SECRETARIAT OF THE PACIFIC
COMMUNITY
Private Mail Bag, Suva, Fiji
Telephone: (679) 337 0733
Fax: (679) 338 6326 Or 337 0021
SECRÉTARIAT GÉNÉRAL DE
LA COMMUNAUTÉ du
PACIFIQUE
Private Mail Bag, Suva, Fidji
Téléphone: (679) 337 0733
Télécopieur:(679) 3386326
ANIMAL HEALTH H1N1 Influenza A Update 6, 11th May, 2009
Purpose:
To inform bio-security and agriculture agency personnel of developments
regarding an outbreak of the new influenza A virus (H1N1) in humans
and its implications on animal health and trade.
Background:
A new strain of H1N1 influenza A virus affecting humans has now spread to new countries as
detailed below. Secondary infection or community spread of the disease is still occurring in a
significant way in US and Mexico but not so in other infected countries.
Global Pandemic Alert Status
The WHO influenza pandemic alert remains on Phase 5 of 6 phases since 30 April, 2009
Breaking News
Japan (3), Australia (1), Norway (2), Brazil (6) and Panama (15) reported confirmed cases
without death as of 11 May, 2009 ( see table) USA, Canada, and Costa Rica reported 1 death
each taking a cumulative total of 5 people outside Mexico. Mexico reported additional 6
deaths since 7 May, 2009, taking its cumulative total of human deaths to 48 people. The
global cumulative toll now stands at 53 people. NOTE, Canada and Costa Rica have
reported deaths for the first time.
International Spread
There is ongoing community spread of the disease in USA and Mexico but not elsewhere.
Most of cases in countries other than in the North Americas are imported cases.
As of 11 May, 2009, 4694 confirmed cases have been reported from 30 countries.
Animal Health and Bio-security Implications
1. No further new information on the pig cases in Canada.
2. FAO Recommended Priority Actions for Countries
National authorities are encouraged to carefully investigate possible occurrences of
Influenza-like events in domestic animals. Virus samples may be collected and sent to
national labs and/or international reference centres. National authorities can always get in
touch with FAO, and by contacting EMPRES-Shipping-Service@fao.org, avail of support for
transporting samples for laboratory testing. In order to reduce the risk for transmission of the
1
new influenza A/H1N1 (humans-to-animals or animals-to-animals), FAO recommends the
following:






Outbreak investigation protocols and laboratory sampling procedures should be
developed and disseminated to all veterinary professionals.
Surveillance for porcine respiratory disease should be intensified and all cases of porcine
respiratory syndrome should be immediately reported to the national veterinary
authorities. The International Organizations -- OIE and FAO -- should be informed when
presence of the new A/H1N1 Influenza virus is confirmed.
Movement restrictions should be implemented for all farms or holdings with swine
showing signs of clinical respiratory illness until diagnosis of the illness have been made.
Where influenza A/H1N1 is confirmed, these restrictions should be in force until seven
days after the last animal has recovered.
Animals suffering from swine influenza should be separated from healthy herd-mates
and allowed to recover - there is no need to cull affected animals unless absolute
necessity.
Animal handlers, livestock officers and paravets should wear protective gear to
minimize risk of being infected by zoonotic agents, including influenza when working
with animals.
Persons who work directly with swine should not go to work if they have any signs of
respiratory disease, fever or any influenza-like illness.

Maintain close communication and collaboration with public health counterparts in
country, and readiness to support their operations in any way reasonably possible.

In collaboration with Health quarantine and other border control agencies intensify
awareness to incoming travellers including profiling high risk travellers as well as postentry surveillance of travellers, being key objectives of strengthened border protection
measures
 Governments are requested to provide full support in improving biosecurity measures
particularly to small and medium pig farmers.



Governments in PICTs must now address the biosecurity legislation requirements of
their country if they have not done so to strengthened their border protection and
disease emergency response plans.
Adopt good personal hygiene practices such as frequent hand-washing with soap and
water and covering nose and mouth and turning away from close contacts when
coughing and sneezing, personal distancing (eg. standing 2 M apart when conversing,
particularly with sick people; not shaking hands as a greeting when sick), good
laundry practices, masks for sick people, etc.
Joint FAO/WHO/OIE Statement on the safety of pork (Statement WHO/4, 7 May 2009)
Influenza viruses are not known to be transmissible to people through eating
processed pork or other food products derived from pigs.
Heat treatments commonly used in cooking meat (e.g. 70°C/160°F core
temperature) will readily inactivate any viruses potentially present in raw meat products.
2
Pork and pork products, handled in accordance with good hygienic practices recommended
by the WHO , Codex Alimentarius Commission and the OIE, will NOT be a source of
infection.
There is also no risk of infection from this virus through consumption of well-cooked pork and pork
products.
Authorities and consumers should ensure that meat from sick pigs or pigs found dead are not
processed or used for human consumption under any circumstances.
Individuals are advised to wash hands thoroughly with soap and water on a regular basis when
preparing food for human consumption and should seek medical attention if they develop any
symptoms of influenza-like illness.
Pharmaceutical Measures
The existing human seasonal influenza vaccine is not protective against infection with this
new Influenza A (H1N1) virus. The new flu virus strain is said to be quite different from the
existing human seasonal influenza virus .
Anti-viral Tamiflu and Relenza are said to be effective against the new flu virus. Treatment
guide is provided in WHO and CDC websites.
SUMMARY (WHO Update 25, 11th May, 2009)


30 countries have now confirmed infection
Most cases outside Mexico are mild cases with people recovering.
List of cases as of 11 May, 2009 (additional cases since 7 May, 2009 in bracket)
Countries
1 Mexico
2 USA
3 Canada
4 UK
5 New Zealand
6 Spain
7 Germany
8 Switzerland
9 Austria
10 Netherland
11 Israel
12 China (HK)
13 Rep Korea
14 France
15 Denmark
16 Costa Rica
17 Colombia
18 El Salvador
19 Italy
20 Ireland
21 Portugal
22 Poland
23 Sweden
24 Guatemala
Confirmed cases
1626 ( +514 )
2,600(+ 839)
284( + 143 )
47 (+ 15)
7
95(+ 15)
11 (+1)
1
1
3 (+ 1)
7 ( +1 )
1
3
12 ( +7)
1
8(+7)
1
2
9 ( + 4)
1
1
1
2
1
Deaths
48 (+ 6)
3
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
Mortality %
3
0.1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
25 Brazil
26 Argentina
27 Australia
28 Japan
29 Panama
30 Norway
Total
6
1
1
4
15
2
4754 (4694 )
0
0
0
0
0
0
5 3(+ 9)
0
0
0
0
0
0
0
Note: Significant increases in numbers of confirmed cases reported from US, Mexico, Canada and
Spain
For further Information:
WHO daily situation reports and Guidance documents can be viewed at:
http://www.who.int/csr/disease/swineflu/en/index.html
WHO Press releases can be viewed at:
http://www.who.int/
http://www.cidrap.um.edu/index.html
http://www.cdc.gov/h1n1flu/updates/
4

Bordeaux

Ile-de-France

Paris

Perpignan
GERMANY

Beyern State

Brandenburg State

Frankfurt
ARGENTINA

Freising

Undetermined

Hamburg State
AUSTRALIA

Ilsenburg

Brisbane

Kulmbach
AUSTRIA

LK Ebersberg

Vienna

LK Wittenberg
BRAZIL

Mallersdoft-Pfaffenberg

Minas Gerais State

Sachsen-Anhalt State

Sao Paolo State
GUATEMALA
CANADA

Guatemala City

ALBERTA
IRELAND
o Calgary

Undetermined (East)
o Edmonton
ISRAEL
o Northern Alberta

Elkana

BRITISH COLUMBIA

Holon
o Northern BC

Kfar Saba
o Vancouver

Nahariya
o Victoria

Netanya

MANITOBA

Tel Aviv
o Brandon
ITALY

NEW BRUNSWICK

Como
o Fredericton

Florence

NOVA SCOTIA

Massa Carrara
o Windsor

Pavia

ONTARIO

Rome
o Peel Region
JAPAN
o Simcoe Muskoka
District

Tokyo
o Southwestern Ontario MEXICO
o Sudbury District

ALL AREAS EXCEPT
o Toronto Area
Baja California Sur,

PRINCE EDWARD IS.
Coahuila, Sinaloa
o Undetermined
NETHERLANDS

QUEBEC

Aalten
o Montreal

Noord-Holland

SASKATCHEWAN
NEW ZEALAND
o Regina

Auckland
o Saskatoon
PANAMA
CHINA

Undetermined

Hong Kong
POLAND
COLOMBIA

Mielec

Cundinamarca State
PORTUGAL
COSTA RICA
o Lisbon

San Jose
SOUTH KOREA
DENMARK

Kwacheon

Copenhagen
SPAIN
EL SALVADOR

Andalucia

La Libertad

Aragon

San Salvador

Basque
FRANCE

Catalonia

Alsace

Castilla-La Mancha

Auvergne

Extremadura
AREAS WITH
CONFIRMED CASES OF
INFLUENZA A(H1N1)
5-11-09
(RED NEWLY ADDED)

Galicia

Madrid

Murcia

Valencia
SWEDEN

Stockholm Area
SWITZERLAND

Baden
UNITED KINGDOM

ENGLAND
o Barnet
o Chipping Sodbury
o Clacton-on-sea
o Devon
o East Midlands
o Gloucestershire
o Liverpool
o London Area
o Merseyside
o Newcastle
o North Weald
o Oxfordshire
o Paignton
o Redditch
o Sandwell
o Slough
o Tameside
o Wandsworth
o West Midlands

SCOTLAND
o Ayrshire
o Greenock
o Polmont
USA

ALABAMA
o Madison
o Montgomery

ARIZONA
o Phoenix
o Pima County
o Santa Cruz County
o Yuma County

CALIFORNIA
o Alameda County
o Amador City
o Calaveras County
o Camp Pendleton
o Contra Costa County
o El Dorado County
o Imperial County
o Los Angeles County
o Marin County
o Monterey County
o Orange County
o Oxnard
o Riverside County
o Sacramento County
o San Bernardino Cty.
(Twentynine Palms
Military Base)
o San Diego County








o San Francisco
o San Joaquin County
o San Luis Obispo
County
o San Mateo County
o Santa Clara County
o Sonoma County
o Tulare County
o Ventura County
COLORADO
o Adams County
o Arapahoe County
o Boulder County
o Denver County
o Douglas County
o Eagle County
o Freemont County
o Garfield County
o Jefferson County
o La Plata
o Morgan
CONNECTICUT
o Middlesex County
o Stratford
DELAWARE
o Newark County
FLORIDA
o Alachua County
o Broward County
o Clay County
o Dade County
o Hillsborough County
o Indian River County
o Lee County
o Okechobee County
o Orange County
o Pinellas County
o Seminole County
GEORGIA
o Cobb County
o Dekalb County
o Henry County
o La Grange
HAWAII
o Honolulu (Oahu)
IDAHO
o Kootenai County
ILLINOIS
o Boone County
o Cook County
o DuPage County
o Franklin County
o Kane County
o Kendall County
o Knox County
o Lake County
o McHenry County
o Ogle County
o Sangamon County
o Will County
o Winnebago County
Notes: All North and South American State, Canadian Province and international Country-level data are official PAHO, WHO, CDC,
or Public Health Agency of Canada data. The more precise locations are based on a variety of unofficial (primarily media) sources and
are meant only to serve as information; they are the sole responsibility of the author (Boris Pavlin) and should not be interpreted as
official guidance from WHO.









INDIANA
o Elkhart County
o Hendricks County
o Lake County
o Madison County
o Marion County
o Porter County
o Putnam County
o St. Joseph County
o Tippecanoe County
IOWA
o Marshall County
o Polk County
KANSAS
o Dickinson County
o Johnson County
o Ottawa County
o Sedgwick County
o Wyandotte County
KENTUCKY
o Daviess County
o Fayette County
LOUISIANA
o Ascension Parish
o Lafayette Parish
o Orleans Parish
MAINE
o Cumberland County
o Kennebec County
o Penobscot County
o York County
MARYLAND
o Anne Arundel County
o Baltimore County
MASSACHUSETTS
o Barnstable County
o Bristol County
o Essex County
o Franklin
o Hampshire County
o Norfolk
o Middlesex County
o Plymouth County
o Worcester
MICHIGAN
o Allegan County
o Chippewa County
o Clare County
o Detroit
o Hillsdale County
o Ionia County
o Kalamazoo County
o Kent County
o Livingstone County
o Macomb County
o Mecosta County
o Missaukee County
o Muskegon County
o Newaygo County
o Oakland County
o Oceana County












o Ottawa County
o St. Clair County
o Van Buren County
o Washtenaw County
o Wayne County
MINNESOTA
o Stearns County
MISSOURI
o Howard County
o Kansas City
o Platte County
o St. Charles County
o St. Louis County
NEBRASKA
o Douglas County
o Madison County
o Pierce County
o Sarpy County
o Scotts Bluff County
o Stanton County
NEVADA
o Carson City County
o Clark County
o Washoe County
NEW HAMPSHIRE
o Merrimack County
NEW JERSEY
o Bergen County
o Burlington County
o Monmouth County
NEW MEXICO
o Valencia County
NEW YORK
o Chautauqua County
o Cortland County
o Lewis County
o Monroe County
o Nassau County
o New York City
o Onandaga County
o Orange County
o Westchester County
NORTH CAROLINA
o Carteret County
o Craven County
o Onslow County
OHIO
o Franklin County
o Lorain County
OKLAHOMA
o Cleveland County
o Kay County
o Kingfisher County
o Oklahoma County
o Pontotoc County
o Seminole County
o Tulsa County
OREGON
o Clackamas County
o Lane County
o Multnomah County







o Marion County
o Polk County
o Umatilla County
o Washington County
PENNSYLVANIA
o Adams County
o Alleghany County
o Bucks County
o Cambria County
o Chester County
o Franklin County
o Lancaster County
o Lehigh County
o Luzerne County
o Lycoming County
o Mercer County
o Montgomery County
o Philadelphia County
o Westmoreland
County
RHODE ISLAND
o Westerly
SOUTH CAROLINA
o Newberry County
SOUTH DAKOTA
o Minnehaha County
TENNESSEE
o Davidson County
o Knox County
o Williamson County
TEXAS
o Bexar County
o Brazoria County
o Cameron County
o Collin County
o Comal County
o Corpus Christi
o Dallas County
o Denton County
o El Paso
o Fort Bend
o Guadalupe County
o Harris County
o Hidalgo County
o Houston
o Johnson County
o Matagorda County
o Montgomery County
o Nueces County
o Starr County
o Summit County
o Tarrant County
o Taylor County
o Travis County
o Wise County
UTAH
o Central Utah Health
District
o Salt Lake County
o Southwest Utah
Health Dept.
o Summit County





o Utah County
o Weber-Morgan
Health District
VERMONT
o Orleans County
VIRGINIA
o Arlington
o Central Shenandoah
Health District
o Chesterfield
o Norfolk
o Northern Neck
o Rockbridge County
o Three Rivers Health
District
WASHINGTON
o Clark County
o King County
o Pierce County
o Skagit County
o Snohomish County
o Spokane County
o Thurston County
o Whatcom County
WASHINGTON, DC
WISCONSIN
o Adams County
o Brown County
o Dane County
o Dunn County
o Fond du Lac County
o Green County
o Jefferson County
o Kenosha County
o Milwaukee County
o Ozaukee County
o Polk County
o Racine County
o Rock County
o Sheboygan County
o Waukesha County
Notes: All North and South American State, Canadian Province and international Country-level data are official PAHO, WHO, CDC,
or Public Health Agency of Canada data. The more precise locations are based on a variety of unofficial (primarily media) sources and
are meant only to serve as information; they are the sole responsibility of the author (Boris Pavlin) and should not be interpreted as
official guidance from WHO.