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2009 swine flu pandemic in Europe

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Template:2009 flu pandemic table The 2009 flu pandemic in Europe, part of a pandemic in 2009 of a new strain of influenza A virus subtype H1N1 causing what has been commonly called swine flu, has (as of 16 July 2009) afflicted at least 15,532 people in Europe, with 29 confirmed deaths in the United Kingdom, which is also where the majority of confirmed cases and the highest incidence in Europe have occurred, and four confirmed deaths in Spain.

Outbreak evolution in Europe:
  Confirmed cases followed by death
  Confirmed cases
  Unconfirmed or suspected cases
Outbreak evolution in Europe:
  5 000+ cases
  500+ cases
  50+ cases
  5+ cases
  1+ cases
Community Outbreaks in Europe:
  Community Outbreaks


European Union European Union

On 27 April, the European Union health commissioner advised Europeans not to travel to the United States or Mexico unless urgent. This followed the discovery of the first confirmed case in Spain.[1]

EU Foreign relations commissioner Benita Ferrero-Waldner said on 27 April the halt of all travel to Mexico and disinfecting all airports due to the global flu outbreak is being considered.[2]

Albania Albania

Swine flu cases in Albania:
  Confirmed cases
  Suspected cases
  No reported or suspected cases

On 20 July, authorities in Albania reported the first positive case of the swine flu. The infected person was a student from Gjirokastra, whose tests resulted positive.[3] However, the student was later reported to have been fully recovered from the flu, and he was healthy again. A few day later, three other cases of the flu were confirmed. The infected people were two sailors from the Philippines and one from Romania. They are now recovering on the Durrës city hospital. As of July 24th, there were four cases of the swine flu confirmed in Albania.

Austria Austria

Outbreak evolution in Austria
  Confirmed cases
  Unconfirmed or suspected cases

Several possible cases in Austria turned out to be negative, whereas one test, that of a 28-year-old woman from Vienna, had a positive result. Therefore Austria is the 9th country affected by a confirmed case of swine flu.[4] There are still two suspected cases being tested.[5] As of 22 July 2009 64 cases of the virus have been confirmed in the country

Azerbaijan Azerbaijan

Belgium Belgium

Six suspected cases of swine flu in Belgium ultimately tested negative.[6]

The Belgian interior ministry announced the first case of A/H1N1 flu in Belgium on 13 May 2009. The infected person is a 28-year old man who lives in Ghent and returned from a holiday in the United States.[7]

Also a second person tested positive for Mexican flu in Belgium on 14 May 2009.

Two new persons tested positive for A/H1N1 flu on [15 May 2009.[8]

A sixth[9] and seventh[10] case of swine flu was discovered on 21 May 2009. An eighth[11] infection was reported on 26 May 2009.

By 16 July, a total of 124 cases have been confirmed.

By 22 July, a total of 126 have been confirmed.

On 30 July, a woman from Hoogstraten became the first patient in Belgium to die because of swine flu[12].

Bosnia and Herzegovina Bosnia and Herzegovina

First case was confirmed in Bosnia and Herzegovina on 29 June.[13]

Bulgaria Bulgaria

The first case of swine flu was a person from New York to Sofia on 27 May. The person developed respiratory problems, cough and high fever on 29 May.[14]

Croatia Croatia

On 29 April it was announced that a 22-year old traveller from Florida had been held in quarantine in Osijek under suspicion of swine flu.[15] However, later that day director of infectious disease epidemiology agency, Dr. Ira Gjenero Margan, stated results of the testing were negative "with 99% certainty".[16] On 30 April, a child was held in quarantine in Zagreb but the results were negative.[17] On 15 June health minister Darko Milinovic confirmed the first case of swine flu in Croatia; however few hours later he said that laboratory in London had cross-contaminated the samples and thus created a false positive result, meaning that there were no affected in Croatia.[18] The first case was Laboratory confirmed on 3 July. The patient was a 60-year-old woman, who came from Australia.[19]

Cyprus Cyprus

Czech Republic Czechia

Outbreak evolution in Czechia:
  50+ cases
  5+ cases
  1+ cases

Czechia confirms first case of swine flu May 25. The 29-year old man working as a pilot returned from New York. He was held in quarantine in the hospital Bulovka in Prague.

In August 05, 135 Czechs is tested positive for swine flu.

Denmark Denmark

Authorities confirmed on 1 May that a Danish citizen had tested positive for swine flu, making it the first reported case in Scandinavia.

By 11 June, a total of 11 cases is confirmed, including a six year old boy.[20][21]

On 29 June, the first case of Oseltamivir (Tamiflu) resistance in the world was announced. [22]

In the moment, 63 Danes is tested positive for swine flu. Among them, two in isolation in Indionesia and the first known resistent case against tamiflu.

Estonia Estonia

Health advisory issued by Estonian government
Outbreak evolution in Estonia(as of August 7):
  Confirmed cases followed by death
  Confirmed cases
  Unconfirmed or suspected cases

The first case was Laboratory confirmed on 29 May. The patient was a 29-year-old man, who returned from the United States.[23]

On 3 June, two new cases have been Laboratory confirmed.[24]

On 7 June, 4th case was confirmed from the patient, who also returned from the United States on 4 June.

7 new cases were confirmed on June 26. Two of them came from a trip to Mexico. The others are Americans, who were on a trip to Estonia.

On 12th of July, 6 new cases were confirmed.

On 17 July a young Estonian football player infected, he returned from Finland, U-19 European Championships, now there are 22 confirmed cases of H1N1.

On 28th of July, socialminister's vice-chancellor said that the swine flu will infect 500 000 estonians in 10 weeks. Thats about 30% of Estonia population.

Finland Finland

The H1N1 strain of influeza has been added to the official list of infectious diseases dangerous to public ("yleisvaarallinen tartuntatauti"), which guarantees free-of-charge treatment to all residents and allows for involuntary quarantine, effective from May 1 2009.[25] Finland's first two H1N1-cases confirmed 12.5.2009 in Helsinki metropolitan area. They were together in Mexico and came to Finland via Amsterdam 6.5.2009.[26]. From beginning of August H1N1 was removed from list of infectious diseases dangerous to public ("yleisvaarallinen tartuntatauti"), so that free-of-charge treatment is not anymore available to residents [27]. It's said that there is currently (6th August), 189 confirmed cases [28], but cases are not anymore officially reported. Amount of cases is probably somewhere between 500-1000 (9th August), [29]

France France

Map of A H1NI flu pandemic in France (updated 17 June 2009)
  Deaths with confirmed infections
  Confirmed cases
  Suspected cases
  No reported cases

As of 28 April there were twenty suspected cases of swine flu being investigated in France. Since 25 April, over 100 cases of Influenza-like illness have been reported, of which 30 were identified as possible cases. 10 of those cases have since been excluded.[30] On 30 April, the number of suspected cases was revised to 50 (including 4 probable cases).[31]

On 1 May, the French Health Minister has confirmed, during the 8 p.m. TF1 news, that 2 cases of A(H1N1) flu have been detected in France.[32]

On 4 May, two new cases have been confirmed bringing to 4[33] the total number of people infected.

6 May, a fifth case is confirmed in Paris region.[34] Two new cases are also confirmed at the end of the afternoon by the INVS (National Institute for Sanitary Watch),[35] 7 are probable and 32 are suspected.[36]

On 7 May, three new cases were announced by the National Institute for Sanitary Watch. There are now 10 confirmed cases, 5 probable, and 27 are suspected.[37]

Germany Germany

Confirmed cases in Germany by states
as of 6 Aug[38]
State Confirmed
cases
thereof
autochthonous
North Rhine-Westfalia 3266 756
Lower Saxony 1601 273
Baden-Württemberg 858 183
Bavaria 730 245
Hesse 444 61
Rhineland-Palatinate 371 38
Berlin 217 64
Schleswig-Holstein 191 39
Saxony 147 44
Thuringia 122 21
Saarland 140 8
Hamburg 130 27
Saxony-Anhalt 150 48
Brandenburg 97 24
Bremen 75 25
Mecklenburg-Vorpommern 80 3
Total 8619 1859
File:H1N1 Germany Map-2009-29-04.svg
Outbreak evolution in Germany:
  Confirmed cases followed by death
  Confirmed cases
  Unconfirmed or suspected cases
Outbreak evolution in Germany:
  500+ cases
  50+ cases
  5+ cases

Two men and a woman from Bielefeld who had been firstly suspected of having the virus tested negative on influenza type A.[39]

On 29 April, the first case of swine flu in Germany was confirmed by the Robert Koch Institute in the area of Regensburg.[40][41][42] A 22-year-old woman from Hamburg is also confirmed to have been infected by swine flu during a trip to Mexico.[42] A 37-year-old woman from Kulmbach is also confirmed to have become infected during a similar trip.[42]

On 1 May, Robert Koch Institute confirmed the first case of human-to-human spreading of swine flu in Munich. Infected was the nurse who had contact with one of the infected people. At approx. 10:00 she was claimed to be already healed.[43] At the time of 13:00 one further infection in Bavaria was confirmed, but the patient is also claimed to be healthy again.[44]

On 2 May, a new human-to-human infection, in the same hospital in Munich, was confirmed. The new patient, who was in the same room with the original infected German that came from Mexico, is currently being reported to show no signs of the new influenza strain anymore.[45]

On 3 May, two further cases of swine flu in Brandenburg were reported. Two people from the same flight as patient in Hamburg were also infected.[46]

On 5 May, one new case in Saxony-Anhalt has been confirmed bringing to 9[47] the total number of people infected.

On 7 May, another new case in Saxony-Anhalt is reported.[48]

On 8 May an adult male living in Bavaria who had recently been to USA.[49]

On 11 May the case of a 27 years old Bavarian woman, who stayed for some weeks in Mexico and medicated patients in a hospital, is reported.[50]

On 15 May two more cases were reported, a female human and her son from Saxony-Anhalt have been infected obviously by her husband / his father, who returned from Mexico.[51]

On 21 May a case was found in a 43 year old woman from Düsseldorf in North Rhine-Westphalia who returned from New York.[52] One day later, Robert Koch Institute confirmed that that her husband has been tested positive with swine influenza too. Furthermore their six years old daughter who did not stay in New York has been infected by her parents, bringing the total to 17.[53]

Until 5 June, 2009, the total number of confirmed cases increased to 49. Most of them have been recent travellers to Mexico, the US or the UK. However, there was also a single-digit number of (isolated) in-country-transmissions.

Gibraltar Gibraltar

Gibraltar has reported its first confirmed case of swine flu on 24 July.[54]

Greece Greece

On 19 May 2009[citation needed] the authorities confirmed the first case of the new flu in Greece. The infected person is a 19 year old Greek student who studies in New York and who flew to Greece a few days ago. He is hospitalised at Sismanogleion[55] but is not gravely ill. The authorities have contacted many of the passengers who sat near this patient on the plane and are examining them for suspicious symptoms. At this point in time Greece has enough antivirals to cover 12% of the population[56] (at least 10% is the amount proposed by the EU directives). The 19-year-old is now out of the hospital and none of the passengers in his flight are infected.

On 29 May 2009 the fourth case was announced.[57]

On 14 June 2009 the total number of cases have reached 20[58] and on 17 June 2009 reached 25.[59]

On 9 July 2009 the total number of cases have reached 216 out of whom 93 have fully recovered.[60]

On 13 July 2009 the total number of cases have reached 290 of which 128 have fully recovered [61]

On July 14 2009 the total number of cases have reached 323 of which 200 have fully recovered [62]

Hungary Hungary

According to the MTI as of 29 April six suspected cases have been reported in Hungary, none of them confirmed to be the swine flu. Samples of the virus from the US health authorities are due to arrive to Hungary in a few days enabling the start of vaccine production.[63]

On 29 May, a case has been confirmed.[64] The infected person, a Brazilian man has since recovered and left the country. On June 18 three new cases of swine flu were confirmed in Hungary, a married couple who returned from New York, and a man who came back from London were new infected.[65]

Iceland Iceland

The first case of A(H1N1) in Iceland was reported on 23 May 2009. The infected person came to the country from New York and got sick shortly after he arrived in Iceland. The second case was announced on 9 June. The infected was a male in the Greater Reykjavík area who also had arrived from the United states. As of 6 August there are 54 cases of H1N1 in Iceland.[66][67][68] [69]

Iceland is currently being briefed by the WHO and is cooperating closely with ECDC, CDC and the EU in terms of monitoring and response. Initially the directorate of health warned people traveling to Mexico and the United States (especially California and Texas) to exercise caution and to contact a doctor immediately if they started showing symptoms of swine flu but on April 28 people travelling to Mexico were advised to cancel their trip unless its very urgent.[70][71]

On 28 April, it was announced that passengers arriving in Iceland from the United States or Mexico would be monitored and will undergo medical examination even if the slightest signs of influenza are detected.[72]

Iceland has stocks of Tamiflu and Relenza for one-third of its population.[72]

In a risk assessment made by the Icelandic government in 2008 in case of a influenza pandemic two scenarios are envisioned:

  • A worst-case scenario where 50% of the Icelandic population are infected and 3% of the infected population die.
  • A milder scenario where precautionary measures prevent infection, 25% of the Icelandic population are infected and 1% die.[73]

Republic of Ireland Ireland

Latest details on cases of A(H1N1) flu in Ireland are to be found on the Health Service Executive website[74]. As of 29 June 2009 there were 39 cases in Ireland.[75].

Ireland has over two million doses of anti-virals and a pandemic plan in place.

On 2 May 2009 the Department of Health's (HSE) announced the first confirmed case in Ireland, an adult male living in Dublin who had recently been to Mexico.

From 25 May to 31 May three more cases were confirmed.[76][77][78]

On 2 June, 3 new cases were confirmed by the HSE on people who returned recently from New York, [79] The total number of cases as of this date was 7.

On 19 June, a case of human swine flu was discovered in a seven-year-old, who was attending a primary school in Co. Mayo and had been abroad. 28 children in the school were treated with Tamiflu. The total number of cases as of this date was 18. [80]

On 21 June a child believed to have recently returned from the United States of America and presenting flu-like symptoms was treated in Kerry General Hospital in Tralee, Co. Kerry, but tests later proved negative. [81]


Saturday 4 July 2009

A free swine flu vaccination is to be offered to the general population in the coming months, as part of a major plan to avoid the worst affects of a global pandemic.

The HSE plans to acquire over 7,500,000 doses of the vaccine, at a cost of almost €90 million.

The jabs would be administered by GPs or through a network of over a hundred swine flu clinics and will be ready by the autumn.

12 new cases of swine flu were confirmed here yesterday, bringing the total number in Ireland to 63. [82]

Friday 10 July 2009

Total number of laboratory confirmed cases in Ireland exceed 100. 9 of these cases are believed to have been in-country transmissions of the virus

Tuesday 21 July

11 new cases of the H1N1 virus have been identified in Ireland bringing the total number of confirmed cases to 164 including 17 cases which are believed to have been in-country transmissions of the virus.

As of July 28th 2009, there are reportedly 276 confirmed cases in Ireland, according to the HSE. [83] A man in his 30s is critically ill in St James's Hospital in Dublin with human swine flu (H1N1). The man, who is originally from Bratislava in Slovakia, was admitted to hospital late last week. He has been working in Ireland for several years.

Around 1,500 people visited GPs last week with suspected swine flu, three times more than the most recent figures released.

Director of the Health Protection Surveillance Centre Dr Darina O'Flanagan said the figure was included in the latest data from the Irish College of General Practitioners.

It represents 37 people per 100,000 and is three times more than figures released yesterday by the Department of Health.

Advertisement The Department said laboratory tests have confirmed 278 cases of the H1N1 virus have been reported but the actual number exceeds that total as family doctors report an increase in the number of cases they have been diagnosing in recent weeks.

Two patients who contracted human swine flu (H1N1) are still being treated in intensive care units.

Chief medical officer at the Department of Health Dr Tony Holohan said yesterday that the HSE expects some deaths from the virus, and further hospitalisations, over the coming weeks and months.

Dr Holohan said 12 people have been hospitalised so far.

A man in his 30s, who was admitted to St James's Hospital last week, remains 'critically ill' with the virus.

It is believed the man, who is originally from Bratislava in Slovakia, contracted the virus abroad. He has been living in Ireland for several years.

The hospital said that all necessary precautions were being taken and that the Health Service Executive and the Department of Health were being fully informed.[84]

Friday, 7 August 2009 18:00 A young Irish woman has died from human swine flu today at Tallaght Hospital in Dublin.

She is the first person to die from the virus here since the first cases emerged in this country in May.

Department of Health officials said this evening that the woman had an underlying medical condition.[85]

Italy Italy

Outbreak evolution in Italy
  Confirmed cases
  Unconfirmed or suspected cases

Italy's agriculture lobby, Coldiretti, warned against panic reaction, noting that farmers lost hundreds of millions of Euros due to consumer boycotts during the 2001 mad cow scare and the 2005 bird flu outbreak.[86]

A woman who returned from San Diego was hospitalised in Venice for suspected swine flu.[87]

As of 30 April, about 20 suspected cases of swine flu are monitored in Italy.[88]

On 2 May, Reuters confirmed that Italy had a case of the swine flu. It was recorded in a 50 year old man in Massa after he returned from Mexico City. However, he had very mild symptoms (i.e aches, coughing, but no fever) and is recovering well.

As of 26 July the amount of swine flu cases is 618 with community outbreaks contributing to the number.

Kosovo Kosovo[a]

On July 24th, the authorities in Kosovo announced that the samples of three suspected cases had been sent to the laboratory for analysis.[89] According to the authorities, the three cases had had contact with other people who were infected by the A/H1N1 virus. Two of them had previously been visited Switzerland and Sweden, and one of them was in the United Kingdom.

On July 28, the results of these three suspected cases showed that only the person, who recently was in the United Kingdom was infected with the swine flu.[90] This person was a 9-year-old child, living in the United Kingdom, who along with the family came to spend their vacation in Kosovo. The family arrived to the Pristina Airport from London, and during the flight, health inspectors recommended the child to see a doctor, once they arrived to Prishtina.

Latvia Latvia

On 21 June, a woman who returned from North America was hospitalised. Symptoms were observed already when she was still in the plane. It was later confirmed that she has the swine flu.[91]

On late June, an American student group is travelling through the Baltic states. As of 26 June, five of them have been confirmed to have swine flu. The five students have stayed in Tallinn, Estonia, but the other group is continuing their travel and are receiving prophylactic medication.

Lithuania Lithuania

On 26 June Lithuania confirmed country's first influenza A (H1N1) (diagnosed by Lithuanian AIDS Centre). As of 11 of July, there were 5 confirmed and 25 possible cases of influenza A (H1N1).[92]

North Macedonia Macedonia

On 27 April 2009, the government of the Republic of Macedonia prohibited all exports and imports of live pigs. Even though Macedonia is not affected from the Swine Flu, the government ordered a ten days health monitoring period for everybody that comes from an affected country.

On the 4 July, Macedonia confirmed the first two cases of virus A/H1N1.[93][94]As 16th of July Macedonia confirmed 10 cases of A\H1N1 virus

Malta Malta

On 2 July 2009, Parliamentary Secretary Mario Galea confirmed that doctors are treating two men with swine flu after come from a holiday from Spain on 30 June, 2009. And another 10 people from the same flight are showing symptoms. The swine flu cases are in the northern part of the country. Malta had so far been the only country in European Union without swine flu case. On 3 July 2009, it was confirmed that 14 more cases were found, bringing a total to 16. 2 of the cases are in Gozo. A Gozitan girl was confirmed to be infected on the 5th July 2009.

Most cases of swine flu in Malta have been mild, with only two hospital admissions as of 6 July 2009. By the end of 6 July 2009 the cases were 24 in number. Ironically the largest number of cases have occurred in Għarb on the island of Gozo, which is one of the smallest villages in the country. Gharb was the first area in the Maltese islands in which a localised cluster of cases occured. By 7 July 2009, the confirmed cases were 39 in number. That figure rose to 55 on 8 July, what more cases from different localities of Gozo. On 9 July, the confirmed cases rose to 60, also a 9-month-old baby from Gozo. On 10 July confirmed another 9 cases all from Gozo (also the first 60+ adult), so the total number of cases rose to 69. Up to July 11th the number of confirmed cases was 75. The majority of the confirmed cases were in Gozo which is far less populated than Malta. On 12 July the Maltese Health Department confirmed another 2 cases, so the cases were 77 till this day. On 13 July two other men in their 20s confirmed with A (H1N1) virus, total of people confirmed with this virus 79. 2 from Gozo and 1 from Malta confirmed on 14 July, to bring the total to 82. One Gozitan and one Maltese were the other 2 cases of swine flu on 15 July. In 2 weeks there were 84 A (H1N1) cases in this small republic.

After 2 weeks that the first two cases confirmed on the island, on 16 July other 8 cases were confirmed. One of these cases is of a person in detetion centre. So, now there are 92 confirmed cases in Malta. After two days without any new case reported, on 19 July 2 workers at hospital reported as infected with swine flu. Till 19 July, 94 cases confirmed. From 19 July the Maltese media stopped report the new cases of A(H1N1), but there many new cases. Till 26 July there are 123 cases. Then on 30 July confirmed another 27 cases, to bring the total of 150 cases. On the last day of July were reported another 7 cases. The total of cases in one month was 157 cases.

After 4 weeks from the first two cases on 31 July, the government of Malta reported that already ordered 500,000 vaccines. But these vaccines are going to use them in the begining of 2010, beacuse first want to see what are the symptomus of the A(H1N1) vaccine. On the same same day also reported that the total of cases rose to 168.

Monaco Monaco

Monaco has reported its first confirmed case of swine flu on 17 June. The victim is a young Monegasque who returned from the United States. He was put in the isolation unit of L’archet Hospital.[95]

Montenegro Montenegro

There are ten confirmed cases of H1N1 in Montenegro.[96]

Netherlands Netherlands

The Netherlands National Institute for Public Health and the Environment advised any traveller who returned from Mexico since 17 April and developed a fever of 38.5 degrees Celsius (101.3 degrees Fahrenheit) within four days of arriving in the Netherlands to stay at home.[97] On 30 April, 2009 a three year old child tested positive for the swine flu. The child returned from Mexico to the Netherlands on 27 April, 2009. The parents tested negative to the swine flu.[98] The girl was very ill at first according to her parents,[99] but made a full recovery.[100] On 7 May a second case and a day later a third case of swine flu in the Netherlands were announced, concerning a 53 year old woman and a 52 year old man, respectively.[101] Both of them had returned from Mexico recently and are being treated with Tamiflu. The woman made a full recovery,[100] the man is doing well. There are no connections between each of the three cases. People who were seated close to the infected people in the plane were contacted and are being treated with Tamiflu as a precautionary measure. On 3 July, there were 134 confirmed cases in the Netherlands. The number rose to 273 on 24 July[102] and to 517 on 31 July. On 4 August the first person died (after being sick already), and the number of infected people rose to 912 on 7 August.[103] Only 20% of the patients have contracted the flu within the Netherlands. Many of the sick are people who fell ill during or after their holidays in countries like Spain, Greece and the United Kingdom.[104]

Poland Poland

Outbreak evolution in Poland
  Confirmed cases
  Suspected cases

Polish Chief Sanitary Inspectorate maintains a webpage[105] on the epidemic situation in Poland which includes daily updates on influenza A/H1N1 outbreak.

As of 1 July, Poland has 19 confirmed cases, according to the National Institute of Public Health and the news channel TVN 24.[106][107] As of 22 June, at least 200 other patients had been previously investigated but tests turned out negative.[108][109] The Polish Foreign Ministry issued a statement on 25 April recommending that citizens avoid travel to affected areas until the outbreak is totally contained.[110] National Sanitary Inspection (PIS) confirmed 132 cases infected of AH1N1 on 10 August.

Norway Norway

Outbreak evolution in Norway:
  500+ cases
  50+ cases
  5+ cases
  1+ cases

The Norwegian Institute of Public Health (FHI) updates their homepage with information about the swine flu outbreak in Norway every day at 10:00 (UTC).[111]

On 9 May, two Norwegian students from Oslo and Telemark, were confirmed to be infected with swine flu after they came home from studies in Mexico. None of them became seriously ill and they are recovering quickly. A member of one of their families is suspected of being infected as well.[112] One of them (the 20 year-old man from Oslo) have been confirmed completely recovered.[113] These are the first two cases of swine influenza in Norway. By the end of May, there were a total number of 7 infected in Norway.

On 4 June, a Norwegian woman from Vest-Agder who recently had been to the United States was confirmed with the swine influenza. The infected woman is recovering well. This is the ninth confirmed case of swine influenza.[114] By the end of June, the total number of infected by influenza A H1N1 rose to 33.

As of 20 July, The Norwegian Institute of Public Health (FHI) reports a total of 133 infected. 115 were infected abroad and 18 in Norway. Influenza A H1N1 has now reached 16 out of 19 fylker (counties). Most cases are found in Oslo (42), and in Sør-Trøndelag (30). So far, swine flu has not been registered in Finnmark, Nord-Trøndelag and in Hedmark

As of 24 July, 197 cases in 18 out of 19 fylker (counties). Most cases are found in Oslo (60), and in Sør-Trøndelag (36). So far, swine flu has not been registered in Hedmark.

Portugal Portugal

Outbreak evolution in Portugal
  Confirmed cases
  Suspected cases

As of 4 May, there has been one confirmed case in Lisbon, Portugal, but it did not represent any concern, because the risk of transmission was no longer present at that time.[115]

On 1 June, Ana Jorge, the Portuguese Health Minister, has confirmed the second case in Portugal, a 33 year old man who travelled from the United States, first landing in Frankfurt, Germany. The case was reported at São João Hospital, Oporto.[116] On 30 June, five new cases were announced in Portugal elevating the total number of cases to 18. [117]

As of 2 July there have been 27 confirmed cases in Portugal.

On 3 July, 6 more cases were reported, making a total of 33 cases. As of 4 July, more 5 cases were confirmed, two of them internal transmitions (one in Azores, and the other one in Lisbon).

On 6 July, there have been confirmed 48 cases in Portugal.

As of 7 July, another 12 people infected were confirmed, making a total of 57 cases in the country. On this day, the first school was closed down for prevention, in Lisbon, as well as a kindergarten in Azores.

On 8 July, 4 more cases were confirmed, including the first in Braga district, making the total cases 61.

As of 14 July, there are a total of 96 confirmed cases in Portugal.[118] On this day, it was also announced that Faro's Hospital will join, on 15 July, the set of hospitals in the country capable of receiving patients infected with the A/H1N1 flu virus[119].

Government officials state the worst case scenario in Portugal is 25% infection with a mortality of 0.1% totaling 8700 casualties in Portugal.[120]

On July 17, 10 more cases were confirmed, making a total of 121 cases in the country.

On July 18, 9 more cases were confirmed, making a total of 130 cases in the country.

On July 19, 10 more cases were confirmed, making a total of 140 cases in the country.

On July 20, 14 more cases were confirmed, making a total of 154 cases in the country[121].

On July 21, 7 more cases were confirmed, making a total of 161 cases in the country.

On July 22, 13 more cases were confirmed, making a total of 174 cases in the country.

On July 23, 14 more cases were confirmed, making a total of 188 cases in the country.

On July 24, 10 more cases were confirmed, making a total of 198 cases in the country.

On July 25, 20 more cases were confirmed, making a total of 218 cases in the country.

On July 26, 14 more cases were confirmed, making a total of 232 cases in the country.

On July 27, 7 more cases were confirmed, making a total of 239 cases in the country.

On July 28, 9 more cases were confirmed, makîng a total of 248 cases in the country.

On July 29, 17 more cases were confirmed, making a total of 265 cases in the country.

On July 30, 7 more cases were confirmed, making a total of 272 cases in the country.

On July 31, 23 more cases were confirmed, making a total of 295 cases in the country.

On August 1, 15 more cases were confirmed, making a total of 310 cases in the country.

On August 2, 10 more cases were confirmed, making a total of 320 cases in the country.

On August 3, 22 more cases were confirmed, making a total of 342 cases in the country.

On August 4, 27 more cases were confirmed, making a total of 369 cases in the country.

On August 5, 32 more cases were confirmed, making a total of 401 cases in the country.

On August 6, 44 more cases were confirmed, making a total of 445 cases in the country.

On August 7, 32 more cases were confirmed, making a total of 477 cases in the country.

On August 8, 28 more cases were confirmed, making a total of 505 cases in the country.

On August 9, 49 more cases were confirmed, making a total of 554 cases in the country.

On August 10, 53 more cases were confirmed, making a total of 607 cases in the country.

On August 11, 76 more cases were confirmed, making a total of 683 cases in the country.

Romania Romania


In Sâmbăteni, Arad County, a child of a year and six months and his mother who recently returned from a trip to Portugal and Spain were suspected of having contracted influenza A(H1N1). Tests returned negative.[123][124]

On Wednesday, 27 May a woman returning from America was confirmed with swine flu in Bucharest.[125]

As of August 11th, there were 227 confirmed cases in 22 out of 41 counties of Romania.[126]

Outbreak evolution in Romania
  Confirmed cases
  Suspected cases

Russia Russia

Russia has banned the import of pork meat from Guatemala, Honduras, Dominican Republic, Colombia, Costa Rica, Cuba, Nicaragua, Panama, El Salvador, 9 US States (Alabama, Arizona, Arkansas, Georgia, Kansas, Louisiana, New Mexico, Oklahoma and Florida) and all types of meat and meat products from Mexico and 5 US States (California, Texas, Kansas, New York and Ohio).[127][128][129]

The President instructed the regional governors to take urgent steps to prevent swine flu from spreading to Russia. Dmitry Medvedev also instructed the presidential plenipotentiary envoys in the federal districts to personally supervise the preventive measures to ensure the disease did not spread [in Russia] and stipulated monthly reports on the situation.[130]

On 1 May officials confirmed that two women who came from USA trip were suspected to have swine flu. Currently both are in hospital for further treatment.[131] As on 2 May, both tourists are reported not to be infected with new strain.[132]

Serbia Serbia

A 71 year old tourist from Texas asked to be tested for swine flu at the Provincial hospital in Novi Sad, on 30 April. The results were negative.[133]

The first confirmed case in Serbia was announced on 24 June. The infected person is a 29-year old male citizen of Montenegro living in Belgrade who came back from a trip to Argentina two days earlier. As he travelled across Croatia and Germany with other people, they were put in semi quarantine.[134] The second case was confirmed on 25 June. The infected person is a 4-year old female citizen of Australia who was visiting Sombor. She had contact with 13 people whose health is being monitored.[135] On 26 June, three more cases were confirmed, out of which two were independent cases while one patient was infected from contact with the previously diagnosed patient.[136] In total 44 people were put under quarantine surveillance.[137] On 28 June, 6 more cases were confirmed - three were citizens of Canada, a mother and her 2- and 5-year old daughters, two were tourists returning from Australia and Egypt and one was infected from contact with the first flu case patient in Serbia.[138][139] Four more cases were confirmed on 1 July, one of the patients is a 73-year old US citizen, while two patients arrived from abroad, from Australia and the USA.[140] On 2 July, an Australian sportsman was diagnosed with flu.[141] On 6 July, the total number of infected patients rose to 26 with two more cases among the Universiade athletes, one from Uganda and one from Argentina.[142][143] On 7 July, four more cases were confirmed with a total number of 30 cases in Serbia.[144] On 8 July four more cases were confirmed with a total number of 34 cases.[145]

International events held in Serbia, 2009 Summer Universiade sport competition and EXIT music festival, led to a sudden increase to over 100 cases of flu in mid-July.[146]

Slovenia Slovenia

First confirmed infection was confirmed on 19 June; a female who flew from New York to Venice and then drove by car to Slovenia. Institute of Public Health of the Republic of Slovenia has established a web site with information about H1N1 induced influenza. Status of this webpage is updated once a day. As of 9th August 2009, there were 177 people tested positive and 772 people tested negative.[147]

Spain Spain

Outbreak evolution in Spain
  Confirmed cases
  Suspected cases

On 27 April the Spanish Ministry of Health and Social Policy announced that a man in Castilla-La Mancha who had recently returned from Mexico had contracted the disease. The man, aged 23, had returned from Mexico on 22 April and had been quarantined on the 25th. This was the first confirmed case in Europe.[148]

The Spanish government is also observing other 35 possible swine flu cases in the Basque Country, Catalonia, the Balearic Islands, Andalusia, Murcia, Madrid and the Valencian Community.[149]

AENA, the Spanish state owned company who manages all Spanish airports and Air Traffic Control established a protocol for the flights coming from and to Spain from the affected areas.[150] Three patients who had just returned from Mexico were under observation in multiple regions of Spain.[86]

Sweden Sweden

On 28 April, at least eighteen Swedish people were tested for swine flu after returning from trips in Mexico and the USA, but the results were negative.[152][153] On 29 April two people, recently returned from Mexico with flu like symptoms were tested.[154]

As of 6 May, the Swedish Institute for Infectious Disease Control confirms 1 case of influenza A(H1N1). 186 negative test results have been reported. No suspected cases remain to be analysed.[155]

The number of confirmed cases has reached 2 in Sweden, with 435 negative cases reported as of May 15.[156]

A third case was confirmed on 15 Friday, and reported on the following Saturday, where the patient, a woman in her sixties, has recovered. In all of the 3 cases the influenza was contracted in the USA.[157]

A fourth case was confirmed 28 May, influenza contracted in USA.[158]

As of July 19th, 274 cases has been confirmed. On July 20, the number had risen to 322 confirmed cased and to 340 on July 21. 362 cased had been reported on July 22, 390 on July 23 and 408 as of July 24.

Three regions have reported more than 20 cases; Stockholms län with 144, Region Skåne with 78 and Västra Götaland with 71. 42 of the 408 cases were contracted domestically.[159]

A 22 year old man in Norrköping is hospitalised with a life threatening condition, requiring Extracorporeal membrane oxygenation. [160]

Switzerland Switzerland

File:H1N1 Switzerland Map-3.svg
Outbreak evolution in Switzerland
  Confirmed cases
  Suspected cases

The first suspicious case was officially confirmed on 27 April. A young man returning from holiday in Mexico informed his family doctor about fever and flu-like symptoms. He was immediately put under quarantine in a hospital. 8 more people are under observation. A container of inactive swine flu virus samples packed in dry ice exploded on a Swiss train, injuring one person but posing no other risks to humans.[161]

Switzerland has confirmed its first case of swine flu in a 19-year-old student who returned from Mexico on 30 April. The state hospital in Baden said in a statement that the National Influenza Centre in Geneva confirmed the disease shortly after the student was mistakenly released from hospital day before.[162]

Switzerland has confirmed its second case of swine flu in a young woman of 24. She was returning from a trip to Mexico and USA. She is now in the Hospital in Bern.[163]

On 24 May, a third case of swine flu has been announced in a woman who came back from Washington and is resident in Basel.

As of 26 June, there are 49 confirmed cases in ten cantons, with five cases having been community-transmitted.[164]

Turkey Turkey

Ukraine Ukraine

Imports of pork and live pigs from all affected countries have been banned. The ban also applies to all shipments after April 21.[165] On 5 June, 2009 the first case of the virus was officially confirmed in Ukraine. The patient concerned, a 24-year-old Ukrainian citizen, had arrived from New York via Paris at Kiev's Boryspil Airport on May 29, 2009.[166]

United Kingdom United Kingdom and Crown Dependencies

Outbreak evolution in the United Kingdom
  Deaths
  Confirmed cases
  Suspected cases
  No cases
Outbreak evolution in the United Kingdom
  1+ deaths
  5+ deaths
  20+ deaths
  100+ deaths
Outbreak evolution in the United Kingdom:
  500+ cases
  50+ cases
  5+ cases
  1+ cases

Samples from suspected cases have been analysed by the National Institute for Medical Research in London, which is also examining samples of the U.S. strain of the disease.[167]

On 25 April 2009, a member of British Airways cabin crew was taken to Northwick Park Hospital in Harrow and quarantined after falling ill with flu-like symptoms on a flight from Mexico City though he was later found not to have swine flu.[168]

The first cases were confirmed on 27 April in passengers returning from Mexico. The first case of person to person transmission within the UK was announced on 1 May.[169]

On 1 May the first UK person to person transmission was confirmed. Graeme Pacitti, 24, of Falkirk, picked up the virus after contact with the UK's first cases Iain and Dawn Askham.[170]

It was reported on 26 May that a man who has been confirmed of swine flu is critically ill, since then 4 more people have become critically ill due to swine flu in the U.K. all in Scotland.[171]

On 28 May, people at a Home Office building in Sheffield were quarantined, it was feared someone had caught swine flu on a recent trip to Canada. In fact, not one, but three people had caught it, the person who had been to Canada, one from someone who recently had stayed in Acapulco, Mexico, and one from someone who recently had stayed in London.

On 6 June, the total of swine flu cases hit 508 with 3 people in intensive care in hospital. On 7 June, the total of swine flu cases hit 541 with 3 people in intensive care and one woman with swine flu gave birth in hospital.

As of 11 June, 822 cases of swine flu have been clinically confirmed.[172]

On 13 June, the total of swine flu cases hit 1,122 with 4 people in intensive care in hospital. The following day, the first death from swine flu in the United Kingdom is reported from Scotland, making the first death from swine flu in Europe.

By the 9 July there are over 9,718 cases of swine flu and the rate of cases is going up increasingly.

As of the 16th of July, over 10000 cases of Swine flu have been confirmed, with the British government suggesting a possible 55000 new cases in the week leading up to the 16th. There have also been 29 deaths confirmed, although the majority of these had 'underlying health issues'. (26 in England and 3 in Scotland)

Timeline

2009 A(H1N1) Outbreak and Pandemic Milestones in Europe
27 April United Kingdom First case confirmed in the United Kingdom.
Spain First case confirmed in Spain.
29 April Germany First case confirmed in Germany.
Austria First case confirmed in Austria.
30 April Netherlands First case confirmed in the Netherlands.
Switzerland First case confirmed in Switzerland.
Republic of Ireland First case confirmed in Ireland.
1 May Denmark First case confirmed in Denmark.
France First case confirmed in France.
2 May Italy First case confirmed in Italy.
3 May Portugal First case confirmed in Portugal.
6 May Poland First case confirmed in Poland.
Sweden First case confirmed in Sweden.
9 May Norway First case confirmed in Norway.
12 May Finland First case confirmed in Finland.
13 May Belgium First case confirmed in Belgium.
16 May Turkey First case confirmed in Turkey.
18 May Greece First case confirmed in Greece.
22 May Russia First case confirmed in Russia.
23 May Iceland First case confirmed in Iceland.
25 May Czech Republic First case confirmed in Czech Republic.
26 May United Kingdom Community outbreaks confirmed in the United Kingdom.
27 May Romania First case confirmed in Romania.
28 May Slovakia First case confirmed in Slovakia.
29 May Hungary First case confirmed in Hungary.
30 May Cyprus First case confirmed in Cyprus.
Estonia First case confirmed in Estonia.
31 May Germany Community outbreaks confirmed in Germany.
1 June Bulgaria First case confirmed in Bulgaria.
2 June Luxembourg First case confirmed in Luxembourg.
Ukraine First case confirmed in the Ukraine.
5 June Switzerland Community outbreaks confirmed in Switzerland.
12 June Isle of Man First confirmed case in the Isle of Man.
14 June United Kingdom First death confirmed in the United Kingdom.
17 June Monaco First confirmed case in Monaco.
France Community outbreaks confirmed in France.
18 June Jersey First confirmed case in Jersey.
19 June Slovenia First case confirmed in Slovenia.
22 June Montenegro First case confirmed in Montenegro.
23 June Latvia First case confirmed in Latvia.
24 June Serbia First case confirmed in Serbia.
26 June Lithuania First case confirmed in Lithuania.
29 June Bosnia and Herzegovina First case confirmed in Bosnia and Herzegovina.
Denmark First case of Oseltamivir (Tamiflu) resistance found.
Italy Community outbreaks confirmed in Italy.
30 June Spain First death confirmed in Spain.
1 July Malta First case confirmed in Malta.
4 July Croatia First case confirmed in Croatia.
North Macedonia First case confirmed in Macedonia.
Spain Community outbreaks confirmed in Spain.
7 July Portugal Community outbreaks confirmed in Portugal.
8 July Malta Community outbreaks confirmed in Malta.
11 July Andorra First case confirmed in Andorra.
20 July Albania First case confirmed in Albania.
Norway Community outbreaks confirmed in Norway.
22 July Hungary First death confirmed in Hungary.
Republic of Ireland Community outbreaks confirmed in Ireland.
23 July Sweden Community outbreaks confirmed in Sweden.
24 July Gibraltar First case confirmed in Gibraltar.
25 July Greece Community outbreaks confirmed in Greece.
26 July Cyprus Community outbreaks confirmed in Cyprus.
Turkey Community outbreaks confirmed in Turkey.
27 July Denmark Community outbreaks confirmed in Denmark.
Netherlands Community outbreaks confirmed in the Netherlands.
Kosovo First case confirmed in Kosovo.
30 July Moldova First case confirmed in Moldova.
Belgium First death confirmed in Belgium.
France First death confirmed in France.
3 August United Kingdom First case confirmed in Akrotiri and Dhekelia.
4 August Netherlands First death confirmed in the Netherlands.
6 August Liechtenstein First case confirmed in Liechtenstein.
7 August Republic of Ireland First death confirmed in Ireland.
9 August Belarus First case confirmed in Belarus.

Top 5 in Europe

Rank Countries with the most number of Confirmed Cases. Rank Countries with the most number of Confirmed Deaths.
1st United Kingdom United Kingdom 1st United Kingdom United Kingdom
2nd Germany Germany 2nd Spain Spain
3rd Spain Spain 3rd Netherlands Netherlands
4th Italy Italy 4th France France
5th Greece Greece 5th Republic of Ireland Ireland


References and Notes

a.   ^ Template:Kosovo-note


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  129. ^ "В дополнение к указанию от 26.04.2009 № ФС-2-02/179 о запрете на ввоз поднадзорных грузов в связи с распространением гриппа H1N1" (in Russian). Rosselkhoznadzor. April 26 2009. {{cite web}}: Check date values in: |date= (help)
  130. ^ "Dmitry Medvedev instructed Russia's regional authorities to take urgent measures to prevent the spread of swine flu in Russia" (in Russian). kremlin.ru. April 27 2009. {{cite web}}: Check date values in: |date= (help)
  131. ^ "Две россиянки госпитализированы с подозрением на "калифорнийский грипп"" (in Russian). Channel One. 0May 1 2009. {{cite web}}: Check date values in: |date= (help)
  132. ^ "У гражданок России, прилетевших накануне из США, не обнаружили опасной инфекции" (in Russian). Channel One. 0May 2 2009. {{cite web}}: Check date values in: |date= (help)
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  135. ^ Potvrđen slučaj novog gripa i u Somboru
  136. ^ Tri nova slučaja gripa H1N1
  137. ^ Pod lekarskim nadzorom 44 osobe
  138. ^ U Srbiji još pet slučajeva gripa
  139. ^ Za 24 sata novih šest zaraženih
  140. ^ Četiri nova slučaja gripa
  141. ^ Igre počele s gripom!
  142. ^ Obolela još dvojica učesnika Univerzijade
  143. ^ U Srbiji 26 obolelih od novog gripa
  144. ^ "Od novog gripa u Srbiji obolelo 30 ljudi". RTS. 2009-07-08. Retrieved 2009-07-08.
  145. ^ Prvi slučaj novog gripa na Egzitu
  146. ^ U Srbiji preko 100 slučajeva gripa
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  149. ^ "Sanidad confirma un caso de gripe porcina en Albacete". eitb.com. Retrieved 2009-04-27.
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  166. ^ First case of A (H1N1) virus officially confirmed in Ukraine, says Health Ministry, Interfax-Ukraine (June 5, 2009)
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