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. Author manuscript; available in PMC: 2010 May 20.
Published in final edited form as: Nature. 2009 Jun 18;459(7249):931–939. doi: 10.1038/nature08157

Table 1.

Timeline of swine-origin H1N1 virus outbreak (see also 32)

Mid-February Outbreak of respiratory illness in La Gloria, Veracruz, Mexico31
April 12 Mexican public health authorities report outbreak in Veracruz to the PAHO
April 15 CDC identifies S-OIV in the specimen of a boy from San Diego, California
April 17 CDC identifies S-OIV in the specimen of a girl from Imperial, California
April 21 CDC alerts doctors to a novel strain of H1N1 influenza virus
April 23 The Public Health Agency of Canada identifies S-OIV in specimens from
Mexico
April 24 WHO issues Disease Outbreak Notice
April 27 International spread and clusters of human-to-human transmission prompt
WHO to raise the pandemic alert from phase 3 to 4
April 29 WHO raises the pandemic alert from phase 4 to 5 (human-to-human
spread in at least two countries in one WHO region)
May 21 41 countries report 11,034 cases, including 85 deaths