.
24 July Flag of Maldives.svg First case confirmed in Maldives.
25 July Flag of Brunei.svg Community outbreaks confirmed in Brunei.
Flag of the Republic of China.svg Community outbreaks confirmed in Taiwan.
26 July Flag of Cyprus.svg Community outbreaks confirmed in Cyprus.
Flag of Turkey.svg Community outbreaks confirmed in Turkey.
Flag of Indonesia.svg First death confirmed in Indonesia.
27 July Flag of Israel.svg First death confirmed in Israel.
Flag of Saudi Arabia.svg First death confirmed in Saudi Arabia.
Flag of the United Arab Emirates.svg Community outbreaks confirmed in United Arab Emirates.
30 July Flag of Azerbaijan (1991-2013).svg First case confirmed in Azerbaijan.
Flag of the Republic of China.svg First death confirmed in Taiwan.
Flag of Lebanon.svg First death confirmed in Lebanon.
31 July Flag of Qatar.svg First death confirmed in Qatar.
2 August Flag of India.svg First death confirmed in India.
3 August Flag of Pakistan.svg First case confirmed in Pakistan.
4 August Flag of Vietnam.svg First death confirmed in Vietnam.
5 August Flag of Iran.svg First death confirmed in Iran.
7 August Flag of Palestine.svg First death confirmed in Palestine.
8 August Flag of Thailand.svg First case of Oseltamivir (Tamiflu) resistance found in Thailand.
9 August Flag of Iraq.svg First death confirmed in Iraq.
12 August Flag of East Timor.svg First case confirmed in East Timor.
14 August Flag of Singapore.svg First case of Oseltamivir (Tamiflu) resistance found in Singapore.
Flag of the People's Republic of China.svg First case of Oseltamivir (Tamiflu) resistance found in China.
15 August Flag of South Korea.svg First death confirmed in South Korea.
Flag of Japan.svg First death confirmed in Japan.
18 August Flag of Yemen.svg First death confirmed in Yemen.
20 August Flag of Kuwait.svg First death confirmed in Kuwait.
Flag of the United Arab Emirates.svg First death confirmed in United Arab Emirates.
21 August Flag of Oman.svg First death confirmed in Oman.
24 August Flag of Kyrgyzstan (1992-2023).svg First case confirmed in Kyrgyzstan.
26 August Flag of Syria.svg First death confirmed in Syria.
29 August Flag of Bangladesh.svg First death confirmed in Bangladesh.
31 August Flag of Bahrain.svg First death confirmed in Bahrain.
2 September Flag of Macau.svg First death confirmed in Macau.
10 September Flag of Israel.svg First case of Oseltamivir (Tamiflu) resistance found in Israel.
21 September Flag of the People's Republic of China.svg Mass vaccinations in China, which is the first one in the world, begins.
28 September Flag of Cambodia.svg First death confirmed in Cambodia.
30 September Flag of the People's Republic of China.svg First completed clinical trials by a company for 2009/H1N1 vaccine in the world.
4 October Flag of Tajikistan.svg First case confirmed in Tajikistan.
6 October Flag of the People's Republic of China.svg First death confirmed in China.
12 October Flag of Vietnam.svg First case of Oseltamivir (Tamiflu) resistance found in Vietnam.
Flag of Jordan.svg First death confirmed in Jordan.
13 October Flag of Mongolia.svg First case confirmed in Mongolia.
19 October Flag of Japan.svg Mass vaccinations in Japan begins.
23 October Flag of Mongolia.svg First death confirmed in Mongolia.
24 October Flag of Turkey.svg First death confirmed in Turkey.
26 October Flag of Oman.svg Mass vaccinations in Oman begins
27 October Flag of Russia.svg First death confirmed in Russia.
Flag of South Korea.svg Mass vaccinations in South Korea begins.
29 October Flag of Afghanistan (2004-2013).svg First death confirmed in Afghanistan.
1 November Flag of Kuwait.svg Mass vaccinations in Kuwait begins
3 November Flag of Singapore.svg Mass vaccinations in Singapore begins.
Flag of Qatar.svg Mass vaccinations in Qatar begins
7 November Flag of Pakistan.svg First death confirmed in Pakistan.
Flag of Sri Lanka.svg First death confirmed in Sri Lanka.
Flag of Saudi Arabia.svg Mass vaccinations in Saudi Arabia begins
Flag of Bahrain.svg Mass Vaccinations in Bahrain begins
8 November Flag of Armenia.svg First case confirmed in Armenia.
13 November Flag of Cyprus.svg First death confirmed in Cyprus.
16 November Flag of North Korea.svg First case confirmed in North Korea.
18 November Flag of Maldives.svg First death confirmed in Maldives.
20 November Flag of Jordan.svg Mass vaccinations in Jordan begins
7 December Flag of North Korea.svg First death confirmed in North Korea.
13 December Flag of Armenia.svg First death confirmed in Armenia.
14 December Flag of Georgia.svg First death confirmed in Georgia.
27 December Flag of Nepal.svg First death confirmed in Nepal.

Top 5 countries

Top 5 casesTop 5 deaths
Flag of the People's Republic of China.svg  China Flag of India.svg  India
Flag of Hong Kong.svg  Hong Kong Flag of Thailand.svg  Thailand
Flag of Thailand.svg  Thailand Flag of Turkey.svg  Turkey
Flag of India.svg  India Flag of South Korea.svg  South Korea
Flag of South Korea.svg  South Korea Flag of the People's Republic of China.svg  China

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<span class="mw-page-title-main">2009 swine flu pandemic timeline</span>

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.

<span class="mw-page-title-main">2009 swine flu pandemic in Australia</span> 2009 Human Swine Influenza pandemic in Australia caused by the H1N1 influenza virus

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.

<span class="mw-page-title-main">2009 swine flu pandemic by country</span>

This article deals with the status and efforts regarding the 2009 swine flu pandemic by country and continent/region.

<span class="mw-page-title-main">2009 swine flu pandemic in the Philippines</span> Disease outbreak in the Philippines

The 2009 swine flu pandemic was confirmed to have spread to the Philippines on May 21, 2009. 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 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.

<span class="mw-page-title-main">2009 swine flu pandemic in North America</span>

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.

<span class="mw-page-title-main">2009 swine flu pandemic in Oceania</span> Pandemic in Oceania

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.

<span class="mw-page-title-main">2009 swine flu pandemic in Europe</span>

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.

<span class="mw-page-title-main">2009 swine flu pandemic in Africa</span>

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.

The 2009 swine flu pandemic in Malaysia was part of a global outbreak caused by a new strain of the influenza A virus subtype H1N1 (A/H1N1). The first confirmed case in Malaysia was reported on 15 May 2009, involving an imported case from the United States. Subsequent imported cases from countries such as Australia were detected, with the first case of local transmission identified on 17 June 2009.

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.

<span class="mw-page-title-main">2009 swine flu pandemic in New Zealand</span>

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.

<span class="mw-page-title-main">2009 swine flu pandemic in India</span>

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.

<span class="mw-page-title-main">2009 swine flu pandemic in Turkey</span>

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.

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