Detected human cases in Asian countries
Country Cases Deaths
Laboratory
confirmed		 Confirmed
(Suspected)‡
ECDC  totals (world)† 13,763[1]
Total 394,133 3,787
India 19,947[2] 1035[1]
China 120,940[3] 659[4]
Turkey 1,870[3] 415[1]
Thailand 28,939[5] 192[1]
South Korea 108,234[3] 170[1]
Iran 3,672[6] 147[1]
Syria 230[3] 127[1]
Saudi Arabia 9,355[7] 124[1]
Japan 11,636[3] 107[3]
Russia 5,613[3] 106[3]
Israel 4,330[3] 81[1]
Malaysia 7,066[3] 77[3]
Hong Kong 32,091[8] 55[1]
Vietnam 10,791[3] 53[1]
Iraq 2,130[7] 42[1]
Sri Lanka 258[3] 36[1]
Taiwan 5,474[3] 35[1]
Oman 4,837[7] 31[1]
Philippines 5,212[3] 30[3]
Yemen 2,070[3] 28[1]
Palestine 1,170[3] 28[1]
Kuwait 7,718[3] 27[1]
Mongolia 1,073[3] 26[1]
Jordan 2,794[3] 19[1]
Singapore 1,217[3] 19[1]
Georgia 120[9] 18[1]
Afghanistan 779[3] 17[1]
Pakistan 11[3] 14[1]
Indonesia 1,097[3] 10[1]
North Korea 50[10] 10
Qatar 550[3] 8[1]
Bahrain 13,036[3] 7[1]
Bangladesh 800[3] 6[1]
United Arab Emirates 125[3] 6[1]
Cambodia 313[3] 6[1]
Lebanon 1,500[3] 5[1]
Armenia 25[3] 3[1]
Nepal 145[3] 2
Azerbaijan 14[3] 2[1]
Brunei 971[3] 1[1]
Cyprus 297[3] 1[3]
Laos 242[3] 1[1]
Maldives 6[3] 1[1]
Myanmar 65[3] 0
Kyrgyzstan 63[3] 0
Kazakhstan 17[1] 0
Bhutan 6[3] 0[3]
Timor-Leste 6[3] 0
Tajikistan 16[3] 0
Summary:

Number of Asian countries with confirmed cases: 51

The 2009 flu pandemic in Asia, part of an epidemic in 2009 of a new strain of influenza A virus subtype H1N1 causing what has been commonly called swine flu, afflicted at least 394,133 people in Asia with 2,137 confirmed deaths: there were 1,035 deaths confirmed in India, 737 deaths in China, 415 deaths in Turkey, 192 deaths in Thailand, and 170 deaths in South Korea. Among the Asian countries, South Korea had the most confirmed cases, followed by China, Hong Kong, and Thailand.

Azerbaijan

On 27 April 2009 Azerbaijan imposed a ban on import of animal husbandry products from the Americas. AZAL took additional safety measures and a sanitary quarantine unit of the Health Ministry started to operate in Heydar Aliyev International Airport with all aircraft and passengers being checked.

On 31 July, the first case of influenza A (H1N1) was confirmed.

Bahrain

In July, the Ministry of Health launched an awareness campaign ahead of the start of the academic year, with many fearing the reopening of schools would lead to a much greater outbreak of the flu.[11] By early August, 18 confirmed cases of the flu were reported.[12] Haj travel agencies reported that thousands of Bahraini pilgrims cancelled their trips to Mecca over fears of contracting swine flu.[13] Over 180 confirmed cases of the flu were reported in late August, all of whom had returned from traveling abroad.[13]

On 31 August, a 30-year-old Filipino housemaid died after contracting the H1N1 virus, becoming Bahrain's first confirmed death as a result of the virus.[14] On 3 September, it was reported that a 24-year-old Bahraini man died after succumbing to the H1N1 virus, being the first Bahraini to die of the disease.[15] On 8 September, it was announced that patients with flu-like symptoms would be treated with Tamiflu nationwide, regardless of having a fever or not. It was also announced that a million doses of the swine flu vaccine were ordered.[16] The Bahraini Ministry of Education had decided to postpone the opening of schools until October as a precaution, a decision that drew criticism from the World Health Organization.[17] In November 2009, the government stated that up to 1,346 cases of the H1N1 virus were confirmed in the country, along with 15,000 suspected cases of the virus.[18]

Bangladesh

As of 22 August 98 cases of the A (H1N1) virus were confirmed in Bangladesh.[19]

Burma (Myanmar)

On 1 May 2009 Chairman of Global Human Flu Prevention and Response Work Committee Deputy Minister for Health Dr Mya Oo inspected preventive measures against the human flu at Yangon International Airport, Burma (also known as Myanmar). On 27 June, Burmese state-run Radio Myanmar confirmed the first case of influenza A/H1N1 – a 13-year-old girl who just returned from a trip to Singapore.[20][21]

China

Outbreak evolution in mainland China:
  Confirmed Cases
  Confirmed Deaths

The first suspected case found on mainland China was reported on 11 May 2009.[22] As of 29 July 2009, the number of confirmed A/H1N1 cases on the Chinese mainland topped 2,000, with no deaths or serious cases reported, according to the Ministry of Health (MOH). Of the total 2,003 confirmed cases, 1,853 had recovered, said a statement on the MOH website.

The General Administration of Quality Supervision, Inspection and Quarantine (AQSIQ) of China issued an emergency notice on the evening of 26 April that visitors returning from flu-affected areas who experienced flu-like symptoms within two weeks would be quarantined.[23]

In early September 2009, China's State Food and Drug Administration granted approval to a homegrown swine flu vaccine, which producer Sinovac Biotech claimed to be effective after only one dose.[24][25]

On 4 January 2010, the Chinese Health Ministry announced that 659 deaths from swine flu have been recorded in 2009, with 120,940 confirmed detected cases throughout the year.[26]

Cyprus

Cyprus identified its first case of H1N1 on 30 May in a 39-year-old woman from Moldova, living in Cyprus, who returned from the United States on 28 May. As of 11 July 250 cases were confirmed in Cyprus.[27]

Hong Kong

Outbreak evolution in Hong Kong:
  Confirmed cases
  Deaths
Cumulative confirmed cases per day
Metropark Hotel Wanchai under swine flu quarantine due to first case

The Food and Health Bureau of Hong Kong[28] issued travel advice for Mexico on 26 April 2009, which advised Hong Kong residents not to travel to Mexico unless absolutely necessary. The first case reported was a Mexican who flew in from Shanghai. The Bureau also escalated the alert level from "alert" to "serious" on the same day,[29] which activated health protection measures in all ports of entry of Hong Kong. As such, temperature screening machines were used at all checkpoints to identify passengers with fever and respiratory symptoms. Any passenger who failed the temperature test and was confirmed as having a fever was quarantined and sent to public hospital for further investigation.[30] Hong Kong also became one of the first jurisdictions to declare swine flu as a notifiable disease, and much of the procedures against the spread of the swine flu were learned from the 2003 SARS outbreak, of which Hong Kong was the epicenter of the outbreak.[31][32]

The Secretary for Food and Health York Chow stated that special attention will be paid to passengers who came from countries where human infection of swine influenza cases were reported.[29]

On 1 May, one case became the first confirmed case of swine flu in Hong Kong and also the first in Asia after being tested positive by the University of Hong Kong and the Department of Health of Hong Kong. The Mexican patient, who travelled with two companions from Mexico to Hong Kong with a stopover in Shanghai Pudong Airport, arrived in Hong Kong on 30 April. Metropark Hotel Wanchai, where the patient stayed, was cordoned off by the police and health officials from the Centre for Health Protection.[33][34][35][36] All 350 guests and hotel staff had to remain inside the hotel for seven days. After the first swine flu case was confirmed by laboratory, Chief Executive Sir Donald Tsang raised Hong Kong's response level from "serious" to "emergency".[37]

As of 27 August 2009, there have been 10,468 confirmed cases of swine flu in the city.[38]

India

H1N1 in India
  Confirmed cases
  Deaths
  No cases

The Government of India decided to screen all people entering India via the main airport hubs of Mumbai, New Delhi, Goa, Jaipur, Kochi, Kolkata, Chennai, Bangalore and Hyderabad, with the primary focus being passengers entering from the United States of America, United Kingdom, Canada, Mexico, France, and New Zealand. All in all, 50,000 people were affected by the virus, with 2,700 confirmed deaths.[39]

Indonesia

Outbreak evolution in Indonesia:
  Confirmed cases
  Deaths

After a coordination meeting about the flu on 27 April 2009, the Indonesian government halted the importation of pigs and initiated the examination of 9 million pigs in Indonesia.[40] Thermal scanners, which can detect human body temperature, were installed at Indonesian ports of entry. Temperatures above 38 degrees Celsius (100.4 Fahrenheit) cause the devices to beep, indicating fever.

As of 18 August 2009, one death was reported.

Israel and the West Bank

Outbreak evolution in Israel and the West Bank:
  Confirmed cases
  Unconfirmed or suspected cases

Over 4000 cases were confirmed in Israel, and over 60 people died.[41] In response to the outbreak, the Israeli Deputy Minister of Health, Yaakov Litzman, said that because swine are unclean, the outbreak needed to be renamed; and so in Israel, out of respect for the religious sensibilities of Muslims, it was called "Mexican Flu". This was done so as to not confuse the population into thinking that they could not acquire the virus if they did not eat pork.[42][43] The Israeli government retracted this proposal following Mexican complaints.[44]

Japan

H1N1 in Japan
  Confirmed cases
  Deaths

The Ministry of Agriculture, Forestry and Fisheries of Japan instructed animal quarantine offices across Japan to examine any live pigs being brought into Japan to make sure they were not infected with the influenza.[45] Japanese Agriculture Minister Shigeru Ishiba appeared on television to reassure customers that it was safe to eat pork.[46] The Japanese farm ministry said that it would not ask for restrictions on pork imports because the virus was unlikely to turn up in pork, and would be killed by cooking.[47]

On 8 May, the first three cases were confirmed. The infected patients had spent time in Oakville, Canada and returned to Japan via Detroit.[48][49] On 10 May, another case was confirmed from a student who came from a school trip to Canada, making it the fourth case in Japan.[50]

There have been 944 case confirmed in Japan as of 24 June 2009.[51]

On 2 July, the first case of oseltamivir-resistant virus in Asia was announced in Japan, in a woman who had been taking Tamiflu prophylactically.[52]

Kazakhstan

The first cases of A (H1N1) virus were discovered in 3 students from the capital Astana according to Natalia Buenko, an advisor to the Ministry of Health of Kazakhstan.[53]

Laos

Outbreak evolution in Laos
  Deaths
  Confirmed cases
  No cases

The Lao government agreed to buy 10 thermal imaging machines and install them at the country's major immigration border checkpoints. The machines would help officials identify anyone entering the country with a high temperature and create confidence among Laotians, foreigners living in Laos and people traveling to Laos. Health officials would be on hand at international border checkpoints to ensure anyone found to be infected could be treated immediately. Each machine could cost about US$25,000. The decision to buy them was made after the government found visitors to Laos included people coming from the United States, Spain and other affected countries.

The Prime Minister Bouasone Bouphavanh said masks should be made available and health officials would be assigned to work at border checkpoints. Health officials would be on hand at international border checkpoints to ensure anyone found to be infected could be treated immediately. On 18 June, the first case in Laos was confirmed. [54]

Lebanon

A Lebanese man suffering from a serious illness died from the H1N1 swine flu strain on Thursday 30 July 2009, which makes the first death in Lebanon, Health Minister Mohammad Khalifeh told Reuters. The 30-year-old victim had been receiving treatment for leukemia when he contracted the virus, possibly from relatives who had just traveled from Australia to Lebanon, the minister said. Lebanon has recorded more than 100 cases of H1N1.[55]

Malaysia

Outbreak evolution in Malaysia
  Deaths
  Confirmed cases

Malaysia detected the first case of influenza A(H1N1) on 15 May 2009 in a 21-year-old student who returned from the United States.[56] As of 11 August 2009 there were 2,253 confirmed cases in Malaysia.[57] The Health Ministry announced that from 12 August 2009 they had discontinued the counting of the total number of H1N1 cases in line with guidelines issued by the World Health Organization.[58]

Maldives

The first death from H1N1 flu virus was confirmed on 19 November.[59]

Mongolia

H1N1 in Mongolia
  Deaths
  Confirmed cases
  No cases

The Mongolian Health Ministry sought to prevent the spread of swine flu in Mongolia by urging people to avoid public places.[60]

As of 22 October 126 cases were confirmed in Mongolia. Just after seven days, the number increased to 394 with five deaths.

North Korea

H1N1 disease in North Korea
  Deaths
  Confirmed cases
  No cases

Most defectors with backgrounds in health care agree that, considering the isolation of North Korean society and its highly inadequate health care system, incidents of swine flu are likely to be either suppressed or merely misdiagnosed.

Following the confirmation of the first case of the disease in Mongolia, heightened concerns arose.

On 16 November, the first known case was confirmed by the Ministry of Unification, released in a report by Korea Times. The first case was confirmed in a South Korean worker in Gaeseong Industrial Complex.[61]

Oman

As of 13 August 2009, 337 cases have been confirmed by the National Pandemic Influenza Committee in Oman.

Pakistan

There were 90 confirmed cases as of 26 January 2010.[62]

Philippines

  Deaths
  Confirmed community outbreak
  Confirmed cases
  Suspected cases

Health Secretary Francisco T. Duque III ordered the Bureau of Quarantine to use thermal imaging equipment at airports to screen passengers coming from the US for flu symptoms.[63][64] The Philippines may quarantine travelers arriving from Mexico with fevers.[65] Also, the Secretary of the Department of Agriculture issued an order banning the importation of hogs from the U.S. and Mexico, and the retraction of the restriction of swine influenza vaccine use.[66] The medical alert phase is already Code White, the lowest.[67]

On 18 May 2009, a Filipina girl who arrived from Houston, Texas, United States was the first confirmed case of H1N1 virus in the Philippines.

The highest confirmed in one day was on 24 June 2009 with 131 cases.[68] The next day, the confirmed cases added was 123. Because of that, the Department of Health ordered the people that should get swab tests are the only people with very complicated cases (e.g. with lung disorders, hearth disorders, babies etc.). The government said that the very fast spreading of the disease was caused by the population density of the country.

Russia

Saudi Arabia

By 17 August, there have been about 2,000 cases of the flu, resulting in 14 deaths.

Singapore

On 30 April 2009, the Singapore Ministry of Health raised its Disease Outbreak Response System to "Alert Orange". The first case of the H1N1 virus in Singapore was confirmed on 27 May 2009, in which a then 22-year-old woman picked up the virus after visiting New York City, United States.[69] As of 7 July 2009, there were 1,217 confirmed cases.[70] As of 17 October 2009, there were 18 confirmed deaths from the H1N1 virus in Singapore.[71] On 12 February 2010, the Singapore Ministry of Health moved its alert level to Green.[72]

Sri Lanka

The first case of Influenza A (H1N1-2009) was confirmed on 16 June 2009 in Sri Lanka.

South Korea

On 28 April, South Korea reported its first probable case of swine flu after positive preliminary tests on a nun who had recently returned from a trip to Mexico.[73] South Korea became the third infected nation in Asia, after Israel and Hong Kong. On 15 August, the first Korean death by the new influenza was confirmed and a second death was announced on 16 August. Around late November 2009, there was a double cases from the US. Around 15000 cases and 14 deaths have been reported as of 12 October 2009.

Taiwan (Republic of China)

Outbreak evolution in Taiwan/ROC:
  Confirmed cases
  Deaths

On 20 May 2009, the first case of the influenza was confirmed in Taiwan.[74]

There were 5,474 confirmed cases of H1N1 in Taiwan.[75]

Thailand

Outbreak evolution in Thailand
  Deaths
  Confirmed cases
  Suspected cases

Turkey

Outbreak evolution Turkey
  Deaths
  Confirmed cases
  Suspect cases

The first case of A(H1N1) in Turkey was reported on 16 May 2009.[76] A U.S. citizen, flying from the United States via Amsterdam was found to be suffering from the swine flu after arriving Istanbul's Atatürk International Airport.[77] Turkey is the 36th country in the world to report an incident of swine flu. The Turkish Government has taken measures at the international airports, using thermal imaging cameras to check passengers coming from international destinations.[78] As of 11 August, there were 312 confirmed cases in Turkey.[79] As of 24 October, there is 1 confirmed death in Turkey. It is reported by Ministry of Health that one person died in Ankara. In addition, there are 958 confirmed cases in Turkey.[80]

Vietnam

Outbreak evolution in Vietnam
  Deaths
  Confirmed cases

On 31 May 2009, The government of Vietnam announced its first case of A (H1N1) virus in the country.

Yemen

As of 4 July 2009 there have been reported 7 cases of A(H1N1) flu in Yemen.[81]

Timeline

2009 A(H1N1) Outbreak and Pandemic Milestones in Asia
28 April Israel First case confirmed in Israel.
1 May Hong Kong First case confirmed in Hong Kong.
2 May South Korea First case confirmed in South Korea.
8 May Japan First case confirmed in Japan.
10 May China First case confirmed in China.
12 May Thailand First case confirmed in Thailand.
15 May Malaysia First case confirmed in Malaysia.
16 May India First case confirmed in India.
16 May Turkey First case confirmed in Turkey.
17 May Japan Community outbreaks confirmed in Japan.
19 May Taiwan First case confirmed in Taiwan.
21 May Philippines First case confirmed in the Philippines.
22 May Russia First case confirmed in Russia.
24 May Kuwait First case confirmed in Kuwait.
United Arab Emirates First case confirmed in the United Arab Emirates.
25 May Bahrain First case confirmed in Bahrain.
27 May Singapore First case confirmed in Singapore.
30 May Cyprus First case confirmed in Cyprus.
Lebanon First case confirmed in Lebanon.
31 May Vietnam First case confirmed in Vietnam.
3 June Saudi Arabia First case confirmed in Saudi Arabia.
11 June State of Palestine First case confirmed in the Palestinian Territories.
Hong Kong Community outbreaks confirmed in Hong Kong.
14 June Philippines Community outbreaks confirmed in Philippines.
16 June Jordan First confirmed case in Jordan.
Qatar First confirmed case in Qatar.
Sri Lanka First confirmed case in Sri Lanka.
Thailand Community outbreaks confirmed in Thailand.
Yemen First confirmed case in Yemen.
17 June Oman First case confirmed in Oman.
Malaysia Community outbreaks confirmed in Malaysia.
18 June Macau First case confirmed in Macau, China.
Laos First case confirmed in Laos.
19 June Bangladesh First case confirmed in Bangladesh.
22 June Philippines First death confirmed in the Philippines.
Iran First case confirmed in Iran.
23 June Macau Community outbreaks confirmed in Macao.
24 June Indonesia First case confirmed in Indonesia.
Cambodia First case confirmed in Cambodia.
Iraq First case confirmed in Iraq.
26 June China Community outbreaks confirmed in China.
27 June Thailand First death confirmed in Thailand.
Myanmar First case confirmed in Myanmar.
29 June Nepal First case confirmed in Nepal.
Singapore Community outbreaks confirmed in Singapore.
1 July South Korea Community outbreaks confirmed in South Korea.
2 July Brunei First death confirmed in Brunei.
Japan First case of Oseltamivir (Tamiflu) resistance found in Japan.
3 July Hong Kong First case of Oseltamivir (Tamiflu) resistance found in Hong Kong.
4 July Syria First case confirmed in Syria.
8 July Afghanistan First case confirmed in Afghanistan.
10 July Hong Kong First death confirmed in Hong Kong.
13 July Saudi Arabia Community outbreaks confirmed in Saudi Arabia.
16 July Singapore First death confirmed in Singapore.
19 July Georgia (country) First case confirmed in Georgia.
Israel Community outbreaks confirmed in Israel.
21 July Indonesia Community outbreaks confirmed in Indonesia.
22 July India Community outbreaks confirmed in India.
Vietnam Community outbreaks confirmed in Vietnam.
Laos First death confirmed in Laos.
23 July Malaysia First death confirmed in Malaysia.
Bhutan First case confirmed in Bhutan.
Kazakhstan First case confirmed in Kazakhstan.
24 July Maldives First case confirmed in Maldives.
25 July Brunei Community outbreaks confirmed in Brunei.
Taiwan Community outbreaks confirmed in Taiwan.
26 July Cyprus Community outbreaks confirmed in Cyprus.
Turkey Community outbreaks confirmed in Turkey.
Indonesia First death confirmed in Indonesia.
27 July Israel First death confirmed in Israel.
Saudi Arabia First death confirmed in Saudi Arabia.
United Arab Emirates Community outbreaks confirmed in United Arab Emirates.
30 July Azerbaijan First case confirmed in Azerbaijan.
Taiwan First death confirmed in Taiwan.
Lebanon First death confirmed in Lebanon.
31 July Qatar First death confirmed in Qatar.
2 August India First death confirmed in India.
3 August Pakistan First case confirmed in Pakistan.
4 August Vietnam First death confirmed in Vietnam.
5 August Iran First death confirmed in Iran.
7 August State of Palestine First death confirmed in Palestine.
8 August Thailand First case of Oseltamivir (Tamiflu) resistance found in Thailand.
9 August Iraq First death confirmed in Iraq.
12 August East Timor First case confirmed in East Timor.
14 August Singapore First case of Oseltamivir (Tamiflu) resistance found in Singapore.
China First case of Oseltamivir (Tamiflu) resistance found in China.
15 August South Korea First death confirmed in South Korea.
Japan First death confirmed in Japan.
18 August Yemen First death confirmed in Yemen.
20 August Kuwait First death confirmed in Kuwait.
United Arab Emirates First death confirmed in United Arab Emirates.
21 August Oman First death confirmed in Oman.
24 August Kyrgyzstan First case confirmed in Kyrgyzstan.
26 August Syria First death confirmed in Syria.
29 August Bangladesh First death confirmed in Bangladesh.
31 August Bahrain First death confirmed in Bahrain.
2 September Macau First death confirmed in Macau.
10 September Israel First case of Oseltamivir (Tamiflu) resistance found in Israel.
21 September China Mass vaccinations in China, which is the first one in the world, begins.
28 September Cambodia First death confirmed in Cambodia.
30 September China First completed clinical trials by a company for 2009/H1N1 vaccine in the world.
4 October Tajikistan First case confirmed in Tajikistan.
6 October China First death confirmed in China.
12 October Vietnam First case of Oseltamivir (Tamiflu) resistance found in Vietnam.
Jordan First death confirmed in Jordan.
13 October Mongolia First case confirmed in Mongolia.
19 October Japan Mass vaccinations in Japan begins.
23 October Mongolia First death confirmed in Mongolia.
24 October Turkey First death confirmed in Turkey.
26 October Oman Mass vaccinations in Oman begins
27 October Russia First death confirmed in Russia.
South Korea Mass vaccinations in South Korea begins.
29 October Afghanistan First death confirmed in Afghanistan.
1 November Kuwait Mass vaccinations in Kuwait begins
3 November Singapore Mass vaccinations in Singapore begins.
Qatar Mass vaccinations in Qatar begins
7 November Pakistan First death confirmed in Pakistan.
Sri Lanka First death confirmed in Sri Lanka.
Saudi Arabia Mass vaccinations in Saudi Arabia begins
Bahrain Mass Vaccinations in Bahrain begins
8 November Armenia First case confirmed in Armenia.
13 November Cyprus First death confirmed in Cyprus.
16 November North Korea First case confirmed in North Korea.
18 November Maldives First death confirmed in Maldives.
20 November Jordan Mass vaccinations in Jordan begins
7 December North Korea First death confirmed in North Korea.
13 December Armenia First death confirmed in Armenia.
14 December Georgia (country) First death confirmed in Georgia.
27 December Nepal First death confirmed in Nepal.

Top 5 countries

Top 5 cases Top 5 deaths
 China  India
 Hong Kong  Thailand
 Thailand  Turkey
 India  South Korea
 South Korea  China

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