Influenza A(H1N1) - update 44

5 June 2009 -- As of 06:00 GMT, 5 June 2009, 69 countries have officially reported 21,940 cases of influenza A(H1N1) infection, including 125 deaths.

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

Map of the spread of Influenza A(H1N1): number of laboratory confirmed cases and deaths [png 186kb]
As of 06:00 GMT, 5 June 2009

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

Country	Cumulative total		Newly confirmed since the last reporting period
	Cases	Deaths	Cases	Deaths
Argentina	147	0	16	0
Australia	876	0	375	0
Austria	2	0	1	0
Bahamas	1	0	0	0
Bahrain	1	0	0	0
Barbados	1	0	1	0
Belgium	13	0	0	0
Bolivia	3	0	0	0
Brazil	28	0	8	0
Bulgaria	1	0	0	0
Canada	1795	3	265	1
Chile	369	1	56	1
China	89	0	20	0
Colombia	24	0	4	0
Costa Rica	68	1	18	0
Cuba	4	0	0	0
Cyprus	1	0	0	0
Czech Republic	2	0	1	0
Denmark	4	0	3	0
Dominican Republic	33	0	22	0
Ecuador	43	0	4	0
Egypt	1	0	0	0
El Salvador	49	0	8	0
Estonia	3	0	2	0
Finland	4	0	0	0
France	47	0	21	0
Germany	43	0	15	0
Greece	5	0	0	0
Guatemala	23	0	9	0
Honduras	34	0	32	0
Hungary	3	0	2	0
Iceland	1	0	0	0
India	4	0	3	0
Ireland	8	0	4	0
Israel	39	0	6	0
Italy	38	0	8	0
Jamaica	2	0	0	0
Japan	410	0	25	0
Korea, Republic of	41	0	0	0
Kuwait	18	0	0	0
Lebanon	3	0	0	0
Luxembourg	1	0	1	0
Malaysia	2	0	0	0
Mexico	5563	103	534	6
Netherlands	4	0	0	0
New Zealand	11	0	1	0
Nicaragua	5	0	4	0
Norway	9	0	5	0
Panama	173	0	18	0
Paraguay	5	0	0	0
Peru	47	0	7	0
Philippines	29	0	13	0
Poland	4	0	0	0
Portugal	2	0	0	0
Romania	8	0	3	0
Russia	3	0	0	0
Saudi Arabia	1	0	1	0
Singapore	12	0	3	0
Slovakia	3	0	1	0
Spain	218	0	38	0
Sweden	13	0	6	0
Switzerland	10	0	0	0
Thailand	8	0	6	0
Turkey	8	0	4	0
United Kingdom	428	0	89	0
United States of America	11054	17	1001	0
Uruguay	15	0	0	0
Venezuela	4	0	1	0
Viet Nam	3	0	0	0
Grand Total	21940	125	2681	8

Chinese Taipei has reported 16 confirmed case of influenza A (H1N1) with 0 deaths. Cases from Chinese Taipei are included in the cumulative totals provided in the table above. Cumulative and new figures are subject to revision

Source : http://www.who.int/csr/don/2009_06_05/en/index.html

A (H1N1) flu: M’sia reports 3 more cases

PUTRAJAYA: Three more new cases of influenza A (H1N1) have been confirmed in Malaysia, making the total number of patients infected with the disease to five since May 15.

Health Minister Datuk Seri Liow Tiong Lai said the first new case was a Malaysian student, 23, who travelled home from the United State on MAS flight MH091 for holiday.

“The student did not have fever when he arrived at the KL International Airport on Monday (June 1) but started to have the symptom and cough on Wednesday (June 3),” he told a press conference here Thursday.

He said the student was admitted at the Tuanku Jaafar Hospital in Seremban on Wednesday for treatment and investigation.

“He was confirmed to have contracted the disease at 4am Thursday through laboratory test carried out by the Malaysia Medical Research Institute,” he said.

He said the student, who had been given anti-viral treatment, was in stable condition.

Liow said the other two patients were two Germans tourists, who first arrived in Singapore on Monday (June 1) for their holiday in Asia countries.

“They arrived at the LCCT on AirAsia flight AK702 on Wednesday (June 3) at 1.55pm,” he said.

He said the two patients, aged 30 and 32, started having fever in Kuala Lumpur on Wednesday (June 3).

“They received treatment at the Gleneagles Hospital, Kuala Lumpur and were transferred to the Kuala Lumpur Hospital for further treatment and investigation at 1.40am on the same day,” he said.

He said the two patients, who were friends, were confirmed with the disease at 3pm Thursday through laboratory test by the Malaysia Medical Research Institute.

“They are in stable condition and anti-viral treatment will start now,” he said.

Liow said the ministry was tracking those who came into contact with the two German patients, including crew members and passengers on board AK702, to prevent local transmission of the virus.

“We ask for their cooperation with the ministry by contacting us at 03-8881 0200 or 03-8881 0300 so that we can give them health advice, including the need of home quarantine,” he said.

However, Liow could not give details of how many crew members and passengers from AK702 were involved.

“We are still getting the information,” he said.

He advised members of the public to practise cough etiquette by covering their mouth and washing their hands with soap and water after coughing and sneezing.

“Those who are coughing and having flu are advised to uses ‘three-ply’ mask to prevent infection,” he said.

He also urged those who were having fever, cough and flu not to travel overseas to reduce respiratory infection.

By NG CHENG YEE

Source : http://thestar.com.my/news/story.asp?file=/2009/6/4/nation/20090604155120&sec=nation

Saudi Arabia confirms first H1N1 flu case

Wed Jun 3, 2009 5:24am EDT

RIYADH (Reuters) - Saudi Arabia has confirmed its first case of the H1N1 flu virus in a Filipina nurse, the kingdom's health minister said on Wednesday.

The woman arrived on Friday on board a Gulf Air flight from the Philippines and showed first symptoms on Monday, Abdullah al-Rabeeah told Saudi news channel al-Ekhbariya, adding that she was being held in quarantine in a hospital in the capital Riyadh.

"She wasn't showing any symptoms then when she came back ... She started showing some symptoms on Monday," he said.

"Preliminary tests turned positive last night," he said, adding that more tests had confirmed the results on Wednesday.

Saudi authorities are tracking down people who had contact with her on the flight and in the hospital, he said.

Gulf Air flights usually operate through their Manama hub in Bahrain.

Saudi Arabia's neighbor Kuwait said on May 24 that 18 U.S. soldiers had H1N1 flu in the first cases to hit the world's largest oil exporting region. Kuwait is a logistics base for the U.S. army for their Iraq operations.

Source : http://www.reuters.com/article/healthNews/idUSTRE5521UO20090603

Influenza A(H1N1) - update 43

3 June 2009 -- As of 06:00 GMT, 3 June 2009, 66 countries have officially reported 19,273 cases of influenza A(H1N1) infection, including 117 deaths.

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

Map of the spread of Influenza A(H1N1): number of laboratory confirmed cases and deaths [jpg 1.00Mb]
As of 06:00 GMT, 3 June 2009

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

Country	Cumulative total		Newly confirmed since the last reporting period
	Cases	Deaths	Cases	Deaths
Argentina	131	0	31	0
Australia	501	0	204	0
Austria	1	0	0	0
Bahamas	1	0	0	0
Bahrain	1	0	0	0
Belgium	13	0	1	0
Bolivia	3	0	0	0
Brazil	20	0	2	0
Bulgaria	1	0	1	0
Canada	1530	2	194	0
Chile	313	0	63	0
China	69	0	17	0
Colombia	20	0	0	0
Costa Rica	50	1	13	0
Cuba	4	0	0	0
Cyprus	1	0	0	0
Czech Republic	1	0	0	0
Denmark	1	0	0	0
Dominican Republic	11	0	9	0
Ecuador	39	0	0	0
Egypt	1	0	1	0
El Salvador	41	0	14	0
Estonia	1	0	0	0
Finland	4	0	1	0
France	26	0	2	0
Germany	28	0	0	0
Greece	5	0	1	0
Guatemala	14	0	2	0
Honduras	2	0	0	0
Hungary	1	0	0	0
Iceland	1	0	0	0
India	1	0	0	0
Ireland	4	0	0	0
Israel	33	0	14	0
Italy	30	0	1	0
Jamaica	2	0	0	0
Japan	385	0	15	0
Korea, Republic of	41	0	8	0
Kuwait	18	0	0	0
Lebanon	3	0	3	0
Malaysia	2	0	0	0
Mexico	5029	97	0	0
Netherlands	4	0	1	0
New Zealand	10	0	1	0
Nicaragua	1	0	1	0
Norway	4	0	0	0
Panama	155	0	48	0
Paraguay	5	0	0	0
Peru	40	0	4	0
Philippines	16	0	0	0
Poland	4	0	0	0
Portugal	2	0	1	0
Romania	5	0	2	0
Russia	3	0	0	0
Singapore	9	0	4	0
Slovakia	2	0	0	0
Spain	180	0	2	0
Sweden	7	0	3	0
Switzerland	10	0	2	0
Thailand	2	0	0	0
Turkey	4	0	0	0
United Kingdom	339	0	110	0
United States of America	10053	17	1078	2
Uruguay	15	0	4	0
Venezuela	3	0	1	0
Viet Nam	3	0	2	0
Grand Total	19273	117	1863	2

Chinese Taipei has reported 14 confirmed case of influenza A (H1N1) with 0 deaths. Cases from Chinese Taipei are included in the cumulative totals provided in the table above. Cumulative and new figures are subject to revision
Source : http://www.who.int/csr/don/2009_06_03/en/index.html

SINGAPORE: Singapore has confirmed its ninth Influenza A(H1N1) case.

The patient is a 19-year-old Singaporean studying in the United States, who returned for the summer holidays.

She arrived in Singapore from New York via Tokyo on All Nippon Airways NH901 at 11:40pm local time on May 28.

She developed symptoms on Monday morning (June 1), and a 993 ambulance was called to send her to the Communicable Disease Centre (CDC) at Tan Tock Seng Hospital.

She was admitted to the CDC on the afternoon of the same day.

Laboratory results confirmed her infection at 9pm on Tuesday.

Singapore's Health Ministry (MOH) has assessed that no flight passengers needed to be quarantined as the case only developed onset of symptoms more than 24 hours after disembarkation, hence she was assessed to be non-infectious during the flight.

MOH added on Wednesday that tracing for the local contacts has been initiated.

So far, two close contacts involving the case's family members have been identified.

They are currently well and home quarantine orders will be served to them.

Tracing for other local contacts is on-going.

The Ministry said that so far, all the nine cases are imported and have a travel history.

There is currently no evidence of community spread.

MOH said it is monitoring the situation closely and will update the public on any new developments.

For more information on Influenza A(H1N1), please access MOH's website at www.moh.gov.sg, call the hotline at 1800-333 9999, or visit www.flu.gov.sg.
- CNA
Source : http://www.channelnewsasia.com/stories/singaporelocalnews/view/433527/1/.html

First Confirmed Case of H1N1 in Egypt

Wednesday, June 03, 2009 12:53:00 AM

The World Health Organization reported on Tuesday that Egypt confirmed the first case of H1N1 flu virus. The case involves a 12-year-old girl that arrived to Cairo.

The infected girl is an American from Minnesota that was travelling with her mother to spend holidays in Egypt. She was quarantined as she arrived the Cairo airport.

The case was detected by the thermal detectors placed in the airport as declared by the regional adviser for communicable disease surveillance for the WHO, Hassan al-Bushra.

Hassan al-Bushra also stated that she is in good condition and given treatment. Her mother was given treatment as well.

This case of H1N1 is the first in Africa.

Sumber: http://www.ubalert.com/alert

S'pore confirms two more cases

Mon, Jun 01, 2009

The Ministry of Health has said in an update on the H1N1 flu that there are two more confirmed cases in Singapore as of 5pm today.

According to the Ministry, both cases have relatively mild symptoms and are in stable condition.

The addition of two new cases brings the total number of H1N1 cases in Singapore to seven.

The 6th case is a 36-year-old Singaporean male who was in Manila on a business trip from 18 - 29 May.

He returned to Singapore from Manila on Friday 29 May on Singapore Airlines SQ917 at 1750 hours. He was seated at row 17.

The 7th case is a 30-year-old Australian male tourist who had travelled to Chicago from 14 - 21 May, Detroit from 21 - 25 May, and New York from 25 - 30 May.

He developed symptoms on 26 May while he was in New York. He arrived in Singapore from New York via Frankfurt on SQ25 at 0618 hours on 1 June.

Source : http://health.asiaone.com/Health/News/Story/A1Story20090601-145417.html

Influenza A(H1N1) - update 42

1 June 2009 -- As of 06:00 GMT, 1 June 2009, 62 countries have officially reported 17 410 cases of influenza A(H1N1) infection, including 115 deaths.

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

Map of the spread of Influenza A(H1N1): number of laboratory confirmed cases and deaths [jpg 995kb]
As of 06:00 GMT, 1 June 2009

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

Country	Cumulative total		Newly confirmed since the last reporting period
	Cases	Deaths	Cases	Deaths
Argentina	100	0	63	0
Australia	297	0	150	0
Austria	1	0	0	0
Bahamas	1	0	1	0
Bahrain	1	0	0	0
Belgium	12	0	4	0
Bolivia	3	0	3	0
Brazil	18	0	8	0
Canada	1336	2	218	0
Chile	250	0	85	0
China	52	0	22	0
Colombia	20	0	3	0
Costa Rica	37	1	4	0
Cuba	4	0	0	0
Cyprus	1	0	1	0
Czech Republic	1	0	0	0
Denmark	1	0	0	0
Dominican Republic	2	0	0	0
Ecuador	39	0	7	0
El Salvador	27	0	16	0
Estonia	1	0	1	0
Finland	3	0	0	0
France	24	0	3	0
Germany	28	0	9	0
Greece	4	0	1	0
Guatemala	12	0	7	0
Honduras	2	0	1	0
Hungary	1	0	1	0
Iceland	1	0	0	0
India	1	0	0	0
Ireland	4	0	1	0
Israel	19	0	8	0
Italy	29	0	3	0
Jamaica	2	0	2	0
Japan	370	0	6	0
Korea, Republic of	33	0	0	0
Kuwait	18	0	0	0
Malaysia	2	0	0	0
Mexico	5029	97	119	12
Netherlands	3	0	0	0
New Zealand	9	0	0	0
Norway	4	0	0	0
Panama	107	0	0	0
Paraguay	5	0	5	0
Peru	36	0	5	0
Philippines	16	0	10	0
Poland	4	0	0	0
Portugal	1	0	0	0
Romania	3	0	0	0
Russia	3	0	1	0
Singapore	5	0	1	0
Slovakia	2	0	1	0
Spain	178	0	35	0
Sweden	4	0	0	0
Switzerland	8	0	4	0
Thailand	2	0	0	0
Turkey	4	0	2	0
United Kingdom	229	0	26	0
United States of America	8975	15	1048	4
Uruguay	11	0	9	0
Venezuela	2	0	2	0
Viet Nam	1	0	1	0
Grand Total	17410	115	1900	16

Chinese Taipei has reported 12 confirmed cases of influenza A (H1N1) with 0 deaths. Cases from Chinese Taipei are included in the cumulative totals provided in the table above. Cumulative and new figures are subject to revision
Source : http://www.who.int/csr/don/2009_06_01a/en/index.html

Three more imported cases of human swine influenza

Hongkong, 30 May 2009


A spokesman for the Department of Health (DH) today (May 30) said that the department was investigating three newly confirmed cases of human swine influenza (Influenza A H1N1).

This brings to 23 the total number of human swine influenza cases in Hong Kong. All of them are imported cases.

The first case involved a 21-year-old man. He stayed in the United States from May 15 to 27 and returned to Hong Kong on May 28 from New York by taking a flight of Continental Airlines (flight no. CO009). He wore a face mask during the flight and sat in row 23.

The patient took Airport Express to Tsing Yi where he took a taxi to his home in Cheung Hang Estate, Kwai Tsing.

He had onset of headache in the middle of the flight and developed fever and sore throat after arriving home. He stayed at home during that night.

He consulted a private doctor in the morning of May 29. The doctor referred him to Princess Margaret Hospital (PMH) by ambulance.

His family members are asymptomatic.

The second case involved an eight-year-old boy living in the United States. The boy, accompanied with three family members, arrived in Hong Kong on May 30 from San Francisco by taking a flight of Singapore Airlines (flight no. SQ1).

The boy developed fever, cough, runny nose and malaise during the flight. He sat in row 39 of the flight.

He was intercepted by Port Health Office and was transferred to PMH by ambulance for isolation.

His mother stayed with him in Hong Kong while his father and sister had gone to the Mainland this morning. They were asymptomatic.

The third case involve a 19-year-old woman studying in the United States. She returned to Hong Kong from New York in the evening of May 28.

She and her mother took an airport bus to Wan Tsui Estate in Eastern District.

On May 29, she went to China Travel Agency in Shau Kei Wan and to Immigration Department in Wan Chai to apply for some documents.

She had onset of fever, cough and sore throat in the afternoon. Her mother took her to the Accident and Emergency Department of Pamela Youde Nethersole Eastern Hospital by minibus and was admitted for isolation. She wore a face mask on the journey.

Her family contacts are asymptomatic.

As she had onset of symptoms more than 12 hours after he arrived Hong Kong, CHP would not trace the flight passengers.

Laboratory analysis on respiratory sample taken from the three patients yielded positive results for human swine influenza today.

DH is now tracing passengers sitting in rows 20-26 of CO099 arrived in Hong Kong on May 28 and those sitting in rows 36-42 of SQ1 arrived in Hong Kong on May 30, and crew members of the flights concerned who had served the affected section of the cabin concerned as well as other close contact of the three patients.

Passengers who had travelled on the two concerned flights are urged to call the DH¡¦s Centre for Health Protection hotline 2125 1111.

The spokesman also urged the taxi driver who took the 21-year-old male patient from Tsing Yi to Cheung Hang Estate on May 28 to call the hotline.

Investigations into the three cases are ongoing.

Meanwhile, the spokesman called on members of the public to advise their children, relatives or friends coming to Hong Kong from abroad to defer their trips if they developed symptoms such as fever, cough or sore throat.

"To protect their own health and that of other travellers, they should seek medical attention where they are.

"If they feel unwell on the plane, they should wear a face mask and inform cabin crew immediately," the spokesman said.

End/Saturday, May 30, 2009
Source : http://www.chp.gov.hk/view_content.asp?lang=en&info_id=17311

Health Ministry confirms fifth case of H1N1 in Singapore

By Cheryl Lim, Channel NewsAsia | Posted: 31 May 2009 1149 hrs

SINGAPORE: Singapore on Sunday confirmed its fifth case of the H1N1 virus.

The patient is a 22- year-old Singaporean who had travelled to the United States from May 13 to 28.

The Health Ministry (MOH) said she is currently being treated at the Communicable Disease Centre at Tan Tock Seng Hospital and is in a stable condition.

She returned from New York via Tokyo at about 11.30pm on Friday, on All Nippon Airways NH901 flight, seated at Row 36.

She had no fever and passed the thermal scanners at the airport.

She was met by her family who took her home in the family car.

She subsequently developed a fever at around 8am on Saturday.

Her mother drove her to the hospital's emergency department and she was admitted to the Communicable Disease Centre for further testing.

Laboratory results confirmed her infection at 8.05pm on the same day.

The Ministry said her symptoms are mild.

It has initiated tracing of her close contacts, who will be quarantined and provided with antiviral prophylaxis.

Passengers within rows 34 to 38 on All Nippon Airways NH901 on May 29, who have not been contacted by the Ministry, should call the MOH hotline at 1800-333 9999.

- CNA/yb
source : http://www.channelnewsasia.com/stories/singaporelocalnews/view/432899/1/.html

Lebanon Confirms Three Cases Of Influenza A/H1N1

BEIRUT, May 30 (Bernama) -- Lebanon on Saturday announced the country's first confirmed three cases of influenza A/H1N1, reports China's Xinhua news agency quoting a local website as saying.

Minister of Public Health Mohammad Jawad Khalifeh said two foreigners and a Lebanese have been found infected with the fatal flu at Beirut international airport, local Naharnet website reported.

Speaking at a press conference, Khalifeh said the Lebanese flu victim remains in quarantine and that the two foreigners -- a Canadian mother and her son -- are fully cured.

-- BERNAMA

Source : http://www.bernama.com/bernama/v5/newsindex.php?id=414779