Template:2009 US swine flu outbreak table

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Main article: 2009 swine flu outbreak in the United States‎
Reported cases by state/territory[dated info]
State or territory State-reported confirmed cases[1] State-reported hospital- izations[1] Confirmed deaths
Total 115,318 27,632 3,433
Alabama  2453[2] NR 52[3]
Alaska 460[4] 18[4] 13[5]
Arizona   8592[6] 1818[6] 151[6]
Arkansas 154/NLU[7] NR 32[8]
California   10,545[9] 8589[9] 657[10]
Colorado  1321[11] 578[12] 70[13]
Connecticut   5382[14] 734[14] 35[14]
Delaware  381[15][16] NR 7[17]
District of Columbia  54[15] NR 1[18]
Florida  3676[19] 1227[19] 230[20][21]
Georgia  1012[22] 860[22] 81[23]
Hawaii   2221[24] NR 13[25]
Idaho  1165[26] NR 23[27]
Illinois    4649[28] 2931[28] 111[28]
Indiana   782[29] NR 39[29]
Iowa  929[30] 700[31] 41[32]
Kansas  1201[33] NR 29[34]
Kentucky   2092[35] NR 39[35]
Louisiana  1876[36] NR 52[37]
Maine  2232[38] 230[38] 21[39]
Maryland   1772[40] 996[41] 45[42]
Massachusetts    1979[43] 397[43] 33[44]
Michigan   655/NLU[45] NR 88[46][47]
Minnesota   2220[15] 1813[48] 61[49]
Mississippi  1292[50] NR 26[51]
Missouri  1523[52] NR 17[53]
Montana  961[54] 9[54] 19[55]
Nebraska  430[56] 40[56] 15[57]
Nevada   5516[58][59] NR 44[58][60]
New Hampshire   722[61] NR 10[62]
New Jersey   1006/NLU[63] 512[64] 42[65]
New Mexico   1007[66] 1007[67] 58[68]
New York    2738[15][69] 909[70] 206[10]
North Carolina  638[71] 267[71] 107[72]
North Dakota  650[73] 60[73] 2[74]
Ohio  227/NLU[75] NR 52[76]
Oklahoma  237/NLU[77] 7[77] 44[78]
Oregon   1833[79] 1419[79] 79[80]
Pennsylvania   10,940[81] NR 78[81]
Rhode Island  203[82] 76[83] 13[84][85]
South Carolina  1634[86] NR 49[87]
South Dakota  2081[88] 422[88] 23[88]
Tennessee   1163[89] NR 57[90]
Texas    6128[91] 1994[92] 231[93]
Utah   988[15] 302[94] 48[95]
Vermont  404[96] 149[96] 3[97]
Virginia  327[15][98] NR 37[99]
Washington 1882[15][100] 1561[101] 99[102]
West Virginia  1214[103] 853[104] 22[105]
Wisconsin    9579[106] 1317[106] 55[106]
Wyoming  725[107] NR 10[108]
-   -  -  -
American Samoa 90[109] NR 1[110]
Guam  338[111] NR 2[112]
Northern Mariana Islands 71[113] NR 0
Puerto Rico 908[114] NR 60[115]
U.S. Virgin Islands 80[116] NR 1[116]
NR: Not Reported - NLU: No Longer Updated
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Contents

[edit] Case Reporting in the United States

[edit] Case Classification

The CDC has defined three classifications for investigations of Swine-Origin Influenza A H1N1 Cases (S-OIV).[117]

  • Confirmed: a person with an acute febrile respiratory illness with laboratory confirmed S-OIV infection by one or more of the following tests:
    • real-time RT-PCR
    • viral culture
  • Probable: a person with an acute febrile respiratory illness who is positive for influenza A, but negative for H1 and H3 by influenza RT-PCR
  • Suspected: a person with acute febrile respiratory illness with onset
    • within 7 days of close contact with a person who is a confirmed case of S-OIV infection, or
    • within 7 days of travel to community either within the United States or internationally where there are one or more confirmed cases of S-OIV infection, or
    • resides in a community where there are one or more confirmed cases of S-OIV infection.

[edit] Daily Reporting

The CDC releases a daily update on confirmed cases by state at 11:00 am ET. Many state departments of health release updates on confirmed and probable cases throughout the day. Several states have developed dedicated websites for information on the flu outbreak. Others release numbers on their department of health website or though daily press reports.

All U.S. States and Puerto Rico have received testing kits and training from the CDC that permits them to do local confirmation of samples. Previously all samples had to be sent to CDC headquarters in Atlanta, causing considerable delay in reporting.

The numbers from state authorities are often out of synch with those in the CDC daily report, primarily because the CDC updates its figures less frequently. For instance, the Illinois Department of Public Health updated the number of confirmed cases in Illinois to 225 at 10 a.m. CT on May 6, 2009,[118] while the CDC update at 11:00 AM ET that day showed only 122 confirmed cases in Illinois.[119] The CDC report also currently lists one trans-state case. A Kentucky woman who had returned home from Mexico later traveled to Georgia where she was diagnosed and treated for swine flu. Both Georgia and Kentucky record the case on their websites; the CDC notes the case for Kentucky.

Some states, including Michigan, Massachusetts, Tennessee, have stopped reporting probable numbers since receiving their CDC testing kits.

On May 14th the CDC changed its daily report from only confirmed cases to 'Confirmed and Probable cases'.

In early June the CDC changed from daily reporting to weekly reporting. The CDC report is published each Friday at 11:00 based on numbers reported by 3pm the previous day.

[edit] Changes of Fundamental Reporting Principles

Several states have abandoned the counting of confirmed cases. In the second half of June Michigan has moved to 'aggregate flu reporting', where no difference is made between novel (pandemic) flu and seasonal flu. This step is justified by the finding, that at this point of the year more than 98% of detected flu cases are caused by the novel flu.[120][121] Other states, such as Utah (early June) and Washington (end of May), have started to report the number of hospitalized cases instead of infected cases. This new approach surely excludes many sources of error, but it hampers comparisons between states and over time.

The CDC discontinued reporting of individual confirmed and probable cases of novel H1N1 infection on July 24, 2009. The CDC will report the total number of hospitalizations and deaths weekly, and continue to use its traditional surveillance systems to track the progress of the novel H1N1 flu outbreak. [122]

References

These references will appear in the article, but this list appears only on this page.
  1. ^ a b "Interim Guidance on Case Definitions to be Used For Investigations of Swine-Origin Influenza A (H1N1) Cases*". Centers for Disease Control and Prevention. 2009-04-30. http://www.cdc.gov/h1n1flu/casedef_swineflu.htm. Retrieved 2009-05-01. 
  2. ^ "Swine Influenza Updates". Alabama - Department of Public Health. 2009-07-30. http://www.adph.org/H1N1Flu/index.asp?id=3571. 
  3. ^ Epi - Influenza
  4. ^ a b "Swine Flu Information". Alaska - Department of Health and Social Services. 2009-08-05. http://www.epi.alaska.gov/id/influenza/swineflu.htm. 
  5. ^ Homer woman who died at 44 tested positive for swine flu: Swine flu (H1N1) | Alaska news at adn.com
  6. ^ a b c Update each Wednesday "New 2009 Influenza A H1N1 Strain in the US". Arizona - Department of Health Services. 2009-07-29. http://www.azdhs.gov/flu/h1n1/index.htm. 
  7. ^ "H1N1 Flu (Swine Flu) Resources". Arkansas - Department of Health. 2009-07-29. http://www.healthyarkansas.com/news/swineflu-resources.html. 
  8. ^ http://arkansasmatters.com/content/news/fulltext?cid=302082
  9. ^ a b "Novel Influenza A (H1N1) Virus (Swine Flu) - Latest News". California - Department of Public Health. 2007-08-25. http://www.cdph.ca.gov/HealthInfo/discond/Pages/SwineInfluenza.aspx. Retrieved 2009-08-27. 
  10. ^ a b 2009 flu pandemic in the United States by state
  11. ^ "Influenza-Associated Hospitalizations by County by Diagnosis Date". Colorado - Department of Public Health and Environment. 2009-08-30. http://www.cdphe.state.co.us/dc/Influenza/09_10%20Hospitalizations%20by%20County.pdf. Retrieved 2009-11-09. 
  12. ^ http://www.cdphe.state.co.us/dc/Influenza/09_10%20Hospitalizations%20by%20County.pdf
  13. ^ http://www.cdphe.state.co.us/dc/Influenza/09-10_Deaths_Linelist.pdf
  14. ^ a b c "CTFLUWATCH". Connecticut Department of Public Health. 2009-07-29. http://www.ct.gov/ctfluwatch/cwp/view.asp?a=2533&q=439218. Retrieved 2009-07-30. 
  15. ^ a b c d e f g "PAHO Influenza A(H1N1) Surveillance". PAHO. 2009-08-26. http://new.paho.org/hq/images/atlas/en/atlas.html. Retrieved 2009-08-26. 
  16. ^ No longer updating "H1N1 UPDATE - JUNE 18". Delaware - Department of Health and Social Services. 2009-06-18. http://dhss.delaware.gov/dhss/pressreleases/2009/swineflu-061809.html. Retrieved 2009-06-19. 
  17. ^ 7th death in DE from H1N1 influenza - WGMD.COM
  18. ^ Drug-resistant swine flu reported in Va., Md
  19. ^ a b Update each Wednesday "Swine Flu Information". Florida - Department of Health. 2009-07-21. http://www.doh.state.fl.us/Disease_ctrl/epi/swineflu/index.html. Retrieved 2009-07-30. 
  20. ^ H1N1 Media Releases
  21. ^ http://www.doh.state.fl.us/Disease_ctrl/epi/htopics/flu/2010/Week-20-2009-2010.pdf
  22. ^ a b "H1N1". Georgia - Division of Public Health. 2009-09-24. http://dch.georgia.gov/00/channel_title/0,2094,31446711_148304655,00.html. Retrieved 2009-09-24. 
  23. ^ georgia.gov - Seasonal Flu
  24. ^ "Influenza Surveillance Report". July 19–August 1, 2009. HAWAI‘I STATE DEPARTMENT OF HEALTH DISEASE OUTBREAK CONTROL DIVISION. 2009-08-06. http://hawaii.gov/health/family-child-health/contagious-disease/influenza/Influenza%20Reports/Influenza%20Surveillance%20Weeks%2029-30%202009.pdf. Retrieved 2009-08-26. 
  25. ^ Delawareonline - Levi Johnston wants to be mayor; has no platform
  26. ^ "Idaho Case Counts". Idaho - Department of Health & Welfare. 2009-10-06. http://healthandwelfare.idaho.gov/Health/PanFluHome/IdahoCaseCounts/tabid/890/Default.aspx. 
  27. ^ Idaho Case Counts
  28. ^ a b c Update each Friday "Illinois Department of Public Health Swine Flu Statistics". Illinois - Department of Public Health. 2009-07-24. http://www.idph.state.il.us/swine_flu. Retrieved 2009-07-30. 
  29. ^ a b "ISDH Press releases". Indiana - State Department of Health. 2009-08-20. http://www.in.gov/flu/2442.htm. Retrieved 2009-08-27. 
  30. ^ "Influenza and Other Respiratory Virus Weekly Activity Report". Iowa - Department of Public Health. 2009-08-01. http://www.idph.state.ia.us/adper/common/pdf/flu/flu_report_47.pdf. Retrieved 2009-08-26. 
  31. ^ newtondailynews.com | H1N1 vaccine plentiful in Iowa
  32. ^ Iowa Influenza Surveillance Network (IISN) Reports
  33. ^ update at Monday"Kansas H1N1 Flu Virus Information". Kansas - Department of Health and Environment. 2009-08-24. http://www.kdheks.gov/H1N1/H1N1_Epi_Reports.htm. 
  34. ^ Kansan dies from H1N1 - Pratt, KS - Pratt Tribune
  35. ^ a b "Flu Activity". Commonwealth of Kentucky. 2009-10-29. http://healthalerts.ky.gov/Pages/FluActivity.aspx. 
  36. ^ "DHH Updates Status of Fight the Flu Campaign". Louisiana - Department of Health & Hospitals. 2009-11-09. http://www.dhh.louisiana.gov/news.asp?Detail=1560. Retrieved 2009-11-09. 
  37. ^ Department of Health & Hospitals | State of Louisiana
  38. ^ a b update weekly "Maine - H1N1 Influenza (“Swine Flu”) Update". Maine - Center for Disease Control and Prevention. 2009-08-26. http://www.maine.gov/dhhs/boh/swine-flu-2009.shtml. Retrieved 2009-08-27. 
  39. ^ Flu News - CDC; DHHS Maine
  40. ^ "Maryland weekly flu report". The Baltimore Sun. 2009-07-02. http://www.marylandfluwatch.org/weekly-report/2008-2009-weekly-reports-1. Retrieved 2009-07-02. 
  41. ^ Maryland Flu Watch
  42. ^ Department of Health and Mental Hygiene Seasonal Influenza Preparedness Guide
  43. ^ a b "Confirmed H1N1 Influenza (swine flu)". Massachusetts - Department of Public Health. 2009-08-27 ]. http://publichealth.blog.state.ma.us/h1n1-swine-flu/. 
  44. ^ Weekly Flu Report: April 15, 2010 - Commonwealth Conversations: Public Health
  45. ^ Daily Update of fatalities "MDCH-Influenza A (H1N1)". Michigan - Department of Community Health. 2009-06-13. http://www.michigan.gov/mdch/0,1607,7-132-2940_2955_22779_53388-213600--,00.html. Retrieved 2009-07-30. 
  46. ^ [1] [dead link]
  47. ^ http://www.michigan.gov/documents/mdch/20090623_5pm_FLI_283516_7.pdf
  48. ^ "Weekly Influenza Activity: Statistics". Minnesota - Department of Health. 2009-08-17. http://www.health.state.mn.us/divs/idepc/diseases/flu/stats/index.html. 
  49. ^ Weekly Influenza Activity - Minnesota Dept. of Health
  50. ^ "Mississippi H1N1 Swine Flu Cases by County, 2009". Mississippi - State Department of Health. 2009-09-23. http://www.msdh.state.ms.us/msdhsite/_static/14,0,334,82.html. 
  51. ^ http://www.clarionledger.com/article/20100319/NEWS/100319021/Mississippi+child+dies+of+flu
  52. ^ "Special Weekly Influenza Surveillance 2009-2010 Pre-Season Report, Missouri". Missouri - Department of Health and Senior Services. 2009-08-22. http://www.dhss.mo.gov/Influenza/Week500910.pdf. Retrieved 2009-08-27. 
  53. ^ http://www.kmox.com/Missouri-health-officials-add-up-the-H1N1-numbers/6795716
  54. ^ a b "Confirmed Novel Influenza A/H1N1 (Swine Flu)". Billings Gazette. 2009-08-06. http://mt.gov.cdc.nicusa.com/search?q=cache:eE-W161tnBwJ:www.dphhs.mt.gov/PHSD/Lab/documents/InfluenzaVolumes2009-10.xls+influenza+week+43&access=p&output=xml_no_dtd&ie=UTF-8&client=DPHHS&site=DPHHS&proxystylesheet=DPHHS&oe=ISO-8859-1. Retrieved 2009-08-06. 
  55. ^ Flathead County man dies of swine flu; 19th such death in Montana
  56. ^ a b "Influenza Report". Week 34 (August, 29). Nebraska - Department of Health & Human Services. 2009-08-21. http://www.hhs.state.ne.us/flu/WeeklyReport.pdf. Retrieved 2009-08-27. 
  57. ^ AP Health News Online Breaking News & Headlines from Associated Press - pennlive.com
  58. ^ a b "Nevada State Health Division Weekly Influenza Report". Nevada - State Health Division. 2009-08-21. http://flu.nv.gov/FluSurveillanceReports.htm. 
  59. ^ Woman, 29, first H1N1 death in new year - Wednesday, Jan. 6, 2010 | 1:31 p.m. - Las Vegas Sun
  60. ^ Boy, 10, dies from swine flu - News - ReviewJournal.com
  61. ^ "WEEKLY INFLUENZA SURVEILLANCE REPORT". New Hampshire - Department of Health & Human Services. 2009-08-29. http://www.dhhs.nh.gov/NR/rdonlyres/ekhk5hht2nqcy3svcotpqibj54rwxiroebx6zhnqhl7vy574mwp4eh25xemrr3cchl5fojz7g7ojvipf6l4nnpuynvc/weeklyflu.pdf. Retrieved 2009-09-16. 
  62. ^ NH reports 10th H1N1-related death » New Hampshire » EagleTribune.com, North Andover, MA
  63. ^ [http://www.state.nj.us/health/flu/documents/stats08/flummwr_34.pdf "New Jersey Department of Health and Senior Services UCommunicable Disease Service Influenza Brief"]. Week Ending August 29, 2009 (MMWR Week 34). http://www.state.nj.us/health/flu/documents/stats08/flummwr_34.pdf. Retrieved 2009-09-23. 
  64. ^ "H1N1 Flu Hospitalizations and Deaths in NJ". New Jersey DHSS. 2009-08-26. http://www.state.nj.us/health/flu/h1n1.shtml. Retrieved 2009-08-27. 
  65. ^ Two New H1N1-Related Deaths Reported | njtoday.net – Everything New Jersey
  66. ^ Flu in New Mexico - Influenza Information
  67. ^ New Mexico Analyzes Swine Flu | KDBC.com
  68. ^ NM Department of Health Seasonal & H1N1Flu Information
  69. ^ "H1N1 Flu (Swine Flu)". New York State - Department of Health. 2009-06-19. http://www.health.state.ny.us/diseases/communicable/influenza/h1n1/. Retrieved 2009-06-19. 
  70. ^ "Health Alert #27". New York City DHMH. 2009-07-08. http://www.nyc.gov/html/doh/downloads/pdf/cd/2009/09md27.pdf. Retrieved 2009-09-02. 
  71. ^ a b Update each Wednesday "NCPH: Influenza in N.C.". North Carolina - Public Health. 2009-07-29. http://www.epi.state.nc.us/epi/gcdc/flu.html. Retrieved 2009-07-30. 
  72. ^ North Carolina Influenza Sentinel Surveillance Program
  73. ^ a b ND Flu
  74. ^ Few flu cases reported this year
  75. ^ "Swine flu". Ohio - Department of Health. 2009-07-30. http://www.odh.ohio.gov/ASSETS/4FF646242E8142DFAB49FAEF13925F76/h1n1cases.pdf. Retrieved 2009-07-30. 
  76. ^ Daily Standard Stories
  77. ^ a b updated on Mondays and Thursdays "Novel Influenza A H1N1 (Swine Flu) Daily Updates & Alerts". Oklahoma - State Department of Health. 2009-07-29. http://www.ok.gov/health/2009_H1N1_Flu_Updates_and_Alerts.html. 
  78. ^ Swine flu death is 44th in Oklahoma | Tulsa World
  79. ^ a b Update each Friday "H1N1 Influenza Update". Oregon - Department of Human Services. 2009-07-24. http://www.oregon.gov/DHS/ph/acd/swineflu_investigation.shtml. Retrieved 2009-07-30. 
  80. ^ http://www.flu.oregon.gov/articles/Pages/FluStats.aspx
  81. ^ a b H1N1 in PA › PA Situation Update
  82. ^ "Rhode Island Department of Health Swine Flu". Rhode Island - Department of Health. 2009-07-30. http://www.health.ri.gov/pandemicflu/swineflu/swineflu.php. Retrieved 2009-06-17. 
  83. ^ http://www.health.ri.gov/pandemicflu/swineflu/dailybriefing.php
  84. ^ Third swine flu death reported in RI | Turn to 10
  85. ^ RI sees 10th H1N1 death; vaccine to be offered broadly - Projo 7 to 7 News Blog | Rhode Island news | The Providence Journal
  86. ^ "South Carolina Influenza Activity and Surveillance: 2008-2009 Season". South Carolina - Department of Health and Environmental Control. 2009-06-13. http://www.scdhec.gov/health/disease/acute/docs/200947SCFluWatch.pdf. Retrieved 2009-06-19. 
  87. ^ http://www.scdhec.gov/health/disease/acute/docs/201031SCFluWatch_a.pdf
  88. ^ a b c "South Dakota (A)H1N1 Surveillance". South Dakota - Department of Health. 2009-05-28. http://doh.sd.gov/H1N1/Surveillance.aspx. Retrieved 2009-06-05. 
  89. ^ "Sentinel Provider Influenza-Like Illness (ILI) Surveillance Summary". Tennessee - Department of Health. 2009-11-21. http://health.state.tn.us/Downloads/week50ILI_spnreport_2009.pdf. Retrieved 2009-11-27. 
  90. ^ ttp://www.volunteertv.com/home/headlines/83837562.html
  91. ^ Update each Wednesday "Surveillance". Texas - Department of State Health Services. http://www.dshs.state.tx.us/idcu/disease/influenza/surveillance/2010/. Retrieved 2009-10-24. 
  92. ^ http://www.dshs.state.tx.us/txflu/TX-cumulative-age.pdf
  93. ^ Texas Department of State Health Services, Infectious Disease Control Unit > Surveillance
  94. ^ "Utah Pandemic A (H1N1) 2009 Hospitalized Case Surveillance". Utah - Department of Health. 2009-07-29. http://health.utah.gov/epi/h1n1flu/UT_update.html. Retrieved 2009-07-31. 
  95. ^ http://www.sltrib.com/news/ci_14686756?source=rss
  96. ^ a b "Novel H1N1 Flu (Swine Flu): Status Update". Vermont - Department of Health. 2009-06-24. http://healthvermont.gov/prevent/flu/flusurveillance.aspx#sentinel. Retrieved 2009-06-26. 
  97. ^ Vt. Reports Third Swine Flu Death - WCAX.COM Local Vermont News, Weather and Sports
  98. ^ "Confirmed Influenza A (H1N1) Case Counts". Virginia - Department of Health. 2009-07-10. http://www.vdh.state.va.us/news/Alerts/SwineFlu/ConfirmedCases.htm. Retrieved 2009-07-11. 
  99. ^ http://www.vdh.virginia.gov/epidemiology/DiseasePrevention/H1N1/pdf/071010Tracking.pdf
  100. ^ "Swine flu (H1N1) monitoring changes in Washington". WSDOH. 2009-05-26. http://www.doh.wa.gov/Publicat/2009_news/09-093.htm. Retrieved 2009-06-25. 
  101. ^ "Swine Flu Information". Washington - Department of Health and Human Resources. 2009-10-16. http://www.doh.wa.gov/h1n1/h1n1_newsroom.htm. Retrieved 2009-10-20. 
  102. ^ http://www.doh.wa.gov/h1n1/h1n1_newsroom.htm
  103. ^ Updated each Wednesday "Influenza Surveillance Data 2008-2009". West Virginia - Department of Health and Human Resources. 6/18/2009 12:45 PM ET. http://www.wvidep.org/AZIndexofInfectiousDiseases/Influenza/InfluenzaSeason0809/tabid/1747/Default.aspx. Retrieved 2009-06-18. 
  104. ^ The Record Delta Woman with H1N1 dies
  105. ^ Archived Influenza Season Data 2009-10
  106. ^ a b c "Current H1N1 Situation in Wisconsin". Wisconsin - Department of Health Services. 2009-07-29. http://pandemic.wisconsin.gov/category.asp?linkcatid=3191&linkid=1567&locid=106. Retrieved 2009-07-29. 
  107. ^ "Swine Influenza (Swine Flu)". Wyoming - Department of Health. 2009-08-05. http://wdh.state.wy.us/phsd/epiid/swineflu.html. 
  108. ^ More deaths as flu season continues in Wyoming
  109. ^ pandemic influenza A/H1N1 2009 surveillance
  110. ^ American Samoa News - Topix
  111. ^ pandemic influenza A/H1N1 2009 suveillance report as of 27 October 2009
  112. ^ Saipan Tribune
  113. ^ Saipan Tribune
  114. ^ :::** Diario La Verdad **:::
  115. ^ Noticias de Prensa Latina
  116. ^ a b AP National News Online Breaking News & Headlines from Associated Press - oregonlive.com
  117. ^ See CDC interim definitions above
  118. ^ "Illinois Department of Public Health Swine Flu Statistics". Illinois Department of Public Health. 2009-05-06 (10:00 CT). http://www.idph.state.il.us/swine_flu/. Retrieved 2009-05-06. 
  119. ^ "H1N1 Flu (Swine Flu)". H1N1 Flu. Centers for Disease Control and Prevention. 2009-05-06 (11:00 EDT). http://www.cdc.gov/h1n1flu/. Retrieved 2009-05-06. 
  120. ^ "Latest number of confirmed and probable ILI cases". MCDH. 2009-06-23. http://www.michigan.gov/documents/mdch/20090623_5pm_FLI_283516_7.pdf. Retrieved 2009-06-25. 
  121. ^ "FluView Influenza Season Week 23 ending June 13, 2009". http://www.cdc.gov/flu/weekly/. Retrieved 2009-06-25. 
  122. ^ CDC H1N1 Flu | Situation Update
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