+ Detected human cases in European countries Country Cases Deaths Laboratory confirmed Confirmed(Suspected)‡ latest ECDC totals (world)† 7,860 Total 500,000 2,889 Turkey 12,316 458 Russia 20,838 438 United Kingdom 27,464 457 Spain 22,379 232 Ukraine 85 16 France 5,126 196 Italy 3,593 178 Germany 203,713 122 Poland 2,024 116 Greece 8,768 52 Portugal 156,701 51 Netherlands 1,473 51 Serbia 520 41 Czech Republic 777 38 Hungary 283 37 Finland 6,122 36 Norway 12,654 29 Romania 4,979 29 Latvia 1,321 24 Bulgaria 766 23 Croatia 526 22 Denmark 651 21 Slovakia 171 21 Ireland 3,189 20 Sweden 2,130 20 Belarus 102 20 Moldova 1,024 15 Belgium 76,973 14 Macedonia 2,600 14 Lithuania 68 12 Slovenia 990 11 Kosovo 98 10 Switzerland 1,550 8 Bosnia and Herzegovina 558 7 Estonia 456 7 Austria 964 5 Malta 718 5 Georgia 604 5 Albania 310 3 Iceland 8,650 2 Luxembourg 333 2 Cyprus 297 2 Montenegro 119 2 Armenia 80 2 Azerbaijan 14 2 Jersey 234 0 Isle of Man 75 0 Akrotiri and Dhekelia 58 0 Faroe Islands 44 0 Monaco 36 0 Guernsey 17 0 Kazakhstan 17 0 Liechtenstein 13 0 San Marino 5 0 Andorra 1 0Summary: Number of European countries with confirmed cases: 50 Number of European dependencies with confirmed cases: 6
Since 18 November 2009 the Ukrainian ministry of health publishes no separate statistics on cases of A/H1N1 influenza or swine flu.Health Ministry: Flu, respiratory diseases claim 344 lives in Ukraine , Kyiv Post (18 November 2009) According to the ministry as of 21 January 2010 1,019 people have died of flu and flu-like illnesses and its complications (pneumonia) in Ukraine.Health Ministry: Death toll from flu, respiratory infections in Ukraine rises to 1,019 , Kyiv Post (22 January 2010)
The 2009 flu pandemic in Europe was part of a pandemic involving a new strain of influenza, subtype H1N1. H1N1 is commonly called swine flu. The pandemic infected at least 125,550 people in Europe. There were 458 confirmed deaths in Turkey, 438 confirmed deaths in Russia, and 457 confirmed deaths in the United Kingdom.
Multiple cases of narcolepsy developed in youth as the result of a vaccine. Because Sweden and Finland both only used Pandemrix, "an adjuvanted influenza A (H1N1) 2009 monovalent vaccine manufactured by GlaxoSmithKline", the narcolepsy was attributed to it. "In July 2011 the European Medicines Agency restricted the use of Pandemrix to people over 19 years old, as early evidence of the narcolepsy link emerged in Scandinavia." In 2013, the UK Health Protection Agency concluded that Pandemrix "was associated with a risk of one narcolepsy case for every 55,000 children vaccinated. The figures suggest that altogether about 700 cases of narcolepsy in children across Europe may be associated with Pandemrix." No link was found to narcolepsy in adults. In 2015, the UK vaccine damage scheme was forced to pay £120,000 to a seven-year-old boy who developed narcolepsy and was "left severely disabled by narcolepsy caused by the [Pandemrix] vaccine". More than 60 similarly affected others in the UK were eligible to be compensated through the Vaccine Damage Payment Act. Speculation developed that the powerful chemical adjuvant called AS03 was responsible. It was later found in 2019 that Pandemrix-induced narcolepsy is associated with genes related to immunity and neuronal survival.
European Union On 27 April 2009, the European Union health commissioner advised Europeans to avoid traveling to the United States or Mexico when possible. The same day, the first confirmed case of swine flu in the EU was announced in Spain.
The EU Commissioner for External Relations at the time, Benita Ferrero-Waldner, said on 27 April all travel to Mexico and the disinfecting of all airports in response to the global flu outbreak were being considered.
Albania
On 20 July 2009, authorities in Albania reported the country's first positive case of swine flu. The infected person was a student from Gjirokastra, who tested positive to the virus. The student was later reported to have fully recovered from the flu. A few days later, three other cases were confirmed. The infected people, two sailors from the Philippines and one from Romania, were admitted to a Durrës city hospital. By 24 July, there were four cases of swine flu confirmed in Albania. On 3 December 2009, the first death from swine flu was confirmed in Albania.
By 10 January 2010, there were 426 confirmed cases of H1N1 in Albania, including 12 fatal cases. Two pregnant women, an 18-year-old from Kuçovë and a 25-year-old from Kukës, were among those who died.
Austria
Several possible cases in Austria had negative results. One test done on a 28-year-old woman from Vienna had a positive result. Austria was 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 H1N1 were confirmed in the country.
On 2 November 2009, an 11-year-old girl from Bozen died in the hospital of Innsbruck, becoming the first human victim of the virus in Austria.
Belgium Six suspected cases of swine flu in Belgium ultimately tested negative.
The Belgian interior ministry announced the first case of H1N1 flu in Belgium on 13 May 2009. The infected person was a 28-year-old man living in Ghent who had returned from a holiday in the United States. A second person tested positive for swine flu in Belgium on 14 May 2009. Two persons tested positive for A/H1N1 flu on 15 May 2009.Deux nouveaux cas confirmés de grippe A/H1N1 en Belgique , Deux nouveaux cas confirmés de grippe A/H1N1 en Belgique
A sixth Griep A/H1N1: zesde geval in België, Griep A/H1N1: een zesde geval in België and seventh Griep A/H1N1: zevende geval in België, Griep A/H1N1: een zevende geval in België cases of swine flu were discovered on 21 May 2009. An eighth Achtste geval van A/H1N1-griep in ons land op dinsdag 26 mei infection was reported on 26 May 2009.
By 22 July, a total of 126 cases had been confirmed. On 30 July, a woman from Hoogstraten became the first patient in Belgium to die of swine flu. Eerste dode Mexicaanse griep in België
By 16 August, a total of 2353 cases had been confirmed. As of 18 October, five people had died as a consequence of swine flu it has been estimated that at least 2,010 were infected in Belgium. By 29 October, a total of 76,964 cases were confirmed and seven people had died. Influenza.be
By 25 March, a total of 214,531 cases had been confirmed, Influenza.be with 19 deaths Influenza.be
Bosnia and Herzegovina The first case was confirmed in Bosnia and Herzegovina on 29 June. On 16 November 2009 the first fatality in Bosnia and Herzegovina related to the H1N1 virus occurred. The 40-year-old man died in hospital in Mostar.Dnevniavaz.ba
Bulgaria The first case of swine flu in Bulgaria was a person traveling from New York to Sofia on 27 May. The person developed respiratory problems, a cough and a high fever on 29 May.
On 30 September 2009 the first fatality related to the H1N1 virus in Sofia occurred. The 30-year-old man died in hospital in the Bulgarian capital.
Croatia On 29 April it was announced that a 22-year-old traveler from Florida had been held in quarantine in Osijek, Croatia under suspicion of swine flu. Later that day, however, the Director of Infectious Disease Epidemiology Agency, Dr. Ira Gjenero Margan, stated results of the testing for swine flu were negative "with 99% certainty". On 30 April, a child was held in quarantine in Zagreb but the results were negative. On 15 June, health minister Darko Milinovic confirmed the first case of swine flu in Croatia; however a few hours later he said that a laboratory in London, United Kingdom, had cross-contaminated the samples and thus created a false positive result, meaning that there were no infections 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 identified its first case of H1N1 on 30 May. The infected individual was a 39-year-old woman from Moldova, living in Cyprus, who had returned from the United States on 28 May. By 11 July, 250 cases had been confirmed in Cyprus. In the northern 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 it was urgent to do so.
Czech Republic
The Czech Republic confirmed its first case of swine flu on 25 May. The 29-year-old man was working as a pilot, and he had just returned from New York. He was held in quarantine in the hospital Bulovka in Prague.
By 5 August 2009, 135 Czechs had tested positive for swine flu.
Denmark Authorities confirmed on 1 May that a Danish citizen had tested positive for swine flu, making it the first reported case in Scandinavia.
By 11 June, a total of 11 cases had been confirmed, including a six-year-old boy.
On 29 June, the first case of Oseltamivir (Tamiflu) resistance in the world was announced.BBC News, "Swine flu 'shows drug resistance'" , 16:15 GMT, Monday, 29 June 2009 17:15 UK . Retrieved 30 June 2009.
On 28 August 2009, a truck driver from Pandrup, Denmark, died on duty in Norway. This was discovered by the other driver of the truck. They both had flu-symptoms, and when the living man from Pandrup arrived at Aalborg Sygehus, he tested positive for H1N1, although it is still not known if the passenger who died caused the flu.
In 2009, about 600 Danes tested positive for swine flu. Among them were two in isolation in Indonesia and the first known resistant case using tamiflu.
Estonia
The first case in Estonia was confirmed in a laboratory on 29 May. The patient was a 29-year-old man who had returned from the United States.
On 3 June, two new cases were laboratory confirmed.
On 7 June, a fourth case was confirmed. The patient was a person who also had returned from the United States on 4 June 2009.
Seven new cases were confirmed on 26 June. Two of the infected people came back from a trip to Mexico. The others were American students who were on a trip to Estonia with the U.S. Student Ambassador program, "People to People".
On 12 July, six new cases were confirmed.
On 17 July, a young Estonian football player was infected. He had returned from Finland after participating in U-19 European Championships. 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 the Estonian population.
, there were 130 cases confirmed.
, there were 172 cases of influenza A (H1N1) confirmed, in Harjumaa, Tartumaa, Viljandimaa, Võrumaa, Ida-Virumaa and Lääne-Virumaa.
Since 11 November, the 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. The total cases numbered 217.
, there were 269 cases of influenza A (H1N1) confirmed in 10 counties: Harjumaa, Tartumaa, Viljandimaa, Võrumaa, Ida-Virumaa, Lääne-Virumaa, Jõgevamaa, Põlvamaa, Valgamaa and Pärnumaa.
On 23 November, the first death from swine flu occurred. The victim was a 13-year-old boy, living in the Harjumaa region.
On 29 November, the second death from swine flu occurred. The victim was a 50-year-old male. The total number of confirmed cases had reached 302.
On 4 December, another two deaths were confirmed; and the number of confirmed infections had reached 456.
By 6 January 2010, the number of cases was 808, with 13 deaths.
By 4 March 2010, there were 881 cases confirmed and 20 deaths.
Finland