Announcement

**Giuseppe** · January 5, 2010, 11:25 AM

2009 influenza A (H1N1) pandemic 05 January 2010 - 14.00 CEST (ECDC, edited)

2009 influenza A (H1N1) pandemic 05 January 2010 - 14.00 CEST (ECDC, edited)

[Source Full PDF Document: LINK. EDITED.]
ECDC DAILY UPDATE
2009 influenza A (H1N1) pandemic 05 January 201014.00 CEST

Main developments in the past 24 hours

US and Canada epidemiological updates included;
A total of 1 952 fatal cases in Europe and EFTA countries and 11 372 in the rest of the world have been reported up to date;
Scientific Advance on 2009 influenza A(H1N1) pandemic in indigenous and aboriginal populations of North America and Oceania, including Australia, New Zealand and the Pacific islands published;
No newsletters will be produced on Wednesday the 6th of January (Epiphany) which is a Public Holiday in Sweden and also observed by ECDC.

This report is based on official information provided by national public health websites or through other official communication channels. Reported number of confirmed 2009 pandemic influenza A (H1N1) cases admitted to hospitals and intensive care, by country, as of 05 January 2010, 14.00 CEST in EU and EFTA countries are in Table 1. An update on the number of confirmed fatal cases for the world and Europe is presented in Table 2.

Epidemiologic update
All 27 EU and 4 EFTA countries are reporting cases of pandemic (H1N1) 2009 influenza. A total of 1 952 deaths have been reported since April 2009 (Table 2). From week 41 to 51 the numbers of deaths each had shown a steady increase almost doubling every fortnight over six weeks. The fall observed in weeks 52 and 53 was to be expected as it represents official reports placed on national web-sites and a number of Member States have not been doing this in what was a holiday week. While the most deaths have to date been in Western Europe there are increasing numbers of deaths being reported from Central and Eastern Europe. The reported cumulative fatal pandemic (H1N1) cases in the world have now passed 10,000 cases (Table 2). However, because of lack of laboratory confirmation and underreporting among other factors, this is likely to be a gross underestimation of the true number of fatalities associated with the pandemic. Available updates on hospital admissions, per Member State, can be found in Table 1.

Updates from the US and Canada
From U.S. Centers for Disease Control and Prevention (CDC) weekly influenza surveillance report: Week 51 (December 20-26, 2009)

Influenza activity decreased slightly in the U.S.
154 (3.9%) specimens tested and reported to CDC/Influenza Division were positive for influenza.
All subtyped influenza A viruses reported to CDC were 2009 influenza A (H1N1) viruses.
The proportion of deaths attributed to pneumonia and influenza (P&I) was above the epidemic threshold.
Four influenza-associated pediatric deaths were reported. Two of these deaths were associated with 2009 influenza A (H1N1) virus infection and two were associated with an influenza A virus for which the subtype was undetermined.
The number of influenza-associated pediatric deaths reported has declined each week for six weeks.
The proportion of outpatient visits for influenza-like illness (ILI) was 3.2% which is above the national baseline of 2.3%. This is an increase from the previous week, however, the increase is likely influenced by a reduction in routine health-care visits during the holiday season, as has occurred during previous seasons.
Four states reported geographically widespread influenza activity, 13 states reported regional influenza activity, the District of Columbia, Puerto Rico, and 19 states reported local influenza activity, Guam and 13 states reported sporadic influenza activity, and one state reported no influenza activity, the U.S. Virgin Islands did not report.
For more information:
- U.S. Centers for Disease Control and Prevention ?What's New on the H1N1 Flu Site?: LINK
- U.S. Centers for Disease Control and Prevention Weekly Influenza Surveillance Report: LINK
- Overview of Influenza Surveillance in the United States: LINK

From the Public Health Agency of Canada:

December 13 to December 19, 2009 (Week 50) (Most recent week reported; please note difference to the U.S. above)
- All the influenza indicators had declines for at least five consecutive weeks.
- Low levels of influenza activity were reported.
- The ILI consultation rate was below the expected range for this time of the year.
- 3.7% of the specimens tested were positive for influenza. The Pandemic (H1N1) 2009 strain accounted for nearly 100% of the positive influenza A subtyped specimens.
- The number of hospitalized cases, ICU admissions and deaths reported are about half of those reported the previous week and approximately one quarter of those reported during week 48.
- Two laboratory-confirmed influenza-associated paediatric hospitalizations were reported through the Immunization Monitoring Program Active (IMPACT) network. Both of these cases were due to Pandemic (H1N1) 2009.
- For more information:
  - Public Health Agency of Canada: LINK
  - Public Health Agency of Canada FluWatch: LINK

ECDC Scientific Advance
During the 2009 influenza A(H1N1) pandemic, the risk of suffering from severe forms of the disease has been observed to be particularly high among certain groups, notably children, pregnant women and people with underlying medical conditions. Additionally, more information has become available observing such higher risk for indigenous and aboriginal populations in North America (American Indians and Inuits) and Oceania (Aboriginals, Maori and Pacific Islanders).
The full ECDC review will be available today at: LINK

Table 1. Reported number of confirmed 2009 pandemic influenza A(H1N1) cases admitted to hospitals and intensive care, by country, as of 05 January 2010, 14.00 CEST in EU and EFTA countries.
[Country - (date of report) - Number of cases currently hospitalised - Cumulative number of cases admitted in hospitals - Number of cases currently in intensive care - Cumulative number of cases admitted to intensive care]

Austria (17.12.) - 172 ? ? ? ? ? ?
Belgium (24.12.) ? ? ? ? ? ? ? ?
Bulgaria (13.12) ? ? ? ? ? ? ? ?
Cyprus(29.12) ? ? ? ? ? 3 ? 23
Czech Republic (23.12.) ? ? ? ? ? ? ? ?
Denmark (30.12.) ? ? ? ? ? 2 ? 70
Estonia (29.12.) ? ? ? ? ? ? ? ?
Finland (02.01.) - 49 ? ? - 21 ? ?
France (29.12.) ? ? ? ? ? 209 ? 985
Germany (22.12.) ? ? ? ? ? ? ? ?
Greece (30.12.) ? ? ? ? ? ? ? ?
Hungary (30.12.) ? ? ? ? ? ? ? ?
Iceland (10.12.) ? 3 ? 180 ? 1 ? 20
Ireland (31.12.) ? 149 ? 1034 ? 10 ? 87
Italy (31.12.) ? ? - 923 ? ? ? 446
Latvia (17.12.) ? ? ? ? ? ? ? ?
Liechtenstein (30.12.) ? ? ? ? ? ? ? ?
Lithuania (21.12.) ? ? ? ? ? ? ? ?
Luxembourg (27.12.) ? ? ? ? ? 0 ? 0
Malta (04.09.) ? ? - 46 ? ? ? 1
Netherlands (28.12.) ? 31 ? 2156 ? 6 ? 209
Norway (23.12.) ? 5 ? 1310 ? 4 ? 170
Poland (22.12.) ? ? ? ? ? ? ? ?
Portugal (30.12.) - 58 ? ? - 20 ? ?
Romania (05.01.) ? ? ? ? ? ? ? ?
Slovakia (22.12.) ? 51 ? 260 ? 18 ? 94
Slovenia (17.12.) - 76 ? ? ? ? ? ?
Spain (30.12.) ? ? ? ? ? ? ? ?
Sweden (30.12.) ? ? - 1286 ? ? ? ?
Switzerland (30.12.) ? 7 - 430 ? ? ? 77
United Kingdom* (31.12.) - 496 ? ? - 112 ? ?

Note: Data for the EU and EFTA countries correspond to the Ministry of Health or surveillance centre websites.
(?) denotes no information readily available in official sources.
* Data includes information for England only. Other cumulative hospitalisations are: Scotland (1474), Wales (438) and Northern Ireland (574).

Table 2. Reported number of new and cumulative confirmed fatal 2009 pandemic influenza A(H1N1) cases in EU and EFTA countries, and in the rest of the world by country as 05 January 2010, 14.00 CEST.
[Country - Number of new fatal cases since previous national update - Cumulative number of fatal cases]

EU and EFTA countries
- Austria ? ? 3
- Belgium ? ? 17
- Bulgaria ? ? 35
- Cyprus ? ? 3
- Czech Republic ? ? 56
- Denmark ? ? 26
- Estonia ? ? 10
- Finland ? ? 36
- France ? - 230*
- Germany ? ? 132
- Greece ? ? 70
- Hungary ? ? 52
- Iceland ? ? 2
- Ireland ? ? 22
- Italy ? ? 193
- Latvia ? ? 28
- Lithuania ? ? 16
- Luxembourg ? ? 3
- Malta ? ? 3
- Netherlands ? ? 53
- Norway ? ? 29
- Poland 16 ? 138
- Portugal ? ? 70
- Romania 2 ? 65
- Slovakia ? ? 30
- Slovenia ? ? 13
- Spain ? ? 271
- Sweden ? ? 25
- Switzerland ? ? 12
- United Kingdom ? ? 309
  - Total 18 ? 1952
Other European countries and central Asia
- Albania ? ? 6
- Armenia ? ? 3
- Belarus ? ? 20
- Bosnia and Herzegovina ? ? 10
- Croatia ? ? 24
- Former Yugoslav Republic of Macedonia ? ? 14
- Georgia 5 - 15
- Kosovo ? ? 14
- Moldova 5 ? 30
- Montenegro 2 ? 7
- Russia ? ? 19
- Serbia 1 ? 56
- Ukraine ? ? 202
  - Total 13 ? 420
Mediterranean and Middle-East
- Algeria ? ? 47
- Bahrain ? ? 7
- Egypt ? ? 149
- Iran ? ? 147
- Iraq ? ? 42
- Israel ? ? 81
- Jordan ? ? 16
- Kuwait ? ? 27
- Lebanon ? ? 5
- Libya ? ? 1
- Morocco ? - 50
- Occupied Palestinian Territory ? ? 23
- Oman ? ? 30
- Qatar ? ? 8
- Saudi Arabia ? ? 124
- Syria ? ? 127
- Tunisia ? ? 18
- Turkey ? ? 415
- United Arab Emirates ? ? 6
- Yemen ? ? 27
  - Total ? ? 1350
Africa
- Ghana ? ? 1
- Madagascar ? ? 3
- Mauritius ? ? 8
- Mozambique ? ? 2
- Namibia ? ? 1
- Sao Tome & Principe ? ? 2
- South Africa ? ? 93
- Sudan ? ? 5
- Tanzania ? ? 1
  - Total ? ? 116
North America
- Canada ? ? 410
- Mexico ? ? 823
- USA ? ? 2160
  - Total ? ? 3393
Central America and Caribbean
- Bahamas ? ? 4
- Barbados ? ? 3
- Cayman Islands ? ? 1
- Costa Rica ? ? 47
- Cuba ? ? 41
- Dominican Republic ? ? 23
- El Salvador ? ? 31
- Guatemala ? ? 18
- Honduras ? ? 16
- Jamaica ? ? 7
- Nicaragua ? ? 11
- Panama ? ? 11
- Saint Kitts and Nevis ? ? 2
- Saint Lucia ? ? 1
- Suriname ? ? 2
- Trinidad-Tobago ? ? 5
  - Total ? ? 223
South America
- Argentina ? ? 617
- Bolivia ? ? 58
- Brazil ? ? 1632
- Chile ? ? 150
- Colombia ? ? 196
- Ecuador ? ? 96
- Paraguay ? ? 52
- Peru ? ? 208
- Uruguay ? ? 33
- Venezuela ? ? 121
  - Total ? ? 3163
North-East and South Asia
- Afghanistan ? ? 17
- Bangladesh ? ? 6
- China (Mainland) ? ? 648
- Hong Kong SAR China ? - 53
- India 15 ? 989
- Japan ? ? 107
- Macao SAR China ? ? 11
- Maldives ? ? 1
- Mongolia ? ? 26
- Nepal ? ? 2
- Pakistan ? ? 1
- South Korea ? ? 170
- Sri Lanka 1 ? 36
- Taiwan ? ? 35
  - Total 16 ? 2102
South-East Asia
- Brunei Darussalam ? ? 1
- Cambodia ? ? 6
- Indonesia ? ? 10
- Laos Peoples Democratic Republic ? ? 1
- Malaysia ? ? 77
- Philippines ? ? 30
- Singapore ? ? 19
- Thailand ? ? 191
- Vietnam ? ? 53
  - Total ? ? 388
Australia and Pacific
- Australia ? ? 191
- Cook Islands ? ? 1
- Marshall Islands ? ? 1
- New Zealand ? ? 20
- Samoa ? ? 2
- Solomon Islands ? ? 1
- Tonga ? ? 1
  - Total ? ? 217
TOTAL 47 - 13324

* Deaths reported from France include 1 in Guyana, 9 in New Caledonia, 7 in the French Polynesia, 7 in La R?union, 1 in Martinique, 2 in Mayotte, 5 in Guadeloupe and 198 in mainland France.
(?)
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**Giuseppe** · January 7, 2010, 11:37 AM

2009 influenza A (H1N1) pandemic 07 January 2010 14.00 CEST (ECDC, edited)

2009 influenza A (H1N1) pandemic 07 January 2010 14.00 CEST (ECDC, edited)

[Source Full PDF Document: LINK. EDITED.]
ECDC DAILY UPDATE
2009 influenza A (H1N1) pandemic 07 January 2010 14.00 CEST

Main developments in the past 24 hours

The Council of EU recommendations on seasonal influenza vaccination now published;
EMA pharmacovigilance update published;
A total of 2 039 fatal cases in Europe and EFTA countries and 11 624 in the rest of the world have been reported up to date.

This report is based on official information provided by national public health websites or through other official communication channels. Reported number of confirmed 2009 pandemic influenza A (H1N1) cases admitted to hospitals and intensive care, by country, as of 07 January 2010, 14.00 CEST in EU and EFTA countries are in Table 1. An update on the number of confirmed fatal cases for the world and Europe is presented in Table 2.

Epidemiologic update
All 27 EU and 4 EFTA countries are reporting cases of pandemic (H1N1) 2009 influenza. A total of 2 039 deaths have been reported since April 2009 (Table 2). From week 41 to 51 the numbers of deaths each had shown a steady increase almost doubling every fortnight over six weeks. The fall observed in weeks 52 and 53 was to be expected as it represents official reports placed on national web-sites and a number of Member States have not been doing this in what was a holiday week. While the most deaths have to date been in Western Europe there are increasing numbers of deaths being reported from Central and Eastern Europe. The reported cumulative fatal pandemic (H1N1) cases in the world have now passed 10,000 cases (Table 2). However, because of lack of laboratory confirmation and underreporting among other factors, this is likely to be a gross underestimation of the true number of fatalities associated with the pandemic. Available updates on hospital admissions, per Member State, can be found in Table 1.

Other updates
The Council of the European Union seasonal vaccine recommendations
The Council of the European Union meeting on the 22nd of December 2009, adopted recommendations on seasonal influenza vaccinations. These recommendations have now been published in the Official Journal of the EU and are summarised here:

Target of 75% vaccination coverage of older age groups and people with chronic conditions by winter as early as possible and preferably by 2014-15
Member states Action Plans and Policies to take into account:
- ? Definitions of older age groups and risk groups as defined by ECDC
- ? Measurement of uptake in all risk group by Member States and analyses of why some people do not wish to receive vaccination
Education, training and information exchange on seasonal influenza and vaccination especially for
- ? Health care workers
- ? Risk groups and their families
- ? Ways of removing obstacles to vaccination uptake
Member states encouraged to report to the Commission on the implementation of the Recommendation, especially on vaccine coverage
Commission to report regularly to the Council on the implementation of the Recommendation
Commission to continue to support research on influenza through the research Framework Programmes
ECDC to provide scientific and technical support and guidance for all the above
The council recommendations are available at: LINK

EMA pharmacovigilance update
The European Medicines Agency published on the 6th of January their Fifth Pandemic Pharmacovigilance Weekly Update. It includes information on reported adverse events after at least 29.4 million individuals including 218,000 pregnant women have been vaccinated in Europe with one of the three centrally-authorised vaccines (Celvapan, Focetria and Pandemrix).
As of 27 December, 2009 a total of 11,126 reports had been received by the Eudravigilance reporting system since the authorisation of the three vaccines. As earlier, the most frequent adverse reactions that have been reported are non-serious and there is currently no evidence that the three vaccines are inducing any severe adverse events. For example, the number of reported cases of Guillain-Barr? syndrome is lower than the number of cases expected to occur naturally in the vaccinated population. However, the European Medicines Agency states that every case will be carefully evaluated and closely followed.
The full update is available at: LINK

Table 1. Reported number of confirmed 2009 pandemic influenza A(H1N1) cases admitted to hospitals and intensive care, by country, as of 07 January 2010, 14.00 CEST in EU and EFTA countries.
[Country - (date of report) - Number of cases currently hospitalised - Cumulative number of cases admitted in hospitals - Number of cases currently in intensive care - Cumulative number of cases admitted to intensive care]

Austria (17.12.) - 172 ? ? ? ? ? ?
Belgium (24.12.) ? ? ? ? ? ? ? ?
Bulgaria (13.12) ? ? ? ? ? ? ? ?
Cyprus(05.01) ? ? ? ? ? 5 ? 26
Czech Republic (23.12.) ? ? ? ? ? ? ? ?
Denmark (06.01.) ? ? ? ? ? 10 ? 81
Estonia (29.12.) ? ? ? ? ? ? ? ?
Finland (02.01.) - 49 ? ? - 21 ? ?
France (07.01.) ? ? ? ? - 186 ? 1116
Germany (05.01.) ? ? ? ? ? ? ? ?
Greece (30.12.) ? ? ? ? ? ? ? ?
Hungary (30.12.) ? ? ? ? ? ? ? ?
Iceland (10.12.) ? 3 ? 180 ? 1 ? 20
Ireland (31.12.) ? 149 ? 1034 ? 10 ? 87
Italy (31.12.) ? ? - 923 ? ? ? 446
Latvia (07.01.) ? ? ? ? ? ? ? ?
Liechtenstein (07.01.) ? ? ? ? ? ? ? ?
Lithuania (21.12.) ? ? ? ? ? ? ? ?
Luxembourg (27.12.) ? ? ? ? ? 0 ? 0
Malta (04.09.) ? ? - 46 ? ? ? 1
Netherlands (28.12.) ? 31 ? 2156 ? 6 ? 209
Norway (06.01.) ? 4 ? 1317 ? 2 ? 172
Poland (22.12.) ? ? ? ? ? ? ? ?
Portugal (06.01.) - 73 ? ? - 18 ? ?
Romania (05.01.) ? ? ? ? ? ? ? ?
Slovakia (22.12.) ? 51 ? 260 ? 18 ? 94
Slovenia (17.12.) - 76 ? ? ? ? ? ?
Spain (30.12.) ? ? ? ? ? ? ? ?
Sweden (30.12.) ? ? - 1286 ? ? ? ?
Switzerland (07.01.) ? 8 - 480 ? ? ? 87
United Kingdom* (31.12.) - 496 ? ? - 112 ? ?

Note: Data for the EU and EFTA countries correspond to the Ministry of Health or surveillance centre websites.
(?) denotes no information readily available in official sources.
* Data includes information for England only. Other cumulative hospitalisations are: Scotland (1474), Wales (438) and Northern Ireland (574).

Table 2. Reported number of new and cumulative confirmed fatal 2009 pandemic influenza A(H1N1) cases in EU and EFTA countries, and in the rest of the world by country as 07 January 2010, 14.00 CEST.
[Country - Number of new fatal cases since previous national update - Cumulative number of fatal cases]

EU and EFTA countries
- Austria ? ? 3
- Belgium ? ? 17
- Bulgaria ? ? 35
- Cyprus ? ? 3
- Czech Republic ? ? 56
- Denmark 4 ? 30
- Estonia ? ? 10
- Finland ? ? 36
- France 26 - 256*
- Germany 27 ? 159
- Greece ? ? 70
- Hungary 5 ? 57
- Iceland ? ? 2
- Ireland ? ? 22
- Italy ? ? 193
- Latvia 3 ? 31
- Lithuania 1 ? 17
- Luxembourg ? ? 3
- Malta ? ? 3
- Netherlands ? ? 53
- Norway ? ? 29
- Poland 10 ? 148
- Portugal ? ? 70
- Romania 8 ? 73
- Slovakia ? ? 30
- Slovenia ? ? 13
- Spain ? ? 271
- Sweden ? ? 25
- Switzerland 3 ? 15
- United Kingdom ? ? 309
  - Total 87 ? 2039
Other European countries and central Asia
- Albania ? ? 6
- Armenia ? ? 3
- Belarus ? ? 20
- Bosnia and Herzegovina ? ? 10
- Croatia ? ? 24
- Former Yugoslav Republic of Macedonia ? ? 14
- Georgia 3 ? 18
- Kosovo ? ? 14
- Moldova ? ? 30
- Montenegro ? ? 7
- Russia ? ? 19
- Serbia 5 ? 61
- Ukraine ? ? 202
  - Total 8 ? 428
Mediterranean and Middle-East
- Algeria ? ? 47
- Bahrain ? ? 7
- Egypt 23 ? 172
- Iran ? ? 147
- Iraq ? ? 42
- Israel ? ? 81
- Jordan ? ? 16
- Kuwait ? ? 27
- Lebanon ? ? 5
- Libya ? ? 1
- Morocco ? - 50
- Occupied Palestinian Territory ? ? 23
- Oman 1 ? 31
- Qatar ? ? 8
- Saudi Arabia ? ? 124
- Syria ? ? 127
- Tunisia ? ? 18
- Turkey ? ? 415
- United Arab Emirates ? ? 6
- Yemen ? ? 27
  - Total 24 ? 1374
Africa
- Ghana ? ? 1
- Madagascar ? ? 3
- Mauritius ? ? 8
- Mozambique ? ? 2
- Namibia ? ? 1
- Sao Tome & Principe ? ? 2
- South Africa ? ? 93
- Sudan ? ? 5
- Tanzania ? ? 1
  - Total ? ? 116
North America
- Canada ? ? 410
- Mexico 44 ? 867
- USA 130 ? 2290
  - Total 174 ? 3567
Central America and Caribbean
- Bahamas ? ? 4
- Barbados ? ? 3
- Cayman Islands ? ? 1
- Costa Rica ? ? 47
- Cuba 8 ? 49
- Dominican Republic ? ? 23
- El Salvador ? ? 31
- Guatemala ? ? 18
- Honduras ? ? 16
- Jamaica ? ? 7
- Nicaragua ? ? 11
- Panama ? ? 11
- Saint Kitts and Nevis ? ? 2
- Saint Lucia ? ? 1
- Suriname ? ? 2
- Trinidad-Tobago ? ? 5
  - Total 8 ? 231
South America
- Argentina ? ? 617
- Bolivia 1 ? 59
- Brazil ? ? 1632
- Chile ? ? 150
- Colombia ? ? 196
- Ecuador ? ? 96
- Paraguay ? ? 52
- Peru ? ? 208
- Uruguay ? ? 33
- Venezuela ? ? 121
  - Total 1 ? 3164
North-East and South Asia
- Afghanistan ? ? 17
- Bangladesh ? ? 6
- China (Mainland) ? ? 648
- Hong Kong SAR China 2 - 55
- India 21 ? 1010
- Japan ? ? 107
- Macao SAR China ? ? 11
- Maldives ? ? 1
- Mongolia ? ? 26
- Nepal ? ? 2
- Pakistan 13 ? 14
- South Korea ? ? 170
- Sri Lanka ? ? 36
- Taiwan ? ? 35
  - Total 36 ? 2138
South-East Asia
- Brunei Darussalam ? ? 1
- Cambodia ? ? 6
- Indonesia ? ? 10
- Laos Peoples Democratic Republic ? ? 1
- Malaysia ? ? 77
- Philippines ? ? 30
- Singapore ? ? 19
- Thailand 1 ? 192
- Vietnam ? ? 53
  - Total 1 ? 389
Australia and Pacific
- Australia ? ? 191
- Cook Islands ? ? 1
- Marshall Islands ? ? 1
- New Zealand ? ? 20
- Samoa ? ? 2
- Solomon Islands ? ? 1
- Tonga ? ? 1
  - Total ? ? 217
TOTAL 339 ? 13663

* Deaths reported from France include 1 in Guyana, 9 in New Caledonia, 7 in the French Polynesia, 7 in La R?union, 1 in Martinique, 2 in Mayotte, 5 in Guadeloupe and 224 in mainland France.
(?)
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**Giuseppe** · January 8, 2010, 11:54 AM

2009 influenza A (H1N1) pandemic 08 January 2010 14.00 CEST (ECDC, edited)

2009 influenza A (H1N1) pandemic 08 January 2010 14.00 CEST (ECDC, edited)

[Source Full PDF Document: LINK: EDITED.]
ECDC DAILY UPDATE
2009 influenza A (H1N1) pandemic 08 January 2010 14.00 CEST

Main developments in the past 24 hours

Weekly Influenza Surveillance Overview to be published today;
Episouth and Epinorth updates included;
Eurosurveillance updates included;
Selected scientific articles reviewed;
A total of 2 078 fatal cases in Europe and EFTA countries and 11 685 in the rest of the world have been reported up to date.

This report is based on official information provided by national public health websites or through other official communication channels. Reported number of confirmed 2009 pandemic influenza A (H1N1) cases admitted to hospitals and intensive care, by country, as of 08 January 2010, 14.00 CEST in EU and EFTA countries are in Table 1. An update on the number of confirmed fatal cases for the world and Europe is presented in Table 2.

Epidemiologic update
All 27 EU and 4 EFTA countries are reporting cases of pandemic (H1N1) 2009 influenza. A total of 2 078 deaths have been reported since April 2009 (Table 2). From week 41 to 51 the numbers of deaths each had shown a steady increase almost doubling every fortnight over six weeks. The fall observed in weeks 52 and 53 was to be expected as it represents official reports placed on national web-sites and a number of Member States have not been doing this in what was a holiday week. While the most deaths have to date been in Western Europe there are increasing numbers of deaths being reported from Central and Eastern Europe. The reported cumulative fatal pandemic (H1N1) cases in the world have now passed 10,000 cases (Table 2). However, because of lack of laboratory confirmation and underreporting among other factors, this is likely to be a gross underestimation of the true number of fatalities associated with the pandemic. Available updates on hospital admissions, per Member State, can be found in Table 1.

Weekly Influenza Surveillance Overview
The ECDC Weekly Influenza Surveillance Overview will be published this afternoon and will be available at: LINK

Updates from Episouth and Epinorth
Episouth update
Updates on the pandemic situations in the Mediterranean and Balkans region are provided by EpiSouth. The EpiSouth project aims to create a framework of collaboration on epidemiological issues in order to improve communicable diseases surveillance, communication and training across the countries of the Mediterranean and the Balkans. As per June 2009, the EpiSouth Network counts 26 Countries (9 EU and 17 non-EU).
As of 04 January 2010, a total of 1 948 deaths among biologically confirmed A/H1N1/2009 cases have been reported in the EpiSouth region. A total of 173 new A(H1N1)2009 related deaths were reported since 28 December 2009: 5 in Algeria, 3 in Bosnia and Herzegovina, 1 in Croatia,, 40 in Egypt, 11 in Greece, 10 in Israel, 4 in Kosovo, 8 in Morocco, 6 in Palestine, 8 in Serbia, 17 in Syria.
In week 52, influenza activity was:

high and decreasing in Serbia,
high in Algeria, Egypt and Tunisia,
medium and decreasing in Croatia, Israel and,
low medium and stable in Turkey,

For more details please refer to the EpiSouth e-Weekly Epidemiological Bulletin (e-WEB): LINK

Epinorth update
Updates on the pandemic situations in the North-East European region are provided by EpiNorth. The EpiNorth project aims to improve communicable disease surveillance, control and communication in the Nordic and Baltic countries and north-west regions of Russia. EpiNorth is funded by the European Centre for Disease Prevention and Control (ECDC), the Barents Health Programme and participating public health institutes.
EpiNorths Secretariat is at the Norwegian Institute of Public Health.
More about EpiNorth at: LINK
Full EPINORTH update at: LINK

Moldova:
- For the period 21 May ? 31 December 2009, a total of 5,692 samples were tested in the National Reference-Laboratory at the National Scientific-Practical Centre for Preventive Medicine of the Republic of Moldova, of them 2,585 were positive to influenza A(H1N1). Among those positive to influenza A(H1N1) 25 cases were fatal.
- Source: LINK
Ukraine:
- As of 5 January 2010, a total of 3,905,542 cases of ILI/SARI were reported in Ukraine, according to the Ministry of Health of Ukraine. Among those cases 225,925 people were hospitalized and 827 patients died. The most serious situation remains in the City of Kiev (for the last week there were reported 5,691 cases, of them 3,618 cases were registered among adults and 2 073 cases ? among children).
- Source: LINK
Belarus:
- According to the Republican Research and Practical Center for Epidemiology and Microbiology, Minsk, Belarus, for the period 18 ? 24 December 2009 a total of 432 tests were taken of them 139 samples contained viral antigens, where influenza A virus was found in 11 cases (7.9%), influenza virus B ? 5 cases (3.6%), parainfluenza ? 13 cases (9.3%), adenoviruses ? 55 cases (39.6%), and other ? 55 cases (46.3%).
- Source: LINK
- According to the Ministry of Health of the Republic of Belarus, since the beginning of the season of SARI to December, 28, 2009 there were reported 1,001,991 cases of SARI in the republic. The incidence of SARI for the week 52 was 24.1% lower then the week 51.
- Source: LINK
- A vaccination campaign against influenza A(H1N1) has started in Minsk in the beginning of 2010, according to the information from the Belarusian Telegraph Agency. Vaccine ?Influvir? used in Minsk is produced in Russia. The plan is to vaccinate about 60,000 medical specialists and specialists supporting sustenance of the city by the beginning of February. They were vaccinated against seasonal influenza in 2009. As for the other population, it would be possible to buy vaccine against pandemic influenza later this year.
- Source: LINK
Russia:
- information from some websites of Directorates of Federal Service for Surveillance on Consumer Rights Protection and Human Well-being (Rospotrebnadzor)
- Arkhangelsk oblast
  - For the period 21 ? 27 December 2009, a total of 2,172 cases of SARI were reported in the oblast (1,266 cases were children) and 162 cases of influenza (41 cases were children). As of 28 December 2009, in the oblast were registered 392 laboratory confirmed cases of influenza A (H1N1), of those 16 cases were reported for the period 21-27 December. Vaccination against pandemic influenza continued in the Arkhangelsk oblast: 8,369 people were vaccinated by 28 December 2009.
  - Source: LINK
- Kaliningrad oblast
  - For the period 21-27 December 2009, a total of 4,348 people had SARI/ILI, among them 2,692 children under 14 years, were reported in the Kaliningrad oblast. The incidence of SARI/ILI for the mentioned week was 15.6% lower than the epidemiological threshold.
  - Source: LINK
- Leningrad oblast
  - Information as of 24 December 2009. Since 7 December there was reported a trend to reduction of the incidence of SARI/ILI among both adults and children. For the period 14-20 December a total of 7,832 cases influenza and SARI were reported (among them 4,893 children and 2,939 adults). 106 people, among them 69 children, were admitted to different hospitals. In the oblast were reported 236 laboratory confirmed cases of influenza A(H1N1). As of 21 December 2009, a total of 348,017 people were vaccinated against pandemic influenza, which is 22.3% of all population of the Leningrad oblast.
  - Source: LINK
- Murmansk oblast
  - For the period 21-27 December 2009, a total of 5,321 cases of influenza and SARI were reported. Among infected 72.4% were children aged 0-14 years. For the mentioned week there were hospitalized 91 people, of which 82 cases were children (for the previous week 51 there were 116 hospitalized, among them 98 children). As of December, 28, in Murmansk oblast were reported 352 laboratory confirmed cases of pandemic influenza. Among infected 46% were children under 18 years. The vaccination against pandemic influenza continued. 65,935 people had been vaccinated by the 28th of December 2009.
  - Source: LINK
- Pskov oblast
  - For the period 14-20 December 2009, a total of 1,398 cases of SARI (among them 842 children) and 26 cases of influenza (among them 5 children) were reported. For the mentioned week 49 people were admitted to the hospitals (among them 36 children).
  - Source: LINK
- City of Saint-Petersburg
  - For the weeks 51 and 52 the decrease in the incidence of SARI/ILI was reported with no clusters. Vaccination campaign continued: 70,205 people (17.6% of all population of the city) were vaccinated by the 25th of December 2009.
  - Source: LINK
- Republic of Karelia
  - As of week 52, the incidence of SARI/ILI reduced by 16.9% for the whole population compared with week 51, but increased by 6 % among children under 14 years of age (1,878 cases of SARI/ILI reported for week 52, among them 1195 children under 14 years and for the week 51 a total number of infected was 2260 people, among them 1127 children under 14 years of age). During the week 52 a total of 63 samples were collected and tested, among them19 samples were positive to influenza А /H1N1/sw.
  - Source: LINK

Eurosurveillance updates
The following articles relating to the pandemic were published In Eurosurveillance, Volume 15, Issue 1, 07 January 2010

Editorial
- A new decade, a new seasonal influenza: the Council of the European Union Recommendation on seasonal influenza vaccination. A Nicoll LINK
Rapid communciations
- A nosocomial outbreak of 2009 pandemic influenza A (H1N1) in a paediatric oncology ward in Italy, October ? November 2009. M Chironna et al.
  - A nosocomial outbreak of 2009 pandemic influenza A(H1N1), with eight confirmed cases, occurred in a paediatric oncology ward in Italy, in October/November 2009. The fact that one case was infected despite being isolated and without contact to a symptomatic patient, hints towards potential transmission through a health care worker (HCW) and underlines the importance of vaccination of HCW who are involved in the care of critically ill patients.
  - LINK
- When should we intervene to control the 2009 influenza A(H1N1) pandemic? H Sato et al.
  - We simulated the early phase of the 2009 influenza A(H1N1) pandemic and assessed the effectiveness of public health interventions in Japan. We show that the detection rate of border quarantine was low and the timing of the intervention was the most important factor involved in the control of the pandemic, with the maximum reduction in daily cases obtained after interventions started on day 6 or 11. Early interventions were not always effective.
  - LINK
Surveillance report
- Outbreak of 2009 pandemic influenza A(H1N1), Los Lagos, Chile, April-June 2009. Chilean Task Force for study of Pandemic Influenza A (H1N1)
  - On 17 May 2009, the first two cases of 2009 pandemic influenza A(H1N1) were confirmed in the Metropolitan region (Santiago, Chile). On 6 June 2009, Chile reported 500 confirmed cases, seven severe and two fatal. Because six of the severe cases and the two deaths occurred in the region of Los Lagos in southern Chile, a retrospective study was conducted using data on emergency room visits as well as laboratory viral surveillance, during the period from 1 April to 31 May, in order to establish the date of the beginning of the outbreak. From 1 to 27 June, data were collected in real time, to establish the real magnitude of the outbreak, describe its transmission, clinical severity and secondary attack rates. Confirmed cases, their household contacts and healthcare workers were interviewed. This analysis showed that the outbreak in Los Lagos started on 28 April. By 27 June, a total of 14.559 clinical cases were identified, affecting mostly 5-19 year-olds. The effective reproduction number during the initial phase (20 days) was 1.8 (1.6?2.0). Of the 190 confirmed cases with severe acute respiratory infection, 71 (37,4%) presented a risk condition or underlying illness.
  - LINK

SELECTED RECENT SCIENTIFIC PUBLICATIONS

Household transmission of the 2009 Pandemic Influenza A (H1N1) Virus in the Untied States - Cauchemez S, Donnelly CA, Reed C et al. - The New England Journal of Medicine, 31 December 2009 - Available from: LINK
- This important study characterises risk factors and describe the transmission of the virus within households across the US. The authors found that the transmissibility of the 2009 pandemic influenza A(H1N1) virus in households was lower than that seen in past pandemics. It is the first epidemiological study to comment Most transmissions occur soon before or after the onset of symptoms in a case patient. Interestingly, children were twice as susceptible to infection as adults 19 to 50 years of age; adults older than 50 years of age were less susceptible than younger adults.
Institut de Veille Sanitaire Int?r?t d?un traitement pr?coce par antiviral pour r?duire la s?v?rit? et la mortalit? par grippe A(H1N1)2009 : donn?es issues de la surveillance des formes graves
- Available from: LINK
- This is the analysis that ECDC is aware of from Europe looking at the effect of antivirals (oseltamivir) in reducing the risk of severe disease or death in hospital patients. It uses reports of hospitalised patients made to INVS (the national French public health institute dealing with infection) and compares the risk of severe disease or death according to whether a person had had oseltamivir within 48 hours of onset of symptoms. The results are consistent with a protective effect of early antiviral treatment. The authors admit the limitations of their study, namely that it relies on observational data and they cannot exclude confounding. The results are consistent with other international studies see LINK
Outbreak of 2009 Pandemic Influenza A (H1N1) at a New York City School - Lessler J, Reich NG, Cummings DATet al. - The New England Journal of Medicine, 31 December 2009 - Available from: LINK
- This article describes in some detail the outbreak of 2009 pandemic influenza A(H1N1) that occurred at a high school in Queens, New York, from April 24 to May 8 2009, characterizing the clinical and epidemiologic aspects of the infection relying on virological testing and symptom reports (but without the benefit of serology). The findings of the indicate how widely the disease spread through the school even without the benefit of being able to detect asymptomatic infections.
Influenza as a trigger for acute myocardial infarction or death from cardiovascular disease: a systematic review - Warren-Gash C, Liam Smeeth L, Hayward AC. - The Lancet, October 2009 - Available from: LINK
- This important systematic review looks at the evidence that seasonal influenza (including as defined by the syndromes influenza-like illness and acute respiratory infection) triggers acute myocardial infarction or cardiovascular death. Although many observational studies reported consistent associations between influenza and acute myocardial infarction, there was weaker evidence of an association with cardiovascular death. A pooled estimate from a random-effects model found a non-significant protective effect of influenza vaccination against cardiac events in people with existing cardiovascular disease.
Severe pneumonia associated with pandemic (H1N1) 2009 outbreak, San Luis Potosi, Mexico - G?mez-G?mez A, Maga?a-Aquino M, Garcia-Sep?lveda C et. Al. - Emerg Infect Diseases, 1 Jan 2010 - Available from: LINK
- This investigation is a description of the clinical presentation and outcomes of adults hospitalised with pneumonia during the 2009 influenza A(H1N1) pandemic during a one month period of April 10 to May 11, 2009, in one general hospital in San Luis Potosi, Mexico. This was a time of intense local transmission and a sharp rise in the number of admissions with pneumonia. The authors identified 50 patients with suspected influenza pneumonia, of which 11 were then confirmed positive for 2009 pandemic influenza virologically. Eighteen patients out of 50 needed treatment in intensive care units (17 with Acute Respiratory Distress Syndrome and one with Acute Lung Injury) and of those 10 had a fatal outcome. Thirty three out of the 50 had conditions already known to be associated with poor outcome. Twenty out of the 33 only had severe obesity reported (BMI greater than 30).

Table 1. Reported number of confirmed 2009 pandemic influenza A(H1N1) cases admitted to hospitals and intensive care, by country, as of 08 January 2010, 14.00 CEST in EU and EFTA countries.
[Country - (date of report) - Number of cases currently hospitalised - Cumulative number of cases admitted in hospitals - Number of cases currently in intensive care - Cumulative number of cases admitted to intensive care]

Austria (23.12.) ? ? ? ? ? ? ? ?
Belgium (07.01.) ? ? ? ? ? ? ? ?
Bulgaria (13.12) ? ? ? ? ? ? ? ?
Cyprus(05.01) ? ? ? ? ? 5 ? 26
Czech Republic (06.01.) ? ? ? ? ? ? ? ?
Denmark (06.01.) ? ? ? ? ? 10 ? 81
Estonia (07.01.) ? ? ? ? ? ? ? ?
Finland (23.12.) - 2 ? ? - 6 ? ?
France (07.01.) ? ? ? ? ? 186 ? 1116
Germany (05.01.) ? ? ? ? ? ? ? ?
Greece (07.01.) ? ? ? ? ? ? ? ?
Hungary (30.12.) ? ? ? ? ? ? ? ?
Iceland (10.12.) ? 3 ? 180 ? 1 - 20
Ireland (07.01.) ? 148 ? 1043 ? 9 ? 87
Italy (31.12.) ? ? - 923 ? ? ? 446
Latvia (07.01.) ? ? ? ? ? ? ? ?
Liechtenstein (07.01.) ? ? ? ? ? ? ? ?
Lithuania (08.01.) ? ? ? ? ? ? ? ?
Luxembourg (27.12.) ? ? ? ? ? 0 ? 0
Malta (04.09.) ? ? - 46 ? ? ? 1
Netherlands (08.01.) ? ? - 2178 ? ? ? ?
Norway (06.01.) ? 4 ? 1317 ? 2 ? 172
Poland (22.12.) ? ? ? ? ? ? ? ?
Portugal (06.01.) - 73 ? ? - 18 ? ?
Romania (08.01.) ? ? ? ? ? ? ? ?
Slovakia (22.12.) ? 51 ? 260 ? 18 ? 94
Slovenia (07.01.) - 76 ? ? ? ? ? ?
Spain (30.12.) ? ? ? ? ? ? ? ?
Sweden (07.01.) ? ? ? ? ? ? ? ?
Switzerland (07.01.) ? 8 - 480 ? ? ? 87
United Kingdom* (31.12.) - 496 ? ? - 112 ? ?

Note: Data for the EU and EFTA countries correspond to the Ministry of Health or surveillance centre websites.
(?) denotes no information readily available in official sources.
* Data includes information for England only. Other cumulative hospitalisations are: Scotland (1474), Wales (438) and Northern Ireland (574).

Table 2. Reported number of new and cumulative confirmed fatal 2009 pandemic influenza A(H1N1) cases in EU and EFTA countries, and in the rest of the world by country as 08 January 2010, 14.00 CEST.
[Country - Number of new fatal cases since previous national update - Cumulative number of fatal cases]

EU and EFTA countries
- Austria ? ? 3
- Belgium ? ? 17
- Bulgaria ? ? 35
- Cyprus 1 ? 4
- Czech Republic 11 ? 67
- Denmark ? ? 30
- Estonia 3 ? 13
- Finland ? ? 36
- France ? - 256*
- Germany ? ? 159
- Greece 12 ? 82
- Hungary ? ? 57
- Iceland ? ? 2
- Ireland ? ? 22
- Italy ? ? 193
- Latvia ? ? 31
- Lithuania 1 ? 18
- Luxembourg ? ? 3
- Malta ? ? 3
- Netherlands 1 ? 54
- Norway ? ? 29
- Poland ? ? 148
- Portugal ? ? 70
- Romania 9 ? 82
- Slovakia ? ? 30
- Slovenia 1 ? 14
- Spain ? ? 271
- Sweden ? ? 25
- Switzerland ? ? 15
- United Kingdom ? ? 309
  - Total 39 ? 2078
Other European countries and central Asia
- Albania ? ? 6
- Armenia ? ? 3
- Belarus ? ? 20
- Bosnia and Herzegovina ? ? 10
- Croatia 1 ? 25
- Former Yugoslav Republic of Macedonia ? ? 14
- Georgia ? ? 18
- Kosovo ? ? 14
- Moldova ? ? 30
- Montenegro ? ? 7
- Russia ? ? 19
- Serbia ? ? 61
- Ukraine ? ? 202
  - Total 1 ? 429
Mediterranean and Middle-East
- Algeria 7 ? 54
- Bahrain ? ? 7
- Egypt ? ? 172
- Iran ? ? 147
- Iraq ? ? 42
- Israel ? ? 81
- Jordan 3 ? 19
- Kuwait ? ? 27
- Lebanon ? ? 5
- Libya ? ? 1
- Morocco ? - 50
- Occupied Palestinian Territory 5 ? 28
- Oman ? ? 31
- Qatar ? ? 8
- Saudi Arabia ? ? 124
- Syria ? ? 127
- Tunisia ? ? 18
- Turkey ? ? 415
- United Arab Emirates ? ? 6
- Yemen 1 ? 28
  - Total 16 ? 1390
Africa
- Ghana ? ? 1
- Madagascar ? ? 3
- Mauritius ? ? 8
- Mozambique ? ? 2
- Namibia ? ? 1
- Sao Tome & Principe ? ? 2
- South Africa ? ? 93
- Sudan ? ? 5
- Tanzania ? ? 1
  - Total ? ? 116
North America
- Canada 6 ? 416
- Mexico 13 ? 880
- USA ? ? 2290
  - Total 19 ? 3586
Central America and Caribbean
- Bahamas ? ? 4
- Barbados ? ? 3
- Cayman Islands ? ? 1
- Costa Rica ? ? 47
- Cuba ? ? 49
- Dominican Republic ? ? 23
- El Salvador ? ? 31
- Guatemala ? ? 18
- Honduras ? ? 16
- Jamaica ? ? 7
- Nicaragua ? ? 11
- Panama ? ? 11
- Saint Kitts and Nevis ? ? 2
- Saint Lucia ? ? 1
- Suriname ? ? 2
- Trinidad-Tobago ? ? 5
  - Total ? ? 231
South America
- Argentina ? ? 617
- Bolivia ? ? 59
- Brazil ? ? 1632
- Chile ? ? 150
- Colombia ? ? 196
- Ecuador ? ? 96
- Paraguay ? ? 52
- Peru ? ? 208
- Uruguay ? ? 33
- Venezuela ? ? 121
  - Total ? ? 3164
North-East and South Asia
- Afghanistan ? ? 17
- Bangladesh ? ? 6
- China (Mainland) ? ? 648
- Hong Kong SAR China ? - 55
- India 25 ? 1035
- Japan ? ? 107
- Macao SAR China ? ? 11
- Maldives ? ? 1
- Mongolia ? ? 26
- Nepal ? ? 2
- Pakistan ? ? 14
- South Korea ? ? 170
- Sri Lanka ? ? 36
- Taiwan ? ? 35
  - Total 25 ? 2163
South-East Asia
- Brunei Darussalam ? ? 1
- Cambodia ? ? 6
- Indonesia ? ? 10
- Laos Peoples Democratic Republic ? ? 1
- Malaysia ? ? 77
- Philippines ? ? 30
- Singapore ? ? 19
- Thailand ? ? 192
- Vietnam ? ? 53
  - Total ? ? 389
Australia and Pacific
- Australia ? ? 191
- Cook Islands ? ? 1
- Marshall Islands ? ? 1
- New Zealand ? ? 20
- Samoa ? ? 2
- Solomon Islands ? ? 1
- Tonga ? ? 1
  - Total ? ? 217
TOTAL 100 ? 13763

* Deaths reported from France include 1 in Guyana, 9 in New Caledonia, 7 in the French Polynesia, 7 in La R?union, 1 in Martinique, 2 in Mayotte, 5 in Guadeloupe and 224 in mainland France.
(?)
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**Giuseppe** · January 11, 2010, 11:43 AM

2009 influenza A (H1N1) pandemic 11 January 2010 09.00 CEST (ECDC, edited)

2009 influenza A (H1N1) pandemic 11 January 2010 09.00 CEST (ECDC, edited)

[Source Full PDF Document: LINK. EDITED.]
ECDC DAILY UPDATE

A total of 2 152 fatal cases in Europe and EFTA countries and 11 685 in the rest of the world have been reported up to date;
Weekly surveillance overview indicates stable or decreasing clinical activity in Europe.

Main developments in the past 72 hours
This report is based on official information provided by national public health websites or through other official communication channels. Reported number of confirmed 2009 pandemic influenza A (H1N1) cases admitted to hospitals and intensive care, by country, as of 11 January 2010, 09.00 CEST in EU and EFTA countries are in Table 1. An update on the number of confirmed fatal cases for the world and Europe is presented in Table 2.

Epidemiologic update
All 27 EU and 4 EFTA countries are reporting cases of pandemic (H1N1) 2009 influenza. A total of 2 152 deaths have been reported since April 2009 (Table 2). From week 41 to 51 the numbers of deaths each had shown a steady increase almost doubling every fortnight over six weeks. The fall observed in weeks 52 and 53 was to be expected as it represents official reports placed on national web-sites and a number of Member States have not been doing this in what was a holiday week. While the most deaths have to date been in Western Europe there are increasing numbers of deaths being reported from Central and Eastern Europe. The reported cumulative fatal pandemic (H1N1) cases in the world have now passed 10,000 cases (Table 2). However, because of lack of laboratory confirmation and underreporting among other factors, this is likely to be a gross underestimation of the true number of fatalities associated with the pandemic. Available updates on hospital admissions, per Member State, can be found in Table 1.

Weekly Influenza Surveillance Overview ? week 53
This overview covers a period when consultation and reporting patterns in European countries were disrupted by national holidays. Therefore data has to be interpreted even more carefully than usual.

All countries that reported this week experienced low to medium influenza intensity and stable activity or a decreasing trend.
While the proportion of influenza-positive sentinel samples continues to decline, the 2009 influenza A(H1N1) pandemic virus still accounts for nearly 100% of all subtyped viruses in sentinel and SARI patients.
The number of SARI cases, measured by week of onset, continues to decline.
The full WISO is available at: LINK

Table 1. Reported number of confirmed 2009 pandemic influenza A(H1N1) cases admitted to hospitals and intensive care, by country, as of 11 January 2010, 09.00 CEST in EU and EFTA countries.
[Country - (date of report) - Number of cases currently hospitalised - Cumulative number of cases admitted in hospitals - Number of cases currently in intensive care - Cumulative number of cases admitted to intensive care]

Austria (23.12.) ? ? ? ? ? ? ? ?
Belgium (07.01.) ? ? ? ? ? ? ? ?
Bulgaria (13.12) ? ? ? ? ? ? ? ?
Cyprus(05.01) ? ? ? ? ? 5 ? 26
Czech Republic (06.01.) ? ? ? ? ? ? ? ?
Denmark (06.01.) ? ? ? ? ? 10 ? 81
Estonia (07.01.) ? ? ? ? ? ? ? ?
Finland (23.12.) - 2 ? ? - 6 ? ?
France (08.01.) ? ? ? ? ? 188 ? 1169
Germany (05.01.) ? ? ? ? ? ? ? ?
Greece (07.01.) ? ? ? ? ? ? ? ?
Hungary (30.12.) ? ? ? ? ? ? ? ?
Iceland (10.12.) ? 3 ? 180 ? 1 ? 20
Ireland (07.01.) ? 148 ? 1043 ? 9 ? 87
Italy (03.12.) ? ? - 933 ? ? ? 453
Latvia (07.01.) ? ? ? ? ? ? ? ?
Liechtenstein (07.01.) ? ? ? ? ? ? ? ?
Lithuania (08.01.) ? ? ? ? ? ? ? ?
Luxembourg (27.12.) ? ? ? ? ? 0 ? 0
Malta (04.09.) ? ? - 46 ? ? ? 1
Netherlands (08.01.) ? ? - 2178 ? ? ? ?
Norway (06.01.) ? 4 ? 1317 ? 2 ? 172
Poland (22.12.) ? ? ? ? ? ? ? ?
Portugal (06.01.) - 73 ? ? - 18 ? ?
Romania (09.01.) ? ? ? ? ? ? ? ?
Slovakia (22.12.) ? 51 ? 260 ? 18 ? 94
Slovenia (07.01.) - 76 ? ? ? ? ? ?
Spain (30.12.) ? ? ? ? ? ? ? ?
Sweden (07.01.) ? ? ? ? ? ? ? ?
Switzerland (07.01.) ? 8 ? 480 ? ? - 87
United Kingdom* (08.01.) - 393 ? ? - 103 ? ?

Note: Data for the EU and EFTA countries correspond to the Ministry of Health or surveillance centre websites.
(?) denotes no information readily available in official sources.
* Data includes information for England only. Other cumulative hospitalisations are: Scotland (1482), Wales (444) and Northern Ireland (577).

Table 2. Reported number of new and cumulative confirmed fatal 2009 pandemic influenza A(H1N1) cases in EU and EFTA countries, as 11 January 2010, 09.00 CEST, and in the rest of the world by country, as of 08 January 2010, 17.00 CEST.
[Country - Number of new fatal cases since previous national update - Cumulative number of fatal cases]

EU and EFTA countries
- Austria ? ? 3
- Belgium ? ? 17
- Bulgaria ? ? 35
- Cyprus ? ? 4
- Czech Republic ? ? 67
- Denmark ? ? 30
- Estonia ? ? 13
- Finland ? ? 36
- France 9 - 265*
- Germany ? ? 159
- Greece ? ? 82
- Hungary ? ? 57
- Iceland ? ? 2
- Ireland ? ? 22
- Italy 7 ? 200
- Latvia ? ? 31
- Lithuania ? ? 18
- Luxembourg ? ? 3
- Malta ? ? 3
- Netherlands ? ? 54
- Norway ? ? 29
- Poland ? ? 148
- Portugal 10 ? 80
- Romania 2 ? 84
- Slovakia ? ? 30
- Slovenia ? ? 14
- Spain ? ? 271
- Sweden ? ? 25
- Switzerland ? ? 15
- United Kingdom 46 ? 355
  - Total 74 ? 2152
Other European countries and central Asia
- Albania ? ? 6
- Armenia ? ? 3
- Belarus ? ? 20
- Bosnia and Herzegovina ? ? 10
- Croatia ? ? 25
- Former Yugoslav Republic of Macedonia ? ? 14
- Georgia ? ? 18
- Kosovo ? ? 14
- Moldova ? ? 30
- Montenegro ? ? 7
- Russia ? ? 19
- Serbia ? ? 61
- Ukraine ? ? 202
  - Total ? ? 429
Mediterranean and Middle-East
- Algeria ? ? 54
- Bahrain ? ? 7
- Egypt ? ? 172
- Iran ? ? 147
- Iraq ? ? 42
- Israel ? ? 81
- Jordan ? ? 19
- Kuwait ? ? 27
- Lebanon ? ? 5
- Libya ? - 1
- Morocco ? ? 50
- Occupied Palestinian Territory ? ? 28
- Oman ? ? 31
- Qatar ? ? 8
- Saudi Arabia ? ? 124
- Syria ? ? 127
- Tunisia ? ? 18
- Turkey ? ? 415
- United Arab Emirates ? ? 6
- Yemen ? ? 28
  - Total ? ? 1390
Africa
- Ghana ? ? 1
- Madagascar ? ? 3
- Mauritius ? ? 8
- Mozambique ? ? 2
- Namibia ? ? 1
- Sao Tome & Principe ? ? 2
- South Africa ? ? 93
- Sudan ? ? 5
- Tanzania ? ? 1
  - Total ? ? 116
North America
- Canada ? ? 416
- Mexico ? ? 880
- USA ? ? 2290
  - Total ? ? 3586
Central America and Caribbean
- Bahamas ? ? 4
- Barbados ? ? 3
- Cayman Islands ? ? 1
- Costa Rica ? ? 47
- Cuba ? ? 49
- Dominican Republic ? ? 23
- El Salvador ? ? 31
- Guatemala ? ? 18
- Honduras ? ? 16
- Jamaica ? ? 7
- Nicaragua ? ? 11
- Panama ? ? 11
- Saint Kitts and Nevis ? ? 2
- Saint Lucia ? ? 1
- Suriname ? ? 2
- Trinidad-Tobago ? ? 5
  - Total ? ? 231
South America
- Argentina ? ? 617
- Bolivia ? ? 59
- Brazil ? ? 1632
- Chile ? ? 150
- Colombia ? ? 196
- Ecuador ? ? 96
- Paraguay ? ? 52
- Peru ? ? 208
- Uruguay ? ? 33
- Venezuela ? ? 121
  - Total ? ? 3164
North-East and South Asia
- Afghanistan ? ? 17
- Bangladesh ? ? 6
- China (Mainland) ? - 648
- Hong Kong SAR China ? ? 55
- India ? ? 1035
- Japan ? ? 107
- Macao SAR China ? ? 11
- Maldives ? ? 1
- Mongolia ? ? 26
- Nepal ? ? 2
- Pakistan ? ? 14
- South Korea ? ? 170
- Sri Lanka ? ? 36
- Taiwan ? ? 35
  - Total ? ? 2163
South-East Asia
- Brunei Darussalam ? ? 1
- Cambodia ? ? 6
- Indonesia ? ? 10
- Laos Peoples Democratic Republic ? ? 1
- Malaysia ? ? 77
- Philippines ? ? 30
- Singapore ? ? 19
- Thailand ? ? 192
- Vietnam ? ? 53
  - Total ? ? 389
Australia and Pacific
- Australia ? ? 191
- Cook Islands ? ? 1
- Marshall Islands ? ? 1
- New Zealand ? ? 20
- Samoa ? ? 2
- Solomon Islands ? ? 1
- Tonga ? ? 1
  - Total ? ? 217
TOTAL 74 ? 13837

* Deaths reported from France include 1 in Guyana, 9 in New Caledonia, 7 in the French Polynesia, 7 in La R?union, 1 in Martinique, 2 in Mayotte, 5 in Guadeloupe and 233 in mainland France.
(?)
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**Giuseppe** · January 12, 2010, 05:13 AM

2009 influenza A (H1N1) pandemic 12 January 2010 09.00 CEST (ECDC, edited)

2009 influenza A (H1N1) pandemic 12 January 2010 09.00 CEST (ECDC, edited)

[Source Full PDF Document: LINK. EDITED.]
ECDC DAILY UPDATE
2009 influenza A (H1N1) pandemic 12 January 2010 09.00 CEST

Main developments in the past 24 hours

US and Canada epidemiological updates included;
A total of 2 185 fatal cases in Europe and EFTA countries and 11 753 in the rest of the world have been reported up to date;

This report is based on official information provided by national public health websites or through other official communication channels. Reported number of confirmed 2009 pandemic influenza A (H1N1) cases admitted to hospitals and intensive care, by country, as of 12 January 2010, 09.00 CEST in EU and EFTA countries are in Table 1. An update on the number of confirmed fatal cases for the world and Europe is presented in Table 2.

Epidemiologic update
All 27 EU and 4 EFTA countries are reporting cases of pandemic (H1N1) 2009 influenza. A total of 2 185 deaths have been reported since April 2009 (Table 2). From week 41 to 51 the numbers of deaths each had shown a steady increase almost doubling every fortnight over six weeks. The fall observed in weeks 52 and 53 was to be expected as it represents official reports placed on national web-sites and a number of Member States have not been doing this in what was a holiday week. While the most deaths have to date been in Western Europe there are increasing numbers of deaths being reported from Central and Eastern Europe. The reported cumulative fatal pandemic (H1N1) cases in the world have now passed 10,000 cases (Table 2). However, because of lack of laboratory confirmation and underreporting among other factors, this is likely to be a gross underestimation of the true number of fatalities associated with the pandemic. Available updates on hospital admissions, per Member State, can be found in Table 1.

Updates from the US and Canada
From U.S. Centers for Disease Control and Prevention (CDC) weekly influenza surveillance report: December 27, 2009-January 2, 2010 (Week 52)

Influenza activity decreased slightly in the U.S.
3.9% specimens reported to CDC/Influenza Division were positive for influenza.
All subtyped influenza A viruses reported to CDC were 2009 influenza A (H1N1) viruses.
The proportion of deaths attributed to pneumonia and influenza (P&I) was below the epidemic threshold.
Four influenza-associated pediatric deaths were reported. All four deaths were associated with 2009 influenza A (H1N1) virus infection.
The proportion of outpatient visits for influenza-like illness (ILI) was 2.4% which is above the national baseline of 2.3%.
One state reported geographically widespread influenza activity, 12 states reported regional influenza activity, Puerto Rico, the District of Columbia, and 17 states reported local influenza activity, the U.S. Virgin Islands, Guam, 19 states reported sporadic influenza activity, and one state reported no influenza activity.
Other news:
- January 10?16 is the U.S. National Influenza Vaccination Week (NIVW) during the 2009-2010 influenza season. It is a national observance that was established in 2006 to highlight the importance of continuing influenza vaccination, as well as fostering greater use of flu vaccine after the holiday season into January and beyond. In his proclamation declaring NIVW, President Obama stated ?I encourage all Americans to observe this week by getting the H1N1 if they have not yet done so, and by asking their families, friends and co-workers to do the same.?
- Information on NIVW: LINK
For more information:
- U.S. Centers for Disease Control and Prevention ?What's New on the H1N1 Flu Site?: LINK
- U.S. Centers for Disease Control and Prevention Weekly Influenza Surveillance Report: LINK
- Overview of Influenza Surveillance in the United States: LINK

From the Public Health Agency of Canada: December 20, 2009 to January 2, 2010 (Weeks 51 and 52)

Influenza activity in Canada remained low with most of the influenza surveillance regions reporting either sporadic or no activity.
Only 1.6% of the specimens tested were positive for influenza while the ILI consultations rate was below or within the expected range.
The Pandemic (H1N1) 2009 strain accounted for nearly 100% of the positive influenza A subtyped specimens.
Seventy-six hospitalized cases, 22 ICU admissions and 16 deaths were reported.
For more information:
- Public Health Agency of Canada: LINK
- Public Health Agency of Canada FluWatch: LINK

Table 1. Reported number of confirmed 2009 pandemic influenza A(H1N1) cases admitted to hospitals and intensive care, by country, as of 12 January 2010, 09.00 CEST in EU and EFTA countries.
[Country - (date of report) - Number of cases currently hospitalised - Cumulative number of cases admitted in hospitals - Number of cases currently in intensive care - Cumulative number of cases admitted to intensive care]

Austria (08.01.) ? ? ? ? ? ? ? ?
Belgium (07.01.) ? ? ? ? ? ? ? ?
Bulgaria (13.12) ? ? ? ? ? ? ? ?
Cyprus(11.01) ? ? ? ? ? 3 ? 27
Czech Republic (06.01.) ? ? ? ? ? ? ? ?
Denmark (06.01.) ? ? ? ? - 10 ? 81
Estonia (07.01.) ? ? ? ? ? ? ? ?
Finland (23.12.) - 2 ? ? - 6 ? ?
France (11.01.) ? ? ? ? ? 180 ? 1181
Germany (05.01.) ? ? ? ? ? ? ? ?
Greece (07.01.) ? ? ? ? ? ? ? ?
Hungary (30.12.) ? ? ? ? ? ? ? ?
Iceland (10.12.) ? 3 ? 180 ? 1 ? 20
Ireland (07.01.) ? 148 ? 1043 ? 9 ? 87
Italy (03.12.) ? ? - 933 ? ? ? 453
Latvia (07.01.) ? ? ? ? ? ? ? ?
Liechtenstein (07.01.) ? ? ? ? ? ? ? ?
Lithuania (08.01.) ? ? ? ? ? ? ? ?
Luxembourg (27.12.) ? ? ? ? ? 0 ? 0
Malta (04.09.) ? ? - 46 ? ? ? 1
Netherlands (08.01.) ? ? - 2178 ? ? ? ?
Norway (06.01.) ? 4 ? 1317 ? 2 ? 172
Poland (22.12.) ? ? ? ? ? ? ? ?
Portugal (06.01.) - 73 ? ? - 18 ? ?
Romania (09.01.) ? ? ? ? ? ? ? ?
Slovakia (22.12.) ? 51 ? 260 ? 18 ? 94
Slovenia (07.01.) - 76 ? ? ? ? ? ?
Spain (30.12.) ? ? ? ? ? ? ? ?
Sweden (07.01.) ? ? ? ? ? ? ? ?
Switzerland (07.01.) ? 8 - 480 ? ? ? 87
United Kingdom* (08.01.) - 393 ? ? - 103 ? ?

Note: Data for the EU and EFTA countries correspond to the Ministry of Health or surveillance centre websites.
(?) denotes no information readily available in official sources.
* Data includes information for England only. Other cumulative hospitalisations are: Scotland (1482), Wales (444) and Northern Ireland (577).

Table 2. Reported number of new and cumulative confirmed fatal 2009 pandemic influenza A(H1N1) cases in EU and EFTA countries, as 12 January 2010, 09.00 CEST, and in the rest of the world by country, as of 11 January 2010, 16.00 CEST.
[Country - Number of new fatal cases since previous national update - Cumulative number of fatal cases]

EU and EFTA countries
- Austria 19 ? 22
- Belgium ? ? 17
- Bulgaria ? ? 35
- Cyprus 2 ? 6
- Czech Republic ? ? 67
- Denmark ? ? 30
- Estonia ? ? 13
- Finland ? ? 36
- France 7 - 272*
- Germany ? ? 159
- Greece ? ? 82
- Hungary ? ? 57
- Iceland ? ? 2
- Ireland ? ? 22
- Italy ? ? 200
- Latvia ? ? 31
- Lithuania ? ? 18
- Luxembourg ? ? 3
- Malta ? ? 3
- Netherlands ? ? 54
- Norway ? ? 29
- Poland ? ? 148
- Portugal ? ? 80
- Romania ? ? 84
- Slovakia ? ? 30
- Slovenia ? ? 14
- Spain ? ? 271
- Sweden ? ? 25
- Switzerland ? ? 15
- United Kingdom 5 ? 360
  - Total 33 ? 2185
Other European countries and central Asia
- Albania ? ? 6
- Armenia ? ? 3
- Belarus ? ? 20
- Bosnia and Herzegovina ? ? 10
- Croatia ? ? 25
- Former Yugoslav Republic of Macedonia 8 ? 22
- Georgia ? ? 18
- Kosovo ? ? 14
- Moldova ? ? 30
- Montenegro ? ? 7
- Russia ? ? 19
- Serbia ? ? 61
- Ukraine ? ? 202
  - Total 8 ? 437
Mediterranean and Middle-East
- Algeria ? ? 54
- Bahrain ? ? 7
- Egypt 15 ? 187
- Iran ? ? 147
- Iraq ? ? 42
- Israel ? ? 81
- Jordan ? ? 19
- Kuwait ? ? 27
- Lebanon ? ? 5
- Libya ? - 1
- Morocco ? ? 50
- Occupied Palestinian Territory ? ? 28
- Oman ? ? 31
- Qatar ? ? 8
- Saudi Arabia ? ? 124
- Syria ? ? 127
- Tunisia ? ? 18
- Turkey ? ? 415
- United Arab Emirates ? ? 6
- Yemen ? ? 28
  - Total 15 ? 1405
Africa
- Ghana ? ? 1
- Madagascar ? ? 3
- Mauritius ? ? 8
- Mozambique ? ? 2
- Namibia ? ? 1
- Sao Tome & Principe ? ? 2
- South Africa ? ? 93
- Sudan ? ? 5
- Tanzania ? ? 1
  - Total ? ? 116
North America
- Canada ? ? 416
- Mexico ? ? 880
- USA ? ? 2290
  - Total ? ? 3586
Central America and Caribbean
- Bahamas ? ? 4
- Barbados ? ? 3
- Cayman Islands ? ? 1
- Costa Rica ? ? 47
- Cuba ? ? 49
- Dominican Republic ? ? 23
- El Salvador ? ? 31
- Guatemala ? ? 18
- Honduras ? ? 16
- Jamaica ? ? 7
- Nicaragua ? ? 11
- Panama ? ? 11
- Saint Kitts and Nevis ? ? 2
- Saint Lucia ? ? 1
- Suriname ? ? 2
- Trinidad-Tobago ? ? 5
  - Total ? ? 231
South America
- Argentina ? ? 617
- Bolivia ? ? 59
- Brazil ? ? 1632
- Chile ? ? 150
- Colombia ? ? 196
- Ecuador ? ? 96
- Paraguay ? ? 52
- Peru ? ? 208
- Uruguay ? ? 33
- Venezuela ? ? 121
  - Total ? ? 3164
North-East and South Asia
- Afghanistan ? ? 17
- Bangladesh ? ? 6
- China (Mainland) 11 - 659
- Hong Kong SAR China ? ? 55
- India 24 ? 1059
- Japan ? ? 116
- Macao SAR China ? ? 2
- Maldives ? ? 1
- Mongolia ? ? 26
- Nepal ? ? 2
- Pakistan ? ? 14
- South Korea ? ? 170
- Sri Lanka 9 ? 45
- Taiwan 1 ? 36
  - Total 45 ? 2208
South-East Asia
- Brunei Darussalam ? ? 1
- Cambodia ? ? 6
- Indonesia ? ? 10
- Laos Peoples Democratic Republic ? ? 1
- Malaysia ? ? 77
- Philippines ? ? 30
- Singapore ? ? 19
- Thailand ? ? 192
- Vietnam ? ? 53
  - Total ? ? 389
Australia and Pacific
- Australia ? ? 191
- Cook Islands ? ? 1
- Marshall Islands ? ? 1
- New Zealand ? ? 20
- Samoa ? ? 2
- Solomon Islands ? ? 1
- Tonga ? ? 1
  - Total ? ? 217
TOTAL 101 ? 13938

* Deaths reported from France include 1 in Guyana, 9 in New Caledonia, 7 in the French Polynesia, 7 in La R?union, 1 in Martinique, 2 in Mayotte, 5 in Guadeloupe and 240 in mainland France.
(?)
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------

**Giuseppe** · January 13, 2010, 05:12 AM

2009 influenza A (H1N1) pandemic 13 January 2010 09.00 CEST (ECDC, edited)

2009 influenza A (H1N1) pandemic 13 January 2010 09.00 CEST (ECDC, edited)

[Source Full PDF Document: LINK. EDITED.]
ECDC DAILY UPDATE
2009 influenza A (H1N1) pandemic 13 January 2010 09.00 CEST

Main developments in the past 24 hours

A total of 2 203 fatal cases in Europe and EFTA countries and 11 821 in the rest of the world have been reported up to date.

This report is based on official information provided by national public health websites or through other official communication channels. Reported number of confirmed 2009 pandemic influenza A (H1N1) cases admitted to hospitals and intensive care, by country, as of 13 January 2010, 09.00 CEST in EU and EFTA countries are in Table 1. An update on the number of confirmed fatal cases for the world and Europe is presented in Table 2.

Epidemiologic update
All 27 EU and 4 EFTA countries are reporting cases of pandemic (H1N1) 2009 influenza. A total of 2 203 deaths have been reported since April 2009 (Table 2). From week 41 to 51 the numbers of deaths each had shown a steady increase almost doubling every fortnight over six weeks. The fall observed in weeks 52 and 53 was to be expected as it represents official reports placed on national web-sites and a number of Member States have not been doing this in what was a holiday week. While the most deaths have to date been in Western Europe there are increasing numbers of deaths being reported from Central and Eastern Europe. The reported cumulative fatal pandemic (H1N1) cases in the world have now passed 10,000 cases (Table 2). However, because of lack of laboratory confirmation and underreporting among other factors, this is likely to be a gross underestimation of the true number of fatalities associated with the pandemic. Available updates on hospital admissions, per Member State, can be found in Table 1.

Erratum:
The correct quote from president Obama under the "Updates from the US and Canada" in yesterdays (12.10.2009) Daily Update should read: ?I encourage all Americans to observe this week by getting the H1N1 flu vaccine if they have not yet done so, and by asking their families, friends, and co-workers to do the same.?

Table 1. Reported number of confirmed 2009 pandemic influenza A(H1N1) cases admitted to hospitals and intensive care, by country, as of 13 January 2010, 09.00 CEST in EU and EFTA countries.
[Country - (date of report) - Number of cases currently hospitalised - Cumulative number of cases admitted in hospitals - Number of cases currently in intensive care - Cumulative number of cases admitted to intensive care]

Austria (08.01.) ? ? ? ? ? ? ? ?
Belgium (07.01.) ? ? ? ? ? ? ? ?
Bulgaria (13.12) ? ? ? ? ? ? ? ?
Cyprus(11.01) ? ? ? ? ? 3 ? 27
Czech Republic (06.01.) ? ? ? ? ? ? ? ?
Denmark (06.01.) ? ? ? ? ? 10 ? 81
Estonia (07.01.) ? ? ? ? ? ? ? ?
Finland (23.12.) - 2 ? ? - 6 ? ?
France (11.01.) ? ? ? ? ? 180 ? 1181
Germany (05.01.) ? ? ? ? ? ? ? ?
Greece (07.01.) ? ? ? ? ? ? ? ?
Hungary (30.12.) ? ? ? ? ? ? ? ?
Iceland (10.12.) ? 3 ? 180 ? 1 ? 20
Ireland (07.01.) ? 148 ? 1043 ? 9 ? 87
Italy (03.12.) ? ? - 933 ? ? ? 453
Latvia (07.01.) ? ? ? ? ? ? ? ?
Liechtenstein (07.01.) ? ? ? ? ? ? ? ?
Lithuania (08.01.) ? ? ? ? ? ? ? ?
Luxembourg (27.12.) ? ? ? ? ? 0 ? 0
Malta (04.09.) ? ? - 46 ? ? ? 1
Netherlands (08.01.) ? ? - 2178 ? ? ? ?
Norway (06.01.) ? 4 ? 1317 ? 2 ? 172
Poland (22.12.) ? ? ? ? ? ? ? ?
Portugal (06.01.) - 73 ? ? - 18 ? ?
Romania (09.01.) ? ? ? ? ? ? ? ?
Slovakia (12.01.) ? 38 ? 305 ? 12 ? 110
Slovenia (07.01.) - 76 ? ? ? ? ? ?
Spain (30.12.) ? ? ? ? ? ? ? ?
Sweden (07.01.) ? ? ? ? ? ? ? ?
Switzerland (07.01.) ? 8 - 480 ? ? ? 87
United Kingdom* (08.01.) - 393 ? ? - 103 ? ?

Note: Data for the EU and EFTA countries correspond to the Ministry of Health or surveillance centre websites.
(?) denotes no information readily available in official sources.
* Data includes information for England only. Other cumulative hospitalisations are: Scotland (1482), Wales (444) and Northern Ireland (577).

Table 2. Reported number of new and cumulative confirmed fatal 2009 pandemic influenza A(H1N1) cases in EU and EFTA countries, as 13 January 2010, 09.00 CEST, and in the rest of the world by country, as of 12 January 2010, 16.00 CEST.
[Country - Number of new fatal cases since previous national update - Cumulative number of fatal cases]

EU and EFTA countries
- Austria ? ? 22
- Belgium ? ? 17
- Bulgaria ? ? 35
- Cyprus ? ? 6
- Czech Republic ? ? 67
- Denmark ? ? 30
- Estonia ? ? 13
- Finland ? ? 36
- France ? - 272*
- Germany ? ? 159
- Greece ? ? 82
- Hungary ? ? 57
- Iceland ? ? 2
- Ireland ? ? 22
- Italy ? ? 200
- Latvia ? ? 31
- Lithuania 1 ? 19
- Luxembourg ? ? 3
- Malta 1 ? 4
- Netherlands ? ? 54
- Norway ? ? 29
- Poland ? ? 148
- Portugal ? ? 80
- Romania 8 ? 92
- Slovakia 8 ? 38
- Slovenia ? ? 14
- Spain ? ? 271
- Sweden ? ? 25
- Switzerland ? ? 15
- United Kingdom ? ? 360
  - Total 18 ? 2203
Other European countries and central Asia
- Albania ? ? 6
- Armenia ? ? 3
- Belarus ? ? 20
- Bosnia and Herzegovina ? ? 10
- Croatia ? ? 25
- Former Yugoslav Republic of Macedonia ? ? 22
- Georgia ? ? 18
- Kosovo ? ? 14
- Moldova 5 ? 35
- Montenegro ? ? 7
- Russia ? ? 19
- Serbia 5 ? 66
- Ukraine ? ? 202
  - Total 10 ? 447
Mediterranean and Middle-East
- Algeria ? ? 54
- Bahrain ? ? 7
- Egypt 8 ? 195
- Iran ? ? 147
- Iraq ? ? 42
- Israel 2 ? 83
- Jordan ? ? 19
- Kuwait 3 ? 30
- Lebanon ? ? 5
- Libya ? - 1
- Morocco 3 ? 53
- Occupied Palestinian Territory ? ? 28
- Oman ? ? 31
- Qatar ? ? 8
- Saudi Arabia ? ? 124
- Syria ? ? 127
- Tunisia 3 ? 21
- Turkey ? ? 415
- United Arab Emirates ? ? 6
- Yemen ? ? 28
  - Total 19 ? 1424
Africa
- Ghana ? ? 1
- Madagascar ? ? 3
- Mauritius ? ? 8
- Mozambique ? ? 2
- Namibia ? ? 1
- Sao Tome & Principe ? ? 2
- South Africa ? ? 93
- Sudan ? ? 5
- Tanzania ? ? 1
  - Total ? ? 116
North America
- Canada ? ? 416
- Mexico ? ? 880
- USA ? ? 2290
  - Total ? ? 3586
Central America and Caribbean
- Bahamas ? ? 4
- Barbados ? ? 3
- Bermuda 1 ? 1
- Cayman Islands ? ? 1
- Costa Rica ? ? 47
- Cuba ? ? 49
- Dominican Republic ? ? 23
- El Salvador ? ? 31
- Guatemala ? ? 18
- Honduras ? ? 16
- Jamaica ? ? 7
- Nicaragua ? ? 11
- Panama ? ? 11
- Saint Kitts and Nevis ? ? 2
- Saint Lucia ? ? 1
- Suriname ? ? 2
- Trinidad-Tobago ? ? 5
  - Total 1 ? 232
South America
- Argentina ? ? 617
- Bolivia ? ? 59
- Brazil ? ? 1632
- Chile ? ? 150
- Colombia ? ? 196
- Ecuador ? ? 96
- Paraguay ? ? 52
- Peru ? ? 208
- Uruguay ? ? 33
- Venezuela ? ? 121
  - Total ? ? 3164
North-East and South Asia
- Afghanistan ? ? 17
- Bangladesh ? - 6
- China (Mainland) ? ? 659
- Hong Kong SAR China ? ? 55
- India 7 ? 1066
- Japan 29 ? 145
- Macao SAR China ? ? 2
- Maldives ? ? 1
- Mongolia 2 ? 28
- Nepal ? ? 2
- Pakistan ? ? 14
- South Korea ? ? 170
- Sri Lanka ? ? 45
- Taiwan ? ? 36
  - Total 38 ? 2246
South-East Asia
- Brunei Darussalam ? ? 1
- Cambodia ? ? 6
- Indonesia ? ? 10
- Laos Peoples Democratic Republic ? ? 1
- Malaysia ? ? 77
- Philippines ? ? 30
- Singapore ? ? 19
- Thailand ? ? 192
- Vietnam ? ? 53
  - Total ? ? 389
Australia and Pacific
- Australia ? ? 191
- Cook Islands ? ? 1
- Marshall Islands ? ? 1
- New Zealand ? ? 20
- Samoa ? ? 2
- Solomon Islands ? ? 1
- Tonga ? ? 1
  - Total ? ? 217
TOTAL 86 ? 14024

* Deaths reported from France include 1 in Guyana, 9 in New Caledonia, 7 in the French Polynesia, 7 in La R?union, 1 in Martinique, 2 in Mayotte, 5 in Guadeloupe and 240 in mainland France.
(?)
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-------

**Giuseppe** · January 14, 2010, 11:14 AM

2009 influenza A (H1N1) pandemic 14 January 2010 09.00 CEST (ECDC, edited)

2009 influenza A (H1N1) pandemic 14 January 2010 09.00 CEST (ECDC, edited)

[Source Full PDF Document: LINK. EDITED.]
ECDC DAILY UPDATE
2009 influenza A (H1N1) pandemic 14 January 2010 09.00 CEST

Main developments in the past 24 hours

A total of 2 233 fatal cases in Europe and EFTA countries and 11 927 in the rest of the world have been reported up to date.

This report is based on official information provided by national public health websites or through other official communication channels. Reported number of confirmed 2009 pandemic influenza A (H1N1) cases admitted to hospitals and intensive care, by country, as of 14 January 2010, 09.00 CEST in EU and EFTA countries are in Table 1. An update on the number of confirmed fatal cases for the world and Europe is presented in Table 2.

Epidemiologic update
All 27 EU and 4 EFTA countries are reporting cases of pandemic (H1N1) 2009 influenza. A total of 2 233 deaths have been reported since April 2009 (Table 2). From week 41 to 51 the numbers of deaths each had shown a steady increase almost doubling every fortnight over six weeks. The fall observed in weeks 52 and 53 was to be expected as it represents official reports placed on national web-sites and a number of Member States have not been doing this in what was a holiday week. While the most deaths have to date been in Western Europe there are increasing numbers of deaths being reported from Central and Eastern Europe. The reported cumulative fatal pandemic (H1N1) cases in the world have now passed 10,000 cases (Table 2). However, because of lack of laboratory confirmation and underreporting among other factors, this is likely to be a gross underestimation of the true number of fatalities associated with the pandemic. Available updates on hospital admissions, per Member State, can be found in Table 1.

Table 1. Reported number of confirmed 2009 pandemic influenza A(H1N1) cases admitted to hospitals and intensive care, by country, as of 14 January 2010, 09.00 CEST in EU and EFTA countries.
[Country - (date of report) - Number of cases currently hospitalised - Cumulative number of cases admitted in hospitals - Number of cases currently in intensive care - Cumulative number of cases admitted to intensive care]

Austria (14.01.) - 35 ? ? ? ? ? ?
Belgium (07.01.) ? ? ? ? ? ? ? ?
Bulgaria (27.12) ? ? ? ? ? ? ? ?
Cyprus(11.01) ? ? ? ? ? 3 ? 27
Czech Republic (06.01.) ? ? ? ? ? ? ? ?
Denmark (13.01.) ? ? ? ? ? 2 ? 84
Estonia (10.01.) ? ? ? ? ? ? ? ?
Finland (23.12.) - 2 ? ? - 6 ? ?
France (11.01.) ? ? ? ? ? 180 ? 1181
Germany (12.01.) ? ? ? ? ? ? ? ?
Greece (07.01.) ? ? ? ? ? ? ? ?
Hungary (30.12.) ? ? ? ? ? ? ? ?
Iceland (10.12.) ? 3 ? 180 ? 1 ? 20
Ireland (07.01.) ? 148 ? 1043 ? 9 ? 87
Italy (03.12.) ? ? - 933 ? ? ? 453
Latvia (07.01.) ? ? ? ? ? ? ? ?
Liechtenstein (07.01.) ? ? ? ? ? ? ? ?
Lithuania (08.01.) ? ? ? ? ? ? ? ?
Luxembourg (27.12.) ? ? ? ? ? 0 ? 0
Malta (04.09.) ? ? - 46 ? ? ? 1
Netherlands (08.01.) ? ? - 2178 ? ? ? ?
Norway (13.01.) ? ? ? 1319 ? 2 ? 174
Poland (31.12.) ? ? ? ? ? ? ? ?
Portugal (10.01.) - 39 ? ? - 7 ? ?
Romania (13.01.) ? ? ? ? ? ? ? ?
Slovakia (12.01.) ? 38 ? 305 ? 12 ? 110
Slovenia (07.01.) - 76 ? ? ? ? ? ?
Spain (30.12.) ? ? ? ? ? ? ? ?
Sweden (07.01.) ? ? ? ? ? ? ? ?
Switzerland (07.01.) ? 8 - 480 ? ? - 87
United Kingdom* (08.01.) - 393 ? ? - 103 ? ?

Note: Data for the EU and EFTA countries correspond to the Ministry of Health or surveillance centre websites.
(?) denotes no information readily available in official sources.
* Data includes information for England only. Other cumulative hospitalisations are: Scotland (1482), Wales (444) and Northern Ireland (577).

Table 2. Reported number of new and cumulative confirmed fatal 2009 pandemic influenza A(H1N1) cases in EU and EFTA countries, as 14 January 2010, 09.00 CEST, and in the rest of the world by country, as of 13 January 2010, 16.00 CEST.
[Country - Number of new fatal cases since previous national update - Cumulative number of fatal cases]

EU and EFTA countries
- Austria 2 ? 24
- Belgium ? ? 17
- Bulgaria ? ? 35
- Cyprus ? ? 6
- Czech Republic ? ? 67
- Denmark ? ? 30
- Estonia ? ? 13
- Finland ? ? 36
- France ? - 272*
- Germany 19 ? 178
- Greece ? ? 82
- Hungary ? ? 57
- Iceland ? ? 2
- Ireland ? ? 22
- Italy ? ? 200
- Latvia ? ? 31
- Lithuania ? ? 19
- Luxembourg ? ? 3
- Malta ? ? 4
- Netherlands ? ? 54
- Norway ? ? 29
- Poland ? ? 148
- Portugal 3 ? 83
- Romania 4 ? 96
- Slovakia ? ? 38
- Slovenia ? ? 14
- Spain ? ? 271
- Sweden ? ? 25
- Switzerland ? ? 15
- United Kingdom 2 ? 362
  - Total 30 ? 2233
Other European countries and central Asia
- Albania ? ? 6
- Armenia ? ? 3
- Belarus ? ? 20
- Bosnia and Herzegovina ? ? 10
- Croatia ? ? 25
- Former Yugoslav Republic of Macedonia 1 ? 23
- Georgia 2 ? 20
- Kosovo ? ? 14
- Moldova ? ? 35
- Montenegro ? ? 7
- Russia ? ? 19
- Serbia 2 ? 68
- Ukraine ? ? 202
  - Total 5 ? 452
Mediterranean and Middle-East
- Algeria ? ? 54
- Bahrain ? ? 7
- Egypt 10 ? 205
- Iran ? ? 147
- Iraq ? ? 42
- Israel 2 ? 85
- Jordan ? ? 19
- Kuwait ? ? 30
- Lebanon ? ? 5
- Libya ? - 1
- Morocco ? ? 53
- Occupied Palestinian Territory ? ? 28
- Oman ? ? 31
- Qatar ? ? 8
- Saudi Arabia ? ? 124
- Syria ? ? 127
- Tunisia ? ? 21
- Turkey ? ? 415
- United Arab Emirates ? ? 6
- Yemen ? ? 28
  - Total 12 ? 1436
Africa
- Ghana ? ? 1
- Madagascar ? ? 3
- Mauritius ? ? 8
- Mozambique ? ? 2
- Namibia ? ? 1
- Sao Tome & Principe ? ? 2
- South Africa ? ? 93
- Sudan ? ? 5
- Tanzania ? ? 1
  - Total ? ? 116
North America
- Canada ? ? 416
- Mexico 16 ? 896
- USA 38 ? 2328
  - Total 54 ? 3640
Central America and Caribbean
- Bahamas ? ? 4
- Barbados ? ? 3
- Bermuda ? ? 1
- Cayman Islands ? ? 1
- Costa Rica ? ? 47
- Cuba 4 ? 53
- Dominican Republic ? ? 23
- El Salvador 1 ? 32
- Guatemala ? ? 18
- Honduras ? ? 16
- Jamaica ? ? 7
- Nicaragua ? ? 11
- Panama ? ? 11
- Saint Kitts and Nevis ? ? 2
- Saint Lucia ? ? 1
- Suriname ? ? 2
- Trinidad-Tobago ? ? 5
  - Total 5 ? 237
South America
- Argentina ? ? 617
- Bolivia ? ? 59
- Brazil ? ? 1632
- Chile ? ? 150
- Colombia 2 ? 198
- Ecuador 21 ? 117
- Paraguay ? ? 52
- Peru ? ? 208
- Uruguay ? ? 33
- Venezuela 3 ? 124
  - Total 26 ? 3190
North-East and South Asia
- Afghanistan ? ? 17
- Bangladesh ? - 6
- China (Mainland) ? ? 659
- Hong Kong SAR China ? ? 55
- India ? ? 1066
- Japan ? ? 145
- Macao SAR China ? ? 2
- Maldives ? ? 1
- Mongolia ? ? 28
- Nepal ? ? 2
- Pakistan ? ? 14
- South Korea ? ? 170
- Sri Lanka ? ? 45
- Taiwan ? ? 36
  - Total ? ? 2246
South-East Asia
- Brunei Darussalam ? ? 1
- Cambodia ? ? 6
- Indonesia ? ? 10
- Laos Peoples Democratic Republic ? ? 1
- Malaysia ? ? 77
- Philippines ? ? 30
- Singapore ? ? 19
- Thailand 4 ? 196
- Vietnam ? ? 53
  - Total 4 ? 393
Australia and Pacific
- Australia ? ? 191
- Cook Islands ? ? 1
- Marshall Islands ? ? 1
- New Zealand ? ? 20
- Samoa ? ? 2
- Solomon Islands ? ? 1
- Tonga ? ? 1
  - Total ? ? 217
TOTAL 136 ? 14160

* Deaths reported from France include 1 in Guyana, 9 in New Caledonia, 7 in the French Polynesia, 7 in La R?union, 1 in Martinique, 2 in Mayotte, 5 in Guadeloupe and 240 in mainland France.
(?)
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**Giuseppe** · January 15, 2010, 12:18 PM

2009 influenza A (H1N1) pandemic 15 January 2010 09.00 CEST (ECDC, edited)

2009 influenza A (H1N1) pandemic 15 January 2010 09.00 CEST (ECDC, edited)

[Source Full PDF Document: LINK. EDITED.]
ECDC DAILY UPDATE
2009 influenza A (H1N1) pandemic 15 January 2010 09.00 CEST

Main developments in the past 24 hours

A total of 2 271 fatal cases in Europe and EFTA countries and 11 978 in the rest of the world have been reported up to date.
Selected Scientific Publications (08TH Jan 2010 - 14TH Jan 2010) published.

This report is based on official information provided by national public health websites or through other official communication channels. Reported number of confirmed 2009 pandemic influenza A (H1N1) cases admitted to hospitals and intensive care, by country, as of 15 January 2010, 09.00 CEST in EU and EFTA countries are in Table 1. An update on the number of confirmed fatal cases for the world and Europe is presented in Table 2.

Epidemiologic update
All 27 EU and 4 EFTA countries are reporting cases of pandemic (H1N1) 2009 influenza. A total of 2 271 deaths have been reported since April 2009 (Table 2). From week 41 to 51 the numbers of deaths each had shown a steady increase almost doubling every fortnight over six weeks. The fall observed in weeks 52 and 53 was to be expected as it represents official reports placed on national web-sites and a number of Member States have not been doing this in what was a holiday week. While the most deaths have to date been in Western Europe there are increasing numbers of deaths being reported from Central and Eastern Europe. The reported cumulative fatal pandemic (H1N1) cases in the world have now passed 10,000 cases (Table 2). However, because of lack of laboratory confirmation and underreporting among other factors, this is likely to be a gross underestimation of the true number of fatalities associated with the pandemic. Available updates on hospital admissions, per Member State, can be found in Table 1.

Selected Scientific Publications (08TH Jan 2010 - 14TH Jan 2010)
Clinical presentation and response to treatment of novel influenza A H1N1 in a university-based summer camp population Tsalik EL, Hendershot EF, Sangvai DG et al. Journal of Clinical Virology, Jan 9th 2010 Available from: (LINK)
This study aimed at describing the clinical presentation and course of novel H1N1 influenza in summer camps through active daily surveillance, medical evaluation at symptom onset and data collection during isolation; it also had the objective of evaluating the effect of influenza treatment in a summer camp population. The conclusions prove that the 2009 pandemic influenza A(H1N1) generally has a mild, self-limited course in healthy adolescent campers and that their recovery normally occur within 72h and it is unaffected by treatment.

Initial Response of Health Care Institutions to Emergence of H1N1 Influenza: Experiences, Obstacles, and Perceived Future Needs. Lautenbach E, Saint S, Henderson DK, Harris AD Clinical Infectious Diseases, Jan 11th 2010 Available from: (LINK)
This is a cross-sectional survey carried out by the Society for Healthcare Epidemiology of America to assess attitudes and responses of health care epidemiology professionals to the H1N1 influenza crisis. Although generally institutions are well prepared for the H1N1 crisis, substantial revisions of pandemic preparedness plans appear to be necessary. The authors of this survey noted that future efforts to optimize the response to H1N1 should include curtailing personal stockpiling of antivirals and vaccine development with consideration of mandatory vaccination of health care workers.

Patients Hospitalized with 2009 Pandemic Influenza A (H1N1) --- New York City, May 2009 MMWR; January 8th 2010 / 58(51&52); 1436-1440 Available from: LINK
This review was conducted to assess rapidly, in the first days of the NYC H1N1 outbreak, the characteristics and severity of illness in hospitalized patients in New York City. All data were collected within 2 weeks and results were available quickly to DOHMH to inform outbreak response measures. A key finding was that the first hospitalized patients in New York City were in younger age groups (91% of these patients were aged <50 years, and 59% were aged <18 years). Only one patient was aged ≥65 years, the most commonly hospitalized group for seasonal influenza. These findings were consistent with other descriptions of hospitalized persons with H1N1, and contributed to a growing body of national epidemiologic data that later informed ACIP recommendations regarding target groups for the forthcoming monovalent H1N1 vaccine.

Update on the 2009 pandemic influenza A H1N1 in children Halasa NB Curr Opin Pediatr. 2010 Feb; 22(1):83-7 Available from: (LINK)
This author presents an updated review of the epidemiology, clinical presentations, and outcomes of the 2009 pandemic influenza A H1N1 in children. As findings, he mentions that the majority of cases of 2009 pandemic influenza A H1N1 in children have been mild. However, neurological complications, hospitalization, and even deaths have been reported in children. Death and severe illnesses have mostly occurred in children below 5 years of age and children with high-risk conditions. Co-infections with bacteria have also been reported. Most strains are sensitive to oseltamivir and all to zanamivir.

Table 1. Reported number of confirmed 2009 pandemic influenza A(H1N1) cases admitted to hospitals and intensive care, by country, as of 15 January 2010, 09.00 CEST in EU and EFTA countries.
[Country - (date of report) - Number of cases currently hospitalised - Cumulative number of cases admitted in hospitals - Number of cases currently in intensive care - Cumulative number of cases admitted to intensive care]

Austria (14.01.) - 35 ? ? ? ? ? ?
Belgium (14.01.) ? ? ? ? ? ? ? ?
Bulgaria (27.12) ? ? ? ? ? ? ? ?
Cyprus(13.01) ? ? ? ? ? 3 ? 27
Czech Republic (06.01.) ? ? ? ? ? ? ? ?
Denmark (13.01.) ? ? ? ? ? 2 ? 84
Estonia (10.01.) ? ? ? ? ? ? ? ?
Finland (23.12.) - 2 ? ? - 6 ? ?
France (12.01.) ? ? ? ... ? 15 ? 1190
Germany (12.01.) ? ? ? ? ? ? ? ?
Greece (13.01.) ? ? ? ? ? ? ? ?
Hungary (30.12.) ? ? ? ? ? ? ? ?
Iceland (10.12.) ? 3 ? 180 ? 1 ? 20
Ireland (13.01.) ? 150 ? 1052 ? 6 ? 90
Italy (14.12.) ? ? - 938 ? ? ? 454
Latvia (14.01.) ? ? ? ? ? ? ? ?
Liechtenstein (14.01.) ? ? ? ? ? ? ? ?
Lithuania (08.01.) ? ? ? ? ? ? ? ?
Luxembourg (27.12.) ? ? ? ? ? 0 ? 0
Malta (04.09.) ? ? - 46 ? ? ? 1
Netherlands (08.01.) ? ? - 2178 ? ? ? ?
Norway (13.01.) ? ? ? 1319 ? 2 ? 174
Poland (31.12.) ? ? ? ? ? ? ? ?
Portugal (13.01.) - 39 ? ? - 7 ? ?
Romania (14.01.) ? ? ? ? ? ? ? ?
Slovakia (12.01.) ? 38 ? 305 ? 12 ? 110
Slovenia (14.01.) - 16 ? ? ? ? ? ?
Spain (30.12.) ? ? ? ? ? ? ? ?
Sweden (14.01.) ? 1 - 1352 ? ? ? ?
Switzerland (14.01.) ? 6 - 528 ? ? ? 94
United Kingdom* (14.01.) - 268 ? ? - 79 ? ?

Note: Data for the EU and EFTA countries correspond to the Ministry of Health or surveillance centre websites.
(?) denotes no information readily available in official sources.
* Data includes information for England only. Other cumulative hospitalisations are: Scotland (1517), Wales (444) and Northern Ireland (578).

Table 2. Reported number of new and cumulative confirmed fatal 2009 pandemic influenza A(H1N1) cases in EU and EFTA countries, as 15 January 2010, 09.00 CEST, and in the rest of the world by country, as of 14 January 2010, 16.00 CEST.
[Country - Number of new fatal cases since previous national update - Cumulative number of fatal cases]

EU and EFTA countries
- Austria ? ? 24
- Belgium ? ? 17
- Bulgaria ? ? 35
- Cyprus ? ? 6
- Czech Republic 10 ? 77
- Denmark ? ? 30
- Estonia ? ? 13
- Finland 5 ? 41
- France 6 - 278*
- Germany ? ? 178
- Greece 11 ? 93
- Hungary ? ? 57
- Iceland ? ? 2
- Ireland ? ? 22
- Italy ? ? 200
- Latvia ? ? 31
- Lithuania ? ? 19
- Luxembourg ? ? 3
- Malta ? ? 4
- Netherlands ? ? 54
- Norway ? ? 29
- Poland ? ? 148
- Portugal ? ? 83
- Romania 4 ? 100
- Slovakia ? ? 38
- Slovenia 1 ? 15
- Spain ? ? 271
- Sweden ? ? 25
- Switzerland 1 ? 16
- United Kingdom ? ? 362
  - Total 38 ? 2271
Other European countries and central Asia
- Albania ? ? 6
- Armenia ? ? 3
- Belarus ? ? 20
- Bosnia and Herzegovina ? ? 10
- Croatia ? ? 25
- Former Yugoslav Republic of Macedonia ? ? 23
- Georgia ? ? 20
- Kosovo ? ? 14
- Moldova ? ? 35
- Montenegro ? ? 7
- Russia ? ? 19
- Serbia 3 ? 71
- Ukraine ? ? 202
  - Total 3 ? 455
Mediterranean and Middle-East
- Algeria 3 ? 57
- Bahrain ? ? 7
- Egypt 5 ? 210
- Iran ? ? 147
- Iraq ? ? 42
- Israel ? ? 85
- Jordan .. ? 19
- Kuwait ? ? 30
- Lebanon ? ? 5
- Libya ? - 1
- Morocco ? ? 53
- Occupied Palestinian Territory ? ? 28
- Oman ? ? 31
- Qatar ? ? 8
- Saudi Arabia ? ? 124
- Syria ? ? 127
- Tunisia ? ? 21
- Turkey ? ? 415
- United Arab Emirates ? ? 6
- Yemen ? ? 28
  - Total 8 ? 1444
Africa
- Ghana ? ? 1
- Madagascar ? ? 3
- Mauritius ? ? 8
- Mozambique ? ? 2
- Namibia ? ? 1
- Sao Tome & Principe ? ? 2
- South Africa ? ? 93
- Sudan ? ? 5
- Tanzania ? ? 1
  - Total ? ? 116
North America
- Canada ? ? 416
- Mexico ? ? 896
- USA ? ? 2328
  - Total ? ? 3640
Central America and Caribbean
- Bahamas ? ? 4
- Barbados ? ? 3
- Bermuda ? ? 1
- Cayman Islands ? ? 1
- Costa Rica ? ? 47
- Cuba ? ? 53
- Dominican Republic ? ? 23
- El Salvador ? ? 32
- Guatemala ? ? 18
- Honduras ? ? 16
- Jamaica ? ? 7
- Nicaragua ? ? 11
- Panama ? ? 11
- Saint Kitts and Nevis ? ? 2
- Saint Lucia ? ? 1
- Suriname ? ? 2
- Trinidad-Tobago ? ? 5
  - Total ? ? 237
South America
- Argentina ? ? 617
- Bolivia ? ? 59
- Brazil ? ? 1632
- Chile ? ? 150
- Colombia ? ? 198
- Ecuador ? ? 117
- Paraguay ? ? 52
- Peru ? ? 208
- Uruguay ? ? 33
- Venezuela ? ? 124
  - Total ? ? 3190
North-East and South Asia
- Afghanistan ? ? 17
- Bangladesh ? - 6
- China (Mainland) 7 ? 666
- Hong Kong SAR China 1 ? 56
- India 32 ? 1098
- Japan ? ? 145
- Macao SAR China ? ? 2
- Maldives ? ? 1
- Mongolia ? ? 28
- Nepal ? ? 2
- Pakistan ? ? 14
- South Korea ? ? 170
- Sri Lanka ? ? 45
- Taiwan ? ? 36
  - Total 40 ? 2286
South-East Asia
- Brunei Darussalam ? ? 1
- Cambodia ? ? 6
- Indonesia ? ? 10
- Laos Peoples Democratic Republic ? ? 1
- Malaysia ? ? 77
- Philippines ? ? 30
- Singapore ? ? 19
- Thailand ? ? 196
- Vietnam ? ? 53
  - Total ? ? 393
Australia and Pacific
- Australia ? ? 191
- Cook Islands ? ? 1
- Marshall Islands ? ? 1
- New Zealand ? ? 20
- Samoa ? ? 2
- Solomon Islands ? ? 1
- Tonga ? ? 1
  - Total ? ? 217
TOTAL 89 ? 14249

* Deaths reported from France include 1 in Guyana, 9 in New Caledonia, 7 in the French Polynesia, 7 in La R?union, 1 in Martinique, 2 in Mayotte, 5 in Guadeloupe and 240 in mainland France.
(?)
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**Giuseppe** · January 18, 2010, 04:34 AM

Archive. ECDC Daily Update - From Jan. 1st to Jan. 15th 2010.

This thread contains the ECDC Daily Pandemic H1N1 2009 updates from January 1st to January 15th 2010.

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Archive. ECDC Daily Update - From Jan. 1st to Jan. 15th 2010.

Archive. ECDC Daily Update - From Jan. 1st to Jan. 15th 2010.

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