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===Pennsylvania===
===Pennsylvania===
{{outofdate}}
The [[Pennsylvania Department of Health]] said Sunday that a 31-year-old male in Montgomery County has the H1N1 flu. More cases are currently being tested.<ref name="PA">{{cite web|url=http://www.myfoxphilly.com/dpp/news/local_news/050309confirmedcaseofswinefluinpa |title=1st Confirmed Case of Swine Flu in PA |publisher=Myfoxphilly.com |date= |accessdate=2009-05-05}}</ref> Several probable cases located in the following counties Philadelphia (2), Montgomery (2), Lycoming (1), Luzerne (1) and Bucks (1) counties.<ref>{{cite web|author=PA Department of Health |url=http://www.dsf.health.state.pa.us/health/cwp/view.asp?q=252990 |title=Health: 2009 Novel Influenza A H1N1(previously referred to as Swine Flu) |publisher=Dsf.health.state.pa.us |date= |accessdate=2009-05-05}}</ref>
The [[Pennsylvania Department of Health]] said Sunday that a 31-year-old male in Montgomery County has the H1N1 flu. More cases are currently being tested.<ref name="PA">{{cite web|url=http://www.myfoxphilly.com/dpp/news/local_news/050309confirmedcaseofswinefluinpa |title=1st Confirmed Case of Swine Flu in PA |publisher=Myfoxphilly.com |date= |accessdate=2009-05-05}}</ref> Several probable cases located in the following counties Philadelphia (2), Montgomery (2), Lycoming (1), Luzerne (1) and Bucks (1) counties.<ref>{{cite web|author=PA Department of Health |url=http://www.dsf.health.state.pa.us/health/cwp/view.asp?q=252990 |title=Health: 2009 Novel Influenza A H1N1(previously referred to as Swine Flu) |publisher=Dsf.health.state.pa.us |date= |accessdate=2009-05-05}}</ref>


Revision as of 19:37, 6 May 2009

Main article: 2009 swine flu outbreak
Further information: 2009 swine flu outbreak by country
Reported cases by state/territory
State or territory State-reported confirmed cases[1] State-reported hospital- izations[1] Confirmed deaths
Total 115,318 27,632 3,433
Alabama 2,453/NLU[2] NR 19[2]
Alaska 1,563[3][4] 18[3]wave 1 13[5] (11)[6]
Arizona 8,726[7] 1,897[7] 152[7]
Arkansas 154/NLU[8] NR 53[9]
California 10,545[10] 8,589[10] 657
Colorado 1,321[11] 578[12] 70[12]
Connecticut 5,491[13] 766[13] 35[13]
Delaware 381[14][15] NR 7[16]
District of Columbia 54[14] NR 1[17]
Florida 3,676[18] 1,227[18] 230[19][20]
Georgia 1,012[21] 860[21] 81[22]
Hawaii 2,221[23] NR 13[24]
Idaho 1,171[25] 389[25]wave 2 23[25]wave 2
Illinois 3,387[26] 3,042[27] 111[27]
Indiana 782[28] NR 39[28]
Iowa 929[29] 700[30] 41[31]
Kansas 1,201[32] NR 29[33]
Kentucky 2,092[34] NR 39[34]
Louisiana 1,876[35] NR 52[36]
Maine 2,232[37] 230[37] 21[38]
Maryland 1,772[39] 996[40] 45[41]
Massachusetts 1,979[42] 397[42] 33[43]
Michigan 655/NLU[44] NR 88[45]
Minnesota 2,220[14] 1,813[46] 61[47]
Mississippi 1,292[48] NR 26[49]
Missouri 1,523[50] NR 17[51]
Montana 961[52] 9[52] 19[53]
Nebraska 430[54] 40[54] 15[55]
Nevada 5,516[56][57] NR 44[56][58]
New Hampshire 722[59] NR 10[60]
New Jersey 1,006/NLU[61] 512[62] 42[63]
New Mexico 1,007[64] 1,007[65] 58[66]
New York 2,738[14][67] 909[68] 206
North Carolina 638[69] 267[69] 107[70]
North Dakota 650[71] 60[71] 2[72]
Ohio 227/NLU[73] NR 52[74]
Oklahoma 237/NLU[75] 7[75] 44[76]
Oregon 1,833[77] 1,419[77] 79[78]
Pennsylvania 10,940[79] NR 78[79]
Rhode Island 203[80] 76[81] 13[82][83]
South Carolina 1,634[84] NR 49[85]
South Dakota 2,081[86] 422[86] 23[86]
Tennessee 1,163[87] NR 57[88]
Texas 6,128[89] 1,994[90] 231[91]
Utah 988[14] 302[92] 48[93]
Vermont 404[94] 149[94] 3[95]
Virginia 327[14][96] NR 37[97]
Washington 1,882[14][98] 1,561[99] 99[99]
West Virginia 1,214[100] 853[101] 22[102]
Wisconsin 9,579[103] 1,317[103] 55[103]
Wyoming 725[104] NR 10[105]
American Samoa 90[106] NR 1[107]
Guam 338[108] NR 2[109]
Northern Mariana Islands 71[110] NR 0
Puerto Rico 908[111] NR 60[112]
U.S. Virgin Islands 80[113] NR 1[113]
NR: Not Reported - NLU: No Longer Updated

In March, April, and May 2009, an outbreak of a new strain of influenza commonly known as swine flu infected many people, first, in Mexico and parts of the United States, later spreading worldwide.

By May 3, from the 226 confirmed cases reported by the CDC, few were over 50 years old, and 30 people (13% of the total), mostly older children and young adults, have been hospitalized.[114] By May 5, 403 cases are confirmed according to the CDC,[115] and a second death in Texas was attributed to the swine flu.[116]

Initial cases

The Centers for Disease Control and Prevention (CDC) identified the first two A/09(H1N1) swine flu cases in California on April 17, 2009 via the Border Infectious Disease Program, for the San Diego County child, and a naval research facility studying a special diagnostic test, where influenza sample from the child from Imperial County was tested.[117] By April 21, enhanced surveillance was established to search for additional cases in both California and Texas and the CDC determined that the virus strain was genetically similar to the previously known A(H1N1) swine flu circulating among pigs in the United States since about 1999.

It was established that the virus was a combination of human, North American swine, and Eurasian swine influenza viruses; the viruses from the initial two Californian cases were also noted to be resistant to amantadine and rimantadine, two common influenza antiviral drugs.[118] No contact with pigs was found for any of the seven Californian nor either of the two Texas cases, suggesting human-to-human transmission of the virus.

On April 28, 2009, the director of the Centers for Disease Control and Prevention confirmed the first official US death of swine flu. Tests confirmed that a 23-month old toddler from Mexico, who was probably infected there, died from the flu while visiting Texas.[119]

Outbreak across the US

Confirmed human cases with known dates of illness onset (USA, April 27, 2009).

Cases of H1N1 spread rapidly across the United States, with particularly severe outbreaks in Texas, New York, and California. Early cases were associated with recent travel to Mexico, many were students who had traveled to Mexico for Spring Break.[120] As of May 4, 2009, the CDC reports one death, 286 confirmed cases of H1N1 flu across 36 states, 35 hospitalizations, and expects H1N1 to eventually spread to all states.[121] By May 5, 2009, the number has risen to 403[115] and a second death was reported in Texas.[116]The CDC and government officials have recently expressed cautious optimism about the severity and spread of H1N1.[122][123] Some have claimed that illegal immigrants were significantly contributing to the spread of the swine flu.[124]

Flu strain severity

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 (see human influenza) and in pigs (see swine influenza). The strain transmits between humans and has been reported to have a relatively high mortality rate in Mexico. The World Health Organization (WHO) and the U.S. Centers for Disease Control and Prevention (CDC) have expressed serious concerns that the new strain has the potential to become an influenza pandemic.[125] It is reported that, because the virus is already widespread, containment will be impossible.[126]

Meanwhile, an April 28, 2009 CNN article stated, "There had been no confirmed deaths in the United States related to swine flu as of Tuesday afternoon. But another virus had killed thousands of people since January and is expected to keep killing hundreds of people every week for the rest of the year. That one? The regular flu... No fewer than 800 flu-related deaths were reported in any week between January 1 and April 18, the most recent week for which figures were available."[127]

In addition, the flu death toll in Mexico could be lower than first thought, Dr. Gregory Evans, head of the Association of Medical Microbiology and Infectious Disease Canada and a member of a federal pandemic-planning committee, said on April 29:[128]

There was a lot of speculation and what seemed to be evidence there were dozens and dozens of deaths. Careful analysis showed these people likely died of something else, and not flu. That's really good news, and that would fit with what we've seen outside of Mexico.

Moreover, another Canadian expert, Dr. Neil Rau, criticized the WHO's decision to raise its Pandemic alert to level 5, saying:[129]

I don't agree with (the WHO) because I think it's a panic metre, not a pandemic metre. [...] If that flu-like illness is not deadly, I don't know what the cause for alarm is for people who are not really sickened by this virus. [...] I'm really eager to know how much worse this is than seasonal flu. So far it's looking like it's not that serious.

Response

Congruent U.S. Government and WHO Pandemic Response Charts.

The Federal response remains at US Pandemic Stage 0, congruent with the World Health Organization (WHO) Pandemic Phases 1, 2 and 3;[130][131] however, the WHO's Pandemic Phase was raised to 4 on April 27, which is congruent with US Pandemic Stage 2.[132] On April 29, the WHO raised the pandemic alert level to phase 5.[133]

The United States federal government has declared a public health emergency, and several U.S. states have indicated they may follow suit. Secretary of Homeland Security Janet Napolitano noted that this declaration was standard operating procedure, which was also done for the 2009 presidential inauguration and for flooding.[134]

White House

An official for the White House said on April 24 that "the White House is taking the situation seriously and monitoring for any new developments. The president has been fully briefed."[135] President Barack Obama stated that "We are closely monitoring the emerging cases of swine flu". He also noted, "This is obviously a cause for concern ... but it is not a cause for alarm".[136] President Obama suggested U.S. schools should consider shutting down as a future possibility if students are infected.[137] White House Press Secretary, Robert Gibbs said the effort to get a team in place to respond to the health scare has not been hindered by the lack of a secretary of Health and Human Services or appointees in any of the department’s 19 key posts.[138] The president's nominee, Kansas Gov. Kathleen Sebelius, was still awaiting confirmation from the U.S. Senate until passing on April 28. The President has not yet made appointments to either the Commissioner of the Food and Drug Administration, the Surgeon General, or the Director of the Centers for Disease Control and Prevention.[138] The current acting Surgeon General, Steven K. Galson, is also currently serving as the Acting Assistant Secretary for Health.[139]

Health and Human Services Secretary Kathleen Sebelius in a meeting in the Situation Room of the White House regarding the H1N1 virus.

Centers for Disease Control and Prevention (CDC)

In this video, Dr. Joe Bresee, with CDC's Influenza Division, describes the symptoms of swine flu and warning signs to look for that indicate the need for urgent medical attention.
See also: See this video with subtitles in YouTube

During the week of April 19th, the CDC activated its Emergency Operations Center (EOC) to augment the ongoing investigation of human cases of swine influenza A (H1N1). More than 250 CDC professionals are working from the CDC EOC as part of the agency's response.[140]

At a press briefing on April 27, acting CDC director Dr. Richard Besser stated that out of 40 confirmed cases at that point, only one individual was hospitalized. He also revealed that the median age was 16 years "with a range in age of 7 to 54 years."[141]

As of April 29, only the CDC could confirm U.S. swine flu cases.[142] Dr. Besser stated during an April 30 press briefing that California and New York had diagnostic test kits, and that the kits would be sent to all states starting the following day.[143]

In the United States, the majority of the 70 National Respiratory and Enteric Virus Surveillance System (NREVSS) laboratories do not report the influenza A subtype. However, in 2007 human infection with a novel influenzavirus A became a nationally notifiable condition. Novel influenza A virus infections include all human infections with influenza A viruses that are different from currently circulating human influenza H1 and H3 viruses. These viruses include those that are subtyped as nonhuman in origin and those that are unsubtypable with standard methods and reagents.[144] The new strain responsible for this outbreak was one such virus.

As of May 4, 2009, the CDC reported that it had deployed 25% of the supplies and medicines in the Strategic National Stockpile to the various states.[115]

Initally the CDC had issued a recommendation that schools close for as long as two weeks if a student catches swine flu.[145] Some school districts closed all schools if a single child was classified as probable.[120] On May 5 the CDC retracted its advice stating that schools that were closed based on previous CDC guidance related to this outbreak may reopen.[146] By that time at least 726 schools nationwide serving more than 480,000 students had closed for at least some period of time.[145] The CDC admended its advice citing, new information on disease severity and the limiting effectiveness of school closure as a control measure.[146] The new advice given stated, "Decisions about school closure should be at the discretion of local authorities based on local considerations, including public concern and the impact of school absenteeism and staffing shortages." [146]

Homeland Security

Secretary Napolitano stated that DHS is the principal federal office for incidents such as the current H1N1 flu outbreak, and “Under that role, we have been leading a true collaborative effort.”[147]

State and local

Schools closed in many states in response to local flu outbreaks. By April 30, 2009, 300 U.S. schools and school districts had announced closures in response to the outbreak, giving 169,000 students time off.[148] On May 4, 2009, about 533 schools in 24 states in the U.S. were closed, affecting about 330,000 students.[149]

On 5 May, Kathleen Sebelius stated in a CDC news conference that school closures for single confirmed cases of H1N1 influenza were unnecessary, but that parents keep their child home if he or she displays an influenza-like illness.[150]

Travel industry

Several airlines are waiving fees for cancellations and flight changes.[151] At least one cruise line changed itinerary to avoid Mexican ports of call.[152]

Affected states

As of UTC 05:00, 6 May 2009:
  Death(s) confirmed
  Case(s) confirmed
  Case(s) unconfirmed (both suspected and probable cases)

Alabama

On May 2, 2009, the Alabama Department of Public Health confirmed the first case of H1N1 (swine flu) in Madison, Alabama, with an additional 8 probable cases statewide.[153] Seven of the probable cases are in Madison County, Alabama, and the eighth probable case is in Montgomery, Alabama. Previously, the first two probable cases were identified at an elementary school in Madison.[154] As a result, all public schools and most private schools and daycare centers in Madison County, Alabama, including the cities of Huntsville and Madison, closed for two days.[155] Subsequently, one of two Madison school children became the first confirmed case in Alabama. After meeting with the state public health officer on May 3, 2009, all Madison city elementary schools will be closed through May 13, 2009.[156] As of May 3, 2009, news media report up to 22 suspected cases in the state (including the previous probable cases),[157] including one in the Birmingham, Alabama area,[158] indicating the disease is continuing to spread in Alabama.

Arizona

On April 28, Arizona's Department of Health submitted samples from four patients to the CDC for testing. Those four samples were confirmed to be H1N1 swine flu virus, and were all from elementary-school students in the Phoenix metropolitan area. Three schools in the area were closed for seven days as a precautionary measure.[citation needed]

State health officials informed that they had 58,000 anti-viral treatment courses on hand, and that they had received over 200,000 doses from the Strategic National Stockpile.[159]

California

CDC conference with the media on the swine flu outbreak on April 25, 2009

The first two cases detected in the US were two children living in San Diego County and Imperial County (a county in which 18% of their residents are not U.S. citizens),[160] who became ill on March 28 and 30 respectively.[161] A CDC alert concerning these two isolated cases was reported in the media on April 21.[162] As of April 24 eight human cases were known in the US, including six in Southern California. The patients have recovered.[163] The acting director of the US Centers for Disease Control (CDC) said that preliminary tests on seven out of fourteen samples from patients in Mexico had matched the virus found in the US, which experts say is a new strain of swine flu. None of the US patients had any contact with pigs, leading CDC officials to believe that human-to-human transmission has been occurring.[164]

Gov. Arnold Schwarzenegger and the state of California activated the Joint Emergency Operations Center of the Department of Public Health, and are coordinating with the California Emergency Management Agency, the CDC, and the Mexican government. They have additionally stepped up other preparations to lessen the flu's threat.[165] On April 28, Gov. Schwarzenegger declared a state of emergency which allows the state to deploy additional resources to the Department of Public Health and more quickly and easily purchase equipment and materials.[166]

St. Mels Catholic School in Fair Oaks was closed after Sacramento County Health Department notified the school that a 7th grade student who reportedly recently returned from a family vacation in Mexico tested positive for an unidentified strain of Influenzavirus A.[167] On April 27, CDC officials confirmed that the student tested positive for swine flu.[168] In Marin County, a grandmother and her 20-month-old granddaughter have been confirmed to have the flu.[169] By April 28, the CDC had confirmed 10 cases of swine flu in California.[170]

California State University, Long Beach reported on April 29 that a student had returned a "probable positive" test result for swine influenza. The student showed symptoms on Sunday April 26 and went to the campus health services office the following day. The test results were received by the school on April 28 and distributed to all students and faculty. The affected student had not attended any classes since falling ill and has an apparently mild case of the disease that does not appear life threatening.[171] Three high schools in Riverside County were closed April 29 after two teenage girls, from Corona and Indio respectively, were confirmed to have contracted the virus.[172] Branham High School in San Jose was closed that day for a week after one teenage girl was confirmed to be a probable case.[173] Rucker Elementary School in Gilroy is set to be closed on Friday, May 1 after at least one student was being tested after exhibiting flu-like symptoms.[174] Three students at the Grizzly Youth Academy in San Luis Obispo are confirmed cases of swine influenza. As many as 73 students are exhibiting flu-like symptoms at The Academy and are assumed to have the virus. All are being isolated. The Academy is set to stay open.[175] More recently, on May 3, 2009, parent of students attending King Middle School in Berkeley were notified that their school would be closed down due to a swine flue outbreak involving students at the school.

Colorado

On April 30 two cases of the flu virus were confirmed in the state of Colorado. The confirmed cases were a woman from Arapahoe County who recently returned from a cruise to Mexico and a Denver International Airport baggage handler.[176] Two more were confirmed on May 2nd, both in Jefferson County, Colorado. One case is a middle school student, which has caused his school to close for a week.[177] The tally increased to seven on May 4th when The University of Colorado at Boulder (CU) confirmed three of its students contracted the virus. [178]

Connecticut

On April 28, it was announced that there were suspected cases of swine flu in three Connecticut towns. Schools were closed due to suspected cases in East Haddam[179] and Wethersfield,[180] though tests on these patients later came back negative.[181] On April 30, two students at Fairfield University were announced as having "probable" swine flu, in addition to another person in Glastonbury, bringing the total number of likely cases to 6.[182][183] On May 1, the first confirmed case of swine flu was reported in Connecticut in Stratford. On May 2, the second confirmed case was reported in a child from Middlefield that had recently returned from a family trip to Mexico.[184]

Delaware

The first probable cases of swine flu in Delaware were reported on Monday, April 27. Four probable cases of swine flu were reported on the University of Delaware campus after the students were experiencing flu like symptoms. Tests were sent to the CDC to see if the students had the swine flu. All four cases were confirmed by the CDC on April 28. The students were reported to be recovering, and the campus set up a temporary Public Health clinic.[185] The Delaware Division of Public Health reported on May 1 a further 17 probable cases, all from the University.[186]

Florida

On April 28, it was reported that an individual in Florida had tested positive for influenza type A, of which swine flu is a subtype. A culture from that person has been sent to Jacksonville to be tested for swine flu, with results expected within 48 hours.[187] Gov. Crist announced the first two confirmed cases in Florida on May 1. The cases are both children and in Lee and Broward counties. [188]

On May 3, the Hillsborough County Health Department announced 5 possible cases of H1N1, 4 of the persons are students, and the other is a relative who has recently traveled to Mexico. Three public schools where the students attended have been closed till May 11. [189]

Georgia

The first case of laboratory confirmed swine flu was reported on April 30. A Kentucky woman was hospitalized in LaGrange while visiting family in Georgia; she had recently returned from a trip to Mexico.[190] While Georgia health officials reported this as a confirmed case for the state, the CDC and the Kentucky health department reported it as a case in Kentucky.[191][192] In relation to this case, state officials said they had no plans to close schools or other public institutions.[193]

On May 4, the Georgia Department of Human Resources announced that all classes have been temporarily suspended at Eagle's Landing Christian Academy in Henry County until the CDC confirms the status of a student who became ill. The Georgia Public Health Laboratory sent three probable cases to the CDC over the weekend for confirmation.[194] On May 5th, the Georgia Division of Public Health confirmed four cases of H1N1 located in Cobb, DeKalb, Henry and Troup Counties.[195]

Hawaii

On 4 May 2009, the Hawaii Department of Health announced that there were three suspected cases of swine flu in the state. Governor Linda Lingle announced that the cases were mild and that the patients were recovering at home.[196] On 5 May 2009, all three cases were confirmed on the island of Oahu by the CDC. All three cases involve recent travel to the mainland United States. One case is a school-age child, who recently traveled to California. The two other cases are a military member, and his or her spouse. The military member traveled to Texas, and has exposed their spouse.[197]

Idaho

On Sunday, May 3, 2009, The Centers for Disease Control and Prevention confirmed the state's first swine flu infection for a Kootenai County woman in her 60s. As of Tuesday, May 6, 2009, an infant from Ada County was being tested for a probable case.

Illinois

The state's first probable case of swine flu was reported on Wednesday, April 29. An elementary school in Chicago's Rogers Park neighborhood, on the city's Far North Side, was closed because a 12-year-old student was presumed to have the disease. The CDC is conducting laboratory tests to confirm, but the student reportedly was recovering at home.[198] By April 30, over 40 probable cases had been identified by state and local health officials. In addition to 16 cases in the city of Chicago, and 11 in surrounding Cook County, cases were reported in Kane, Lake, DuPage, McHenry, and Will counties. Several schools in the affected areas were temporarily closed.[199]

Indiana

On April 28, an unidentified Notre Dame student was confirmed as the first case of swine flu in this state. The patient had not recently traveled to Mexico or been in contact with anyone who has traveled to Mexico. The student was in voluntarily quarantine, and was doing well, according to Judy Monroe, Indiana's state health commissioner.[200] Two other cases in the state have been confirmed by the CDC,[191] which occurred in two Indianapolis elementary schools.[201] As of May 6, twelve additional cases were confirmed.

Iowa

On April 29, two probable case of swine flu were reported in Des Moines County and Clinton County. One was a woman from California, the other one was a man from Mexico. On May 3, another case was found in Marshall County causing schools to close. On the week of February 28, 2009, a three year old caught the swine flu due to close contact with ill pigs, but not the same dangerous strain that came from Mexico.[202]

Kansas

Health officials in Kansas announced April 25 that two new cases of swine flu had been confirmed in Dickinson County, after both were isolated. The week prior, one patient had traveled to Mexico by plane to attend a professional conference; both he and his wife experienced minor influenza symptoms.[203][204]

Kentucky

A Warren County woman who had recently visited Mexico tested positive for the virus April 30. After returning to Kentucky from Mexico, she traveled to Georgia where she was hospitalized. Health officials from both states announced this as the first confirmed case in their states, however the CDC listed the case in Kentucky.[191][192]

Louisiana

Audubon Charter School in New Orleans, closed after discovery of one case of H1N1 at the school

On May 3, the CDC confirmed 7 cases in Louisiana. Five cases were in Lafayette Parish, and one each in Orleans Parish and Ascension Parish. Suspected cases in St. Martin Parish and St. Tammany Parish were ruled out.[205]

As of May 3 there have been 23 probable swine flu cases in Louisiana.[206]

Maine

On April 29 three cases of H1N1 (swine flu) were confirmed in Maine, according to the Maine Center for Disease Control.[207] The three adults, two from Kennebec County and one from York County, were reported to be recovering at home. Dr. Dora Anne Mills, director of Maine's CDC, said on April 28 that at least 12 suspected cases were being tested.[208]

Late on April 29, Maine Governor John Baldacci declared a "civil emergency" and ordered a school and daycare facility in York County to close for 7 days.[209]

Maryland

By May 1, 2009, eleven probable cases had been identified in Maryland, in Anne Arundel, Baltimore, Charles, Prince Georges, and Montgomery Counties.[210] One of these cases, that of a high school student in Rockville, resulted in the closing of Rockville High School, the first Maryland school closing due to the outbreak. On May 1, three other schools in the state were closed.[211] As of May 5th, Rockville High School has reopened. Four of Maryland's probable cases were confirmed on May 4, including two adults and one child in Baltimore County as well as one young child in Anne Arundel county. [212]

Massachusetts

As of 00:30 EDT, 5 May 2009:
  Death(s) confirmed
  Case(s) confirmed
  Case(s) unconfirmed (both suspected and probable cases)

To date (as of 05/05/2009, at 12:30am EDT-US), there had been confirmed cases in the following counties/municipalities: (in alphabetical order)

( * ) Case is not added to the Massachusetts Department of Public Health's 'official' state count.

By County

  • Bristol County
    • The Health Agent for the town of Easton stated that there are "a couple of suspected cases in town."[215]
    • The Mass. Dept. of Public Health announced that they had 1 confirmed case of the virus in the city of Fall River in southeastern Massachusetts.[216]
  • Middlesex County
    • The Massachusetts Department of Public Health informed the Ashland school superintendent that two Ashland High School students have "probable" cases of H1N1 flu.[219]
    • In Cambridge, there are 2 students (at the Massachusetts Institute of Technology) that are "probable" cases of having acquired the virus.[220]
    • Eight residents of Framingham are being tested for being "probable" cases.[221]
    • The Lincoln Public Schools Superintendent had confirmed a Lincoln middle school student been diagnosed with the H1N1 virus.[222]
    • Two middle school students in Lowell have tested positive for swine flu as of April 29, 2009. The two had gone on a family trip to Mexico, and became mildly sick on returning home. The local health department said that the boys had not returned to school since coming back from Mexico, and there were no concerns that the illness had been spread.[223]
    • In Tyngsboro, there had been 1 probable case reported at the Academy of Notre Dame.[221]
    • There is 1 suspected case of the virus in the city of Waltham.[224]
    • Winchester Hospital in Winchester reported having received a possible case (of the virus) within the town.[225]
    • There had been two additional confirmed cases, 1 of each located in the municipalities of Bedford and Weston.[226]
  • Norfolk County
    • The health inspector of Quincy confirmed that a New York resident who checked into Quincy Medical Center on May 1st, 2009, and tested positive for the H1N1 flu.[227]
  • Plymouth County
    • The CDC had announced 4 additional confirmed cases, from 2 adults and 2 school-age residents (of the state), from the following counties: (3) Middlesex County and (1) Plymouth County.[228]
  • Suffolk County
    • Massachusetts' Secretary of Health and Human Services announced that 'some' of the 34 confirmed cases in the state are from the Harvard School of Dental Medicine campus (at the Longwood Medical Area in Boston), which is temporarily closed.[229] Later, it was reported that 3 of the 9 reported cases of influenza at the school, resulted positive for the H1N1 virus.[230]
    • On May 1, 2009, a United Airlines Flight 903 from Munich to Washington D.C., was diverted to Logan International Airport in Boston. A 53-year old passenger complained of flu-like symptoms, that led him to be admitted to Massachusetts General Hospital.[231]
    • A male passenger in his 40's complained of flu-like symptoms upon landing at Logan International Airport in Boston May 2, 2009. He was flying aboard American Airlines Flight 155, from London to Boston, that had originated from Malaysia. He, too, was admitted to Massachusetts General Hospital in Boston.[231]
    • The Boston University Goldman School of Dental Medicine reported a single resident that has a confirmed case of the virus. They claim that he has had no contact with anybody on the school's main campus, and those he has been in contact with have been notified.[232]
  • Other
    • In Spencer, two students who also had recently returned from Mexico were tested for possible swine flu infection. The results of those tests were both negative.[233]

Michigan

On April 29, a 34-year-old woman from Livingston County was Michigan's first reported case of swine flu.[234] On April 30, another 34-year-old woman from Ottawa County was confirmed as Michigan's second case.[234] Another 37 cases were considered possible or probable.[235] As of May 5, Michigan now reports eight confirmed flu cases, seven of them in Ottawa County.[236]

Several schools and entire school districts across the state shut down due to suspected cases. Woodhaven schools were closed April 30 and May 1 due to a suspected case of the swine flu. Test results came back saying that the student did not have the virus.[234]

By County

As of 12:30 EDT, May 5, 2009:
  Death(s) confirmed
  Case(s) confirmed
  Case(s) unconfirmed (both suspected and probable cases)

Confirmed cases: [236]

  • Livingston County - 1
  • Ottawa County - 7

Probable cases: [236]

(Note: The count of probable cases by county, may not be accurate or up-to-date.)

Minnesota

On April 30, 2009, the Minnesota Department of Health announced that the first case of "H1N1 novel influenza virus" in the state was confirmed by the CDC. The infected individual is an unidentified resident of Cold Spring, Minnesota. Two schools in the affected city will remain closed until May 6, 2009.[237]

On May 4, 2009 the second case of H1N1 was confirmed in Minnesota by the Minnesota Department of Health.[citation needed] The case was reported in a teen boy attending a Emerson Immersion, in Minneapolis. Emerson Immersion will be closed through May 11, 2009. Multiple schools in Orono, Minnesota will also be closed untill further noticed from a suspected case of H1N1.

Another case of H1N1 was confirmed in a worker who was taking pigs to Texas and brought it back up to the small town of Mountain Lake.

Nebraska

There is one confirmed case of swine flu in Nebraska. One person from Chadron is now isolated.

Nevada

The first confirmed case of the virus was reported in Nevada on April 29. A two year-old girl from Reno contracted the virus, but it is unclear how as the case did not appear to be linked to any previously affected areas.[238] It is to be predicted that a California man visited Reno, had the swine flu, and passed it on to her.

New Hampshire

The New Hampshire Department of Health and Human Services announced the state's first confirmed case of the H1N1 flu May 2, 2009.[239] The confirmed case involves a employee of Concord Hospital in Concord, New Hampshire.[240]

New Mexico

On April 29, 2009 gov. Bill Richardson announced that there are two very probable cases in New Mexico. The suspected cases were a 1 year old boy from Santa Fe County and an 18 year old man from Valencia County. The 1 year old tested negative for H1N1, but the 18 year old man tested positive. More cases were raised in the interveneing days, and by May 1 the probable case number was raised up to Nine. In addition to the cases above, a 17 year old Girl from Eddy County, a 22 year old woman also from Eddy County, a 15 year old girl from Valencia County, a 17 Year old boy from Hidalgo County, and a 27 year old man from Bernalillo County are also likely to be infected.[241]

New York

On April 24, New York City Department of Health and Mental Hygiene dispatched a team of investigators to the private St. Francis Preparatory School in Queens after 150 students complained of symptoms consistent with the disease.[242] Several of the students had recently traveled to Mexico City.[243] New York City Health Commissioner Dr. Thomas Frieden reported on April 25 that eight of the New York school cases were "probable" swine flu.

On April 26 the Centers for Disease Control and Prevention (CDC) confirmed that the Queens cases are indeed associated with the H1N1 virus.[244] The students suffered only mild symptoms, and some have since recovered.[245]

On April 27 federal officials confirmed 20 new U.S. cases at the same school in New York in which eight cases were confirmed earlier.[246]

As of April 29, one undergraduate commuter student on the Queens Campus of St. John's University had contracted the Swine Flu (A/H1N1) virus. The student was treated and recovered.[247] Representative Eric Massa (D-New York), a member of the House Homeland Security Committee, said "we need to close our borders to Mexico immediately and completely."[248]

By County

  • Monroe County
    • There are fourteen suspected cases and one confirmed case in Monroe County.[249]

North Carolina

The state health director, Dr. Jeffrey Engel, announced that there had been two probable cases of swine flu in the state. The first case was a man traveling through Wake County, where the capital is located, on business. The other case was an Onslow County resident who had recently traveled to Texas. On a related note, North Carolina is one of 29 states that have deemed to have not stockpiled enough flu medicines by federal guidelines. However, Dr. Engel dismissed these concerns, saying, "I think the commercial supply will keep up at the present time."[252]

Ohio

On April 26, the Ohio Department of Health reported that a nine-year-old boy attending Elyria City Schools in Elyria, Lorain County, had been diagnosed with a mild case of the new strain of swine influenza and that his immediate family was undergoing testing.[253] After the confirmed case in Ohio and eight in New York occurred Federal officials declared a public health emergency.[254] The Cleveland health department received numerous calls from concerned residents the first week of the outbreak, although it has been difficult to tell whether or not the cases are swine flu, since it is regular flu season.[255] On April 29, a probable case was reported in Columbus,[256] and two new cases were confirmed in Columbus on May 2, one of them being an employee of The Ohio State University Medical Center.[257]

Oklahoma

In Muskogee, Oklahoma a man who recently visited Mexico had been admitted into a hospital after having swine flu symptoms,[258] but test results on May 1 returned negative.[259] On May 5, a woman from Pontotoc County was confirmed to have swine flu,[260] while there are several other suspected cases.[261]

Oregon

As of 16:00 PDT, 5 May 2009:
  Death(s) confirmed
  Case(s) confirmed
  Case(s) unconfirmed (both suspected and probable cases)

On Apr 29, 2009 at 9:50 PM at 4:30 PM PDT, there were 14 flu samples awaiting testing in Oregon.[262] This was confirmed during a press conference held by state health officials. "I do expect that at some point, perhaps this week, perhaps next week, we are going to have a case, and probably more, here in Oregon," Dr. Mel Kohn, the state’s director of public health. The first probable case was identified that evening and announced 12:30 PM the following day.[263]

By May 2, 2009 at 4:00 PM PDT Oregon had identified 11 possible cases of swine flu in seven counties. The number of possible cases in each county were 2 in Lane County, 1 in Marion County, 2 in Multnomah County, 2 in Polk County, 1 in Umatilla County, 1 in Wallowa County, and 2 in Washington County .[263]

On May 3rd, the Oregon Department of Human Services announced that 3 confirmed cases of H1N1 flu had been identified. Two of them were in Multnomah County and the third was in Polk County. A total of 22 probable cases were also announced in the press release.[263] By May 4th, the number of confirmed cases had jumped to 17 and included Lane, Umatilla, and Washington Counties as well.[264]

As of May 5, 2009 at 4:00 PM PDT, there are 21 confirmed cases of H1N1 in Oregon; 9 males, 12 females, 11 children and 10 adults. The Oregon Department of Human Services states that 30% of positive test cases for Influenza A have also tested positive for H1N1 flu.[265]

Pennsylvania

The Pennsylvania Department of Health said Sunday that a 31-year-old male in Montgomery County has the H1N1 flu. More cases are currently being tested.[79] Several probable cases located in the following counties Philadelphia (2), Montgomery (2), Lycoming (1), Luzerne (1) and Bucks (1) counties.[266]

South Carolina

13 cases of the flu virus were confirmed in South Carolina on April 30. All 13 were students or parents from the private Newberry Academy in Newberry, South Carolina; many had traveled to Mexico earlier in the month. All nearby public schools were closed for May 1. The S.C. Department of Health said there were nine more probable cases, and a further 22 cases still under investigation throughout the state.[84]

South Dakota

Test results for two suspected cases of swine flu in South Dakota came back negative.[267] The University of Nebraska Medical Center looked into suspicious specimens to determine if a Nebraska resident had the flu. However the test turned up negative,[268] but the Medical center is currently testing more than a dozen other specimens for the strain.[269][270][271]

Tennessee

Officials announced Wednesday in Williamson County that a child in Middle Tennessee is believed to have swine flu. The child's school, Harding Academy in Davidson County, has been closed. A second possible case of swine flu in Collierville has been reported in Tennessee. Medical tests at St. Jude Children's Research Hospital indicate the child has swine flu.[272] Incarnation Catholic School the second child's school, has also been closed for the next week, per CDC guidelines.[272] Another possible case has been identified in Knox County for a student who attends West Valley Middle School.

Texas

As of UTC 18:50, 6 May 2009: (source)
  Death(s) confirmed
  Case(s) confirmed

Of the first 2 deaths and 61 cases confirmed in Texas, one was a Mexican citizen.[89]

Two students attending Byron P. Steele II High School in Cibolo were confirmed to have the A/H1N1 swine flu; the patients recovered.[163][164] A third possible case in a student who attends the same high school as the two other cases in Texas has been identified and the school is closed temporarily.[273] On April 25, the Texas Department of State Health Services (DSHS) decided to close Byron P. Steele II High School for the following week. Following the discovery of more possible swine flu illnesses, the DSHS ordered that all schools and district facilities in the Schertz-Cibolo-Universal City Independent School District be closed for the week.[274][275]

On April 27, a 7-year-old, a 24-year-old, and a 3-month-old in Dallas County were confirmed to have swine flu. All recovering and were not hospitalized.[276] That same day, the Richardson Independent School District in the northern Dallas suburb of Richardson shut down Canyon Creek Elementary School due to a confirmed and two suspected cases of swine flu.[277] All schools in New Braunfels—private schools and all campuses of the Comal and New Braunfels Independent School Districts—announced closures through May 10 on the recommendation of the Medical Authority of Comal County.[278] On May 6, the New Braunfels Herald-Zeitung reported that all schools in Guadalupe and Comal counties would reopen on Thursday, May 7, four days earlier than had previously been announced.[279]

Due to the swine flu, the University Interscholastic League (UIL) suspended all athletic, musical, and academic competitions and games for primary and secondary public education in the state of Texas until May 11.[280]

On April 28, the City of Houston Health Department and Texas Children's Hospital sent samples in to the CDC. There are also possible cases at the Baylor College of Medicine outpatient clinic, Memorial Hermann Hospital, and St. Luke's Hospital.[281]

A 23-month-old Mexican toddler who had been brought to Houston from Brownsville died on April 28, making the child the first US death due to the outbreak. The child had come to Brownsville April 4 to visit relatives and was admitted to a Brownsville hospital a few days later, then transferred to Texas Children's Hospital the next day.[282]

Texas Governor Rick Perry issued a disaster declaration.[283]

On April 29, it was confirmed by Harris County that a 17-year-old girl from Fort Bend County attending Episcopal High School in Bellaire had contracted and recovered from the A/H1N1 swine flu. In compliance with the directives of the Harris County Public Health and Environmental Services Department, the school has been closed until further notice.[284][285][285] Also that day, a probable case caused the closure of Lucy Read Pre-Kindergarten Demonstration School in north Austin.[286]

Denton County reported its first confirmed swine flu case April 30, in a child in Plano; the student attended Wilson Middle School in the Plano Independent School District, and the district decided to close the Collin County school until 11 May.[287] Navo Middle School and Lee Elementary School, of Denton Independent School District were also closed after three students at both schools respectively were diagnosed with type A influenza.[288] As of May 2, the rest of Denton ISD officially closed for the following week, but as of May 5, all schools are officially reopening on May 7. [289]

The Superintendent of Keller Independent School District in Keller reported 3 possible cases, one in each of three schools; .[290]

On April 30, 8 suspected cases were recognized in El Paso County. Lab samples have been sent to CDC. No further information has been provided at this time until cases are confirmed. At this time, international borders will remain open.[291] The El Paso Dept. of Public Health identified 11 more suspect cases of H1N1 flu in El Paso County on Friday, May 1, to bring the total number of suspect cases to 19. Lamar Consolidated ISD closed Lamar Junior High School due to a suspected (probable) case.[292] Weslaco ISD closed all campuses for 7 days after a student was confirmed to have contracted type A influenza.[293]

On May 5, Judy Trunnell, a woman in her 30's suffering from "chronic underlying health conditions" died of swine flu in Cameron County, near the US-Mexico border. She was the first US citizen to die from the disease.[294] The woman, a teacher, had recently given birth to an eight-month-term healthy baby, delivered by caesarian section.[295] She had been in a coma after being admitted to the hospital with breathing problems on April 19.[296]

Utah

On April 28, 2009, one student in Park City, Utah was suspected to have Swine Flu. Two more students in the school district began showing similar symptoms making three probable cases. All 8 schools in the Park City School District closed the following day. On May 1st the number of probable cases was increased to 9; 6 in Summit County (Park City), 2 in Salt Lake County and 1 in the Morgan-Weber Health District and about 80 suspected cases.[297] May 2 at around 11 o'clock the first confirmation came back for the original case, the remaining 8 are pending. By May 5 the probable case count rose to 28.[citation needed]

Virginia

The Virginia Department of Health has confirmed two cases in the state. One in the "eastern" part of the state, and one in "Central" Virginia. Two other probable cases have been reported in Lexington, Virginia on the campus of Washington and Lee University. [298]

Washington

As of the evening of Tuesday, May 5, 2009, Washington state has reported 9 confirmed cases and 49 probable Swine Flu cases. So far, probable cases have been identified in five Washington state counties, with public facilities closed as a precaution in those counties and several others. On May 3rd, Seattle-King County officials announced that, due to the virus' widespread presence in the community and low rates of severity, schools would no longer be closing due to suspect or probable cases.

A majority of confirmed (7) and probable (29) cases so far have occurred in King County. The probable cases include at least eleven in Seattle, and at least one each in Auburn, Federal Way, Kent and Lake Forest Park. Some sources have indicated a possible case in Des Moines. This case may be redundant to the Federal Way case, as the two cities share a school district boundary. Precautionary school closures have been undertaken in Des Moines and Seattle. A closed school in Redmond re-opened after officials determined the absence of any probable cases.

One confirmed case and seventeen probable cases have been reported in Snohomish County. Media reports have variously indicated cases in Edmonds, Everett, Lynnwood, Mountlake Terrace, Mukilteo and Snohomish. In addition, a Seattle case is in a 33 or 37-year-old (sources vary) pediatrician who worked out of The Everett Clinic in Mill Creek. The doctor's patients have thus far all tested negative for influenza. One school in Everett is closed, and another in Mukilteo was but has been re-opened.

A middle-aged man from Spokane is the first confirmed case in Spokane County. His son is considered to be a second probable case.

One probable case each has also been identified in Puyallup in Pierce County, and in Skagit County. Although no other Washington counties have reported probable cases, two youth camps -- one in San Juan County and one in Thurston County -- have closed due to influenza-like symptoms. A high school in Lakewood, in Pierce County, was briefly closed after three students were hospitalized for severe influenza symptoms, but all three students have tested negative for Swine Flu.[299][300][301]

Wisconsin

  Death(s) confirmed
  Case(s) confirmed
  Case(s) unconfirmed (probable)

As of May 5th, 2009, Wisconsin has 5 confirmed cases, 2 being in Milwaukee County, 1 in Adams County, one in Sheboygan County and one in Ozaukee County. In addition, Wisconsin has 119 probable cases, over half of which are in and around the Milwaukee area.[302]

Other states

In Rhode Island, a North Kingstown student who recently returned from Mexico on vacation may have H1N1 flu.[303] North Kingstown High School, so as not to risk possible transmission, will not have classes until results return from the CDC. As of April 30, there are two more suspected cases in Smithfield and Westerly.[citation needed] As of May 2, 2009, Rhode Island confirmed its first case of H1N1 Flu in a Westerly woman.

In Missouri, Gov. Jay Nixon announced in a written statement that a probable case had been discovered in a Platte County man, and that a sample had been sent to the CDC for confirmation.[304][305][306]

Suspected cases are also under investigation in several other locations, including (but not limited to) Mississippi[307] and New Jersey.[308]

On April 30, it was reported that an aide to Steven Chu, the US Energy Secretary, had fallen ill from the virus after helping arrange President Barack Obama's trip to Mexico.[309] However, the White House stated that the President is not at risk of obtaining the flu.[309]

See also

Wikinews has related news:

Notes

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