Pandemics can erupt and spread with startling speed. 12:44, 11 July 2009: 978 × 950 (64 KB) Graeme Bartlett: contributed by 70.29.208.69 – derived from File:H1N1 Canada human swine flu - deaths - CSS map.svg - update MB - via en:Wikipedia talk:Images for upload/svg/H1N1 Canada human swine flu - deaths - CSS map.svg: 22:41, 29 June 2009: 978 × 950 (64 KB) Graeme Bartlett Original file (SVG file, nominally 978 × 950 pixels, file size: 64 KB). So researchers like Simonsen and her co-authors used indirect methods to measure fatalities, looking for unusual peaks in deaths — called excess mortality — during flu season or a pandemic. The following pages on the English Wikipedia use this file (pages on other projects are not listed): (SVG file, nominally 978 × 950 pixels, file size: 64 KB). "It's early, premature deaths that we should be in a position of preventing. As of May 20, 2009, half the cases are 21 years of age or younger (median: 21 years; range: %lt;1 – 86 years). Some steps seem obvious, such as signing contracts with more than one pharmaceutical company to produce the vaccine. Audience Relations, CBC P.O. In many fatal cases, flu sufferers will go on to develop pneumonia. to colleagues, clients or customers, or inquire about truetrue. You can use it for research or reference. presentation-ready copies of Toronto Star content for distribution For example, Canada clearly needs a centralized, efficient and truly national public health system, but bureaucratic and constitutional barriers stand in the way. The 2009 flu pandemic vaccines were influenza vaccines developed to protect against the pandemic H1N1/09 virus.These vaccines either contained inactivated (killed) influenza virus, or weakened live virus that could not cause influenza. Pandemic (H1N1) 2009 - update 64 Weekly update. But in that event, the mean age of people who died was 62, at a time when the average life expectancy was 71 years. Canada U.K. Australia Brazil España France Ελλάδα (Greece) India Italia 日本 (Japan) 한국 (Korea) Quebec. https://creativecommons.org/licenses/by-sa/3.0 There are similar results elsewhere, with the World Health Organization reporting just over 11,500 global fatalities related to the H1N1 virus. Republication or distribution of this content is U.S. Osterholm was not involved in this study, which was published Tuesday in the journal PLoS Medicine, a publication of the U.S. Public Library of Science. Confirmed death and infections Confirmed infections Unconfirmed infections. 11 June 2009 - As of 14:00 GMT, 11 June 2009, 74 countries have officially reported 28,774 cases of influenza A(H1N1) infection, including 144 deaths. Comments are welcome while open. Size of this PNG preview of this SVG file: I, the copyright holder of this work, hereby publish it under the following licenses: Add a one-line explanation of what this file represents. When updating this map, please use the CSS section and not SVG fill instructions. The best practises deployed in various parts of the country, such as in the Soo, should be studied and borrowed. But it wasn't all bad news. Newspapers Limited, One Yonge Street, 4th floor, Toronto, ON, M5E 1E6. For example, while crowds forced Toronto to shut down its two initial H1N1 vaccine clinics just hours after opening them, Sault Ste. That's because the Soo had set up an efficient registry in advance. H1N1 Canada human swine flu - deaths - CSS map.svg, https://creativecommons.org/licenses/by-sa/3.0, Creative Commons Attribution-Share Alike 3.0, File:H1N1 Canada map by confirmed deaths.svg, en:Wikipedia talk:Images for upload/svg/H1N1 Canada human swine flu - deaths - CSS map.svg, file:Canada_provinces-blank_CSS-map_green.svg, Creative Commons Attribution-ShareAlike 3.0 Unported, GNU Free Documentation License, version 1.2 or later, File talk:H1N1 Canada human swine flu - zoonosis - CSS map.svg, Discusión:Pandemia de gripe A (H1N1) de 2009-2010 por país y territorio, https://en.wikipedia.org/wiki/File:H1N1_Canada_human_swine_flu_-_deaths_-_CSS_map.svg, Permission is granted to copy, distribute and/or modify this document under the terms of the, contributed by 76.66.193.221 – derived from File:H1N1 Canada human swine flu - deaths - CSS map.svg ---update ON, contributed by 76.66.202.123 13:52, 2 August 2009 (UTC) – derived from File:H1N1 Canada human swine flu - deaths - CSS map.svg update AB, NS, PQ, update contributed by 76.66.192.91 with an update for BC, Reverted to version as of 12:44, 11 July 2009. update; contributed by 76.66.192.91; derivative of previous version. Influenza A(H1N1) - update 47. 100+ morts 500+ morts ... H1N1 Canada Map by confirmed cases.svg; File:H1N1 Canada human swine flu - deaths - CSS map.svg ; File:H1N1 Canada map.svg; File usage on other wikis. Tropical regions of South and Southeast Asia continue to experience geographically regional or widespread influenza activity (represented by countries such as India, Bangladesh, Myanmar, Thailand, Cambodia, Sri Lanka, and Indonesia). Marie was immunizing residents with military precision. CC BY-SA 3.0 For one thing, Simonsen said, people continued to die from the pandemic strain into 2010 and even later. As of 5 October 2009, there were 892 confirmed cases in the province, with 7 deaths associated with the H1N1 virus. On 3 May, the first case in … The pandemic appears to have peaked in mid-November. And this is what this pandemic pointed out — that this was not seasonal flu.". When updating this map, please use the CSS section and not SVG fill instructions. When updating this map, please use the CSS section and not SVG fill instructions. Because next time we might not be so lucky. You will not receive a reply. rights reserved. Pandemic (H1N1) 2009 - update 64 Weekly update. The graph illustrates the course of the current H1N1 flu virus outbreak in Canada. Another thing the paper shows is the complexity of calculating deaths in an event like a flu pandemic. It is a priority for CBC to create a website that is accessible to all Canadians including people with visual, hearing, motor and cognitive challenges. While early reports out of Mexico — where the virus was first spotted — raised alarm that the outbreak might be very severe, some parts of the world saw such mild activity that people questioned the decision to declare the outbreak a pandemic. As of May 22 2009, a total of 805 laboratory-confirmed cases of H1N1 flu virus have been reported in 9 provinces and 1 territory in Canada (see Table 1 below). Response to this pandemic was distressingly uneven, with access to potentially life-saving shots varying greatly from one region to another and even between health units in the same province. Edition . Box 500 Station A Toronto, ON Canada, M5W 1E6. To order copies of They suggested the true death toll may have been in the 300,000 to 400,000 range. That led to serious production delays. "One should be dealing with years of life lost or something to try to really understand the texture as much as the cut.". The highest hospitalization rates occurred in children aged less than 5 years of age. Distribution flaws in several provinces saw small children and other high-risk persons stuck in long line-ups while sports stars and hospital insiders received priority treatment. The following pages on the English Wikipedia use this file (pages on other projects are not listed): (SVG file, nominally 978 × 950 pixels, file size: 64 KB). Other provinces managed better with fewer delivery units. Deaths from H1N1 pandemic flu in 2009 was similar to the annual toll of seasonal flu, but researchers suggest comparison is misleading because those who died during the H1N1 pandemic were a lot younger, H1N1 pandemic death numbers like seasonal flu, CBC's Journalistic Standards and Practices. But some weaknesses in the system stood starkly revealed. As of May 22 2009, a total of 805 laboratory-confirmed cases of H1N1 flu virus have been reported in 9 provinces and 1 territory in Canada (see Table 1 below). President and CEO, Trust for America's Health. To encourage thoughtful and respectful conversations, first and last names will appear with each submission to CBC/Radio-Canada's online communities (except in children and youth-oriented communities). After a crisis, the various health authorities would do this sort of analysis as a matter of course. The pandemic strain of the H1N1 influenza virus isolated in 2009 [influenza A(H1N1) pdm09] contained a novel combination of genetic segments from influenza viruses affecting humans, pigs, and birds . The breakdown of the number of laboratory-confirmed cases by country is … "Number of deaths is a misleading indicator of the severity of influenza," Osterholm insisted. The breakdown of the number of laboratory-confirmed cases by country is given in the following table and map. Their model suggests that for the four years preceding the pandemic, between 148,000 and 249,000 people a year died from seasonal flu, on average. update by 76.66.193.20 fromen:Wikipedia talk:Images for upload/svg/H1N1 Canada human swine flu - deaths - CSS map.svg sask updated: 07:21, 25 June 2009: 978 × 950 (64 KB) Graeme Bartlett (talk | contribs) Influenza A/H1N1 2009 novel human swine flu (Mexican Flu) outbreak map for pandemic deaths in Canada - by - 70.29.212.226 - update 24 June 2009 Osterholm noted that the mean age of people who died in the H1N1 outbreak was 40, at a time when life expectancy was 79 years. Ten Lessons Learned from the H1N1 (Swine) Flu Outbreak. Source: contributed by 70.29.208.69 – derived from File:H1N1 Canada human swine flu - deaths - CSS map.svg - update MB - via, Influenza A/H1N1 2009 novel human swine flu (Mexican Flu) outbreak map for pandemic deaths in Canada - by - 70.29.212.226 - update 24 June 2009. The H1N1 flu pandemic claimed roughly the same number of lives in 2009 as seasonal flu did on average in each of the four years preceding the pandemic, a new study suggests. Please note that deleting superseded images requires consent. Michael Osterholm, an infectious diseases expert at the University of Minnesota, agreed years of life lost is a better way to gauge the impact of the 2009 pandemic. It is worth noting that the current H1N1 outbreak only began in March. permissions/licensing, please go to: www.TorontoStarReprints.com. Simonsen said there were huge variations in how regions and even countries within regions were hit. France ended up sending back most of the pandemic vaccine it ordered because few people agreed to be vaccinated. The killed vaccine was injected, while the … The Public Health Agency of Canada (PHAC) is committed to sharing information about H1N1 flu virus cases with Canadians. Click on a date/time to view the file as it appeared at that time. To order The following graph, also known as an epidemic curve, is up to date as of May 20, 2009. Figure 1. Time is of the essence. On 3 May, the first case in … Creative Commons Attribution-Share Alike 3.0 Size of this PNG preview of this SVG file: I, the copyright holder of this work, hereby publish it under the following licenses: Add a one-line explanation of what this file represents. Comments on this story are moderated according to our Submission Guidelines. Canada’s response to the 2009 H1N1 influenza pandemic.The committee heard from representatives of the federal government, several provincial and territorial governments, healthcare professions, First Nations and Inuit organizations, and the research community as it As of 14:00 GMT, 11 June 2009, 74 countries have officially reported 28,774 cases of influenza A(H1N1) infection, including 144 deaths. For this study, Simonsen and her co-authors looked at mortality data from 20 countries representing 35 per cent of the world's population for the period from 2005 to 2009. Frontline doctors, nurses and public health officials worked extraordinarily hard and managed to immunize more than 40 per cent of Canadians. With the H1N1 flu virus now fading, Canada's public health experts, scientists, and political leaders should shift their emphasis from fighting the pandemic to analyzing the vaccination campaign, with an eye to what went wrong and how to do better next time. It is little wonder, then, that the H1N1 virus was chosen by Canada's newspaper editors and broadcast news directors as the top news story of 2009. This file has been superseded by File:H1N1 Canada map by confirmed deaths.svg. truetrue. Creative Commons Attribution-Share Alike 3.0 Source: contributed by 70.29.208.69 – derived from File:H1N1 Canada human swine flu - deaths - CSS map.svg - update MB - via, Influenza A/H1N1 2009 novel human swine flu (Mexican Flu) outbreak map for pandemic deaths in Canada - by - 70.29.212.226 - update 24 June 2009. Star Newspapers Limited and/or its licensors. Roughly a million people are believed to have died in the 1968 pandemic. John Auerbach, Contributor. Number of Laboratory-Confirmed H1N1 flu virus Cases in Canada by Date of Onset as reported to the Public Health Agency of Canada of May 20, 2009 15:00 EDT (N=539). Copyright owned or licensed by Toronto Star Newspapers Limited. Closed Captioning and Described Video is available for many CBC shows offered on CBC Gem. Confirmed cases are posted Monday, Wednesday and Friday at 4 p.m. EDT. For enquiries, contact us. "It's apples and oranges because these pandemic deaths are much younger than the seasonal [flu] deaths," said Simonsen, who has extensively studied the death tolls of known flu pandemics. It is recommended to use the other file. Français : Carte montrant les provinces et territoires selon les cas de la grippe A (H1N1) de 2009 au Canada. English: Map showing provinces and territories reporting 2009 swine flu (H1N1) cases in Canada. Coronavirus disease outbreak (COVID-2019), Coronavirus disease outbreak (COVID-19) », Map of the spread of Influenza A(H1N1): number of laboratory confirmed cases and deaths, Newly confirmed since the last reporting period. As of 1 February 2010, there had been 1,774 new confirmed cases, with 4 deaths since the start of the "second wave" 6 October. The map can be edited very rapidly because it is a current event which is changing hour by hour. When one uses years of life lost as a measuring stick against which to assess the pandemic, its severity is in line with the 1968 Hong Kong flu, the pandemic which preceded the 2009 outbreak, she said. Next time, Ontario should consider handing the assignment to its 14 Local Health Integration Networks (LHINs), which can call on the resources of hospitals and clinics to assist in distribution. Table 1: Summary of laboratory-confirmed cases of H1N1 flu virus reported to the Public Health Agency of Canada, by the provinces and territories as of May 22, 2009 at 15:00 EDT . The H1N1 flu pandemic claimed roughly the same number of lives in 2009 as seasonal flu did on average in each of the four years preceding the pandemic, a new study suggests. For instance, while the pandemic's severity was highest in the Americas, Chile weathered the storm much better than neighbouring Argentina. Tropical regions of South and Southeast Asia continue to experience geographically regional or widespread influenza activity (represented by countries such as India, Bangladesh, Myanmar, Thailand, Cambodia, Sri Lanka, and Indonesia). The most recent date of symptom onset is May 15, 2009. They suggested between 123,000 and 203,000 people died from pandemic flu in the final nine months of 2009 — about 10 times more than the 18,631 deaths that the WHO confirmed. Source: Provincial/Territorial Ministries of Health. By submitting a comment, you accept that CBC has the right to reproduce and publish that comment in whole or in part, in any manner CBC chooses. Confirmed cases of Pandemic (H1N1) 2009 virus, commonly called 'swine flu', which originated in Mexico around March 18, 2009, have occurred around the globe and are now in decline. There is always a delay from the date that an illness starts to the date the case is reported to public health authorities. Many deaths have been associated with this outbreak.In Canada, Pandemic (H1N1) 2009 virus was confirmed in all provinces and territories and carried a mortality rate of 1.3 per 100,000 population. All But Canada's response to the H1N1 pandemic should be subject to a broader review, perhaps by an expert panel struck for that purpose. As of 1 February 2010, there had been 1,774 new confirmed cases, with 4 deaths since the start of the "second wave" 6 October. CC BY-SA 3.0 But the authors said the paper likely substantially underestimates the total death toll for the 2009 pandemic. The H1N1 vaccine was delivered by the province's 36 public health units, which were clearly overwhelmed by the task. Likewise, Romania was badly hit — though most of the rest of Europe saw mainly mild illness. In retrospect, the H1N1 virus served as a useful dry run, sharpening our pandemic response. expressly prohibited without the prior written consent of Toronto Legend Key. Toronto Star articles, please go to: www.TorontoStarReprints.com, The Toronto Star and thestar.com, each property of Toronto Star 11 June 2009 - It is little wonder, then, that the H1N1 virus was chosen by Canada's newspaper editors and broadcast news directors as the top news story of 2009. If they die of pneumonia or of a heart attack brought on by their illness, their death certificate often does not indicate that influenza started the cascade that led to death. As of 5 October 2009, there were 892 confirmed cases in the province, with 7 deaths associated with the H1N1 virus. The authors were from the U.S., the Netherlands, Britain and from the World Health Organization in Geneva. "While we'd like to prevent all flu deaths, a flu death in a person who has a number of co-morbidities [other diseases] at age 78 is very different than that of a young, pregnant woman — otherwise healthy — at age 22.". Pseudonyms will no longer be permitted. It's not clear why there was such variability, said Simonsen, who noted that the fact that countries with similar socio-economic status and health-care systems had markedly different experiences suggests one cannot put it down to the calibre of medical care or the basic health of the populace. Canadian hospitalizations, intensive care unit admissions, and deaths have dropped steadily since then. It shows the date when symptoms of H1N1 flu virus began for each of the laboratory-confirmed cases. This delay is the result of the time required for patients to see their physicians, laboratory testing to be completed, and results to be communicated to public health authorities. Please note that CBC does not endorse the opinions expressed in comments. Unless the H1N1 virus mutates in some unexpected way and manages a rebound, Canadians, as a group, should consider themselves lucky. Others will be more difficult to implement. The graph is prepared retrospectively and is updated daily using the information available at that time. Another key finding of the study was that some parts of the world were hit far harder than others, with 20 times more deaths in the Americas than in Europe. That's a relative pittance compared to the toll of past pandemics. Influenza doesn't always — or often — kill directly. Even without a national system, however, Ontario could take some meaningful steps toward correcting problems within its own borders. But looking at the total number of deaths is a misleading way to analyze the toll of the 2009 outbreak, said the first author of the paper, Prof. Lone Simonsen of the school of public health at George Washington University in Washington, D.C. That's because where about 80 per cent of people who die from seasonal flu are 65 and older, between 62 per cent and 85 per cent of the people who succumbed to pandemic H1N1 were younger than 65. As of 14:00 GMT, 11 June 2009, 74 countries have officially reported 28,774 cases of influenza A(H1N1) infection, including 144 deaths. But it wasn't all bad news. H1N1 Canada human swine flu - deaths - CSS map.svg, https://creativecommons.org/licenses/by-sa/3.0, Creative Commons Attribution-Share Alike 3.0, File:H1N1 Canada map by confirmed deaths.svg, en:Wikipedia talk:Images for upload/svg/H1N1 Canada human swine flu - deaths - CSS map.svg, file:Canada_provinces-blank_CSS-map_green.svg, Creative Commons Attribution-ShareAlike 3.0 Unported, GNU Free Documentation License, version 1.2 or later, File talk:H1N1 Canada human swine flu - zoonosis - CSS map.svg, Discusión:Pandemia de gripe A (H1N1) de 2009-2010 por país y territorio, https://en.wikipedia.org/wiki/File:H1N1_Canada_human_swine_flu_-_deaths_-_CSS_map.svg, Permission is granted to copy, distribute and/or modify this document under the terms of the, contributed by 76.66.193.221 – derived from File:H1N1 Canada human swine flu - deaths - CSS map.svg ---update ON, contributed by 76.66.202.123 13:52, 2 August 2009 (UTC) – derived from File:H1N1 Canada human swine flu - deaths - CSS map.svg update AB, NS, PQ, update contributed by 76.66.192.91 with an update for BC, Reverted to version as of 12:44, 11 July 2009. update; contributed by 76.66.192.91; derivative of previous version. Original file (SVG file, nominally 978 × 950 pixels, file size: 64 KB). It is not as current as Table 1 that contains the summary of laboratory-confirmed cases, as information about the date of onset of symptoms takes more time to compile. Using that data, they built a mathematical model to calculate global figures. This copy is for your personal non-commercial use only. When interpreting the graph, it should be noted that: Public Health Agency of Canada Health and Safety. "A flu death is not just a flu death," said Osterholm, who is the director of the university's Center for Infectious Diseases Research and Policy. And the federal government opted to contract with one pharmaceutical manufacturer for the vaccine rather than spread the task among several. Click on a date/time to view the file as it appeared at that time. While more than 400 H1N1-related deaths have been reported in Canada, even an average flu season typically kills thousands. We reserve the right to close comments at any time. https://creativecommons.org/licenses/by-sa/3.0 And the team wasn't able to get mortality data for many parts of the world. And some politicians at the Council of Europe were heavily critical of the WHO's actions, accusing the agency of setting off a false alarm. Commons is a freely licensed media file repository. To date, 21 cases have been hospitalized and one death has been reported. To take advantage of it, however, we need an in-depth and unbiased look at what went wrong, coupled with a commitment to fix the problems. Commons is a freely licensed media file repository. As this pandemic wanes, it is prudent of us to start preparing for the next one.
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