February 2009
Mexico - In La Gloria, Veracruz, Mexico, numerous people begin to fall ill in February 2009 from a mysterious respiratory illness. One victim who fell ill in early April would become the earliest confirmed swine flu case in Mexico. However Mexican officials said few samples from La Gloria were tested internationally after the novel flu was discovered and there were no plans to exhume the bodies of two infants who died in the town in this outbreak.
March 18
Mexico - First cases of suspected swine flu (H1N1), however it was not possible to define the gravity of the outbreak at the time.[citation needed]
United States - Onset of the first case, later confirmed to be that of swine flu, occurs in California, United States.
March 30
Mexico - Veratect first tracked a case of the unusual respiratory illness in Mexico.
April 2009
April 6
Mexico - Mexican public health authorities started investigating unusual cases of pneumonia. 400 people had reportedly sought treatment for pneumonia/ILI in La Gloria in the preceding week.
United States - Veratect published the alert "La Gloria: \'Strange\' Respiratory Affects 60% of Local Population; Three Pediatric Deaths May be Associated with the Outbreak."
April 13
Mexico - First death in southern Oaxaca state due to the swine flu.
April 16
Mexico - Mexican authorities notified the WHO of the outbreak.[3]
April 20
United States - Veratect advised the CDC of the Mexican events. CDC was already investigating the California and Texas cases.
April 21
United States - CDC alerted doctors of a new form of swine flu in California. Associated Press covered the alert.
April 24
The World Health Organization issued an alert on "Influenza-like illness in the United States and Mexico" confirming infection of a number of people in those countries by "Swine Influenza A/H1N1 viruses not... previously detected in pigs or humans."
April 27
World Health Organization Director-General issued a statement that containment of the outbreak is not feasible, and elevated its pandemic alert from Phase 3 to Phase 4.
European Union 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.
April 29
United States First death caused by the swine flu, a 23-month old Mexican child hospitalized in Texas. Ninety-one confirmed cases to date.
EU Foreign Relations Commissioner Benita Ferrero-Waldner announced the halt of all travel to Mexico and disinfecting all airports due to the global flu outbreak is being considered.
The WHO raised its pandemic alert level from Phase 4 to Phase 5, meaning that a pandemic in two WHO regions is highly likely or imminent.
April 30
United States Confirmed four cases in an outbreak at the University of Delaware with another 12 "probable" cases. One of the confirmed cases was a baseball player for the University of Delaware, resulting in UD cancelling of sporting events, a concert by rapper Young Jeezy, and other school activities.
United States Confirmed cases followed by death
The first cases in the United States were reported on March 28 and 30 in San Diego County and Imperial County, California. It has spread to numerous states including the states of Texas, Kansas (April 25), Ohio (April 26) and New York (April 24). On April 25, in Minnesota, a television news station reported a suspected case. On April 28, there were many hundreds of suspected cases in a school in New York and an outbreak reported at the University of Delaware which was later confirmed by laboratory testing on April 30th[13]. On April 29th, the first confirmed death from Swine Flu, that of a young infant, occurred in Texas. However, it should be noted that the child was Mexican and had traveled to the U.S for treatment.
Laboratory confirmed cases: 109
Suspected cases: 767+
Confirmed deaths: 1
Unconfirmed deaths: 3
[As of April 29, 2009], per CDC and state health departments
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