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==Affected regions==
==Affected regions==
{{main|2009 flu pandemic in the Philippines by region}}
{{Split section|date=June 2009}}
{{TOC Philippine regions}}
===[[Luzon]]===
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.
====[[National Capital Region|Metro Manila]]====
[[File:Metro Manila PH A(H1N1).png|thumb|220px|Outbreak evolution in the Metro Manila as confirmed or suspected by different agencies. <br />
{{legend|#000000|Confirmed cases followed by death}}
{{legend|#FF0000|Confirmed cases by the [[Department of Health (Philippines)|Department of Health]]}}
{{legend|#FFBF00|Unconfirmed or suspected cases}}]]
Being the location of [[Department of Health (Philippines)|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.<ref name="17 katao"/> 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.<ref>{{cite web|url=http://newsinfo.inquirer.net/breakingnews/nation/view/20090521-206396/DoH-confirms-first-AH1N1-case-in-RP|title=DoH confirms first A(H1N1) case in RP|author=Anna Valmero|date=2009-05-21}}</ref>

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. <ref>{{cite web|url=http://www.gmanews.tv/story/162657/RP-confirms-second-case-of-A(H1N1)-infection|title=DoH confirms second A(H1N1) case in RP|date=2009-05-24}}</ref>

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.<ref name="luistro memo">{{cite news|url=http://www.gmanews.tv/story/164048/A(H1N1)-cases-now-29-including-ADB-staff---DOH|title=RE : Confirmed case of Influenza A and campus closure|last=Br. Armin A. Luistro FSC, President and Chancellor|date=3 June 2009|accessdate=2009-06-03}}</ref> 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.<ref name="15 de la salle, opens"/>
[[File:LSHall Front.jpg|thumb|right|[[De La Salle University]] ([[Manila]]) was closed because of 15 students infected by A(H1N1) since June 3.]]

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.<ref>{{cite news|url=http://www.gmanews.tv/story/164048/A(H1N1)-cases-now-29-including-ADB-staff---DOH|title= A(H1N1) virus rose 29 in RP|date=4 June 2009|accessdate=2009-06-04}}</ref> ADB office in [[Makati City]] was then subjected for closure and quarantine was made to infected or possible contacted people.

On June 8, 2009, [[Far Eastern University - East Asia College|East Asia College]] of the [[Far Eastern University]] in Manila confirmed its first case which rose to three.<ref name="ballon to 247"/><ref name="60 in 10 schools"/>

On June 9, 2009, [[Ateneo de Manila#High school|Ateneo de Manila High School]] department reported that three of its students were tested positive of the flu. Classes were suspended immediately after. <ref name="ballon to 247"/><ref name="Ateneo 3 HS"/> Six days after, on its sister Loyola school [[Ateneo de Manila University]] in [[Quezon City]] reported four flu infections.<ref name="Deped revise"/> The same day, [[De La Salle University|La Salle]]'s sister college [[De La Salle-College of St. Benilde|St. Benilde]] had its first flu case which eventually rose to two.<ref name="ballon to 247"/><ref name="60 in 10 schools"/>

On June 10, 2009, [[St. Andrew's School (Parañaque)|St. Andrew's School]] in [[Parañaque City]] suspended classes after a student was infected by flu.<ref name="ballon to 247"/>

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 City|Makati]] announced that three students of [[Mapua_Institute_of_Technology#Makati_Campus|Mapúa Institute of Technology Makati Campus]] was tested positive for H1N1<ref name="Mapua PR"/> together with two residents in San Miguel Village and one in Cembo.<ref name="Inquirer makati 6"/>

On June 17, 2009, [[San Juan City]] had its first flu case, a student in Dominican College.<ref name="schools with h1n1"/><ref name="Deped revise"/> [[Philippine Senate|Senate]] [[President pro tempore of the Senate of the Philippines|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, San Juan|Greenhills]]), even though the latter school did not announced infection so far.<ref name="Jinggoy children positive">{{cite news|url=http://www.abs-cbnnews.com/nation/06/24/09/jinggoys-2-kids-positive-h1n1|title=Jinggoy's 2 kids positive for A (H1N1)|date=24 June 2009|publisher=ABS CBN News.com|accessdate=2009-06-25}}</ref>

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.<ref name="alejandro roces first"/> Our Lady of Perpetual Succor College in [[Marikina]] also confirmed first influenza case.<ref name="Lagro, Marikina"/>

On June 18, 2009, first case in [[Mandaluyong City]] school was reported in [[Lourdes School of Mandaluyong|Lourdes School]] with two positive for flu.<ref name="Shaw Blvd; Mandaluyong City"/>

On June 19, 2009, [[Adamson University]] in [[Manila]] suspended its classes due to confirmation of infection on one of its students.<ref name="adamson suspended"/>

On June 20, 2009, several schools announced flu infection: [[PAREF Southridge School]] in [[Muntinlupa City]], [[Reedley International School]] in [[Quezon City]] and [[San Beda College]] in [[Manila]].<ref name="schools with h1n1"/><ref name="Official announcement from Reedley"/><ref name="San Beda, Santa Rosa"/>

On June 21, 2009, virus reached [[Don Bosco Technical College]] in [[Mandaluyong City]].<ref name="schools with h1n1"/> The same day, nearby school [[La Salle Green Hills]] announced flu infection.<ref name="schools with h1n1"/> [[St. Scholastica's College]] in [[Manila]] also reported infection.<ref name="schools with h1n1"/>

====[[Cordillera Administrative Region]]====
[[File:Sessionroad.jpg|thumb|right|Part of a view in [[Baguio City]].]]
The [[Department of Health (Philippines)|DOH]]-[[Cordillera Administrative Region|Cordillera]] confirmed on May 29 its first swine flu case.<ref name="Cordillera first case">{{cite news|url=http://www.sunstar.com.ph/baguio/first-swine-flu-case-cordi|title=First swine flu case in Cordi|last=Opiña|first=Rimaliza|date=30 May 2009|publisher=Sun Star Baguio|accessdate=2009-06-06}}</ref> Similar to other flu patients, the identity and disclosure of the sick person was not publicized to promote confidentiality.<ref name="Cordillera first case"/> A day after, in May 30, second flu patient was confirmed by the DOH Cordillera director Myrna Cabotaje, a man around his twenties.<ref name="2nd Cordillera case">{{cite news|url=http://www.sunstar.com.ph/baguio/2nd-cordi-swine-flu-case-confirmed|title=2nd Cordi case confirmed|date=31 May 2009|publisher=Sun Star Baguio|accessdate=2009-06-06}}</ref> 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, Mountain Province|Bontoc]].<ref name="2nd Cordillera case"/>

On June 18, Cordillera cases rose to six, all of whom have history of travels to the United States and other flu-infected countries.<ref name="h1n1 cordi six">{{cite news|url=http://www.sunstar.com.ph/baguio/swine-flu-cases-cordi-rise-six|title=Swine flu cases in Cordi rise to six|date=18 June 2009|publisher=Sun Star Baguio|accessdate=2009-06-26}}</ref> Dr. Nick Gordo assured that there is no community level outbreak so far in the region.<ref name="h1n1 cordi six"/>

Meanwhile, on June 26, 2009, Dr. Anthony Bantog, head of the [[livestock]] division of the [[Department of Agriculture (Philippines)|Department of Agriculture]] said that there is no [[swine flu]] or [[hog cholera]] outbreak among Cordillera [[pig]]s, despite the rising number of cases in the region.<ref name="No swine flu in cordi pigs">{{cite news|url=http://www.sunstar.com.ph/baguio/no-swine-flu-cordi|title=No swine flu in Cordi|date=26 June 2009|publisher=Sun Star Baguio|accessdate=2009-06-26}}</ref> He added, instead, that [[porcine reproductive and respiratory syndrome virus|porcine reproductive and respiratory syndrome]] affects pigs.<ref name="No swine flu in cordi pigs"/>

====[[Ilocos Region]]====
{| class="wikitable sortable" style="float: left; width:auto;font-size: 95%;"
|+'''[[Influenza A(H1N1)]] cases in the Philippines by [[Regions of the Philippines|regions]]'''
!Region
! Number<br>of cases
|-
|align="left"|[[#Ilocos Region|Region I]]
|align="center"|5
|-
|align="left"|[[#Cagayan Valley|Region II]]
|align="center"|0
|-style="background:#ccffcc;"
|align="left"|[[#Central Luzon|Region III]]
|align="center"|113
|-
|align="left"|[[#CALABARZON|Region IV-A]]
|align="center"|251
|-
|align="left"|[[#MIMAROPA|Region IV-B]]
|align="center"|4
|-
|align="left"|[[#Bicol Region|Region V]]
|align="center"|3
|-
|align="left"|[[#Western Visayas|Region VI]]
|align="center"|7
|-
|align="left"|[[#Central Visayas|Region VII]]
|align="center"|10
|-
|align="left"|[[#Eastern Visayas|Region VIII]]
|align="center"|42
|-
|align="left"|[[#Zamboanga Peninsula|Region IX]]
|align="center"|1
|-
|align="left"|[[#Northern Mindanao|Region X]]
|align="center"|6
|-
|align="left"|[[#Davao Region|Region XI]]
|align="center"|11
|-
|align="left"|[[#SOCCSKSARGEN|Region XII]]
|align="center"|1
|-
|align="left"|[[#Caraga|Region XIII]]
|align="center"|1
|-
|align="left"|[[#Autonomous Region in Muslim Mindanao|ARMM]]
|align="center"|0
|-
|align="left"|[[#Cordillera Administrative Region|CAR]]
|align="center"|10
|-
|align="left"|[[#National Capital Region|NCR]]
|align="center"|1,225

|-class="sortbottom"
|colspan="2" align="left"|

'''Note:''' No confirmed deaths so far.
{{legend|#ccffcc|Confirmed community outbreak(s)}}
|}
As of June 26, 2009, the only province in the region to report influenza cases is [[Pangasinan]], with two confirmed infections last June 18.<ref name="64 cases in 24 hrs">{{cite news|url=http://www.sunstar.com.ph/cebu/64-cases-virus-reported-24-hrs|title=64 cases of virus reported in 24 hrs|date=18 June 2009|publisher=Sun Star Cebu|accessdate=2009-06-26}}</ref>

====[[Cagayan Valley]]====
To date, [[Cagayan Valley]] has no confirmed infections yet.

====[[Central Luzon]]====
To date, all provinces in [[Central Luzon]] except [[Aurora (province)|Aurora province]] has confirmed influenza cases.
=====[[Bulacan]]=====
=====[[Nueva Ecija]]=====
Around May 28-29, 2009, around 29 students were mysteriously felt [[influenza-like illness]]es at the same grade level in Hilera Elementary School, [[barangay]] Hilera ([[Jaen, Nueva Ecija|Jaen]], [[Nueva Ecija]]).<ref name="NE suspected"/> Six days later, on June 5, the students under observation rose to forty, so much that Jaen mayor Santiago Austria ordered suspension of classes.<ref name="40 NE suspected"/> He also announced that the students are all in grade six level.<ref name="40 NE suspected"/> 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.<ref name="ecija school suspended">{{cite news|url=http://www.manilastandardtoday.com/?page=politics2_june12_2009|title=Flu hits Ecija school; classes suspended|last=Araneta|first=Macon|date=12 June 2009|publisher=Manila Standard Today|accessdate=2009-06-28}}</ref> On June 11, 2009, [[Department of Health (Philippines)|Department of Health]] confirmed first case of influenza in Nueva Ecija, an 11-year old student from the same school.<ref name="ecija first case">{{cite news|url=http://newsinfo.inquirer.net/breakingnews/regions/view/20090612-210097/Ecija-resident-H1N1-positive-19-more-tested|title=Ecija resident H1N1 positive; 19 more tested |last=Orejas|first=Tonette|date=12 June 2009|work=Central Luzon Desk|publisher=Philippine Daily Inquirer|accessdate=2009-06-28}}</ref>

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.<ref name="11 ecija students">{{cite news|url=http://newsinfo.inquirer.net/breakingnews/regions/view/20090612-210155/11-Ecija-kids-confirmed-with-H1N1|title=11 Ecija kids confirmed with H1N1 |last=Orejas|first=Tonette|date=12 June 2009|work=Central Luzon Desk|publisher=Philippine Daily Inquirer|accessdate=2009-06-28}}</ref> 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, which also mystifies local health officials.<ref name="ecija mystifies">{{cite news|url=http://www.gmanews.tv/story/164846/Swine-flu-in-Nueva-Ecija-mystifies-health-officials|title=Swine flu in Nueva Ecija mystifies health officials|date=13 June 2009|publisher=GMA News|accessdate=2009-06-28}}</ref> One popular theory by local government of Nueva Ecija is that flu virus was transmitted by a foreign medical mission, only known as ''Palanghay'' which conducted services on the school on May 31<ref name="ecija first case"/>, 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.<ref name="36 ecija with 19 year old positive">{{cite news|url=http://newsinfo.inquirer.net/breakingnews/nation/view/20090602-208458/36-quarantined-after-contact-with-H1N1-case|title=36 quarantined after contact with H1N1 case |date=2 June 2009|publisher=Philippine Daily Inquirer|accessdate=2009-06-28}}</ref> Third possible [[angle of view]] was based to DOH Central Luzon director Rio Magpantay: the eleven-year old boy possibly had flu infection during his summer vacation on the province of [[Bulacan]].<ref name="ecija first case"/>

After suspecting 92 influenza cases, the Department of Health on June 14 declared community outbreak in barangay Hilera, [[Jaen, Nueva Ecija]].<ref name="outbreak in hilera">{{cite news|url=http://newsinfo.inquirer.net/breakingnews/nation/view/20090614-210446/DoH-H1N1-community-outbreak-in-Ecija-village|title=DoH: H1N1 community outbreak in Ecija village |last=Orejas|first=Tonette|date=14 June 2009|work=Central Luzon Desk|publisher=Philippine Daily Inquirer|accessdate=2009-06-28}}</ref> The community outbreak includes the Hilera-nearby barangays of Kalabasa, Pitak, Pakul and Lambakin. The outbreak declaration created generalized stigma to Hilera residents:<ref name="Hilera stigma">{{cite news|url=http://newsinfo.inquirer.net/breakingnews/regions/view/20090613-210353/Hilera-residents-stigmatized-by-swine-flu|title=Hilera residents stigmatized by swine flu |last=Orejas|first=Tonette|coauthors=Anselmo Roque|date=13 June 2009|work=Central Luzon Desk|publisher=Philippine Daily Inquirer|accessdate=2009-06-28}}</ref>
{{quote|There's no panic among them but some residents say ''parang iniiwasan sila pag nalamang galing sila sa Hilera'' (it seems they are being avoided when people learn they live in Hilera). Some do feel stigmatized but many are very cooperative.|Dr. Rio Magpantay, director of the Department of Health in Central Luzon|''[[Philippine Daily Inquirer]]''}}
{{quote|''Pakiramdam nila parang nandidiri sa kanila. Ang sinasabi ko po ay, "Halikayo at magtiwala kayo." Binabago po natin ang pagtingin nila.'' (They feel that some people shrink away from them. I tell them, "Come and trust me." We want to change how they treat this situation)|Mayor Santiago Austria|[[Jaen, Nueva Ecija]]}}
=====[[Pampanga]]=====
=====[[Zambales]]=====
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.<ref name="2 more zambales wedding">{{cite news|url=http://newsinfo.inquirer.net/inquirerheadlines/nation/view/20090530-207919/2-more-wedding-guests-in-Zambales-get-AH1N1|title=2 more wedding guests in Zambales get A(H1N1) |last=Pazzibugan|first=Donna|date=30 May 2009|publisher=Philippine Daily Inquirer|accessdate=2009-06-20}}</ref> The occasion was said to be in a beach resort in the province.<ref name="search central luzon">{{cite news|url=http://newsinfo.inquirer.net/inquirerheadlines/regions/view/20090604-208674/DOH-asked-to-search-beyond-Central-Luzon|title=DOH asked to search beyond Central Luzon |date=5 June 2009|publisher=Philippine Daily Inquirer|accessdate=2009-06-20}}</ref> Two of the wedding attendees were [[Taiwanese]] [[Nationality|national]]s, a mother and her daughter, were found positive of the influenza virus when upon arrival in [[Taipei]].<ref name="50 wedding">{{cite news|url=http://www.manilastandardtoday.com/?page=news3_may26_2009|title=Govt tracking down 50 wedding guests for flu virus|last=Araneta|first=Macon|date=26 May 2009|publisher=Manila Standard Today|accessdate=2009-06-20}}</ref> In the successive, DOH tracked the location of the remaining guests through [[contact tracing]], where they found around ten more positive for the flu.<ref name="21 cases up">{{cite news|url=http://newsinfo.inquirer.net/breakingnews/nation/view/20090601-208270/Confirmed-H1N1-cases-rise-to-21--health-dept|title=Confirmed H1N1 cases rise to 21 – health dept |date=1 June 2009|publisher=Inquirer.Net|accessdate=2009-06-20}}</ref>

Later, DOH Central Luzon Director Dr. Rio Magpantay said that the total attendees were around eighty, contrary to the previously reported around 50.<ref name="search central luzon"/> Other news sources claimed that it was not a wedding occasion, but a [[yoga]] seminar instead, where around a hundred foreign nationals attended.<ref name="29 NE suspected"/>
=====Other provinces=====

====[[CALABARZON]]====
On June 19, 2009, classes at the Karangalan Elementary School in [[Cainta, Rizal|Cainta]], [[Rizal province]] were canceled when 43 of its students and three faculty members exhibited [[influenza-like illness|flu-like symptoms]].<ref name="Cainta suspended">{{cite news|url=http://newsinfo.inquirer.net/breakingnews/metro/view/20090619-211429/Cainta-school-suspends-classes|title=Cainta school suspends classes |last=Yap|first=DJ|date=19 June 2009|publisher=Philippine Daily Inquirer|accessdate=2009-07-01}}</ref> 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 vaccine]]s, [[face mask]]s, alcohol, and other equipment.<ref name="Sun Star: 4 schools report">{{cite news|url=http://www.sunstar.com.ph/manila/4-more-schools-report-swine-flu-cases|title=4 more schools report swine flu cases|date=23 June 2009|publisher=Sun Star Manila|accessdate=2009-07-01}}</ref> 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<ref name="Cainta 2">{{cite news|url=http://newsinfo.inquirer.net/breakingnews/regions/view/20090621-211680/2-Cainta-students-have-H1N1-flu|title=2 Cainta students have H1N1 flu |last=Yap|first=DJ|date=21 June 2009|publisher=Philippine Daily Inquirer|accessdate=2009-07-01}}</ref>, 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.<ref name="Cainta 2"/>

====[[MIMAROPA]]====
To date, [[MIMAROPA]] has no confirmed infections yet.

====[[Bicol Region]]====
To date, [[Bicol Region]] has no confirmed infections yet.

===[[Visayas]]===
[[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]].
====[[Western Visayas]]====
====[[Central Visayas]]====
====[[Eastern Visayas]]====
===[[Mindanao]]===
To date, [[Mindanao]] is largely H1N1 flu virus-free, except for few cases.
====[[Zamboanga Peninsula]]====
To date, [[Zamboanga Peninsula]] has no confirmed infections yet.
====[[Northern Mindanao]]====
To date, [[Northern Mindanao]] has no confirmed infections yet.
====[[Davao Region]]====
To date, [[Davao Region]] has no confirmed infections yet.
====[[SOCCSKSARGEN]]====
====[[Caraga]]====
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.<ref name="1st case; Butuan; UCLM">{{cite news|url=http://www.sunstar.com.ph/network/1st-swine-flu-case-mindanao-reported|title=1st swine flu case in Mindanao reported|date=22 June 2009|publisher=Sun Star|accessdate=2009-06-26}}</ref> 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 [[Philippine cities#independent cities|independent city]] of [[Butuan City|Butuan]] inside the province of [[Agusan del Norte]].<ref name="Mindanao first case">{{cite news|url=http://newsinfo.inquirer.net/inquirerheadlines/nation/view/20090621-211630/4-yr-old-boy-is-Mindanaos-1st-AH1N1-case|title=4-yr-old boy is Mindanao’s 1st A(H1N1) case |last=Caliquid|first=Franklin|date=21 June 2009|publisher=Philippine Daily Inquirer|accessdate=2009-06-23}}</ref>

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.<ref name="2nd Butuan case"/> The patient was then rushed into the [[Davao Medical Center]].<ref name="2nd Butuan case">{{cite news|url=http://newsinfo.inquirer.net/breakingnews/regions/view/20090625-212415/Butuan-girl-is-2nd-H1N1case-in-Mindanao|title=Butuan girl is 2nd H1N1case in Mindanao |last=Caliguid|first=Franklin|date=25 June 2009|publisher=Inquirer.net|accessdate=2009-06-26}}</ref>

====[[Autonomous Region in Muslim Mindanao]]====
To date, [[Autonomous Region in Muslim Mindanao|ARMM]] has no confirmed infections yet.


==Notes==
==Notes==

Revision as of 14:40, 2 July 2009

Main article: 2009 flu pandemic
Human Influenza A(H1N1) cases in the Philippines
(By Region)
Cases Deaths
Laboratory confirmed
(DOH) 		Date of las confirmation
(DOH) 		Confirmed deaths
(DOH)
3,207[1][2]
(1,709)[2] 		July 30[1][2]
(July 30) 		9[3]
8
Regional breakdown‡
Confirmed cases Deaths
Region I 5 0
Region II 1 0
CAR 187 4
Region III 248 0
NCR 1, 255 4
Region IV-A 251 0
Region IV-B 10 0
Region V 28 0
Region VI 7 0
Region VII 10 0
Region VIII 42 1
Region IX 1 0
Region X 19 0
ARMM 0 0
Region XI 11 0
Region XII 1 0
Caraga 13 0

Non-DOH total

1, 815 9
‡ Figures per region is not tallied into independent news sources and DOH updates. This is a natural situation since DOH did not issued updates anymore.
This box:
See also: 2009 flu pandemic by country, 2009 flu pandemic timeline, and 2009 flu pandemic in Asia
Outbreak evolution in the Philippines as confirmed or suspected by different agencies. (01:17, Friday, September 13, 2024 (UTC))
  Confirmed cases followed by death
  Confirmed community outbreak of H1N1
  Confirmed cases by the Department of Health
  Unconfirmed or suspected cases

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 City. On May 21, Department of Health (DOH) secretary Francisco Duque confirmed the case being the first Philippine swine flu case. On a May 22 press conference at World Health Organization Regional Office in Manila, Secretary Duque announced the first A(H1N1) case in the country:

The DOH confirms today the first case of A(H1N1) in the Philippines. She is a female traveler who arrived in the country on May 18 from the United States, whose throat specimen tested positive based on results from the Research Institute for Tropical Medicine.[4]

— Health Secretary Francisco Duque, Philippine Daily Inquirer

Since the outbreak of A(H1N1) in the Americas, President Gloria Macapagal-Arroyo urged the Department of Health, the Bureau of Immigration, the Bureau of Quarantine and other concerned agencies to control monitor airport and seaport arrivals for possible flu infection. Thermal imaging equipment were installed at major airports to screen passengers coming from infected countries for flu symptoms.[5][6] The Philippines may quarantine travelers arriving from Mexico with fever.[7] Also, the importation of hogs from the U.S. and Mexico was manned, and the restriction of swine influenza vaccine use was retracted. First death was reported on June 19, 2009, a 49 year-old Filipina, as well as the first death in Asia.

2009 Influenza A(H1N1) cases in the Philippines summary
Number of confirmed cases See table above
Number of provinces with confirmed cases 19[a]
Number of NCR cities with confirmed cases 12[a]
Number of cities/locations with confirmed deaths 1[a]
First confirmed infection in the country May 21, 2009[4]
First confirmed death in the country June 19, 2009[8]
First infection of a OFW/citizen abroad June 1, 2009
Saudi Arabia in K.S.A.[9]
First low-level transmission (community outbreak) June 14, 2009
in Barangay Hilera, Jaen, Nueva Ecija[10][11]
Fatalities 1 (as of June 26)

Detection and confirmation of the first case

Confirmation

On May 18, 2009, a Filipino family coming from a trip in Canada and United States arrived in the country. Though infected by the flu, their ten-year-old female child did not exhibit any symptoms except a day after arrival.[12][13] Due to this, her parents decided to inform the local health authorities about it, prompting Department of Health (DOH) representatives to require the girl to undergo laboratory testing at the RITM.[14]

On Thursday, May 21, health authorities and the RITM were able to confirm that the girl was and the first virus "carrier" through throat specimen tests, and the first A(H1N1) infected in the Philippines.

The next day, Health Secretary Duque announced the first flu case at a conference of the World Health Organization (WHO) in Geneva.[14] He then assured members of the media that there is no outbreak so far in the Philippines. However, health authorities did not publicize information regarding the name of the child and her family.[13]

Release from the hospital

The Director of the National Epidemiology Center, Dr. Eric Tayag, said that the girl's immune system had a positive response to oseltamivir (Tamiflu) and other anti-viral drugs. By May 24, she no longer exhibited fever and cough but still suffered from a sore throat.[15] The 10-year-old was discharged last May 28 by the DOH together with the second A(H1N1) patient, a 50-year-old female from Chicago.[16]

National responses

Template:Chronology of 2009 swine flu cases in the Philippines

Opening of classes

The day after the confirmation of the first case in the country, the Department of Education (DepEd) indicated that classes will continue to start on June 1 as scheduled.[17] In consulting with Secretary Duque, both he and Education Secretary Jesli Lapus reached a decision to go on with the original scheduled date of the opening of classes. Dr. Tayag also said that there is no reason for class suspension unless there is an actual outbreak in the country.[17]

According to DepEd-National Capital Region director Teresita Domalanta, Secretary Lapus has instructed them to order schools to carry out seminars and launch an information campaign about the symptoms and virus prevention among schools.[15]

In line with this, Secreatry Duque issued on May 30 a response alert system on when schools should suspend their classes.[18][19] Based on the response alert system set by the DOH, the Philippines is under response alert level three.[20]

Orders of class suspensions

As of June 6, 2009, because of the said incident, the Commission on Higher Education (CHEd) moved the opening of classes for all colleges and universities nationwide from June 8 to June 15, 2009.[21]

CHeD Chairman Emmanuel Angeles said that this postponement of classes will enable the students, especially those coming from abroad vacations, ample time to check their health and go on self-quarantine in case of any virus symptoms will exhibit.[22]

Presidential actions

In a press conference, Press Secretary Cerge Remonde said that President Arroyo has reiterated her instructions to the DOH, the Bureau of Immigration and all other concerned agencies to be on the top of the situation for regular updates.[23]

The president also ensured that the government is ready to give one million capsules of Tamiflu in case of an epidemic. [14]

Travel bans and advisories

As of 24 May, Department of Tourism so not issued a travel ban on the country in accordance with the reported flu cases of A(H1N1). Tourism secretary Joseph Ace Durano in his travel advisory said that there are no reported cancellations in any tourism booking so far.[24]

On the other hand, the government issued travel advisories for Mexico, the United States and other mostly-infected areas, advising Filipinos to refrain from making unnecessary travel.[25]

Changes in mass rituals

On June 5, Manila Archbishop Gaudencio Cardinal Rosales through instructions to Fr. Genaro Diwa of the Ministry of the Liturgical Affairs of the Archdiocese of Manila, issued an advisory ordering priests to temporarily give communion only by the hand, instead of the traditional mouth; and that holding hands during singing of Our Father (Ama Namin) will be discouraged.[26][27] During the Mass for the 5th anniversary of Pondo ng Pinoy at the Xavier School gymnasium in Greenhills, San Juan, the directive was announced before the start of the celebration of the Eucharist.

In line with this, the Manila Archbishop ordered the continuation of earlier commanded Oratio Imperata On H1N1, revisioning the obligatory prayer from its original version-centered on the virus-infected country of Mexico. He added that the Philippines should be included, and other countries in the prayer.[26]

On June 23, the Archbishop of Jaro (in Iloilo) Angel Lagdameo ordered local churches to empty holy water stoups whereas churchgoers are strongly advised to do sign of the cross instead of using holy water.[28]

Policy of mitigation

Tamiflu, influenza antiviral drug

Though the influenza virus is now treated mild, DOH will only then treat it like an ordinary flu, whereas it is no longer an obligation to follow all sick persons. According to Duque, if they shall continue their containment policy, the DOH will lose all their resources. He added, "Ituturing na lamang namin ito na parang [isang] karaniwang trangkaso na lamang. Mahirap namang babantayan mo[/natin] lahat ng [mga] 'yan[g pasyente]." (We shall treat this disease like an ordinary influenza. It is so difficult, as you think, to follow and trace all of them (the patients).[29]

On the other hand, DOH shifted into policy of mitigation where patients with symptoms anomaly exhibiting swine flu will just go see a doctor.[29]

Infected schools

The first Philippine school to contract A(H1N1) case was in De La Salle University (Manila) presumably in June 3, followed by suspension of classes effective June 4 ending then in June 14.[30] A few days before, in May 30, a mysterious swine flu-like illness was spotted into 29 students of Hilera Elementary School in Jaen, Nueva Ecija[31] which eventually climbed to 40, six days after.[32] The continuous transmission of A(H1N1) in barangay Hilera mystifies health officials, where immediately spread to 19 person, urging DOH to declare community outbreak by June 15 and Nueva Ecija provincial government a state of calamity the following day.[10][11]

Affected regions

Main article: 2009 flu pandemic in the Philippines by region

Notes

  • a Tallies may vary. Please see respective references on the affected regions section.

References

  1. ^ a b "RP's swine flu death toll rises to 6". AP. GMA News.TV. 30 July 2009. Retrieved 2009-08-01.
  2. ^ a b c "Influenza A(H1N1) in the Philippines". Department of Health. GMA News.TV. 17 June 2009. Retrieved 2009-06-21.
  3. ^ Cimatu, Frank; Vincent Cabreza (29 July 2009). "Swine flu kills 4 in Cordilleras, 1 in HK". Inquirer Northern Luzon. Archived from the original on 31 July 2009. Retrieved 29 July 2009.
  4. ^ a b "First swine flu virus case in RP". Cebu Daily News. Retrieved 2009-06-06.
  5. ^ "Quarantine screening of US passengers ordered | Manila Bulletin". Mb.com.ph. Retrieved 2009-04-26.
  6. ^ The Philippines' may quarantine travelers with Swine flu Symptoms
  7. ^ Frank Jordans (2009-04-25). "WHO declares international concern over swine flu". Associated Press.
  8. ^ "Philippines reports first swine flu fatality". 22 June 2009. Retrieved 2009-06-22.
  9. ^ . Saudi Press Agency. 3 June 2009 http://www.spa.gov.sa/English/details.php?id=670933. Retrieved 2009-06-26. {{cite news}}: Missing or empty |title= (help)
  10. ^ a b c Lontayao, Rommel (16 June 2009). "DOH CONFIRMS COMMUNITY OUTBREAK OF FLU VIRUS". Manila Times. Retrieved 2009-06-17.
  11. ^ a b See, Aie Balagtas (16 June 2009). "Ecija town under state of calamity due to A(H1N1)". GMA News.TV. Retrieved 2009-06-17.
  12. ^ Ragasa-Jimena, Melnie (23 May 2009). "17 katao nakahalubilo ng unang A(H1N1) victim, minomonitor" (in Tagalog). Philippine Journalists, Inc. (PJI). p. 2. {{cite news}}: |access-date= requires |url= (help); Unknown parameter |coauthors= ignored (|author= suggested) (help)
  13. ^ a b Ragasa-Jimena, Melnie (23 May 2009). "DOH Traces contact of girl w/ swine flu". People's Journal. p. 12. {{cite news}}: |access-date= requires |url= (help)
  14. ^ a b c Carandang, Rolly (23 May 2009). ""Remain Calm": Loren tell Pinoys despite RP's first swine flu case". Tempo. pp. 1–2. ISSN 0116-3973. {{cite news}}: |access-date= requires |url= (help); Unknown parameter |coauthors= ignored (|author= suggested) (help)
  15. ^ a b Santiago, Mary Ann (23 May 2009). "17 pa binabantayan sa H1N1". Balita. p. 2. {{cite news}}: |access-date= requires |url= (help); Unknown parameter |coauthors= ignored (|author= suggested) (help)
  16. ^ "Update No. 26 - Duque Reports 4 More New Confirmed Cases of A (H1N1); First Two Cases Discharged Today". Department of Health. 28 May 2009. Retrieved 2009-06-07.
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  18. ^ DOH Emergency Management Task Force for the Pandemic Response in Influenza A(H1N1) (30 May 2009). "Technical Guidelines, and Other Instructions for Reference in the Pandemic Response in Influenza A(H1N1)" (PDF). pp. 1–3. Retrieved 2009-06-07.{{cite web}}: CS1 maint: numeric names: authors list (link)
  19. ^ "Update No. 28 - Duque Issues Guidelines On Influenza A(H1N1) Response Levels In Schools; 2 New Cases Confirmed Today". Retrieved 2009-06-07.
  20. ^ "Update No. 32-Duque Lauds La Salle University Manila for Voluntarily Suspending Classes After Student Turns Positive for A(H1N1)". 3 June 2009. Retrieved 2009-06-07.
  21. ^ Garcia, Angelo (7 June 2009). "Colleges open June 15". Manila Bulletin. p. 2. {{cite news}}: |access-date= requires |url= (help); Unknown parameter |coauthors= ignored (|author= suggested) (help)
  22. ^ Tulipat, Ricky (7 June 2009). "Opening ng klase, iniurong sa June 15" (in Tagalog). Pilipino Star Ngayon. p. 2. {{cite news}}: |access-date= requires |url= (help)
  23. ^ Bedico, Tess (23 May 2009). "Swine flu can't stop opening of classes". People's Journal. p. 6. {{cite news}}: |access-date= requires |url= (help)
  24. ^ Ragasa-Jimena, Melnie (23 May 2009). "17 katao nakihalubilo sa unang A(H1N1) victim, minomonitor" (in Tagalog). Taliba. p. 2. {{cite news}}: |access-date= requires |url= (help); Unknown parameter |coauthors= ignored (|author= suggested) (help)
  25. ^ Esguerra, Christian (27 April 2009). "Advisory on Mexico not a travel ban--Palace". Inquirer.NET. Retrieved 2009-06-06.
  26. ^ a b Aquino, Leslie Ann (7 June 2009). "Hands off during mass, Church orders". Retrieved 2009-06-08.
  27. ^ "A(H1N1) alters church services in Manila". GMA News TV. 8 June 2009. Retrieved 2009-06-08.
  28. ^ "Iloilo churches empty holy water stoups as measure vs A(H1N1)". GMA News.TV. 23 June 2009. Retrieved 2009-06-23.
  29. ^ a b Cargullo, Donabelle (8 June 2009). "DOH, hinay-hinay na sa A(H1N1)" (in Tagalog). Bulgar. p. 2. {{cite news}}: |access-date= requires |url= (help)
  30. ^ Cite error: The named reference luistro memo was invoked but never defined (see the help page).
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  33. ^ a b c d e f g h "Schools with confirmed Influenza A(H1N1) cases". Retrieved 2009-06-18.
  34. ^ "Adamson U suspends classes due to A (H1N1)". ABS CBN News.Com. 21 June 2009. Retrieved 2009-06-21.
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  51. ^ Fariola-Ruedas, Jenette (16 June 2009). "'Pisay' student first H1N1 case in E. Visayas". ABS CBN Eastern Visayas. ABS CBN News. Retrieved 2009-06-16.
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  57. ^ Cahinhinan, John Carlo (22 June 2009). "First AH1N1 case registered in UST". Manila Bulletin. Retrieved 2009-06-22.
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