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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 10-year-old Filipina girl arrived the country on May 18 and was hospitalized the day after at the Research Institute for Tropical Medicine in Muntinlupa. [1] On May 21, Department of Health (DOH) secretary Francisco Duque confirmed the case being the first Philippine swine flu case. [1]
On June 22, 2009, first fatality was reported, a 49-year-old female from Metro Manila, being also the first death in Asia associated with the disease. [2] At the same time, the Department of Health assured that the patient did not die because of the novel virus, instead, due to heart attack. [3] Later on, Philippine Congress learned that the woman was a regular employee of the House, and prompted the government to shut down the legislature for five days. [4]
Cases | Deaths | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Laboratory confirmed (DOH) | Date of las confirmation (DOH) | Confirmed deaths (DOH) | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
3,207 [5] [6] (1,709) [6] | July 30 [5] [6] (July 30) | 9 [7] 8 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Almost half of the western side of mainland Luzon was so far not infected by the influenza virus. The northern regions, Bicol Region and southern island of Luzon has no reported infections so far.
Being the location of DOH authorized H1N1 hospital, Metro Manila reported its first influenza A(H1N1) case on May 22, 2009, in aligned with the first confirmed case in the Philippines. [8] [9] As the time progresses, Metro Manila has the highest number of influenza A(H1N1) cases compared to other locations on the country due to the vicinity of available hospitals to conduct respiratory swab tests. On May 18, 2009, a Filipina girl who arrived from the US was the first confirmed case of H1N1 virus in the Philippines. Health Secretary Duque said that the girl is in stable condition and is in quarantine. [10]
Metro Manila had its second confirmed case of Influenza A(H1N1) virus infection (as well as in the country) being a 50-year-old patient who arrived in the country from the United States on May 20, 2009, showed symptoms of the dreaded flu, including coughs and fever. The patient is currently under observation at the Research Institute of Tropical Medicine (RITM) in Manila. [11]
On June 3, 2009, a foreign exchange student in De La Salle University-Manila was confirmed with H1N1 virus and the school was closed for ten days starting June 4. [12] The university then became the first school in the Philippines to shut down classes due to H1N1 infection. De La Salle then recorded the highest number of flu cases in Metro Manila schools. [13]
On June 4, 2009, the confirmed cases of A(H1N1) virus rose to 29, after another De La Salle-Manila student and a staff of the Asian Development Bank (ADB) were confirmed that they were infected with the virus. [14] ADB office in Makati was then subjected for closure and quarantine was made to infected or possible contacted people.
On June 8, 2009, East Asia College of the Far Eastern University in Manila confirmed its first case which rose to three.< [15] [16]
On June 9, 2009, Ateneo de Manila High School department reported that three of its students were tested positive of the flu. Classes were suspended immediately after. [15] [17] Six days after, on its sister Loyola school Ateneo de Manila University in Quezon City reported four flu infections. [18] The same day, La Salle's sister college St. Benilde had its first flu case which eventually rose to two. [15] [16]
On June 10, 2009, St. Andrew's School in Parañaque suspended classes after a student was infected by flu. [15]
On June 15, 2009, Quezon City had its first public school flu cases that started on a school: two of them are elementary school pupils of Lagro Elementary School in Lagro, Quezon City and the remaining three are high school students of Miriam College in Katipunan Avenue, Loyola Heights. The same day, city government of Makati announced that three students of Mapúa Institute of Technology Makati Campus was tested positive for H1N1 [19] together with two residents in San Miguel Village and one in Cembo. [20]
On June 17, 2009, San Juan City had its first flu case, a student in Dominican College. [18] [21] Senate President pro Tempore Senator Jinggoy Estrada announced June 24 that two of his children contracted flu virus, one in De La Salle and the other one in Xavier School (Greenhills), even though the latter school did not announce infection so far. [22]
The same day, June 17, Don Alejandro Roces, Sr. Science and Technology High School, also in Quezon City confirmed first flu case after swab samples turned positive. [23] Our Lady of Perpetual Succor College in Marikina also confirmed first influenza case. [24] On June 18, 2009, first case in Mandaluyong school was reported in Lourdes School with two positive for flu. [25]
On June 19, 2009, Adamson University in Manila suspended its classes due to confirmation of infection on one of its students. [26]
On June 20, 2009, several schools announced flu infection: PAREF Southridge School in Muntinlupa, Reedley International School in Quezon City and San Beda College in Manila. [21] [27] [28]
On June 21, 2009, virus reached Don Bosco Technical College in Mandaluyong. [21] The same day, nearby school La Salle Green Hills announced flu infection. [21] St. Scholastica's College in Manila also reported infection. [21]
The DOH-Cordillera confirmed on May 29 its first swine flu case. [29] Similar to other flu patients, the identity and disclosure of the sick person was not publicized to promote confidentiality. [29] A day after, on May 30, second flu patient was confirmed by the DOH Cordillera director Myrna Cabotaje, a man around his twenties. [30] On the other hand, Baguio City Health Officer Florence Reyes said that the referral centers in the region include the Baguio General Hospital and Medical Center, Benguet General Hospital, Abra Provincial Hospital, Far North Luzon General Hospital and Medical Center in Apayao, Ifugao Provincial Hospital, Kalinga Provincial Hospital, Bontoc General Hospital, and Luis Hora Memorial and Regional Hospital also in Bontoc. [30]
On June 18, Cordillera cases rose to six, all of whom have history of travels to the United States and other flu-infected countries. [31] Dr. Nick Gordo assured that there is no community level outbreak so far in the region. [31]
Meanwhile, on June 26, 2009, Dr. Anthony Bantog, head of the livestock division of the Department of Agriculture said that there is no swine flu or hog cholera outbreak among Cordillera pigs, despite the rising number of cases in the region. [32] He added, instead, that porcine reproductive and respiratory syndrome affects pigs. [32]
On July 12, DOH Cordillera declared a low-level community outbreak of transmission all over Cordillera when its July 6 count of 14 rose to 47. Most of the cases came from Baguio. [33] On the same hand, five of Baguio's universities temporarily closed their schools when students showed influenza-like illness and symptoms: St. Louis University, University of Baguio, Pines City Educational College, Baguio City National High School, and St. Louis Center. [34]
On July 27, 2009, afternoon, DOH Cordillera Region announced four more A(H1N1)-related deaths: an infant, a child, a woman who had just given birth and a teenager died within the past week. [7]
As of June 26, 2009, the only province in the region to report influenza cases is Pangasinan, with two confirmed infections last June 18. [35]
Cagayan Valley has recorded five positive A(H1N1) cases, regional health authorities based in this city said last July 8. Most of these cases, three from Cagayan and two from Isabela. [36]
In Cagayan, a seven-year-old boy in Solana town was found positive of H1N1, bringing to nine the confirmed cases in Cagayan Valley.
Floro Orata, Department of Health-Cagayan Valley information officer, said the boy underwent swab test last week and the sample was sent to the Research Institute for Tropical Medicine in Manila. He later tested positive for the virus. The boy, who was on 10-day quarantine, reportedly contracted the virus from a relative who arrived from the United States.
Contact tracing operations to his relatives showed that there are no indications that other relatives also contracted the virus. Eight of the confirmed H1N1 cases in the region were in good health now. [37]
To date, all provinces in Central Luzon except Aurora have confirmed influenza A(H1N1) cases.
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Around May 28–29, 2009, around 29 students felt influenza-like illnesses at the same grade level in Hilera Elementary School, barangay Hilera (Jaen, Nueva Ecija). [38] Six days later, on June 5, the students under observation rose to forty, so much that Jaen mayor Santiago Austria ordered suspension of classes. [39] He also announced that the students are all in grade six level. [39] National Epidemiology Center director Eric Tayag, on the other hand, increased the number of cases under observation in Hilera to 57, all of which are grade six pupils and the school principal of Hilera Elementary. [40] On June 11, 2009, Department of Health confirmed first case of influenza in Nueva Ecija, an 11-year-old student from the same school. [41]
A day after, 10 more children tested positive for the flu, nine of which are from the same school and another four-year-old toddler. [42] Due to the fact that the first local influenza case in Central Luzon has no history of travel abroad nor close contact with the earlier cases, the DOH then speculated possible reasons how the student contracted the disease, [43] One theory by local government of Nueva Ecija is that flu virus was transmitted by a member of a foreign medical mission, only known as Palanghay which conducted services on the school on May 31, [41] and incubated into some students of the school. Philippine Daily Inquirer, on the other hand, reported that there are around 36 people quarantined (in Nueva Ecija) after they mingled and had closed contact in a wake with the 19-year-old girl tested positive for the disease; though the DOH never mentioned this possibility. [44] Third possible theory was based on DOH Central Luzon director Rio Magpantay statement that the eleven-year-old boy possibly had flu infection during his summer vacation on the province of Bulacan. [41]
After suspecting 92 influenza cases, the Department of Health on June 14 declared community outbreak in barangay Hilera, Jaen, Nueva Ecija. [45] The community outbreak includes the Hilera-nearby barangays of Kalabasa, Pitak, Pakul and Lambakin. The outbreak declaration created generalized stigma to Hilera residents: [46]
On May 17, 2009, a wedding feast was conducted on the Central Luzon province of Zambales, with the DOH-estimated number of attendees around fifty. [47] The occasion was said to be in a beach resort in the province. [48] Two of the wedding attendees were Taiwanese nationals, a mother and her daughter, were found positive of the influenza virus when upon arrival in Taipei. [49] In the successive, DOH tracked the location of the remaining guests through contact tracing, where they found around ten more positive for the flu. [50]
Later, DOH Central Luzon Director Dr. Rio Magpantay said that the total attendees were around eighty, contrary to the previously reported around 50. [48] Other news sources claimed that it was not a wedding occasion, but a yoga seminar instead, where around a hundred foreign nationals attended. [38]
On June 28, 2009, seven Philippine Navy soldiers were tested positive for the influenza. [51] According to Lieutenant Colonel Edgard Arevalo upon press conference in Camp Aguinaldo in Quezon City, these soldiers may contracted the novel disease when spending their vacation. [52] Defense secretary Gilbert Teodoro, Jr., on the other hand, believes that one of the infected soldiers might have caught the virus when he attended a wedding in Zambales province, where two Taiwanese had also contracted the disease in May. [52]
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On June 19, 2009, classes at the Karangalan Elementary School in Cainta, Rizal province were canceled when 43 of its students and three faculty members exhibited flu-like symptoms. [53] Due to this, the town government was urged to order the release of P5 million in calamity funds to be used for the purchase of anti-flu vaccines, face masks, alcohol, and other equipment. [54] On June 21, swab tests of the suspected patients arrived from Research Institute for Tropical Medicine, which confirmed that two of the students have influenza, [55] thus making Cainta be the first municipality in Rizal province to report influenza case. On the same hand, Cainta mayor Ramon Ilagan cited that there were earlier cases of A(H1N1) on the town, one being a high school student from Greenland Executive Village in San Juan, and his mother who apparently caught the disease from him. [55]
On July 7, 2009. The Maryhill College confirmed its first A(H1N1) virus case in Lucena City.
On July 14, 2009. 6 of 72 students that shows the symptoms of the Influenza A(H1N1) underwent the swab test and the result came out as positive.
To date, majority of Mimaropa provinces has no confirmed infections yet.
On July 18, 2009, around 132 students of Managpi Elementary School in Managpi, Calapan, Oriental Mindoro, mysteriously felt ill. [56] The next day, in a radio interview with Calapan mayor Paulino Salvador Leachon ordered schools officials of Managpu ES to temporarily close classes until July 26, where at the same day, 5 of its students were confirmed to have A(H1N1). [56] Four days later, additional five cases were confirmed by the DOH Mimaropa Regional Director Dr. Gloria Balboa and city health officer Dr. Basilisa Llanto, two of them came from J.J. Leido National High School and three from Adriatico Elementary School. [57] This prompted the city mayor and the council to declare suspension of classes among levels in Calapan and to resume August 1, as more and more children acquire the disease (though no other figures provided). [58] At the same day, all of Calapan under state of calamity as a mysterious fever downed around 400 students there. [59]
On July 13, 2009, classes were suspended in Philippine Science High School in Goa, Camarines Sur when 70 of its 300 dormers exhibited some influenza-like illnessess. [60] Three days later, local government officials from Goa denied that an influenza A(H1N1) infected the school, but was a seasonal flu instead. [61] Furthermore, the toll of students infected with the seasonal flu rose to 96. [61]
Visayas group islands has the most number of provinces infected in terms of geographical extent. Provinces that do not have flu cases so far include Aklan, Antique, Biliran, Guimaras, Eastern Samar, Negros Oriental, Northern Samar, Siquijor and Southern Leyte.
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There are some parts of Mindanao which are affected from the virus.
On July 2, 2009. The Ateneo de Zamboanga University confirmed its first A(H1N1) virus case in Zamboanga City. University President Fr. Antonio Moreno said that the grade 4 student had contacted with a relative who was found positive of the illness in Manila. Due to this incident, Fr. Moreno announced its suspending the classes at the elementary level of the university starting this Friday, July 3, until July 13. [62]
There are at least 10 confirmed cases in Northern Mindanao. Two are from Cagayan de Oro City, and six are soldiers training in a local military camp from Malaybalay City, Bukidnon. The other two are confirmed in Cotabato City and Ozamis City. On June 28, 2009, DOH confirmed that all these 10 patients had fully recovered. [63] [64]
On July 15, 2009, there are 9 confirmed cases of A(H1N1) virus from Xavier University - Ateneo de Cagayan. 8 are High School students from Xavier University - Ateneo de Cagayan High School in Pueblo de Oro and 1 is a faculty of Xavier University-Ateneo de Cagayan Main Campus. All are now undergoing confined treatment and are now recovering. All classes of all levels in all four campuses of the university are suspended for 10 days starting from July 16, 2008 (July 15, 2009 for XUHS) and will resume on July 27, 2009. [65] [66]
On the same date, there are also suspected cases from Pilgrim Christian College to have the virus and are now undergoing the swab test according to Cagayan de Oro's Committee on Health and Social Services Chairman Dr. Dante Pajo. [65]
On July 17, 2009, Lourdes College and Corpus Christi School of Cagayan de Oro City suspended classes, fearing that their personnel would be exposed to infected students. Furthermore, some of the students are experiencing with the symptoms of the virus and currently waiting for the results of the swab tests conducted. [67]
During the course of the pandemic, no cases have been confirmed in the Davao Region.
The first case in the region was a woman in Kidapawan City who visited her OFW husband in Manila. The husband, however is negative of the virus. [68]
On June 22, 2009, Mindanao has its first confirmed flu infection when a four-year-old boy who visited his working mother in Hong Kong tested positive for the disease. [69] The child developed a fever and cough after arriving with his parents from a vacation in Hong Kong on June 13. The boy's location was revealed to be in the independent city of Butuan inside the province of Agusan del Norte. [70]
Three days later, on June 25, the same city, Butuan, confirmed another case, a nine-year-old girl who had close contact with the first case in Butuan. [71] The patient was then rushed into the Davao Medical Center. [71]
During the course of the pandemic, no cases have been confirmed in the Autonomous Region in Muslim Mindanao.
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.
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 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.
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 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 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.
The 2009 swine 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.
The COVID-19 pandemic in the Cordillera Administrative Region is part of the worldwide pandemic of coronavirus disease 2019 caused by severe acute respiratory syndrome coronavirus 2. The virus reached the Cordillera Administrative Region on March 20, 2020, when the first case of the disease was confirmed to involve a resident of Manabo, Abra. All provinces, as well as the independent city of Baguio has recorded at least one confirmed COVID-19 case.