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2009 swine flu pandemic in the United States

Updated: 11/6/2025, 12:40:02 AM Wikipedia source

The 2009 flu pandemic in the United States was caused by a novel strain of the Influenza A/H1N1 virus, commonly referred to as "swine flu", that was first detected on April 15, 2009. While the 2009 H1N1 virus strain was commonly referred to as "swine flu", there is no evidence that it is endemic to pigs (i.e. actually a swine flu) or of transmission from pigs to people; instead, the virus spreads from person to person. On April 25, the World Health Organization declared a public health emergency, followed concurringly by the Obama administration on April 26. The U.S. Centers for Disease Control and Prevention (CDC) reported that during the outbreak about half of all influenza viruses being reported were 2009 H1N1 viruses, with the other half being those of the regular seasonal influenza. Unique to this particular strain, about 60% of the 2009 H1N1 influenza cases were occurring among people between 5 years and 24 years of age, and 40% of the hospitalizations were occurring among children and young adults. About 80% of the deaths were in people younger than 65 years of age. The CDC noted that this differed greatly from typical seasonal influenza epidemics, during which about 70% to 90% of deaths are estimated to occur in people 65 years and older. Antibody studies showed that children had no existing cross-reactive antibody to the 2009 H1N1 influenza virus, while about one-third of adults older than 60 years of age had cross-reactive antibody. By April 21, 2009, CDC had begun working to develop a virus that could be used to make a vaccine to protect against the new virus. Following preparation for distribution beginning in June, the first doses were administered in October 2009. On August 10, 2010, WHO declared an end to the global 2009 H1N1 influenza pandemic. However, the virus continues to circulate as a seasonal flu virus, and cause illness, hospitalization, and deaths worldwide every year. From April 12, 2009, to April 10, 2010, the CDC estimates there were 60.8 million cases (range: 43.3 - 89.3 million), 274,304 hospitalizations (range: 195,086 - 402,719), and 12,469 deaths (range: 8868 - 18,306) in the United States due to the virus. A follow-up study done in September 2010 showed that the risk of serious illness resulting from the 2009 H1N1 flu was no higher than that of the yearly seasonal flu. For comparison, the CDC estimates the global H1N1 death toll at 284,000 and the WHO estimates that 250,000 to 500,000 people die of seasonal flu annually.

Tables

· Outbreak across the US
Number of Confirmed Cases/Deaths
Number of Confirmed Cases/Deaths
2009 US Swine Flu Summary
Number of Confirmed Cases/Deaths
Col 2
See Table Above
Number of States/Territorieswith Reported Cases
Number of States/Territorieswith Reported Cases
2009 US Swine Flu Summary
Number of States/Territorieswith Reported Cases
Col 2
56
Number of States/Territorieswith Confirmed Deaths
Number of States/Territorieswith Confirmed Deaths
2009 US Swine Flu Summary
Number of States/Territorieswith Confirmed Deaths
Col 2
55
Earliest Confirmed Infection in US
Earliest Confirmed Infection in US
2009 US Swine Flu Summary
Earliest Confirmed Infection in US
Col 2
March 28, 2009
First Death Inside the US
First Death Inside the US
2009 US Swine Flu Summary
First Death Inside the US
Col 2
April 27, 2009
First Death of US Citizen
First Death of US Citizen
2009 US Swine Flu Summary
First Death of US Citizen
Col 2
May 5, 2009
Number of People Hospitalized
Number of People Hospitalized
2009 US Swine Flu Summary
Number of People Hospitalized
Col 2
9,079 (as of September 3)
Fatalities
Fatalities
2009 US Swine Flu Summary
Fatalities
Col 2
593 (as of September 3)
2009 US Swine Flu Summary
Number of Confirmed Cases/Deaths
See Table Above
Number of States/Territorieswith Reported Cases
56
Number of States/Territorieswith Confirmed Deaths
55
Earliest Confirmed Infection in US
March 28, 2009
First Death Inside the US
April 27, 2009
First Death of US Citizen
May 5, 2009
Number of People Hospitalized
9,079 (as of September 3)
Fatalities
593 (as of September 3)
· Summary
28 March
28 March
2009
28 March
A(H1N1) Outbreak and pandemic milestones
First case in the US of what would later be identified as swine flu origin.
21 April
21 April
2009
21 April
A(H1N1) Outbreak and pandemic milestones
First case confirmed in California.
23 April
23 April
2009
23 April
A(H1N1) Outbreak and pandemic milestones
First case confirmed in Texas.
25 April
25 April
2009
25 April
A(H1N1) Outbreak and pandemic milestones
First case confirmed in Kansas.
Community outbreaks confirmed in the United States.
Community outbreaks confirmed in the United States.
2009
Community outbreaks confirmed in the United States.
26 April
26 April
2009
26 April
A(H1N1) Outbreak and pandemic milestones
First case confirmed in New York.
First case confirmed in Ohio.
First case confirmed in Ohio.
2009
First case confirmed in Ohio.
Acting HHS Secretary Charles E. Johnson declares 2009 H1N1 a public health emergency
Acting HHS Secretary Charles E. Johnson declares 2009 H1N1 a public health emergency
2009
Acting HHS Secretary Charles E. Johnson declares 2009 H1N1 a public health emergency
28 April
28 April
2009
28 April
A(H1N1) Outbreak and pandemic milestones
First case confirmed in Indiana.
29 April
29 April
2009
29 April
A(H1N1) Outbreak and pandemic milestones
First non-US citizen death confirmed in Texas.
First case confirmed in Nevada.
First case confirmed in Nevada.
2009
First case confirmed in Nevada.
First case confirmed in Arizona.
First case confirmed in Arizona.
2009
First case confirmed in Arizona.
First case confirmed in Maine.
First case confirmed in Maine.
2009
First case confirmed in Maine.
First case confirmed in Massachusetts.
First case confirmed in Massachusetts.
2009
First case confirmed in Massachusetts.
First case confirmed in Michigan.
First case confirmed in Michigan.
2009
First case confirmed in Michigan.
30 April
30 April
2009
30 April
A(H1N1) Outbreak and pandemic milestones
First case confirmed in Nebraska.
First case confirmed in South Carolina.
First case confirmed in South Carolina.
2009
First case confirmed in South Carolina.
First case confirmed in Minnesota.
First case confirmed in Minnesota.
2009
First case confirmed in Minnesota.
First case confirmed in Colorado.
First case confirmed in Colorado.
2009
First case confirmed in Colorado.
First case confirmed in Virginia.
First case confirmed in Virginia.
2009
First case confirmed in Virginia.
First case confirmed in Kentucky.
First case confirmed in Kentucky.
2009
First case confirmed in Kentucky.
First case confirmed in New Jersey.
First case confirmed in New Jersey.
2009
First case confirmed in New Jersey.
1 May
1 May
2009
1 May
A(H1N1) Outbreak and pandemic milestones
First case confirmed in Florida.
First case confirmed in Missouri.
First case confirmed in Missouri.
2009
First case confirmed in Missouri.
First case confirmed in Connecticut.
First case confirmed in Connecticut.
2009
First case confirmed in Connecticut.
First case confirmed in Delaware.
First case confirmed in Delaware.
2009
First case confirmed in Delaware.
2 May
2 May
2009
2 May
A(H1N1) Outbreak and pandemic milestones
First case confirmed in New Mexico.
First case confirmed in Utah.
First case confirmed in Utah.
2009
First case confirmed in Utah.
First case confirmed in New Hampshire.
First case confirmed in New Hampshire.
2009
First case confirmed in New Hampshire.
First case confirmed in Rhode Island.
First case confirmed in Rhode Island.
2009
First case confirmed in Rhode Island.
First case confirmed in Iowa.
First case confirmed in Iowa.
2009
First case confirmed in Iowa.
First case confirmed in Wisconsin.
First case confirmed in Wisconsin.
2009
First case confirmed in Wisconsin.
First case confirmed in Alabama.
First case confirmed in Alabama.
2009
First case confirmed in Alabama.
3 May
3 May
2009
3 May
A(H1N1) Outbreak and pandemic milestones
First case confirmed in Idaho.
First case confirmed in Pennsylvania.
First case confirmed in Pennsylvania.
2009
First case confirmed in Pennsylvania.
First case confirmed in Louisiana.
First case confirmed in Louisiana.
2009
First case confirmed in Louisiana.
First case confirmed in North Carolina.
First case confirmed in North Carolina.
2009
First case confirmed in North Carolina.
First case confirmed in Tennessee.
First case confirmed in Tennessee.
2009
First case confirmed in Tennessee.
4 May
4 May
2009
4 May
A(H1N1) Outbreak and pandemic milestones
First case confirmed in Oregon.
First case confirmed in Georgia.
First case confirmed in Georgia.
2009
First case confirmed in Georgia.
First case confirmed in Maryland.
First case confirmed in Maryland.
2009
First case confirmed in Maryland.
5 May
5 May
2009
5 May
A(H1N1) Outbreak and pandemic milestones
First case confirmed in Washington.
First case confirmed in Oklahoma.
First case confirmed in Oklahoma.
2009
First case confirmed in Oklahoma.
First case confirmed in Hawaii.
First case confirmed in Hawaii.
2009
First case confirmed in Hawaii.
First US citizen death confirmed in Texas.
First US citizen death confirmed in Texas.
2009
First US citizen death confirmed in Texas.
6 May
6 May
2009
6 May
A(H1N1) Outbreak and pandemic milestones
First case confirmed in District of Columbia.
7 May
7 May
2009
7 May
A(H1N1) Outbreak and pandemic milestones
First case confirmed in South Dakota.
8 May
8 May
2009
8 May
A(H1N1) Outbreak and pandemic milestones
First case confirmed in Vermont.
First case confirmed in Arkansas.
First case confirmed in Arkansas.
2009
First case confirmed in Arkansas.
9 May
9 May
2009
9 May
A(H1N1) Outbreak and pandemic milestones
First death confirmed in Washington.
11 May
11 May
2009
11 May
A(H1N1) Outbreak and pandemic milestones
First case confirmed in Montana.
13 May
13 May
2009
13 May
A(H1N1) Outbreak and pandemic milestones
First case confirmed in North Dakota.
14 May
14 May
2009
14 May
A(H1N1) Outbreak and pandemic milestones
First death confirmed in Arizona.
15 May
15 May
2009
15 May
A(H1N1) Outbreak and pandemic milestones
First case confirmed in Mississippi.
17 May
17 May
2009
17 May
A(H1N1) Outbreak and pandemic milestones
First death confirmed in New York.
19 May
19 May
2009
19 May
A(H1N1) Outbreak and pandemic milestones
First death confirmed in Missouri.
20 May
20 May
2009
20 May
A(H1N1) Outbreak and pandemic milestones
First death confirmed in Utah.
25 May
25 May
2009
25 May
A(H1N1) Outbreak and pandemic milestones
First death confirmed in Illinois.
26 May
26 May
2009
26 May
A(H1N1) Outbreak and pandemic milestones
First case confirmed in Puerto Rico.
27 May
27 May
2009
27 May
A(H1N1) Outbreak and pandemic milestones
First case confirmed in Wyoming.
First case confirmed in Alaska.
First case confirmed in Alaska.
2009
First case confirmed in Alaska.
2 June
2 June
2009
2 June
A(H1N1) Outbreak and pandemic milestones
First case confirmed in West Virginia. All 50 states have confirmed H1N1.
First death confirmed in Virginia.
First death confirmed in Virginia.
2009
First death confirmed in Virginia.
3 June
3 June
2009
3 June
A(H1N1) Outbreak and pandemic milestones
First death confirmed in Michigan.
First death confirmed in Connecticut.
First death confirmed in Connecticut.
2009
First death confirmed in Connecticut.
4 June
4 June
2009
4 June
A(H1N1) Outbreak and pandemic milestones
First death confirmed in California.
5 June
5 June
2009
5 June
A(H1N1) Outbreak and pandemic milestones
First death confirmed in Pennsylvania.
First death confirmed in Wisconsin.
First death confirmed in Wisconsin.
2009
First death confirmed in Wisconsin.
8 June
8 June
2009
8 June
A(H1N1) Outbreak and pandemic milestones
First death confirmed in Oregon.
First death confirmed in Oklahoma.
First death confirmed in Oklahoma.
2009
First death confirmed in Oklahoma.
15 June
15 June
2009
15 June
A(H1N1) Outbreak and pandemic milestones
First death confirmed in New Jersey.
First death confirmed in Massachusetts.
First death confirmed in Massachusetts.
2009
First death confirmed in Massachusetts.
First death confirmed in Minnesota.
First death confirmed in Minnesota.
2009
First death confirmed in Minnesota.
16 June
16 June
2009
16 June
A(H1N1) Outbreak and pandemic milestones
First death confirmed in Florida.
First death confirmed in Rhode Island.
First death confirmed in Rhode Island.
2009
First death confirmed in Rhode Island.
First case confirmed in US Virgin Islands.
First case confirmed in US Virgin Islands.
2009
First case confirmed in US Virgin Islands.
23 June
23 June
2009
23 June
A(H1N1) Outbreak and pandemic milestones
First death confirmed in Maryland.
24 June
24 June
2009
24 June
A(H1N1) Outbreak and pandemic milestones
First death confirmed in North Carolina.
26 June
26 June
2009
26 June
A(H1N1) Outbreak and pandemic milestones
First case confirmed in American Samoa.
29 June
29 June
2009
29 June
A(H1N1) Outbreak and pandemic milestones
First death confirmed in Hawaii.
1 July
1 July
2009
1 July
A(H1N1) Outbreak and pandemic milestones
First case confirmed in Guam.
6 July
6 July
2009
6 July
A(H1N1) Outbreak and pandemic milestones
First death confirmed in Ohio.
First death confirmed in Nevada.
First death confirmed in Nevada.
2009
First death confirmed in Nevada.
10 July
10 July
2009
10 July
A(H1N1) Outbreak and pandemic milestones
First death confirmed in Indiana.
First death confirmed in Georgia.
First death confirmed in Georgia.
2009
First death confirmed in Georgia.
15 July
15 July
2009
15 July
A(H1N1) Outbreak and pandemic milestones
First death confirmed in Nebraska.
First death confirmed in Tennessee.
First death confirmed in Tennessee.
2009
First death confirmed in Tennessee.
20 July
20 July
2009
20 July
A(H1N1) Outbreak and pandemic milestones
First death confirmed in Guam.
21 July
21 July
2009
21 July
A(H1N1) Outbreak and pandemic milestones
First case confirmed in Northern Mariana Islands.
27 July
27 July
2009
27 July
A(H1N1) Outbreak and pandemic milestones
First death confirmed in Alaska.
29 July
29 July
2009
29 July
A(H1N1) Outbreak and pandemic milestones
First death confirmed in Alabama.
First death confirmed in Colorado.
First death confirmed in Colorado.
2009
First death confirmed in Colorado.
3 August
3 August
2009
3 August
A(H1N1) Outbreak and pandemic milestones
First death confirmed in Iowa.
6 August
6 August
2009
6 August
A(H1N1) Outbreak and pandemic milestones
First death confirmed in Kansas.
First death confirmed in Montana.
First death confirmed in Montana.
2009
First death confirmed in Montana.
First death confirmed in Mississippi.
First death confirmed in Mississippi.
2009
First death confirmed in Mississippi.
8 August
8 August
2009
8 August
A(H1N1) Outbreak and pandemic milestones
First death confirmed in Arkansas.
10 August
10 August
2009
10 August
A(H1N1) Outbreak and pandemic milestones
First death confirmed in New Mexico.
13 August
13 August
2009
13 August
A(H1N1) Outbreak and pandemic milestones
First death confirmed in Maine.
First death confirmed in Louisiana.
First death confirmed in Louisiana.
2009
First death confirmed in Louisiana.
14 August
14 August
2009
14 August
A(H1N1) Outbreak and pandemic milestones
First case of Oseltamivir (Tamiflu) resistance confirmed.
17 August
17 August
2009
17 August
A(H1N1) Outbreak and pandemic milestones
First death confirmed in New Hampshire.
19 August
19 August
2009
19 August
A(H1N1) Outbreak and pandemic milestones
First death confirmed in Wyoming.
28 August
28 August
2009
28 August
A(H1N1) Outbreak and pandemic milestones
First death confirmed in South Carolina.
2 September
2 September
2009
2 September
A(H1N1) Outbreak and pandemic milestones
First death confirmed in US Virgin Islands.
3 September
3 September
2009
3 September
A(H1N1) Outbreak and pandemic milestones
First death confirmed in Kentucky.
4 September
4 September
2009
4 September
A(H1N1) Outbreak and pandemic milestones
First death confirmed in West Virginia.
10 September
10 September
2009
10 September
A(H1N1) Outbreak and pandemic milestones
First Oseltamivir (Tamiflu) resistance spread from person to person confirmed.
28 September
28 September
2009
28 September
A(H1N1) Outbreak and pandemic milestones
First death confirmed in Idaho.
2 October
2 October
2009
2 October
A(H1N1) Outbreak and pandemic milestones
First death confirmed in South Dakota.
22 October
22 October
2009
22 October
A(H1N1) Outbreak and pandemic milestones
First death confirmed in Delaware.
26 October
26 October
2009
26 October
A(H1N1) Outbreak and pandemic milestones
First death confirmed in North Dakota.
28 October
28 October
2009
28 October
A(H1N1) Outbreak and pandemic milestones
President Obama declares H1N1 a National Emergency.
First death confirmed in Vermont. All 50 states have confirmed H1N1 deaths.
First death confirmed in Vermont. All 50 states have confirmed H1N1 deaths.
2009
First death confirmed in Vermont. All 50 states have confirmed H1N1 deaths.
4 November
4 November
2009
4 November
A(H1N1) Outbreak and pandemic milestones
First feline zoonosis confirmed in Iowa.
19 November
19 November
2009
19 November
A(H1N1) Outbreak and pandemic milestones
First death confirmed in American Samoa.
First feline death confirmed in Oregon.
First feline death confirmed in Oregon.
2009
First feline death confirmed in Oregon.
24 November
24 November
2009
24 November
A(H1N1) Outbreak and pandemic milestones
First double infection case confirmed in West Virginia.
2009
A(H1N1) Outbreak and pandemic milestones
28 March
First case in the US of what would later be identified as swine flu origin.
21 April
First case confirmed in California.
23 April
First case confirmed in Texas.
25 April
First case confirmed in Kansas.
Community outbreaks confirmed in the United States.
26 April
First case confirmed in New York.
First case confirmed in Ohio.
Acting HHS Secretary Charles E. Johnson declares 2009 H1N1 a public health emergency
28 April
First case confirmed in Indiana.
29 April
First non-US citizen death confirmed in Texas.
First case confirmed in Nevada.
First case confirmed in Arizona.
First case confirmed in Maine.
First case confirmed in Massachusetts.
First case confirmed in Michigan.
30 April
First case confirmed in Nebraska.
First case confirmed in South Carolina.
First case confirmed in Minnesota.
First case confirmed in Colorado.
First case confirmed in Virginia.
First case confirmed in Kentucky.
First case confirmed in New Jersey.
1 May
First case confirmed in Florida.
First case confirmed in Missouri.
First case confirmed in Connecticut.
First case confirmed in Delaware.
2 May
First case confirmed in New Mexico.
First case confirmed in Utah.
First case confirmed in New Hampshire.
First case confirmed in Rhode Island.
First case confirmed in Iowa.
First case confirmed in Wisconsin.
First case confirmed in Alabama.
3 May
First case confirmed in Idaho.
First case confirmed in Pennsylvania.
First case confirmed in Louisiana.
First case confirmed in North Carolina.
First case confirmed in Tennessee.
4 May
First case confirmed in Oregon.
First case confirmed in Georgia.
First case confirmed in Maryland.
5 May
First case confirmed in Washington.
First case confirmed in Oklahoma.
First case confirmed in Hawaii.
First US citizen death confirmed in Texas.
6 May
First case confirmed in District of Columbia.
7 May
First case confirmed in South Dakota.
8 May
First case confirmed in Vermont.
First case confirmed in Arkansas.

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