Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)
Pandemic (H1N1) 2009 - Update 16 August 2009, 17:00 hours CEST (ECDC, edited)
[Original Full Document: LINK. EDITED.]
ECDC DAILY UPDATE
Pandemic (H1N1) 2009 - Update 16 August 2009, 17:00 hours CEST
Main developments in past 24 hours
This report is based on official information provided by the national public health websites, or through other official communication channels. An update on the number of confirmed cases as of 16 August 2009, 16:00 hours CEST, is presented in Table 1 and Table 2.
Disclaimer:
Several countries have now announced recommendations on treatment on clinical signs only and focused laboratory testing only for specific population groups or in outbreaks. For these countries, the reported numbers of cases presented in this report will severely underestimate the true incidence in the country and will not be comparable to countries still recommending laboratory tests of all suspected influenza cases.
Epidemiologic update
Out of the 27 EU and 4 EFTA countries, all countries have reported a total of 38 187 confirmed cases of influenza A(H1N1)v infection, including 60 deaths (Table 1). In the past 24 hours, 188 new cases were reported from the EU and EFTA countries. Currently, the majority of the cases are being reported from the UK, Netherlands, Greece and Germany. During this week, we have identified reports of currently hospitalised cases from 6 countries. The majority of the hospitalized cases have been reported from UK, specifically from England.
Outside of the EU and EFTA countries, a total of 1 171 new cases have been reported within the last 24 hours. 11 fatal cases were also reported (Table 3). In total, 190 734 cases including 2 024 fatal cases have been reported from non-EU and EFTA countries.
Media reports discuss increasing numbers of cases being reported in countries on the northern and eastern side of the Indian Ocean. Many Central and South American countries have passed the peak incidence period, according to media reports and supported by the official reports.
Globally, the total number of confirmed and reported influenza A (H1N1)v cases to date is 228 921 including 2 084 deaths.
Other developments
Extension of the pandemic
The pandemic continues to affect an increasing number of countries. Over this past week, the Democratic Republic of the Congo, Cameroon, Madagascar, East Timor and Zambia reported their first confirmed cases of influenza A (H1N1)v.
During the same period Japan, South Korea, Nicaragua, Mauritius, Iraq, Samoa, Ghana, Occupied Palestine Territory and Ireland all confirmed their first death due to this virus.
Changing the format of the daily report
As the influenza pandemic evolves, new types of data become increasingly important, whereas other may become less interesting. ECDC has refreshed the format of the Situation Update to better accommodate current and anticipated information needs. The name of this report changed to "Daily Update" and some changes have been made in the data reported.
Table 1 ? reported cases by the EU/EFTA countries remains as before. In addition, we are publishing a new Table 2 on the number of current and cumulative hospitalisations and admission to intensive care in EU/EFTA Member States. The source of the information is official statements or surveillance reports published by national health authorities. It should be noted that indications and thresholds for hospitalisations vary by country, so the figures quoted may not be directly comparable between countries.
Assuming no changes in the national reporting system, trends of hospitalisations over time should give an accurate representation of the evolution of the pandemic. This might change if countries are faced with capacity issues within the healthcare system at a later stage of this evolving pandemic.
Table 3 lists only reported deaths for countries outside the EU/EFTA area; we have discontinued reporting the case numbers for these countries. The main reason for this is that more and more countries have stopped the reporting of new cases, and these figures no longer give a representative picture of the situation.
The two graphs now show number of reported deaths by week of report ? one graph for EU/EFTA, one for the entire world. The two maps depict cumulative deaths by country, one for EU/EFTA, one for the world.
Table 1: Reported new confirmed cases and cumulative number of influenza A(H1N1)v and cumulative deaths among confirmed cases by country as of 16 August 2009, 16:00 hours (CEST) in the EU and EFTA countries
[Country - Confirmed cases reported in the last 24h - Cumulative number of confirmed cases - Deaths among confirmed cases*]
Note:
cases reported in the EU and EFTA countries correspond to the EWRS notifications by Member States or Ministry of Health websites. Countries shaded with gray are not recommending laboratory tests for all suspect cases, therefore comparisons in time or between these countries should not be made at present.
(*) Deaths are included in the cumulative number of confirmed cases
(**) Cases reported from France include those reported from the overseas territories (434)
(***) Cases from the Netherlands include those reported from Aruba and the Dutch Antilles
(****) Cases reported from the United Kingdom include the number of individual cases from the following overseas territories: Anguilla, The Falklands, Gibraltar, Sovereign Base Area Cyprus, Turks and Caicos Islands (78)
Table 2: Reported number of confirmed influenza A(H1N1)v cases admitted to hospitals and intensive care by country as of 16 August 2009, 16:00 hours (CEST) in the EU and EFTA countries
[Country - (date of report) - Most recent number of cases admitted in hospitals - Cumulative number of cases admitted in hospitals - Most recent number of cases admitted to intensive care - Cumulative number of cases admitted to intensive care]
Note:
Data for the EU and EFTA countries correspond to the Ministry of Health or surveillance centre websites. New updates are shaded in yellow. (-) denotes no information readily available in official sources.
(a) Cases reported from France include those reported from the overseas territories.
(b) Data for England only. Does not include Scotland (94 cumulative hospitalisations), Wales (33) and Northern Ireland (14 ).
Table 3. Reported number of new and cumulative confirmed fatal pandemic influenza (H1N1) 2009 cases by country as of 16 August 2009, 16:00 hours (CEST) outside of the EU/EFTA area
[Country - Number of new fatal cases since previous national update - Cumulative number of fatal cases]
Note:
cases reported in non-EU and EFTA countries correspond to cases published on Ministry of Health websites, or through WHO, or through credible media source quoting national authorities. Therefore, some of these cases may be taken out at a later stage if not validated. Yellow shading indicates a new update has been recorded for the country during the past 24 hours.
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Pandemic (H1N1) 2009 - Update 16 August 2009, 17:00 hours CEST (ECDC, edited)
[Original Full Document: LINK. EDITED.]
ECDC DAILY UPDATE
Pandemic (H1N1) 2009 - Update 16 August 2009, 17:00 hours CEST
Main developments in past 24 hours
- 188 new cases reported in the EU and EFTA countries, reaching a total of 38 187 cases, 60 of which have died of the infection;
- 1 171 new cases including 11 fatal cases, were reported from non-EU and EFTA countries, reaching a cumulative total of 190 734 cases;
This report is based on official information provided by the national public health websites, or through other official communication channels. An update on the number of confirmed cases as of 16 August 2009, 16:00 hours CEST, is presented in Table 1 and Table 2.
Disclaimer:
Several countries have now announced recommendations on treatment on clinical signs only and focused laboratory testing only for specific population groups or in outbreaks. For these countries, the reported numbers of cases presented in this report will severely underestimate the true incidence in the country and will not be comparable to countries still recommending laboratory tests of all suspected influenza cases.
Epidemiologic update
Out of the 27 EU and 4 EFTA countries, all countries have reported a total of 38 187 confirmed cases of influenza A(H1N1)v infection, including 60 deaths (Table 1). In the past 24 hours, 188 new cases were reported from the EU and EFTA countries. Currently, the majority of the cases are being reported from the UK, Netherlands, Greece and Germany. During this week, we have identified reports of currently hospitalised cases from 6 countries. The majority of the hospitalized cases have been reported from UK, specifically from England.
Outside of the EU and EFTA countries, a total of 1 171 new cases have been reported within the last 24 hours. 11 fatal cases were also reported (Table 3). In total, 190 734 cases including 2 024 fatal cases have been reported from non-EU and EFTA countries.
Media reports discuss increasing numbers of cases being reported in countries on the northern and eastern side of the Indian Ocean. Many Central and South American countries have passed the peak incidence period, according to media reports and supported by the official reports.
Globally, the total number of confirmed and reported influenza A (H1N1)v cases to date is 228 921 including 2 084 deaths.
Other developments
Extension of the pandemic
The pandemic continues to affect an increasing number of countries. Over this past week, the Democratic Republic of the Congo, Cameroon, Madagascar, East Timor and Zambia reported their first confirmed cases of influenza A (H1N1)v.
During the same period Japan, South Korea, Nicaragua, Mauritius, Iraq, Samoa, Ghana, Occupied Palestine Territory and Ireland all confirmed their first death due to this virus.
Changing the format of the daily report
As the influenza pandemic evolves, new types of data become increasingly important, whereas other may become less interesting. ECDC has refreshed the format of the Situation Update to better accommodate current and anticipated information needs. The name of this report changed to "Daily Update" and some changes have been made in the data reported.
Table 1 ? reported cases by the EU/EFTA countries remains as before. In addition, we are publishing a new Table 2 on the number of current and cumulative hospitalisations and admission to intensive care in EU/EFTA Member States. The source of the information is official statements or surveillance reports published by national health authorities. It should be noted that indications and thresholds for hospitalisations vary by country, so the figures quoted may not be directly comparable between countries.
Assuming no changes in the national reporting system, trends of hospitalisations over time should give an accurate representation of the evolution of the pandemic. This might change if countries are faced with capacity issues within the healthcare system at a later stage of this evolving pandemic.
Table 3 lists only reported deaths for countries outside the EU/EFTA area; we have discontinued reporting the case numbers for these countries. The main reason for this is that more and more countries have stopped the reporting of new cases, and these figures no longer give a representative picture of the situation.
The two graphs now show number of reported deaths by week of report ? one graph for EU/EFTA, one for the entire world. The two maps depict cumulative deaths by country, one for EU/EFTA, one for the world.
Table 1: Reported new confirmed cases and cumulative number of influenza A(H1N1)v and cumulative deaths among confirmed cases by country as of 16 August 2009, 16:00 hours (CEST) in the EU and EFTA countries
[Country - Confirmed cases reported in the last 24h - Cumulative number of confirmed cases - Deaths among confirmed cases*]
- Austria ... - 222 - ...
- Belgium ... - 126 - 1
- Bulgaria ... - 51 - ...
- Cyprus ... - 297 - ...
- Czech Republic ... - 201 - ...
- Denmark ... - 444 - ...
- Estonia ... - 56 - ...
- Finland ... - 196 - ...
- France** ... - 1125 - 1
- Germany ... - 11493 - ...
- Greece ... - 1424 - ...
- Hungary ... - 133 - 1
- Iceland ... - 118 - ...
- Ireland ... - 574 - 1
- Italy ... - 1238 - ...
- Latvia ... - 23 - ...
- Liechtenstein ... - 13 - ...
- Lithuania ... - 40 - ...
- Luxemburg ... - 113 - ...
- Malta ... - 204 - ...
- Netherlands*** ... - 1473 - 1
- Norway ... - 868 - ...
- Poland ... - 143 - ...
- Portugal 173 - 1268 - ...
- Romania 15 - 253 - ...
- Slovakia ... - 96 - ...
- Slovenia ... - 200 - ...
- Spain ... - 1538 - 11
- Sweden ... - 602 - ...
- Switzerland ... - 752 - ...
- United Kingdom**** ... - 12903 - 44
- Total 188 - 38187 - 60
Note:
cases reported in the EU and EFTA countries correspond to the EWRS notifications by Member States or Ministry of Health websites. Countries shaded with gray are not recommending laboratory tests for all suspect cases, therefore comparisons in time or between these countries should not be made at present.
(*) Deaths are included in the cumulative number of confirmed cases
(**) Cases reported from France include those reported from the overseas territories (434)
(***) Cases from the Netherlands include those reported from Aruba and the Dutch Antilles
(****) Cases reported from the United Kingdom include the number of individual cases from the following overseas territories: Anguilla, The Falklands, Gibraltar, Sovereign Base Area Cyprus, Turks and Caicos Islands (78)
Table 2: Reported number of confirmed influenza A(H1N1)v cases admitted to hospitals and intensive care by country as of 16 August 2009, 16:00 hours (CEST) in the EU and EFTA countries
[Country - (date of report) - Most recent number of cases admitted in hospitals - Cumulative number of cases admitted in hospitals - Most recent number of cases admitted to intensive care - Cumulative number of cases admitted to intensive care]
- Austria (7.8.) - 0 - ... - 0 - ...
- Belgium (7.8.) - 0 - ... - 0 - ...
- Bulgaria - ... - ... - ... - ...
- Cyprus - ... - ... - ... - ...
- Czech Republic (5.8.) - 0 - ... - 0 - ...
- Denmark (13.8.) - ... - ... - ... - ...
- Estonia (12.8.) - 0 - 0 - 0 - 0
- Finland (4.8.) - ... - ... - ... - ...
- France(a) (12.8.) - 5 - 53 - 4 - 10
- Germany (13.8.) - ... - ... - ... - ...
- Greece (3.8.) - 4 - ... - 2 - ...
- Hungary (7.8.) - ... - ... - ... - ...
- Iceland (7.8.) - 0 - 0 - 0 - 0
- Ireland (7.8.) - 3 - 23 - ... - ...
- Italy (17.7.) - ... - ... - ... - ...
- Latvia (11.8.) - ... - 1 - ... - ...
- Liechtenstein (13.8.) - ... - ... - ... - ...
- Lithuania (5.8.) - ... - ... - ... - ...
- Luxemburg (30.7.) - 0 - 0 - 0 - 0
- Malta - ... - ... - ... - ...
- Netherlands (14.8.) - ... - 28 - ... - ...
- Norway (5.8.) - ... - ... - ... - ...
- Poland (4.8.) - ... - ... - ... - ...
- Portugal (15.8.) - 20 - ... - ... - ...
- Romania - ... - 18 - ... - ...
- Slovakia (12.8.) - 2 - 33 - 0 - 0
- Slovenia (10.8.) - ... - ... - ... - ...
- Spain (14.8.) - ... - ... - 29 - 77
- Sweden (6.8.) - ... - ... - ... - ...
- Switzerland (13.8.) - ... - 11 - ... - 1
- United Kingdom(b) (13.8.) - 371 - ... - 55 - ...
Note:
Data for the EU and EFTA countries correspond to the Ministry of Health or surveillance centre websites. New updates are shaded in yellow. (-) denotes no information readily available in official sources.
(a) Cases reported from France include those reported from the overseas territories.
(b) Data for England only. Does not include Scotland (94 cumulative hospitalisations), Wales (33) and Northern Ireland (14 ).
Table 3. Reported number of new and cumulative confirmed fatal pandemic influenza (H1N1) 2009 cases by country as of 16 August 2009, 16:00 hours (CEST) outside of the EU/EFTA area
[Country - Number of new fatal cases since previous national update - Cumulative number of fatal cases]
- OTHER EUROPEAN COUNTRIES & CENTRAL ASIA
- No deaths reported - ... - ...
- MEDITERRANEAN AND MIDDLE-EAST
- Egypt ... - 1
- Iraq ... - 1
- Israel ... - 7
- Lebanon ... - 1
- Occupied Palestinian Territory ... - 1
- Qatar ... - 1
- Saudi Arabia ... - 11
- AFRICA
- Ghana ... - 1
- Mauritius ... - 1
- South Africa ... - 3
- NORTH AMERICA
- Canada ... - 66
- Mexico ... - 163
- USA ... - 477
- CENTRAL AMERICA & CARIBBEAN
- Cayman Islands ... - 1
- Costa Rica ... - 28
- Dominican Republic ... - 5
- El Salvador ... - 12
- Guatemala ... - 10
- Honduras ... - 7
- Jamaica ... - 4
- Nicaragua ... - 1
- Panama ... - 4
- Saint Kitts and Nevis ... - 1
- SOUTH AMERICA
- Argentina ... - 404
- Bolivia ... - 14
- Brazil ... - 192
- Chile ... - 112
- Colombia ... - 18
- Ecuador ... - 23
- Paraguay ... - 39
- Peru ... - 45
- Uruguay ... - 22
- Venezuela ... - 12
- NORTH-EAST & SOUTH ASIA
- Hong Kong SAR China ... - 4
- India ... - 17
- Japan ... - 1
- South Korea 1 - 2
- Taiwan 1 - 2
- SOUTH-EAST ASIA
- Brunei Darussalam ... - 1
- Indonesia ... - 3
- Laos Peoples Democratic Republic ... - 1
- Malaysia 3 - 62
- Philippines ... - 8
- Singapore ... - 11
- Thailand ... - 97
- Vietnam ... - 2
- AUSTRALIA & PACIFIC
- Australia 6 - 108
- New Zealand ... - 14
- Samoa ... - 2
- Tonga ... - 1
- TOTAL 11 - 2024
Note:
cases reported in non-EU and EFTA countries correspond to cases published on Ministry of Health websites, or through WHO, or through credible media source quoting national authorities. Therefore, some of these cases may be taken out at a later stage if not validated. Yellow shading indicates a new update has been recorded for the country during the past 24 hours.
(...)
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