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U.S. toddler dies as swine flu cases mount



A two-year-old child from the United States became the first person to die of swine flu outside of Mexico Wednesday, as numbers of suspected and confirmed cases continued to rise around the globe.

Quarantine officers monitor arrivals with a thermographic device at Bangkok's main international airport.

Quarantine officers monitor arrivals with a thermographic device at Bangkok’s main international airport.

As of Wednesday, the World Health Organization (WHO) said at least 112 cases have been confirmed worldwide.

According to the WHO’s figures, the number of deaths from the virus was seven in Mexico. But with the U.S. death — confirmed by the Centers for Disease Control and Prevention (CDC) — the number rises to eight.

The world body did not immediately provide a breakdown for the additional cases that had been substantiated through lab tests Wednesday. Nor was it clear whether the U.S. death was part of its updated figure.

The WHO list also does not include 11 additional cases reported by New Zealand health officials, four by Spain, three each by German and Britain, two in Costa Rica and one in Austria.

In the United States, the states of California, Indiana, New York and Texas also were reporting additional cases not confirmed by the CDC.

Mexico said the virus is suspected of being behind 159 deaths and more than 2,500 illnesses. Those figures are being investigated.

The world body will next update its figures Wednesday afternoon.

For now, the WHO figures still break down as follows: 64 confirmed cases of swine flu in the United States; 26 in Mexico (including seven deaths); six in Canada; three in New Zealand; and two each in Spain, the United Kingdom and Israel.

But, including figures from local governments, these are the outbreaks — confirmed and suspected — so far:

AUSTRALIA

Cases: None confirmed, but 91 cases were being investigated Wednesday morning, the country’s health department said.

AUSTRIA

Cases: One. A 28-year-old woman is doing well and recovering after contracting swine flu, the Austrian Health Ministry said.

CANADA

Cases: Six mild cases

Measures: Issued a travel health notice, saying its public health agency was “tracking clusters of severe respiratory illness with deaths in Mexico.” Tell us what you think about the swine flu outbreak

CHINA

Cases: None

Measures: Banned pork imports from Mexico, and from California, Kansas and Texas in the United States.

COSTA RICA

Cases: Two. A 21-year-old woman who returned from Mexico on Saturday tested positive, the Costa Rican health ministry said. Swine flu also has been diagnosed in a 30-year-old man, said ministry spokesman Roy Alvarada. Neither case is on the WHO list.

GERMANY

Cases: Three. None of the cases has resulted in deaths, said the Robert Koch Institute — Germany’s disease control center. The positive tests were not included in the WHO tally.

The German cases were: a 22-year-old woman in Hamburg who displayed flu-like symptoms after a trip to Mexico; a man in his late 30s being treated in the city of Regensburg in the southern state of Bavaria; and a 37-year-old woman in Bavaria who also had traveled to Mexico.

INDIA

Cases: None Video Watch how public health officials grade phases of pandemic alerts »

Measures: Indian health officials advised citizens to postpone their non-essential travel to the swine flu-hit regions.

Public Health Emergency

According to the World Health Organization, a public health emergency is an occurence or imminent threat of illness or health conditions caused by bioterrorism, epidemic or pandemic disease, or highly fatal infectious agents or toxins that pose serious risk to a significant number of people.

At a White House news conference Sunday, Homeland Security Secretary Janet Napolitano said the emergency declaration is standard procedure — citing that one was declared for the inauguration and for recent flooding.

Stepped up surveillance at ports and airports.

States asked to review their preparedness.

INDONESIA

Cases: None

Measures: Increased surveillance; testing the temperatures of travelers flying into the country.

ISRAEL

Cases: Two. Both men recently returned from Mexico.

The 5-year-old niece of one of the men was suspected of having the flu and was undergoing hospital treatment.

Measures: The Health Ministry has not issued special instructions to the public, nor adopted measures for monitoring those returning from Mexico.

The country is calling the outbreak “Mexico flu” so that citizens do not have to pronounce the name of an animal considered impure in Judaism and Islam. Video Watch efforts in Mexico to prevent spread of the virus »

JAPAN

Cases: None

Measures: The foreign ministry suspended visa waivers for visitors from Mexico.

Airport officials are checking passengers before they disembark.

KENYA

Cases: None

Measures: Screening passengers from Europe and the Americas at Jomo Kenyatta International Airport in Nairobi.

Government encourages Kenyans to defer traveling to Mexico.

Kenya set up 26 screening centers to test people for avian flu following that outbreak a few years ago, and will also use the centers for swine flu testing.

MEXICO

Cases: 159 deaths and more than 2,500 infections are thought to have been caused by swine flu, said Jose Angel Cordova, Mexico’s health secretary.

Only 26 cases — 19 infections and seven deaths — have been confirmed by laboratory tests in Mexico and reported to the World Health Organization. iReport.com: Do you think we should be worried about swine flu?

Measures: Mexico City has closed its schools and universities until further notice. It has also ordered restaurants only to serve takeaway meals, so customers do not congregate. In addition, bars, clubs, movie theaters, pool halls, gyms, sport centers and convention halls have been told to close until May 5.

Troops passed out 4 million filter masks in the city of 20 million residents.

Officials are considering shutting down the bus and subway systems.

Citizens are asked to avoid large crowds, refrain from kissing, and stay at least six feet from one another.

The World Bank is offering $205 million to deal with the outbreak.

NEW ZEALAND

Cases: 14. All inflected were part of a study group from Auckland’s Rangitoto College who returned to New Zealand from Mexico over the weekend.

Three people tested positive for the swine flu virus, and those cases were confirmed by the WHO.

Because the rest of the group exhibited similar symptoms, and all of them returned positive result for Influenza A — the general category of strains that includes the H1N1 swine flu — the health ministry said it was assuming that everyone who traveled with the Rangitoto College group has swine flu.

Measures: New Zealanders who traveled to Mexico or North America in the past two weeks are asked to get in touch with health officials if they have flu-like symptoms.

RUSSIA

Cases: None

Measures: Banned all meat imports from Mexico and the southern United States.

Announced it will screen incoming passengers from those two countries by taking their temperatures.

Set up a government commission to plan response, and advised citizens against traveling to Mexico.

SOUTH KOREA

Cases: A 51-year-old woman, who recently returned from Mexico, tested positive for type-A influenza. Tests are being conducted to see whether the influenza is of the swine flu strain. The woman has been quarantined.

Measures: Suspended pork imports from Mexico, the United States and Canada.

Stepped up inspections of passengers returning from affected areas.

Took steps to double its stockpile of Tamiflu anti-viral medicine — enough to treat about 5 million people, or 10 percent of the country’s population.

SPAIN

Cases: Four cases confirmed and 59 others suspected — many of whom had recently traveled to Mexico, the health ministry said. None were in serious condition.

Measures: The government is trying to reach passengers who were on flights with people suspected or confirmed with the flu.

THAILAND

Cases: None.

Measures: Airport officials are keeping a closer eye on passengers arriving from Mexico.

The health ministry is calling the virus “the flu that has caused an outbreak in Mexico,” so that the public does not confuse “swine flu” with “bird flu.” The ministry also said it did not want to hurt the pork industry.

UNITED ARAB EMIRATES

Cases: None

Measures: The ministry of health issued a circular, asking doctors to be prepared to deal with any potential swine flu cases.

UNITED KINGDOM

Cases: Two confirmed, in Scotland. The patients are recovering.

Measures: The Foreign Office advised against all but essential travel to Mexico.

UNITED STATES

Cases: 64 confirmed by the CDC — 10 in California; six in Texas; two in Kansas; one in Ohio; and 45 in New York.

It is unclear whether the 64 includes the toddler in Texas whose death the CDC’s acting director reported Wednesday morning. In addition, health officials in California, Indiana and New York reported other cases that the CDC had not yet added to its list late Tuesday.

Among the new cases not included in the CDC figures:

A Nassau County, New York, resident tested positive for swine flu, the county health department said Tuesday night. The resident is “associated” with the St. Francis Preparatory School in Queens, where at least 28 of the United States’ 64 confirmed cases were reported after several students returned from a trip to Cancun, Mexico. The Nassau County information was not included in a CDC tally released at 11 p.m. Tuesday.

A college student in Indiana tested positive for swine flu and is recovering, state health officials said. They attributed the test confirmation to the CDC. The case has not yet been included in CDC’s latest figures.

California’s public health department confirmed 11 swine flu cases — one more than CDC figures.

CDC: Swine flu viruses in U.S. and Mexico match

swine-flu-pigs

U.S. health experts also are concerned because more than 1,000 people have fallen ill in Mexico City in a short period of time.

“This situation has been developing quickly,” said acting CDC director Richard Besser. “This is something we are worried about.”

New York health officials announced Friday they are testing about 75 students at a Queens school for swine flu after the students exhibited flu-like symptoms this week.

A team of state health department doctors and staff went to the St. Francis Preparatory School in Queens on Thursday after the students reported cough, fever, sore throat, aches and pains.

There have been no confirmed cases of swine flu there. The tests results are expected as early as Saturday.

Of the 14 Mexican samples tested by the Centers for Disease Control and Prevention, seven were identical to the swine flu virus found in Texas and Southern California, Besser said at a news conference.

An eighth U.S. case was reported Friday. All of the eight U.S. patients have recovered, Besser said. Video Watch for more on the U.S. cases »

As a precaution to avoid further contamination, schools and universities in Mexico City and the state of Mexico were closed Friday, said the national health secretary, Jose Angel Cordova Villalobos. He said the schools may remain closed for a while.

Sixty-eight people have died in Mexico City, Cordova said at a news conference. More than 1,000 other people have gotten sick, he said.

Mexican President Felipe Calderon canceled a trip Friday to northern Mexico so he could remain in Mexico City to monitor the situation, the state-run Notimex news agency reported. Calderon met with his Cabinet on Thursday night to discuss the outbreak.

Six of the U.S. cases were found in California, and two in Texas, near San Antonio, CDC officials said.

The Public Health Agency of Canada issued a respiratory alert for Mexico on Wednesday, recommending that health providers “actively look for cases” in Canada, particularly in people who’ve returned from Mexico within the last two weeks.

An alert issued Friday by the International SOS medical and consulting company said more than 130 cases of a severe respiratory illness have been detected in south and central Mexico, some of which are due to influenza.

“Public health officials in Mexico began actively looking for cases of respiratory illness upon noticing that the seasonal peak of influenza extended into April, when cases usually decline in number,” the medical alert said. “They found two outbreaks of illness — one centered around Distrito Federal (Mexico City), involving about 120 cases with 13 deaths. The other is in San Luis Potosi, with 14 cases and four deaths.”

Authorities also detected one death in Oaxaca, in the south, and two in Baja California Norte, near San Diego, California.

There was no indication why the International SOS tallies did not match the Mexican health secretary’s figures.

The majority of cases are occurring in adults between 25 and 44 years of age.

The CDC first reported Tuesday that two California children in the San Diego area were infected with a virus called swine influenza A H1N1, whose combination of genes had not been seen before in flu viruses in humans or pigs.

The first two cases were picked up through an influenza monitoring program, with stations in San Diego and El Paso, Texas. The program monitors strains and tries to detect new ones before they spread, the CDC said. Other cases emerged through routine and expanded surveillance.

The human influenza vaccine’s ability to protect against the new swine flu strain is unknown, and studies are ongoing, Schuchat said. There is no danger of contracting the virus from eating pork products, she said.

The new virus has genes from North American swine and avian influenza, human influenza, and swine influenza normally found in Asia and Europe, said Nancy Cox, chief of the CDC’s Influenza Division.

The new strain of swine flu has resisted some antiviral drugs.

The CDC is working with health officials in California and Texas and expects to find more cases, Schuchat said.

A pandemic is defined as: a new virus to which everybody is susceptible; the ability to readily spread from person to person; and the capability of causing significant disease in humans, said Dr. Jay Steinberg, an infectious disease specialist at Emory University Hospital Midtown in Atlanta. The new strain of swine flu meets only one of the criteria: novelty.

History indicates that flu pandemics tend to occur once every 20 years or so, so we’re due for one, Steinberg said.

“I can say with 100 percent confidence that a pandemic of a new flu strain will spread in humans,” he said. “What I can’t say is when it will occur.”  Swine Flu Video

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