Flu update June 26

June 26, 10:15 AMPortland Active Seniors Travel ExaminerChris Gniewosz

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While interest in the flue has waned, it continues to spread. You are urged to be aware of the situation in areas where you travel.

Updated information from official reports follow:

WHO - World Health Organization

Influenza A(H1N1) - update 54
Laboratory-confirmed cases of new influenza A(H1N1) as officially reported to WHO by States Parties to the International Health Regulations (2005)

26 June 2009 07:00 GMT

The breakdown of the number of laboratory-confirmed cases is given in the following map and table.

Map of the spread of Influenza A(H1N1): number of laboratory confirmed cases and deaths [png 423kb]

Country, territory and area Cumulative total Newly confirmed since the last reporting period
Cases Deaths Cases Deaths
Algeria 2 0 0 0
Antigua and Barbuda 2 0 0 0
Argentina 1391 21 178 14
Australia 3280 3 423 1
Austria 12 0 0 0
Bahamas 4 0 0 0
Bahrain 15 0 0 0
Bangladesh 1 0 0 0
Barbados 10 0 5 0
Belgium 36 0 6 0
Bermuda, UKOT 1 0 0 0
Bolivia 47 0 3 0
Brazil 399 0 65 0
British Virgin Islands, UKOT 1 0 0 0
Brunei Darussalam 11 0 7 0
Bulgaria 7 0 2 0
Cambodia 5 0 4 0
Canada 6732 19 275 4
Cap Verde 3 0 0 0
Cayman Islands, UKOT 9 0 2 0
Chile 5186 7 871 3
China 1089 0 183 0
Colombia 72 2 1 0
Costa Rica 222 1 33 0
Cote d'Ivoire 2 0 0 0
Cuba 34 0 19 0
Cyprus 9 0 4 0
Czech Republic 9 0 2 0
Denmark 41 0 7 0
Dominica 1 0 0 0
Dominican Republic 108 2 0 0
Ecuador 125 0 10 0
Egypt 43 0 3 0
El Salvador 160 0 0 0
Estonia 8 0 3 0
Ethiopia 2 0 0 0
Fiji 2 0 0 0
Finland 26 0 0 0
France 191 0 20 0
French Polynesia, FOC 1 0 0 0
Martinique, FOC 2 0 0 0
Germany 333 0 32 0
Greece 73 0 15 0
Guatemala 254 2 19 1
Honduras 118 1 0 1
Hungary 8 0 1 0
Iceland 4 0 0 0
India 64 0 0 0
Indonesia 2 0 2 0
Iran 1 0 1 0
Ireland 29 0 6 0
Israel 405 0 30 0
Italy 102 0 6 0
Jamaica 19 0 0 0
Japan 1049 0 156 0
Jordan 15 0 0 0
Korea, Republic of 142 0 27 0
Kuwait 30 0 4 0
Laos 3 0 0 0
Latvia 1 0 0 0
Lebanon 25 0 0 0
Luxembourg 3 0 0 0
Malaysia 68 0 0 0
Mexico 8279 116 432 1
Montenegro 1 0 0 0
Morocco 11 0 2 0
Netherlands 116 0 6 0
Netherlands Antilles, Curaçao * 3 0 0 0
Netherlands Antilles, Sint Maarten 1 0 0 0
New Zealand 453 0 67 0
Nicaragua 265 0 45 0
Norway 22 0 0 0
Oman 3 0 0 0
Panama 358 0 28 0
Papua New Guinea 1 0 0 0
Paraguay 79 0 21 0
Peru 252 0 35 0
Philippines 445 1 0 0
Poland 13 0 0 0
Portugal 7 0 1 0
Qatar 10 0 0 0
Romania 19 0 0 0
Russia 3 0 0 0
Samoa 1 0 0 0
Saudi Arabia 48 0 3 0
Serbia 2 0 2 0
Singapore 315 0 121 0
Slovakia 7 0 3 0
Slovenia 3 0 2 0
South Africa 1 0 0 0
Spain 541 0 2 0
Sri Lanka 7 0 2 0
Suriname 11 0 0 0
Sweden 61 0 6 0
Switzerland 47 0 14 0
Thailand 774 0 0 0
Trinidad and Tobago 25 0 0 0
Tunisia 2 0 0 0
Turkey 26 0 0 0
Ukraine 1 0 0 0
United Arab Emirates 7 0 5 0
United Kingdom 3597 1 692 0
Guernsey, Crown Dependency 1 0 1 0
Isle of Man, Crown Dependency 1 0 0 0
Jersey, Crown Dependency 8 0 5 0
United States of America 21449 87 0 0
Uruguay 195 0 0 0
Vanuatu 2 0 1 0
Venezuela 153 0 18 0
Viet Nam 63 0 7 0
West Bank and Gaza Strip 9 0 1 0
Yemen 6 0 0 0
Grand Total 59814 263 3947 25

Chinese Taipei has reported 61 confirmed cases of influenza A (H1N1) with 0 deaths. Cases from Chinese Taipei are included in the cumulative totals provided in the table above.
Cumulative and new figures are subject to revision
Abbreviations
UKOT: United Kingdom Overseas Territory
FOC: French Overseas Collectivity
OT: Overseas Territory

Netherlands Antilles, Curaçao *: 3 confirmed cases: The three confirmed cases are crew members of a cruise ship. They did not leave the boat during their illness nor during the 24 hours preceding the onset of symptoms.
Pandemic Phase information
In nature, influenza viruses circulate continuously among animals, especially birds. Even though such viruses might theoretically develop into pandemic viruses, in Phase 1 no viruses circulating among animals have been reported to cause infections in humans.
In Phase 2 an animal influenza virus circulating among domesticated or wild animals is known to have caused infection in humans, and is therefore considered a potential pandemic threat.
In Phase 3, an animal or human-animal influenza reassortant virus has caused sporadic cases or small clusters of disease in people, but has not resulted in human-to-human transmission sufficient to sustain community-level outbreaks. Limited human-to-human transmission may occur under some circumstances, for example, when there is close contact between an infected person and an unprotected caregiver. However, limited transmission under such restricted circumstances does not indicate that the virus has gained the level of transmissibility among humans necessary to cause a pandemic.
Phase 4 is characterized by verified human-to-human transmission of an animal or human-animal influenza reassortant virus able to cause “community-level outbreaks.” The ability to cause sustained disease outbreaks in a community marks a significant upwards shift in the risk for a pandemic. Any country that suspects or has verified such an event should urgently consult with WHO so that the situation can be jointly assessed and a decision made by the affected country if implementation of a rapid pandemic containment operation is warranted. Phase 4 indicates a significant increase in risk of a pandemic but does not necessarily mean that a pandemic is a forgone conclusion.
Phase 5 is characterized by human-to-human spread of the virus into at least two countries in one WHO region. While most countries will not be affected at this stage, the declaration of Phase 5 is a strong signal that a pandemic is imminent and that the time to finalize the organization, communication, and implementation of the planned mitigation measures is short.
Phase 6, the pandemic phase, is characterized by community level outbreaks in at least one other country in a different WHO region in addition to the criteria defined in Phase 5. Designation of this phase will indicate that a global pandemic is under way.
During the post-peak period, pandemic disease levels in most countries with adequate surveillance will have dropped below peak observed levels. The post-peak period signifies that pandemic activity appears to be decreasing; however, it is uncertain if additional waves will occur and countries will need to be prepared for a second wave.
Previous pandemics have been characterized by waves of activity spread over months. Once the level of disease activity drops, a critical communications task will be to balance this information with the possibility of another wave. Pandemic waves can be separated by months and an immediate “at-ease” signal may be premature.
In the post-pandemic period, influenza disease activity will have returned to levels normally seen for seasonal influenza. It is expected that the pandemic virus will behave as a seasonal influenza A virus. At this stage, it is important to maintain surveillance and update pandemic preparedness and response plans accordingly. An intensive phase of recovery and evaluation may be required.

CDC - Centers for Disease Control and Prevention (USA)

Data reported to CDC by June 25, 2009, 11:00 AM ET. States and Territories* Confirmed and Probable Cases Deaths
States
Alabama 239 cases 0 deaths
Alaska 46cases 0 deaths
Arkansas 35 cases 0 deaths
Arizona 729 cases 8 deaths
California 1492 cases 16
Colorado 103 cases 0 deaths
Connecticut 877 cases 5
Delaware 267 cases 0 deaths
Florida 941 cases 2 death
Georgia 65 cases 0 deaths
Hawaii 465 cases 0 deaths
Idaho 72 cases 0 deaths
Illinois 2875 cases 12
Indiana 251 cases 0 deaths
Iowa 92 cases 0 deaths
Kansas 117 cases 0 deaths
Kentucky 119 cases 0 deaths
Louisiana 153 cases 0 deaths
Maine 61 cases 0 deaths
Maryland 414 cases 1 death
Massachusetts 1287 cases 1 death
Michigan 468 cases 2 deaths
Minnesota 537 1 death
Mississippi 114 cases 0 deaths
Missouri 55 cases 1 death
Montana 44 cases 0 deaths
Nebraska 111 cases 0 deaths
Nevada 250 cases 0 deaths
New Hampshire 207 cases 0 deaths
New Jersey 899 cases 6 deaths
New Mexico 232 cases 0 deaths
New York 2272 cases 35 deaths
North Carolina 179 cases 1 death
North Dakota 48 cases 0 deaths
Ohio 93 cases 0 deaths
Oklahoma 123 cases 1 death
Oregon 289 cases 3
Pennsylvania 1483 cases 3 deaths
Rhode Island 132 cases 1 death
South Carolina 120 cases 0 deaths
South Dakota 22 cases 0 deaths
Tennessee 148 cases 0 deaths
Texas 2981 cases 10deaths
Utah 874 cases 10deaths
Vermont 46 cases 0 deaths
Virginia 191 cases 1 death
Washington 588 cases 3deaths
Washington, D.C. 33 cases 0 deaths
West Virginia 114 cases 0 deaths
Wisconsin 4273 cases 4 death
Wyoming 72 cases 0 deaths
Territories
Puerto Rico 18 cases 0 deaths
Virgin Islands 1 case 0 deaths
TOTAL (53)* 27,717 cases 127 deaths
*Includes the District of Columbia, Puerto Rico and the U.S. Virgin Islands.


Canada, British Columbia, Ministry of Health Services

Update: 12 p.m. PDT, June 24, 2009

VICTORIA – British Columbia continues to monitor and respond to the recent spread of the novel H1N1 flu virus (human swine flu). Twenty-two new cases have been confirmed since June 22 – 17 in Fraser Health, four in Vancouver Coastal Health and one on Vancouver Island – for a total of 243 cases in the province with individuals either having recovered or recovering.

How many cases of the H1N1 flu virus (human swine flu) are there in B.C.?

· BC Centre for Disease Control has confirmed 243 individuals in British Columbia so far have tested positive for the H1N1 flu virus that has caused illness in the U.S., Mexico and several other countries. Specimens are also tested at the National Microbiology Laboratory in Winnipeg.

· British Columbia’s confirmed cases include:

o One hundred and thirteen in Fraser Health.

o Six in Interior Health.

o Thirty-one in Northern Health.

o Sixty-seven in Vancouver Coastal Health.

California Department of Public HealthJune 18, 2009

Reported Cases of Novel Influenza A (H1N1) Virus Infections in California
(as of June 25, 2009)
1519 cases (1294 confirmed, 225 probable) from 43 of 61 local health jurisdictions
 

Oregon Department of Human Services

There have been 219 cases of H1N1 confirmed in Oregon since the beginning of the outbreak. Officials say H1N1 continues to present similarly to seasonal flu in terms of severity.

Novel H1N1 influenza is currently circulating in Oregon. By taking three simple steps -- washing hands frequently, covering one's cough, and staying home from work when sick -- Oregonians can help prevent spread of infection to others, while also protecting themselves.
 

Washington State Department of Health

The state Department of Health has moved to a new strategy for monitoring swine flu (H1N1) and will no longer test all cases. As a result, there will be no daily updates of numbers of probable or confirmed cases by county.

Info from CDC: Washington 588 cases 3deaths

See also:

Influenza A(H1N1) not swine

 Swine Flu pandemic preparations

Travel healthy and avoid Swine Flu

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