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Archive. ECDC: Pandemic Influenza H1N1 2009, Situation Updates (August 4 - December 31, 2009)

Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

Pandemic influenza (H1N1) 2009 - Update 3 August 2009, 17:00 hours CEST (ECDC, edited)

[Original Full Document: LINK. EDITED.]

ECDC SITUATION REPORT

Pandemic influenza (H1N1) 2009 - Update 3 August 2009, 17:00 hours CEST


Main developments in past 24 hours


  • 864 new cases reported from the EU and EFTA countries, reaching a total of 27 337 cases;
  • 2 445 new cases including 12 fatal cases, were reported from non-EU and EFTA countries, reaching a cumulative total of 160 802 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 3 August 2009, 16:00 hours CEST, is presented in Table 1 and Table 2.

Disclaimer:

The number of confirmed cases reported is based on laboratory test results, except for the US. Depending on the national laboratory testing policies, the actual number of cases by country may therefore be higher. 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 31 EU and EFTA countries, 30 countries have reported a total of 27 337 confirmed cases of influenza A(H1N1)v infection, including 40 deaths. In the past 24 hours, 864 new cases were reported from the EU and EFTA countries.

Outside of the EU and EFTA countries, a total of 2 445 new cases have been reported within the last 24 hours. In total, 160 802 cases including 1 225 fatal cases have been reported from non-EU and EFTA countries. Pakistan reported the first case. 12 new fatal cases were reported today; South Africa reported the country?s first fatal case and other fatal cases were reported from Australia (4), New Zealand (1), Costa Rica (1), Dominican Republic (2), Jamaica (1), Israel (1), Malaysia (1) and Singapore(1)

Globally, the total number of confirmed and reported influenza A(H1N1)v cases to date is 188 139, including 1 265 deaths.


Table 1: Reported new confirmed cases and cumulative number of influenza A(H1N1)v as of 3 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*]

  1. Austria ... - 153 - ...
  2. Belgium ... - 126 - 1
  3. Bulgaria ... - 36 - ...
  4. Cyprus ... - 297 - ...
  5. Czech Republic 12 - 116 - ...
  6. Denmark ... - 254 - ...
  7. Estonia 2 - 42 - ...
  8. Finland ... - 189 - ...
  9. France** ... - 719 - 1
  10. Germany 738 - 6800 - ...
  11. Greece ... - 730 - ...
  12. Hungary 5 - 99 - 1
  13. Iceland ... - 51 - ...
  14. Ireland ... - 276 - ...
  15. Italy ... - 975 - ...
  16. Latvia ... - 19 - ...
  17. Lithuania ... - 22 - ...
  18. Luxemburg ... - 61 - ...
  19. Malta ... - 157 - ...
  20. Netherlands*** ... - 517 - ...
  21. Norway ... - 471 - ...
  22. Poland 2 - 93 - ...
  23. Portugal 22 - 342 - ...
  24. Romania 14 - 178 - ...
  25. Slovakia 6 - 58 - ...
  26. Slovenia ... - 136 - ...
  27. Spain ... - 1538 - 7
  28. Sweden 15 - 526 - ...
  29. Switzerland ... - 484 - ...
  30. United Kingdom**** 48 - 11912 - 30

  • Total 864 - 27337 - 40

  • 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 Reunion-Mayotte (26), Antilles-Guyana (9), French Polynesia (16) and French New Caledonia (112).
  • (***) Cases from the Netherlands include those reported from Aruba and the Dutch Antilles
  • (****) Cases reported from the United Kingdom include those reported from Anguilla (1), The Falklands (5), Sovereign Base Area Cyprus (30), Turks and Caicos Islands (12)

Table 2: Reported cumulative number of confirmed cases and deaths of influenza A(H1N1)v as of 03 August 2009, 16:00 hours (CEST) outside of the EU and EFTA area

[Country - Confirmed cases in the last 24h - Cumulative number of confirmed cases - Deaths among confirmed cases*]

  • OTHER EUROPEAN COUNTRIES and CENTRAL ASIA

  1. Albania ... - 3 - ...
  2. Andorra ... - 1 - ...
  3. Azerbaijan ... - 2 - ...
  4. Bosnia and Herzegovina ... - 2 - ...
  5. Channel Islands ... - 55 - ...
  6. Croatia 3 - 55 - ...
  7. Georgia ... - 6 - ...
  8. Former Yugoslav Republic of Macedonia 7 - 21 - ...
  9. Isle of Man ... - 11 - ...
  10. Kazakhstan ... - 14 - ...
  11. Kosovo ... - 1 - ...
  12. Moldova ... - 1 - ...
  13. Monaco ... - 1 - ...
  14. Montenegro ... - 18 - ...
  15. Russia 13 - 41 - ...
  16. Serbia ... - 115 - ...
  17. Ukraine ... - 1 - ...

  • MEDITERRANEAN AND MIDDLE-EAST

  1. Algeria ... - 16 - ...
  2. Bahrain 25 - 123 - ...
  3. Egypt 9 - 283 - 1
  4. Iran 44 - 105 - ...
  5. Iraq 9 - 58 - ...
  6. Israel 199 - 1719 - 2
  7. Jordan ... - 79 - ...
  8. Kuwait 58 - 203 - ...
  9. Lebanon 56 - 210 - 1
  10. Libya ... - 9 - ...
  11. Morocco 13 - 66 - ...
  12. Occupied Palestinian Territory ... - 104 - ...
  13. Oman 104 - 123 - ...
  14. Qatar ... - 43 - 1
  15. Saudi Arabia 301 - 595 - 4
  16. Syria ... - 5 - ...
  17. Tunisia ... - 10 - ...
  18. Turkey 83 - 199 - ...
  19. United Arab Emirates ... - 110 - ...
  20. Yemen 1 - 11 - ...

  • AFRICA

  1. Botswana ... - 13 - ...
  2. Cape Verde ... - 6 - ...
  3. Ethiopia ... - 4 - ...
  4. Gabon ... - 1 - ...
  5. Ivory Coast ... - 2 - ...
  6. Kenya ... - 26 - ...
  7. Mauritius ... - 2 - ...
  8. Namibia ... - 4 - ...
  9. Seychelles ... - 3 - ...
  10. South Africa 329 - 480 - 1
  11. Sudan ... - 2 - ...
  12. Swaziland ... - 2 - ...
  13. Tanzania ... - 8 - ...
  14. Uganda ... - 9 - ...

  • NORTH AMERICA

  1. Canada ... - 10449 - 59
  2. Mexico ... - 16442 - 146
  3. **USA ... - 43771 - 353

  • CENTRAL AMERICA AND CARIBBEAN

  1. Antigua and Barbuda ... - 3 - ...
  2. Bahamas ... - 29 - ...
  3. Barbados ... - 23 - ...
  4. Belize ... - 23 - ...
  5. Bermuda ... - 4 - ...
  6. British Virgin Islands 3 - 5 - ...
  7. Cayman Islands ... - 60 - 1
  8. Costa Rica ... - 668 - 22
  9. Cuba ... - 234 - ...
  10. Dominica ... - 1 - ...
  11. Dominican Republic 23 - 154 - 5
  12. El Salvador ... - 556 - 9
  13. Grenada ... - 1 - ...
  14. Guatemala ... - 558 - 10
  15. Guyana ... - 5 - ...
  16. Haiti ... - 3 - ...
  17. Honduras ... - 169 - 4
  18. Jamaica 6 - 62 - 3
  19. Nicaragua ... - 432 - ...
  20. Panama ... - 588 - 2
  21. Saint Kitts and Nevis ... - 3 - 1
  22. Saint Lucia ... - 3 - ...
  23. Saint Vincent ... - 1 - ...
  24. Suriname ... - 14 - ...
  25. Trinidad-Tobago ... - 97 - ...

  • SOUTH AMERICA

  1. Argentina ... - 3056 - 165
  2. Bolivia ... - 946 - 9
  3. Brazil ... - 1958 - 56
  4. Chile ... - 11860 - 87
  5. Colombia ... - 270 - 17
  6. Ecuador ... - 696 - 18
  7. Paraguay ... - 223 - 19
  8. Peru ... - 4104 - 30
  9. Uruguay ... - 550 - 22
  10. Venezuela ... - 454 - 2

  • NORTH-EAST AND SOUTH ASIA

  1. Afghanistan 3 - 32 - ...
  2. Bangladesh ... - 30 - ...
  3. Bhutan ... - 2 - ...
  4. China (mainland) 62 - 2152 - ...
  5. Hong Kong SAR China 368 - 4272 - 3
  6. India 42 - 551 - ...
  7. Japan ... - 5022 - ...
  8. Macao SAR China 10 - 204 - ...
  9. Maldives ... - 1 - ...
  10. Nepal ... - 17 - ...
  11. Pakistan 1 - 1 - ...
  12. South Korea 67 - 1466 - ...
  13. Sri Lanka ... - 55 - ...
  14. Taiwan ... - 1280 - 1

  • SOUTH-EAST ASIA

  1. Brunei Darussalam ... - 786 - 1
  2. Cambodia ... - 17 - ...
  3. Indonesia 66 - 561 - 1
  4. Laos Peoples Democratic Republic ... - 51 - 1
  5. Malaysia 17 - 1446 - 7
  6. Myanmar ... - 10 - ...
  7. Philippines ... - 3207 - 8
  8. Singapore ... - 1217 - 6
  9. Thailand ... - 8879 - 65
  10. Vietnam 121 - 971 - ...

  • AUSTRALIA AND PACIFIC

  1. Australia 357 - 22109 - 67
  2. Cook Islands ... - 1 - ...
  3. Fiji ... - 97 - ...
  4. Micronesia ... - 1 - ...
  5. New Zealand 45 - 2855 - 14
  6. Papua New Guinea ... - 1 - ...
  7. Republic of Palau ... - 1 - ...
  8. Samoa ... - 37 - ...
  9. Solomon Islands ... - 2 - ...
  10. Tonga ... - 9 - 1
  11. Vanuatu ... - 3 - ...

  • TOTAL 2445 - 160802 - 1225

  • 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.
  • (*) Deaths are included in the cumulative number of confirmed cases
  • (**) Cases in the US include both probable and confirmed cases. They also include confirmed cases from Puerto Rico, American Samoa, Guam and Virgin Islands.
(...)
-
------
 
Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

Pandemic influenza (H1N1) 2009 - Update 4 August 2009, 17:00 hours CEST (ECDC, edited)

[Original Full Document: LINK. EDITED.]

ECDC SITUATION REPORT

Pandemic influenza (H1N1) 2009 - Update 4 August 2009, 17:00 hours CEST


Main developments in past 24 hours


  • 515 new cases reported from the EU and EFTA countries, reaching a total of 27 892 cases;
  • 4880 new cases including 96 fatal cases, were reported from non-EU and EFTA countries, reaching a cumulative total of 165 682 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 4 August 2009, 16:00 hours CEST, is presented in Table 1 and Table 2.

Disclaimer:

The number of confirmed cases reported is based on laboratory test results, except for the US. Depending on the national laboratory testing policies, the actual number of cases by country may therefore be higher. 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 31 EU and EFTA countries, 30 countries have reported a total of 27 892 confirmed cases of influenza A(H1N1)v infection, including 40 deaths. In the past 24 hours, 515 new cases were reported from the EU and EFTA countries. Netherlands reported the first fatal case.

Outside of the EU and EFTA countries, a total of 4 880 new cases have been reported within the last 24 hours. In total, 165 682 cases including 1 321 fatal cases have been reported from non-EU and EFTA countries.

Globally, the total number of confirmed and reported influenza A(H1N1)v cases to date is 193 574, including 1 362 deaths.


Table 1: Reported new confirmed cases and cumulative number of influenza A(H1N1)v as of 04 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*]

  1. Austria ... - 153 - ...
  2. Belgium ... - 126 - 1
  3. Bulgaria ... - 36 - ...
  4. Cyprus ... - 297 - ...
  5. Czech Republic ... - 116 - ...
  6. Denmark 26 - 280 - ...
  7. Estonia ... - 42 - ...
  8. Finland ... - 189 - ...
  9. France** ... - 719 - 1
  10. Germany 377 - 7177 - ...
  11. Greece ... - 730 - ...
  12. Hungary 3 - 102 - 1
  13. Iceland 3 - 54 - ...
  14. Ireland ... - 276 - ...
  15. Italy ... - 975 - ...
  16. Latvia ... - 19 - ...
  17. Lithuania ... - 22 - ...
  18. Luxemburg ... - 61 - ...
  19. Malta 11 - 168 - ...
  20. Netherlands*** ... - 517 - 1
  21. Norway ... - 471 - ...
  22. Poland 6 - 99 - ...
  23. Portugal 12 - 354 - ...
  24. Romania 12 - 190 - ...
  25. Slovakia 10 - 68 - ...
  26. Slovenia 5 - 141 - ...
  27. Spain ... - 1538 - 7
  28. Sweden 25 - 551 - ...
  29. Switzerland 25 - 509 - ...
  30. United Kingdom**** ... - 11912 - 30

  • Total 515 - 27892 - 41

  • 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 Reunion-Mayotte (26), Antilles-Guyana (9), French Polynesia (16) and French New Caledonia (112).
  • (***) Cases from the Netherlands include those reported from Aruba and the Dutch Antilles
  • (****) Cases reported from the United Kingdom include those reported from Anguilla (1), The Falklands (5), Sovereign Base Area Cyprus (30), Turks and Caicos Islands (12)

Table 2: Reported cumulative number of confirmed cases and deaths of influenza A(H1N1)v as of 04 August 2009, 16:00 hours (CEST) outside of the EU and EFTA area

[Country - Confirmed cases reported in the last 24h - Cumulative number of confirmed cases - Deaths among confirmed cases*]

  • OTHER EUROPEAN COUNTRIES and CENTRAL ASIA

  1. Albania 10 - 13 - ...
  2. Andorra ... - 1 - ...
  3. Azerbaijan ... - 2 - ...
  4. Bosnia and Herzegovina 8 - 10 - ...
  5. Channel Islands ... - 55 - ...
  6. Croatia 4 - 59 - ...
  7. Georgia 38 - 44 - 1
  8. Former Yugoslav Republic of Macedonia 6 - 27 - ...
  9. Isle of Man ... - 11 - ...
  10. Kazakhstan 1 - 15 - ...
  11. Kosovo ... - 1 - ...
  12. Moldova 1 - 2 - ...
  13. Monaco ... - 1 - ...
  14. Montenegro ... - 18 - ...
  15. Russia 14 - 55 - ...
  16. Serbia 5 - 120 - ...
  17. Ukraine ... - 1 - ...

  • MEDITERRANEAN AND MIDDLE-EAST

  1. Algeria ... - 16 - ...
  2. Bahrain 7 - 130 - ...
  3. Egypt 6 - 289 - 1
  4. Iran 19 - 124 - ...
  5. Iraq ... - 58 - ...
  6. Israel ... - 1719 - 2
  7. Jordan ... - 79 - ...
  8. Kuwait 91 - 294 - ...
  9. Lebanon ... - 210 - 1
  10. Libya ... - 9 - ...
  11. Morocco ... - 66 - ...
  12. Occupied Palestinian Territory ... - 104 - ...
  13. Oman 2 - 125 - ...
  14. Qatar ... - 43 - 1
  15. Saudi Arabia ... - 595 - 4
  16. Syria 4 - 9 - ...
  17. Tunisia ... - 10 - ...
  18. Turkey ... - 199 - ...
  19. United Arab Emirates 15 - 125 - ...
  20. Yemen ... - 11 - ...

  • AFRICA

  1. Botswana 10 - 23 - ...
  2. Cape Verde ... - 6 - ...
  3. Ethiopia ... - 4 - ...
  4. Gabon ... - 1 - ...
  5. Ivory Coast ... - 2 - ...
  6. Kenya ... - 26 - ...
  7. Mauritius ... - 2 - ...
  8. Namibia 1 - 5 - ...
  9. Seychelles ... - 3 - ...
  10. South Africa ... - 480 - 1
  11. Sudan ... - 2 - ...
  12. Swaziland ... - 2 - ...
  13. Tanzania 2 - 10 - ...
  14. Uganda ... - 9 - ...

  • NORTH AMERICA

  1. Canada ... - 10449 - 59
  2. Mexico ... - 16442 - 146
  3. **USA ... - 43771 - 353

  • CENTRAL AMERICA AND CARIBBEAN

  1. Antigua and Barbuda ... - 3 - ...
  2. Bahamas ... - 29 - ...
  3. Barbados 8 - 31 - ...
  4. Belize ... - 23 - ...
  5. Bermuda ... - 4 - ...
  6. British Virgin Islands ... - 5 - ...
  7. Cayman Islands ... - 60 - 1
  8. Costa Rica 50 - 718 - 22
  9. Cuba ... - 234 - ...
  10. Dominica ... - 1 - ...
  11. Dominican Republic ... - 154 - 5
  12. El Salvador ... - 556 - 9
  13. Grenada ... - 1 - ...
  14. Guatemala ... - 558 - 10
  15. Guyana 1 - 6 - ...
  16. Haiti ... - 3 - ...
  17. Honduras 21 - 190 - 6
  18. Jamaica ... - 62 - 3
  19. Nicaragua 12 - 444 - ...
  20. Panama 12 - 600 - 2
  21. Saint Kitts and Nevis ... - 3 - 1
  22. Saint Lucia ... - 3 - ...
  23. Saint Vincent ... - 1 - ...
  24. Suriname ... - 14 - ...
  25. Trinidad-Tobago ... - 97 - ...

  • SOUTH AMERICA

  1. Argentina 1839 - 4895 - 243
  2. Bolivia ... - 946 - 9
  3. Brazil ... - 1958 - 56
  4. Chile ... - 11860 - 96
  5. Colombia ... - 270 - 17
  6. Ecuador ... - 696 - 18
  7. Paraguay ... - 223 - 19
  8. Peru 677 - 4781 - 30
  9. Uruguay ... - 550 - 22
  10. Venezuela ... - 454 - 2

  • NORTH-EAST AND SOUTH ASIA

  1. Afghanistan ... - 32 - ...
  2. Bangladesh ... - 30 - ...
  3. Bhutan 1 - 3 - ...
  4. China (mainland) ... - 2152 - ...
  5. Hong Kong SAR China 232 - 4504 - 3
  6. India 7 - 558 - 1
  7. Japan ... - 5022 - ...
  8. Macao SAR China 13 - 217 - ...
  9. Maldives ... - 1 - ...
  10. Nepal ... - 17 - ...
  11. Pakistan ... - 1 - ...
  12. South Korea 54 - 1520 - ...
  13. Sri Lanka 5 - 60 - ...
  14. Taiwan ... - 1280 - 1

  • SOUTH-EAST ASIA

  1. Brunei Darussalam ... - 786 - 1
  2. Cambodia 4 - 21 - ...
  3. Indonesia 58 - 619 - 1
  4. Laos Peoples Democratic Republic ... - 51 - 1
  5. Malaysia 14 - 1460 - 8
  6. Myanmar 3 - 13 - ...
  7. Philippines ... - 3207 - 8
  8. Singapore ... - 1217 - 6
  9. Thailand ... - 8879 - 65
  10. Vietnam 24 - 995 - 1

  • AUSTRALIA AND PACIFIC

  1. Australia 1583 - 23692 - 70
  2. Cook Islands ... - 1 - ...
  3. Fiji ... - 97 - ...
  4. Micronesia ... - 1 - ...
  5. New Zealand 17 - 2872 - 14
  6. Papua New Guinea ... - 1 - ...
  7. Republic of Palau ... - 1 - ...
  8. Samoa ... - 37 - ...
  9. Solomon Islands 1 - 3 - ...
  10. Tonga ... - 9 - 1
  11. Vanuatu ... - 3 - ...

  • TOTAL 4880 - 165682 - 1321

  • 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.
  • (*) Deaths are included in the cumulative number of confirmed cases
  • (**) Cases in the US include both probable and confirmed cases. They also include confirmed cases from Puerto Rico, American Samoa, Guam and Virgin Islands.
(...)
-
-----
 
Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

Pandemic influenza (H1N1) 2009 - Update 5 August 2009, 17:00 hours CEST (ECDC, edited)

[Original Full Document: LINK. EDITED.]

ECDC SITUATION REPORT

Pandemic influenza (H1N1) 2009 - Update 5 August 2009, 17:00 hours CEST


Main developments in past 24 hours


  • 1016 new cases reported from the EU and EFTA countries, reaching a total of 28 908 cases;
  • 4499 new cases including 82 fatal cases, were reported from non-EU and EFTA countries, reaching a cumulative total of 170 126 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 5 August 2009, 16:00 hours CEST, is presented in Table 1 and Table 2.

Disclaimer:

The number of confirmed cases reported is based on laboratory test results, except for the US. Depending on the national laboratory testing policies, the actual number of cases by country may therefore be higher. 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 31 EU and EFTA countries, 30 countries have reported a total of 28 908 confirmed cases of influenza A(H1N1)v infection, including 42 deaths. In the past 24 hours, 1016 new cases, including one fatal case from Spain, were reported from the EU and EFTA countries.

Outside of the EU and EFTA countries, a total of 4 499 new cases have been reported within the last 24 hours. In total, 170 126 cases including 1 402 fatal cases have been reported from non-EU and EFTA countries. 82 fatal cases were reported from Australia (4), Costa Rica (3), El Salvador (3), Spain (1), Saudi Arabia (2), Bolivia (2), Brazil (40), Ecuador (1), Peru (3), Indonesia (2), Malaysia (3) and Thailand (16).

Globally, the total number of confirmed and reported influenza A(H1N1)v cases to date is 199 034, including 1 444 deaths.


Public Health Developments

Pandemic influenza A(H1N1) 2009 in pregnancy places women at higher risk of adverse outcome - published analytic study from the United States

Earlier this year the US Centers for Disease Control and Prevention (CDC) reported cases of influenza A(H1N1)v virus infection among pregnant women in the US. A number of these infections resulted in complications or even death. Working with American state authorities and clinicians, CDC undertook an analytic study of the first month of transmission in the USA (15 April ? 18 May) which has now been published. The analytic study compared the experience of three groups of infected people: the 34 pregnant women, non-pregnant women of reproductive age (15?44 years old), and the general population. The estimated rate of admission for influenza A(H1N1)v virus infection in pregnant women during the first month of the outbreak was higher both than for non-pregnant infected women and for the general population. These findings indicate that pregnant women deserve particular care during a pandemic and some countries have already issued guidance for maternity services and clinicians.

The full document and commentary is available on the ECDC website: http://ecdc.europa.eu/en/health_content/sciadv/090805_sciadv.aspx


Table 1: Reported new confirmed cases and cumulative number of influenza A(H1N1)v as of 05 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*]

  1. Austria 25 - 178 - ...
  2. Belgium ... - 126 - 1
  3. Bulgaria ... - 36 - ...
  4. Cyprus ... - 297 - ...
  5. Czech Republic 19 - 135 - ...
  6. Denmark ... - 280 - ...
  7. Estonia 2 - 44 - ...
  8. Finland ... - 189 - ...
  9. France** ... - 719 - 1
  10. Germany 786 - 7963 - ...
  11. Greece ... - 730 - ...
  12. Hungary ... - 102 - 1
  13. Iceland ... - 54 - ...
  14. Ireland ... - 276 - ...
  15. Italy ... - 975 - ...
  16. Latvia ... - 19 - ...
  17. Lithuania 2 - 24 - ...
  18. Luxemburg ... - 61 - ...
  19. Malta ... - 168 - ...
  20. Netherlands*** ... - 517 - 1
  21. Norway 136 - 607 - ...
  22. Poland 2 - 101 - ...
  23. Portugal ... - 354 - ...
  24. Romania 4 - 194 - ...
  25. Slovakia 5 - 73 - ...
  26. Slovenia 9 - 150 - ...
  27. Spain 0 - 1538 - 8
  28. Sweden ... - 551 - ...
  29. Switzerland 26 - 535 - ...
  30. United Kingdom**** ... - 11912 - 30

  • Total 1016 - 28908 - 42

  • 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 Reunion-Mayotte (26), Antilles-Guyana (9), French Polynesia (16) and French New Caledonia (112).
  • (***) Cases from the Netherlands include those reported from Aruba and the Dutch Antilles
  • (****) Cases reported from the United Kingdom include those reported from Anguilla (1), The Falklands (5), Sovereign Base Area Cyprus (30), Turks and Caicos Islands (12)

Table 2: Reported cumulative number of confirmed cases and deaths of influenza A(H1N1)v as of 05 August 2009, 16:00 hours (CEST) outside of the EU and EFTA area

[Country - Confirmed cases reported in the last 24h - Cumulative number of confirmed cases - Deaths among confirmed cases*]

  • OTHER EUROPEAN COUNTRIES and CENTRAL ASIA

  1. Albania ... - 13 - ...
  2. Andorra ... - 1 - ...
  3. Azerbaijan ... - 2 - ...
  4. Bosnia and Herzegovina ... - 10 - ...
  5. Channel Islands ... - 55 - ...
  6. Croatia 2 - 61 - ...
  7. Georgia ... - 12 - ...
  8. Former Yugoslav Republic of Macedonia ... - 27 - ...
  9. Isle of Man ... - 11 - ...
  10. Kazakhstan ... - 15 - ...
  11. Kosovo ... - 1 - ...
  12. Moldova ... - 2 - ...
  13. Monaco ... - 1 - ...
  14. Montenegro ... - 18 - ...
  15. Russia ... - 55 - ...
  16. Serbia ... - 120 - ...
  17. Ukraine ... - 1 - ...

  • MEDITERRANEAN AND MIDDLE-EAST

  1. Algeria ... - 16 - ...
  2. Bahrain ... - 130 - ...
  3. Egypt ... - 289 - 1
  4. Iran ... - 124 - ...
  5. Iraq ... - 58 - ...
  6. Israel ... - 1719 - 2
  7. Jordan ... - 79 - ...
  8. Kuwait ... - 294 - ...
  9. Lebanon ... - 210 - 1
  10. Libya ... - 9 - ...
  11. Morocco 5 - 71 - ...
  12. Occupied Palestinian Territory ... - 81 - ...
  13. Oman ... - 125 - ...
  14. Qatar ... - 43 - 1
  15. Saudi Arabia 0 - 595 - 6
  16. Syria ... - 9 - ...
  17. Tunisia ... - 10 - ...
  18. Turkey ... - 199 - ...
  19. United Arab Emirates ... - 125 - ...
  20. Yemen ... - 11 - ...

  • AFRICA

  1. Botswana ... - 23 - ...
  2. Cape Verde ... - 6 - ...
  3. Ethiopia ... - 4 - ...
  4. Gabon ... - 1 - ...
  5. Ivory Coast ... - 2 - ...
  6. Kenya ... - 26 - ...
  7. Mauritius ... - 2 - ...
  8. Namibia ... - 5 - ...
  9. Seychelles ... - 3 - ...
  10. South Africa 220 - 700 - 1
  11. Sudan ... - 2 - ...
  12. Swaziland ... - 2 - ...
  13. Tanzania ... - 10 - ...
  14. Uganda ... - 9 - ...

  • NORTH AMERICA

  1. Canada ... - 10449 - 62
  2. Mexico 974 - 17416 - 146
  3. **USA ... - 43771 - 353

  • CENTRAL AMERICA AND CARIBBEAN

  1. Antigua and Barbuda ... - 3 - ...
  2. Bahamas ... - 29 - ...
  3. Barbados ... - 31 - ...
  4. Belize ... - 23 - ...
  5. Bermuda ... - 4 - ...
  6. British Virgin Islands ... - 5 - ...
  7. Cayman Islands ... - 60 - 1
  8. Costa Rica 37 - 755 - 25
  9. Cuba ... - 234 - ...
  10. Dominica ... - 1 - ...
  11. Dominican Republic ... - 154 - 5
  12. El Salvador ... - 556 - 12
  13. Grenada ... - 1 - ...
  14. Guatemala ... - 558 - 10
  15. Guyana ... - 6 - ...
  16. Haiti 2 - 5 - ...
  17. Honduras ... - 190 - 6
  18. Jamaica ... - 62 - 3
  19. Nicaragua 28 - 472 - ...
  20. Panama ... - 600 - 2
  21. Saint Kitts and Nevis ... - 3 - 1
  22. Saint Lucia ... - 3 - ...
  23. Saint Vincent ... - 1 - ...
  24. Suriname ... - 14 - ...
  25. Trinidad-Tobago ... - 97 - ...

  • SOUTH AMERICA

  1. Argentina ... - 4895 - 243
  2. Bolivia 23 - 969 - 11
  3. Brazil 1001 - 2959 - 96
  4. Chile ... - 11860 - 96
  5. Colombia 5 - 275 - 17
  6. Ecuador 0 - 696 - 19
  7. Paraguay ... - 223 - 19
  8. Peru 108 - 4889 - 33
  9. Uruguay ... - 550 - 22
  10. Venezuela 22 - 476 - 2

  • NORTH-EAST AND SOUTH ASIA

  1. Afghanistan ... - 32 - ...
  2. Bangladesh 2 - 32 - ...
  3. Bhutan ... - 3 - ...
  4. China (mainland) ... - 2152 - ...
  5. Hong Kong SAR China 245 - 4749 - 3
  6. India 16 - 574 - 1
  7. Japan ... - 5022 - ...
  8. Macao SAR China 8 - 225 - ...
  9. Maldives ... - 1 - ...
  10. Nepal ... - 17 - ...
  11. Pakistan ... - 1 - ...
  12. South Korea 30 - 1550 - ...
  13. Sri Lanka ... - 60 - ...
  14. Taiwan ... - 1280 - 1

  • SOUTH-EAST ASIA

  1. Brunei Darussalam ... - 786 - 1
  2. Cambodia ... - 21 - ...
  3. Indonesia 43 - 662 - 3
  4. Laos Peoples Democratic Republic 105 - 156 - 1
  5. Malaysia 16 - 1476 - 11
  6. Myanmar ... - 13 - ...
  7. Philippines ... - 3207 - 8
  8. Singapore ... - 1217 - 6
  9. Thailand 1164 - 10043 - 81
  10. Vietnam ... - 995 - 1

  • AUSTRALIA AND PACIFIC

  1. Australia 422 - 24114 - 74
  2. Cook Islands ... - 1 - ...
  3. Fiji ... - 97 - ...
  4. Micronesia ... - 1 - ...
  5. New Zealand 21 - 2893 - 14
  6. Papua New Guinea ... - 1 - ...
  7. Republic of Palau ... - 1 - ...
  8. Samoa ... - 37 - ...
  9. Solomon Islands ... - 3 - ...
  10. Tonga ... - 9 - 1
  11. Vanuatu ... - 3 - ...

  • TOTAL 4499 - 170126 - 1402

  • 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.
  • (*) Deaths are included in the cumulative number of confirmed cases
  • (**) Cases in the US include both probable and confirmed cases. They also include confirmed cases from Puerto Rico, American Samoa, Guam and Virgin Islands.
(...)
-
------
 
Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

Pandemic influenza (H1N1) 2009 - Update 6 August 2009, 17:00 hours CEST (ECDC, edited)

[Original Full Document: LINK. EDITED.]

ECDC SITUATION REPORT

Pandemic influenza (H1N1) 2009 - Update 6 August 2009, 17:00 hours CEST


Main developments in past 24 hours


  • 1 421 new cases reported from the EU and EFTA countries, reaching a total of 30 310 cases;
  • 1 730 new cases including 107 fatal cases, were reported from non-EU and EFTA countries, reaching a cumulative total of 171 856 cases;
  • WHO issues briefing notes on the safety and manufacturing process of the pandemic vaccine.

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 6 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 31 EU and EFTA countries, 31 countries have reported a total of 30 310 confirmed cases of influenza A(H1N1)v infection, including 42 deaths. In the past 24 hours, 1 421 new cases were reported from the EU and EFTA countries. The first five cases in Liechtenstein were recorded.

Outside of the EU and EFTA countries, a total of 1 730 new cases have been reported within the last 24 hours. 107 fatal cases were reported from Australia (3), Jamaica (1), Argentina (94), Bolivia (1), Paraguay (3), Peru (2) and Malaysia (3).

In total, 171 856 cases including 1 509 fatal cases have been reported from non-EU and EFTA countries.

Globally, the total number of confirmed and reported influenza A(H1N1)v cases to date is 202 151, including 1 550 deaths.


Other updates

The World Health Organization (WHO) issued a briefing note on the safety of pandemic vaccines and the vaccine manufacturing process.

Full briefing notes are available at: http://www.who.int/en/


Table 1: Reported new confirmed cases and cumulative number of influenza A(H1N1)v as of 06 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*]

  1. Austria ... - 178 - ...
  2. Belgium ... - 126 - 1
  3. Bulgaria 2 - 38 - ...
  4. Cyprus ... - 297 - ...
  5. Czech Republic 27 - 162 - ...
  6. Denmark 56 - 336 - ...
  7. Estonia 2 - 46 - ...
  8. Finland ... - 189 - ...
  9. France** 161 - 880 - 1
  10. Germany 656 - 8619 - ...
  11. Greece 272 - 1002 - ...
  12. Hungary 3 - 105 - 1
  13. Iceland 9 - 63 - ...
  14. Ireland ... - 276 - ...
  15. Italy ... - 975 - ...
  16. Latvia ... - 19 - ...
  17. Liechtenstein 5 - 5 - ...
  18. Lithuania 5 - 29 - ...
  19. Luxemburg ... - 61 - ...
  20. Malta 8 - 176 - ...
  21. Netherlands*** ... - 517 - 1
  22. Norway 60 - 667 - ...
  23. Poland 13 - 114 - ...
  24. Portugal 79 - 433 - ...
  25. Romania 5 - 199 - ...
  26. Slovakia 3 - 76 - ...
  27. Slovenia 3 - 153 - ...
  28. Spain ... - 1538 - 8
  29. Sweden 5 - 556 - ...
  30. Switzerland 28 - 563 - ...
  31. United Kingdom**** ... - 11912 - 30

  • Total 1402 - 30310 - 42

  • 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 (275)
  • (***) Cases from the Netherlands include those reported from Aruba and the Dutch Antilles
  • (****) Cases reported from the United Kingdom include those reported from Anguilla (1), The Falklands (5), Sovereign Base Area Cyprus (30), Turks and Caicos Islands (12)

Table 2: Reported cumulative number of confirmed cases and deaths of influenza A(H1N1)v as of 06 August 2009, 16:00 hours (CEST) outside of the EU and EFTA area

[Country - Confirmed cases reported in the last 24h - Cumulative number of confirmed cases - Deaths among confirmed cases*]

  • OTHER EUROPEAN COUNTRIES and CENTRAL ASIA

  1. Albania ... - 13 - ...
  2. Andorra ... - 1 - ...
  3. Azerbaijan ... - 2 - ...
  4. Bosnia and Herzegovina ... - 10 - ...
  5. Channel Islands ... - 55 - ...
  6. Croatia 4 - 65 - ...
  7. Former Yugoslav Republic of Macedonia 2 - 29 - ...
  8. Georgia ... - 12 - ...
  9. Isle of Man ... - 11 - ...
  10. Kazakhstan 2 - 17 - ...
  11. Kosovo 1 - 2 - ...
  12. Moldova ... - 2 - ...
  13. Monaco ... - 1 - ...
  14. Montenegro ... - 18 - ...
  15. Russia ... - 55 - ...
  16. Serbia ... - 120 - ...
  17. Ukraine ... - 1 - ...

  • MEDITERRANEAN AND MIDDLE-EAST

  1. Algeria 3 - 19 - ...
  2. Bahrain 18 - 148 - ...
  3. Egypt 25 - 314 - 1
  4. Iran 20 - 144 - ...
  5. Iraq ... - 58 - ...
  6. Israel ... - 1719 - 2
  7. Jordan 20 - 99 - ...
  8. Kuwait 135 - 429 - ...
  9. Lebanon ... - 210 - 1
  10. Libya ... - 9 - ...
  11. Morocco ... - 71 - ...
  12. Occupied Palestinian Territory ... - 81 - ...
  13. Oman ... - 125 - ...
  14. Qatar ... - 43 - 1
  15. Saudi Arabia ... - 595 - 6
  16. Syria 4 - 13 - ...
  17. Tunisia 9 - 19 - ...
  18. Turkey ... - 199 - ...
  19. United Arab Emirates ... - 125 - ...
  20. Yemen 1 - 12 - ...

  • AFRICA

  1. Botswana ... - 23 - ...
  2. Cape Verde ... - 6 - ...
  3. Ethiopia ... - 4 - ...
  4. Gabon ... - 1 - ...
  5. Ivory Coast ... - 2 - ...
  6. Kenya ... - 26 - ...
  7. Mauritius ... - 2 - ...
  8. Namibia 2 - 7 - ...
  9. Seychelles ... - 3 - ...
  10. South Africa ... - 700 - 1
  11. Sudan ... - 2 - ...
  12. Swaziland ... - 2 - ...
  13. Tanzania ... - 10 - ...
  14. Uganda ... - 9 - ...

  • NORTH AMERICA

  1. Canada ... - 10449 - 62
  2. Mexico ... - 17416 - 146
  3. **USA ... - 43771 - 353

  • CENTRAL AMERICA AND CARIBBEAN

  1. Antigua and Barbuda ... - 3 - ...
  2. Bahamas ... - 29 - ...
  3. Barbados ... - 31 - ...
  4. Belize ... - 23 - ...
  5. Bermuda ... - 4 - ...
  6. British Virgin Islands ... - 5 - ...
  7. Cayman Islands ... - 60 - 1
  8. Costa Rica ... - 755 - 25
  9. Cuba ... - 234 - ...
  10. Dominica ... - 1 - ...
  11. Dominican Republic ... - 154 - 5
  12. El Salvador 39 - 595 - 12
  13. Grenada ... - 1 - ...
  14. Guatemala ... - 558 - 10
  15. Guyana ... - 6 - ...
  16. Haiti ... - 5 - ...
  17. Honduras 41 - 231 - 6
  18. Jamaica ... - 62 - 4
  19. Nicaragua ... - 472 - ...
  20. Panama ... - 600 - 2
  21. Saint Kitts and Nevis ... - 3 - 1
  22. Saint Lucia ... - 3 - ...
  23. Saint Vincent ... - 1 - ...
  24. Suriname ... - 14 - ...
  25. Trinidad-Tobago ... - 97 - ...

  • SOUTH AMERICA

  1. Argentina 815 - 5710 - 337
  2. Bolivia 4 - 973 - 12
  3. Brazil ... - 2959 - 96
  4. Chile ... - 11860 - 96
  5. Colombia ... - 275 - 17
  6. Ecuador ... - 696 - 19
  7. Paraguay 5 - 228 - 22
  8. Peru 68 - 4957 - 35
  9. Uruguay ... - 550 - 22
  10. Venezuela ... - 476 - 2

  • NORTH-EAST AND SOUTH ASIA

  1. Afghanistan ... - 32 - ...
  2. Bangladesh ... - 32 - ...
  3. Bhutan ... - 3 - ...
  4. China (mainland) 58 - 2210 - ...
  5. Hong Kong SAR China ... - 4749 - 3
  6. India 22 - 596 - 1
  7. Japan ... - 5022 - ...
  8. Macao SAR China 11 - 236 - ...
  9. Maldives ... - 1 - ...
  10. Nepal ... - 17 - ...
  11. Pakistan ... - 1 - ...
  12. South Korea ... - 1550 - ...
  13. Sri Lanka ... - 60 - ...
  14. Taiwan ... - 1280 - 1

  • SOUTH-EAST ASIA

  1. Brunei Darussalam ... - 786 - 1
  2. Cambodia ... - 21 - ...
  3. Indonesia ... - 662 - 3
  4. Laos Peoples Democratic Republic ... - 156 - 1
  5. Malaysia 16 - 1492 - 14
  6. Myanmar 1 - 14 - ...
  7. Philippines ... - 3207 - 8
  8. Singapore ... - 1217 - 6
  9. Thailand ... - 10043 - 81
  10. Vietnam 9 - 1004 - 1

  • AUSTRALIA AND PACIFIC

  1. Australia 281 - 24395 - 77
  2. Cook Islands 17 - 18 - ...
  3. Fiji ... - 97 - ...
  4. Kiribati 3 - 3 - ...
  5. Marshall Islands 27 - 27 - ...
  6. Micronesia ... - 1 - ...
  7. Nauru 7 - 7 - ...
  8. New Zealand 15 - 2908 - 14
  9. Papua New Guinea 4 - 5 - ...
  10. Republic of Palau 12 - 13 - ...
  11. Samoa 29 - 66 - ...
  12. Solomon Islands ... - 3 - ...
  13. Tonga ... - 9 - 1
  14. Vanuatu ... - 3 - ...

  • TOTAL 1730 - 171856 - 1509

  • 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.
  • (*) Deaths are included in the cumulative number of confirmed cases
  • (**) Cases in the US include both probable and confirmed cases. They also include confirmed cases from Puerto Rico, American Samoa, Guam and Virgin Islands.

(...)
-
-----
 
Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

Pandemic influenza (H1N1) 2009 - Update 7 August 2009, 17:00 hours CEST (ECDC, edited)

[Original Full Document: LINK. EDITED.]

ECDC SITUATION REPORT

Pandemic influenza (H1N1) 2009 - Update 7 August 2009, 17:00 hours CEST


Main developments in past 24 hours


  • 2 065 new cases reported from the EU and EFTA countries, reaching a total of 32 375 cases;
  • 1 552 new cases including 18 fatal cases, were reported from non-EU and EFTA countries, reaching a cumulative total of 173 408 cases;
  • EU weekly sentinel surveillance update published;
  • Changes to format of the ECDC Situation Report announced;
  • Updates from Eurosurveillance available.

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 7 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 31 EU and EFTA countries, 31 countries have reported a total of 32 375 confirmed cases of influenza A(H1N1)v infection, including 42 deaths. In the past 24 hours, 2 065 new cases were reported from the EU and EFTA countries.

Outside of the EU and EFTA countries, a total of 1 552 new cases have been reported within the last 24 hours. 18 fatal cases were reported from Australia (8), Saudi Arabia (1), Canada (2), Mexico (3), Chile (1), Peru (1) and Singapore (2). In total, 173 408 cases including 1 527 fatal cases have been reported from non-EU and EFTA countries.

Globally, the total number of confirmed and reported influenza A(H1N1)v cases to date is 205 783, including 1 569 deaths.


EU sentinel surveillance update

The weekly influenza surveillance bulletin from EISN has been published on the ECDC website. All of the 84 subtyped influenza viruses detected by sentinel networks in week 31/2009 were A(H1N1)v, and the UK (Northern Ireland) reported medium activity for the first time. Ireland and the UK (England, Northern Ireland) are the only countries that have reported influenza activity above their national baseline levels since the pandemic was declared.

The full bulletin is available at: http://ecdc.europa.eu/en/Activities/Surveillance/EISN/default.aspx


Updates from Eurosurveillance

In this week's edition of Eurosurveillance an article from Australia presents influenza trends observed during the first 11 weeks of sentinel surveillance, indicating that from the eighth week of surveillance (calendar week 25) more than 90% of detected influenza viruses were confirmed as pandemic influenza (H1N1). The median age of patients with pandemic influenza was 21 years (range 2-63 years) compared with the median age of patients with seasonal (H1N1) influenza in 2007 or 2008 of 23 years (range 1-75 years). There was no evidence of significant protection from seasonal vaccine against pandemic influenza virus infection in any age group. http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=19288

A report from Germany describes the early stage of the pandemic (H1N1) 2009 with 198 cases confirmed until 16 June, almost half of these imported, mainly from Mexico and the United States. About two thirds of domestic cases were outbreak-related (including two large school outbreaks). The number of cases has increased rapidly since mid-July (about 8,000 confirmed cases notified until 5 August) but the overall picture has not changed considerably since the recent increase is mainly due to travellers (79% imported cases). http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=19295

An article analysing the pandemic (H1N1) 2009 in Thailand gives estimates of the basic reproduction ratio (2.07 and 1.78 for two different generation intervals) and case fatality ratio (0.58%). These estimates are comparable with those reported in the literature on the initial outbreak in Mexico but the CFR is higher than that recently calculated for developed countries. http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=19292

Two papers share experiences of recent mass gathering events in Serbia and Belgium where cases of pandemic influenza (H1N1) were detected. Both articles stress the importance of timely communication which made it possible to identify cases. It is likely that the mass gathering events in both countries had an impact on the local epidemiological situation, however, as the pandemic unfolds, community transmission seems unavoidable and the mitigation approach most appropriate.
http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=19296
http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=19294


Other updates

Changes to situation report next week

ECDC will refresh the format of the Situation Update on Monday, August 10, to better accommodate current information needs and prepare for anticipated needs as the pandemic evolves within Europe. The name of this report will change into "Daily update". We will discontinue reporting number of cases outside Europe, since many countries have already stopped updating their totals, and the figures are becoming increasingly less informative. This will help focus ECDC's epidemic intelligence and surveillance into a more analytical overview of the European data and the evolving seriousness of the pandemic. Worldwide monitoring is nevertheless provided by international organisations on regular basis. A new table to report on the number of hospitalized cases and cases admitted for intensive care in EU member states, based on publicly available reports from national official sites will be included. The other tables, graphs and maps will change accordingly. We also will begin including summaries of the "Scientific Advances", "Public Health Developments", and the sentinel surveillance reports on a weekly basis on given days. In addition, we are developing a short report to weekly monitor in-depth the evolution of the pandemic in selected countries outside the EU.


Table 1: Reported new confirmed cases and cumulative number of influenza A(H1N1)v as of 07 August 2009, 16:00 hours (CEST) in the EU and EFTA countries

(*) Deaths are included in the cumulative number of confirmed cases
(**) Cases reported from France include those reported from the overseas territories (275)
(***) Cases from the Netherlands include those reported from Aruba and the Dutch Antilles
(****) Cases reported from the United Kingdom include those reported from the overseas territories (209)

[Country - Confirmed cases reported in the last 24h - Cumulative number of confirmed cases - Deaths among confirmed cases*]

  1. Austria ... - 178 - ...
  2. Belgium ... - 126 - 1
  3. Bulgaria 2 - 40 - ...
  4. Cyprus ... - 297 - ...
  5. Czech Republic ... - 162 - ...
  6. Denmark 18 - 354 - ...
  7. Estonia 3 - 49 - ...
  8. Finland ... - 189 - ...
  9. France** ... - 880 - 1
  10. Germany 594 - 9213 - ...
  11. Greece ... - 1002 - ...
  12. Hungary 6 - 111 - 1
  13. Iceland 9 - 72 - ...
  14. Ireland ... - 276 - ...
  15. Italy 263 - 1238 - ...
  16. Latvia ... - 19 - ...
  17. Liechtenstein ... - 5 - ...
  18. Lithuania ... - 29 - ...
  19. Luxemburg 26 - 87 - ...
  20. Malta ... - 176 - ...
  21. Netherlands*** 395 - 912 - 1
  22. Norway 71 - 738 - ...
  23. Poland ... - 114 - ...
  24. Portugal 44 - 477 - ...
  25. Romania 10 - 209 - ...
  26. Slovakia 2 - 78 - ...
  27. Slovenia 9 - 162 - ...
  28. Spain ... - 1538 - 8
  29. Sweden 18 - 574 - ...
  30. Switzerland 37 - 600 - ...
  31. United Kingdom**** 558 - 12470 - 30

  • Total 2065 - 32375 - 42
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.


Table 2: Reported cumulative number of confirmed cases and deaths of influenza A(H1N1)v as of 06 August 2009, 16:00 hours (CEST) outside of the EU and EFTA area

[Country - Confirmed cases reported in the last 24h - Cumulative number of confirmed cases - Deaths among confirmed cases*]

  • OTHER EUROPEAN COUNTRIES and CENTRAL ASIA

  1. Albania ... - 13 - ...
  2. Andorra ... - 1 - ...
  3. Azerbaijan ... - 2 - ...
  4. Bosnia and Herzegovina ... - 10 - ...
  5. Channel Islands ... - 55 - ...
  6. Croatia ... - 65 - ...
  7. Former Yugoslav Republic of Macedonia ... - 29 - ...
  8. Georgia 1 - 13 - ...
  9. Isle of Man ... - 11 - ...
  10. Kazakhstan ... - 17 - ...
  11. Kosovo ... - 2 - ...
  12. Moldova ... - 2 - ...
  13. Monaco ... - 1 - ...
  14. Montenegro ... - 18 - ...
  15. Russia ... - 55 - ...
  16. Serbia ... - 120 - ...
  17. Ukraine ... - 1 - ...

  • MEDITERRANEAN AND MIDDLE-EAST

  1. Algeria ... - 19 - ...
  2. Bahrain ... - 148 - ...
  3. Egypt ... - 314 - 1
  4. Iran ... - 144 - ...
  5. Iraq ... - 58 - ...
  6. Israel ... - 1719 - 2
  7. Jordan ... - 99 - ...
  8. Kuwait ... - 429 - ...
  9. Lebanon ... - 210 - 1
  10. Libya ... - 9 - ...
  11. Morocco 4 - 75 - ...
  12. Occupied Palestinian Territory ... - 81 - ...
  13. Oman ... - 125 - ...
  14. Qatar ... - 43 - 1
  15. Saudi Arabia ... - 595 - 7
  16. Syria ... - 13 - ...
  17. Tunisia ... - 19 - ...
  18. Turkey ... - 199 - ...
  19. United Arab Emirates ... - 125 - ...
  20. Yemen ... - 12 - ...

  • AFRICA

  1. Botswana ... - 23 - ...
  2. Cape Verde ... - 6 - ...
  3. Ethiopia ... - 4 - ...
  4. Gabon ... - 1 - ...
  5. Ghana 2 - 2 - ...
  6. Ivory Coast ... - 2 - ...
  7. Kenya ... - 26 - ...
  8. Mauritius ... - 2 - ...
  9. Namibia ... - 7 - ...
  10. Seychelles ... - 3 - ...
  11. South Africa ... - 700 - 1
  12. Sudan ... - 2 - ...
  13. Swaziland ... - 2 - ...
  14. Tanzania ... - 10 - ...
  15. Uganda ... - 9 - ...

  • NORTH AMERICA

  1. Canada ... - 10449 - 64
  2. Mexico 114 - 17530 - 149
  3. **USA ... - 43771 - 353

  • CENTRAL AMERICA AND CARIBBEAN

  1. Antigua and Barbuda ... - 3 - ...
  2. Bahamas ... - 29 - ...
  3. Barbados ... - 31 - ...
  4. Belize ... - 23 - ...
  5. Bermuda ... - 4 - ...
  6. British Virgin Islands ... - 5 - ...
  7. Cayman Islands ... - 60 - 1
  8. Costa Rica ... - 755 - 25
  9. Cuba ... - 234 - ...
  10. Dominica ... - 1 - ...
  11. Dominican Republic ... - 154 - 5
  12. El Salvador ... - 595 - 12
  13. Grenada ... - 1 - ...
  14. Guatemala ... - 558 - 10
  15. Guyana 1 - 7 - ...
  16. Haiti ... - 5 - ...
  17. Honduras ... - 231 - 6
  18. Jamaica ... - 62 - 4
  19. Nicaragua 2 - 474 - ...
  20. Panama ... - 600 - 2
  21. Saint Kitts and Nevis ... - 3 - 1
  22. Saint Lucia ... - 3 - ...
  23. Saint Vincent ... - 1 - ...
  24. Suriname ... - 14 - ...
  25. Trinidad-Tobago ... - 97 - ...

  • SOUTH AMERICA

  1. Argentina ... - 5710 - 337
  2. Bolivia ... - 973 - 12
  3. Brazil ... - 2959 - 96
  4. Chile 170 - 12030 - 97
  5. Colombia ... - 275 - 17
  6. Ecuador ... - 696 - 19
  7. Paraguay ... - 228 - 22
  8. Peru 183 - 5140 - 36
  9. Uruguay ... - 550 - 22
  10. Venezuela ... - 476 - 2

  • NORTH-EAST AND SOUTH ASIA

  1. Afghanistan ... - 32 - ...
  2. Bangladesh ... - 32 - ...
  3. Bhutan ... - 3 - ...
  4. China (mainland) 54 - 2264 - ...
  5. Hong Kong SAR China 225 - 4974 - 3
  6. India 19 - 615 - 1
  7. Japan ... - 5022 - ...
  8. Macao SAR China 15 - 251 - ...
  9. Maldives ... - 1 - ...
  10. Nepal ... - 17 - ...
  11. Pakistan ... - 1 - ...
  12. South Korea 68 - 1618 - ...
  13. Sri Lanka ... - 60 - ...
  14. Taiwan ... - 1280 - 1

  • SOUTH-EAST ASIA

  1. Brunei Darussalam 64 - 850 - 1
  2. Cambodia ... - 21 - ...
  3. Indonesia 29 - 691 - 3
  4. Laos Peoples Democratic Republic ... - 156 - 1
  5. Malaysia ... - 1492 - 14
  6. Myanmar ... - 14 - ...
  7. Philippines ... - 3207 - 8
  8. Singapore ... - 1217 - 8
  9. Thailand ... - 10043 - 81
  10. Vietnam 39 - 1043 - 1

  • AUSTRALIA AND PACIFIC

  1. Australia 554 - 24949 - 85
  2. Cook Islands ... - 18 - ...
  3. Fiji ... - 97 - ...
  4. Kiribati ... - 3 - ...
  5. Marshall Islands ... - 27 - ...
  6. Micronesia ... - 1 - ...
  7. Nauru ... - 7 - ...
  8. New Zealand 8 - 2916 - 14
  9. Papua New Guinea ... - 5 - ...
  10. Republic of Palau ... - 13 - ...
  11. Samoa ... - 66 - ...
  12. Solomon Islands ... - 3 - ...
  13. Tonga ... - 9 - 1
  14. Vanuatu ... - 3 - ...

  • TOTAL 1552 - 173408 - 1527
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.
(*) Deaths are included in the cumulative number of confirmed cases
(**) Cases in the US include both probable and confirmed cases. They also include confirmed cases from Puerto Rico, American Samoa, Guam and Virgin Islands.

(...)
-
------
 
Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

Pandemic influenza (H1N1) 2009 - Update 8 August 2009, 17:00 hours CEST (ECDC, edited)

[Original Full Document: LINK. EDITED.]

ECDC SITUATION REPORT

Pandemic influenza (H1N1) 2009 - Update 8 August 2009, 17:00 hours CEST


Main developments in past 24 hours


  • 261 new cases reported from the EU and EFTA countries, reaching a total of 32 636 cases;
  • Ireland reported the first fatal case;
  • 943 new cases including 103 fatal cases, were reported from non-EU and EFTA countries,

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 7 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 31 EU and EFTA countries, 31 countries have reported a total of 32 636 confirmed cases of influenza A(H1N1)v infection, including 43 deaths. In the past 24 hours, 261 new cases were reported from the EU and EFTA countries; Ireland reported the first fatal case.

Outside of the EU and EFTA countries, a total of 943 new cases have been reported within the last 24 hours. 103 fatal cases were reported from Costa Rica (2), Ecuador (2), Ghana (1), Malaysia (4), Occupied Palestinian Territory (1), Paraguay (5), Peru (4), Samoa (1), USA (83).

In total, 174 351 cases including 1 630 fatal cases have been reported from non-EU and EFTA countries.

Globally, the total number of confirmed and reported influenza A(H1N1)v cases to date is 206 987, including 1 673 deaths.


Table 1: Reported new confirmed cases and cumulative number of influenza A(H1N1)v as of 08 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*]

  1. Austria 14 - 192 - ...
  2. Belgium ... - 126 - 1
  3. Bulgaria ... - 40 - ...
  4. Cyprus ... - 297 - ...
  5. Czech Republic ... - 162 - ...
  6. Denmark ... - 354 - ...
  7. Estonia ... - 49 - ...
  8. Finland ... - 189 - ...
  9. France** ... - 880 -1
  10. Germany ... - 9213 - ...
  11. Greece ... - 1002 - ...
  12. Hungary ... - 111 - 1
  13. Iceland ... - 72 - ...
  14. Ireland 199 - 475 - 1
  15. Italy ... - 1238 - ...
  16. Latvia ... - 19 - ...
  17. Liechtenstein ... - 5 - ...
  18. Lithuania ... - 29 - ...
  19. Luxemburg ... - 87 - ...
  20. Malta ... - 176 - ...
  21. Netherlands*** ... - 912 - 1
  22. Norway ... - 738 - ...
  23. Poland ... - 114 - ...
  24. Portugal 24 - 501 - ...
  25. Romania 7 - 216 - ...
  26. Slovakia ... - 78 - ...
  27. Slovenia 8 - 170 - ...
  28. Spain ... - 1538 - 8
  29. Sweden ... - 574 - ...
  30. Switzerland 9 - 609 - ...
  31. United Kingdom**** ... - 12470 - 30

  • Total 261 - 32636 - 43
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 Reunion-Mayotte (26), Antilles-Guyana (9), French Polynesia (16) and French New Caledonia (112).
(***) Cases from the Netherlands include those reported from Aruba and the Dutch Antilles
(****) Cases reported from the United Kingdom include those reported from Anguilla (1), The Falklands (5), Sovereign Base Area Cyprus (30), Turks and Caicos Islands (12)


Table 2: Reported cumulative number of confirmed cases and deaths of influenza A(H1N1)v as of 08 August 2009, 16:00 hours (CEST) outside of the EU and EFTA area

[Country - Confirmed cases reported in the last 24h - Cumulative number of confirmed cases - Deaths among confirmed cases*]

  • OTHER EUROPEAN COUNTRIES and CENTRAL ASIA

  1. Albania ... - 13 - ...
  2. Andorra ... - 1 - ...
  3. Azerbaijan ... - 2 - ...
  4. Bosnia and Herzegovina ... - 10 - ...
  5. Channel Islands ... - 55 - ...
  6. Croatia 4 - 69 - ...
  7. Former Yugoslav Republic of Macedonia ... - 29 - ...
  8. Georgia ... - 13 - ...
  9. Isle of Man ... - 11 - ...
  10. Kazakhstan ... - 17 - ...
  11. Kosovo ... - 2 - ...
  12. Moldova ... - 2 - ...
  13. Monaco ... - 1 - ...
  14. Montenegro ... - 18 - ...
  15. Russia ... - 55 - ...
  16. Serbia ... - 120 - ...
  17. Ukraine ... - 1 - ...

  • MEDITERRANEAN AND MIDDLE-EAST

  1. Algeria ... - 19 - ...
  2. Bahrain ... - 148 - ...
  3. Egypt ... - 314 - 1
  4. Iran ... - 144 - ...
  5. Iraq ... - 58 - ...
  6. Israel ... - 1719 - 2
  7. Jordan ... - 99 - ...
  8. Kuwait ... - 429 - ...
  9. Lebanon ... - 210 - 1
  10. Libya ... - 9 - ...
  11. Morocco ... - 75 - ...
  12. Occupied Palestinian Territory ... - 81 - 1
  13. Oman ... - 125 - ...
  14. Qatar ... - 43 - 1
  15. Saudi Arabia ... - 595 - 7
  16. Syria ... - 13 - ...
  17. Tunisia ... - 19 - ...
  18. Turkey ... - 199 - ...
  19. United Arab Emirates ... - 125 - ...
  20. Yemen ... - 12 - ...

  • AFRICA

  1. Botswana ... - 23 - ...
  2. Cape Verde ... - 6 - ...
  3. Ethiopia ... - 4 - ...
  4. Gabon ... - 1 - ...
  5. Ghana ... - 2 - 1
  6. Ivory Coast ... - 2 - ...
  7. Kenya ... - 26 - ...
  8. Mauritius ... - 2 - ...
  9. Namibia ... - 7 - ...
  10. Seychelles ... - 3 - ...
  11. South Africa ... - 700 - 1
  12. Sudan ... - 2 - ...
  13. Swaziland ... - 2 - ...
  14. Tanzania ... - 10 - ...
  15. Uganda ... - 9 - ...

  • NORTH AMERICA

  1. Canada ... - 10449 - 64
  2. Mexico ... - 17530 - 149
  3. **USA ... - 43771 - 436

  • CENTRAL AMERICA AND CARIBBEAN

  1. Antigua and Barbuda 1 - 4 - ...
  2. Bahamas ... - 29 - ...
  3. Barbados 8 - 39 - ...
  4. Belize 4 - 27 - ...
  5. Bermuda 4 - 8 - ...
  6. British Virgin Islands 3 - 8 - ...
  7. Cayman Islands 28 - 88 - 1
  8. Costa Rica 43 - 798 - 27
  9. Cuba ... - 234 - ...
  10. Dominica ... - 1 - ...
  11. Dominican Republic ... - 154 - 5
  12. El Salvador ... - 595 - 12
  13. Grenada 1 - 2 - ...
  14. Guatemala ... - 558 - 10
  15. Guyana 1 - 8 - ...
  16. Haiti ... - 5 - ...
  17. Honduras ... - 231 - 6
  18. Jamaica ... - 62 - 4
  19. Nicaragua 29 - 503 - ...
  20. Panama ... - 600 - 2
  21. Saint Kitts and Nevis 1 - 4 - 1
  22. Saint Lucia 3 - 6 - ...
  23. Saint Vincent ... - 1 - ...
  24. Suriname 4 - 18 - ...
  25. Trinidad-Tobago 9 - 106 - ...

  • SOUTH AMERICA

  1. Argentina ... - 5710 - 337
  2. Bolivia ... - 973 - 12
  3. Brazil ... - 2959 - 96
  4. Chile ... - 12030 - 97
  5. Colombia ... - 275 - 17
  6. Ecuador ... - 696 - 21
  7. Paraguay 16 - 244 - 27
  8. Peru 164 - 5304 - 40
  9. Uruguay ... - 550 - 22
  10. Venezuela ... - 476 - 2

  • NORTH-EAST AND SOUTH ASIA

  1. Afghanistan ... - 32 - ...
  2. Bangladesh ... - 32 - ...
  3. Bhutan ... - 3 - ...
  4. China (mainland) ... - 2264 - ...
  5. Hong Kong SAR China 433 - 5407 - 3
  6. India ... - 615 - 1
  7. Japan ... - 5022 - ...
  8. Macao SAR China 9 - 260 - ...
  9. Maldives ... - 1 - ...
  10. Nepal ... - 17 - ...
  11. Pakistan ... - 1 - ...
  12. South Korea ... - 1618 - ...
  13. Sri Lanka ... - 60 - ...
  14. Taiwan ... - 1280 - 1

  • SOUTH-EAST ASIA

  1. Brunei Darussalam ... - 850 - 1
  2. Cambodia 3 - 24 - ...
  3. Indonesia ... - 691 - 3
  4. Laos Peoples Democratic Republic ... - 156 - 1
  5. Malaysia 86 - 1578 - 18
  6. Myanmar 1 - 15 - ...
  7. Philippines ... - 3207 - 8
  8. Singapore ... - 1217 - 8
  9. Thailand ... - 10043 - 81
  10. Vietnam 35 - 1078 - 1

  • AUSTRALIA AND PACIFIC

  1. Australia ... - 24949 - 85
  2. Cook Islands ... - 18 - ...
  3. Fiji ... - 97 - ...
  4. Kiribati ... - 3 - ...
  5. Marshall Islands ... - 27 - ...
  6. Micronesia ... - 1 - ...
  7. Nauru ... - 7 - ...
  8. New Zealand 19 - 2935 - 14
  9. Papua New Guinea ... - 5 - ...
  10. Republic of Palau ... - 13 - ...
  11. Samoa 34 - 100 - 1
  12. Solomon Islands ... - 3 - ...
  13. Tonga ... - 9 - 1
  14. Vanuatu ... - 3 - ...

  • TOTAL 943 - 174351 - 1630
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.

(*) Deaths are included in the cumulative number of confirmed cases
(**) Cases in the US include both probable and confirmed cases. They also include confirmed cases from Puerto Rico, American Samoa, Guam and Virgin Islands.

(...)
-
-----
 
Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

Pandemic influenza (H1N1) 2009 - Update 9 August 2009, 17:00 hours CEST (ECDC, edited)

[Original Full Document: LINK. EDITED.]

ECDC SITUATION REPORT

Pandemic influenza (H1N1) 2009 - Update 9 August 2009, 17:00 hours CEST


Main developments in past 24 hours


  • 54 new cases reported from the EU and EFTA countries, reaching a total of 32 690 cases;
  • 1 017 new cases, including 15 fatal cases, were reported from non-EU and EFTA countries, reaching a cumulative total of 175 368 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 7 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

All 31 EU and EFTA countries have reported cases, with a total of 32 690 confirmed cases of influenza A(H1N1)v infection, including 43 deaths. In the past 24 hours, 54 new cases were reported from the EU and EFTA countries.

Outside of the EU and EFTA countries, a total of 1 017 new cases have been reported within the last 24 hours.

Fifteen (15) fatal cases were reported from Argentina (1), Iraq (1), Israel (3), Malaysia (8), Singapore (1), South Africa (1); Iraq reported the first fatal case.

In total, 175 368 cases including 1 645 fatal cases have been reported from non-EU and EFTA countries. Globally, the total number of confirmed and reported influenza A(H1N1)v cases to date is 208 058, including 1 688 deaths.


Table 1: Reported new confirmed cases and cumulative number of influenza A(H1N1)v as of 09 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*]

  1. Austria ... - 192 - ...
  2. Belgium ... - 126 - 1
  3. Bulgaria ... - 40 - ...
  4. Cyprus ... - 297 - ...
  5. Czech Republic ... - 162 - ...
  6. Denmark ... - 354 - ...
  7. Estonia 1 - 50 - ...
  8. Finland ... - 189 - ...
  9. France** ... - 880 - 1
  10. Germany ... - 9213 - ...
  11. Greece ... - 1002 - ...
  12. Hungary 4 - 115 - 1
  13. Iceland ... - 72 - ...
  14. Ireland ... - 475 - 1
  15. Italy ... - 1238 - ...
  16. Latvia ... - 19 - ...
  17. Liechtenstein ... - 5 - ...
  18. Lithuania ... - 29 - ...
  19. Luxemburg ... - 87 - ...
  20. Malta ... - 176 - ...
  21. Netherlands*** ... - 912 - 1
  22. Norway ... - 738 - ...
  23. Poland ... - 114 - ...
  24. Portugal 45 - 546 - ...
  25. Romania ... - 216 - ...
  26. Slovakia ... - 78 - ...
  27. Slovenia 4 - 174 - ...
  28. Spain ... - 1538 - 8
  29. Sweden ... - 574 - ...
  30. Switzerland ... - 609 - ...
  31. United Kingdom**** ... - 12470 - 30

  • Total 54 - 32690 - 43
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 Reunion-Mayotte (26), Antilles-Guyana (9), French Polynesia (16) and French New Caledonia (112).
(***) Cases from the Netherlands include those reported from Aruba and the Dutch Antilles
(****) Cases reported from the United Kingdom include those reported from Anguilla (1), The Falklands (5), Sovereign Base Area Cyprus (30), Turks and Caicos Islands (12)


Table 2: Reported cumulative number of confirmed cases and deaths of influenza A(H1N1)v as of 09 August 2009, 16:00 hours (CEST) outside of the EU and EFTA area

[Country - Confirmed cases reported in the last 24h - Cumulative number of confirmed cases - Deaths among confirmed cases*]

  • OTHER EUROPEAN COUNTRIES and CENTRAL ASIA

  1. Albania ... - 13 - ...
  2. Andorra ... - 1 - ...
  3. Azerbaijan ... - 2 - ...
  4. Bosnia and Herzegovina ... - 10 - ...
  5. Channel Islands ... - 55 - ...
  6. Croatia ... - 69 - ...
  7. Former Yugoslav Republic of Macedonia ... - 29 - ...
  8. Georgia ... - 13 - ...
  9. Isle of Man ... - 11 - ...
  10. Kazakhstan ... - 17 - ...
  11. Kosovo ... - 2 - ...
  12. Moldova ... - 2 - ...
  13. Monaco ... - 1 - ...
  14. Montenegro ... - 18 - ...
  15. Russia ... - 55 - ...
  16. Serbia ... - 120 - ...
  17. Ukraine ... - 1 - ...

  • MEDITERRANEAN AND MIDDLE-EAST

  1. Algeria ... - 19 - ...
  2. Bahrain ... - 148 - ...
  3. Egypt ... - 314 - 1
  4. Iran ... - 144 - ...
  5. Iraq 9 - 67 - 1
  6. Israel 281 - 2000 - 5
  7. Jordan ... - 99 - ...
  8. Kuwait 69 - 498 - ...
  9. Lebanon ... - 210 - 1
  10. Libya ... - 9 - ...
  11. Morocco ... - 75 - ...
  12. Occupied Palestinian Territory ... - 81 - 1
  13. Oman ... - 125 - ...
  14. Qatar ... - 43 - 1
  15. Saudi Arabia ... - 595 - 7
  16. Syria 3 - 16 - ...
  17. Tunisia ... - 19 - ...
  18. Turkey ... - 199 - ...
  19. United Arab Emirates ... - 125 - ...
  20. Yemen 1 - 13 - ...

  • AFRICA

  1. Botswana ... - 23 - ...
  2. Cape Verde ... - 6 - ...
  3. Ethiopia ... - 4 - ...
  4. Gabon ... - 1 - ...
  5. Ghana ... - 2 - 1
  6. Ivory Coast ... - 2 - ...
  7. Kenya ... - 26 - ...
  8. Mauritius 4 - 6 - ...
  9. Namibia ... - 7 - ...
  10. Seychelles ... - 3 - ...
  11. South Africa ... - 700 - 2
  12. Sudan ... - 2 - ...
  13. Swaziland ... - 2 - ...
  14. Tanzania ... - 10 - ...
  15. Uganda ... - 9 - ...

  • NORTH AMERICA

  1. Canada ... - 10449 - 64
  2. Mexico ... - 17530 - 149
  3. **USA ... - 43771 - 436

  • CENTRAL AMERICA AND CARIBBEAN

  1. Antigua and Barbuda ... - 4 - ...
  2. Bahamas ... - 29 - ...
  3. Barbados ... - 39 - ...
  4. Belize ... - 27 - ...
  5. Bermuda ... - 8 - ...
  6. British Virgin Islands ... - 8 - ...
  7. Cayman Islands ... - 88 - 1
  8. Costa Rica ... - 798 - 27
  9. Cuba 30 - 264 - ...
  10. Dominica ... - 1 - ...
  11. Dominican Republic 28 - 182 - 5
  12. El Salvador ... - 595 - 12
  13. Grenada ... - 2 - ...
  14. Guatemala ... - 558 - 10
  15. Guyana ... - 8 - ...
  16. Haiti ... - 5 - ...
  17. Honduras 23 - 254 - 6
  18. Jamaica 2 - 64 - 4
  19. Nicaragua 7 - 510 - ...
  20. Panama ... - 600 - 2
  21. Saint Kitts and Nevis ... - 4 - 1
  22. Saint Lucia ... - 6 - ...
  23. Saint Vincent ... - 1 - ...
  24. Suriname ... - 18 - ...
  25. Trinidad-Tobago ... - 106 - ...

  • SOUTH AMERICA

  1. Argentina ... - 5710 - 338
  2. Bolivia ... - 973 - 12
  3. Brazil ... - 2959 - 96
  4. Chile ... - 12030 - 97
  5. Colombia ... - 275 - 17
  6. Ecuador 185 - 881 - 21
  7. Paraguay ... - 244 - 27
  8. Peru ... - 5304 - 40
  9. Uruguay ... - 550 - 22
  10. Venezuela ... - 476 - 2

  • NORTH-EAST AND SOUTH ASIA

  1. Afghanistan ... - 32 - ...
  2. Bangladesh ... - 32 - ...
  3. Bhutan ... - 3 - ...
  4. China (mainland) ... - 2264 - ...
  5. Hong Kong SAR China ... - 5407 - 3
  6. India ... - 615 -1
  7. Japan ... - 5022 - ...
  8. Macao SAR China ... - 260 - ...
  9. Maldives ... - 1 - ...
  10. Nepal ... - 17 - ...
  11. Pakistan ... - 1 - ...
  12. South Korea 136 - 1754 - ...
  13. Sri Lanka ... - 60 - ...
  14. Taiwan ... - 1280 - 1

  • SOUTH-EAST ASIA

  1. Brunei Darussalam ... - 850 - 1
  2. Cambodia ... - 24 - ...
  3. Indonesia ... - 691 - 3
  4. Laos Peoples Democratic Republic ... - 156 - 1
  5. Malaysia 202 - 1780 - 26
  6. Myanmar ... - 15 - ...
  7. Philippines ... - 3207 - 8
  8. Singapore ... - 1217 - 9
  9. Thailand ... - 10043 - 81
  10. Vietnam 37 - 1115 - 1

  • AUSTRALIA AND PACIFIC

  1. Australia ... - 24949 - 85
  2. Cook Islands ... - 18 - ...
  3. Fiji ... - 97 - ...
  4. Kiribati ... - 3 - ...
  5. Marshall Islands ... - 27 - ...
  6. Micronesia ... - 1 - ...
  7. Nauru ... - 7 - ...
  8. New Zealand ... - 2935 - 14
  9. Papua New Guinea ... - 5 - ...
  10. Republic of Palau ... - 13 - ...
  11. Samoa ... - 100 - 1
  12. Solomon Islands ... - 3 - ...
  13. Tonga ... - 9 - 1
  14. Vanuatu ... - 3 - ...

  • TOTAL 1017 - 175368 - 1645
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.
(*) Deaths are included in the cumulative number of confirmed cases
(**) Cases in the US include both probable and confirmed cases. They also include confirmed cases from Puerto Rico, American Samoa, Guam and Virgin Islands.

(...)
-
------
 
Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

ECDC DAILY UPDATE - 10 August 2009 (edited)

[Original Full Document: LINK. EDITED.]

ECDC DAILY UPDATE - 10 August 2009


(...)

Table 1: Reported new confirmed cases and cumulative number of influenza A(H1N1)v as of 10 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*]


  1. Austria ... - 192 - ...
  2. Belgium ... - 126 - 1
  3. Bulgaria ... - 40 - ...
  4. Cyprus ... - 297 - ...
  5. Czech Republic 20 - 182 - ...
  6. Denmark ... - 354 - ...
  7. Estonia ... - 50 - ...
  8. Finland ... - 189 - ...
  9. France** ... - 880 - 1
  10. Germany 557 - 9770 - ...
  11. Greece ... - 1002 - ...
  12. Hungary 7 - 122 - 1
  13. Iceland 29 - 101 - ...
  14. Ireland ... - 475 - 1
  15. Italy ... - 1238 - ...
  16. Latvia ... - 19 - ...
  17. Liechtenstein ... - 5 - ...
  18. Lithuania ... - 29 - ...
  19. Luxemburg ... - 87 - ...
  20. Malta ... - 176 - ...
  21. Netherlands*** ... - 912 - 1
  22. Norway ... - 738 - ...
  23. Poland 18 - 132 - ...
  24. Portugal 42 - 588 - ...
  25. Romania 9 - 225 - ...
  26. Slovakia 3 - 81 - ...
  27. Slovenia 3 - 177 - ...
  28. Spain ... - 1538 - 8
  29. Sweden ... - 574 - ...
  30. Switzerland ... - 609 - ...
  31. United Kingdom**** ... - 12470 - 40

  • Total 688 - 33378 - 53
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 (275)
(***) Cases from the Netherlands include those reported from Aruba and the Dutch Antilles
(****) Cases reported from the United Kingdom include those reported from the overseas territories (209)


Table 2: Reported number of confirmed pandemic influenza (H1N1) 2009 cases currently admitted to hospitals and ICU?s and cumulative deaths among confirmed cases by country as of 5 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]

  1. Austria 0 - ... - 0 - ...
  2. Belgium 0 - ... - 0 - ...
  3. Bulgaria ... - ... - ... - ...
  4. Cyprus ... - ... - ... - ...
  5. Czech Republic (5.8.) - 0 - ... 0 - ...
  6. Denmark (5.8.) ... - ... - ... - ...
  7. Estonia (31.7.) - 0 - ... - 0 - ...
  8. Finland (4.8.) ... - ... - ... - ...
  9. France* (4.8.) - 3 - 43 - 1 - 6
  10. Germany (10.8.) ... - ... - ... - ...
  11. Greece (3.8.) 4 - ... 2 - ...
  12. Hungary ... - ... - ... - ...
  13. Iceland (7.8.) 0 - 0 - 0 - 0
  14. Ireland (7.8.) 3 - 23 - ... - ...
  15. Italy (16.7.) ... - ... - ... - ...
  16. Latvia (8.8) ... - ... - ... - ...
  17. Liechtenstein (7.8.) ... - ... - ... - ...
  18. Lithuania (5.8.) ... - ... - ... - ...
  19. Luxemburg (30.7.) 0 - 0 - 0 - 0
  20. Malta ... - ... - ... - ...
  21. Netherlands (7.8.) ... - 17 - ... - ...
  22. Norway (5.8.) ... - ... - ... - ...
  23. Poland (4.8.) ... - ... - ... - ...
  24. Portugal (9.8.) 2 - ... - ... - ...
  25. Romania ... - 18 - ... - ...
  26. Slovakia ... - ... - ... - ...
  27. Slovenia ... - ... - ... - ...
  28. Spain (7.8.) ... - ... - 26 - 66
  29. Sweden (6.8.) ... - ... - ... - ...
  30. Switzerland (7.8.) ... - ... - ... - ...
  31. United Kingdom** (6.8.) 576 - ... - 55 - ...
  32. Total ... ~ ... ~ ... ~ ...
Note: Data for the EU and EFTA countries correspond to the Ministry of Health or surveillance centre websites. New updates are shaded in yellow.

(*) Cases reported from France include those reported from Reunion-Mayotte, Antilles-Guyane, French Polynesia and French New Caledonia.
(**) Data for England only. Does not include Scotland (80 cumulative hospitalisations), Wales (28) and Northern Ireland (14 ).


Table 3. Reported number of new and cumulative confirmed fatal pandemic influenza (H1N1) 2009 cases by country as of 10 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

  1. No deaths reported ... - ...

  • MEDITERRANEAN AND MIDDLE-EAST

  1. Egypt ... - 1
  2. Iraq ... - 1
  3. Israel ... - 5
  4. Lebanon ... - 1
  5. Occupied Palestinian Territory ... - 1
  6. Qatar ... - 1
  7. Saudi Arabia 1 - 8

  • AFRICA

  1. Ghana ... - 1
  2. Mauritius 1 - 1
  3. South Africa ... - 2

  • NORTH AMERICA

  1. Canada ... - 64
  2. Mexico ... - 149
  3. **USA ... - 436

  • CENTRAL AMERICA & CARIBBEAN

  1. Cayman Islands ... - 1
  2. Costa Rica ... - 27
  3. Dominican Republic ... - 5
  4. El Salvador ... - 12
  5. Guatemala ... - 10
  6. Honduras ... - 6
  7. Jamaica ... - 4
  8. Panama ... - 2
  9. Saint Kitts and Nevis ... - 1

  • SOUTH AMERICA

  1. Argentina ... - 338
  2. Bolivia ... - 12
  3. Brazil ... - 96
  4. Chile ... - 97
  5. Colombia ... - 17
  6. Ecuador ... - 21
  7. Paraguay ... - 27
  8. Peru ... - 40
  9. Uruguay ... - 22
  10. Venezuela ... - 2

  • NORTH-EAST & SOUTH ASIA

  1. Hong Kong SAR China ... - 3
  2. India 3 - 4
  3. Taiwan ... - 1

  • SOUTH-EAST ASIA

  1. Brunei Darussalam ... - 1
  2. Indonesia ... - 3
  3. Laos Peoples Democratic Republic ... - 1
  4. Malaysia 6 - 32
  5. Philippines ... - 8
  6. Singapore ... - 9
  7. Thailand ... - 81
  8. Vietnam ... - 1

  • AUSTRALIA & PACIFIC

  1. Australia 7 - 92
  2. New Zealand ... - 14
  3. Samoa 1 - 2
  4. Tonga ... - 1

  • TOTAL 19 - 1664
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.

(...)
-
-----
 
Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

ECDC DAILY UPDATE - 11 August 2009 (ECDC, edited)

[Original Full Document: LINK. EDITED.]

ECDC DAILY UPDATE - 11 August 2009


(...)


Table 1: Reported new confirmed cases and cumulative number of influenza A(H1N1)v as of 11 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*]


  1. Austria 30 - 222 - ...
  2. Belgium ... - 126 - 1
  3. Bulgaria 7 - 47 - ...
  4. Cyprus ... - 297 - ...
  5. Czech Republic ... - 182 - ...
  6. Denmark 37 - 391 - ...
  7. Estonia 5 - 55 - ...
  8. Finland ... - 189 - ...
  9. France** ... - 880 - 1
  10. Germany 385 - 10155 - ...
  11. Greece ... - 1002 - ...
  12. Hungary 3 - 125 - 1
  13. Iceland 7 - 108 - ...
  14. Ireland ... - 475 - 1
  15. Italy ... - 1238 - ...
  16. Latvia 1 - 20 - ...
  17. Liechtenstein 2 - 7 - ...
  18. Lithuania 6 - 35 - ...
  19. Luxemburg ... - 87 - ...
  20. Malta ... - 176 - ...
  21. Netherlands*** 109 - 1021 - 1
  22. Norway 70 - 808 - ...
  23. Poland 1 - 133 - ...
  24. Portugal 60 - 648 - ...
  25. Romania 2 - 227 - ...
  26. Slovakia 6 - 87 - ...
  27. Slovenia 4 - 181 - ...
  28. Spain ... - 1538 - 9
  29. Sweden ... - 574 - ...
  30. Switzerland 39 - 648 - ...
  31. United Kingdom**** ... - 12470 - 40

  • Total 774 - 34152 - 54
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 (275)
(***) Cases from the Netherlands include those reported from Aruba and the Dutch Antilles
(****) Cases reported from the United Kingdom include those reported from the overseas territories (209)


Table 2: Reported number of confirmed pandemic influenza (H1N1) 2009 cases currently admitted to hospitals and ICU?s and cumulative deaths among confirmed cases by country as of 5 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]

  1. Austria 0 - ... - 0 - ...
  2. Belgium (7.8.) - 0 - ... 0 - ...
  3. Bulgaria - ... - ... - ... - ...
  4. Cyprus - ... - ... - ... - ...
  5. Czech Republic (5.8.) - 0 - ... 0 - ...
  6. Denmark (5.8.) - ... - ... - ... - ...
  7. Estonia (31.7.) - 0 - ... - 0 - ...
  8. Finland (4.8.) - ... - ... - ... - ...
  9. France* (4.8.) - 3 - 43 - 1 - 6
  10. Germany (10.8.) - ... - ... - ... - ...
  11. Greece (3.8.) - 4 - ... - 2 - ...
  12. Hungary (7.8.) - ... - ... - ... - ...
  13. Iceland (7.8.) - 0 - 0 - 0 - 0
  14. Ireland (7.8.) - 3 - 23 - ... - ...
  15. Italy (17.7.) - ... - ... - ... - ...
  16. Latvia (10.8.) - 1 - ... - ... - ...
  17. Liechtenstein (7.8.) - ... - ... - ... - ...
  18. Lithuania (5.8.) - ... - ... - ... - ...
  19. Luxemburg (30.7.) - 0 - 0 - 0 - 0
  20. Malta - ... - ... - ... - ...
  21. Netherlands (7.8.) - ... - 17 - ... - ...
  22. Norway (5.8.) - ... - ... - ... - ...
  23. Poland (4.8.) - ... - ... - ... - ...
  24. Portugal (10.8.) 9 - ... - ... - ...
  25. Romania - ... - 18 - ... - ...
  26. Slovakia - ... - ... - ... - ...
  27. Slovenia (10.8.) - ... - ... - ... - ...
  28. Spain (7.8.) - ... - ... - 26 - 66
  29. Sweden (6.8.) - ... - ... - ... - ...
  30. Switzerland (7.8.) - ... - ... - ... - ...
  31. United Kingdom** (6.8.) 576 - ... - 55 - ...

  • Total ~ ... ~ ... ~ ... ~ ...
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.

(*) Cases reported from France include those reported from Reunion-Mayotte, Antilles-Guyane, French Polynesia and French New Caledonia.
(**) Data for England only. Does not include Scotland (80 cumulative hospitalisations), Wales (28) and Northern Ireland (14 ).


Table 3. Reported number of new and cumulative confirmed fatal pandemic influenza (H1N1) 2009 cases by country as of 11 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

  1. No deaths reported - ... - ...

  • MEDITERRANEAN AND MIDDLE-EAST

  1. Egypt ... - 1
  2. Iraq ... - 1
  3. Israel ... - 5
  4. Lebanon ... - 1
  5. Occupied Palestinian Territory ... - 1
  6. Qatar ... - 1
  7. Saudi Arabia 1 - 9

  • AFRICA

  1. Ghana ... - 1
  2. Mauritius ... - 1
  3. South Africa ... - 2

  • NORTH AMERICA

  1. Canada ... - 64
  2. Mexico ... - 149
  3. **USA ... - 436

  • CENTRAL AMERICA & CARIBBEAN

  1. Cayman Islands ... - 1
  2. Costa Rica ... - 27
  3. Dominican Republic ... - 5
  4. El Salvador ... - 12
  5. Guatemala ... - 10
  6. Honduras ... - 6
  7. Jamaica ... - 4
  8. Panama ... - 2
  9. Saint Kitts and Nevis ... - 1

  • SOUTH AMERICA

  1. Argentina ... - 338
  2. Bolivia ... - 12
  3. Brazil ... - 96
  4. Chile ... - 97
  5. Colombia ... - 17
  6. Ecuador ... - 21
  7. Paraguay ... - 27
  8. Peru 4 - 44
  9. Uruguay ... - 22
  10. Venezuela ... - 2

  • NORTH-EAST & SOUTH ASIA

  1. Hong Kong SAR China 1 - 4
  2. India 2 - 6
  3. Taiwan ... - 1

  • SOUTH-EAST ASIA

  1. Brunei Darussalam ... - 1
  2. Indonesia ... - 3
  3. Laos Peoples Democratic Republic ... - 1
  4. Malaysia 6 - 38
  5. Philippines ... - 8
  6. Singapore ... - 9
  7. Thailand ... - 81
  8. Vietnam ... - 1

  • AUSTRALIA & PACIFIC

  1. Australia 3 - 95
  2. New Zealand ... - 14
  3. Samoa ... - 2
  4. Tonga ... - 1

  • TOTAL 17 - 1681
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.


(...)

-
-----
 
Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

H1N1 2009 - ECDC DAILY UPDATE - 12 August 2009 (ECDC, edited)

[Original Full Document: LINK. EDITED.]

ECDC DAILY UPDATE - 12 August 2009


(...)

Table 1: Reported new confirmed cases and cumulative number of influenza A(H1N1)v as of 12 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*]


  1. Austria ... - 222 - ...
  2. Belgium ... - 126 - 1
  3. Bulgaria 2 - 49 - ...
  4. Cyprus ... - 297 - ...
  5. Czech Republic ... - 182 - ...
  6. Denmark ... - 391 - ...
  7. Estonia ... - 55 - ...
  8. Finland 4 - 193 - ...
  9. France** 245 - 1125 - 1
  10. Germany 445 - 10600 - ...
  11. Greece ... - 1002 - ...
  12. Hungary 1 - 126 - 1
  13. Iceland 4 - 112 - ...
  14. Ireland ... - 475 - 1
  15. Italy ... - 1238 - ...
  16. Latvia 1 - 21 - ...
  17. Liechtenstein 6 - 13 - ...
  18. Lithuania ... - 35 - ...
  19. Luxemburg ... - 87 - ...
  20. Malta 23 - 199 - ...
  21. Netherlands*** ... - 1021 - 1
  22. Norway ... - 808 - ...
  23. Poland 8 - 141 - ...
  24. Portugal 69 - 717 - ...
  25. Romania 3 - 230 - ...
  26. Slovakia 5 - 92 - ...
  27. Slovenia 7 - 188 - ...
  28. Spain 0 - 1538 - 10
  29. Sweden 28 - 602 - ...
  30. Switzerland 22 - 670 - ...
  31. United Kingdom**** ... - 12470 - 40

  • Total 873 - 35025 - 55
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 those reported from the overseas territories (209)


Table 2: Reported number of confirmed pandemic influenza (H1N1) 2009 cases currently admitted to hospitals and ICU?s and cumulative deaths among confirmed cases by country as of 12 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]

  1. Austria (7.8.) - 0 - ... - 0 - ...
  2. Belgium (7.8.) - 0 - ... - 0 - ...
  3. Bulgaria - ... - ... - ... - ...
  4. Cyprus - ... - ... - ... - ...
  5. Czech Republic (5.8.) - 0 - ... - 0 - ...
  6. Denmark (5.8.) - ... - ... - ... - ...
  7. Estonia (12.8.) - 0 - 0 - 0 - 0
  8. Finland (4.8.) - ... - ... - ... - ...
  9. France* (12.8.) - 5 - 53 - 4 - 10
  10. Germany (12.8.) - ... - ... - ... - ...
  11. Greece (3.8.) - 4 - ... - 2 - ...
  12. Hungary (7.8.) - ... - ... - ... - ...
  13. Iceland (7.8.) - 0 - 0 - 0 - 0
  14. Ireland (7.8.) - 3 - 23 - ... - ...
  15. Italy (17.7.) - ... - ... - ... - ...
  16. Latvia (11.8.) - ... 1 - ... - ...
  17. Liechtenstein (7.8.) - ... - ... - ... - ...
  18. Lithuania (5.8.) - ... - ... - ... - ...
  19. Luxemburg (30.7.) - 0 - 0 - 0 - 0
  20. Malta - ... - ... - ... - ...
  21. Netherlands (7.8.) - ... - 17 - ... - ...
  22. Norway (5.8.) - ... - ... - ... - ...
  23. Poland (4.8.) - ... - ... - ... - ...
  24. Portugal (11.8.) - 14 - ... - ... - ...
  25. Romania - ... - 18 - ... - ...
  26. Slovakia (12.8.) - 2 - 33 - 0 - 0
  27. Slovenia (10.8.) - ... - ... - ... - ...
  28. Spain (7.8.) - ... - ... - 26 - 66
  29. Sweden (6.8.) - ... - ... - ... - ...
  30. Switzerland (12.8.) - ... - ... - ... - ...
  31. United Kingdom** (6.8.) - 576 - ... - 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.

(*) Cases reported from France include those reported from Reunion-Mayotte, Antilles-Guyane, French Polynesia and French New Caledonia.
(**) Data for England only. Does not include Scotland (80 cumulative hospitalisations), Wales (28) and Northern Ireland (14 ).


Table 3. Reported number of new and cumulative confirmed fatal pandemic influenza (H1N1) 2009 cases by country as of 12 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

  1. No deaths reported - ... - ...

  • MEDITERRANEAN AND MIDDLE-EAST

  1. Egypt ... - 1
  2. Iraq ... - 1
  3. Israel ... - 5
  4. Lebanon ... - 1
  5. Occupied Palestinian Territory ... - 1
  6. Qatar ... - 1
  7. Saudi Arabia ... - 9

  • AFRICA

  1. Ghana ... - 1
  2. Mauritius ... - 1
  3. South Africa 1 - 3

  • NORTH AMERICA

  1. Canada 2 - 66
  2. Mexico 13 - 162
  3. **USA ... - 436

  • CENTRAL AMERICA & CARIBBEAN

  1. Cayman Islands ... - 1
  2. Costa Rica 1 - 28
  3. Dominican Republic ... - 5
  4. El Salvador ... - 12
  5. Guatemala ... - 10
  6. Honduras ... - 6
  7. Jamaica ... - 4
  8. Panama ... - 2
  9. Saint Kitts and Nevis ... - 1

  • SOUTH AMERICA

  1. Argentina ... - 338
  2. Bolivia 1 - 13
  3. Brazil 96 - 192
  4. Chile ... - 97
  5. Colombia ... - 17
  6. Ecuador ... - 21
  7. Paraguay ... - 27
  8. Peru 1 - 45
  9. Uruguay ... - 22
  10. Venezuela ... - 2

  • NORTH-EAST & SOUTH ASIA

  1. Hong Kong SAR China ... - 4
  2. India 3 - 9
  3. Taiwan ... - 1

  • SOUTH-EAST ASIA

  1. Brunei Darussalam ... - 1
  2. Indonesia ... - 3
  3. Laos Peoples Democratic Republic ... - 1
  4. Malaysia 6 - 44
  5. Philippines ... - 8
  6. Singapore 1 - 10
  7. Thailand 16 - 97
  8. Vietnam ... - 1

  • AUSTRALIA & PACIFIC

  1. Australia 5 - 100
  2. New Zealand ... - 14
  3. Samoa ... - 2
  4. Tonga ... - 1

  • TOTAL 146 - 1827
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.

(...)
-
------
 
Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

H1N1 2009: ECDC DAILY UPDATE - 13 August 2009 (edited)

[Original Full Document: LINK. EDITED.]

ECDC DAILY UPDATE - 13 August 2009

(...)


Table 1: Reported new confirmed cases and cumulative number of influenza A(H1N1)v as of 13 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*]


  1. Austria ... - 222 - ...
  2. Belgium ... - 126 - 1
  3. Bulgaria 2 - 51 - ...
  4. Cyprus ... - 297 - ...
  5. Czech Republic 19 - 201 - ...
  6. Denmark 12 - 403 - ...
  7. Estonia 1 - 56 - ...
  8. Finland 3 - 196 - ...
  9. France** ... - 1125 - 1
  10. Germany 503 - 11103 - ...
  11. Greece ... - 1002 - ...
  12. Hungary 5 - 131 - 1
  13. Iceland 6 - 118 - ...
  14. Ireland 99 - 574 - 1
  15. Italy ... - 1238 - ...
  16. Latvia 1 - 22 - ...
  17. Liechtenstein ... - 13 - ...
  18. Lithuania 5 - 40 - ...
  19. Luxemburg ... - 87 - ...
  20. Malta 5 - 204 - ...
  21. Netherlands*** ... - 1021 - 1
  22. Norway 60 - 868 - ...
  23. Poland 1 - 142 - ...
  24. Portugal 63 - 780 - ...
  25. Romania 3 - 233 - ...
  26. Slovakia ... - 92 - ...
  27. Slovenia 7 - 195 - ...
  28. Spain ... - 1538 - 10
  29. Sweden ... - 602 - ...
  30. Switzerland 40 - 710 - ...
  31. United Kingdom**** ... - 12470 - 40

  • Total 835 - 35860 - 55
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 those reported from the overseas territories (209)


Table 2: Reported number of confirmed influenza A(H1N1)v cases currently admitted to hospitals and ICU?s and cumulative deaths among confirmed cases by country as of 13 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]

  1. Austria (7.8.) - 0 - ... - 0 - ...
  2. Belgium (7.8.) - 0 - ... - 0 - ...
  3. Bulgaria - ... - ... - ... - ...
  4. Cyprus - ... - ... - ... - ...
  5. Czech Republic (5.8.) - 0 - ... - 0 - ...
  6. Denmark (5.8.) - ... - ... - ... - ...
  7. Estonia (12.8.) - 0 - 0 - 0 - 0
  8. Finland (4.8.) - ... - ... - ... - ...
  9. Francea (12.8.) - 5 - 53 - 4 - 10
  10. Germany (12.8.) - ... - ... - ... - ...
  11. Greece (3.8.) - 4 - ... - 2 - ...
  12. Hungary (7.8.) - ... - ... - ... - ...
  13. Iceland (7.8.) - 0 - 0 - 0 - 0
  14. Ireland (7.8.) - 3 - 23 - ... - ...
  15. Italy (17.7.) - ... - ... - ... - ...
  16. Latvia (11.8.) - ... - 1 - ... - ...
  17. Liechtenstein (7.8.) - ... - ... - ... - ...
  18. Lithuania (5.8.) - ... - ... - ... - ...
  19. Luxemburg (30.7.) - 0 - 0 - 0 - 0
  20. Malta - ... - ... - ... - ...
  21. Netherlands (7.8.) - ... - 17 - ... - ...
  22. Norway (5.8.) - ... - ... - ... - ...
  23. Poland (4.8.) - ... - ... - ... - ...
  24. Portugal (13.8.) 12 - ... - ... - ...
  25. Romania - ... - 18 - ... - ...
  26. Slovakia (12.8.) - 2 - 33 - 0 - 0
  27. Slovenia (10.8.) - ... - ... - ... - ...
  28. Spain (7.8.) - ... - ... - 26 - 66
  29. Sweden (6.8.) - ... - ... - ... - ...
  30. Switzerland (12.8.) - ... - ... - ... - ...
  31. United Kingdom** (6.8.) - 576 - .... - 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.


Table 3. Reported number of new and cumulative confirmed fatal pandemic influenza (H1N1) 2009 cases by country as of 13 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

  1. No deaths reported - ... - ...

  • MEDITERRANEAN AND MIDDLE-EAST

  1. Egypt ... - 1
  2. Iraq ... - 1
  3. Israel 2 - 7
  4. Lebanon ... - 1
  5. Occupied Palestinian Territory ... - 1
  6. Qatar ... - 1
  7. Saudi Arabia 2 - 11

  • AFRICA

  1. Ghana ... - 1
  2. Mauritius ... - 1
  3. South Africa ... - 3

  • NORTH AMERICA

  1. Canada ... - 66
  2. Mexico ... - 162
  3. **USA ... - 436

  • CENTRAL AMERICA & CARIBBEAN

  1. Cayman Islands ... - 1
  2. Costa Rica ... - 28
  3. Dominican Republic ... - 5
  4. El Salvador ... - 12
  5. Guatemala ... - 10
  6. Honduras ... - 6
  7. Jamaica ... - 4
  8. Nicaragua 1 - 1
  9. Panama ... - 2
  10. Saint Kitts and Nevis ... - 1

  • SOUTH AMERICA

  1. Argentina ... - 338
  2. Bolivia ... - 13
  3. Brazil ... - 192
  4. Chile ... - 97
  5. Colombia 1 - 18
  6. Ecuador ... - 21
  7. Paraguay ... - 27
  8. Peru ... - 45
  9. Uruguay ... - 22
  10. Venezuela ... - 2

  • NORTH-EAST & SOUTH ASIA

  1. Hong Kong SAR China ... - 4
  2. India 8 - 17
  3. Taiwan ... - 1

  • SOUTH-EAST ASIA

  1. Brunei Darussalam ... - 1
  2. Indonesia ... - 3
  3. Laos Peoples Democratic Republic ... - 1
  4. Malaysia 7 - 51
  5. Philippines ... - 8
  6. Singapore ... - 10
  7. Thailand ... - 97
  8. Vietnam 1 - 2

  • AUSTRALIA & PACIFIC

  1. Australia 2 - 102
  2. New Zealand ... - 14
  3. Samoa ... - 2
  4. Tonga ... - 1

  • TOTAL 24 - 1851
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.


(...)
-
------
 
Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

H1N1 2009: ECDC DAILY UPDATE - 14 August 2009 (edited)

[Original Full Document: LINK. EDITED.]

ECDC DAILY UPDATE - 14 August 2009

(...)

UK publishes the pandemic vaccination priority groups

UK announced the priority groups for pandemic vaccination, which are in the following groups in this order (numbers given are approximate and are for England only):


  1. People aged over six months and under 65 years in current seasonal flu vaccine clinical at-risk groups (about 5 million people). Vaccination of frontline health and social care workers (approximately 2 million people) will begin at the same time.
  2. All pregnant women, subject to licensing conditions on trimesters (about 0.5 million people).
  3. Household contacts of people with compromised immune systems e.g. people in regular close contact with patients on treatment for cancer (about 0.5 million people).
  4. People aged 65 and over in the current seasonal flu vaccine clinical at-risk groups (about 3.5 million people). This does not include otherwise healthy over 65s, since they appear to have some natural immunity to the virus.
Overall, more than 11 million people fall into these priority groups.

The full press release is available at: http://www.dh.gov.uk/en/News/Recentstories/DH_104295


Switzerland publishes vaccination priority groups

According to a media report, Switzerland has published the national priority groups for pandemic influenza vaccination. The priority groups are (in the following order):

  1. Health care workers and carers of infants under 6 years of age;
  2. Pregnant women, mothers and children as well as adults under 65 years of age with chronic heart, lung or metabolic diseases;
  3. Family members of patients with chronic diseases and family members of infants;
  4. Adults 65 years or older with chronic diseases
Overall, 1.2 to 2 million people fall into these categories according to the Federal Office of Public Health.


Finnish media discusses additional requirements on a pandemic vaccine clinical trial

Media in Finland discusses additional requirements placed by the National Agency of Medicines on a clinical trial on pandemic vaccine efficacy and safety in children. According to the media reports, children over 6 years of age will be required to get their own information sheet, written consent will be required from both parents and all girls over 12 years of age will be required to undergo pregnancy tests.

(...)


Table 1: Reported new confirmed cases and cumulative number of influenza A(H1N1)v as of 14 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](a)

  1. Austria ... - 222 - ...
  2. Belgium ... - 126 - 1
  3. Bulgaria ... - 51 - ...
  4. Cyprus ... - 297 - ...
  5. Czech Republic ... - 201 - ...
  6. Denmark 41 - 444 - ...
  7. Estonia ... - 56 - ...
  8. Finland ... - 196 - ...
  9. France(b) ... - 1125 - 1
  10. Germany 390 - 11493 - ...
  11. Greece 422 - 1424 - ...
  12. Hungary 2 - 133 - 1
  13. Iceland ... - 118 - ...
  14. Ireland ... - 574 - 1
  15. Italy ... - 1238 - ...
  16. Latvia 1 - 23 - ...
  17. Liechtenstein ... - 13 - ...
  18. Lithuania ... - 40 - ...
  19. Luxemburg 26 - 113 - ...
  20. Malta ... - 204 - ...
  21. Netherlands(c) 452 - 1473 - 1
  22. Norway ... - 868 - ...
  23. Poland 140 - 282 - ...
  24. Portugal ... - 780 - ...
  25. Romania 5 - 238 - ...
  26. Slovakia 4 - 96 - ...
  27. Slovenia 1 - 196 - ...
  28. Spain ... - 1538 - 10
  29. Sweden ... - 602 - ...
  30. Switzerland 16 - 726 - ...
  31. United Kingdom(d) 433 - 12903 - 44

  • Total 1933 - 37793 - 59
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.

(a) Deaths are included in the cumulative number of confirmed cases
(b) Cases reported from France include those reported from the overseas territories (434)
(c) Cases from the Netherlands include those reported from Aruba and the Dutch Antilles
(d) 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 currently admitted to hospitals and ICU?s and cumulative deaths among confirmed cases by country as of 14 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]

  1. Austria (7.8.) - 0 - ... - 0 - ...
  2. Belgium (7.8.) - 0 - ... - 0 - ...
  3. Bulgaria - ... - ... - ... - ...
  4. Cyprus - ... - ... - ... - ...
  5. Czech Republic (5.8.) - 0 - ... - 0 - ...
  6. Denmark (13.8.) - ... - ... - ... - ...
  7. Estonia (12.8.) - 0 - 0 - 0 - 0
  8. Finland (4.8.) - ... - ... - ... - ...
  9. France(a) (12.8.) - 5 - 53 - 4 - 10
  10. Germany (13.8.) - ... - ... - ... - ...
  11. Greece (3.8.) - 4 - ... - 2 - ...
  12. Hungary (7.8.) - ... - ... - ... - ...
  13. Iceland (7.8.) - 0 - 0 - 0 - 0
  14. Ireland (7.8.) - 3 - 23 - ... - ...
  15. Italy (17.7.) - ... - ... - ... - ...
  16. Latvia (11.8.) - ... - 1 - ... - ...
  17. Liechtenstein (13.8.) - ... - ... - ... - ...
  18. Lithuania (5.8.) - ... - ... - ... - ...
  19. Luxemburg (30.7.) - 0 - 0 - 0 - 0
  20. Malta - ... - ... - ... - ...
  21. Netherlands (14.8.) - ... - 28 - ... - ...
  22. Norway (5.8.) - ... - ... - ... - ...
  23. Poland (4.8.) - ... - ... - ... - ...
  24. Portugal (13.8.) - 11 - ... - ... - ...
  25. Romania - ... - 18 - ... - ...
  26. Slovakia (12.8.) - 2 - 33 - 0 - 0
  27. Slovenia (10.8.) - ... - ... - ... - ...
  28. Spain (7.8.) - ... - ... - 26 - 66
  29. Sweden (6.8.) - ... - ... - ... - ...
  30. Switzerland (13.8.) - ... - 11 - ... - 1
  31. 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 14 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

  1. No deaths reported - ... - ...

  • MEDITERRANEAN AND MIDDLE-EAST

  1. Egypt ... - 1
  2. Iraq ... - 1
  3. Israel ... - 7
  4. Lebanon ... - 1
  5. Occupied Palestinian Territory ... - 1
  6. Qatar ... - 1
  7. Saudi Arabia ... - 11

  • AFRICA

  1. Ghana ... - 1
  2. Mauritius ... - 1
  3. South Africa ... - 3

  • NORTH AMERICA

  1. Canada ... - 66
  2. Mexico 1 - 163
  3. USA ... - 436

  • CENTRAL AMERICA & CARIBBEAN

  1. Cayman Islands ... - 1
  2. Costa Rica ... - 28
  3. Dominican Republic ... - 5
  4. El Salvador ... - 12
  5. Guatemala ... - 10
  6. Honduras ... - 6
  7. Jamaica ... - 4
  8. Nicaragua ... - 1
  9. Panama 2 - 4
  10. Saint Kitts and Nevis ... - 1

  • SOUTH AMERICA

  1. Argentina 66 - 404
  2. Bolivia 1 - 14
  3. Brazil ... - 192
  4. Chile 8 - 105
  5. Colombia ... - 18
  6. Ecuador ... - 21
  7. Paraguay ... - 27
  8. Peru ... - 45
  9. Uruguay ... - 22
  10. Venezuela 10 - 12

  • NORTH-EAST & SOUTH ASIA

  1. Hong Kong SAR China ... - 4
  2. India ... - 17
  3. Taiwan ... - 1

  • SOUTH-EAST ASIA

  1. Brunei Darussalam ... - 1
  2. Indonesia ... - 3
  3. Laos Peoples Democratic Republic ... - 1
  4. Malaysia 5 - 56
  5. Philippines ... - 8
  6. Singapore 1 - 11
  7. Thailand ... - 97
  8. Vietnam ... - 2

  • AUSTRALIA & PACIFIC

  1. Australia ... - 102
  2. New Zealand ... - 14
  3. Samoa ... - 2
  4. Tonga ... - 1

  • TOTAL 94 - 1945
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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Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

Pandemic (H1N1) 2009 - Update 15 August 2009, 17:00 hours CEST (ECDC, edited)

[Original Full Document: LINK. EDITED.]

ECDC DAILY UPDATE

Pandemic (H1N1) 2009 - Update 15 August 2009, 17:00 hours CEST


Main developments in past 24 hours


  • 346 new cases reported from the EU and EFTA countries, reaching a total of 37 999 cases.
  • Spain reported 1 new death;
  • 1 327 new cases including 68 fatal cases, were reported from non-EU and EFTA countries, reaching a cumulative total of 189 563 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 15 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 37 999 confirmed cases of influenza A(H1N1)v infection, including 60 deaths (Table 1). In the past 24 hours, 346 new cases, including one fatal case from Spain, 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 1 327 new cases have been reported within the last 24 hours. 68 fatal cases were also reported (Table 3). In total, 189 563 cases including 2 013 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 227 562 including 2 073 deaths.


ECDC weekly influenza surveillance bulletin

The weekly influenza surveillance bulletin has been published on the ECDC website.

All of the 81 subtyped influenza A viruses detected by sentinel networks in week 32/2009 were A(H1N1)v. Ireland and the UK (England, Northern Ireland) are the only countries that have reported influenza activity above their national baseline levels since the pandemic was declared.

The ECDC weekly influenza surveillance bulleting is available at: http://ecdc.europa.eu/en/Activities...sletter/SUN_EISN_INFL_Bulletin_2009week32.pdf


Other developments

Extension of the pandemic

The pandemic continues to affect an increasing number of countries. Over this past week, 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 15 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*]

  1. Austria ... - 222 - ...
  2. Belgium ... - 126 - 1
  3. Bulgaria ... - 51 - ...
  4. Cyprus ... - 297 - ...
  5. Czech Republic ... - 201 - ...
  6. Denmark ... - 444 - ...
  7. Estonia ... - 56 - ...
  8. Finland ... - 196 - ...
  9. France** ... - 1125 - 1
  10. Germany ... - 11493 - ...
  11. Greece ... - 1424 - ...
  12. Hungary ... - 133 - 1
  13. Iceland ... - 118 - ...
  14. Ireland ... - 574 - 1
  15. Italy ... - 1238 - ...
  16. Latvia ... - 23 - ...
  17. Liechtenstein ... - 13 - ...
  18. Lithuania ... - 40 - ...
  19. Luxemburg ... - 113 - ...
  20. Malta ... - 204 - ...
  21. Netherlands*** ... - 1473 - 1
  22. Norway ... - 868 - ...
  23. Poland 1 - 143 - ...
  24. Portugal 315 - 1095 - ...
  25. Romania ... - 238 - ...
  26. Slovakia ... - 96 - ...
  27. Slovenia 4 - 200 - ...
  28. Spain ... - 1538 - 11
  29. Sweden ... - 602 - ...
  30. Switzerland 26 - 752 - ...
  31. United Kingdom**** ... - 12903 - 44

  • Total 346 - 37999 - 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 currently admitted to hospitals and intensive care by country as of 15 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]

  1. Austria (7.8.) - 0 - ... - 0 - ...
  2. Belgium (7.8.) - 0 - ... - 0 - ...
  3. Bulgaria - ... - ... - ... - ...
  4. Cyprus - ... - ... - ... - ...
  5. Czech Republic (5.8.) - 0 - ... - 0 - ...
  6. Denmark (13.8.) - ... - ... - ... - ...
  7. Estonia (12.8.) - 0 - 0 - 0 - 0
  8. Finland (4.8.) - ... - ... - ... - ...
  9. France(a) (12.8.) - 5 - 53 - 4 - 10
  10. Germany (13.8.) - ... - ... - ... - ...
  11. Greece (3.8.) - 4 - ... - 2 - ...
  12. Hungary (7.8.) - ... - ... - ... - ...
  13. Iceland (7.8.) - 0 - 0 - 0 - 0
  14. Ireland (7.8.) - 3 - 23 - ... - ...
  15. Italy (17.7.) - ... - ... - ... - ...
  16. Latvia (11.8.) - ... - 1 - ... - ...
  17. Liechtenstein (13.8.) - ... - ... - ... - ...
  18. Lithuania (5.8.) - ... - ... - ... - ...
  19. Luxemburg (30.7.) - 0 - 0 - 0 - 0
  20. Malta - ... - ... - ... - ...
  21. Netherlands (14.8.) - ... - 28 - ... - ...
  22. Norway (5.8.) - ... - ... - ... - ...
  23. Poland (4.8.) - ... - ... - ... - ...
  24. Portugal (13.8.) - 11 - ... - ... - ...
  25. Romania - ... - 18 - ... - ...
  26. Slovakia (12.8.) - 2 - 33 - 0 - 0
  27. Slovenia (10.8.) - ... - ... - ... - ...
  28. Spain (14.8.) - ... - ... - 29 - 77
  29. Sweden (6.8.) - ... - ... - ... - ...
  30. Switzerland (13.8.) - ... - 11 - ... - 1
  31. 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 15 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

  1. No deaths reported - ... - ...

  • MEDITERRANEAN AND MIDDLE-EAST

  1. Egypt ... - 1
  2. Iraq ... - 1
  3. Israel ... - 7
  4. Lebanon ... - 1
  5. Occupied Palestinian Territory ... - 1
  6. Qatar ... - 1
  7. Saudi Arabia ... - 11

  • AFRICA

  1. Ghana ... - 1
  2. Mauritius ... - 1
  3. South Africa ... - 3

  • NORTH AMERICA

  1. Canada ... - 66
  2. Mexico ... - 163
  3. USA 41 - 477

  • CENTRAL AMERICA & CARIBBEAN

  1. Cayman Islands ... - 1
  2. Costa Rica ... - 28
  3. Dominican Republic ... - 5
  4. El Salvador ... - 12
  5. Guatemala ... - 10
  6. Honduras 1 - 7
  7. Jamaica ... - 4
  8. Nicaragua ... - 1
  9. Panama ... - 4
  10. Saint Kitts and Nevis ... - 1

  • SOUTH AMERICA

  1. Argentina ... - 404
  2. Bolivia ... - 14
  3. Brazil ... - 192
  4. Chile 7 - 112
  5. Colombia ... - 18
  6. Ecuador 2 - 23
  7. Paraguay 12 - 39
  8. Peru ... - 45
  9. Uruguay ... - 22
  10. Venezuela ... - 12

  • NORTH-EAST & SOUTH ASIA

  1. Hong Kong SAR China ... - 4
  2. India ... - 17
  3. Japan 1 - 1
  4. South Korea 1 - 1
  5. Taiwan ... - 1

  • SOUTH-EAST ASIA

  1. Brunei Darussalam ... - 1
  2. Indonesia ... - 3
  3. Laos Peoples Democratic Republic ... - 1
  4. Malaysia 3 - 59
  5. Philippines ... - 8
  6. Singapore ... - 11
  7. Thailand ... - 97
  8. Vietnam ... - 2

  • AUSTRALIA & PACIFIC

  1. Australia ... - 102
  2. New Zealand ... - 14
  3. Samoa ... - 2
  4. Tonga ... - 1

  • TOTAL 68 - 2013
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.


(...)
-
------
 
Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

[Please note the change in reporting]

ironorehopper said:
Pandemic (H1N1) 2009 - Update 15 August 2009, 17:00 hours CEST (ECDC, edited)

[Original Full Document: LINK. EDITED.]

ECDC DAILY UPDATE

Pandemic (H1N1) 2009 - Update 15 August 2009, 17:00 hours CEST


Main developments in past 24 hours



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.

(...)

------
Click to expand...
 
Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

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


  • 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*]

  1. Austria ... - 222 - ...
  2. Belgium ... - 126 - 1
  3. Bulgaria ... - 51 - ...
  4. Cyprus ... - 297 - ...
  5. Czech Republic ... - 201 - ...
  6. Denmark ... - 444 - ...
  7. Estonia ... - 56 - ...
  8. Finland ... - 196 - ...
  9. France** ... - 1125 - 1
  10. Germany ... - 11493 - ...
  11. Greece ... - 1424 - ...
  12. Hungary ... - 133 - 1
  13. Iceland ... - 118 - ...
  14. Ireland ... - 574 - 1
  15. Italy ... - 1238 - ...
  16. Latvia ... - 23 - ...
  17. Liechtenstein ... - 13 - ...
  18. Lithuania ... - 40 - ...
  19. Luxemburg ... - 113 - ...
  20. Malta ... - 204 - ...
  21. Netherlands*** ... - 1473 - 1
  22. Norway ... - 868 - ...
  23. Poland ... - 143 - ...
  24. Portugal 173 - 1268 - ...
  25. Romania 15 - 253 - ...
  26. Slovakia ... - 96 - ...
  27. Slovenia ... - 200 - ...
  28. Spain ... - 1538 - 11
  29. Sweden ... - 602 - ...
  30. Switzerland ... - 752 - ...
  31. 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]

  1. Austria (7.8.) - 0 - ... - 0 - ...
  2. Belgium (7.8.) - 0 - ... - 0 - ...
  3. Bulgaria - ... - ... - ... - ...
  4. Cyprus - ... - ... - ... - ...
  5. Czech Republic (5.8.) - 0 - ... - 0 - ...
  6. Denmark (13.8.) - ... - ... - ... - ...
  7. Estonia (12.8.) - 0 - 0 - 0 - 0
  8. Finland (4.8.) - ... - ... - ... - ...
  9. France(a) (12.8.) - 5 - 53 - 4 - 10
  10. Germany (13.8.) - ... - ... - ... - ...
  11. Greece (3.8.) - 4 - ... - 2 - ...
  12. Hungary (7.8.) - ... - ... - ... - ...
  13. Iceland (7.8.) - 0 - 0 - 0 - 0
  14. Ireland (7.8.) - 3 - 23 - ... - ...
  15. Italy (17.7.) - ... - ... - ... - ...
  16. Latvia (11.8.) - ... - 1 - ... - ...
  17. Liechtenstein (13.8.) - ... - ... - ... - ...
  18. Lithuania (5.8.) - ... - ... - ... - ...
  19. Luxemburg (30.7.) - 0 - 0 - 0 - 0
  20. Malta - ... - ... - ... - ...
  21. Netherlands (14.8.) - ... - 28 - ... - ...
  22. Norway (5.8.) - ... - ... - ... - ...
  23. Poland (4.8.) - ... - ... - ... - ...
  24. Portugal (15.8.) - 20 - ... - ... - ...
  25. Romania - ... - 18 - ... - ...
  26. Slovakia (12.8.) - 2 - 33 - 0 - 0
  27. Slovenia (10.8.) - ... - ... - ... - ...
  28. Spain (14.8.) - ... - ... - 29 - 77
  29. Sweden (6.8.) - ... - ... - ... - ...
  30. Switzerland (13.8.) - ... - 11 - ... - 1
  31. 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

  1. No deaths reported - ... - ...

  • MEDITERRANEAN AND MIDDLE-EAST

  1. Egypt ... - 1
  2. Iraq ... - 1
  3. Israel ... - 7
  4. Lebanon ... - 1
  5. Occupied Palestinian Territory ... - 1
  6. Qatar ... - 1
  7. Saudi Arabia ... - 11

  • AFRICA

  1. Ghana ... - 1
  2. Mauritius ... - 1
  3. South Africa ... - 3

  • NORTH AMERICA

  1. Canada ... - 66
  2. Mexico ... - 163
  3. USA ... - 477

  • CENTRAL AMERICA & CARIBBEAN

  1. Cayman Islands ... - 1
  2. Costa Rica ... - 28
  3. Dominican Republic ... - 5
  4. El Salvador ... - 12
  5. Guatemala ... - 10
  6. Honduras ... - 7
  7. Jamaica ... - 4
  8. Nicaragua ... - 1
  9. Panama ... - 4
  10. Saint Kitts and Nevis ... - 1

  • SOUTH AMERICA

  1. Argentina ... - 404
  2. Bolivia ... - 14
  3. Brazil ... - 192
  4. Chile ... - 112
  5. Colombia ... - 18
  6. Ecuador ... - 23
  7. Paraguay ... - 39
  8. Peru ... - 45
  9. Uruguay ... - 22
  10. Venezuela ... - 12

  • NORTH-EAST & SOUTH ASIA

  1. Hong Kong SAR China ... - 4
  2. India ... - 17
  3. Japan ... - 1
  4. South Korea 1 - 2
  5. Taiwan 1 - 2

  • SOUTH-EAST ASIA

  1. Brunei Darussalam ... - 1
  2. Indonesia ... - 3
  3. Laos Peoples Democratic Republic ... - 1
  4. Malaysia 3 - 62
  5. Philippines ... - 8
  6. Singapore ... - 11
  7. Thailand ... - 97
  8. Vietnam ... - 2

  • AUSTRALIA & PACIFIC

  1. Australia 6 - 108
  2. New Zealand ... - 14
  3. Samoa ... - 2
  4. 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.


(...)
-
------
 
Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

Pandemic (H1N1) 2009 - Update 17 August 2009, 17:00 hours CEST (ECDC, edited)

[Original Full Document: LINK. EDITED.]

ECDC DAILY UPDATE

Pandemic (H1N1) 2009 - Update 17 August 2009, 17:00 hours CEST


Main developments in past 24 hours


  • 762 new cases reported in the EU and EFTA countries, reaching a total of 38 936 cases, no new deaths reported;
  • 1 683 new cases including 23 fatal cases, were reported from non-EU and EFTA countries, reaching a cumulative total of 192 417 cases;
  • Report on oseltamivir-resistance developing in two immune suppressed patients published;
  • HPA issues letter to neurologist to raise awareness of Guillain-Barr? syndrome.

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 17 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 38 936 confirmed cases of influenza A(H1N1)v infection, including 60 deaths (Table 1). In the past 24 hours, 762 new cases were reported from the EU and EFTA countries. Currently, the majority of the cases are being reported from Germany. During this week, we have identified public reports of currently hospitalised cases from 5 countries (Table 2). The majority of the hospitalized cases have been reported from UK, specifically from England.

Outside of the EU and EFTA countries, a total of 1 683 new cases have been reported within the last 24 hours. 23 fatal cases were also reported (Table 3). In total, 192 417 cases including 2 047 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, as well as South Africa. Most North, 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 231 353 including 2 107 deaths.


Updates from Eurosurveillance

In Eurosurveillance, Volume 14, Issue 32, an article from Turkey reports on the first 128 cases of influenza A(H1N1)v identified in Turkey and on the control measures taken by the Ministry of Health for containment of the epidemic from 27 April to 17 July 2009. Of the 128 cases, 17 were from the Turkish Cypriot community and the remaining 111 from various provinces in Turkey. The number of cases increased remarkably from June onward. Of the 111 confirmed cases in Turkey, 25 were domestic secondary cases. Of the 17 confirmed cases in the Turkish Cypriot community, 13 were indigenous. http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=19304

A report from Peru presents a preliminary analysis of 1,771 cases of influenza A(H1N1)v confirmed in Peru by 17 July 2009, including the frequency of the clinical characteristics, the geographic and age distribution of the cases and the estimate of the transmission potential. Age-specific frequency of cases was highest among school age children and young adults, and the lowest frequency of cases was registered among seniors. Estimates of the reproduction number lie in the range of 1.2 to 1.7, which is broadly consistent with previous estimates for this pandemic in other regions. http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=19299

An article analysing the German influenza surveillance data gives estimates of the chances of seasonal influenza to circulate during the upcoming season, using data of the German influenza sentinel scheme from 1992 to 2009. The authors calculated type and subtype-specific indices for past exposure and the corresponding morbidity indices for each season. For 2009-10, the model used by the authors suggests that it is unlikely that influenza A(H3N2) will circulate with more than a low intensity, seasonal A(H1N1) with more than a low to moderate intensity, and influenza B with more than a low to median intensity. The probability of a competitive circulation of seasonal influenza A with the new A(H1N1)v is low, increasing the chance for the latter to dominate the next influenza season in Germany. http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=19303


Other developments

Report of two cases of oseltamivir-resistance among immune suppressed patients

A report in the US CDC publication MMWR described two independent cases of oseltamivir-resistant strains of influenza A(H1N1)v developing in two severely immune suppressed patients. Both cases were leukemia patients on immunosuppressive drugs. No secondary transmission was documented. Full report available at: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm58d0814a1.htm?s_cid=mm58d0814a1_e


UK HPA issued a letter to neurologist to be alert for signs and symptoms of Guillain- Barr? Syndrome

British press discussed two letters sent by the UK Health Protection Agency (HPA) and the Surveillance unit of the Association of Brittish Neurologists (BNSU) to neurologists in the country raising the awareness for signs and symptoms of Guillain-Barr? syndrome (GBS) among population groups vaccinated against influenza A(H1N1)v. These letters relate to the 1976 abandonment of the US Swine flu vaccination program based on fears of increased risk of GBS among vaccinated people.

Guillain-Barr? syndrome is a rare peripheral neuropathic disease. Typical symptoms include progressive proximal and distal limb weakness over a four-week period, loss of reflexes and variable sensory symptoms. The autonomic nervous system is also often affected. A high frequency of respiratory failure seen in patients contributes to the 10% mortality seen in prospective studies. However, early treatment is effective. European studies estimate annual incidence at 1.2 per 100 000 to 1.6 per 100 000 persons. A large proportion of GBS patients have a history of a preceding infection. Link to recent BMJ clinical review article on Guillain-Barr?: http://www.bmj.com/cgi/content/extract/337/jul17_1/a671


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 17 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(a)]

  1. Austria ... - 222 - ...
  2. Belgium ... - 126 - 1
  3. Bulgaria ... - 51 - ...
  4. Cyprus ... - 297 - ...
  5. Czech Republic ... - 201 - ...
  6. Denmark ... - 444 - ...
  7. Estonia ... - 56 - ...
  8. Finland ... - 196 - ...
  9. France(b) ... - 1125 - 1
  10. Germany 627 - 12120 - ...
  11. Greece ... - 1424 - ...
  12. Hungary ... - 133 - 1
  13. Iceland 17 - 135 - ...
  14. Ireland ... - 574 - 1
  15. Italy ... - 1238 - ...
  16. Latvia ... - 23 - ...
  17. Liechtenstein ... - 5 - ...
  18. Lithuania ... - 40 - ...
  19. Luxemburg 5 - 118 - ...
  20. Malta ... - 204 - ...
  21. Netherlands(c) ... - 1473 - 1
  22. Norway ... - 868 - ...
  23. Poland ... - 143 - ...
  24. Portugal 109 - 1377 - ...
  25. Romania 3 - 256 - ...
  26. Slovakia ... - 96 - ...
  27. Slovenia 1 - 201 - ...
  28. Spain ... - 1538 - 11
  29. Sweden ... - 602 - ...
  30. Switzerland ... - 747 - ...
  31. United Kingdom(d) ... - 12903 - 44

  • Total 762 - 38936 - 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.

(a) Deaths are included in the cumulative number of confirmed cases
(b) Cases reported from France include those reported from the overseas territories (434)
(c) Cases from the Netherlands include those reported from Aruba and the Dutch Antilles
(d) 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 17 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]

  1. Austria (7.8.) - 0 - ... - 0 - ...
  2. Belgium (7.8.) - 0 - ... - 0 - ...
  3. Bulgaria - ... - ... - ... - ...
  4. Cyprus - ... - ... - ... - ...
  5. Czech Republic (5.8.) - 0 - ... - 0 - ...
  6. Denmark (13.8.) - ... - ... - ... - ...
  7. Estonia (14.8.) - 0 - 0 - 0 - 0
  8. Finland (4.8.) - ... - ... - ... - ...
  9. France(a) (12.8.) - 5 - 53 - 4 - 10
  10. Germany (17.8.) - ... - ... - ... - ...
  11. Greece (13.8.) - ... - ... - 1 - ...
  12. Hungary (7.8.) - ... - ... - ... - ...
  13. Iceland (7.8.) - 0 - 0 - 0 - 0
  14. Ireland (13.8.) - 4 - 41 - ... - ...
  15. Italy (17.7.) - ... - ... - ... - ...
  16. Latvia (13.8.) - ... - 1 - ... - ...
  17. Liechtenstein (13.8.) - ... - ... - ... - ...
  18. Lithuania (13.8.) - ... - ... - ... - ...
  19. Luxemburg (14.8.) - ... - ... - 0 - 0
  20. Malta - ... - ... - ... - ...
  21. Netherlands (14.8.) - ... - 28 - ... - ...
  22. Norway (5.8.) - ... - ... - ... - ...
  23. Poland (4.8.) - ... - ... - ... - ...
  24. Portugal (16.8.) - 17 - ... - ... - ...
  25. Romania - ... - 18 - ... - ...
  26. Slovakia (12.8.) - 2 - 33 - 0 - 0
  27. Slovenia (10.8.) - ... - ... - ... - ...
  28. Spain (14.8.) - ... - ... - 29 - 77
  29. Sweden (6.8.) - ... - ... - ... - ...
  30. Switzerland (13.8.) - ... - 11 - ... - 1
  31. 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 17 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

  1. No deaths reported - ... - ...

  • MEDITERRANEAN AND MIDDLE-EAST

  1. Egypt ... - 1
  2. Iraq ... - 1
  3. Israel 1 - 8
  4. Lebanon ... - 1
  5. Occupied Palestinian Territory ... - 1
  6. Qatar ... - 1
  7. Saudi Arabia 3 - 14

  • AFRICA

  1. Ghana ... - 1
  2. Mauritius ... - 1
  3. South Africa 3 - 6

  • NORTH AMERICA

  1. Canada ... - 66
  2. Mexico ... - 163
  3. USA ... - 477

  • CENTRAL AMERICA & CARIBBEAN

  1. Cayman Islands ... - 1
  2. Costa Rica 1 - 29
  3. Dominican Republic ... - 5
  4. El Salvador ... - 12
  5. Guatemala ... - 10
  6. Honduras ... - 7
  7. Jamaica ... - 4
  8. Nicaragua ... - 1
  9. Panama ... - 4
  10. Saint Kitts and Nevis ... - 1

  • SOUTH AMERICA

  1. Argentina ... - 404
  2. Bolivia ... - 14
  3. Brazil(a) ... - 192
  4. Chile ... - 112
  5. Colombia ... - 18
  6. Ecuador ... - 23
  7. Paraguay ... - 39
  8. Peru ... - 45
  9. Uruguay ... - 22
  10. Venezuela ... - 12

  • NORTH-EAST & SOUTH ASIA

  1. Hong Kong SAR China ... - 4
  2. India 8 - 25
  3. Japan ... - 1
  4. South Korea ... - 2
  5. Taiwan ... - 2

  • SOUTH-EAST ASIA

  1. Brunei Darussalam ... - 1
  2. Indonesia 1 - 4
  3. Laos Peoples Democratic Republic ... - 1
  4. Malaysia 2 - 64
  5. Philippines ... - 8
  6. Singapore ... - 11
  7. Thailand ... - 97
  8. Vietnam ... - 2

  • AUSTRALIA & PACIFIC

  1. Australia 4 - 112
  2. New Zealand ... - 14
  3. Samoa ... - 2
  4. Tonga ... - 1

  • TOTAL 23 - 2047
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.

(a) Brazil is repoting only confirmed cases among patients with Severe Acute Respiratory Infections (SARI)

(...)
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------
 
Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

Pandemic (H1N1) 2009 - Update 18 August 2009, 17:00 hours CEST (ECDC, edited)

[Original Full Document: LINK. EDITED.]

ECDC DAILY UPDATE

Pandemic (H1N1) 2009 - Update 18 August 2009, 17:00 hours CEST


Main developments in past 24 hours


  • 491 new cases reported in the EU and EFTA countries, reaching a total of 39 427 cases; Spain and Ireland reported one new death each; Malta reported its first death;
  • 5 285 new cases including 34 fatal cases, were reported from non-EU and EFTA countries, reaching a cumulative total of 197 702 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 18 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 cases of influenza A(H1N1)v. A total of 39 427 confirmed cases of influenza A(H1N1)v infection, including 63 deaths have been reported since April 2009 (Table 1). In the past 24 hours, 491 new cases, including 3 new fatal cases from Spain, Ireland and Malta, were reported from the EU and EFTA countries. Currently, the majority of the cases are being reported from Germany. During this week, we have identified public reports of currently hospitalised cases from 5 countries (Table 2). The majority of the hospitalized cases have been reported from UK, specifically from England.

Outside of the EU and EFTA countries, a total of 5 285 new cases have been reported within the last 24 hours. 34 fatal cases were also reported (Table 3). In total, 197 702 cases including 2 081 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, as well as South Africa. Most North, 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 237 129 including 2 144 deaths.


Other developments

Retraction: Switzerland yet to publish the priority groups for vaccination

In the Daily Update 14 August we reported that Switzerland and UK had published their priority groups for vaccination. The report on Switzerland was based on a media source and Swiss authorities have now clarified that this news item was referring to the recommendations of an advisory group, the experts commission, and is not the official position of the government. The final decision will be made by the Federal Office of Public Health at a later stage.


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 18 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(a)]

  1. Austria ... - 222 - ...
  2. Belgium ... - 126 - 1
  3. Bulgaria ... - 51 - ...
  4. Cyprus ... - 297 - ...
  5. Czech Republic 8 - 209 - ...
  6. Denmark ... - 444 - ...
  7. Estonia ... - 56 - ...
  8. Finland 4 - 200 - ...
  9. France (b) ... - 1125 - 1
  10. Germany 373 - 12493 - ...
  11. Greece ... - 1424 - ...
  12. Hungary 10 - 143 - 1
  13. Iceland ... - 135 - ...
  14. Ireland ... - 574 - 2
  15. Italy ... - 1238 - ...
  16. Latvia ... - 23 - ...
  17. Liechtenstein ... - 5 - ...
  18. Lithuania ... - 40 - ...
  19. Luxemburg ... - 118 - ...
  20. Malta 27 - 231 - 1
  21. Netherlands (c) ... - 1473 - 1
  22. Norway ... - 868 - ...
  23. Poland 7 - 150 - ...
  24. Portugal ... - 1377 - ...
  25. Romania 6 - 262 - ...
  26. Slovakia 2 - 98 - ...
  27. Slovenia 1 - 202 - ...
  28. Spain ... - 1538 - 12
  29. Sweden ... - 602 - ...
  30. Switzerland 53 - 800 - ...
  31. United Kingdom (d) ... - 12903 - 44

  • Total 491 - 39427 - 63
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.

(a) Deaths are included in the cumulative number of confirmed cases
(b) Cases reported from France include those reported from the overseas territories (434)
(c) Cases from the Netherlands include those reported from Aruba and the Dutch Antilles
(d) 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 18 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]

  1. Austria (7.8.) - 0 - ... - 0 - ...
  2. Belgium (7.8.) - 0 - ... - 0 - ...
  3. Bulgaria - ... - ... - ... - ...
  4. Cyprus - ... - ... - ... - ...
  5. Czech Republic (17.8.) - 0 - ... - 0 - ...
  6. Denmark (13.8.) - ... - ... - ... - ...
  7. Estonia (14.8.) - 0 - 0 - 0 - 0
  8. Finland (4.8.) - ... - ... - ... - ...
  9. France(a) (12.8.) - 5 - 53 - 4 - 10
  10. Germany (17.8.) - ... - ... - ... - ...
  11. Greece (13.8.) - ... - ... - 1 - ...
  12. Hungary (7.8.) - ... - ... - ... - ...
  13. Iceland (7.8.) - 0 - 0 - 0 - 0
  14. Ireland (13.8.) - 4 - 41 - ... - ...
  15. Italy (17.7.) - ... - ... - ... - ...
  16. Latvia (13.8.) - ... - 1 - ... - ...
  17. Liechtenstein (13.8.) - ... - ... - ... - ...
  18. Lithuania (13.8.) - ... - ... - ... - ...
  19. Luxemburg (14.8.) - ... - ... - 0 - 0
  20. Malta - ... - ... - ... - ...
  21. Netherlands (14.8.) - ... - 28 - ... - ...
  22. Norway (12.8.) - ... - ... - ... - ...
  23. Poland (4.8.) - ... - ... - ... - ...
  24. Portugal (17.8.) 9 - ... - 4 - ...
  25. Romania - ... - 18 - ... - ...
  26. Slovakia (12.8.) - 2 - 33 - 0 - 0
  27. Slovenia (10.8.) - ... - ... - ... - ...
  28. Spain (14.8.) - ... - ... - 29 - 77
  29. Sweden (6.8.) - ... - ... - ... - ...
  30. Switzerland (17.8.) - ... - 11 - ... - 1
  31. 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 18 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

  1. No deaths reported - ... - ...

  • MEDITERRANEAN AND MIDDLE-EAST

  1. Egypt ... - 1
  2. Iraq ... - 1
  3. Israel 2 - 10
  4. Lebanon ... - 1
  5. Occupied Palestinian Territory ... - 1
  6. Qatar ... - 1
  7. Saudi Arabia ... - 14

  • AFRICA

  1. Ghana ... - 1
  2. Mauritius 2 - 3
  3. South Africa ... - 6

  • NORTH AMERICA

  1. Canada ... - 66
  2. Mexico ... - 163
  3. USA ... - 477

  • CENTRAL AMERICA & CARIBBEAN

  1. Cayman Islands ... - 1
  2. Costa Rica ... - 29
  3. Dominican Republic ... - 5
  4. El Salvador ... - 12
  5. Guatemala ... - 10
  6. Honduras ... - 7
  7. Jamaica ... - 4
  8. Nicaragua ... - 1
  9. Panama 2 - 6
  10. Saint Kitts and Nevis ... - 1

  • SOUTH AMERICA

  1. Argentina ... - 404
  2. Bolivia ... - 14
  3. Brazil ... - 192
  4. Chile ... - 112
  5. Colombia ... - 18
  6. Ecuador ... - 23
  7. Paraguay ... - 39
  8. Peru 17 - 62
  9. Uruguay ... - 22
  10. Venezuela ... - 12

  • NORTH-EAST & SOUTH ASIA

  1. Hong Kong SAR China ... - 4
  2. India ... - 25
  3. Japan ... - 1
  4. South Korea ... - 2
  5. Taiwan ... - 2

  • SOUTH-EAST ASIA

  1. Brunei Darussalam ... - 1
  2. Indonesia ... - 4
  3. Laos Peoples Democratic Republic ... - 1
  4. Malaysia 3 - 67
  5. Philippines ... - 8
  6. Singapore ... - 11
  7. Thailand ... - 97
  8. Vietnam ... - 2

  • AUSTRALIA & PACIFIC

  1. Australia 6 - 118
  2. Cook Islands 1 - 1
  3. New Zealand 1 - 15
  4. Samoa ... - 2
  5. Tonga ... - 1

  • TOTAL 34 - 2081
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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------
 
Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

Pandemic (H1N1) 2009 - Update 19 August 2009, 17:00 hours CEST (ECDC, edited)

[Original Full Document: LINK. EDITED.]

ECDC DAILY UPDATE

Pandemic (H1N1) 2009 - Update 19 August 2009, 17:00 hours CEST


Main developments in past 24 hours


  • 729 new cases reported in the EU and EFTA countries, reaching a total of 40 156 cases;
  • 5 729 new cases including 205 fatal cases, were reported from non-EU and EFTA countries, reaching a cumulative total of 203 431 cases;
  • Preliminary estimate for reproductive number from New Zealand published last week.

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 19 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 cases of influenza A(H1N1)v. A total of 40 156 confirmed cases of influenza A(H1N1)v infection, including 63 deaths have been reported since April 2009 (Table 1). In the past 24 hours, 729 new cases, from the EU and EFTA countries. Currently, the majority of the cases are being reported from Germany. During this week, we have identified public reports of currently hospitalised cases from 5 countries (Table 2). The majority of the hospitalized cases have been reported from UK, specifically from England.

Outside of the EU and EFTA countries, a total of 5 729 new cases have been reported within the last 24 hours. 205 fatal cases were also reported (Table 3). In total, 203 431 cases including 2 286 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, as well as South Africa. Most North, 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 243 587 including 2 349 deaths.


Other developments

UK MHRA issued a letter to healthcare personnel alerting them to possible interactions between oseltamivir and warfarin.

The UK Medicines and healthcare products regulatory agency (MHRA) issued a letter to healthcare personnel in the country alerting them to possibility of interactions between oseltamivir and warfarin. These possible interactions were identified through a signal in the adverse effects monitoring system. Warfarin is an anticoagulant used by approximately 600 000 cardiovascular patients in the UK and is known or suspected to have interactions with several medicines and food products. Other signals identified through the adverse events monitoring systems included hepatic adverse events and reports on convulsions and hallucinations. At present there is no change to the UK product information for Tamiflu and patients should continue to take Tamiflu as advised by their healthcare provider. The MHRA assessment is that the benefitrisk balance for Tamiflu remains positive.


Scientific Advance: Preliminary estimate for the reproduction number of influenza A(H1N1)v in New Zealand.

Nishiura H, Wilson N, Baker M. Estimating the reproduction number of the novel influenza A virus (H1N1) in a Southern Hemisphere setting: preliminary estimate in New Zealand New Zealand Med J 2009; 122, No. 1299

A recent study has estimated the early effective reproduction number R in New Zealand by analyzing early national data. The authors estimated a value of R of 1.96 (95% confidence interval 1.80 ? 2.15), when assuming a generation time of 2.8 days. This would correspond to a final cumulative attack rate of 78.6 % (including both clinical and asymptomatic infections) of the total population. The authors acknowledge this is almost certainly an over-estimate as it assumes homogenous mixing, that countermeasures were ineffective and there was a wholly susceptible population. The methodology used is also very sensitive to ?noise?, that is random deviations on the data. The full original article is available at: http://www.nzma.org.nz/journal/122-1299/3722/

The ECDC Scientific Advance commentary is available at: http://ecdc.europa.eu/en/activities/sciadvice/Lists/ECDC Reviews/DispForm.aspx?ID=639


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 19 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(a)]


  1. Austria ... - 222 - ...
  2. Belgium ... - 126 - 1
  3. Bulgaria 6 - 57 - ...
  4. Cyprus ... - 297 - ...
  5. Czech Republic ... - 209 - ...
  6. Denmark ... - 444 - ...
  7. Estonia 1 - 57 - ...
  8. Finland 4 - 204 - ...
  9. France (b) ... - 1125 - 1
  10. Germany 337 - 12830 - ...
  11. Greece ... - 1424 - ...
  12. Hungary 2 - 145 - 1
  13. Iceland ... - 135 - ...
  14. Ireland ... - 574 - 2
  15. Italy ... - 1238 - ...
  16. Latvia ... - 23 - ...
  17. Liechtenstein ... - 5 - ...
  18. Lithuania ... - 40 - ...
  19. Luxemburg ... - 118 - ...
  20. Malta ... - 231 - 1
  21. Netherlands (c) ... - 1473 - 1
  22. Norway ... - 868 - ...
  23. Poland 2 - 152 - ...
  24. Portugal 257 - 1634 - ...
  25. Romania 7 - 269 - ...
  26. Slovakia 1 - 99 - ...
  27. Slovenia 1 - 203 - ...
  28. Spain ... - 1538 - 12
  29. Sweden 70 - 672 - ...
  30. Switzerland 41 - 841 - ...
  31. United Kingdom (d) ... - 12903 - 44

  • Total 729 - 40156 - 63
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.

(a) Deaths are included in the cumulative number of confirmed cases
(b) Cases reported from France include those reported from the overseas territories (434)
(c) Cases from the Netherlands include those reported from Aruba and the Dutch Antilles
(d) 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 18 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]

  1. Austria (7.8.) - 0 - ... - 0 - ...
  2. Belgium (7.8.) - 0 - ... - 0 - ...
  3. Bulgaria - ... - ... - ... - ...
  4. Cyprus - ... - ... - ... - ...
  5. Czech Republic (17.8.) - 0 - ... - 0 - ...
  6. Denmark (13.8.) - ... - ... - ... - ...
  7. Estonia (14.8.) - 0 - 0 - 0 - 0
  8. Finland (18.8.) - ... - ... - ... - ...
  9. France(a) (12.8.) - 5 - 53 - 4 - 10
  10. Germany (19.8.) - ... - ... - ... - ...
  11. Greece (13.8.) - ... - ... - 1 - ...
  12. Hungary (7.8.) - ... - ... - ... - ...
  13. Iceland (7.8.) - 0 - 0 - 0 - 0
  14. Ireland (13.8.) - 4 - 41 - ... - ...
  15. Italy (17.7.) - ... - ... - ... - ...
  16. Latvia (13.8.) - ... - 1 - ... - ...
  17. Liechtenstein (13.8.) - ... - ... - ... - ...
  18. Lithuania (13.8.) - ... - ... - ... - ...
  19. Luxemburg (14.8.) - ... - ... - 0 - 0
  20. Malta - ... - ... - ... - ...
  21. Netherlands (14.8.) - ... - 28 - ... - ...
  22. Norway (12.8.) - ... - ... - ... - ...
  23. Poland (18.8.) - ... - ... - ... - ...
  24. Portugal (18.8.) - 9 - ... - 4 - ...
  25. Romania - ... - 18 - ... - ...
  26. Slovakia (12.8.) - 2 - 33 - 0 - 0
  27. Slovenia (10.8.) - ... - ... - ... - ...
  28. Spain (14.8.) - ... - ... - 29 - 77
  29. Sweden (6.8.) - ... - ... - ... - ...
  30. Switzerland (18.8.) - ... - 11 - ... - 1
  31. 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 19 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

  1. No deaths reported - ... - ...

  • MEDITERRANEAN AND MIDDLE-EAST

  1. Egypt ... - 1
  2. Iraq ... - 1
  3. Israel ... - 10
  4. Lebanon ... - 1
  5. Occupied Palestinian Territory ... - 1
  6. Qatar ... - 1
  7. Saudi Arabia ... - 14
  8. Yemen 1 - 1

  • AFRICA

  1. Ghana ... - 1
  2. Mauritius ... - 3
  3. South Africa ... - 6

  • NORTH AMERICA

  1. Canada 1 - 67
  2. Mexico 1 - 164
  3. USA ... - 477

  • CENTRAL AMERICA & CARIBBEAN

  1. Cayman Islands ... - 1
  2. Costa Rica ... - 29
  3. Dominican Republic ... - 5
  4. El Salvador ... - 12
  5. Guatemala ... - 10
  6. Honduras ... - 7
  7. Jamaica ... - 4
  8. Nicaragua ... - 1
  9. Panama ... - 6
  10. Saint Kitts and Nevis ... - 1

  • SOUTH AMERICA

  1. Argentina ... - 404
  2. Bolivia 2 - 16
  3. Brazil 176 - 368
  4. Chile ... - 112
  5. Colombia 5 - 23
  6. Ecuador ... - 23
  7. Paraguay ... - 39
  8. Peru ... - 62
  9. Uruguay ... - 22
  10. Venezuela ... - 12

  • NORTH-EAST & SOUTH ASIA

  1. Hong Kong SAR China ... - 4
  2. India ... - 25
  3. Japan 2 - 3
  4. South Korea ... - 2
  5. Taiwan ... - 2

  • SOUTH-EAST ASIA

  1. Brunei Darussalam ... - 1
  2. Indonesia ... - 4
  3. Laos Peoples Democratic Republic ... - 1
  4. Malaysia ... - 67
  5. Philippines ... - 8
  6. Singapore ... - 11
  7. Thailand 14 - 111
  8. Vietnam ... - 2

  • AUSTRALIA & PACIFIC

  1. Australia 3 - 121
  2. Cook Islands ... - 1
  3. New Zealand ... - 15
  4. Samoa ... - 2
  5. Tonga ... - 1

  • TOTAL 205 - 2286
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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------
 
Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

Re: European Centre of Diseases Control and Prevention (ECDC): Pandemic Influenza H1N1 2009, Situation Updates (Since August 4, 2009)

Pandemic (H1N1) 2009 - Update 20 August 2009, 17:00 hours CEST (ECDC, edited)

[Original Full Document: LINK. EDITED.]

ECDC DAILY UPDATE

Pandemic (H1N1) 2009 - Update 20 August 2009, 17:00 hours CEST


Main developments in past 24 hours


  • 782 new cases reported in the EU and EFTA countries, reaching a total of 40 938 cases;
  • 2 579 new cases including 37 fatal cases, were reported from non-EU and EFTA countries, reaching a cumulative total of 206 010 cases;
  • First intravenous use of zanamivir reported.

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 20 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

All 27 EU and 4 EFTA countries are reporting cases of influenza A(H1N1)v. A total of 40 938 confirmed cases of influenza A(H1N1)v infection, including 73 deaths have been reported since April 2009 (Table 1). In the past 24 hours, 782 new cases from the EU and EFTA countries were confirmed. Currently, the majority of cases are being reported from Germany and the UK. The latest available updates on hospital admissions per Member State are presented in Table 2. The majority of recent hospitalized cases are reported from the UK, and from England in particular.

Outside of the EU and EFTA countries, a total of 2 579 new cases have been reported within the last 24 hours, among whom 37 were fatal (Table 3). In total, 206 010 cases including 2 323 fatal cases have been reported from non-EU and EFTA countries.

Globally, the total number of confirmed and reported influenza A (H1N1)v cases to date is 246 948 including 2 396 deaths.


Pandemic updates from outside of Europe

Introduction

Each Thursday, ECDC publishes a special section on the evolution of the pandemic influenza H1N1 2009 in selected countries outside Europe. For the time being, this selection is preliminary and may vary in the future.

Countries were selected based on the following criteria: they are currently in the winter influenza season, represent different geographical regions, have adequately large population sizes and have accessible and reliable public health data.

The objective of this addendum is to provide the interested public and professional audience with an easy to access and concise source of information to get an impression on global trends of the H1N1 pandemic.

Disclaimer:

This report aims to increase awareness of seasonal influenza in countries outside Europe by providing an analysis of various surveillance data sources dealing with those selected countries. Please note, this report is based on data available at the date of publishing. Delays in the reporting of data may cause data to change retrospectively. For further details about information contained in this report please contact the H1N1 Influenza team


Australia

As of 20 August, Australia has 32 799 confirmed cases of pandemic (H1N1) 2009, and a total of 128 deaths. There are currently 455 people in hospital around Australia with pandemic (H1N1) 2009 and 95 of these are in intensive care units. The total number of hospitalisations in Australia since pandemic (H1N1) 2009 was identified is 3802.

http://www.healthemergency.gov.au/internet/healthemergency/publishing.nsf/Content/F998919755CCCD32CA25761500153B8A/$FileUpdate%20bulletin%2012noon%2019082009.pdf

Australian Government-Department of Health and Ageing: http://www.healthemergency.gov.au/internet/healthemergency/publishing.nsf/Content/updates


New Zealand

There are a total of 3086 confirmed cases of pandemic (H1N1) 09, up from 3021 last week, and 951 cases were hospitalised cases. Pneumonia was recorded for 233 of them, and acute respiratory distress syndrome (ARDS) for 38. The number of deaths from pandemic (H1N1) 09 in New Zealand, is 15.

http://www.moh.govt.nz/moh.nsf/indexmh/influenza-a-h1n1-update-133-130809

There has been a slight increase in consultations for influenza-like illness (ILI) through sentinel surveillance in week 33 (10-16 August 2009), with the highest notification rates seen in the under-one-year age group. The weekly ILI consultation rate is still higher than previous years for the same week. Among 26 influenza virus isolates reported, 21 (81%) were influenza A (H1N1)v.

http://www.surv.esr.cri.nz/PDF_surveillance/Virology/FluWeekRpt/2009/FluWeekRpt200933.pdf


Chile

A total of 12 104 cases of pandemic (H1N1) 09 were notified as of 19th of July in Chile, 1212 of whom presented with severe respiratory distress syndrome (SRDS). Of these, 46% had a history of chronic illness. So far, 105 deaths were attributed to pandemic (H1N1) 09, corresponding to a case fatality of 0.6%. The age of all cases varies from 11 days to 94 years, with the most affected age groups being 10-14 years and 5-9 years. The under-4 year olds represent 15% of cases; their proportion has been rising in the last weeks.

In week 27, 98% of isolated influenza type A strains were attributed to influenza A (H1N1)v. A total of 78 samples were tested for H274Y mutation but no positive sample was found.

http://www.sochinf.cl/sitio/templates/sochinf2008/documentos/comunicado_influenza.pdf


Brazil

Since the beginning of monitoring SRDS on of July 16th, 20 820 cases were notified, of which 3087 were subsequently linked to influenza A (H1N1)v. Of these, 368 have deceased. The reported mortality due to influenza A (H1N1)v is currently 0,19/100.000 inhabitants.

Of the 3087 SRDS cases linked to influenza A (H1N1)v, 1308 (42,4%) presented al least one of the following risk factors: metabolic or respiratory disease, or chronic cardiopathy. In SRDS cases presenting at least one these risk factors, the mortality was 1,38 times higher than in cases without an associated risk factor (CI 1,14 ? 1,67).

Of the 368 deceased, 185 (50,3%) presented at least one of the abovementioned risk factors, including pregnancy.

Out of 8519 PCR tests conducted up to week 32, 5767 (67,7%) tested positive for influenza A (H1N1)v, 1958 (23%) tested positive for seasonal influenza type A, 14 (0,2%) for seasonal influenza type B and 780 (9,2%) for other infectious agents. From week 27 onward there is a rising frequency of influenza A (H1N1)v diagnosis within the samples collected.

For entire epidemiological update for week 32 (Portuguese) see: http://portal.saude.gov.br/portal/arquivos/pdf/informe_influenza_se_32_publicacao_18ago2009.pdf

H1N1 website of the ministry of health: http://dtr2001.saude.gov.br/ascom/s...pecial_influenza_1/pag_esp_influenza_site.htm


South Africa

As of 17 August, South Africa has confirmed 3 485 cases of pandemic (H1N1) 09, with 1 576 new cases being confirmed since the previous update. The number of deaths related to the pandemic is six, four of whom had no underlying conditions, one patient was pregnant and another was a pregnant woman with diabetes.

The provinces with most people affected are Gauteng, which is leading with 1 818 cases, followed by Western Cape with 810 cases and 359 in KwaZulu-Natal.

http://www.nicd.ac.za/


Other developments

First intra-venous use of zanamivir

Media reported on a 20-year-old Australian with asthma, who survived severe pandemic (H1N1) 09, after being treated with an experimental intravenous form of zanamivir (Relenza). The drug is normally taken with an inhaler.

http://www.news.com.au/adelaidenow/story/0,22606,25950004-5006301,00.html


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 20 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 (a)]

  1. Austria 42 - 264 - ...
  2. Belgium ... - 126 - 1
  3. Bulgaria ... - 57 - ...
  4. Cyprus ... - 297 - ...
  5. Czech Republic ... - 209 - ...
  6. Denmark 43 - 487 - ...
  7. Estonia ... - 57 - ...
  8. Finland ... - 204 - ...
  9. France (b) ... - 1125 - 1
  10. Germany 350 - 13180 - ...
  11. Greece ... - 1424 - ...
  12. Hungary 3 - 148 - 1
  13. Iceland ... - 135 - ...
  14. Ireland 104 - 678 - 2
  15. Italy ... - 1238 - ...
  16. Latvia ... - 23 - ...
  17. Liechtenstein ... - 5 - ...
  18. Lithuania 7 - 47 - ...
  19. Luxemburg 11 - 129 - ...
  20. Malta ... - 231 - 1
  21. Netherlands (c) ... - 1473 - 1
  22. Norway ... - 868 - ...
  23. Poland 1 - 153 - ...
  24. Portugal 199 - 1833 - ...
  25. Romania 4 - 273 - ...
  26. Slovakia ... - 99 - ...
  27. Slovenia 2 - 205 - ...
  28. Spain ... - 1538 - 12
  29. Sweden ... - 672 - ...
  30. Switzerland 16 - 857 - ...
  31. United Kingdom (d) ... - 12903 - 54

  • Total 782 - 40938 - 73
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.

(a) Deaths are included in the cumulative number of confirmed cases
(b) Cases reported from France include those reported from the overseas territories (434)
(c) Cases from the Netherlands include those reported from Aruba and the Dutch Antilles
(d) 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 20 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]

  1. Austria (7.8.) - 0 - ... - 0 - ...
  2. Belgium (7.8.) - 0 - ... - 0 - ...
  3. Bulgaria - ... - ... - ... - ...
  4. Cyprus - ... - ... - ... - ...
  5. Czech Republic (17.8.) - 0 - ... - 0 - ...
  6. Denmark (13.8.) - ... - ... - ... - ...
  7. Estonia (14.8.) - 0 - 0 - 0 - 0
  8. Finland (18.8.) - ... - ... - ... - ...
  9. France(a) (18.8.) - 6 - 65 - 5 - 11
  10. Germany (20.8.) - ... - ... - ... - ...
  11. Greece (13.8.) - ... - ... - 1 - ...
  12. Hungary (19.8.) - ... - 27 - ... - ...
  13. Iceland (19.8.) - 0 - 0 - 0 - 0
  14. Ireland (13.8.) - 4 - 41 - ... - ...
  15. Italy (17.7.) - ... - ... - ... - ...
  16. Latvia (13.8.) - ... - 1 - ... - ...
  17. Liechtenstein (19.8.) - ... - ... - ... - ...
  18. Lithuania (13.8.) - ... - ... - ... - ...
  19. Luxemburg (14.8.) - ... - ... - 0 - 0
  20. Malta - ... - ... - ... - ...
  21. Netherlands (14.8.) - ... - 28 - ... - ...
  22. Norway (12.8.) - ... - ... - ... - ...
  23. Poland (18.8.) - ... - ... - ... - ...
  24. Portugal (19.8.) - 8 - ... - ... - ...
  25. Romania - ... - 18 - ... - ...
  26. Slovakia (12.8.) - 2 - 33 - 0 - 0
  27. Slovenia (10.8.) - ... - ... - ... - ...
  28. Spain (14.8.) - ... - ... - 29 - 77
  29. Sweden (6.8.) - ... - ... - ... - ...
  30. Switzerland (19.8.) - ... - 11 - ... - 1
  31. United Kingdom(b) (20.8.) - 263 - ... - ... - ...
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 A(H1N1)v 2009 cases by country as of 20 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

  1. No deaths reported - ... - ...

  • MEDITERRANEAN AND MIDDLE-EAST

  1. Egypt ... - 1
  2. Iraq ... - 1
  3. Israel ... - 10
  4. Kuwait 1 - 1
  5. Lebanon ... - 1
  6. Occupied Palestinian Territory ... - 1
  7. Qatar ... - 1
  8. Saudi Arabia ... - 14
  9. Yemen ... - 1

  • AFRICA

  1. Ghana ... - 1
  2. Mauritius 2 - 5
  3. South Africa ... - 6

  • NORTH AMERICA

  1. Canada ... - 67
  2. Mexico ... - 164
  3. USA ... - 477

  • CENTRAL AMERICA & CARIBBEAN

  1. Cayman Islands ... - 1
  2. Costa Rica 2 - 31
  3. Dominican Republic ... - 5
  4. El Salvador 3 - 15
  5. Guatemala ... - 10
  6. Honduras ... - 7
  7. Jamaica ... - 4
  8. Nicaragua ... - 1
  9. Panama ... - 6
  10. Saint Kitts and Nevis ... - 1

  • SOUTH AMERICA

  1. Argentina ... - 404
  2. Bolivia 1 - 17
  3. Brazil ... - 368
  4. Chile 16 - 128
  5. Colombia ... - 23
  6. Ecuador ... - 23
  7. Paraguay ... - 39
  8. Peru ... - 62
  9. Uruguay ... - 22
  10. Venezuela ... - 12

  • NORTH-EAST & SOUTH ASIA

  1. Hong Kong SAR China ... - 4
  2. India 3 - 28
  3. Japan ... - 3
  4. South Korea ... - 2
  5. Taiwan ... - 2

  • SOUTH-EAST ASIA

  1. Brunei Darussalam ... - 1
  2. Indonesia ... - 4
  3. Laos Peoples Democratic Republic ... - 1
  4. Malaysia 1 - 68
  5. Philippines ... - 8
  6. Singapore ... - 11
  7. Thailand ... - 111
  8. Vietnam ... - 2

  • AUSTRALIA & PACIFIC

  1. Australia 7 - 128
  2. Cook Islands ... - 1
  3. New Zealand ... - 15
  4. Samoa ... - 2
  5. Tonga ... - 1

  • TOTAL 37 - 2323
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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