2009 flu pandemic in Mexico
Encyclopedia
Cases of H1N1 swine flu by state
State Lab confirmed cases*
(increase in October)
Deaths
Aguascalientes
Aguascalientes
Aguascalientes is one of the 31 states which, with the Federal District, comprise the 32 Federal Entities of Mexico. It is divided in 11 municipalities and its capital city is Aguascalientes....

603 (+378) 8
Baja California
Baja California
Baja California officially Estado Libre y Soberano de Baja California is one of the 31 states which, with the Federal District, comprise the 32 Federal Entities of Mexico. It is both the northernmost and westernmost state of Mexico. Before becoming a state in 1953, the area was known as the North...

1,642 (+699) 19
Baja California Sur
Baja California Sur
Baja California Sur , is one of the 31 states which, with the Federal District, comprise the 32 Federal Entities of Mexico. Before becoming a state on October 8, 1974, the area was known as the South Territory of Baja California. It has an area of , or 3.57% of the land mass of Mexico and comprises...

470 (+253) 4
Campeche
Campeche
Campeche is one of the 31 states which, with the Federal District, comprise the 32 Federal Entities of Mexico. Located in Southeast Mexico, it is bordered by the states of Yucatán to the north east, Quintana Roo to the east, and Tabasco to the south west...

167 (+2) 1
Chiapas
Chiapas
Chiapas officially Estado Libre y Soberano de Chiapas is one of the 31 states that, with the Federal District, comprise the 32 Federal Entities of Mexico. It is divided in 118 municipalities and its capital city is Tuxtla Gutierrez. Other important cites in Chiapas include San Cristóbal de las...

3,602 (+26) 35
Chihuahua 536 (+238) 2
Coahuila
Coahuila
Coahuila, formally Coahuila de Zaragoza , officially Estado Libre y Soberano de Coahuila de Zaragoza is one of the 31 states which, with the Federal District, comprise the 32 Federal Entities of Mexico...

170 (+40) 1
Colima
Colima
Colima is one of the 31 states which, with the Federal District, make up the 32 Federal Entities of Mexico. It shares its name with its capital and main city, Colima....

969 (+170) 0
Durango
Durango
Durango officially Estado Libre y Soberano de Durango is one of the 31 states which, with the Federal District, comprise the 32 Federal Entities of Mexico. The state is located in Northwest Mexico. With a population of 1,632,934, it has Mexico's second-lowest population density, after Baja...

684 (+456) 2
Guanajuato
Guanajuato
Guanajuato officially Estado Libre y Soberano de Guanajuato is one of the 31 states which, with the Federal District, comprise the 32 Federal Entities of Mexico. It is divided in 46 municipalities and its capital city is Guanajuato....

1,069 (+428) 26
Guerrero
Guerrero
Guerrero officially Estado Libre y Soberano de Guerrero is one of the 31 states which, with the Federal District, comprise the 32 Federal Entities of Mexico. It is divided in 81 municipalities and its capital city is Chilpancingo....

1,744 (+675) 11
Hidalgo 1,560 (+624) 10
Jalisco
Jalisco
Jalisco officially Estado Libre y Soberano de Jalisco is one of the 31 states which, with the Federal District, comprise the 32 Federal Entities of Mexico. It is located in Western Mexico and divided in 125 municipalities and its capital city is Guadalajara.It is one of the more important states...

2,455 (+592) 15
Federal District
Mexico City
Mexico City is the Federal District , capital of Mexico and seat of the federal powers of the Mexican Union. It is a federal entity within Mexico which is not part of any one of the 31 Mexican states but belongs to the federation as a whole...

5,731 (+2,193) 80
Mexico State 2,087 (+1,059) 47
Michoacán
Michoacán
Michoacán officially Estado Libre y Soberano de Michoacán de Ocampo is one of the 31 states which, with the Federal District, comprise the 32 Federal Entities of Mexico. It is divided in 113 municipalities and its capital city is Morelia...

2,017 (+933) 4
Morelos
Morelos
Morelos officially Estado Libre y Soberano de Morelos is one of the 31 states which, with the Federal District, comprise the 32 Federal Entities of Mexico. It is divided in 33 municipalities and its capital city is Cuernavaca....

428 (+243) 2
Nayarit
Nayarit
Nayarit officially Estado Libre y Soberano de Nayarit is one of the 31 states which, with the Federal District, comprise the 32 Federal Entities of Mexico. It is divided in 20 municipalities and its capital city is Tepic.It is located in Western Mexico...

1,379 (+911) 2
Nuevo León
Nuevo León
Nuevo León It is located in Northeastern Mexico. It is bordered by the states of Tamaulipas to the north and east, San Luis Potosí to the south, and Coahuila to the west. To the north, Nuevo León has a 15 kilometer stretch of the U.S.-Mexico border adjacent to the U.S...

2,775 (+1,400) 12
Oaxaca
Oaxaca
Oaxaca , , officially Estado Libre y Soberano de Oaxaca is one of the 31 states which, along with the Federal District, comprise the 32 federative entities of Mexico. It is divided into 571 municipalities; of which 418 are governed by the system of customs and traditions...

1,737 (+518) 12
Puebla
Puebla
Puebla officially Estado Libre y Soberano de Puebla is one of the 31 states which, with the Federal District, comprise the 32 Federal Entities of Mexico. It is divided in 217 municipalities and its capital city is Puebla....

1,423 (+694) 18
Querétaro
Querétaro
Querétaro officially Estado Libre y Soberano de Querétaro de Arteaga is one of the 31 states which, with the Federal District, comprise the 32 Federal Entities of Mexico. It is divided into 18 municipalities and its capital city is Santiago de Querétaro....

1,376 (+649) 5
Quintana Roo
Quintana Roo
Quintana Roo officially Estado Libre y Soberano de Quintana Roo is one of the 31 states which, with the Federal District, comprise the 32 Federal Entities of Mexico. It is divided in 10 municipalities and its capital city is Chetumal....

635 (+41) 1
San Luis Potosí
San Luis Potosí
San Luis Potosí officially Estado Libre y Soberano de San Luis Potosí is one of the 31 states which, with the Federal District, comprise the 32 Federal Entities of Mexico. It is divided in 58 municipalities and its capital city is San Luis Potosí....

2,588 (+1,040) 13
Sinaloa
Sinaloa
Sinaloa officially Estado Libre y Soberano de Sinaloa is one of the 31 states which, with the Federal District, comprise the 32 Federal Entities of Mexico. It is divided in 18 municipalities and its capital city is Culiacán Rosales....

533 (+108) 7
Sonora
Sonora
Sonora officially Estado Libre y Soberano de Sonora is one of the 31 states which, with the Federal District, comprise the 32 Federal Entities of Mexico. It is divided into 72 municipalities; the capital city is Hermosillo....

1,915 (+962) 11
Tabasco
Tabasco
Tabasco officially Estado Libre y Soberano de Tabasco is one of the 31 states which, with the Federal District, comprise the 32 Federal Entities of Mexico. It is divided in 17 municipalities and its capital city is Villahermosa....

1,063 (+19) 3
Tamaulipas
Tamaulipas
Tamaulipas officially Estado Libre y Soberano de Tamaulipas is one of the 31 states which, with the Federal District, comprise the 32 Federal Entities of Mexico. It is divided in 43 municipalities and its capital city is Ciudad Victoria. The capital city was named after Guadalupe Victoria, the...

1,818 (+495) 10
Tlaxcala
Tlaxcala
Tlaxcala officially Estado Libre y Soberano de Tlaxcala is one of the 31 states which along with the Federal District comprise the 32 federative entities of Mexico. It is divided into 60 municipalities and its capital city is Tlaxcala....

1,359 (+606) 9
Veracruz
Veracruz
Veracruz, formally Veracruz de Ignacio de la Llave officially Estado Libre y Soberano de Veracruz de Ignacio de la Llave , is one of the 31 states that, along with the Federal District, comprise the 32 federative entities of Mexico. It is divided in 212 municipalities and its capital city is...

1,901 (+429) 10
Yucatán
Yucatán
Yucatán officially Estado Libre y Soberano de Yucatán is one of the 31 states which, with the Federal District, comprise the 32 Federal Entities of Mexico. It is divided in 106 municipalities and its capital city is Mérida....

3,074 (+71) 10
Zacatecas
Zacatecas
Zacatecas officially Estado Libre y Soberano de Zacatecas is one of the 31 states which, with the Federal District, comprise the 32 Federal Entities of Mexico. It is divided in 58 municipalities and its capital city is Zacatecas....

705 (+227) 8
(*) Laboratory-confirmed cases of pandemic (H1N1) 2009 as officially confirmed by the Secretaría de Salud de México. Updated: October 29, 2009.


In March and April 2009, an outbreak
Outbreak
Outbreak is a term used in epidemiology to describe an occurrence of disease greater than would otherwise be expected at a particular time and place. It may affect a small and localized group or impact upon thousands of people across an entire continent. Two linked cases of a rare infectious...

 of a new strain of influenza
Influenza
Influenza, commonly referred to as the flu, is an infectious disease caused by RNA viruses of the family Orthomyxoviridae , that affects birds and mammals...

 commonly referred to as "swine flu" infected many people in 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...

 and other parts of the world, causing illness ranging from mild to severe. Initial reports suggested that the outbreak had started in February due to farming practices at a pig farm half-owned by Smithfield Foods
Smithfield Foods
Smithfield Foods, Inc. is the world’s largest pork producer and processor. Headquartered in Smithfield, Virginia, it runs facilities in 26 U.S. states, including the world's largest meat-processing plant in Tar Heel, North Carolina, and has operations in Brazil, China, France, Mexico, Poland,...

. Smithfield Foods stated that it had found no clinical signs or symptoms of the presence of swine influenza in the company's swine herd, or among its employees at its joint ventures in Mexico, that it routinely administers influenza virus vaccination to their swine herds and that it conducts monthly testing for the presence of swine influenza.
The new strain was identified as a combination of several different strains of Influenzavirus A
Influenzavirus A
Influenza A virus causes influenza in birds and some mammals and is the only species of Influenzavirus A. Influenzavirus A is a genus of the Orthomyxoviridae family of viruses. Strains of all subtypes of influenza A virus have been isolated from wild birds, although disease is uncommon...

, subtype H1N1, including separate strains of this subtype circulating in humans and in pigs. The World Health Organization
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...

 (WHO) and the U.S. Centers for Disease Control and Prevention
Centers for Disease Control and Prevention
The Centers for Disease Control and Prevention are a United States federal agency under the Department of Health and Human Services headquartered in Druid Hills, unincorporated DeKalb County, Georgia, in Greater Atlanta...

 (CDC) have expressed serious concerns that the new strain, which transmits between humans and has had a relatively high mortality rate
Mortality rate
Mortality rate is a measure of the number of deaths in a population, scaled to the size of that population, per unit time...

 in the possible and confirmed Mexican cases, has the potential to become an influenza pandemic
Influenza pandemic
An influenza pandemic is an epidemic of an influenza virus that spreads on a worldwide scale and infects a large proportion of the human population. In contrast to the regular seasonal epidemics of influenza, these pandemics occur irregularly, with the 1918 Spanish flu the most serious pandemic in...

. It is reported that, because the virus is already widespread, containment will be impossible.

As of April 27, 2009, all schools nationwide remained closed until at least May 6. Health Minister Córdova noted that the number of new cases had declined during the three days: from 141 on Saturday to 119 on Sunday and 110 on Monday. It is unclear why there were more deaths in Mexico than in other areas, as there were multiple potential variables, such as a stronger strain of the virus or more exposure to it. No definite conclusion had been reached, however the CDC reported that swine flu viruses in the US and Mexico matched.

Outbreak

The first infected was registered in San Diego, California on April 2, but it was missclassed as an H2N3 case. It was not until April 13, with the first death in Oaxaca
Oaxaca
Oaxaca , , officially Estado Libre y Soberano de Oaxaca is one of the 31 states which, along with the Federal District, comprise the 32 federative entities of Mexico. It is divided into 571 municipalities; of which 418 are governed by the system of customs and traditions...

, that further research was carried out, officially detecting the new type of virus on April 16. The pandemic outbreak was first detected in the Federal District, where surveillance began picking up a surge in cases of influenza-like illness
Influenza-like illness
Influenza-like illness , also known as acute respiratory infection and flu-like syndrome, is a medical diagnosis of possible influenza or other illness causing a set of common symptoms, with SARI referring to Severe Acute Respiratory Infection.Symptoms commonly include fever, shivering, chills,...

 starting on March 18. The surge was assumed by authorities to be "late-season flu" (which usually coincides with a mild Influenzavirus B
Influenzavirus B
Influenzavirus B is a genus in the virus family Orthomyxoviridae. The only species in this genus is called "Influenza B virus".Influenza B viruses are only known to infect humans and seals, giving them influenza...

 peak) until April 21, when a CDC alert concerning two isolated cases of a novel swine flu was reported in the media (see 2009 swine flu outbreak in the United States). Both cases were in US counties on the Mexico – United States border, adjacent to one state in Mexico where the influenza surge had been detected. This was the missing link that connected the surge and the new strain, and established the high suspicion of an outbreak. One study estimated that by the end of April, at least 113,000 to 375,000 Mexicans had been infected. Then, in early May, influenza activity began to decline, likely due to the shutdown of most public places in response to the outbreak. However, H1N1 remains present in Mexico,and as of December,was classified by WHO
Who
Who may refer to:* Who , an English-language pronoun* who , a Unix command* Who?, one of the Five Ws in journalism- Art and entertainment :* Who? , a 1958 novel by Algis Budrys...

 as widespread.

Confirmed cases

Dr. José Ángel Córdova Villalobos, the federal Secretary of Health
Secretariat of Health
The Secretariat of Health is the government department in charge ofall social health services in Mexico.The Secretary of Health is a member of the Executive Cabinet and is appointed at the discretion of the President of the Republic.In the last years, the Secretariat has played a more restricted...

, stated on April 25 that since March, there had been over 1300 reported cases and put the death toll at 83, with 20 confirmed to be linked to a new swine influenza strain of Influenza A virus subtype H1N1. As of April 26 there have been 1,614 cases, with 103 deaths and about 400 patients in hospitals. Around two-thirds of the sick patients had recovered.

However, flu death toll in Mexico could be lower than first thought, said Dr. Gregory Evans, head of the Association of Medical Microbiology and Infectious Disease Canada and a member of a federal pandemic-planning committee, on April 29:

There was a lot of speculation and what seemed to be evidence there were dozens and dozens of deaths. Careful analysis showed these people likely died of something else, and not flu. That's really good news, and that would fit with what we've seen outside of Mexico.as of October 7,it is reported that more new cases of A/H1N1 were recorded in the month of September then in any other month-there were 9,231 new confirmed cases of A/H1N1 influenza in Mexico in September. It is important to remember that that number represents only confirmed cases-far more people were in infected with A/H1N1 influenza,became only mildly ill,and recovered without seeing a doctor,and thus never had their cases confirmed or counted. Widespread closures of schools are unlikely,however,as it is known that the virus has a low mortality rate."we know that the situation is not a serious as officials feared last spring" said health secretary Jose Angel Cordava.

Response

Both the World Health Organization
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 U.S. Centers for Disease Control and Prevention
Centers for Disease Control and Prevention
The Centers for Disease Control and Prevention are a United States federal agency under the Department of Health and Human Services headquartered in Druid Hills, unincorporated DeKalb County, Georgia, in Greater Atlanta...

 have praised the response by the Mexican government, calling it "a model of rapid and transparent reporting, aggressive control measures, and generous sharing of data and samples" in addition to labeling it "courageous and impressive".

After a month since the first atypical pneumonia cases were detected, the Mexican government responded and established some measures in Mexico City, the State of Mexico and the State of San Luis Potosí, where the swine flu had spread, to decrease the risk of more infections. Hundreds of soldiers and police officers mobilized by the government have handed out six million surgical masks to citizens in and around Mexico City
Mexico City
Mexico City is the Federal District , capital of Mexico and seat of the federal powers of the Mexican Union. It is a federal entity within Mexico which is not part of any one of the 31 Mexican states but belongs to the federation as a whole...

.
On April 24, 2009, schools (from pre-school to university level) as well as libraries, museums, concerts and any public gathering place, were shut down by the government in Mexico City and the neighboring State of Mexico to prevent the disease from spreading further; schools in Mexico City, the State of Mexico, and the state of San Luis Potosí
San Luis Potosí
San Luis Potosí officially Estado Libre y Soberano de San Luis Potosí is one of the 31 states which, with the Federal District, comprise the 32 Federal Entities of Mexico. It is divided in 58 municipalities and its capital city is San Luis Potosí....

 will remain closed through at least May 5. Marcelo Ebrard
Marcelo Ebrard
Marcelo Luis Ebrard Casaubón is the current Head of Government of the Federal District since December 5, 2006. He is a Mexican politician affiliated to the Party of the Democratic Revolution who served as Secretary-General of the former Mexican Federal District Department, minister of public...

, Mexico City's mayor, has also asked all night-life facilities operators to shut down their places for ten days to prevent further infections.
Health Secretary José Ángel Córdova said on April 24 that schools will probably be suspended for at least the following week then, and that it will take around ten days to see the evolution of the virus' behavior, and to consider other measures thereafter. On April 25, President
President of Mexico
The President of the United Mexican States is the head of state and government of Mexico. Under the Constitution, the president is also the Supreme Commander of the Mexican armed forces...

 Felipe Calderón
Felipe Calderón
Felipe de Jesús Calderón Hinojosa is the current President of Mexico. He assumed office on December 1, 2006, and was elected for a single six-year term through 2012...

 declared an emergency which granted him the power to suspend public events and order quarantines. Hours later, Córdova announced classes will be officially suspended through May. 6 On April 26, Natividad González Parás
Natividad González Parás
José Natividad González Parás is a Mexican politician affiliated to the Institutional Revolutionary Party. He is a former federal deputy and former governor of Nuevo León He is also married to Cristina Maiz...

, governor
Governor of Nuevo León
The Mexican state of Nuevo León has been governed by more than a hundred individuals in its history, who have had various titles and degrees of responsibility depending on the prevailing political regime of the time....

 of the northeastern state of Nuevo León
Nuevo León
Nuevo León It is located in Northeastern Mexico. It is bordered by the states of Tamaulipas to the north and east, San Luis Potosí to the south, and Coahuila to the west. To the north, Nuevo León has a 15 kilometer stretch of the U.S.-Mexico border adjacent to the U.S...

, announced that state-wide schools will remain closed until May 6, and established a quarantine system in airports, central bus stations and the creation of observation points mainly in the southern part of the state at the nearest highways to the borders with other states, in order to realize tests conducted on people arriving from other states. Classes in Coahuila
Coahuila
Coahuila, formally Coahuila de Zaragoza , officially Estado Libre y Soberano de Coahuila de Zaragoza is one of the 31 states which, with the Federal District, comprise the 32 Federal Entities of Mexico...

 were cancelled on April 27 and 28, with the possibility of cancelling the rest of the week. On April 27, Health Secretary José Ángel Córdova announced that schools of all levels throughout the nation will be suspended until May 6 in order to prevent the spread of the flu.

As part of a marketing strategy, a mascot for the outbreak was released in Mexico City on April 29 depicting a blue plush
Plush
Plush is a textile having a cut nap or pile the same as fustian or velvet.Originally the pile of plush consisted of mohair or worsted yarn, but now silk by itself or with a cotton backing is used for plush, the distinction from velvet being found in the longer and less dense pile of plush...

 virus with black eyes in reference of H1N1; but it was discontinued two days later.

Economic impact

The outbreak increased the strain on an economy already under pressure from the current economic crisis. Although the World Bank said it would extend Mexico $25 million in loans for immediate aid and $180 million in long-term assistance, it wasn't enough to restore customer investor confidence leading to the peso
Mexican peso
The peso is the currency of Mexico. Modern peso and dollar currencies have a common origin in the 15th–19th century Spanish dollar, most continuing to use its sign, "$". The Mexican peso is the 12th most traded currency in the world, the third most traded in the Americas, and by far the most...

’s biggest tumble in six months. It seems likely now that Mexico will have to draw on a $47 billion credit line from the International Monetary Fund
International Monetary Fund
The International Monetary Fund is an organization of 187 countries, working to foster global monetary cooperation, secure financial stability, facilitate international trade, promote high employment and sustainable economic growth, and reduce poverty around the world...

.

It has been reported that the food services sector within Mexico City is experiencing losses of over $4.5 million US dollars per day. It has been reported that pork meat price has dropped 30% within Mexico; combined with several export bans, this will inflict severe damage to the industry.
Although the virus hasn’t spread throughout the whole country, as a precaution all mass gatherings were prohibited, affecting the sports industry. Soccer teams report direct losses in of over $900,000 dollars per game. It also prompted cancellations of all the festivals in the country. Additionally, the Mexican race of the 2008–09 A1 GP season
2008-09 A1 Grand Prix season
The 2008–09 A1 Grand Prix season was the fourth and final season in its short history. It was announced that Ferrari will be supplying the engines. All cars and official merchandise are contractually obligated to portray the slogan "Powered by Ferrari"....

 has had to be cancelled because of the outbreak.

See also

  • Health care in Mexico
    Health care in Mexico
    Health care in Mexico is provided via public institutions, private entities, or private physicians. Health care delivered through private health care organizations operates entirely on the free-market system, i.e., it is available to those who can afford it. This is also the case of health care...

  • Swine influenza
  • Avian influenza
  • Severe acute respiratory syndrome
    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...

     (SARS)
  • 2009 flu pandemic in the United States
    2009 flu pandemic in the United States
    The 2009 flu pandemic in the United States was a pandemic experienced in the United States of a novel strain of the Influenza A/H1N1 virus, commonly referred to as 'swine flu', that began in the spring of 2009. The virus had spread to the US from an outbreak in Mexico.As of mid-March 2010, the U.S...



External links

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