2009 swine flu pandemic in the United States
Updated: 5/20/2026, 7:03:40 PM 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 . 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 . 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 million cases (range: 43 - 89 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
| 2009 US Swine Flu Summary | |
| Number of Confirmed Cases/Deaths | See Table Above |
| Number of States/Territories with Reported Cases | 56 |
| Number of States/Territories with 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) |
| 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. |