2009 flu pandemic in Europe
Encyclopedia
The 2009 flu pandemic in Europe, part of a pandemic
Pandemic
A pandemic is an epidemic of infectious disease that is spreading through human populations across a large region; for instance multiple continents, or even worldwide. A widespread endemic disease that is stable in terms of how many people are getting sick from it is not a pandemic...

 in 2009 of a new strain of influenza A virus subtype H1N1 causing what has been commonly called swine flu, has afflicted at least 125,550 people
Human
Humans are the only living species in the Homo genus...

 in Europe, with 458 confirmed 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...

, 438 confirmed deaths in Russia, and 299 confirmed deaths in the United Kingdom.

European Union

On 27 April, the European Union
European Union
The European Union is an economic and political union of 27 independent member states which are located primarily in Europe. The EU traces its origins from the European Coal and Steel Community and the European Economic Community , formed by six countries in 1958...

 health commissioner advised Europeans not to travel to the United States or Mexico unless urgent. This followed the discovery of the first confirmed case in Spain.

EU Foreign relations commissioner Benita Ferrero-Waldner
Benita Ferrero-Waldner
Dr. Benita Ferrero-Waldner is an Austrian diplomat and politician, and a member of the conservative Austrian People's Party . Ferrero-Waldner served as the Foreign Minister of Austria 2000–2004 and was the candidate of the Austrian People's Party in the Austrian presidential election, 2004, which...

 said on 27 April the halt of all travel to Mexico and disinfecting all airports due to the global flu outbreak is being considered.

Albania

On 20 July, authorities in Albania
Albania
Albania , officially known as the Republic of Albania , is a country in Southeastern Europe, in the Balkans region. It is bordered by Montenegro to the northwest, Kosovo to the northeast, the Republic of Macedonia to the east and Greece to the south and southeast. It has a coast on the Adriatic Sea...

 reported the first positive case of the swine flu. The infected person was a student from Gjirokastra, whose tests resulted positive. However, the student was later reported to have been fully recovered from the flu, and he was healthy again. A few day later, three other cases of the flu were confirmed. The infected people were two sailors from the Philippines
Philippines
The Philippines , officially known as the Republic of the Philippines , is a country in Southeast Asia in the western Pacific Ocean. To its north across the Luzon Strait lies Taiwan. West across the South China Sea sits Vietnam...

 and one from Romania
Romania
Romania is a country located at the crossroads of Central and Southeastern Europe, on the Lower Danube, within and outside the Carpathian arch, bordering on the Black Sea...

. They are now recovering on the Durrës
Durrës
Durrës is the second largest city of Albania located on the central Albanian coast, about west of the capital Tirana. It is one of the most ancient and economically important cities of Albania. Durres is situated at one of the narrower points of the Adriatic Sea, opposite the Italian ports of Bari...

 city hospital. As of July 24, there were four cases of the swine flu confirmed in Albania.

On 3 December, A First Death Was confirmed in Albania.

As of 10 January 2010, A/H1N1 has caused 12 victims in Albania and there are 426 confirmed cases, only patients with a severe form of the virus are being tested for its presence. 2 pregnant women, one 18 years old from Kuçovë
Kuçovë
Kuçovë is an Albanian city, capital of the Kuçovë District, with many parks and museums.-Ancient :Archaeologists found in the village of Katundas near Kuçovë six phases of inhabitation dating to the Neolithic, Chalcolithic, Bronze Age, Iron Age, urban Illyrian and the Late Antiquity era.- Modern...

 and the other 25 years old from Kukës
Kukës
Kukës is a town in Albania located at 42.09°N, 20.43°E in the district and county with the same name. It has a population of about 16,000 . The town is set among the mountains of northern Albania. It is famous for its role during the Kosovo conflict for taking in 450,000 refugees from Kosovo...

 are among the 12 A/H1N1 victims in Albania
Albania
Albania , officially known as the Republic of Albania , is a country in Southeastern Europe, in the Balkans region. It is bordered by Montenegro to the northwest, Kosovo to the northeast, the Republic of Macedonia to the east and Greece to the south and southeast. It has a coast on the Adriatic Sea...

.

Austria

Several possible cases in Austria
Austria
Austria , officially the Republic of Austria , is a landlocked country of roughly 8.4 million people in Central Europe. It is bordered by the Czech Republic and Germany to the north, Slovakia and Hungary to the east, Slovenia and Italy to the south, and Switzerland and Liechtenstein to the...

 turned out to be negative, whereas one test, that of a 28-year-old woman from Vienna, had a positive result. Therefore Austria is the 9th country affected by a confirmed case of swine flu. There are still two suspected cases being tested. As of 22 July 2009 64 cases of the virus have been confirmed in the country.

On 2 November 2009, an 11-year-old girl from Bozen, died in the hospital of Innsbruck. This is the first time, the Flu caused the death of a human in Austria.

Belgium

Six suspected cases of swine flu in Belgium
Belgium
Belgium , officially the Kingdom of Belgium, is a federal state in Western Europe. It is a founding member of the European Union and hosts the EU's headquarters, and those of several other major international organisations such as NATO.Belgium is also a member of, or affiliated to, many...

 ultimately tested negative.

The Belgian interior ministry
FPS Interior Belgium
The FPS Interior , formerly the Ministry of the Interior, is a Federal Public Service of Belgium. It was created by Royal Order on January 14, 2002, as part of the plans of the first Verhofstadt Government to modernise the federal administration...

 announced the first case of A/H1N1 flu in Belgium on 13 May 2009. The infected person is a 28-year-old man who lives in Ghent
Ghent
Ghent is a city and a municipality located in the Flemish region of Belgium. It is the capital and biggest city of the East Flanders province. The city started as a settlement at the confluence of the Rivers Scheldt and Lys and in the Middle Ages became one of the largest and richest cities of...

 and returned from a holiday in the United States.

Also a second person tested positive for Mexican flu in Belgium on 14 May 2009.

Two new persons tested positive for A/H1N1 flu on 15 May 2009.

A sixth and seventh case of swine flu was discovered on 21 May 2009. An eighth infection was reported on 26 May 2009.

By 22 July, a total of 126 have been confirmed.

On 30 July, a woman from Hoogstraten
Hoogstraten
Hoogstraten is a municipality located in the Belgian province of Antwerp. The municipality comprises the city of Hoogstraten proper and the towns of Meer, Meerle, Meersel-Dreef, Minderhout and Wortel,...

 became the first patient in Belgium to die because of swine flu.

By 16 August, a total of 2353 cases have been confirmed.

As of 18 October, 5 people have died as consequence of swine flu infection and it has been estimated that at least 20100 have been infected by it in Belgium.

By 29 October, a total of 76964 cases have been confirmed and 7 people have died.

By 25 March, a total of 214531 cases have been confirmed and 19 people have died.

Bosnia and Herzegovina

First case was confirmed in Bosnia and Herzegovina
Bosnia and Herzegovina
Bosnia and Herzegovina , sometimes called Bosnia-Herzegovina or simply Bosnia, is a country in Southern Europe, on the Balkan Peninsula. Bordered by Croatia to the north, west and south, Serbia to the east, and Montenegro to the southeast, Bosnia and Herzegovina is almost landlocked, except for the...

 on 29 June.
On November 16, 2009 the first fatality related to the H1N1 in Bosnia and Herzegovina. The 40-year-old man died in hospital in Mostar.

Bulgaria

The first case of swine flu in Bulgaria
Bulgaria
Bulgaria , officially the Republic of Bulgaria , is a parliamentary democracy within a unitary constitutional republic in Southeast Europe. The country borders Romania to the north, Serbia and Macedonia to the west, Greece and Turkey to the south, as well as the Black Sea to the east...

 was a person from New York
New York
New York is a state in the Northeastern region of the United States. It is the nation's third most populous state. New York is bordered by New Jersey and Pennsylvania to the south, and by Connecticut, Massachusetts and Vermont to the east...

 to Sofia
Sofia
Sofia is the capital and largest city of Bulgaria and the 12th largest city in the European Union with a population of 1.27 million people. It is located in western Bulgaria, at the foot of Mount Vitosha and approximately at the centre of the Balkan Peninsula.Prehistoric settlements were excavated...

 on 27 May.
The person developed respiratory problems, cough and high fever on 29 May.

On September 30, 2009 the first fatality related to the H1N1 in Sofia
Sofia
Sofia is the capital and largest city of Bulgaria and the 12th largest city in the European Union with a population of 1.27 million people. It is located in western Bulgaria, at the foot of Mount Vitosha and approximately at the centre of the Balkan Peninsula.Prehistoric settlements were excavated...

.
The 30-year-old man died in hospital in the Bulgarian capital.

Croatia

On 29 April it was announced that a 22-year-old traveller from Florida had been held in quarantine in Osijek
Osijek
Osijek is the fourth largest city in Croatia with a population of 83,496 in 2011. It is the largest city and the economic and cultural centre of the eastern Croatian region of Slavonia, as well as the administrative centre of Osijek-Baranja county...

, Croatia
Croatia
Croatia , officially the Republic of Croatia , is a unitary democratic parliamentary republic in Europe at the crossroads of the Mitteleuropa, the Balkans, and the Mediterranean. Its capital and largest city is Zagreb. The country is divided into 20 counties and the city of Zagreb. Croatia covers ...

 under suspicion of swine flu.
However, later that day director of infectious disease epidemiology agency, Dr. Ira Gjenero Margan, stated results of the testing were negative "with 99% certainty". On 30 April, a child was held in quarantine in Zagreb
Zagreb
Zagreb is the capital and the largest city of the Republic of Croatia. It is in the northwest of the country, along the Sava river, at the southern slopes of the Medvednica mountain. Zagreb lies at an elevation of approximately above sea level. According to the last official census, Zagreb's city...

 but the results were negative. On 15 June health minister Darko Milinovic confirmed the first case of swine flu in Croatia; however few hours later he said that laboratory in London had cross-contaminated the samples and thus created a false positive result, meaning that there were no affected in Croatia.
The first case was Laboratory confirmed on 3 July. The patient was a 60-year-old woman, who came from Australia.
On 31 October, a 61-year-old man from Split became the first patient in Croatia to die because of swine flu.

Cyprus

Cyprus
Cyprus
Cyprus , officially the Republic of Cyprus , is a Eurasian island country, member of the European Union, in the Eastern Mediterranean, east of Greece, south of Turkey, west of Syria and north of Egypt. It is the third largest island in the Mediterranean Sea.The earliest known human activity on the...

 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.
In the north part of Cyprus all the schools, universities and government offices were shut down for ten days. People were told not to leave their houses unless there was an emergency or something urgent.

Czech Republic

The Czech Republic
Czech Republic
The Czech Republic is a landlocked country in Central Europe. The country is bordered by Poland to the northeast, Slovakia to the east, Austria to the south, and Germany to the west and northwest....

 confirmed its first case of swine flu May 25. The 29-year-old man working as a pilot returned from New York. He was held in quarantine in the hospital Bulovka in Prague.

On August 5, 135 Czechs tested positive for swine flu.

Denmark

Authorities confirmed on 1 May that a Danish
Denmark
Denmark is a Scandinavian country in Northern Europe. The countries of Denmark and Greenland, as well as the Faroe Islands, constitute the Kingdom of Denmark . It is the southernmost of the Nordic countries, southwest of Sweden and south of Norway, and bordered to the south by Germany. Denmark...

 citizen had tested positive for swine flu, making it the first reported case in Scandinavia
Scandinavia
Scandinavia is a cultural, historical and ethno-linguistic region in northern Europe that includes the three kingdoms of Denmark, Norway and Sweden, characterized by their common ethno-cultural heritage and language. Modern Norway and Sweden proper are situated on the Scandinavian Peninsula,...

.

By 11 June, a total of 11 cases is confirmed, including a six year old boy.

On 29 June, the first case of Oseltamivir (Tamiflu) resistance in the world was announced.

On August 28, 2009 A truckdriver from Pandrup
Pandrup
Pandrup is a town with a population of 2,846 until 1 January 2007 in North Jutland County, now in the North Denmark Region on the northwest coast of the Jutland peninsula in northern Denmark...

, Denmark, did die on duty in Norway. This was discovered by the driver of the truck. They both had flu-symptoms, and when the living man from Pandrup arrived at Aalborg Sygehus, he was tested positive on H1N1. Although, it is still not known, if the passenger died caused the flu.

In the moment, 600ish Danes is tested positive for swine flu. Among them, two in isolation in Indonesia and the first known resistant case against tamiflu.

Estonia

The first case in Estonia
Estonia
Estonia , officially the Republic of Estonia , is a state in the Baltic region of Northern Europe. It is bordered to the north by the Gulf of Finland, to the west by the Baltic Sea, to the south by Latvia , and to the east by Lake Peipsi and the Russian Federation . Across the Baltic Sea lies...

 was laboratory confirmed on 29 May. The patient was a 29-year-old man who returned from the United States.

On 3 June, two new cases have been laboratory confirmed.

On 7 June, fourth case was confirmed. The patient was a person who also returned from the United States on 4 June.

Seven new cases were confirmed on June 26. Two of the infected people came back from a trip to Mexico. The others are Americans, who were on a trip to Estonia.

On 12 July, six new cases were confirmed.

On 17 July, a young Estonian football player was infected, he returned from Finland after participating in U-19 European Championships
UEFA European Under-19 Football Championship
The European Under 19 Football Championship is an annual football competition organised by the sport's European governing body, UEFA. The competition has been held since 1948. It was originally called the FIFA junior tournament, until it was taken over by UEFA in 1955...

. As of 17 July, there were 22 confirmed cases of A(H1N1).

On 28 July, Ivi Normet, Deputy Secretary General on Health of Ministry of Social Affairs of Estonia, speculated that in the worst-case scenario the swine flu could infect 500,000 Estonians in ten weeks. That's about 30% of Estonian population.

, there were 130 cases confirmed.

, there were 172 cases of influenza A (H1N1) confirmed, in Harjumaa
Harju County
Harju County , or Harjumaa , nowadays one of 15 counties of Estonia. It is situated in northern Estonia, on the south coast of the Gulf of Finland, and borders Lääne-Viru County to the east, Järva County to the south-east, Rapla County to the south, and Lääne County to the south-west.528,468 people...

, Tartumaa
Tartu County
Tartu County , or Tartumaa , is one of 15 counties of Estonia.It is located in eastern Estonia bordering Põlva County, Valga County, Viljandi County and Jõgeva County....

, Viljandimaa
Viljandi County
Viljandi County , is one of 15 counties of Estonia. It is located in southern Estonia bordering Pärnu, Järva, Jõgeva, Tartu and Valga counties. 55,657 people live in Viljandi County – constituting 4.2% of the total population in Estonia ....

, Võrumaa
Võru County
Võrumaa or Võru maakond officially, is a county in Southern Estonia. It is bordered to the north by the Põlva County and the Lake Pihkva; to the west by Valga County; to the south by Latvia; and to the east by the Russian Federation....

, Ida-Virumaa
Ida-Viru County
Ida-Viru County , or Ida-Virumaa, is one of 15 counties of Estonia. It is the most north-eastern part of the country. The county contains large deposits of oil shale - the main mineral mined in Estonia. As oil shale is used in thermal power plants, the earth in Ida-Viru literally holds the largest...

 and Lääne-Virumaa.

Since November 11, Estonian Health Protection Inspectorate no longer recommends laboratory tests for all suspected cases of A(H1N1).

, there were 79 new cases confirmed in one week. Total: 217 cases.

, there were 269 cases of influenza A (H1N1) confirmed, in 10 counties: Harjumaa
Harju County
Harju County , or Harjumaa , nowadays one of 15 counties of Estonia. It is situated in northern Estonia, on the south coast of the Gulf of Finland, and borders Lääne-Viru County to the east, Järva County to the south-east, Rapla County to the south, and Lääne County to the south-west.528,468 people...

, Tartumaa
Tartu County
Tartu County , or Tartumaa , is one of 15 counties of Estonia.It is located in eastern Estonia bordering Põlva County, Valga County, Viljandi County and Jõgeva County....

, Viljandimaa
Viljandi County
Viljandi County , is one of 15 counties of Estonia. It is located in southern Estonia bordering Pärnu, Järva, Jõgeva, Tartu and Valga counties. 55,657 people live in Viljandi County – constituting 4.2% of the total population in Estonia ....

, Võrumaa
Võru County
Võrumaa or Võru maakond officially, is a county in Southern Estonia. It is bordered to the north by the Põlva County and the Lake Pihkva; to the west by Valga County; to the south by Latvia; and to the east by the Russian Federation....

, Ida-Virumaa
Ida-Viru County
Ida-Viru County , or Ida-Virumaa, is one of 15 counties of Estonia. It is the most north-eastern part of the country. The county contains large deposits of oil shale - the main mineral mined in Estonia. As oil shale is used in thermal power plants, the earth in Ida-Viru literally holds the largest...

, Lääne-Virumaa, Jõgevamaa
Jõgeva County
Jõgeva County , or Jõgevamaa, is one of 15 counties of Estonia. It is situated in eastern part of the country and borders Ida-Viru County to the north-east, Lake Peipus to the east, Tartu County to the south, Viljandi County to the south-west, Järva County to the north-west and Lääne-Viru County to...

, Põlvamaa
Põlva County
Põlva County , or Põlvamaa, is one of 15 counties of Estonia. It is situated in south-eastern part of the country and borders Tartu, Valga and Võru counties. The county also shares a common border with Russia...

, Valgamaa
Valga County
Valga County , or Valgamaa, is one of 15 counties of Estonia. Its capital is Valga, which is located on the Estonian-Latvian border. It is situated in southern part of the country and borders Põlva County and Võru County to the east, Latvia to the south and to the west, Viljandi County and Tartu...

 and Pärnumaa
Pärnu County
Pärnu County , or Pärnumaa , is one of 15 counties of Estonia. It is situated in south-western part of the country, on the coast of Gulf of Riga, and borders Lääne and Rapla counties to the north, Järva and Viljandi counties to the east, and Latvia to the south...

.

On November 23 the first death of swine influenza occurred. The victim was a 13-year-old boy, living in Harjumaa
Harju County
Harju County , or Harjumaa , nowadays one of 15 counties of Estonia. It is situated in northern Estonia, on the south coast of the Gulf of Finland, and borders Lääne-Viru County to the east, Järva County to the south-east, Rapla County to the south, and Lääne County to the south-west.528,468 people...

 region.

On November 29 the second death of swine influenza occurred. The victim was a 50-year-old male. The total number of confirmed cases has reached 302.

On December 4, another two deaths were confirmed; the number of confirmed infections has reached 456.

As of 6 January 2010, the number of cases was 808 and 13 deaths.

As of 4 March 2010, there were 881 cases confirmed and 20 deaths.

Finland

On October 16, 2009, the national broadcasting company YLE reported that the first epidemic wave of swine flu was hitting Finland
Finland
Finland , officially the Republic of Finland, is a Nordic country situated in the Fennoscandian region of Northern Europe. It is bordered by Sweden in the west, Norway in the north and Russia in the east, while Estonia lies to its south across the Gulf of Finland.Around 5.4 million people reside...

. The National Institute for Health and Welfare (THL) said that the H1N1 outbreaks in northern Finland were reaching epidemic proportions. THL also reported that by 16 October there were 377 confirmed cases in Finland.

The H1N1 strain of influenza was added to the official list of infectious diseases dangerous to public ("yleisvaarallinen tartuntatauti"), which guarantees free-of-charge treatment to all residents and allows for involuntary quarantine, effective from May 1, 2009. From the beginning of August it was removed from the list, so free-of-charge treatment is not available to residents any more. Finland's first two H1N1 cases were confirmed on May 12, 2009 in Helsinki
Helsinki
Helsinki is the capital and largest city in Finland. It is in the region of Uusimaa, located in southern Finland, on the shore of the Gulf of Finland, an arm of the Baltic Sea. The population of the city of Helsinki is , making it by far the most populous municipality in Finland. Helsinki is...

 metropolitan area. The first confirmed cases were traveling together in Mexico and came to Finland via Amsterdam on May 6, 2009.

According to a Finnish site tracking H1N1 cases, there are currently 1,425 confirmed cases (November 9), laboratory testing of every suspected case having stopped by August. Two serious cases were reported in Finland by September 2. Thousands were infected in Lapland, northern Finland by October 21.

On October 24, a 25-year-old woman from Northern Ostrobothnia
Northern Ostrobothnia
Northern Ostrobothnia is a region of Finland. It borders to the regions Lapland, Kainuu, Northern Savonia, Central Finland and Central Ostrobothnia.- Municipalities :Main article: Municipalities of Northern Ostrobothnia...

 also suffering a chronic disease died from H1N1 influenza. On November 2, an 8-year-old previously healthy girl died from the disease. The girl and her parents had visited doctor earlier, but were sent back home where the girl later died. According to some estimates, the total number of cases in Finland is probably 10,000-100,000.

A two-year-old girl died from the disease (November 13, 2009). After publicity of the death of the two-year-old child, Finnish National Institute for Health and Welfare, THL, (November 13, 2009) said they will no longer report deaths caused by H1N1.

France

As of 28 April there were twenty suspected cases of swine flu being investigated in 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...

. Since 25 April, over 100 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,...

 have been reported, of which 30 were identified as possible cases. 10 of those cases have since been excluded. On 30 April, the number of suspected cases was revised to 50 (including 4 probable cases).

On 1 May, the French Health Minister has confirmed, during the 8 p.m. TF1 news, that 2 cases of A(H1N1) flu have been detected in France.

On 4 May, two new cases have been confirmed bringing to 4 the total number of people infected.

6 May, a fifth case is confirmed in Paris region.
Two new cases are also confirmed at the end of the afternoon by the INVS (National Institute for Sanitary Watch), 7 are probable and 32 are suspected.

On 7 May, three new cases were announced by the National Institute for Sanitary Watch.

In November 2009, 351 cases has been detected for each 100.000 inhabitants. Since August, it has been estimated that 1 980 000 persons have been infected by the flu in metropolitan France
Metropolitan France
Metropolitan France is the part of France located in Europe. It can also be described as mainland France or as the French mainland and the island of Corsica...

. 43 of them died (70 including overseas territories)

Germany

Two men and a woman from Bielefeld
Bielefeld
Bielefeld is an independent city in the Ostwestfalen-Lippe Region in the north-east of North Rhine-Westphalia, Germany. With a population of 323,000, it is also the most populous city in the Regierungsbezirk Detmold...

, Germany
Germany
Germany , officially the Federal Republic of Germany , is a federal parliamentary republic in Europe. The country consists of 16 states while the capital and largest city is Berlin. Germany covers an area of 357,021 km2 and has a largely temperate seasonal climate...

 who had been firstly suspected of having the virus tested negative on influenza type A.

On 29 April, the first case of swine flu in Germany was confirmed by the Robert Koch Institute
Robert Koch Institute
The Robert Koch Institute is the German federal institution responsible for disease control and prevention. It is located in Berlin and Wernigerode and is part of the Federal Ministry of Health.-History:...

 in the area of Regensburg
Regensburg
Regensburg is a city in Bavaria, Germany, located at the confluence of the Danube and Regen rivers, at the northernmost bend in the Danube. To the east lies the Bavarian Forest. Regensburg is the capital of the Bavarian administrative region Upper Palatinate...

. A 22-year-old woman from Hamburg
Hamburg
-History:The first historic name for the city was, according to Claudius Ptolemy's reports, Treva.But the city takes its modern name, Hamburg, from the first permanent building on the site, a castle whose construction was ordered by the Emperor Charlemagne in AD 808...

 is also confirmed to have been infected by swine flu during a trip to Mexico. A 37-year-old woman from Kulmbach
Kulmbach
Kulmbach is the capital of the district of Kulmbach in Bavaria in Germany. The town is famous for Plassenburg Castle, which houses the largest tin soldier museum in the world, and for its famous sausages, or Bratwürste.-Location:...

 is also confirmed to have become infected during a similar trip.

On 1 May, Robert Koch Institute
Robert Koch Institute
The Robert Koch Institute is the German federal institution responsible for disease control and prevention. It is located in Berlin and Wernigerode and is part of the Federal Ministry of Health.-History:...

 confirmed the first case of human-to-human spreading of swine flu in Munich
Munich
Munich The city's motto is "" . Before 2006, it was "Weltstadt mit Herz" . Its native name, , is derived from the Old High German Munichen, meaning "by the monks' place". The city's name derives from the monks of the Benedictine order who founded the city; hence the monk depicted on the city's coat...

. Infected was the nurse who had contact with one of the infected people. At approx. 10:00 she was claimed to be already healed. At the time of 13:00 one further infection in Bavaria
Bavaria
Bavaria, formally the Free State of Bavaria is a state of Germany, located in the southeast of Germany. With an area of , it is the largest state by area, forming almost 20% of the total land area of Germany...

 was confirmed, but the patient is also claimed to be healthy again.

On 2 May, a new human-to-human infection, in the same hospital in Munich
Munich
Munich The city's motto is "" . Before 2006, it was "Weltstadt mit Herz" . Its native name, , is derived from the Old High German Munichen, meaning "by the monks' place". The city's name derives from the monks of the Benedictine order who founded the city; hence the monk depicted on the city's coat...

, was confirmed. The new patient, who was in the same room with the original infected German that came from Mexico, is currently being reported to show no signs of the new influenza strain anymore.

On 3 May, two further cases of swine flu in Brandenburg
Brandenburg
Brandenburg is one of the sixteen federal-states of Germany. It lies in the east of the country and is one of the new federal states that were re-created in 1990 upon the reunification of the former West Germany and East Germany. The capital is Potsdam...

 were reported. Two people from the same flight as patient in Hamburg
Hamburg
-History:The first historic name for the city was, according to Claudius Ptolemy's reports, Treva.But the city takes its modern name, Hamburg, from the first permanent building on the site, a castle whose construction was ordered by the Emperor Charlemagne in AD 808...

 were also infected.

On 5 May, one new case in Saxony-Anhalt
Saxony-Anhalt
Saxony-Anhalt is a landlocked state of Germany. Its capital is Magdeburg and it is surrounded by the German states of Lower Saxony, Brandenburg, Saxony, and Thuringia.Saxony-Anhalt covers an area of...

 has been confirmed bringing to 9 the total number of people infected.

On 7 May, another new case in Saxony-Anhalt is reported.

On 8 May an adult male living in Bavaria
Bavaria
Bavaria, formally the Free State of Bavaria is a state of Germany, located in the southeast of Germany. With an area of , it is the largest state by area, forming almost 20% of the total land area of Germany...

 who had recently been to USA.

On 11 May the case of a 27-year-old Bavarian woman, who stayed for some weeks in Mexico and medicated patients in a hospital, is reported.

On 15 May two more cases were reported, a female human and her son from Saxony-Anhalt have been infected obviously by her husband / his father, who returned from Mexico.

On 21 May a case was found in a 43-year-old woman from Düsseldorf
Düsseldorf
Düsseldorf is the capital city of the German state of North Rhine-Westphalia and centre of the Rhine-Ruhr metropolitan region.Düsseldorf is an important international business and financial centre and renowned for its fashion and trade fairs. Located centrally within the European Megalopolis, the...

 in North Rhine-Westphalia
North Rhine-Westphalia
North Rhine-Westphalia is the most populous state of Germany, with four of the country's ten largest cities. The state was formed in 1946 as a merger of the northern Rhineland and Westphalia, both formerly part of Prussia. Its capital is Düsseldorf. The state is currently run by a coalition of the...

 who returned from New York. One day later, Robert Koch Institute
Robert Koch Institute
The Robert Koch Institute is the German federal institution responsible for disease control and prevention. It is located in Berlin and Wernigerode and is part of the Federal Ministry of Health.-History:...

 confirmed that that her husband has been tested positive with swine influenza too. Furthermore their six-year-old daughter who did not stay in New York has been infected by her parents, bringing the total to 17.

Until 5 June 2009, the total number of confirmed cases increased to 49. Most of them have been recent travellers to Mexico, the US or the UK. However, there was also a single-digit number of (isolated) in-country-transmissions.

Greece

On 19 May 2009 the authorities confirmed the first case of the new flu in Greece
Greece
Greece , officially the Hellenic Republic , and historically Hellas or the Republic of Greece in English, is a country in southeastern Europe....

. The infected person is a 19-year-old Greek student who studies in New York and who flew to Greece a few days ago. He is hospitalised at Sismanogleion but is not gravely ill. The authorities have contacted many of the passengers who sat near this patient on the plane and are examining them for suspicious symptoms. At this point in time Greece has enough antivirals to cover 12% of the population (at least 10% is the amount proposed by the EU directives). The 19-year-old is now out of the hospital and none of the passengers in his flight are infected.

On 29 May 2009 the fourth case was announced.

On 14 June 2009 the total number of cases have reached 20 and on 17 June 2009 reached 25.
On 9 July 2009 the total number of cases have reached 216 out of whom 93 have fully recovered.

On 13 July 2009 the total number of cases have reached 290 of which 128 have fully recovered

On July 14, 2009 the total number of cases have reached 323 of which 200 have fully recovered

On September 16, 2009 the total number of cases have reached 2.149.

Hungary

According to the MTI
Magyar Távirati Iroda
MTI is a Hungarian news agency. One of the oldest news agencies in the world, it was founded in 1880.MTI is owned by MTI Rt., founded by the Parliament. The members of the Owners’ Advisory Body are elected by the National Assembly of Hungary on four-year terms. It's a marketleader, and is...

 as of 29 April six suspected cases have been reported in Hungary
Hungary
Hungary , officially the Republic of Hungary , is a landlocked country in Central Europe. It is situated in the Carpathian Basin and is bordered by Slovakia to the north, Ukraine and Romania to the east, Serbia and Croatia to the south, Slovenia to the southwest and Austria to the west. The...

, none of them confirmed to be the swine flu.
Samples of the virus from the US health authorities are due to arrive to Hungary in a few days enabling the start of vaccine production.

On 29 May, a case has been confirmed. The infected person, a Brazilian man has since recovered and left the country. On June 18 three new cases of swine flu were confirmed in Hungary, a married couple who returned from New York, and a man who came back from London were new infected.

Iceland

The first case of A(H1N1) in Iceland
Iceland
Iceland , described as the Republic of Iceland, is a Nordic and European island country in the North Atlantic Ocean, on the Mid-Atlantic Ridge. Iceland also refers to the main island of the country, which contains almost all the population and almost all the land area. The country has a population...

 was reported on 23 May 2009. The infected person came to the country from New York
New York
New York is a state in the Northeastern region of the United States. It is the nation's third most populous state. New York is bordered by New Jersey and Pennsylvania to the south, and by Connecticut, Massachusetts and Vermont to the east...

 and got sick shortly after he arrived in Iceland. The second case was announced on 9 June. The infected was a male in the Greater Reykjavík area
Greater Reykjavík Area
The Greater Reykjavík Area is a name used collectively for Reykjavík and seven municipalities around it.. The area is the largest urban area in Iceland. Each municipality has its independent elected council. With a population of 200,852, the Greater Reykjavík Area comprises over 60% of the...

 who also had arrived from the United states. As of 6 August there are 54 cases of H1N1 in Iceland.
Iceland is currently being briefed by the 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...

 and is cooperating closely with ECDC, CDC
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...

 and the EU in terms of monitoring and response. Initially the directorate of health warned people traveling to Mexico and the United States (especially California and Texas) to exercise caution and to contact a doctor immediately if they started showing symptoms of swine flu but on April 28 people travelling to Mexico were advised to cancel their trip unless its very urgent.

On 28 April, it was announced that passengers arriving in Iceland from the United States or Mexico would be monitored and will undergo medical examination even if the slightest signs of influenza are detected.

Iceland has stocks of Tamiflu and Relenza for one-third of its population.

In a risk assessment made by the Icelandic government in 2008 in case of a influenza pandemic
Pandemic
A pandemic is an epidemic of infectious disease that is spreading through human populations across a large region; for instance multiple continents, or even worldwide. A widespread endemic disease that is stable in terms of how many people are getting sick from it is not a pandemic...

 two scenarios are envisioned:
  • A worst-case scenario where 50% of the Icelandic population are infected and 3% of the infected population die.
  • A milder scenario where precautionary measures prevent infection, 25% of the Icelandic population are infected and 1% die.

Ireland

Latest details on cases of A(H1N1) flu in Ireland
Ireland
Ireland is an island to the northwest of continental Europe. It is the third-largest island in Europe and the twentieth-largest island on Earth...

 are to be found on the Health Service Executive website. As of 29 June 2009 there were 39 cases in Ireland.

Ireland has over two million doses of anti-virals and a pandemic plan in place.

On 2 May 2009 the Department of Health's
Department of Health and Children (Ireland)
The Department of Health is a department of the Government of Ireland. The Department's mission is to "support, protect and empower individuals, families and their communities to achieve their full health potential by putting health at the centre of public policy and by leading the development of...

 (HSE) announced the first confirmed case in Ireland, an adult male living in Dublin who had recently been to Mexico.

From 25 May to 31 May three more cases were confirmed.

On 2 June, 3 new cases were confirmed by the HSE on people who returned recently from New York, The total number of cases as of this date was 7.

On 19 June, a case of human swine flu was discovered in a seven-year-old, who was attending a primary school in Co. Mayo and had been abroad. 28 children in the school were treated with Tamiflu. The total number of cases as of this date was 18.

On 21 June a child believed to have recently returned from the United States of America and presenting flu-like symptoms was treated in Kerry General Hospital in Tralee, Co. Kerry, but tests later proved negative.

Saturday 4 July 2009

A free swine flu vaccination is to be offered to the general population in the coming months, as part of a major plan to avoid the worst affects of a global pandemic.

The HSE plans to acquire over 7,500,000 doses of the vaccine, at a cost of almost €90 million.

The jabs would be administered by GPs or through a network of over a hundred swine flu clinics and will be ready by the autumn.

12 new cases of swine flu were confirmed here yesterday, bringing the total number in Ireland to 63.

Friday 10 July 2009

Total number of laboratory confirmed cases in Ireland exceed 100. 9 of these cases are believed to have been in-country transmissions of the virus

Tuesday 21 July

11 new cases of the H1N1 virus have been identified in Ireland bringing the total number of confirmed cases to 164 including 17 cases which are believed to have been in-country transmissions of the virus.

As of July 28, 2009, there are reportedly 276 confirmed cases in Ireland, according to the HSE
HSE
HSE may mean:*Healthy Survey for England* Higher Speed Ethernet - technology term* HSE Contractors Inc - CPM Scheduling Consultant* Health and Safety Executive, United Kingdom* Health Service Executive, Ireland...

. A man in his 30s is critically ill in St James's Hospital in Dublin with human swine flu (H1N1). The man, who is originally from Bratislava in Slovakia, was admitted to hospital late last week. He has been working in Ireland for several years.

Around 1,500 people visited GPs last week with suspected swine flu, three times more than the most recent figures released.

Director of the Health Protection Surveillance Centre Dr Darina O'Flanagan said the figure was included in the latest data from the Irish College of General Practitioners.

It represents 37 people per 100,000 and is three times more than figures released yesterday by the Department of Health.

Advertisement
The Department said laboratory tests have confirmed 278 cases of the H1N1 virus have been reported but the actual number exceeds that total as family doctors report an increase in the number of cases they have been diagnosing in recent weeks.

Two patients who contracted human swine flu (H1N1) are still being treated in intensive care units.

Chief medical officer at the Department of Health Dr Tony Holohan said yesterday that the HSE expects some deaths from the virus, and further hospitalisations, over the coming weeks and months.

Dr Holohan said 12 people have been hospitalised so far.

A man in his 30s, who was admitted to St James's Hospital last week, remains 'critically ill' with the virus.

It is believed the man, who is originally from Bratislava in Slovakia, contracted the virus abroad. He has been living in Ireland for several years.

The hospital said that all necessary precautions were being taken and that the Health Service Executive and the Department of Health were being fully informed.

Friday, 7 August 2009 18:00
A young Irish woman has died from human swine flu today at Tallaght Hospital in Dublin.

She is the first person to die from the virus here since the first cases emerged in this country in May.

Department of Health officials said this evening that the woman had an underlying medical condition.

Monday, 17 August 2009.

The second death due to the swine flu virus has been reported. The victim is believed to have been living in the east of the country. The death toll currently stands at nine.

On October 1, two further deaths were announced, bringing the total fatalities to four.

there have been 3189 cases and 22 deaths in Ireland from Influenza A.

Italy

Italy
Italy
Italy , officially the Italian Republic languages]] under the European Charter for Regional or Minority Languages. In each of these, Italy's official name is as follows:;;;;;;;;), is a unitary parliamentary republic in South-Central Europe. To the north it borders France, Switzerland, Austria and...

's agriculture lobby, Coldiretti, warned against panic reaction, noting that farmers lost hundreds of millions of Euros due to consumer boycotts during the 2001 mad cow scare and the 2005 bird flu outbreak.

A woman who returned from San Diego was hospitalised in Venice
Venice
Venice is a city in northern Italy which is renowned for the beauty of its setting, its architecture and its artworks. It is the capital of the Veneto region...

 for suspected swine flu.

As of 30 April, about 20 suspected cases of swine flu are monitored in Italy.

On 2 May, Reuters confirmed that Italy had a case of the swine flu. It was recorded in a 50-year-old man in Massa
Massa
Massa is a town and comune in Tuscany, central Italy, the administrative centre of the province of Massa-Carrara. It is located in the Frigido River Valley, near the Alpi Apuane, some 5 kilometers from the Tyrrhenian Sea....

 after he returned from Mexico City. However, he had very mild symptoms (i.e. aches, coughing, but no fever) and is recovering well.

As of 26 July the amount of swine flu cases is 618 with community outbreaks contributing to the number.

On 4 September the first death was confirmed in Italy. On 19 September the second death was confirmed in Italy.

Kosovo

On July 24, the authorities in Kosovo
Kosovo
Kosovo is a region in southeastern Europe. Part of the Ottoman Empire for more than five centuries, later the Autonomous Province of Kosovo and Metohija within Serbia...

announced that the samples of three suspected cases had been sent to the laboratory for analysis. According to the authorities, the three cases had had contact with other people who were infected by the A/H1N1 virus. Two of them had previously been visited Switzerland and Sweden, and one of them was in the United Kingdom.

On July 28, the results of these three suspected cases showed that only the person, who recently was in the United Kingdom was infected with the swine flu. This person was a 9-year-old child, living in the United Kingdom, who along with the family came to spend their vacation in Kosovo. The family arrived to the Pristina Airport
Priština International Airport
Pristina International Airport Adem Jashari is an international airport located southwest of Pristina, Kosovo. It is an international airport that handles over a million passengers per year, co-located with Slatina Air Base. It is under the authority of the Government of Kosovo and is the only...

 from London, and during the flight, health inspectors recommended the child to see a doctor, once they arrived to Pristina
Pristina
Pristina, also spelled Prishtina and Priština is the capital and largest city of Kosovo. It is the administrative centre of the homonymous municipality and district....

.

On November 14, A First Death Was Confirmed In Kosovo.

On December 28 there were 14 A/H1N1 confirmed victims in Kosovo.

Latvia

On June 21, a woman, who had just returned from North America, was hospitalised in Latvia
Latvia
Latvia , officially the Republic of Latvia , is a country in the Baltic region of Northern Europe. It is bordered to the north by Estonia , to the south by Lithuania , to the east by the Russian Federation , to the southeast by Belarus and shares maritime borders to the west with Sweden...

. Symptoms were observed already when she was still in the plane. It was later confirmed that she has the swine flu. It was the first registered case in Latvia.

In early November, after severe outbreak in Russia and Ukraine
Ukraine
Ukraine is a country in Eastern Europe. It has an area of 603,628 km², making it the second largest contiguous country on the European continent, after Russia...

, the people suffering from the flu increased. On November 5, there were alone 10 new cases registered, increasing the total amount of cases to 63. Just four days later, on November 9, the number reached 89 cases and the first death of H1N1 in Latvia was confirmed. As more people got precautious and the pharmacies weren't supplied enough, already the next day for a moment they ran out of any profilactic drugs against influenza. On November 11 the number of registered cases reached 132. The next day, with another 33 new cases, the total amount reached already 165 people.

Lithuania

On 26 June Lithuania
Lithuania
Lithuania , officially the Republic of Lithuania is a country in Northern Europe, the biggest of the three Baltic states. It is situated along the southeastern shore of the Baltic Sea, whereby to the west lie Sweden and Denmark...

 confirmed country's first influenza A (H1N1) in Tauragė
Taurage
Tauragė is an industrial city in Lithuania, and the capital of Tauragė County. In 2011, its population was 26,444. Tauragė is situated on the Jūra River, close to the border with the Kaliningrad Oblast, and not far from the Baltic Sea coast....

 (diagnosed by Lithuanian AIDS Centre).

On 2 July Lithuania confirmed two more cases of influenza A (H1N1), in Tauragė
Taurage
Tauragė is an industrial city in Lithuania, and the capital of Tauragė County. In 2011, its population was 26,444. Tauragė is situated on the Jūra River, close to the border with the Kaliningrad Oblast, and not far from the Baltic Sea coast....

 and Vilnius
Vilnius
Vilnius is the capital of Lithuania, and its largest city, with a population of 560,190 as of 2010. It is the seat of the Vilnius city municipality and of the Vilnius district municipality. It is also the capital of Vilnius County...

.Total number of cases - 3

On 7 July Lithuania confirmed two more cases of influenza A (H1N1), in Vilnius
Vilnius
Vilnius is the capital of Lithuania, and its largest city, with a population of 560,190 as of 2010. It is the seat of the Vilnius city municipality and of the Vilnius district municipality. It is also the capital of Vilnius County...

 region.Total number of cases - 5

, there was 25 possible cases. All of 25 cases was not confirmed.

On 16 July Lithuania confirmed two more cases of influenza A (H1N1), in Vilnius
Vilnius
Vilnius is the capital of Lithuania, and its largest city, with a population of 560,190 as of 2010. It is the seat of the Vilnius city municipality and of the Vilnius district municipality. It is also the capital of Vilnius County...

 region.Total number of cases - 7

On 23 July Lithuania confirmed three more cases of influenza A (H1N1), in Vilnius
Vilnius
Vilnius is the capital of Lithuania, and its largest city, with a population of 560,190 as of 2010. It is the seat of the Vilnius city municipality and of the Vilnius district municipality. It is also the capital of Vilnius County...

, Marijampolė
Marijampole
Marijampolė is an industrial city and the capital of the Marijampolė County in the south of Lithuania, bordering Poland and Russian Kaliningrad oblast, and Lake Vištytis. The population of Marijampolė is 48,700...

 and Kaunas
Kaunas
Kaunas is the second-largest city in Lithuania and has historically been a leading centre of Lithuanian economic, academic, and cultural life. Kaunas was the biggest city and the center of a powiat in Trakai Voivodeship of the Grand Duchy of Lithuania since 1413. During Russian Empire occupation...

 region.Total number of cases - 10

On 27 July Lithuania confirmed two more cases of influenza A (H1N1), in Vilnius
Vilnius
Vilnius is the capital of Lithuania, and its largest city, with a population of 560,190 as of 2010. It is the seat of the Vilnius city municipality and of the Vilnius district municipality. It is also the capital of Vilnius County...

 region.Total number of cases - 12

On 29 July Lithuania confirmed three more cases of influenza A (H1N1).Total number of cases - 15

On 31 July Lithuania confirmed seven more cases of influenza A (H1N1), in Vilnius
Vilnius
Vilnius is the capital of Lithuania, and its largest city, with a population of 560,190 as of 2010. It is the seat of the Vilnius city municipality and of the Vilnius district municipality. It is also the capital of Vilnius County...

, Panevėžys
Panevežys
Panevėžys see also other names, is the fifth largest city in Lithuania. As of 2008, it occupied 50 square kilometers with 113,653 inhabitants. The largest multifunctional arena in Panevėžys is the Cido Arena...

, Klaipėda
Klaipeda
Klaipėda is a city in Lithuania situated at the mouth of the Nemunas River where it flows into the Baltic Sea. It is the third largest city in Lithuania and the capital of Klaipėda County....

, Kaunas
Kaunas
Kaunas is the second-largest city in Lithuania and has historically been a leading centre of Lithuanian economic, academic, and cultural life. Kaunas was the biggest city and the center of a powiat in Trakai Voivodeship of the Grand Duchy of Lithuania since 1413. During Russian Empire occupation...

, Prienai
Prienai
Prienai is a city in Lithuania situated on the Neman River, south of Kaunas. In 2001 the city had 11,353 inhabitants. The name of the city is a derivative from a surname Prienas. Pociūnai Airport is associated with the city.-History:...

 region.Total number of cases - 22.

, there was 29 cases. Lithuania confirmed eight more cases of influenza, from Kaunas
Kaunas
Kaunas is the second-largest city in Lithuania and has historically been a leading centre of Lithuanian economic, academic, and cultural life. Kaunas was the biggest city and the center of a powiat in Trakai Voivodeship of the Grand Duchy of Lithuania since 1413. During Russian Empire occupation...

, Vilnius
Vilnius
Vilnius is the capital of Lithuania, and its largest city, with a population of 560,190 as of 2010. It is the seat of the Vilnius city municipality and of the Vilnius district municipality. It is also the capital of Vilnius County...

, Ukmergė
Ukmerge
-Early history:Ukmergė was first mentioned as a settlement in 1333. It was essentially a wooden fortress that stood on a hill, near the confluence of the Vilkmergė River and the Šventoji River. Ukmergė was attacked by the Teutonic Knights and the Livonian Order in 1333, 1365, 1378, 1386, and even...

 rajono and Utena
Utena
Utena is a city in north-east Lithuania. It is the administrative center of Utena district and Utena County. Utena is one of the oldest settlements of Lithuania. The name of the city is most probably derived from a hydronym. The name of the settlement has been known since 1261.Utena is an...

 region. One of the infected — Israeli citizen, comed to Lithuania
Lithuania
Lithuania , officially the Republic of Lithuania is a country in Northern Europe, the biggest of the three Baltic states. It is situated along the southeastern shore of the Baltic Sea, whereby to the west lie Sweden and Denmark...

.

On 11 August, Lithuania confirmed six more cases of influenza A (H1N1), in Vilnius
Vilnius
Vilnius is the capital of Lithuania, and its largest city, with a population of 560,190 as of 2010. It is the seat of the Vilnius city municipality and of the Vilnius district municipality. It is also the capital of Vilnius County...

, Panevėžys
Panevežys
Panevėžys see also other names, is the fifth largest city in Lithuania. As of 2008, it occupied 50 square kilometers with 113,653 inhabitants. The largest multifunctional arena in Panevėžys is the Cido Arena...

, Pasvalys
Pasvalys
Pasvalys is a city in Panevėžys County, Lithuania, located near the bank of the Svalia River. Its sister city is Götene in Sweden. In 1557, the Treaty of Pozvol was signed in the town, which provoked Ivan IV of Russia to start the Livonian War.-References:...

, Prienai
Prienai
Prienai is a city in Lithuania situated on the Neman River, south of Kaunas. In 2001 the city had 11,353 inhabitants. The name of the city is a derivative from a surname Prienas. Pociūnai Airport is associated with the city.-History:...

 region.Total number of cases - 35.

On 13 August, Lithuania confirmed five more cases of influenza A (H1N1), in Akmenė
Akmene
Akmenė is a city in northern Lithuania.Following the discovery of large reserves of limestone and clay in the region, in 1947 construction work began on one of the largest cement production complexes in the Baltic States...

 and Šiauliai
Šiauliai
Šiauliai , is the fourth largest city in Lithuania, with a population of 133,900. It is the capital of Šiauliai County. Unofficially, the city is the capital of Northern Lithuania.-Names:...

. Total number of cases - 40.

On days 14–22 August, Lithuania confirmed seven more cases of influenza A (H1N1). Total number of cases - 47

, there were 48 cases. Lithuania confirmed one more case of influenza.

, there were 51 cases. Lithuania confirmed three more cases of influenza.

, there was 57 cases. Lithuania confirmed six more cases of influenza.

As of mid-November there was 68 cases. Lithuania confirmed eleven more cases of influenza.

As of 15 of November. Currently 127 confirmed cases of influenza.

As of 18 of November. First death of swine influenza. Victim is 14-year-old boy, living in Kaunas
Kaunas
Kaunas is the second-largest city in Lithuania and has historically been a leading centre of Lithuanian economic, academic, and cultural life. Kaunas was the biggest city and the center of a powiat in Trakai Voivodeship of the Grand Duchy of Lithuania since 1413. During Russian Empire occupation...

 region.

As of 23 of November. Second death of swine influenza. Victim is 40-year-old male, living in Visaginas
Visaginas
Visaginas is a city with municipal rights in eastern Lithuania, situated near the country's biggest lake, Drūkšiai. Its administrative boundaries are in the process of being defined. The Vilnius–Daugavpils railway runs alongside the town, providing convenient communication with Vilnius and...

.

On November 24, epidemic is announced in whole Lithuania.

As of 28 of November. Third death of swine influenza. Victim is 30-year-old female, living in Šiauliai
Šiauliai
Šiauliai , is the fourth largest city in Lithuania, with a population of 133,900. It is the capital of Šiauliai County. Unofficially, the city is the capital of Northern Lithuania.-Names:...

.

As of 30 of November. Fourth death of swine influenza. Victim is 45-year-old female, living in Varėna
Varena
Varėna is a city in Dzūkija, Lithuania.-History:The town was founded in 1862 near the Warsaw – Saint Petersburg Railway, south of Sena Varėna . At that time it was a small settlement, but following steady development it eventually became the center of the district in 1950. In the interbellum...

.

As of 1 of December. Fifth death of swine influenza. Victim is 46-year-old male, living in Vilnius
Vilnius
Vilnius is the capital of Lithuania, and its largest city, with a population of 560,190 as of 2010. It is the seat of the Vilnius city municipality and of the Vilnius district municipality. It is also the capital of Vilnius County...

.

As of 2 of December. Sixth death of swine influenza. Victim is 40-year-old male, living in Kaunas
Kaunas
Kaunas is the second-largest city in Lithuania and has historically been a leading centre of Lithuanian economic, academic, and cultural life. Kaunas was the biggest city and the center of a powiat in Trakai Voivodeship of the Grand Duchy of Lithuania since 1413. During Russian Empire occupation...

.

Luxembourg

On 2 June, the first case of swine flu was detected in Luxembourg
Luxembourg
Luxembourg , officially the Grand Duchy of Luxembourg , is a landlocked country in western Europe, bordered by Belgium, France, and Germany. It has two principal regions: the Oesling in the North as part of the Ardennes massif, and the Gutland in the south...

.

On 17 September, the first death relative to swine flu was reported in Luxembourg.

On 18 October, 785 people were confirmed to have the swine flu.

On 16 November, a second person died of swine flu.

Macedonia

On 27 April 2009, the government of the Republic of Macedonia
Republic of Macedonia
Macedonia , officially the Republic of Macedonia , is a country located in the central Balkan peninsula in Southeast Europe. It is one of the successor states of the former Yugoslavia, from which it declared independence in 1991...

 prohibited all exports and imports of live pigs. Even though Macedonia is not affected from the Swine Flu, the government ordered a ten days health monitoring period for everybody that comes from an affected country.

On 4 July, Macedonia confirmed the first two cases of virus A/H1N1. As of 8 December 2009, 9 death cases due to complications from the swine flu have been recorded in Macedonia.

, 18 death cases have been confirmed in Macedonia.

Malta

On 2 July 2009, two men were diagnosed with swine flu after a holiday in Girona
Girona
Girona is a city in the northeast of Catalonia, Spain at the confluence of the rivers Ter, Onyar, Galligants and Güell, with an official population of 96,236 in January 2009. It is the capital of the province of the same name and of the comarca of the Gironès...

, Spain. Malta
Malta
Malta , officially known as the Republic of Malta , is a Southern European country consisting of an archipelago situated in the centre of the Mediterranean, south of Sicily, east of Tunisia and north of Libya, with Gibraltar to the west and Alexandria to the east.Malta covers just over in...

 had so far been the only country in European Union without swine flu cases. On 3 July 2009, 14 more cases were reported, bringing the total to 16. Most cases of swine flu in Malta
Malta
Malta , officially known as the Republic of Malta , is a Southern European country consisting of an archipelago situated in the centre of the Mediterranean, south of Sicily, east of Tunisia and north of Libya, with Gibraltar to the west and Alexandria to the east.Malta covers just over in...

 have been mild, with only two hospital admissions as of 6 July 2009, when there were 24 confirmed cases. Ironically the largest number of cases have occurred in Għarb, Gozo; one of the smallest villages on the islands. On Tuesday 18 August the first death was reported; by then the total cases had increased to 244. On the 3rd of September the 2nd death flu was confirmed. The first death, an 82 year-old-woman, was suffering from a chronic disease whereas the second victim, a 63 year-old-man, had chronic health problems. The third victim, a 32 year-old-woman from Spain, that died at San Pawl il-Baħar area. In December 2010 died a 70-year-old British woman while she was in Malta for a holiday.

Moldova

As of 10 November 2009, there are 132 confirmed cases, and 3 confirmed deaths in Moldova
Moldova
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...

.

Monaco

Monaco
Monaco
Monaco , officially the Principality of Monaco , is a sovereign city state on the French Riviera. It is bordered on three sides by its neighbour, France, and its centre is about from Italy. Its area is with a population of 35,986 as of 2011 and is the most densely populated country in the...

 has reported its first confirmed case of swine flu on 17 June. The victim is a young Monegasque who returned from the United States. He was put in the isolation unit of L'archet Hospital.

Montenegro

On December 1, 2009, the first case of death due to swine flu was confirmed in Montenegro
Montenegro
Montenegro Montenegrin: Crna Gora Црна Гора , meaning "Black Mountain") is a country located in Southeastern Europe. It has a coast on the Adriatic Sea to the south-west and is bordered by Croatia to the west, Bosnia and Herzegovina to the northwest, Serbia to the northeast and Albania to the...

. Since then, there were a total of 4 fatalities.
On December 17, the Government of Montenegro
Government of Montenegro
The Government of Montenegro is the executive branch of state authority in Montenegro. It is headed by the prime minister. It comprises the prime minister, the deputy prime ministers as well as ministers....

 declared a swine flu epidemic for the whole territory of the country. The only municipalities without any confirmed cases are Žabljak
Žabljak
Žabljak is a small town in northern Montenegro. It has a population of 1,937.Žabljak is the seat of the municipality...

, Šavnik
Šavnik
Šavnik is a small town in northern Montenegro. It has a population of 570 .Šavnik is the centre of the municipality and unofficial centre of Drobnjaci region, home of the Drobnjaci tribe....

 and Rožaje
Rožaje
Rožaje , is a town in northeastern Montenegro. It has a population of 9,121 Rožaje is the centre of the municipality, which has a population of 22,693. The municipality is located in the geographical region of Sandžak.-History:The history of Rožaje goes back to 1571 and 1585 when it was first...

.

Netherlands

The Netherlands National Institute for Public Health and the Environment
Netherlands National Institute for Public Health and the Environment
The Netherlands National Institute for Public Health and the Environment , is a Dutch research institute that is an independent agency of the Dutch Ministry of Health, Welfare and Sport....

 advised any traveller who returned from Mexico since 17 April and developed a fever of 38.5 degrees Celsius (101.3 degrees Fahrenheit) within four days of arriving in the Netherlands
Netherlands
The Netherlands is a constituent country of the Kingdom of the Netherlands, located mainly in North-West Europe and with several islands in the Caribbean. Mainland Netherlands borders the North Sea to the north and west, Belgium to the south, and Germany to the east, and shares maritime borders...

 to stay at home.
On 30 April 2009 a three year old child tested positive for the swine flu. The child returned from Mexico to the Netherlands on 27 April 2009. The parents tested negative to the swine flu.
The girl was very ill at first according to her parents, but made a full recovery.
On 7 May a second case and a day later a third case of swine flu in the Netherlands were announced, concerning a 53-year-old woman and a 52-year-old man, respectively. Both of them had returned from Mexico recently and are being treated with Tamiflu. The woman made a full recovery, the man is doing well. There are no connections between each of the three cases. People who were seated close to the infected people in the plane were contacted and are being treated with Tamiflu as a precautionary measure.
On 3 July, there were 134 confirmed cases in the Netherlands. The number rose to 273 on 24 July and to 517 on 31 July. On 4 August the first person died (after being sick already), and the number of infected people rose to 912 on 7 August.
Only 20% of the patients have contracted the flu within the Netherlands. Many of the sick are people who fell ill during or after their holidays in countries like Spain, Greece and the United Kingdom. On November 6 the Netherlands National Institute for Public Health and the Environment
Netherlands National Institute for Public Health and the Environment
The Netherlands National Institute for Public Health and the Environment , is a Dutch research institute that is an independent agency of the Dutch Ministry of Health, Welfare and Sport....

 reported there are 5 more cases of death (this brings the total on 17) and that there is an epidemic, which means more than 51 per 100,000 inhabitants contracted the flu, more than 2 weeks in a row. On the 4th December the number of fatalities rose to 42.
On 4 January 2011, it was confirmed that another 2 children died of swine flu. One of them would be a 4-year-old girl. They both lived in the region of Nijmegen, Gelderland
Gelderland
Gelderland is the largest province of the Netherlands, located in the central eastern part of the country. The capital city is Arnhem. The two other major cities, Nijmegen and Apeldoorn have more inhabitants. Other major regional centers in Gelderland are Ede, Doetinchem, Zutphen, Tiel, Wijchen,...

. They died on 20 December and 27 December 2010. There would be no link between the deaths.

Norway

The Norwegian Institute of Public Health (FHI) updates their homepage with information about the swine flu outbreak in Norway
Norway
Norway , officially the Kingdom of Norway, is a Nordic unitary constitutional monarchy whose territory comprises the western portion of the Scandinavian Peninsula, Jan Mayen, and the Arctic archipelago of Svalbard and Bouvet Island. Norway has a total area of and a population of about 4.9 million...

 every day at 10:00 (UTC).

On 9 May, two Norwegian students from Oslo
Oslo
Oslo is a municipality, as well as the capital and most populous city in Norway. As a municipality , it was established on 1 January 1838. Founded around 1048 by King Harald III of Norway, the city was largely destroyed by fire in 1624. The city was moved under the reign of Denmark–Norway's King...

 and Telemark
Telemark
is a county in Norway, bordering Vestfold, Buskerud, Hordaland, Rogaland and Aust-Agder. The county administration is in Skien. Until 1919 the county was known as Bratsberg amt.-Location:...

, were confirmed to be infected with swine flu after they came home from studies in Mexico. None of them became seriously ill and they are recovering quickly. A member of one of their families is suspected of being infected as well. One of them (the 20 year-old man from Oslo
Oslo
Oslo is a municipality, as well as the capital and most populous city in Norway. As a municipality , it was established on 1 January 1838. Founded around 1048 by King Harald III of Norway, the city was largely destroyed by fire in 1624. The city was moved under the reign of Denmark–Norway's King...

) have been confirmed completely recovered. These are the first two cases of swine influenza in Norway. By the end of May, there were a total number of 7 infected in Norway.

On 4 June, a Norwegian woman from Vest-Agder
Vest-Agder
In the 16th century, Dutch merchant vessels began to visit ports in southern Norway to purchase salmon and other goods. Soon thereafter the export of timber began, as oak from southern Norway was exceptionally well suited for shipbuilding...

 who recently had been to the United States was confirmed with the swine influenza. The infected woman is recovering well. This is the ninth confirmed case of swine influenza.
By the end of June, the total number of infected by influenza A H1N1 rose to 33.

As of 20 July, The Norwegian Institute of Public Health (FHI) reports a total of 133 infected. 115 were infected abroad and 18 in Norway. Influenza A H1N1 has now reached 16 out of 19 fylker (counties). Most cases are found in Oslo (42), and in Sør-Trøndelag (30). So far, swine flu has not been registered in Finnmark, Nord-Trøndelag and in Hedmark

As of 24 July, 197 cases in 18 out of 19 fylker (counties). Most cases are found in Oslo (60), and in Sør-Trøndelag (36). So far, swine flu has not been registered in Hedmark.

As of 19 November, 23 deaths were reported in Norway.

On 22 October, it was confirmed by authorities that over 100,000 people in Norway had been infected with swine flu. 14 people are reported dead by October 29.

Poland

Polish Chief Sanitary Inspectorate (PIS) maintains a webpage on the epidemic situation in Poland
Poland
Poland , officially the Republic of Poland , is a country in Central Europe bordered by Germany to the west; the Czech Republic and Slovakia to the south; Ukraine, Belarus and Lithuania to the east; and the Baltic Sea and Kaliningrad Oblast, a Russian exclave, to the north...

 which includes weekly updates on influenza A/H1N1 outbreak. As of 4 November, it confirmed 187 cases, but there were no death cases.

The Polish Foreign Ministry issued a statement on 25 April recommending that citizens avoid travel to affected areas until the outbreak is totally contained.

On 13 November, a 37-year-old man died in Gdańsk
Gdansk
Gdańsk is a Polish city on the Baltic coast, at the centre of the country's fourth-largest metropolitan area.The city lies on the southern edge of Gdańsk Bay , in a conurbation with the city of Gdynia, spa town of Sopot, and suburban communities, which together form a metropolitan area called the...

. It was first death of patient with A/H1N1 in Poland.

As of 9 December, there were 1,525 cases and 67 deaths. Number of patients with A/H1N1 could be underestimated because it shows only laboratory confirmed cases.

Portugal


As of 4 May, there has been one confirmed case in Lisbon
Lisbon
Lisbon is the capital city and largest city of Portugal with a population of 545,245 within its administrative limits on a land area of . The urban area of Lisbon extends beyond the administrative city limits with a population of 3 million on an area of , making it the 9th most populous urban...

, Portugal
Portugal
Portugal , officially the Portuguese Republic is a country situated in southwestern Europe on the Iberian Peninsula. Portugal is the westernmost country of Europe, and is bordered by the Atlantic Ocean to the West and South and by Spain to the North and East. The Atlantic archipelagos of the...

, but it did not represent any concern, because the risk of transmission was no longer present at that time.

On 1 June, Ana Jorge, the Portuguese Health Minister, has confirmed the second case in Portugal, a 33-year-old man who travelled from the United States, first landing in Frankfurt
Frankfurt
Frankfurt am Main , commonly known simply as Frankfurt, is the largest city in the German state of Hesse and the fifth-largest city in Germany, with a 2010 population of 688,249. The urban area had an estimated population of 2,300,000 in 2010...

, Germany. The case was reported at São João
São João
São João is Portuguese for "Saint John", and may refer to many saints that have used that name, but also the Apostle John of the New Testament specifically, in addition to:-Architecture:*Forte de São João...

 Hospital, Oporto.
On 30 June, five new cases were announced in Portugal elevating the total number of cases to 18.

As of 2 July there have been 27 confirmed cases in Portugal.

On 3 July, 6 more cases were reported, making a total of 33 cases. As of 4 July, more 5 cases were confirmed, two of them internal transmissions (one in Azores, and the other one in Lisbon).

On 6 July, there have been confirmed 48 cases in Portugal.

As of 7 July, another 12 people infected were confirmed, making a total of 57 cases in the country. On this day, the first school was closed down for prevention, in Lisbon, as well as a kindergarten in Azores.

On 8 July, 4 more cases were confirmed, including the first in Braga district, making the total cases 61.

As of 14 July, there are a total of 96 confirmed cases in Portugal. On this day, it was also announced that Faro's Hospital will join, on 15 July, the set of hospitals in the country capable of receiving patients infected with the A/H1N1 flu virus.

Government officials state the worst case scenario in Portugal is 25% infection with a mortality of 0.1% totaling 8700 casualties in Portugal.

As of August 23 there have been 2244 people infected with the flu in Portugal.

Portugal has the second higher tie of infections in Europe. 20,9 cases per 100,000 persons.

On 13 September 2009, Portugal had 9618 cases officially confirmed.

In total, as of September 24, there were 12709 cases confirmed in Portugal and the first death was confirmed in the same day.

As of 4 December, there were 121,677 cases confirmed and 24 deaths.

Romania

In Sâmbăteni, Arad County
Arad County
Arad is an administrative division of Romania roughly translated into county in the western part of the country on the border with Hungary, mostly in the region of Crişana and few villages in Banat. The administrative center of the county lies in the city of Arad...

, Romania
Romania
Romania is a country located at the crossroads of Central and Southeastern Europe, on the Lower Danube, within and outside the Carpathian arch, bordering on the Black Sea...

, a child of a year and six months and his mother who recently returned from a trip to Portugal and Spain were suspected of having contracted influenza A(H1N1). Tests returned negative.

On Wednesday, 27 May a woman returning from America was confirmed with swine flu in Bucharest
Bucharest
Bucharest is the capital municipality, cultural, industrial, and financial centre of Romania. It is the largest city in Romania, located in the southeast of the country, at , and lies on the banks of the Dâmbovița River....

.

As of August 11, there were 227 confirmed cases in 22 out of 41 counties of Romania
Romania
Romania is a country located at the crossroads of Central and Southeastern Europe, on the Lower Danube, within and outside the Carpathian arch, bordering on the Black Sea...

.

By mid-September the number of cases in Romania had risen to 296.

As of November, 2nd 2009 the number of cases was 555. No deaths.

As of November, 10th 2009 the number of cases was 1,001. No deaths.

As of November, 19th 2009 the number of cases was 1,651. No deaths.

The first confirmed case of death came on November, 23rd.

As of December, 04th 2009 the number of cases was 3,660 and 8 deaths.

As of December, 05th 2009 the number of cases was 3,793 and 10 deaths.

As of December, 6th 2009 the number of cases was 3,842 and 12 deaths. Health authorities have decided to suspend classes for 7 days, starting Monday, December 7 needle, these educational units: High School “Sabin Dragoi”, Deva
Deva, Romania
Deva is a city in Romania, in the historical region of Transylvania, on the left bank of the Mureș River. It is the capital of Hunedoara County.-Name:...

; High School “Miko”, Sfântu Gheorghe
Sfântu Gheorghe
Sfântu Gheorghe is the capital city of Covasna County, Romania. Located in the central part of the country and in the historical region of Transylvania, it lies on the Olt River in a valley between the Baraolt Mountains and Bodoc Mountains...

 and Group School “Avram Iancu”, Târgu Mureş.

As of December, 7th 2009 the number of cases was 3,881 and 12 deaths.

As of December 8, 2009 the number of cases was 3,998 and 14 deaths.

As of December 9, 2009 the number of cases was 4,113 and 14 deaths.

As of December, 15th 2009 the number of cases was 4,885 and 27 deaths.

As of December 24, 2009 the number of cases was 5,421 and 42 deaths.
As of December, 29th 2009 the number of cases was 5568 and 52 deaths.

On January 5, 2010, actor Toni Tecuceanu
Toni Tecuceanu
Aurelian-Antonio Tecuceanu also known as Toni was a Romanian comedy actor. He was a member of Cronica Cârcotaşilor, a popular sitcom at Prima TV. On January 5, 2010 he died in a Matei Balş Hospital in Bucharest, due to complications from swine flu, at age 37...

 from Cronica Cârcotaşilor
Cronica Cârcotasilor
Cronica Cârcotaşilor is a weekly satire show on Prima TV hosted by Şerban Huidu and Mihai Găinuşă.Loosely based on the Italian entertainment program Striscia la notizia, Cronica Cârcotaşilor ridicules various celebrities from the current Romanian political, media and showbiz scene by exposing...

 died morning at around 3.00, the Hospital "Matei Balş" in Bucharest, following complications from lung after contracted the virus A/H1N1. Prof. dr. Secretary of State for Health, said the actor, aged 37 years and suffering from obesity.

As of January, 08th 2010 the number of cases was 6,061 and 82 deaths.

As of January, 25th 2010 the number of cases was 6,873 and 111 deaths.

As of February, 9th 2010 the number of cases was 6,982 and 120 deaths.

As of February, 26th 2010 the number of cases was 7,003 and 122 deaths.

As of April, 9th 2010 the number of cases was 7,008 and 122 deaths.

Russia

Russia has banned the import of pork meat from Guatemala, Honduras, Dominican Republic, Colombia, Costa Rica, Cuba, Nicaragua, Panama, El Salvador, 9 US States (Alabama, Arizona, Arkansas, Georgia, Kansas, Louisiana, New Mexico, Oklahoma and Florida) and all types of meat and meat products from Mexico and 5 US States (California, Texas, Kansas, New York and Ohio).

The President instructed the regional governors to take urgent steps to prevent swine flu from spreading to Russia. Dmitry Medvedev
Dmitry Medvedev
Dmitry Anatolyevich Medvedev is the third President of the Russian Federation.Born to a family of academics, Medvedev graduated from the Law Department of Leningrad State University in 1987. He defended his dissertation in 1990 and worked as a docent at his alma mater, now renamed to Saint...

 also instructed the presidential plenipotentiary envoys in the federal districts to personally supervise the preventive measures to ensure the disease did not spread [in Russia] and stipulated monthly reports on the situation.

On 1 May officials confirmed that two women who came from USA trip were suspected to have swine flu. Currently both are in hospital for further treatment.
As on 2 May, both tourists are reported not to be infected with new strain.

Serbia

A 71-year-old tourist from 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...

 asked to be tested for swine flu at the Provincial hospital in Novi Sad
Novi Sad
Novi Sad is the capital of the northern Serbian province of Vojvodina, and the administrative centre of the South Bačka District. The city is located in the southern part of Pannonian Plain on the Danube river....

, Serbia
Serbia
Serbia , officially the Republic of Serbia , is a landlocked country located at the crossroads of Central and Southeast Europe, covering the southern part of the Carpathian basin and the central part of the Balkans...

 on 30 April. The results were negative.

The first confirmed case in Serbia was announced on 24 June. The infected person is a 29-year-old male citizen of Montenegro
Montenegro
Montenegro Montenegrin: Crna Gora Црна Гора , meaning "Black Mountain") is a country located in Southeastern Europe. It has a coast on the Adriatic Sea to the south-west and is bordered by Croatia to the west, Bosnia and Herzegovina to the northwest, Serbia to the northeast and Albania to the...

 living in Belgrade
Belgrade
Belgrade is the capital and largest city of Serbia. It is located at the confluence of the Sava and Danube rivers, where the Pannonian Plain meets the Balkans. According to official results of Census 2011, the city has a population of 1,639,121. It is one of the 15 largest cities in Europe...

 who came back from a trip to Argentina
Argentina
Argentina , officially the Argentine Republic , is the second largest country in South America by land area, after Brazil. It is constituted as a federation of 23 provinces and an autonomous city, Buenos Aires...

 two days earlier. As he travelled across Croatia
Croatia
Croatia , officially the Republic of Croatia , is a unitary democratic parliamentary republic in Europe at the crossroads of the Mitteleuropa, the Balkans, and the Mediterranean. Its capital and largest city is Zagreb. The country is divided into 20 counties and the city of Zagreb. Croatia covers ...

 and Germany with other people, they were put in semi quarantine. The second case was confirmed on 25 June. The infected person is a 4-year-old female citizen of Australia who was visiting Sombor
Sombor
Sombor is a city and municipality located in northwest part of Serbian autonomous province of Vojvodina. The city has a total population of 48,749 , while the Sombor municipality has 87,815 inhabitants...

. She had contact with 13 people whose health is being monitored. On 26 June, three more cases were confirmed, out of which two were independent cases while one patient was infected from contact with the previously diagnosed patient. In total 44 people were put under quarantine surveillance. On 28 June, 6 more cases were confirmed - three were citizens of Canada, a mother and her 2- and 5-year-old daughters, two were tourists returning from Australia and Egypt
Egypt
Egypt , officially the Arab Republic of Egypt, Arabic: , is a country mainly in North Africa, with the Sinai Peninsula forming a land bridge in Southwest Asia. Egypt is thus a transcontinental country, and a major power in Africa, the Mediterranean Basin, the Middle East and the Muslim world...

 and one was infected from contact with the first flu case patient in Serbia. Four more cases were confirmed on 1 July, one of the patients is a 73-year-old US citizen, while two patients arrived from abroad, from Australia and the USA. On 2 July, an Australian sportsman was diagnosed with flu. On 6 July, the total number of infected patients rose to 26 with two more cases among the Universiade athletes, one from Uganda
Uganda
Uganda , officially the Republic of Uganda, is a landlocked country in East Africa. Uganda is also known as the "Pearl of Africa". It is bordered on the east by Kenya, on the north by South Sudan, on the west by the Democratic Republic of the Congo, on the southwest by Rwanda, and on the south by...

 and one from Argentina
Argentina
Argentina , officially the Argentine Republic , is the second largest country in South America by land area, after Brazil. It is constituted as a federation of 23 provinces and an autonomous city, Buenos Aires...

. On 7 July, four more cases were confirmed with a total number of 30 cases in Serbia. On 8 July four more cases were confirmed with a total number of 34 cases.

International events held in Serbia, 2009 Summer Universiade
2009 Summer Universiade
The 2009 Summer Universiade, officially known as the XXV Summer Universiade were celebrated in Belgrade, Serbia from 1 July to 12 July 2009. The event has also been organised by a range of co-host cities mostly in Vojvodina , close to Belgrade. It was the largest sporting event ever to be organised...

 sport competition and EXIT
EXIT (festival)
Exit is an annual summer music festival in the Petrovaradin Fortress of Novi Sad, Serbia. It is staged annually since 2000 and usually lasts four days ....

 music festival, led to a sudden increase to over 100 cases of flu in mid-July.

On October 21, 2009 the first fatality related to the H1N1 in Serbia. The 46-year-old woman died in hospital in Kragujevac.

As of November 10, there are 258 people infected, and 7 death cases.

On November 16, there are 295 officially confirmed cases, with 11 people died as consequence of swine flu infection.

Slovenia

First confirmed infection was confirmed on 19 June; a female who flew from New York
New York
New York is a state in the Northeastern region of the United States. It is the nation's third most populous state. New York is bordered by New Jersey and Pennsylvania to the south, and by Connecticut, Massachusetts and Vermont to the east...

 to Venice
Venice
Venice is a city in northern Italy which is renowned for the beauty of its setting, its architecture and its artworks. It is the capital of the Veneto region...

 and then drove by car to Slovenia
Slovenia
Slovenia , officially the Republic of Slovenia , is a country in Central and Southeastern Europe touching the Alps and bordering the Mediterranean. Slovenia borders Italy to the west, Croatia to the south and east, Hungary to the northeast, and Austria to the north, and also has a small portion of...

. Institute of Public Health of the Republic of Slovenia has established a web site with information about H1N1 induced influenza. Status of this webpage is updated once a week. As of 28 January 2010, there were 2091 people tested positive.

Spain

On 27 April the Spanish Ministry of Health and Social Policy announced that a man in Castilla-La Mancha, Spain
Spain
Spain , officially the Kingdom of Spain languages]] under the European Charter for Regional or Minority Languages. In each of these, Spain's official name is as follows:;;;;;;), is a country and member state of the European Union located in southwestern Europe on the Iberian Peninsula...

 who had recently returned from Mexico had contracted the disease. The man, aged 23, had returned from Mexico on 22 April and had been quarantined on the 25th. This was the first confirmed case in Europe.

The Spanish government
Spanish Government
Spain is a constitutional monarchy whose government is defined by the Constitution of Spain. This was approved by a general referendum of the people of Spain in 1978...

 is also observing other 35 possible swine flu cases in the Basque Country
Basque Country (autonomous community)
The Basque Country is an autonomous community of northern Spain. It includes the Basque provinces of Álava, Biscay and Gipuzkoa, also called Historical Territories....

, Catalonia
Catalonia
Catalonia is an autonomous community in northeastern Spain, with the official status of a "nationality" of Spain. Catalonia comprises four provinces: Barcelona, Girona, Lleida, and Tarragona. Its capital and largest city is Barcelona. Catalonia covers an area of 32,114 km² and has an...

, the Balearic Islands
Balearic Islands
The Balearic Islands are an archipelago of Spain in the western Mediterranean Sea, near the eastern coast of the Iberian Peninsula.The four largest islands are: Majorca, Minorca, Ibiza and Formentera. The archipelago forms an autonomous community and a province of Spain with Palma as the capital...

, Andalusia
Andalusia
Andalusia is the most populous and the second largest in area of the autonomous communities of Spain. The Andalusian autonomous community is officially recognised as a nationality of Spain. The territory is divided into eight provinces: Huelva, Seville, Cádiz, Córdoba, Málaga, Jaén, Granada and...

, Murcia
Murcia
-History:It is widely believed that Murcia's name is derived from the Latin words of Myrtea or Murtea, meaning land of Myrtle , although it may also be a derivation of the word Murtia, which would mean Murtius Village...

, Madrid
Madrid
Madrid is the capital and largest city of Spain. The population of the city is roughly 3.3 million and the entire population of the Madrid metropolitan area is calculated to be 6.271 million. It is the third largest city in the European Union, after London and Berlin, and its metropolitan...

 and the Valencian Community
Valencian Community
The Valencian Community is an autonomous community of Spain located in central and south-eastern Iberian Peninsula. Its capital and largest city is Valencia...

.

AENA
Aena
Aeropuertos Españoles y Navegación Aérea , literally "Spanish Airports and Air Navigation", is the Spanish public body that owns and operates the majority of airports in Spain, with the exceptions of the private owned Ciudad Reals and Lleida-Alguaire Airport. Aena is also responsible for Air...

, the Spanish state owned company who manages all Spanish airports and Air Traffic Control
Air traffic control
Air traffic control is a service provided by ground-based controllers who direct aircraft on the ground and in the air. The primary purpose of ATC systems worldwide is to separate aircraft to prevent collisions, to organize and expedite the flow of traffic, and to provide information and other...

 established a protocol for the flights coming from and to Spain from the affected areas. Three patients who had just returned from Mexico were under observation in multiple regions of Spain.

Sweden

On 28 April, at least eighteen Swedish
Sweden
Sweden , officially the Kingdom of Sweden , is a Nordic country on the Scandinavian Peninsula in Northern Europe. Sweden borders with Norway and Finland and is connected to Denmark by a bridge-tunnel across the Öresund....

 people were tested for swine flu after returning from trips in Mexico and the USA, but the results were negative. On 29 April two people, recently returned from Mexico with flu like symptoms were tested.

As of 6 May, the Swedish Institute for Infectious Disease Control confirms 1 case of influenza A(H1N1). 186 negative test results have been reported. No suspected cases remain to be analysed.

The number of confirmed cases has reached 2 in Sweden, with 435 negative cases reported as of May 15.

A third case was confirmed on Friday, May 15, and reported on the following Saturday, where the patient, a woman in her sixties, has recovered. In all of the 3 cases the influenza was contracted in the USA.

A fourth case was confirmed 28 May, influenza was contracted in the USA.

As of July 19, 274 cases has been confirmed. On July 20, the number had risen to 322 confirmed cases and to 340 on July 21. 362 cases had been reported on July 22, 390 on July 23 and 408 as of July 24.

Three regions have reported more than 20 cases; Stockholm county with 144, Skåne country with 78 and Västra Götaland with 71.

42 of the 408 cases were contracted domestically.

A 22-year-old man in Norrköping
Norrköping
Norrköping is a city in the province of Östergötland in eastern Sweden and the seat of Norrköping Municipality, Östergötland County. The city has a population of 87,247 inhabitants in 2010, out of a municipal total of 130,050, making it Sweden's tenth largest city and eighth largest...

 is hospitalised with a life threatening condition, requiring extracorporeal membrane oxygenation
Extracorporeal membrane oxygenation
In intensive care medicine, extracorporeal membrane oxygenation is an extracorporeal technique of providing both cardiac and respiratory support oxygen to patients whose heart and lungs are so severely diseased or damaged that they can no longer serve their function...

.

In August, a 37-year-old man in Uppsala
Uppsala
- Economy :Today Uppsala is well established in medical research and recognized for its leading position in biotechnology.*Abbott Medical Optics *GE Healthcare*Pfizer *Phadia, an offshoot of Pharmacia*Fresenius*Q-Med...

 was the first to die of H1N1 influenza in Sweden. The second case was in September, a 55-year-old man in Västerås
Västerås
Västerås is a city in central Sweden, located on the shore of Lake Mälaren in the province Västmanland, some 100 km west of Stockholm...

. On October 31, a three-year-old boy died in a hospital after first being turned down treatment even though he suffered several of the obvious symptoms.

Switzerland

The first suspicious case in Switzerland
Switzerland
Switzerland name of one of the Swiss cantons. ; ; ; or ), in its full name the Swiss Confederation , is a federal republic consisting of 26 cantons, with Bern as the seat of the federal authorities. The country is situated in Western Europe,Or Central Europe depending on the definition....

 was officially confirmed on 27 April. A young man returning from holiday in Mexico informed his family doctor about fever and flu-like symptoms. He was immediately put under quarantine in a hospital. 8 more people are under observation. A container of inactive swine flu virus samples packed in dry ice
Dry ice
Dry ice, sometimes referred to as "Cardice" or as "card ice" , is the solid form of carbon dioxide. It is used primarily as a cooling agent. Its advantages include lower temperature than that of water ice and not leaving any residue...

 exploded on a Swiss train, injuring one person but posing no other risks to humans.

Switzerland has confirmed its first case of swine flu in a 19-year-old student who returned from Mexico on 30 April. The state hospital in Baden
Baden, Switzerland
Baden is a municipality in the Swiss canton of Aargau, on the west bank of the river Limmat, located in the Limmat Valley , northwest of Zürich. It is the seat of the district of Baden...

 said in a statement that the National Influenza Centre in Geneva confirmed the disease shortly after the student was mistakenly released from hospital day before.

Switzerland has confirmed its second case of swine flu in a young woman of 24. She was returning from a trip to Mexico and USA. She is now in the Hospital in Bern.

On 24 May, a third case of swine flu has been announced in a woman who came back from Washington and is resident in Basel.

As of 26 June, there are 49 confirmed cases in ten cantons, with five cases having been community-transmitted.

As of 19 November a total of three persons have been reported to die from swine flu, a baby and two women, all of them with prexisting health problems of other origin.

Turkey


United Kingdom and Crown Dependencies





Samples from suspected cases in the 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...

 have been analysed by the National Institute for Medical Research
National Institute for Medical Research
The National Institute for Medical Research, commonly abbreviated to NIMR, is a medical research facility situated in Mill Hill, on the outskirts of London, England. It is mainly funded by the Medical Research Council, or MRC, and is its largest establishment and the only one designated as an...

 in London, which is also examining samples of the U.S. strain of the disease.

On 25 April 2009, a member of British Airways
British Airways
British Airways is the flag carrier airline of the United Kingdom, based in Waterside, near its main hub at London Heathrow Airport. British Airways is the largest airline in the UK based on fleet size, international flights and international destinations...

 cabin crew was taken to Northwick Park Hospital
Northwick Park Hospital
Northwick Park Hospital is a large hospital in the northwest corner of the London Borough of Brent in Greater London, England.-Hospital role:...

 in Harrow
London Borough of Harrow
The London Borough of Harrow is a London borough of north-west London. It borders Hertfordshire to the north and other London boroughs: Hillingdon to the west, Ealing to the south, Brent to the south-east and Barnet to the east.-History:...

 and quarantined after falling ill with flu-like symptoms on a flight from 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...

 though he was later found not to have swine flu.

The first cases were confirmed on 27 April in passengers returning from Mexico.

On 1 May the first UK person to person transmission was confirmed. Graeme Pacitti, 24, of Falkirk, picked up the virus after contact with the UK's first cases Iain and Dawn Askham.

It was reported on 26 May that a man who has been confirmed with swine flu was critically ill.

On 28 May, people at a Home Office building in Sheffield were quarantined, it was feared someone had caught swine flu on a recent trip to Canada. In fact, not one, but three people had caught it, the person who had been to Canada, one from someone who recently had stayed in Acapulco, Mexico, and one from someone who recently had stayed in London.

On 6 June, the total of swine flu cases hit 508 with 3 people in intensive care in hospital.
On 7 June, the total of swine flu cases hit 541 with 3 people in intensive care and one woman with swine flu gave birth in hospital.

, 822 cases of swine flu were clinically confirmed.

On 13 June, the total of swine flu cases hit 1,122 with 4 people in intensive care in hospital. The following day, the first death from swine flu in the United Kingdom is reported from Scotland
Scotland
Scotland is a country that is part of the United Kingdom. Occupying the northern third of the island of Great Britain, it shares a border with England to the south and is bounded by the North Sea to the east, the Atlantic Ocean to the north and west, and the North Channel and Irish Sea to the...

, making the first death from swine flu in Europe.

By 9 July there were over 9,718 cases of swine flu and the rate of cases was going up increasingly.

By 16 July, over 10000 cases of Swine flu were confirmed, with the British government suggesting a possible 55000 new cases in the week leading up to the 16. There were 29 deaths confirmed, although the majority of these had 'underlying health issues'. (26 in England and 3 in Scotland)

Timeline

2009 A(H1N1) outbreak and pandemic milestones in Europe
27 April   First case confirmed in the United Kingdom.
  First case confirmed in Spain.
29 April   First case confirmed in Germany.
  First case confirmed in Austria.
30 April   First case confirmed in the Netherlands.
  First case confirmed in Switzerland.
  First case confirmed in Ireland.
1 May   First case confirmed in Denmark.
  First case confirmed in France.
2 May   First case confirmed in Italy.
3 May   First case confirmed in Portugal.
6 May   First case confirmed in Poland.
  First case confirmed in Sweden.
9 May   First case confirmed in Norway.
12 May   First case confirmed in Finland.
13 May   First case confirmed in Belgium.
16 May   First case confirmed in Turkey.
18 May   First case confirmed in Greece.
22 May   First case confirmed in Russia.
23 May   First case confirmed in Iceland.
25 May   First case confirmed in the Czech Republic.
26 May   Community outbreaks confirmed in the United Kingdom.
27 May   First case confirmed in Romania.
28 May   First case confirmed in Slovakia.
29 May   First case confirmed in Hungary.
30 May   First case confirmed in Cyprus.
  First case confirmed in Estonia.
31 May   Community outbreaks confirmed in Germany.
1 June   First case confirmed in Bulgaria.
2 June   First case confirmed in Luxembourg.
  First case confirmed in Ukraine.
5 June   Community outbreaks confirmed in Switzerland.
12 June   First confirmed case in the Isle of Man.
14 June   First death confirmed in the United Kingdom.
17 June   First confirmed case in Monaco.
  Community outbreaks confirmed in France.
18 June   First confirmed case in Jersey.
19 June   First case confirmed in Slovenia.
22 June   First case confirmed in Montenegro.
23 June   First case confirmed in Latvia.
24 June   First case confirmed in Serbia.
25 June   First human-to-animal transmission of the virus in the United Kingdom.
26 June   First case confirmed in Lithuania.
29 June   First case confirmed in Bosnia and Herzegovina.
  First case of Oseltamivir (Tamiflu) resistance found in Denmark.
  Community outbreaks confirmed in Italy.
30 June   First death confirmed in Spain.
1 July   First case confirmed in Malta.
4 July   First case confirmed in Croatia.
  First case confirmed in Macedonia.
  Community outbreaks confirmed in Spain.
7 July   Community outbreaks confirmed in Portugal.
8 July   Community outbreaks confirmed in Malta.
11 July   First case confirmed in Andorra.
19 July   First case confirmed in Georgia.
20 July   First case confirmed in Albania.
  Community outbreaks confirmed in Norway.
22 July   First death confirmed in Hungary.
  Community outbreaks confirmed in Ireland.
23 July   Community outbreaks confirmed in Sweden.
24 July   First case confirmed in Gibraltar.
25 July   Community outbreaks confirmed in Greece.
26 July   Community outbreaks confirmed in Cyprus.
  Community outbreaks confirmed in Turkey.
27 July   Community outbreaks confirmed in Denmark.
  Community outbreaks confirmed in the Netherlands.
  First case confirmed in Kosovo.
30 July   First case confirmed in Azerbaijan.
  First case confirmed in Moldova.
  First death confirmed in Belgium.
  First death confirmed in France.
3 August   First case confirmed in Akrotiri and Dhekelia.
4 August   First death confirmed in the Netherlands.
6 August   First case confirmed in Liechtenstein.
7 August   First death confirmed in Ireland.
18 August   First death confirmed in Malta.
19 August   First case confirmed in Belarus.
23 August   First death confirmed in Greece.
31 August   First death confirmed in Sweden.
3 September   First death confirmed in Norway.
4 September   First death confirmed in Italy.
17 September   First death confirmed in Luxembourg.
  Community outbreaks confirmed in Belgium.
24 September   First death confirmed in Portugal.
25 September   First death confirmed in Germany.
30 September   First death confirmed in Bulgaria.
  Community outbreaks confirmed in Finland.
20 October   First death confirmed in Iceland.
21 October   First death confirmed in Serbia.
  Mass vaccinations in the United Kingdom begins.
22 October   First death confirmed in the Czech Republic.
24 October   First death confirmed in Finland.
  First death confirmed in Turkey.
26 October   First death confirmed in Moldova.
27 October   First death confirmed in Russia.
30 October   First death confirmed in Ukraine.
31 October   First death confirmed in Croatia.
2 November   First death confirmed in Austria.
  Mass vaccinations in Turkey begins.
3 November   First death confirmed in Slovenia.
4 November   First death confirmed in Belarus.
  First case of Oseltamivir (Tamiflu) resistance found in Belarus.
  First case of Oseltamivir (Tamiflu) resistance found in the Netherlands.
5 November   First case confirmed in San Marino.
7 November   Mass vaccinations in Belgium begins.
9 November   First death confirmed in Latvia.
10 November   First death confirmed in Slovakia.
11 November   First case confirmed in Armenia.
12 November   Mass vaccinations in France begins.
13 November   First death confirmed in Cyprus.
  First death confirmed in Poland.
14 November   First death confirmed in Kosovo.
  First death confirmed in Switzerland.
16 November   First death confirmed in Bosnia and Herzegovina.
  Mass vaccinations in Greece begins.
  Mass vaccinations in Spain begins.
  Mass vaccinations in Cyprus begins.
18 November   First death confirmed in Lithuania.
  First death confirmed in Macedonia.
  First case of Oseltamivir (Tamiflu) resistance found in Finland.
  First case of Oseltamivir (Tamiflu) resistance found in Slovenia.
20 November   First death confirmed in Denmark.
  First case of Oseltamivir (Tamiflu) resistance found in the United Kingdom.
  First mutation (D222G) confirmed in Norway.
23 November   First death confirmed in Estonia.
  First death confirmed in Romania.
  Mass vaccinations in the Netherlands begins.
  Mass vaccinations in the Czech Republic begins.
  First mutation (D222G) confirmed in Ukraine.
27 November   First mutation (D222G) confirmed in France.
  First case of Oseltamivir (Tamiflu) resistance found in France.
30 November   First mutation (D222G) confirmed in Finland.
  First mutation (D222G) confirmed in Italy.
1 December   First death confirmed in Montenegro.
3 December   First mutation (D222G) confirmed in the Netherlands.
  First death confirmed in Albania.
4 December   First mutation (D222G) confirmed in Spain.
13 December   First death confirmed in Georgia.
14 December   First death confirmed in Armenia.
15 December   First human-to-animal transmission of the virus in France.
  First case of Oseltamivir (Tamiflu) resistance found in Germany.

2010 A(H1N1) outbreak and pandemic milestones in Europe
1 January   Mass vaccinations in the Malta begins.
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