2009 flu pandemic in Asia
Encyclopedia
The 2009 flu pandemic in Asia, part of an epidemic
in 2009 of a new strain of influenza A virus subtype H1N1 causing what has been commonly called swine flu, has afflicted at least 394,133 people
in Asia
with 2,137 confirmed deaths: there have been 1035 deaths confirmed in India
, followed by 737 deaths in China
, 415 deaths in Turkey
, 192 deaths in Thailand
and 170 deaths in South Korea
. Among the Asian countries, South Korea
has the most confirmed cases, followed by China
, Hong Kong
and Thailand
.
On 27 April, 2009 Azerbaijan
imposed a ban on import of animal husbandry
products from the Americas
. According to the Chief of the State Veterinary Service under the Agriculture Ministry Ismayil Hasanov, products brought to the country on that day received certificates and it was confirmed that those products were safe. AZAL
took additional safety measures and a sanitary quarantine unit of the Health Ministry started to operate in Heydar Aliyev International Airport
with all aircraft and passengers being checked.
Azeri Minister of Health Ogtay Shiraliyev said the order prepared by him considers implementation of necessary measures in the epidemiological and various medical centers. "Azerbaijan is ready for this issue", he said. According to the Agriculture Minister Ismat Abbasov, the State Veterinary Service is holding monitoring in the regions and pigs are kept in closed places in farms. Abbasov also said: "I can say with full responsibility that the situation on prevention against swine flu virus is stable in Azerbaijan". On 31 July, First Case of Influenza A(H1N1) was confirmed.
On 2 May all checkpoints
on borders with Russia passed to the medium security and disinfection barriers for both cars and pedestrians were installed at the Samur, Shirvanovka and Khan Oba checkpoints in Qusar and Khachmaz Raions. The veterinary services at checkpoints intensified their activities while hog farm
s in the northern regions passed to the closed farming regime.First death confirmed in 11 November.
It was announced on April 29, 2009 by Bangladesh
's Health Minister AFM Ruhal Haque that screening of inbound international travelers for swine flu would start at the country's main international airport. After an inter-ministerial meeting on swine flu, Haque told reporters that particularly those travelers who come from the affected countries will be screened at the Shahjalal International Airport in capital Dhaka
. A Bangladeshi national who recently returned from US has been detected with swine flu on June 18, making him the first patient to be tested positive of A(H1N1) viral infection in the country.
As of August 22, 98 cases of the A(H1N1) virus has been confirmed in Bangladesh.
On 1 May 2009 Chairman of Global Human Flu Prevention and Response Work Committee Deputy Minister for Health Dr Mya Oo inspected preventive measures against the human flu at Yangon International Airport
, Burma (also known as Myanmar). On 27 June, Burmese state-run Radio Myanmar confirmed the first case of influenza A/H1N1 - a girl aged 13 who just return from a trip from Singapore.
Cambodia's health authorities remain alert but confident that the country is prepared for a swine flu pandemic. In terms of ensuring that infected pigs do not spread the disease to Cambodia, the Cambodian Pig Raiser Association said it has told the government it should ban live pig imports. But Khlauk Chuon, the deputy director of Camcontrol at the Ministry of Commerce, said they would only ban live pig imports from a country that has been hit with swine flu.
"We are very worried about this new disease because it can transfer from pig to human, from human to human and from human to pig," Khlauk Chuon added. 6 cases has been confirmed in Cambodia, including one domestic case.
The first suspected case found on mainland China was reported on May 10, 2009. As of July 29, 2009, the number of confirmed A/H1N1 cases on the Chinese mainland topped 2,000, with no deaths or serious cases reported, according to the Ministry of Health (MOH). Of the total 2,003 confirmed cases, 1,853 had recovered, said a statement on the MOH website.
The General Administration of Quality Supervision, Inspection and Quarantine
(AQSIQ) of China issued an emergency notice on the evening of April 26 that visitors returning from flu-affected areas who experienced flu-like symptoms within two weeks would be quarantined. The Ministry of Health has started prevention measures, and initiated cooperation with the WHO
and the relevant departments of the Mexican and U.S. governments to help contain the outbreak. According to Wang Jing of the China Inspection and Quarantine Science Research Institute, the measures already in place in China against bird flu are sufficient for this new disease, also certain lessons were learned from the 2003 SARS outbreak
including that the state-controlled media doesn't cover up such events.
May 2, the Chinese government
has decided to suspend flights from Mexico to Shanghai
, the Foreign Ministry said. Meanwhile, the Civil Aviation Administration of China
also assigned a charter to transport stranded Chinese visitors back home. Among all carriers, China Eastern Airlines
was the first choice as it is based in Shanghai, where the original and the only Sino-Mexican flight disembarks, but later the job has fallen onto the Guangzhou
based China Southern Airlines
, as China Eastern's aircrafts don't fit the facility at Tijuana Airport
. The replacing China Southern flight would leave Guangzhou
at 21:00 on May 3 as a normal flight until it reaches the stop-over at Los Angeles, and then fly empty toward Mexico City to pick up the 120 stranded tourists. The charter flight estimates to be back in Shanghai 11:00 in the morning on May 5, and all passengers on board will then go through health to see if further action is needed. 1,089 cases were confirmed in China by early May.
China's Ministry of Health has gathered experts to draft the Influenza A(H1N1) vaccine and immunity strategy which would include, 'when, how and against whom' the vaccine should be used.
The ministry's Contingency Office deputy director, Liang Wannian, said the optimum objective of the flu vaccine was for the protection of high-risk population, especially people with basic illness and pregnant women. The first batch of China's A (H1N1) flu vaccine is expected to be ready by July, and would undergo a two-month clinical test before it is available in the market. China's flu vaccine strategy is to stockpile enough vaccine for one per cent of her population by October 1, as a preventive measure to encounter any vast outbreak of the flu. Liang said China would take more severe and effective preventive measures at its many gateways and educate the people on the H1N1, also known as swine flu.
In early September 2009, China's State Food and Drug Administration granted approval to a homegrown swine flu vaccine, which producer Sinovac Biotech
claims is effective after only one dose.
On January 4, 2010, the Chinese Health Ministry announced that 659 deaths from swine flu have been recorded in 2009, with 120,940 confirmed detected cases throughout the year.
The Food and Health Bureau
of Hong Kong
issued travel advice for Mexico
on April 26, 2009, which advised Hong Kong residents not to travel to Mexico unless absolutely necessary. The first case reported was a Mexican who flew in from Shanghai
. The most recent case (the tenth) was found in a 56-year-old American who had flown in from San Francisco. The Bureau also escalated the alert level from "alert" to "serious" on the same day, which activated health protection measures in all ports of entry
of Hong Kong. As such, temperature screening machines are used at all checkpoints to identify passengers with fever and respiratory symptoms. Any passenger who fails the temperature test and confirmed having a fever will be quarantined and sent to public hospital for further investigation. Hong Kong also became one of the first jurisdictions to declare swine flu as a notifiable disease
, and much of the procedures against the spread of the swine flu were learned from the 2003 SARS outbreak
, of which Hong Kong was the epicenter of the outbreak.
The Secretary for Food and Health
Dr. York Chow
stated that special attention will be paid to passengers who come from countries where human infection of swine influenza cases have been reported.
On May 1, one case became the first confirmed case of swine flu in Hong Kong and also the first in Asia after being tested positive by the University of Hong Kong
and the Department of Health of Hong Kong. The Mexican patient, who travelled with two companions from Mexico to Hong Kong with a stopover in Shanghai Pudong Airport, arrived in Hong Kong on April 30. Metropark Hotel Wanchai, where the patient stayed, was cordoned off by the police and health officials from the Centre for Health Protection
. All 350 guests and hotel staff have to remain inside the hotel for seven days. After the first swine flu case was confirmed by laboratory, Chief Executive Sir Donald Tsang raised Hong Kong's response level from "serious" to "emergency".
On May 2, a total of 12 Metropark Hotel guests who were not willing to stay in the hotel were moved to Lady MacLehose Holiday Village in Sai Kung for quarantine.
On June 11, the Educational Bureau issued a letter ordering all kindergartens, primary and special schools to suspend all class and examinations for a 14-day period. As of June 21, 20 secondary schools have been ordered to suspend classes and examinations for another 14 days after a confirmed case of human swine flu was found in each school.On June 23,the Educational Bureau issued a letter to order all kindergartens,primary schools and special schools to have their summer holiday immeditely. As of 27 August 2009, there have been 10,468 confirmed cases of swine flu in the city.
On July 3, a case of Tamiflu-resistant virus was discovered in a woman suffering from the flu. The woman had not previously taken Tamiflu, so concern has been expressed that she may have contracted an already resistant virus from someone else.
On June 18, the first case was confirmed. The victim was a Filipino arriving Macau the day before. The first local case was confirmed on June 23. On that day there were 8 confirmed cases.
On May 20, 2009, the first case of the influenza has been confirmed in Taiwan
.
The government had previously taken several steps to prevent the possible outbreak of Swine Flu, including a command center set up, travel alerts for infected nations, and more severe health check been conducted at international ports. Taiwan said visitors who came back from affected areas with fever would be quarantined. According to The Department of Health
(DOH), Taiwan has a sufficient supply of surgical masks and vaccine to deal with the flu. The DOH also stated that they have 50 million to 60 million masks in stock and local manufacturers have the capability of producing 200,000 doses of the flu vaccine a month. In an effort to prevent the entry of the swine influenza, the Centers for Disease Control has announced on April 28 that every flight from the Americas, specifically Canada and the United States, that arrives in Taiwan from April 29 and onward will be subject to a strict on-board screening procedure. There are 5,474 confirmed cases of H1N1 in Taiwan so far.
Cyprus identified its first case of H1N1 on May 30 in a 39-year-old woman from Moldova
, living in Cyprus, who returned from the United States on May 28. As of July 11, 250 cases have been confirmed in Cyprus.
The Government of India
has decided to screen all people entering India
via the main airport hubs of Mumbai
, New Delhi
, Goa
, Jaipur
, Kochi, Kolkata
, Chennai
, Bangalore
and Hyderabad. It said the primary focus will be on passengers entering from the United States of America, United Kingdom
, Canada
, Mexico
, France
, and New Zealand
. A team of 32 medical professionals have been posted at these airports. The Ministry of Health is also trying to track down people who have entered India from Mexico in the last 10 days. It has been reported that one person recently traveled from Texas to Hyderabad with flu symptoms and was quarantined, but authorities refused to divulge his identity. Government health officials & WHO subsequently stated that there is no Swine flu in India and the said patient recovered from a common cold. Three other suspected cases of swine flu have been noticed. Two of them were flying from Chicago and the other one, who is UK citizen, aged 35, arrived from London. All of whom have been kept under observation in a hospital.
As of 21 August 2009, 2401 cases have been confirmed in India with 63 deaths. As of 4 October 2009, 10375 cases have been confirmed in India with 329 deaths. The maximum deaths are found from Pune
. As of 13 August, 13 people have been succumbed to the deadly virus in Pune
. Pune
has been declared onto a state of semi-emergency of pandemic.
The Government has declared of the closure of Schools and Colleges in Mumbai
for at least a week.
All the shopping malls and theaters have been closed down up to Monday.
After a coordination meeting about the flu on April 27, 2009, the Indonesia
n government halted the importation of pigs and initiated the examination of 9 million pigs in Indonesia. Thermal scanners which can detect human body temperature have been installed at Indonesian ports of entry. Temperatures above 38 degrees Celsius (100.4 Fahrenheit) cause the devices to beep, indicating fever. The devices have been installed in Soekarno-Hatta International Airport
and Halim Perdana Kusuma Airport in Jakarta
, Juanda Airport in Surabaya
, Hang Nadim Airport in Batam
, Hasanudin Airport in Makassar
, Ngurah Rai Airport in Denpasar
, Sepinggan Airport in Balikpapan
, and Tanjung Priok Seaport, gates one and two in Jakarta and taking action right now. Indonesia confirms first case of H1N1. 416 cases and one death has been confirmed in Indonesia. Cases have increased to over 1,005 people and 4 deaths, but three of these deaths were reported negative.
Any person with temperatures above 38 degrees Celsius will be taken to a specialized hospital and would undertake intensive test to determine if the patient is positive of swine flu.
As of the 18 August 2009, 4 deaths due to the virus have been reported in the country. This is not the case, as only one fatality was reported positive to the virus. The other three were signaled negative.
over 4000 cases have been confirmed in Israel
, and over 60 people have died so far. In response to the outbreak, the Israeli Deputy Minister of Health
, Yaakov Litzman
, has said that because swine are unclean, the outbreak needs to be renamed, and so in Israel, out of respect for the religious sensibilities of Jews and Muslims, it should be called "Mexican Flu". This was done so as to not confuse the population into thinking that they could not acquire the virus if they did not eat pork. The Israeli government retracted this proposal following Mexican complaints.
The flu came close to many Israeli politicians. Prime minister Benjamin Netanyahu
was checked for fear of flu, and the flu reached the presidential residence and the Knesset
.
The Ministry of Agriculture, Forestry and Fisheries
of Japan instructed animal quarantine offices across Japan
to examine any live pigs being brought into Japan to make sure they are not infected with the influenza. Japanese Agriculture Minister Shigeru Ishiba
appeared on television to reassure customers that it is safe to eat pork. The Japanese farm ministry said that it would not ask for restrictions on pork imports because the virus was unlikely to turn up in pork, and would be killed by cooking.
On 30 April 2009, the first suspected case was detected at Narita Airport. However, the case turned out to be a conventional strain of influenza A subtype H3N2 (Hong Kong A strain). On 1 May 2009, the second suspected case was detected in Yokohama. This case also turned out to be a conventional strain of influenza A subtype H1N1 (Russian A strain). Meanwhile Japan has not stopped any flights or means of travelling between Japan and Mexico.
On 8 May, the first three cases were confirmed. The infected patients had spent time in Oakville
, Canada
and returned to Japan via Detroit. On 10 May, another case was confirmed from a student who came from a school trip to Canada, making it the fourth case of Japan.
On 16 May, the first domestic infection was confirmed in Kobe
. The male high school student did not have a history of travel abroad and thought it was a seasonal flu, and PCR
test was not done in timely manner. Two other students are suspected, and 17 other students are claiming influenza-like symptoms. The route of the infection was not traceable.
On 18 May, 130 cases had been confirmed, including employees of a railway kiosk and a bank. Several railway kiosks in Kobe were closed, and 70 other bank workers who had worked with the infected person were told to stand by at home. All schools in the Osaka
and Hyogo Prefecture
s were suspended. There have been 944 case confirmed in Japan as of 24 June 2009.
On July 2, the first case of oseltamivir
-resistant virus in Asia was announced in Japan, in a woman who had been taking Tamiflu prophylacticly.
The first cases of A(H1N1) virus were discovered in 3 students from the capital Astana according to Natalia Buenko, an advisor to the Ministry of Health of Kazakhstan.
About 18 people on U.S. military bases in Kuwait
have tested positive for swine flu, a U.S. Central Command spokeswoman said on May 24, 2009. They are the first cases reported in Kuwait. It remains unclear whether the virus has spread to the civilian population. The names and units of the infected people were not immediately available. Maj. Kristi Beckman, speaking from Central Command headquarters in Tampa
, said everyone who tested positive for the virus was quarantined in military health facilities approved by officials from the Kuwaiti Ministry of Health. The World
Kuwait is used as a staging area for soldiers heading to or from the war in Iraq. The World Health Organization reported that they had not included Kuwait on its list of countries where the virus is present.
On June 16, the Kuwait Times newspaper reported confirmed the country's first cases of swine flu in four Kuwaitis who returned from the United States.
The Lao government
agreed to buy 10 thermal imaging machines and install them at the country's major immigration border checkpoints. The machines would help officials identify anyone entering the country with a high temperature and create confidence among Lao people, foreigners living in Laos
and people traveling to Laos. Health officials would be on hand at international border checkpoints to ensure anyone found to be infected could be treated immediately. Each machine could cost about US$25,000. The decision to buy them was made after the government found visitors to Laos included people coming from the United States, Spain and other affected countries.
The Prime Minister Bouasone Bouphavanh
said masks should be made available and health officials would be assigned to work at border checkpoints. The machines would help officials identify anyone entering the country with a high temperature and create confidence among Lao people, foreigners living in Laos and people travelling to Laos. Health officials would be on hand at international border checkpoints to ensure anyone found to be infected could be treated immediately. On June 18, the first case in Laos was confirmed.
A Lebanese man suffering from a serious illness died from the H1N1 swine flu strain on Thursday July 30, 2009, which makes the first death in Lebanon, Health Minister Mohammad Khalifeh told Reuters. The 30-year-old victim had been receiving treatment for leukemia when he contracted the virus, possibly from relatives who had just traveled from Australia to Lebanon, the minister said.Lebanon has recorded more than 100 cases of H1N1.
The first three cases of swine flu were discovered in Lebanon on July 1, 2009 according to the Health Minister Mohammad Jawad Khalifeh.
"One Lebanese man who was in Spain and two Canadians who arrived in Lebanon a week ago are suffering from swine flu," Khalifeh told AFP. "We put them in quarantine and the blood samples we have taken every day have proven to be positive. "The Lebanese man and the two visiting Canadians were given the proper medical treatment in time and they are well now."
He told a press conference said the man was part of a group of 22 Lebanese who had been attending a training seminar in Spain at an institute where the disease was later detected. He said health authorities may use thermal scanners at the airport to detect passengers with fever. "The situation is under control," he said.
The Lebanese Health Minister Mohammad Jawad Khalifeh asked citizens to stop the social habit of greeting with kissing, as it is a Lebanese habit to greet each other with three kisses on the cheek. He also requested that affected schoolchildren be kept at home and that travel to countries in which cases have been confirmed be avoided. Beirut also banned the import of pork.
On May 30 , Lebanon confirms three cases of swine flu.
Malaysia detected the first case of influenza A(H1N1) on May 15, 2009 in a 21-year-old student who returned from the United States
. Malaysia first case of Influenza A (H1N1) which was locally transmitted was confirmed on June 17, 2009 and identified as 17-year-old girl who was admitted to the Kuala Lumpur Hospital. As of August 11, 2009 there has been 2,253 confirmed cases in Malaysia. The Health Ministry has announced that from August 12, 2009 they had discontinued the counting of the total number of H1N1 cases in line with guidelines issued by the World Health Organisation. As of August 20, 2009 the total number of A(H1N1) related deaths in Malaysia stands at 68.
A ministerial committee has been established to supervise swine flu preventive measures to avoid an outbreak. All visitors arriving at the Malé
International Airport on Hulhule Island and the country’s three commercial seaports are being screened.
First death from H1N1 flu virus was confirmed on 19 November.
Mongolian authorities quarantined 103 plane passengers on last May 7 who may have been exposed to swine flu.
The passengers were aboard a flight in which two passengers who had performed in a Mongolian band in Mexico developed a fever. When the plane stopped for a scheduled landing in Moscow, the ill passengers were hospitalized.
Landing later in Ulaanbaatar
, the Mongolian Health Ministry announced it had quarantined all passengers as well as the crew of six. The people will remain under medical surveillance for seven days, according to officials of the General Authority for Emergency Management.
The Mongolian Health Ministry has sought to prevent the spread of swine flu in Mongolia by urging people to avoid public places.
As of October 22, 126 cases were confirmed in Mongolia. Just after seven days, the number increased to 394 with five deaths.
Most defectors with backgrounds in health care agree that, considering the isolation of North Korean society and its highly inadequate health care system, incidents of swine flu are likely to be either suppressed or merely misdiagnosed.
Following the confirmation of the first case of the diesease in Mongolia, heightened concerns arose. the very high cases in China would make the spread of the disease to North Korea only a matter of time. If swine flu would come to North Korea, there is a possibility of rapid spreading of the disease through the jangmadang (market), which has become the primary means of survival for the people.
The plans of the WHO to distribute swine flu vaccines, contributed by developed countries, to a selected 100 developing countries in November; North Korea is included in the priority list.
On November 16, the first known case was confirmed by the Ministry of Unification
, released in a report by Korea Times. The first case was confirmed in a South Korean worker in Gaeseong Industrial Complex.
On December 1, the Ministry of Public Health called on a meeting to discuss how to prevent H1N1 influenza from spreading. Importing of vaccines and isolation of people in their respective homes were considered. The Ministry of Education has also decided to call on all schools nation-wide to have a winter break a month earlier in an approach to stop the spread of the disease due to the fact that the majority of fatalities caused by the disease are people younger than 23 years of age.
However on December 9 for the first time, North Korea officially confirmed foreign reports that an outbreak has occurred in the country, and has accepted aid from South Korea.
However there is propaganda that the United States and Western governments created the H1N1 virus, and that the disease is man-made by the Westerners.
As of 13 August 2009, 337 cases have been confirmed by the National Pandemic Influenza Committee in Oman. There have also been unconfirmed reports of a death although this has been denied by the Health Ministry.
on August 21, 2009, the Ministry of Health reported the first 2 death cases one in Muscat and the other in Salalah plus the increase in the number of cases to 513.
Pakistan has taken precautionary measures at the international airports to check passengers coming from swine flu affected countries. Doctors are checking the incoming passengers and allow entry only to those with no flu symptoms. The major hospitals in all the big cities are on high alert. There are 90 confirmed case as of January 26, 2010.
Health Secretary Francisco T. Duque III ordered the Bureau of Quarantine to use thermal imaging equipment at airports to screen passengers coming from the US for flu symptoms. The Philippines may quarantine travelers arriving from Mexico with fevers. Also, the Secretary of the Department of Agriculture
issued an order banning the importation of hogs from the U.S. and Mexico, and the retraction of the restriction of swine influenza vaccine use. The medical alert phase is already Code White, the lowest.
On May 18, 2009, a Filipina girl who arrived from Houston
, Texas
, USA was the first confirmed case of H1N1 virus in the Philippines. Health Secretary Duque advised that the girl is in stable condition and is in quarantine.
On June 3, 2009, a foreign exchange student in De La Salle University
-Manila was confirmed with H1N1 virus and the school was closed for ten days starting June 4.
As of June 5, 2009, the Total of confirmed cases of A(H1N1) virus rose from 29 cases last June 4 to 33 confirmed cases as of June 5. Philippine Health Secretary Francisco Duque III said the new cases are two siblings and another student of De La Salle University.
Because of the said incident, on June 6, 2009, the Commission in Higher Education [CHED] moved the opening of classes in all colleges and universities in Metro Manila from June 8, 2009 to June 15, 2009.
First fatality was reported, a 49-year-old female from Metro Manila
on June 22, the first fatality in Asia of this disease. The death was not caused by the virus directly. The person has lung and heath problems that worsen it. The person died of a heart attack.
The highest confirmed in one day was on June 24, 2009 with 131 cases, the next day, the confirmed cases added is 123. Because of that, the Department of Health ordered the people that should get swab tests are the only people with very complicated cases (e.g. with lung disorders, hearth disorders
, babies etc.). The government said that the very fast spreading of the disease is caused by the population density of the country.
The Health Ministry has announced the detection of a case of swine flu which infected a Filipino nurse working at King Faisal Specialist Hospital and Research Center. Dr Abdullah al-Rabee'a, the Health Minister, said that the detection of the case has come within the framework of the efforts being exerted by the Health Ministry to follow up developments in this respect.
In a statement to the Saudi Press Agency, he said that the nurse, who had spent her holidays in Philippines, returned to Riyadh on May 29, 2009, aboard one of the flights of the Gulf Air
. "Symptoms of the disease appeared in the case of the nurse on June 1, 2009, and she was admitted to the KFSHRC for conducting the required medical examinations pertaining to Swine Flu, he said, noting that the results of the medical examinations were disclosed on Tuesday evening, confirming the case as 'Positive'".
In the light of the measures of the World Health Organization (WHO), the medical examinations were conducted for the second time on Tuesday evening, he said, adding that the examinations proved the infection of the nurse for A/H1N1 on Wednesday morning. Dr Al-Rabee'a said the Health Ministry in cooperation with King Faisal Specialist Hospital and Research Center has applied the national plan for the prevention of swine flu in a manner that matches with the recommendations of WHO. Accordingly, the patient was isolated and provided with the required medical treatment. Arrangements are underway to examine those who were in contact with the patient to get sure that they are not infected. As of 17 August 2009 the number of A(H1N1) cases in Saudi Arabia have increased to above 700 and 14 people have died.
By the 17 of August, There had been about 2000 cases of the flu resulting in 14 deaths.
The first case of Influenza A (H1N1-2009) was confirmed on May 27, 2009 in Singapore. As of July 7 there were 1,217 confirmed cases. As of October 17 there were 18 confirmed deaths from A(H1N1) in Singapore.
The first case of Influenza A (H1N1-2009) was confirmed on June 16, 2009 in Sri Lanka. Sri Lanka said on Tuesday that a 12-year-old girl returning home from Singapore was diagnosed with A(H1N1) influenza, the island's first swine flu case. The student was moved to the Infectious Diseases Hospital on the outskirts of the capital, a health ministry official said.
As of June 25 there were 10 confirmed cases. According to Dr. Geetani Wickremasinghe of Medical Research Institute in Colombo another two people suffering from swine flu have been detected on Wednesday June 24. Both patients who were from Australia, including a ten-year-old boy have reached the country on last Sunday. With these two patients added to the total number of Swine Flu patients detected in Sri Lanka has risen to 10. Four of the patients have been discharged, but six patients are still receiving treatments at the Infectious Disease Hospital in Angoda.
South Korea warned against travel to Mexico City and three Mexican states. The government has also stepped up quarantine and safety checks on travelers arriving from the United States and Mexico, and pork imports from those countries. An emergency quarantine system is also in place, with simple tests conducted on people arriving with flu symptoms at airports. On April 28, South Korea reported its first probable case of swine flu after positive preliminary tests on a nun who had recently returned from a trip to Mexico.
Several sources have informed that one case has been confirmed by lab in South Korea, on April 30. On May 2, the first suspected woman turned out to be infected with the influenza A subtype H1N1. South Korea became the third infected nation in Asia, after Israel and Hong Kong. There have been approx. 2100 cases in S.Korea as of August 16, 2009. On August 15, the first Korean death by the new influenza was confirmed publicly and a second death was announced on August 16.
Around 15000 cases and 14 deaths have been reported as of October 12, 2009.
On Tuesday, May 13, 2009 Thailand confirmed two cases of swine flu. Both of the individuals confirmed as having swine flu had recently traveled to Mexico. There are 4,469 confirmed cases in Thailand and 44 confirmed deaths as of July 22, 2009.
The first case of A(H1N1) in Turkey was reported on May 16, 2009. A U.S. citizen, flying from the United States
via Amsterdam
was found to be suffering from the swine flu after arriving Istanbul
's Atatürk International Airport
. Turkey is the 36th country in the world to report an incident of swine flu. The Turkish Government has taken measures at the international airports, using thermal imaging cameras to check passengers coming from international destinations. As of 11 August, there were 312 confirmed cases in Turkey. As of 24 October, there is 1 confirmed death in Turkey. It is reported by Ministry of Health that one person died in Ankara. In addition, there are 958 confirmed cases in Turkey.
An Indian old man who was already suffering from severe respiratory and lung infections and A(H1N1) - swine flu- has died to become the first person in the United Arab Emirates to succumb to the disease, announced the Health Ministry on August 20, 2009.
The 63-year old victim had gone too late to a hospital where he was diagnosed with the infections along with the A(H1N1) symptoms and was treated but passed away because of the progression of the disease, it said.
The Ministry of Health has confirmed the death of a 28 year old Syrian from Sharjah
on September 1, 2009 due to the H1N1 infection, along with another pregnant woman, bringing the toll of H1N1 influenza deaths in the country to four.
Uzbekistan has taken measures to prevent the entry and spread of the swine flu on the country’s territory, chief state sanitary doctor Bahtiyor Niyazmatov told UzA.
According to the official, the measures the country has taken to prevent dangerous infections has proved its efficiency in the past. Thus, the threat of the bird flu and other infectious diseases was prevented. Today Uzbekistan has direct air and land links with many countries and imports thousands of products from other states.
The Health Ministry of Uzbekistan has worked out a special plan to prevent the new respiratory infection. High-quality specialists are participating in the monitoring of the situation and special trainings are being held for medical workers in all regions.
The virus laboratories across Tashkent
, and the country's regions have diagnostic means to timely identify the swine flu. In case of swine flu symptoms the patient will be isolated in the specially reserved rooms of infection clinics.
Sanitary control points are functioning in the border crossing places, including airports and railway stations. They have been provided with additional special equipment and disinfection means, he added.
Besides, the Health Ministry has issued posters and brochures explaining precaution measures and organized meetings with specialists at residence areas, educational establishments, enterprises and organizations, the chief state sanitary doctor of Uzbekistan said.
As of October 6, No case was confirmed in Uzbekistan
Vietnam
's Ministry of Health released an emergency dispatch and urged agencies to take precautionary measures against swine flu. In addition, the Preventive Health and Environment Bureau requested all health facilities to carefully monitor any suspected H1N1 case and Bureau head Nguyen Huy Nga also warned that the pandemic could enter Vietnam through imported swine or border gates. Thermal imaging devices were dispatched to airports and border gates to screen passengers. In response to WHO's warnings, Vietnam on April 30, 2009 raised its swine flu alert level to 4 which indicated a "threat of community level outbreaks" while local authorities have been executing precautionary measures.
On May 1, 2009 an Vietnam
's Ministry of Industry and Trade official said that Ministry was considering a ban
on pork import "under certain situations" to prevent swine flu from entering Vietnam.
As of May 31, 2009. The Government of Vietnam announced its First new case of A(H1N1) virus in the Country. A 23 years old Vietnamese student who recently returned from the Houston, Texas
, USA has tested positive for swine flu.
Epidemic
In epidemiology, an epidemic , occurs when new cases of a certain disease, in a given human population, and during a given period, substantially exceed what is expected based on recent experience...
in 2009 of a new strain of influenza A virus subtype H1N1 causing what has been commonly called swine flu, has afflicted at least 394,133 people
Human
Humans are the only living species in the Homo genus...
in Asia
Asia
Asia is the world's largest and most populous continent, located primarily in the eastern and northern hemispheres. It covers 8.7% of the Earth's total surface area and with approximately 3.879 billion people, it hosts 60% of the world's current human population...
with 2,137 confirmed deaths: there have been 1035 deaths confirmed in India
India
India , officially the Republic of India , is a country in South Asia. It is the seventh-largest country by geographical area, the second-most populous country with over 1.2 billion people, and the most populous democracy in the world...
, followed by 737 deaths in China
People's Republic of China
China , officially the People's Republic of China , is the most populous country in the world, with over 1.3 billion citizens. Located in East Asia, the country covers approximately 9.6 million square kilometres...
, 415 deaths in Turkey
Turkey
Turkey , known officially as the Republic of Turkey , is a Eurasian country located in Western Asia and in East Thrace in Southeastern Europe...
, 192 deaths in Thailand
Thailand
Thailand , officially the Kingdom of Thailand , formerly known as Siam , is a country located at the centre of the Indochina peninsula and Southeast Asia. It is bordered to the north by Burma and Laos, to the east by Laos and Cambodia, to the south by the Gulf of Thailand and Malaysia, and to the...
and 170 deaths in South Korea
South Korea
The Republic of Korea , , is a sovereign state in East Asia, located on the southern portion of the Korean Peninsula. It is neighbored by the People's Republic of China to the west, Japan to the east, North Korea to the north, and the East China Sea and Republic of China to the south...
. Among the Asian countries, South Korea
South Korea
The Republic of Korea , , is a sovereign state in East Asia, located on the southern portion of the Korean Peninsula. It is neighbored by the People's Republic of China to the west, Japan to the east, North Korea to the north, and the East China Sea and Republic of China to the south...
has the most confirmed cases, followed by China
People's Republic of China
China , officially the People's Republic of China , is the most populous country in the world, with over 1.3 billion citizens. Located in East Asia, the country covers approximately 9.6 million square kilometres...
, Hong Kong
Hong Kong
Hong Kong is one of two Special Administrative Regions of the People's Republic of China , the other being Macau. A city-state situated on China's south coast and enclosed by the Pearl River Delta and South China Sea, it is renowned for its expansive skyline and deep natural harbour...
and Thailand
Thailand
Thailand , officially the Kingdom of Thailand , formerly known as Siam , is a country located at the centre of the Indochina peninsula and Southeast Asia. It is bordered to the north by Burma and Laos, to the east by Laos and Cambodia, to the south by the Gulf of Thailand and Malaysia, and to the...
.
Azerbaijan
On 27 April, 2009 AzerbaijanAzerbaijan
Azerbaijan , officially the Republic of Azerbaijan is the largest country in the Caucasus region of Eurasia. Located at the crossroads of Western Asia and Eastern Europe, it is bounded by the Caspian Sea to the east, Russia to the north, Georgia to the northwest, Armenia to the west, and Iran to...
imposed a ban on import of animal husbandry
Animal husbandry
Animal husbandry is the agricultural practice of breeding and raising livestock.- History :Animal husbandry has been practiced for thousands of years, since the first domestication of animals....
products from the Americas
Americas
The Americas, or America , are lands in the Western hemisphere, also known as the New World. In English, the plural form the Americas is often used to refer to the landmasses of North America and South America with their associated islands and regions, while the singular form America is primarily...
. According to the Chief of the State Veterinary Service under the Agriculture Ministry Ismayil Hasanov, products brought to the country on that day received certificates and it was confirmed that those products were safe. AZAL
Azal
Azal Branco is a white Portuguese wine grape planted primarily in the Minho region. It noted for the high acidity of its wines, and is used for white Vinho Verde...
took additional safety measures and a sanitary quarantine unit of the Health Ministry started to operate in Heydar Aliyev International Airport
Heydar Aliyev International Airport
Heydar Aliyev International Airport is the international airport in Azerbaijan located northeast of the capital Baku. The airport is the home of Azerbaijan Airlines, the national flag carrier...
with all aircraft and passengers being checked.
Azeri Minister of Health Ogtay Shiraliyev said the order prepared by him considers implementation of necessary measures in the epidemiological and various medical centers. "Azerbaijan is ready for this issue", he said. According to the Agriculture Minister Ismat Abbasov, the State Veterinary Service is holding monitoring in the regions and pigs are kept in closed places in farms. Abbasov also said: "I can say with full responsibility that the situation on prevention against swine flu virus is stable in Azerbaijan". On 31 July, First Case of Influenza A(H1N1) was confirmed.
On 2 May all checkpoints
Border checkpoint
A border checkpoint is a place, generally between two countries, where travellers and/or goods are inspected. Authorization often is required to enter a country through its borders. Access-controlled borders often have a limited number of checkpoints where they can be crossed without legal...
on borders with Russia passed to the medium security and disinfection barriers for both cars and pedestrians were installed at the Samur, Shirvanovka and Khan Oba checkpoints in Qusar and Khachmaz Raions. The veterinary services at checkpoints intensified their activities while hog farm
Intensive pig farming
Intensive piggeries are a type of factory farm ' specialized in the raising of domestic pigs up to slaughter weight...
s in the northern regions passed to the closed farming regime.First death confirmed in 11 November.
Bangladesh
It was announced on April 29, 2009 by BangladeshBangladesh
Bangladesh , officially the People's Republic of Bangladesh is a sovereign state located in South Asia. It is bordered by India on all sides except for a small border with Burma to the far southeast and by the Bay of Bengal to the south...
's Health Minister AFM Ruhal Haque that screening of inbound international travelers for swine flu would start at the country's main international airport. After an inter-ministerial meeting on swine flu, Haque told reporters that particularly those travelers who come from the affected countries will be screened at the Shahjalal International Airport in capital Dhaka
Dhaka
Dhaka is the capital of Bangladesh and the principal city of Dhaka Division. Dhaka is a megacity and one of the major cities of South Asia. Located on the banks of the Buriganga River, Dhaka, along with its metropolitan area, had a population of over 15 million in 2010, making it the largest city...
. A Bangladeshi national who recently returned from US has been detected with swine flu on June 18, making him the first patient to be tested positive of A(H1N1) viral infection in the country.
As of August 22, 98 cases of the A(H1N1) virus has been confirmed in Bangladesh.
Myanmar (Myanmar)
On 1 May 2009 Chairman of Global Human Flu Prevention and Response Work Committee Deputy Minister for Health Dr Mya Oo inspected preventive measures against the human flu at Yangon International AirportYangon International Airport
Yangon International Airport , located in Mingaladon, at north of downtown Yangon, is the primary international airport of Myanmar and the second largest airport in the country....
, Burma (also known as Myanmar). On 27 June, Burmese state-run Radio Myanmar confirmed the first case of influenza A/H1N1 - a girl aged 13 who just return from a trip from Singapore.
Cambodia
Cambodia's health authorities remain alert but confident that the country is prepared for a swine flu pandemic. In terms of ensuring that infected pigs do not spread the disease to Cambodia, the Cambodian Pig Raiser Association said it has told the government it should ban live pig imports. But Khlauk Chuon, the deputy director of Camcontrol at the Ministry of Commerce, said they would only ban live pig imports from a country that has been hit with swine flu."We are very worried about this new disease because it can transfer from pig to human, from human to human and from human to pig," Khlauk Chuon added. 6 cases has been confirmed in Cambodia, including one domestic case.
Mainland China (People's Republic of ChinaPeople's Republic of ChinaChina , officially the People's Republic of China , is the most populous country in the world, with over 1.3 billion citizens. Located in East Asia, the country covers approximately 9.6 million square kilometres...
)
The first suspected case found on mainland China was reported on May 10, 2009. As of July 29, 2009, the number of confirmed A/H1N1 cases on the Chinese mainland topped 2,000, with no deaths or serious cases reported, according to the Ministry of Health (MOH). Of the total 2,003 confirmed cases, 1,853 had recovered, said a statement on the MOH website.The General Administration of Quality Supervision, Inspection and Quarantine
General Administration of Quality Supervision, Inspection and Quarantine
The General Administration of Quality Supervision, Inspection and Quarantine is a ministerial-level department under the State Council of the People's Republic of China that is in charge of national quality, metrology, entry-exit commodity inspection, entry-exit health quarantine, entry-exit...
(AQSIQ) of China issued an emergency notice on the evening of April 26 that visitors returning from flu-affected areas who experienced flu-like symptoms within two weeks would be quarantined. The Ministry of Health has started prevention measures, and initiated cooperation with the WHO
World Health Organization
The World Health Organization is a specialized agency of the United Nations that acts as a coordinating authority on international public health. Established on 7 April 1948, with headquarters in Geneva, Switzerland, the agency inherited the mandate and resources of its predecessor, the Health...
and the relevant departments of the Mexican and U.S. governments to help contain the outbreak. According to Wang Jing of the China Inspection and Quarantine Science Research Institute, the measures already in place in China against bird flu are sufficient for this new disease, also certain lessons were learned from the 2003 SARS outbreak
Severe acute respiratory syndrome
Severe Acute Respiratory Syndrome is a respiratory disease in humans which is caused by the SARS coronavirus . Between November 2002 and July 2003 an outbreak of SARS in Hong Kong nearly became a pandemic, with 8,422 cases and 916 deaths worldwide according to the WHO...
including that the state-controlled media doesn't cover up such events.
May 2, the Chinese government
Government of the People's Republic of China
All power within the government of the People's Republic of China is divided among three bodies: the People's Republic of China, State Council, and the People's Liberation Army . This article is concerned with the formal structure of the state, its departments and their responsibilities...
has decided to suspend flights from Mexico to Shanghai
Shanghai
Shanghai is the largest city by population in China and the largest city proper in the world. It is one of the four province-level municipalities in the People's Republic of China, with a total population of over 23 million as of 2010...
, the Foreign Ministry said. Meanwhile, the Civil Aviation Administration of China
Civil Aviation Administration of China
The Civil Aviation Administration of China , formerly the General Administration of Civil Aviation of China , is the aviation authority under the Ministry of Transport of the People's Republic of China. It oversees civil aviation and investigates aviation accidents and incidents...
also assigned a charter to transport stranded Chinese visitors back home. Among all carriers, China Eastern Airlines
China Eastern Airlines
China Eastern Airlines Corporation Limited is an airline headquartered on the grounds of Shanghai Hongqiao International Airport in Changning District, Shanghai, China. It is a major Chinese airline operating international, domestic and regional routes. Its main hubs are at Shanghai Pudong...
was the first choice as it is based in Shanghai, where the original and the only Sino-Mexican flight disembarks, but later the job has fallen onto the Guangzhou
Guangzhou
Guangzhou , known historically as Canton or Kwangchow, is the capital and largest city of the Guangdong province in the People's Republic of China. Located in southern China on the Pearl River, about north-northwest of Hong Kong, Guangzhou is a key national transportation hub and trading port...
based China Southern Airlines
China Southern Airlines
China Southern Airlines is an airline headquartered in Baiyun District, Guangzhou, Guangdong Province, People's Republic of China. It is the world's sixth-largest airline measured by passengers carried, and Asia's largest airline in terms of both fleet size and passengers carried...
, as China Eastern's aircrafts don't fit the facility at Tijuana Airport
General Abelardo L. Rodríguez International Airport
Tijuana International Airport , sometimes referred to as General Abelardo L. Rodríguez International Airport, in Tijuana, Baja California, Mexico, is Mexico's second northernmost airport after Mexicali International Airport...
. The replacing China Southern flight would leave Guangzhou
Guangzhou Baiyun International Airport
Guangzhou Baiyun International Airport is the main airport of Guangzhou, the capital of the province of Guangdong, People's Republic of China. Both airport codes were inherited from the previous Guangzhou airport, and the IATA code reflects Guangzhou's former romanization Canton...
at 21:00 on May 3 as a normal flight until it reaches the stop-over at Los Angeles, and then fly empty toward Mexico City to pick up the 120 stranded tourists. The charter flight estimates to be back in Shanghai 11:00 in the morning on May 5, and all passengers on board will then go through health to see if further action is needed. 1,089 cases were confirmed in China by early May.
China's Ministry of Health has gathered experts to draft the Influenza A(H1N1) vaccine and immunity strategy which would include, 'when, how and against whom' the vaccine should be used.
The ministry's Contingency Office deputy director, Liang Wannian, said the optimum objective of the flu vaccine was for the protection of high-risk population, especially people with basic illness and pregnant women. The first batch of China's A (H1N1) flu vaccine is expected to be ready by July, and would undergo a two-month clinical test before it is available in the market. China's flu vaccine strategy is to stockpile enough vaccine for one per cent of her population by October 1, as a preventive measure to encounter any vast outbreak of the flu. Liang said China would take more severe and effective preventive measures at its many gateways and educate the people on the H1N1, also known as swine flu.
In early September 2009, China's State Food and Drug Administration granted approval to a homegrown swine flu vaccine, which producer Sinovac Biotech
Sinovac Biotech
Sinovac Biotech Ltd. is a biopharmaceutical company that focuses on the research, development, manufacture and commercialization of vaccines that protect against human infectious diseases. The company is based in Beijing, China....
claims is effective after only one dose.
On January 4, 2010, the Chinese Health Ministry announced that 659 deaths from swine flu have been recorded in 2009, with 120,940 confirmed detected cases throughout the year.
Hong Kong
The Food and Health BureauFood and Health Bureau
Food and Health Bureau is a government bureau that manages health programmes and immunisation programmes in Hong Kong.It oversees policies on food and health issues. The Department of Health, Food and Environmental Hygiene Department, Agriculture, Fisheries and Conservation Department, and the...
of Hong Kong
Hong Kong
Hong Kong is one of two Special Administrative Regions of the People's Republic of China , the other being Macau. A city-state situated on China's south coast and enclosed by the Pearl River Delta and South China Sea, it is renowned for its expansive skyline and deep natural harbour...
issued travel advice for Mexico
Mexico
The United Mexican States , commonly known as Mexico , is a federal constitutional republic in North America. It is bordered on the north by the United States; on the south and west by the Pacific Ocean; on the southeast by Guatemala, Belize, and the Caribbean Sea; and on the east by the Gulf of...
on April 26, 2009, which advised Hong Kong residents not to travel to Mexico unless absolutely necessary. The first case reported was a Mexican who flew in from Shanghai
Shanghai
Shanghai is the largest city by population in China and the largest city proper in the world. It is one of the four province-level municipalities in the People's Republic of China, with a total population of over 23 million as of 2010...
. The most recent case (the tenth) was found in a 56-year-old American who had flown in from San Francisco. The Bureau also escalated the alert level from "alert" to "serious" on the same day, which activated health protection measures in all ports of entry
Port of entry
In general, a port of entry is a place where one may lawfully enter a country. It typically has a staff of people who check passports and visas and inspect luggage to assure that contraband is not imported. International airports are usually ports of entry, as are road and rail crossings on a...
of Hong Kong. As such, temperature screening machines are used at all checkpoints to identify passengers with fever and respiratory symptoms. Any passenger who fails the temperature test and confirmed having a fever will be quarantined and sent to public hospital for further investigation. Hong Kong also became one of the first jurisdictions to declare swine flu as a notifiable disease
Notifiable disease
A notifiable disease is any disease that is required by law to be reported to government authorities. The collation of information allows the authorities to monitor the disease, and provides early warning of possible outbreaks. Many governments have enacted regulations for reporting of both human...
, and much of the procedures against the spread of the swine flu were learned from the 2003 SARS outbreak
Severe acute respiratory syndrome
Severe Acute Respiratory Syndrome is a respiratory disease in humans which is caused by the SARS coronavirus . Between November 2002 and July 2003 an outbreak of SARS in Hong Kong nearly became a pandemic, with 8,422 cases and 916 deaths worldwide according to the WHO...
, of which Hong Kong was the epicenter of the outbreak.
The Secretary for Food and Health
Secretary for Food and Health
The Secretary for Food and Health is a ministerial position in the Hong Kong Government, who heads the Food and Health Bureau...
Dr. York Chow
York Chow
York Chow Yat-ngok , GBS, SBS, MBE, JP, is the Secretary for Food and Health of Hong Kong. He is a member of the Executive Council. He was appointed as Secretary for Health, Welfare and Food in 2004. The position has since been renamed to Secretary for Food and Health from reshuffling in...
stated that special attention will be paid to passengers who come from countries where human infection of swine influenza cases have been reported.
On May 1, one case became the first confirmed case of swine flu in Hong Kong and also the first in Asia after being tested positive by the University of Hong Kong
The University of Hong Kong
The University of Hong Kong is the oldest tertiary institution in Hong Kong. Its motto is "Sapientia et Virtus" in Latin, meaning "wisdom and virtue", and "" in Chinese...
and the Department of Health of Hong Kong. The Mexican patient, who travelled with two companions from Mexico to Hong Kong with a stopover in Shanghai Pudong Airport, arrived in Hong Kong on April 30. Metropark Hotel Wanchai, where the patient stayed, was cordoned off by the police and health officials from the Centre for Health Protection
Centre for Health Protection
The Centre for Health Protection is an agency under the Department of Health in Hong Kong and responsible for health and safety.Created in 2003 in response to the SARS outbreak, CHP plays the same role and function as the Centers for Disease Control in the United States and the European Centre for...
. All 350 guests and hotel staff have to remain inside the hotel for seven days. After the first swine flu case was confirmed by laboratory, Chief Executive Sir Donald Tsang raised Hong Kong's response level from "serious" to "emergency".
On May 2, a total of 12 Metropark Hotel guests who were not willing to stay in the hotel were moved to Lady MacLehose Holiday Village in Sai Kung for quarantine.
On June 11, the Educational Bureau issued a letter ordering all kindergartens, primary and special schools to suspend all class and examinations for a 14-day period. As of June 21, 20 secondary schools have been ordered to suspend classes and examinations for another 14 days after a confirmed case of human swine flu was found in each school.On June 23,the Educational Bureau issued a letter to order all kindergartens,primary schools and special schools to have their summer holiday immeditely. As of 27 August 2009, there have been 10,468 confirmed cases of swine flu in the city.
On July 3, a case of Tamiflu-resistant virus was discovered in a woman suffering from the flu. The woman had not previously taken Tamiflu, so concern has been expressed that she may have contracted an already resistant virus from someone else.
Macau
On June 18, the first case was confirmed. The victim was a Filipino arriving Macau the day before. The first local case was confirmed on June 23. On that day there were 8 confirmed cases.
Taiwan (Republic of China)Republic of ChinaThe Republic of China , commonly known as Taiwan , is a unitary sovereign state located in East Asia. Originally based in mainland China, the Republic of China currently governs the island of Taiwan , which forms over 99% of its current territory, as well as Penghu, Kinmen, Matsu and other minor...
On May 20, 2009, the first case of the influenza has been confirmed in TaiwanTaiwan
Taiwan , also known, especially in the past, as Formosa , is the largest island of the same-named island group of East Asia in the western Pacific Ocean and located off the southeastern coast of mainland China. The island forms over 99% of the current territory of the Republic of China following...
.
The government had previously taken several steps to prevent the possible outbreak of Swine Flu, including a command center set up, travel alerts for infected nations, and more severe health check been conducted at international ports. Taiwan said visitors who came back from affected areas with fever would be quarantined. According to The Department of Health
Department of Health (Republic of China)
Department of Health of the Republic of China is an executive agency of the Executive Yuan responsible for the administration of the public health system, affordable and universal health care, hospitals, pharmaceutical, immunisation programmes, disease prevention, supervision and coordination of...
(DOH), Taiwan has a sufficient supply of surgical masks and vaccine to deal with the flu. The DOH also stated that they have 50 million to 60 million masks in stock and local manufacturers have the capability of producing 200,000 doses of the flu vaccine a month. In an effort to prevent the entry of the swine influenza, the Centers for Disease Control has announced on April 28 that every flight from the Americas, specifically Canada and the United States, that arrives in Taiwan from April 29 and onward will be subject to a strict on-board screening procedure. There are 5,474 confirmed cases of H1N1 in Taiwan so far.
Cyprus
Cyprus identified its first case of H1N1 on May 30 in a 39-year-old woman from MoldovaMoldova
Moldova , officially the Republic of Moldova is a landlocked state in Eastern Europe, located between Romania to the West and Ukraine to the North, East and South. It declared itself an independent state with the same boundaries as the preceding Moldavian Soviet Socialist Republic in 1991, as part...
, living in Cyprus, who returned from the United States on May 28. As of July 11, 250 cases have been confirmed in Cyprus.
India
The Government of IndiaGovernment of India
The Government of India, officially known as the Union Government, and also known as the Central Government, was established by the Constitution of India, and is the governing authority of the union of 28 states and seven union territories, collectively called the Republic of India...
has decided to screen all people entering India
India
India , officially the Republic of India , is a country in South Asia. It is the seventh-largest country by geographical area, the second-most populous country with over 1.2 billion people, and the most populous democracy in the world...
via the main airport hubs of Mumbai
Mumbai
Mumbai , formerly known as Bombay in English, is the capital of the Indian state of Maharashtra. It is the most populous city in India, and the fourth most populous city in the world, with a total metropolitan area population of approximately 20.5 million...
, New Delhi
New Delhi
New Delhi is the capital city of India. It serves as the centre of the Government of India and the Government of the National Capital Territory of Delhi. New Delhi is situated within the metropolis of Delhi. It is one of the nine districts of Delhi Union Territory. The total area of the city is...
, Goa
Goa
Goa , a former Portuguese colony, is India's smallest state by area and the fourth smallest by population. Located in South West India in the region known as the Konkan, it is bounded by the state of Maharashtra to the north, and by Karnataka to the east and south, while the Arabian Sea forms its...
, Jaipur
Jaipur
Jaipur , also popularly known as the Pink City, is the capital and largest city of the Indian state of Rajasthan. Founded on 18 November 1727 by Maharaja Sawai Jai Singh II, the ruler of Amber, the city today has a population of more than 3.1 million....
, Kochi, Kolkata
Kolkata
Kolkata , formerly known as Calcutta, is the capital of the Indian state of West Bengal. Located on the east bank of the Hooghly River, it was the commercial capital of East India...
, Chennai
Chennai
Chennai , formerly known as Madras or Madarasapatinam , is the capital city of the Indian state of Tamil Nadu, located on the Coromandel Coast off the Bay of Bengal. Chennai is the fourth most populous metropolitan area and the sixth most populous city in India...
, Bangalore
Bangalore
Bengaluru , formerly called Bengaluru is the capital of the Indian state of Karnataka. Bangalore is nicknamed the Garden City and was once called a pensioner's paradise. Located on the Deccan Plateau in the south-eastern part of Karnataka, Bangalore is India's third most populous city and...
and Hyderabad. It said the primary focus will be on passengers entering from the United States of America, United Kingdom
United Kingdom
The United Kingdom of Great Britain and Northern IrelandIn the United Kingdom and Dependencies, other languages have been officially recognised as legitimate autochthonous languages under the European Charter for Regional or Minority Languages...
, Canada
Canada
Canada is a North American country consisting of ten provinces and three territories. Located in the northern part of the continent, it extends from the Atlantic Ocean in the east to the Pacific Ocean in the west, and northward into the Arctic Ocean...
, Mexico
Mexico
The United Mexican States , commonly known as Mexico , is a federal constitutional republic in North America. It is bordered on the north by the United States; on the south and west by the Pacific Ocean; on the southeast by Guatemala, Belize, and the Caribbean Sea; and on the east by the Gulf of...
, France
France
The French Republic , The French Republic , The French Republic , (commonly known as France , is a unitary semi-presidential republic in Western Europe with several overseas territories and islands located on other continents and in the Indian, Pacific, and Atlantic oceans. Metropolitan France...
, and New Zealand
New Zealand
New Zealand is an island country in the south-western Pacific Ocean comprising two main landmasses and numerous smaller islands. The country is situated some east of Australia across the Tasman Sea, and roughly south of the Pacific island nations of New Caledonia, Fiji, and Tonga...
. A team of 32 medical professionals have been posted at these airports. The Ministry of Health is also trying to track down people who have entered India from Mexico in the last 10 days. It has been reported that one person recently traveled from Texas to Hyderabad with flu symptoms and was quarantined, but authorities refused to divulge his identity. Government health officials & WHO subsequently stated that there is no Swine flu in India and the said patient recovered from a common cold. Three other suspected cases of swine flu have been noticed. Two of them were flying from Chicago and the other one, who is UK citizen, aged 35, arrived from London. All of whom have been kept under observation in a hospital.
As of 21 August 2009, 2401 cases have been confirmed in India with 63 deaths. As of 4 October 2009, 10375 cases have been confirmed in India with 329 deaths. The maximum deaths are found from Pune
Pune
Pune , is the eighth largest metropolis in India, the second largest in the state of Maharashtra after Mumbai, and the largest city in the Western Ghats. Once the centre of power of the Maratha Empire, it is situated 560 metres above sea level on the Deccan plateau at the confluence of the Mula ...
. As of 13 August, 13 people have been succumbed to the deadly virus in Pune
Pune
Pune , is the eighth largest metropolis in India, the second largest in the state of Maharashtra after Mumbai, and the largest city in the Western Ghats. Once the centre of power of the Maratha Empire, it is situated 560 metres above sea level on the Deccan plateau at the confluence of the Mula ...
. Pune
Pune
Pune , is the eighth largest metropolis in India, the second largest in the state of Maharashtra after Mumbai, and the largest city in the Western Ghats. Once the centre of power of the Maratha Empire, it is situated 560 metres above sea level on the Deccan plateau at the confluence of the Mula ...
has been declared onto a state of semi-emergency of pandemic.
The Government has declared of the closure of Schools and Colleges in Mumbai
Mumbai
Mumbai , formerly known as Bombay in English, is the capital of the Indian state of Maharashtra. It is the most populous city in India, and the fourth most populous city in the world, with a total metropolitan area population of approximately 20.5 million...
for at least a week.
All the shopping malls and theaters have been closed down up to Monday.
Indonesia
After a coordination meeting about the flu on April 27, 2009, the IndonesiaIndonesia
Indonesia , officially the Republic of Indonesia , is a country in Southeast Asia and Oceania. Indonesia is an archipelago comprising approximately 13,000 islands. It has 33 provinces with over 238 million people, and is the world's fourth most populous country. Indonesia is a republic, with an...
n government halted the importation of pigs and initiated the examination of 9 million pigs in Indonesia. Thermal scanners which can detect human body temperature have been installed at Indonesian ports of entry. Temperatures above 38 degrees Celsius (100.4 Fahrenheit) cause the devices to beep, indicating fever. The devices have been installed in Soekarno-Hatta International Airport
Soekarno-Hatta International Airport
Soekarno–Hatta International Airport , popularly abbreviated SHIA or Soetta is the main airport serving the greater Jakarta area on the island of Java, Indonesia. The airport is named after the first President of Indonesia, Soekarno, and the first vice-president, Mohammad Hatta. The airport is...
and Halim Perdana Kusuma Airport in Jakarta
Jakarta
Jakarta is the capital and largest city of Indonesia. Officially known as the Special Capital Territory of Jakarta, it is located on the northwest coast of Java, has an area of , and a population of 9,580,000. Jakarta is the country's economic, cultural and political centre...
, Juanda Airport in Surabaya
Surabaya
Surabaya is Indonesia's second-largest city with a population of over 2.7 million , and the capital of the province of East Java...
, Hang Nadim Airport in Batam
Batam
Batam is an island and city in Riau Islands Province of Indonesia, known for its free trade zone area as part of the Sijori Growth Triangle, is located off Singapore's south coast...
, Hasanudin Airport in Makassar
Makassar
Makassar, is the provincial capital of South Sulawesi, Indonesia, and the largest city on Sulawesi Island. From 1971 to 1999, the city was named Ujung Pandang, after a precolonial fort in the city, and the two names are often used interchangeably...
, Ngurah Rai Airport in Denpasar
Denpasar
Denpasar is the capital city of the province of Bali, Indonesia. It has a rapidly expanding population of 788,445 in 2010, up from 533,252 in the previous decade. It is located at .-History:...
, Sepinggan Airport in Balikpapan
Balikpapan
Balikpapan is a seaport city on the eastern coast of the island of Borneo, Indonesia, in the East Kalimantan province, a resource-rich region well known for its timber, mining, and petroleum export products. Two harbors, Semayang and Kariangau , and the Sepinggan International Airport are the main...
, and Tanjung Priok Seaport, gates one and two in Jakarta and taking action right now. Indonesia confirms first case of H1N1. 416 cases and one death has been confirmed in Indonesia. Cases have increased to over 1,005 people and 4 deaths, but three of these deaths were reported negative.
Any person with temperatures above 38 degrees Celsius will be taken to a specialized hospital and would undertake intensive test to determine if the patient is positive of swine flu.
As of the 18 August 2009, 4 deaths due to the virus have been reported in the country. This is not the case, as only one fatality was reported positive to the virus. The other three were signaled negative.
Israel and the West BankWest BankThe West Bank ) of the Jordan River is the landlocked geographical eastern part of the Palestinian territories located in Western Asia. To the west, north, and south, the West Bank shares borders with the state of Israel. To the east, across the Jordan River, lies the Hashemite Kingdom of Jordan...
over 4000 cases have been confirmed in IsraelIsrael
The State of Israel is a parliamentary republic located in the Middle East, along the eastern shore of the Mediterranean Sea...
, and over 60 people have died so far. In response to the outbreak, the Israeli Deputy Minister of Health
Health Minister of Israel
The Ministry of Health is a ministry in the Israeli government. The current Minister of Health is Binyamin Netanyahu of Likud.There is occasionally a Deputy Minister of Health...
, Yaakov Litzman
Yaakov Litzman
Yaakov Litzman is an Israeli politician and Deputy Government Minister. A follower of the Ger Hasidic dynasty, he heads the Agudat Israel part of the United Torah Judaism faction in the Knesset.-Biography:...
, has said that because swine are unclean, the outbreak needs to be renamed, and so in Israel, out of respect for the religious sensibilities of Jews and Muslims, it should be called "Mexican Flu". This was done so as to not confuse the population into thinking that they could not acquire the virus if they did not eat pork. The Israeli government retracted this proposal following Mexican complaints.
The flu came close to many Israeli politicians. Prime minister Benjamin Netanyahu
Benjamin Netanyahu
Benjamin "Bibi" Netanyahu is the current Prime Minister of Israel. He serves also as the Chairman of the Likud Party, as a Knesset member, as the Health Minister of Israel, as the Pensioner Affairs Minister of Israel and as the Economic Strategy Minister of Israel.Netanyahu is the first and, to...
was checked for fear of flu, and the flu reached the presidential residence and the Knesset
Knesset
The Knesset is the unicameral legislature of Israel, located in Givat Ram, Jerusalem.-Role in Israeli Government :The legislative branch of the Israeli government, the Knesset passes all laws, elects the President and Prime Minister , approves the cabinet, and supervises the work of the government...
.
Japan
Ministry of Agriculture, Forestry and Fisheries (Japan)
The ' a cabinet ministry in the government of Japan responsible for oversight of the agriculture, forestry and fishing industries. Its acronym is MAFF.-History:...
of Japan instructed animal quarantine offices across Japan
Japan
Japan is an island nation in East Asia. Located in the Pacific Ocean, it lies to the east of the Sea of Japan, China, North Korea, South Korea and Russia, stretching from the Sea of Okhotsk in the north to the East China Sea and Taiwan in the south...
to examine any live pigs being brought into Japan to make sure they are not infected with the influenza. Japanese Agriculture Minister Shigeru Ishiba
Shigeru Ishiba
Shigeru Ishiba is a Japanese politician. He was Minister of Defense under Prime Minister Yasuo Fukuda from 2007 to 2008 and was also Minister of Agriculture, Forestry and Fisheries....
appeared on television to reassure customers that it is safe to eat pork. The Japanese farm ministry said that it would not ask for restrictions on pork imports because the virus was unlikely to turn up in pork, and would be killed by cooking.
On 30 April 2009, the first suspected case was detected at Narita Airport. However, the case turned out to be a conventional strain of influenza A subtype H3N2 (Hong Kong A strain). On 1 May 2009, the second suspected case was detected in Yokohama. This case also turned out to be a conventional strain of influenza A subtype H1N1 (Russian A strain). Meanwhile Japan has not stopped any flights or means of travelling between Japan and Mexico.
On 8 May, the first three cases were confirmed. The infected patients had spent time in Oakville
Oakville, Ontario
Oakville is a town in Halton Region, on Lake Ontario in Southern Ontario, Canada, and is part of the Greater Toronto Area. As of the 2006 census the population was 165,613.-History:In 1793, Dundas Street was surveyed for a military road...
, Canada
Canada
Canada is a North American country consisting of ten provinces and three territories. Located in the northern part of the continent, it extends from the Atlantic Ocean in the east to the Pacific Ocean in the west, and northward into the Arctic Ocean...
and returned to Japan via Detroit. On 10 May, another case was confirmed from a student who came from a school trip to Canada, making it the fourth case of Japan.
On 16 May, the first domestic infection was confirmed in Kobe
Kobe
, pronounced , is the fifth-largest city in Japan and is the capital city of Hyōgo Prefecture on the southern side of the main island of Honshū, approximately west of Osaka...
. The male high school student did not have a history of travel abroad and thought it was a seasonal flu, and PCR
Polymerase chain reaction
The polymerase chain reaction is a scientific technique in molecular biology to amplify a single or a few copies of a piece of DNA across several orders of magnitude, generating thousands to millions of copies of a particular DNA sequence....
test was not done in timely manner. Two other students are suspected, and 17 other students are claiming influenza-like symptoms. The route of the infection was not traceable.
On 18 May, 130 cases had been confirmed, including employees of a railway kiosk and a bank. Several railway kiosks in Kobe were closed, and 70 other bank workers who had worked with the infected person were told to stand by at home. All schools in the Osaka
Osaka Prefecture
is a prefecture located in the Kansai region on Honshū, the main island of Japan. The capital is the city of Osaka. It is the center of Osaka-Kobe-Kyoto area.- History :...
and Hyogo Prefecture
Hyogo Prefecture
is a prefecture of Japan located in the Kansai region on Honshū island. The capital is Kobe.The prefecture's name was previously alternately spelled as Hiogo.- History :...
s were suspended. There have been 944 case confirmed in Japan as of 24 June 2009.
On July 2, the first case of oseltamivir
Oseltamivir
Oseltamivir INN , an antiviral drug, slows the spread of influenza virus between cells in the body by stopping the virus from chemically cutting ties with its host cell; median time to symptom alleviation is reduced by 0.5–1 day. The drug is sold under the trade name Tamiflu, and is taken orally...
-resistant virus in Asia was announced in Japan, in a woman who had been taking Tamiflu prophylacticly.
Kazakhstan
The first cases of A(H1N1) virus were discovered in 3 students from the capital Astana according to Natalia Buenko, an advisor to the Ministry of Health of Kazakhstan.
Kuwait
About 18 people on U.S. military bases in KuwaitKuwait
The State of Kuwait is a sovereign Arab state situated in the north-east of the Arabian Peninsula in Western Asia. It is bordered by Saudi Arabia to the south at Khafji, and Iraq to the north at Basra. It lies on the north-western shore of the Persian Gulf. The name Kuwait is derived from the...
have tested positive for swine flu, a U.S. Central Command spokeswoman said on May 24, 2009. They are the first cases reported in Kuwait. It remains unclear whether the virus has spread to the civilian population. The names and units of the infected people were not immediately available. Maj. Kristi Beckman, speaking from Central Command headquarters in Tampa
Tâmpa
Tâmpa may refer to several villages in Romania:* Tâmpa, a village in Băcia Commune, Hunedoara County* Tâmpa, a village in Miercurea Nirajului, Mureş County* Tâmpa, a mountain in Braşov city...
, said everyone who tested positive for the virus was quarantined in military health facilities approved by officials from the Kuwaiti Ministry of Health. The World
Kuwait is used as a staging area for soldiers heading to or from the war in Iraq. The World Health Organization reported that they had not included Kuwait on its list of countries where the virus is present.
On June 16, the Kuwait Times newspaper reported confirmed the country's first cases of swine flu in four Kuwaitis who returned from the United States.
Laos
The Lao governmentPolitics of Laos
The politics of Laos takes place in the framework of a single-party socialist republic. The only legal political party is the Lao People's Revolutionary Party . The head of state is President Choummaly Sayasone, who also is secretary-general of the LPRP. The head of government is Prime Minister...
agreed to buy 10 thermal imaging machines and install them at the country's major immigration border checkpoints. The machines would help officials identify anyone entering the country with a high temperature and create confidence among Lao people, foreigners living in Laos
Laos
Laos Lao: ສາທາລະນະລັດ ປະຊາທິປະໄຕ ປະຊາຊົນລາວ Sathalanalat Paxathipatai Paxaxon Lao, officially the Lao People's Democratic Republic, is a landlocked country in Southeast Asia, bordered by Burma and China to the northwest, Vietnam to the east, Cambodia to the south and Thailand to the west...
and people traveling to Laos. Health officials would be on hand at international border checkpoints to ensure anyone found to be infected could be treated immediately. Each machine could cost about US$25,000. The decision to buy them was made after the government found visitors to Laos included people coming from the United States, Spain and other affected countries.
The Prime Minister Bouasone Bouphavanh
Bouasone Bouphavanh
Bouasone Bouphavanh was Prime Minister of Laos from 2006 to 2010. He was officially appointed to the office by the National Assembly of Laos on June 8, 2006, during a major government reshuffle. He replaced Bounnhang Vorachith who became vice president. Bouasone had previously served as first...
said masks should be made available and health officials would be assigned to work at border checkpoints. The machines would help officials identify anyone entering the country with a high temperature and create confidence among Lao people, foreigners living in Laos and people travelling to Laos. Health officials would be on hand at international border checkpoints to ensure anyone found to be infected could be treated immediately. On June 18, the first case in Laos was confirmed.
Lebanon
A Lebanese man suffering from a serious illness died from the H1N1 swine flu strain on Thursday July 30, 2009, which makes the first death in Lebanon, Health Minister Mohammad Khalifeh told Reuters. The 30-year-old victim had been receiving treatment for leukemia when he contracted the virus, possibly from relatives who had just traveled from Australia to Lebanon, the minister said.Lebanon has recorded more than 100 cases of H1N1.The first three cases of swine flu were discovered in Lebanon on July 1, 2009 according to the Health Minister Mohammad Jawad Khalifeh.
"One Lebanese man who was in Spain and two Canadians who arrived in Lebanon a week ago are suffering from swine flu," Khalifeh told AFP. "We put them in quarantine and the blood samples we have taken every day have proven to be positive. "The Lebanese man and the two visiting Canadians were given the proper medical treatment in time and they are well now."
He told a press conference said the man was part of a group of 22 Lebanese who had been attending a training seminar in Spain at an institute where the disease was later detected. He said health authorities may use thermal scanners at the airport to detect passengers with fever. "The situation is under control," he said.
The Lebanese Health Minister Mohammad Jawad Khalifeh asked citizens to stop the social habit of greeting with kissing, as it is a Lebanese habit to greet each other with three kisses on the cheek. He also requested that affected schoolchildren be kept at home and that travel to countries in which cases have been confirmed be avoided. Beirut also banned the import of pork.
On May 30 , Lebanon confirms three cases of swine flu.
Malaysia
United States
The United States of America is a federal constitutional republic comprising fifty states and a federal district...
. Malaysia first case of Influenza A (H1N1) which was locally transmitted was confirmed on June 17, 2009 and identified as 17-year-old girl who was admitted to the Kuala Lumpur Hospital. As of August 11, 2009 there has been 2,253 confirmed cases in Malaysia. The Health Ministry has announced that from August 12, 2009 they had discontinued the counting of the total number of H1N1 cases in line with guidelines issued by the World Health Organisation. As of August 20, 2009 the total number of A(H1N1) related deaths in Malaysia stands at 68.
Maldives
A ministerial committee has been established to supervise swine flu preventive measures to avoid an outbreak. All visitors arriving at the MaléMalé
Malé , is the capital and most populous city in the Republic of Maldives. It is located at the southern edge of North Malé Atoll . It is also one of the Administrative divisions of the Maldives. Traditionally it was the King's Island, from where the ancient Maldive Royal dynasties ruled and where...
International Airport on Hulhule Island and the country’s three commercial seaports are being screened.
First death from H1N1 flu virus was confirmed on 19 November.
Mongolia
Mongolian authorities quarantined 103 plane passengers on last May 7 who may have been exposed to swine flu.The passengers were aboard a flight in which two passengers who had performed in a Mongolian band in Mexico developed a fever. When the plane stopped for a scheduled landing in Moscow, the ill passengers were hospitalized.
Landing later in Ulaanbaatar
Ulaanbaatar
Ulan Bator or Ulaanbaatar is the capital and largest city of Mongolia. An independent municipality, the city is not part of any province, and its population as of 2008 is over one million....
, the Mongolian Health Ministry announced it had quarantined all passengers as well as the crew of six. The people will remain under medical surveillance for seven days, according to officials of the General Authority for Emergency Management.
The Mongolian Health Ministry has sought to prevent the spread of swine flu in Mongolia by urging people to avoid public places.
As of October 22, 126 cases were confirmed in Mongolia. Just after seven days, the number increased to 394 with five deaths.
North Korea
Most defectors with backgrounds in health care agree that, considering the isolation of North Korean society and its highly inadequate health care system, incidents of swine flu are likely to be either suppressed or merely misdiagnosed.Following the confirmation of the first case of the diesease in Mongolia, heightened concerns arose. the very high cases in China would make the spread of the disease to North Korea only a matter of time. If swine flu would come to North Korea, there is a possibility of rapid spreading of the disease through the jangmadang (market), which has become the primary means of survival for the people.
The plans of the WHO to distribute swine flu vaccines, contributed by developed countries, to a selected 100 developing countries in November; North Korea is included in the priority list.
On November 16, the first known case was confirmed by the Ministry of Unification
Ministry of Unification
The Ministry of Unification is a branch of the South Korean government that is charged with working toward the reunification of Korea. It was first established in 1969 as the National Unification Board, under the rule of Park Chung-hee...
, released in a report by Korea Times. The first case was confirmed in a South Korean worker in Gaeseong Industrial Complex.
On December 1, the Ministry of Public Health called on a meeting to discuss how to prevent H1N1 influenza from spreading. Importing of vaccines and isolation of people in their respective homes were considered. The Ministry of Education has also decided to call on all schools nation-wide to have a winter break a month earlier in an approach to stop the spread of the disease due to the fact that the majority of fatalities caused by the disease are people younger than 23 years of age.
However on December 9 for the first time, North Korea officially confirmed foreign reports that an outbreak has occurred in the country, and has accepted aid from South Korea.
However there is propaganda that the United States and Western governments created the H1N1 virus, and that the disease is man-made by the Westerners.
Oman
As of 13 August 2009, 337 cases have been confirmed by the National Pandemic Influenza Committee in Oman. There have also been unconfirmed reports of a death although this has been denied by the Health Ministry.on August 21, 2009, the Ministry of Health reported the first 2 death cases one in Muscat and the other in Salalah plus the increase in the number of cases to 513.
Pakistan
Pakistan has taken precautionary measures at the international airports to check passengers coming from swine flu affected countries. Doctors are checking the incoming passengers and allow entry only to those with no flu symptoms. The major hospitals in all the big cities are on high alert. There are 90 confirmed case as of January 26, 2010.
Philippines
Department of Agriculture (Philippines)
The Philippines' Department of Agriculture , abbreviated as DA, is the executive department of the Philippine government responsible for boosting the income of farmers as well as reducing the incidence of poverty in the rural sector, as stipulated inthe Government's Medium Term Philippine...
issued an order banning the importation of hogs from the U.S. and Mexico, and the retraction of the restriction of swine influenza vaccine use. The medical alert phase is already Code White, the lowest.
On May 18, 2009, a Filipina girl who arrived from Houston
Houston, Texas
Houston is the fourth-largest city in the United States, and the largest city in the state of Texas. According to the 2010 U.S. Census, the city had a population of 2.1 million people within an area of . Houston is the seat of Harris County and the economic center of , which is the ...
, Texas
Texas
Texas is the second largest U.S. state by both area and population, and the largest state by area in the contiguous United States.The name, based on the Caddo word "Tejas" meaning "friends" or "allies", was applied by the Spanish to the Caddo themselves and to the region of their settlement in...
, USA was the first confirmed case of H1N1 virus in the Philippines. Health Secretary Duque advised that the girl is in stable condition and is in quarantine.
On June 3, 2009, a foreign exchange student in De La Salle University
De La Salle University
De La Salle University is a private Lasallian university in Malate, Manila, Philippines. It was founded in 1911 by De La Salle Brothers as the De La Salle College in Paco, Manila with Blimond Pierre serving as its first director...
-Manila was confirmed with H1N1 virus and the school was closed for ten days starting June 4.
As of June 5, 2009, the Total of confirmed cases of A(H1N1) virus rose from 29 cases last June 4 to 33 confirmed cases as of June 5. Philippine Health Secretary Francisco Duque III said the new cases are two siblings and another student of De La Salle University.
Because of the said incident, on June 6, 2009, the Commission in Higher Education [CHED] moved the opening of classes in all colleges and universities in Metro Manila from June 8, 2009 to June 15, 2009.
First fatality was reported, a 49-year-old female from Metro Manila
Metro Manila
Metropolitan Manila , the National Capital Region , or simply Metro Manila, is the metropolitan region encompassing the City of Manila and its surrounding areas in the Philippines...
on June 22, the first fatality in Asia of this disease. The death was not caused by the virus directly. The person has lung and heath problems that worsen it. The person died of a heart attack.
The highest confirmed in one day was on June 24, 2009 with 131 cases, the next day, the confirmed cases added is 123. Because of that, the Department of Health ordered the people that should get swab tests are the only people with very complicated cases (e.g. with lung disorders, hearth disorders
Heart disease
Heart disease, cardiac disease or cardiopathy is an umbrella term for a variety of diseases affecting the heart. , it is the leading cause of death in the United States, England, Canada and Wales, accounting for 25.4% of the total deaths in the United States.-Types:-Coronary heart disease:Coronary...
, babies etc.). The government said that the very fast spreading of the disease is caused by the population density of the country.
Saudi Arabia
The Health Ministry has announced the detection of a case of swine flu which infected a Filipino nurse working at King Faisal Specialist Hospital and Research Center. Dr Abdullah al-Rabee'a, the Health Minister, said that the detection of the case has come within the framework of the efforts being exerted by the Health Ministry to follow up developments in this respect.In a statement to the Saudi Press Agency, he said that the nurse, who had spent her holidays in Philippines, returned to Riyadh on May 29, 2009, aboard one of the flights of the Gulf Air
Gulf Air
Gulf Air is the principal flag carrier of the Kingdom of Bahrain. Headquartered in Muharraq, adjacent to Bahrain International Airport, the airline operates scheduled services to 45 destinations in 28 countries across Africa, Asia and Europe. Its main base is Bahrain International Airport...
. "Symptoms of the disease appeared in the case of the nurse on June 1, 2009, and she was admitted to the KFSHRC for conducting the required medical examinations pertaining to Swine Flu, he said, noting that the results of the medical examinations were disclosed on Tuesday evening, confirming the case as 'Positive'".
In the light of the measures of the World Health Organization (WHO), the medical examinations were conducted for the second time on Tuesday evening, he said, adding that the examinations proved the infection of the nurse for A/H1N1 on Wednesday morning. Dr Al-Rabee'a said the Health Ministry in cooperation with King Faisal Specialist Hospital and Research Center has applied the national plan for the prevention of swine flu in a manner that matches with the recommendations of WHO. Accordingly, the patient was isolated and provided with the required medical treatment. Arrangements are underway to examine those who were in contact with the patient to get sure that they are not infected. As of 17 August 2009 the number of A(H1N1) cases in Saudi Arabia have increased to above 700 and 14 people have died.
By the 17 of August, There had been about 2000 cases of the flu resulting in 14 deaths.
Singapore
The first case of Influenza A (H1N1-2009) was confirmed on May 27, 2009 in Singapore. As of July 7 there were 1,217 confirmed cases. As of October 17 there were 18 confirmed deaths from A(H1N1) in Singapore.
Sri Lanka
The first case of Influenza A (H1N1-2009) was confirmed on June 16, 2009 in Sri Lanka. Sri Lanka said on Tuesday that a 12-year-old girl returning home from Singapore was diagnosed with A(H1N1) influenza, the island's first swine flu case. The student was moved to the Infectious Diseases Hospital on the outskirts of the capital, a health ministry official said.As of June 25 there were 10 confirmed cases. According to Dr. Geetani Wickremasinghe of Medical Research Institute in Colombo another two people suffering from swine flu have been detected on Wednesday June 24. Both patients who were from Australia, including a ten-year-old boy have reached the country on last Sunday. With these two patients added to the total number of Swine Flu patients detected in Sri Lanka has risen to 10. Four of the patients have been discharged, but six patients are still receiving treatments at the Infectious Disease Hospital in Angoda.
South Korea
South Korea warned against travel to Mexico City and three Mexican states. The government has also stepped up quarantine and safety checks on travelers arriving from the United States and Mexico, and pork imports from those countries. An emergency quarantine system is also in place, with simple tests conducted on people arriving with flu symptoms at airports. On April 28, South Korea reported its first probable case of swine flu after positive preliminary tests on a nun who had recently returned from a trip to Mexico.Several sources have informed that one case has been confirmed by lab in South Korea, on April 30. On May 2, the first suspected woman turned out to be infected with the influenza A subtype H1N1. South Korea became the third infected nation in Asia, after Israel and Hong Kong. There have been approx. 2100 cases in S.Korea as of August 16, 2009. On August 15, the first Korean death by the new influenza was confirmed publicly and a second death was announced on August 16.
Around 15000 cases and 14 deaths have been reported as of October 12, 2009.
Thailand
On Tuesday, May 13, 2009 Thailand confirmed two cases of swine flu. Both of the individuals confirmed as having swine flu had recently traveled to Mexico. There are 4,469 confirmed cases in Thailand and 44 confirmed deaths as of July 22, 2009.
Turkey
The first case of A(H1N1) in Turkey was reported on May 16, 2009. A U.S. citizen, flying from the United States
United States
The United States of America is a federal constitutional republic comprising fifty states and a federal district...
via Amsterdam
Amsterdam
Amsterdam is the largest city and the capital of the Netherlands. The current position of Amsterdam as capital city of the Kingdom of the Netherlands is governed by the constitution of August 24, 1815 and its successors. Amsterdam has a population of 783,364 within city limits, an urban population...
was found to be suffering from the swine flu after arriving Istanbul
Istanbul
Istanbul , historically known as Byzantium and Constantinople , is the largest city of Turkey. Istanbul metropolitan province had 13.26 million people living in it as of December, 2010, which is 18% of Turkey's population and the 3rd largest metropolitan area in Europe after London and...
's Atatürk International Airport
Atatürk International Airport
Atatürk International Airport is the major international airport in Istanbul, Turkey. Opened in 1924 and located in Yeşilköy, on the European side of the city, it is west of the city centre. In 1980, the airport was renamed to Atatürk International Airport in honor of Mustafa Kemal Atatürk, the...
. Turkey is the 36th country in the world to report an incident of swine flu. The Turkish Government has taken measures at the international airports, using thermal imaging cameras to check passengers coming from international destinations. As of 11 August, there were 312 confirmed cases in Turkey. As of 24 October, there is 1 confirmed death in Turkey. It is reported by Ministry of Health that one person died in Ankara. In addition, there are 958 confirmed cases in Turkey.
United Arab Emirates
An Indian old man who was already suffering from severe respiratory and lung infections and A(H1N1) - swine flu- has died to become the first person in the United Arab Emirates to succumb to the disease, announced the Health Ministry on August 20, 2009.The 63-year old victim had gone too late to a hospital where he was diagnosed with the infections along with the A(H1N1) symptoms and was treated but passed away because of the progression of the disease, it said.
The Ministry of Health has confirmed the death of a 28 year old Syrian from Sharjah
Sharjah (city)
Sharjah is the third largest and most populous city in the United Arab Emirates. It is located along the southern coast of the Persian Gulf on the Arabian Peninsula.Sharjah is the seat of government of the emirate of Sharjah...
on September 1, 2009 due to the H1N1 infection, along with another pregnant woman, bringing the toll of H1N1 influenza deaths in the country to four.
Uzbekistan
Uzbekistan has taken measures to prevent the entry and spread of the swine flu on the country’s territory, chief state sanitary doctor Bahtiyor Niyazmatov told UzA.According to the official, the measures the country has taken to prevent dangerous infections has proved its efficiency in the past. Thus, the threat of the bird flu and other infectious diseases was prevented. Today Uzbekistan has direct air and land links with many countries and imports thousands of products from other states.
The Health Ministry of Uzbekistan has worked out a special plan to prevent the new respiratory infection. High-quality specialists are participating in the monitoring of the situation and special trainings are being held for medical workers in all regions.
The virus laboratories across Tashkent
Tashkent
Tashkent is the capital of Uzbekistan and of the Tashkent Province. The officially registered population of the city in 2008 was about 2.2 million. Unofficial sources estimate the actual population may be as much as 4.45 million.-Early Islamic History:...
, and the country's regions have diagnostic means to timely identify the swine flu. In case of swine flu symptoms the patient will be isolated in the specially reserved rooms of infection clinics.
Sanitary control points are functioning in the border crossing places, including airports and railway stations. They have been provided with additional special equipment and disinfection means, he added.
Besides, the Health Ministry has issued posters and brochures explaining precaution measures and organized meetings with specialists at residence areas, educational establishments, enterprises and organizations, the chief state sanitary doctor of Uzbekistan said.
As of October 6, No case was confirmed in Uzbekistan
Vietnam
VietnamVietnam
Vietnam – sometimes spelled Viet Nam , officially the Socialist Republic of Vietnam – is the easternmost country on the Indochina Peninsula in Southeast Asia. It is bordered by China to the north, Laos to the northwest, Cambodia to the southwest, and the South China Sea –...
's Ministry of Health released an emergency dispatch and urged agencies to take precautionary measures against swine flu. In addition, the Preventive Health and Environment Bureau requested all health facilities to carefully monitor any suspected H1N1 case and Bureau head Nguyen Huy Nga also warned that the pandemic could enter Vietnam through imported swine or border gates. Thermal imaging devices were dispatched to airports and border gates to screen passengers. In response to WHO's warnings, Vietnam on April 30, 2009 raised its swine flu alert level to 4 which indicated a "threat of community level outbreaks" while local authorities have been executing precautionary measures.
On May 1, 2009 an Vietnam
Vietnam
Vietnam – sometimes spelled Viet Nam , officially the Socialist Republic of Vietnam – is the easternmost country on the Indochina Peninsula in Southeast Asia. It is bordered by China to the north, Laos to the northwest, Cambodia to the southwest, and the South China Sea –...
's Ministry of Industry and Trade official said that Ministry was considering a ban
Ban (law)
A ban is, generally, any decree that prohibits something.Bans are formed for the prohibition of activities within a certain political territory. Some see this as a negative act and others see it as maintaining the "status quo"...
on pork import "under certain situations" to prevent swine flu from entering Vietnam.
As of May 31, 2009. The Government of Vietnam announced its First new case of A(H1N1) virus in the Country. A 23 years old Vietnamese student who recently returned from the Houston, Texas
Texas
Texas is the second largest U.S. state by both area and population, and the largest state by area in the contiguous United States.The name, based on the Caddo word "Tejas" meaning "friends" or "allies", was applied by the Spanish to the Caddo themselves and to the region of their settlement in...
, USA has tested positive for swine flu.
Timeline
| 2009 | A(H1N1) Outbreak and Pandemic Milestones in Asia |
|---|---|
| 28 April | First case confirmed in Israel. |
| 1 May | First case confirmed in Hong Kong. |
| 2 May | First case confirmed in South Korea. |
| 8 May | First case confirmed in Japan. |
| 10 May | First case confirmed in China. |
| 12 May | First case confirmed in Thailand. |
| 15 May | First case confirmed in Malaysia. |
| 16 May | First case confirmed in India. |
| 16 May | First case confirmed in Turkey. |
| 17 May | Community outbreaks confirmed in Japan. |
| 19 May | First case confirmed in Taiwan. |
| 21 May | First case confirmed in the Philippines. |
| 22 May |  First case confirmed in Russia. |
| 24 May | First case confirmed in Kuwait. |
| First case confirmed in the United Arab Emirates. |
|
| 25 May |  First case confirmed in Bahrain. |
| 27 May | First case confirmed in Singapore. |
| 30 May | First case confirmed in Cyprus. |
| First case confirmed in Lebanon. |
|
| 31 May | First case confirmed in Vietnam. |
| 3 June | First case confirmed in Saudi Arabia. |
| 11 June |  First case confirmed in the Palestinian Territories. |
| Community outbreaks confirmed in Hong Kong. |
|
| 14 June | Community outbreaks confirmed in Philippines. |
| 16 June |  First confirmed case in Jordan. |
 First confirmed case in Qatar. |
|
| First confirmed case in Sri Lanka. |
|
| Community outbreaks confirmed in Thailand. |
|
 First confirmed case in Yemen. |
|
| 17 June | First case confirmed in Oman. |
| Community outbreaks confirmed in Malaysia. |
|
| 18 June | First case confirmed in Macau, China. |
| First case confirmed in Laos. |
|
| 19 June | First case confirmed in Bangladesh. |
| 22 June | First death confirmed in the Philippines. |
 First case confirmed in Iran. |
|
| 23 June | Community outbreaks confirmed in Macao. |
| 24 June | First case confirmed in Indonesia. |
| First case confirmed in Cambodia. |
|
 First case confirmed in Iraq. |
|
| 26 June | Community outbreaks confirmed in China. |
| 27 June | First death confirmed in Thailand. |
 First case confirmed in Myanmar. |
|
| 29 June |  First case confirmed in Nepal. |
| Community outbreaks confirmed in Singapore. |
|
| 1 July | Community outbreaks confirmed in South Korea. |
| 2 July |  First death confirmed in Brunei. |
| First case of Oseltamivir (Tamiflu) resistance found in Japan. |
|
| 3 July | First case of Oseltamivir (Tamiflu) resistance found in Hong Kong. |
| 4 July |  First case confirmed in Syria. |
| 8 July |  First case confirmed in Afghanistan. |
| 10 July | First death confirmed in Hong Kong. |
| 13 July | Community outbreaks confirmed in Saudi Arabia. |
| 16 July | First death confirmed in Singapore. |
| 19 July |  First case confirmed in Georgia. |
| Community outbreaks confirmed in Israel. |
|
| 21 July | Community outbreaks confirmed in Indonesia. |
| 22 July | Community outbreaks confirmed in India. |
| Community outbreaks confirmed in Vietnam. |
|
| First death confirmed in Laos. |
|
| 23 July | First death confirmed in Malaysia. |
 First case confirmed in Bhutan. |
|
| First case confirmed in Kazakhstan. |
|
| 24 July | First case confirmed in Maldives. |
| 25 July | Community outbreaks confirmed in Brunei. |
| Community outbreaks confirmed in Taiwan. |
|
| 26 July | Community outbreaks confirmed in Cyprus. |
| Community outbreaks confirmed in Turkey. |
|
| First death confirmed in Indonesia. |
|
| 27 July | First death confirmed in Israel. |
| First death confirmed in Saudi Arabia. |
|
| Community outbreaks confirmed in United Arab Emirates. |
|
| 30 July | First case confirmed in Azerbaijan. |
| First death confirmed in Taiwan. |
|
| First death confirmed in Lebanon. |
|
| 31 July | First death confirmed in Qatar. |
| 2 August | First death confirmed in India. |
| 3 August | First case confirmed in Pakistan. |
| 4 August | First death confirmed in Vietnam. |
| 5 August | First death confirmed in Iran. |
| 7 August | First death confirmed in Palestine. |
| 8 August | First case of Oseltamivir (Tamiflu) resistance found in Thailand. |
| 9 August | First death confirmed in Iraq. |
| 12 August |  First case confirmed in East Timor. |
| 14 August | First case of Oseltamivir (Tamiflu) resistance found in Singapore. |
| First case of Oseltamivir (Tamiflu) resistance found in China. |
|
| 15 August | First death confirmed in South Korea. |
| First death confirmed in Japan. |
|
| 18 August | First death confirmed in Yemen. |
| 20 August | First death confirmed in Kuwait. |
| First death confirmed in United Arab Emirates. |
|
| 21 August | First death confirmed in Oman. |
| 24 August |  First case confirmed in Kyrgyzstan. |
| 26 August | First death confirmed in Syria. |
| 29 August | First death confirmed in Bangladesh. |
| 31 August | First death confirmed in Bahrain. |
| 2 September | First death confirmed in Macau. |
| 10 September | First case of Oseltamivir (Tamiflu) resistance found in Israel. |
| 21 September | Mass vaccinations in China, which is the first one in the world, begins. |
| 28 September | First death confirmed in Cambodia. |
| 30 September | First completed clinical trials by a company for 2009/H1N1 vaccine in the world. |
| 4 October |  First case confirmed in Tajikistan. |
| 6 October | First death confirmed in China. |
| 12 October | First case of Oseltamivir (Tamiflu) resistance found in Vietnam. |
| First death confirmed in Jordan. |
|
| 13 October | First case confirmed in Mongolia. |
| 19 October | Mass vaccinations in Japan begins. |
| 23 October | First death confirmed in Mongolia. |
| 24 October | First death confirmed in Turkey. |
| 26 October | Mass vaccinations in Oman begins |
| 27 October | First death confirmed in Russia. |
| Mass vaccinations in South Korea begins. |
|
| 29 October | First death confirmed in Afghanistan. |
| 1 November | Mass vaccinations in Kuwait begins |
| 3 November | Mass vaccinations in Singapore begins. |
| Mass vaccinations in Qatar begins |
|
| 7 November | First death confirmed in Pakistan. |
| First death confirmed in Sri Lanka. |
|
| Mass vaccinations in Saudi Arabia begins |
|
| Mass Vaccinations in Bahrain begins |
|
| 8 November |  First case confirmed in Armenia. |
| 13 November | First death confirmed in Cyprus. |
| 16 November | First case confirmed in North Korea. |
| 18 November | First death confirmed in Maldives. |
| 20 November | Mass vaccinations in Jordan begins |
| 7 December | First death confirmed in North Korea. |
| 13 December | First death confirmed in Armenia. |
| 14 December | First death confirmed in Georgia. |
| 27 December | First death confirmed in Nepal. |
Top 5 countries
| Top 5 cases | Top 5 deaths |
|---|---|
| Mainland China |
India |
| Hong Kong |
Thailand |
| Thailand |
Turkey |
| India |
South Korea |
| South Korea |
Mainland China |