2009 — April 12-April 10, 2010, H1N1 “Swine Flu” Pandemic (U.S.) (ICD 10 J09.X)–12,469

—  53,692  All forms of influenza and pneumonia deaths (ICD-10, J09-J18 codes). CDC Wonder.

—  13,930  Estimated high-end dumber of deaths between April 2009 and November 2009.[1]

—  12,469  4-12-2009 to 4-10-2010. CDC final estimates for H1N1 deaths published in 2011.[2]

–~12,469  Blanchard. (We view CDC figures as authoritative, though an under-estimate.)

>12,000  CT.gov. Dept. of Public Health. Pandemic Influenza (website). 4-29-2013 mod.[3]

–>12,000  MD Dept. of Health and Mental Hygiene. Maryland Influenza Plan, 2013-2014. p.3.[4]

–~11,160  CDC Estimates of 2009 H1N1. “Updated Estimates from April-December 12, 2009”.[5]

–~10,000  McNeil. “Swine Flu Death Toll at 10,000 Since April.” New York Times, 12-11-2009.

—    3,433  Wikipedia. 2009 flu pandemic in the United States by state. 7-15-2017 edit.[6]

 

Summary of State Breakout of 2009 H1N1 Fatalities

 

Alabama         (  20 – 36)        Maine             (19-21)                        Pennsylvania  (>14-78)

Alaska            (  10 – 13)        Maryland       (43-45)                        Rhode Island             (    13)

Arizona          (140-152)        Massachusetts(30-33)            South Carolina          (    49)

Arkansas        (  17 – 32)        Michigan        (      88)            South Dakota             (    23)

California       (479-657)        Minnesota      (61-63)                        Tennessee                   (    57)

Colorado        (  70 – 82)        Mississippi      (22-26)                        Texas                          (  231)

Connecticut    (         35)         Missouri         (  8-17)                        Utah                            (    48)

Delaware        (           7)         Montana         (     19)            Vermont                     (      3)

District of Columbia(1)         Nebraska        (14-15)                        Virginia                      (    37) 

Florida            (       230)         Nevada           (     44)             Washington                (98-99)

Georgia          (         48)         New Hampshire ( 10)            West Virginia             (     22)

Hawaii            (         13)         New Jersey     (      42)            Wisconsin                   (41-55)

Idaho              (       >23)        New Mexico   (      58)            Wyoming                    (     10)

Illinois             (       112)         New York       (    206)           

Indiana           (    38-39)        North Carolina ( 107)          

Iowa                (         41)         North Dakota (        4)           

Kansas            (         29)         Ohio                (      52)           

Kentucky       (         39)         Oklahoma      (      44)

Louisiana       ( 41 – 52)         Oregon           ( 40-79)

                       

Breakout of H1N1 (“Swine Flu”) Deaths by State (where located)

 

Alabama         (20-36)

–36  Wikipedia. 2009 flu pandemic in the United States by State. [Narrative section.][7]

–31  CDC WONDER. ICD-10 J09, J10, and J11 codes.

–20  Apr 28-Oct 20. Alabama Department of Public Health. Novel H1N1 Influenza (webpage).[8]

–19  Wikipedia. 2009 flu pandemic in the United States by State. [Table: Reported cases…]

 

Alaska            (10-13)

–13  Wikipedia. 2009 flu pandemic in the United States. [Table: Reported cases…][9]

–11  Wikipedia. 2009 flu pandemic in the United States. [Narrative] March 2010 modification.[10]

–10  AK DHSS. Alaska Laboratory-Confirmed Influenza Deaths by Week [Sep 5-Nov 28].

 

Arizona          (140-152)

–152  Wikipedia. 2009 flu pandemic in the United States. [Table: Reported cases…]

–140  Wikipedia. 2009 flu pandemic in the United States. [Narrative][11]

 

Arkansas        ( 17 – 32)

–32  Wikipedia. 2009 flu pandemic in the United States. [Table: Reported cases…][12]

–17  Arkansas Department of Health. “Influenza Update.” 11-5-2009, p. 3.[13]

 

California       (479-657)

—  657  Wikipedia. 2009 flu pandemic in the United States by state. [Table: Reported cases…]

>479  Wikipedia. 2009 flu pandemic in the United States by state. [Narrative section]

—  188  CA Dept. Public Health. Novel Influenza A (H1N1) Virus — Data Tables…9-26-2009.[14]

–19-33  Alameda County. Blanchard recap of sources below.

–33  Wikipedia. 2009 flu pandemic in the United States. [Table: Reported…][15]

–19  Alameda County Public Health Department Website. H1N1 (Swine) Flu.[16]

–13  CA DPH. Novel Influenza A (H1N1) Virus — Data Tables…9-26-2009.

—  1  Berkeley City. Alameda County Public Health Dept. Website. H1N1 (Swine) Flu

—  6  Contra Costa. CA DPH. Novel Influenza…H1N1 Virus — Data Tables…9-26-2009.

—  1  El Dorado Co. CA DPH. Novel Influenza A (H1N1) Virus-Data Tables…9-26-2009.

—  9  Fresno Co. CA DPH. Novel Influenza A (H1N1) Virus — Data Tables…9-26-2009.

—  1  Humboldt Co. CA DPH. Novel Influenza…(H1N1) Virus- Data Tables…9-26-2009.

—  1  Kern County. CA DPH. Novel Influenza A (H1N1) Virus- Data Tables…9-26-2009.

—  1  Kings Co.. CA DPH. Novel Influenza A (H1N1) Virus- Data Tables…9-26-2009.

—  2  Long Beach City. CA DPH. Novel Influenza…H1N1…Data Tables…9-26-2009.

–33  Los Angeles. CA DPH. Novel Influenza A (H1N1) Virus – Data Tables…9-26-2009.

—  1  Madera. CA DPH. Novel Influenza A (H1N1) Virus- Data Tables…9-26-2009.

—  4  Marin. CA DPH. Novel Influenza A (H1N1) Virus- Data Tables…9-26-2009.

—  2  Mendocino. CA DPH. Novel Influenza A (H1N1) Virus- Data Tables…9-26-2009.

—  2  Merced. CA DPH. Novel Influenza A (H1N1) Virus- Data Tables…9-26-2009.

—  1  Monterey. CA DPH. Novel Influenza A (H1N1) Virus- Data Tables…9-26-2009.

—  1  Napa. CA DPH. Novel Influenza A (H1N1) Virus- Data Tables…9-26-2009.

—  1  Orange. CA DPH. Novel Influenza A (H1N1) Virus- Data Tables…9-26-2009.

—  2  Placer. CA DPH. Novel Influenza A (H1N1) Virus- Data Tables…9-26-2009.

—  7  Riverside. CA DPH. Novel Influenza A (H1N1) Virus- Data Tables…9-26-2009.

—  8  Sacramento. CA DPH. Novel Influenza A (H1N1) Virus- Data Tables…9-26-2009.

—  8  San Bernardino. CADPH. Novel Influenza…H1N1 Virus- Data Tables…9-26-2009.

–19  San Diego. CA DPH. Novel Influenza A (H1N1) Virus- Data Tables…9-26-2009.

—  7  San Francisco. CADPH. Novel Influenza A (H1N1) Virus- Data Tables…9-26-2009.

—  3  San Joaquin. CA DPH. Novel Influenza A (H1N1) Virus- Data Tables…9-26-2009.

—  1  San Luis Obispo. CADPH. Novel Influenza…H1N1 Virus Data Tables…9-26-2009.

—  7  San Mateo. CA DPH. Novel Influenza A (H1N1) Virus- Data Tables…9-26-2009.

—  8  Santa Clara. CA DPH. Novel Influenza A (H1N1) Virus- Data Tables…9-26-2009.

—  1  Santa Cruz. CA DPH. Novel Influenza A (H1N1) Virus- Data Tables…9-26-2009.

—  2  Solano. CA DPH. Novel Influenza A (H1N1) Virus- Data Tables…9-26-2009.

—  9  Sonoma. CA DPH. Novel Influenza A (H1N1) Virus- Data Tables…9-26-2009.

—  6  Stanislaus. CA DPH. Novel Influenza A (H1N1) Virus- Data Tables…9-26-2009.

—  2  Ventura. CA DPH. Novel Influenza A (H1N1) Virus- Data Tables…9-26-2009.

—  1  Yolo. CA DPH. Novel Influenza A (H1N1) Virus- Data Tables…9-26-2009.

 

Colorado        (70-82)[17]

–82  2009-10 pandemic influenza season; laboratory confirmed influenza-associated deaths.[18]

–70  Wikipedia. 2009 flu pandemic in the United States by state. [Table: Reported cases…][19]

 

Connecticut    (31-35)

–35  Wikipedia. 2009 flu pandemic in the United States by state. [Table: Reported cases…][20]

–31  Wikipedia. 2009 flu pandemic in the United States by state. [Narrative section.][21]

 

Delaware        (     7)

–7  Delaware.gov. “Delaware Flu cases Surpass Record 2009-2010 H1N1 ‘Swine Flu’ Year.”

–7  Wikipedia. 2009 flu pandemic in the United States by state. [Table: Reported cases…][22]

 

District of Co.(     1)

–1  Wikipedia. 2009 flu pandemic in the United States by state. [Table: Reported cases…][23]

 

Florida            ( 230)

–230  Miami Herald (M. Caputo). “Worst-in-years flu season spreading in Florida.” 1-9-2013.[24]

–230  Wikipedia. 2009 flu pandemic in the United States by state. [Table: Reported cases…][25]

–208  Wikipedia. 2009 flu pandemic in the United States by state. [Narrative section.]

–187  Floridahealth.gov. Section 5: Summary of 2009 H1N1 Influenza A Surveillance. P.249.[26]

–184  Floridahealth.gov. Florida Influenza Surveillance. Week 49: Dec 5-12, 2009.[27]

—  6  Alachua County.

—  1  Baker

—  5  Brevard

–11  Broward

—  1  Calhoun

—  2  Charlotte

—  1 Citrus

—  1  Clay

–34  Dade

—  1  Desoto

–13  Duval

—  1  Escambia

—  2  Hernando

—  2  Highlands

–13  Hillsborough

—  1  Indian River

—  1  Lake

—  5  Lee

—  2  Levy

—  2  Manatee

—  1  Marion

—  2  Monroe

—  2  Okaloosa

—  1  Okeechobee

–11  Orange

—  1  Osceola

–12  Palm Beach

—  3  Pasco

–11  Pinellas

—  7  Polk

—  1  Putnam

—  1  Santa Rosa

—  5  Sarasota

—  4  Seminole

—  2  St. Johns

—  7  St. Lucie

—  1  Sumter

—  1  Taylor

—  5  Volusia

—  1  Walton

 

Georgia          (  48)

–81  Wikipedia. 2009 flu pandemic in the United States by state. [Table: Reported cases…][28]

–48  GA DCH. Health. Seasonal Flu. “All Influenza Hospitalizations and Deaths in Georgia.”[29]

 

Hawaii            (  13)

–13  Wikipedia. 2009 flu pandemic in the United States by state. [Narrative section.][30]

 

Idaho              (>23)

–23  Wikipedia. 2009 flu pandemic in the United States by state. [Narrative section.]

—  2  Sep 2009. ID DHW. “Influenza=Associated Mortality, by Month.”

–17  Oct 2009.

—  2  Nov 2009.

—  2  Dec 2009.

 

Illinois             (112)

–112  IL DPH. H1N1 Statistics. IL DPH. Springfield, IL, 2010. (County breakout)[31]

—  1  Alexander

—  1  Bond

—  1  Bureau

—  1  Christian

–52  Cook

—  2  Dekalb

—  5  DuPage

—  1  Ford

—  2  Jackson

—  4  Kane

—  1  Kankakee

—  2  Kendall

—  5  Lake

—  1  La Salle

—  1  Logan

—  1  Macon

—  1  Madison

—  2  Marion

—  3  McHenry

—  3  McLean

—  1  Moultrie

—  2  Peoria

—  1  Rock Island

—  4  Sangamon

—  1  Schuyler

—  1  St. Clair

—  2  Whiteside

—  2  Will

—  3  Williamson

—  5  Winnebago

–111  Wikipedia. 2009 flu pandemic in the United States by state. [Table: Reported cases…][32]

—  97  Wikipedia. 2009 flu pandemic in the United States by state. [Narrative section.][33]

 

Indiana           (38-39)

–39  Wikipedia. 2009 flu pandemic in the United States by state. [Table: Reported cases…][34]

–38  IN State Dept. of Health. Weekly Influenza Report. Data as of 2-8-2010 (CDC Week 5).[35]

 

Iowa                (    41)

–41  Wikipedia. 2009 flu pandemic in the United States by state. [Table: Reported cases…][36]

 

Kansas            (   29)

–29  Wikipedia. 2009 flu pandemic in the United States by state. [Table: Reported cases…][37]

–22  Kansas City infoZine. “Additional Kansan Death Infected with the 2009 H1N1 Influenza a Virus.”[38]

 

Kentucky       (    39)

–39  Wikipedia. 2009 flu pandemic in the United States by state. [Table: Reported cases…][39]

 

Louisiana       (41-52)

–52  Wikipedia. 2009 flu pandemic in the United States by state. [Table: Reported cases…][40]

–41  WAFB, Baton Rouge. “Louisiana H1N1 death toll rises to 41.” 1-6-2010.[41]

 

Maine             (19-21)

–21  Wikipedia. 2009 flu pandemic in the United States by state. [Table: Reported cases…][42]

–19  Wikipedia. 2009 flu pandemic in the United States by state. [Narrative section.][43]

 

Maryland       (43-45)

–45  Health.maryland.gov. Evolution of the 2009 H1N1 Influenza Virus Pandemic. 2010, p.6.[44]

–45  Wikipedia. 2009 flu pandemic in the United States by state. [Table: Reported cases…][45]

–43  Wikipedia. 2009 flu pandemic in the United States by state. [Narrative section.][46]

 

Massachusetts (30-33)

–33  Wikipedia. 2009 flu pandemic in the United States by state. [Table: Reported cases…][47]

–30  The Sun, Lowell, MA. “It’s not too late to get H1N1 flu vaccination.” 1-25-2010, p. 8.[48]

 

Michigan        (      88)

–88  Wikipedia. 2009 flu pandemic in the United States by state. [Table: Reported cases…]

–78  Michigan.gov. “Reports of flu-like illness in Michigan as of April 27, 2010.”[49]

 

Minnesota      (61-63)

–63  MPR News. H1N1 (Swine) Flu. “2 new H1N1 flu deaths reported in Minnesota.” 5-12-2010.[50]

–61  Wikipedia. 2009 flu pandemic in the United States by state. [Table: Reported cases…][51]

 

Mississippi      (22-26)

—   26  Wikipedia. 2009 flu pandemic in the United States by state. [Table][52]

—   22  Mississippi Department of Health. Mississippi Flu Update News Release. 1-26-2010.[53]

–1  Alcorn County.

–1  Covington County.

–1  DeSoto County.

–1  Hancock County.

–1  Hinds County.

–2  Jackson County.

–4  Jones County.

–1  Marion County.

–1  Pearl River County.

–1  Pike County.

–1  Simpson County.

–1  Stone County.

–2  Tate County.

–1  Tippah County.

–2  Washington County.

–1  Webster County.

–9-15  AP. “Swine flu vaccine at Miss. Clinics…schools.” Leader-Call, Laurel, 11-1-2009. 6.[54]

 

Missouri         ( 8-17)

—   17  Wikipedia. 2009 flu pandemic in the United States by state. [Table: Reported cases…][55]

–8-17  KMOX, St. Louis. “Missouri health officials add up the H1N1 numbers.” 4-13-2010.[56]

 

Montana         (18-19)

–19  Wikipedia. 2009 flu pandemic in the United States by state. [Table: Reported cases…][57]

–18  Wikipedia. 2009 flu pandemic in the United States by state. [Narrative section.][58]

 

Nebraska        (14-15)

–15  Wikipedia. 2009 flu pandemic in the United States by state. [Table: Reported cases…][59]

–14  NE DHHS. News Release. “H1N1 Death of Washington County Resident,” 12-22-2009.[60]

 

Nevada           (36-44)

–44  Wikipedia. 2009 flu pandemic in the United States by state. [Table: Reported cases…][61]

–36  Las Vegas Sun (Tiffany Gibson). “Woman, 29, first H1N1 death in new year.” 1-6-2010.[62]

–15  Wikipedia. 2009 flu pandemic in the United States by state. [Narrative text.][63]

–12  Clark County

—  2  Washoe County

—  1  Other 14 counties.

 

New Hampshire         (   10) 

–10  Wikipedia. 2009 flu pandemic in the United States by state. [Table: Reported cases…][64]

—  9  As of Dec 12. Wikipedia. 2009 flu pandemic in the United States by state. [Narrative text.]

 

New Jersey                 (   42)

–42  Spring and Winter. Wikipedia. 2009 flu pandemic in the United States by state. [Table.][65]

 

New Mexico               (   58)

–58  Wikipedia. 2009 flu pandemic in the United States by state. [Table.][66]

–16  New Mexico Department of Health. H1N1 Weekly Media Update: Oct. 21, 2009.

–1  Bernalillo County. Female, 52, with chronic pulmonary disease.[67]

–1  Bernalillo County. Male, 58, with pre-existing chronic health conditions.[68]

–1  Lea County, Sep 23, male, 28; no known chronic health conditions.[69]

–1  Los Alamos County. Female, 21, without chronic medical conditions.[70]

–1  McKinley County. Female, 48, with underlying asthma and diabetes.[71]

–1  Roosevelt County. Female infant; no preexisting chronic medical condition.[72]

–1  Sandoval County. Female, 5, with no preexisting chronic medical condition.[73]

–1  Santa Fe County. Female, 6, with no preexisting chronic medical conditions.[74]

–1  Santa Fe County. Male, 51, with chronic medical conditions.[75]

–1  Sierra County. Female, 45.[76]

–1  Valencia County. Female, 47, with chronic medical conditions.[77]

 

New York       (206)

–206  Wikipedia. 2009 flu pandemic in the United States by state. [Table.][78]

–206  Wikipedia. 2009 flu pandemic in the United States by state. [Narrative text.]

–101  New York State.[79]

–105  New York City.[80]

—  50  “ as of Sep 1. NYT. “This Time, City Says It’s Ready for Swine Flu.” 9-1-2009.

 

North Carolina (107)

–107    Wikipedia. 2009 flu pandemic in the United States by state. [Table.][81]

 

North Dakota (      4)

–4  Bismarck Tribune (Sara Kincaid), ND. “Few flu cases reported this year.” 3-10-2010.[82]

–2  Wikipedia. 2009 flu pandemic in the United States by state. [Table.]

 

Ohio                (    52)

–52  Wikipedia. 2009 flu pandemic in the United States by state. [Table.]

–52  The Daily Standard, Celina OH. “Local death blamed on H1N1 virus.” 2-4-2010.[83]

 

Oklahoma      (    44)

–44  Wikipedia. 2009 flu pandemic in the United States by state. [Table.][84]

 

Oregon           (40-79)

–79  Wikipedia. 2009 flu pandemic in the United States by state. [Table.][85]

–40  Oregonian. “Flu update: Death toll in Oregon…swine flu climbs to 40 since Sept. 1.” 11-17-2009.

 

Pennsylvania  (>14-78)

—  78  Wikipedia. 2009 flu pandemic in the United States by state. [Table.][86]

>14 Wikipedia. 2009 flu pandemic in the United States by state. [Narrative text.][87]

 

Rhode Island (    13)

–13  RI Dept. of Health. Pandemic (H1N1) 2009 Epidemiology Summary Report. p.2.

 

South Carolina (  49)

–49  Wikipedia. 2009 flu pandemic in the United States by state. [Table.][88]

 

South Dakota (     23)

–23  Wikipedia. 2009 flu pandemic in the United States by state. [Table.][89]

 

Tennessee       (    57)

–57  Wikipedia. 2009 flu pandemic in the United States by state. [Table.][90]

 

Texas              (  231)

–240  Texas DSHS. Surveillance. “2009-2010 Texas Influenza Surveillance Information.”[91]

–231  Wikipedia. 2009 flu pandemic in the United States by state. [Table.][92]

 

Utah                (    48)

–48  Wikipedia. 2009 flu pandemic in the United States by state. [Table.][93]

 

Vermont         (      3)

–3  Wikipedia. 2009 flu pandemic in the United States by state. [Table.][94]

 

Virginia          (    37)

–37  Wikipedia. 2009 flu pandemic in the United States by state. [Table.][95]

 

Washington    (98-99)

–99  Wikipedia. 2009 flu pandemic in the United States by state. [Table.][96]

–98  WA DOH. 2009 H1N1 Influenza in Washington State. A summary of the first… 2010, p 6.[97]

 

West Virginia (    22)

–22  Wikipedia. 2009 flu pandemic in the United States by state. [Table.][98]

–22  WV DHHR. Epidemiology & Prevention Services. “2009-2010 Influenza Surveillance.”[99]

 

Wisconsin       (41-55)

–55  Wikipedia. 2009 flu pandemic in the United States by state. [Table.][100]

–41  City of Milwaukee Health Dept. 2009 Influenza A (H1N1)…Report #13, Dec 3, 2009. P1.[101]

 

Wyoming        (    10)

–10  AP. “More deaths as flu continues in Wyoming.” Casper Star Tribune, WY, 11-19-2009.[102]

–10  Wikipedia. 2009 flu pandemic in the United States by state. [Table.][103]

 

Narrative Information

 

CDC Final Estimates: “During the pandemic, CDC provided estimates of the numbers of 2009 H1N1 cases, hospitalizations and deaths on seven different occasions. Final estimates were published in 2011. These final estimates were that from April 12, 2009 to April 10, 2010 approximately 60.8 million cases (range: 43.3-89.3 million), 274,304 hospitalizations (195,086-402,719), and 12,469 deaths (8868-18,306 [range]) occurred in the United States due to pH1N1….” (CDC. CDC Estimates of 2009 H1N1 Influenza Cases, Hospitalizations and Deaths in the United States. Atlanta, GA: CDC, 6-24-2014 update.

 

CDC: “Background. Estimating the number of individual flu cases in the United States is very challenging because many people with flu don’t seek medical care and only a small number of those that do seek care are tested. More people who are hospitalized or die of flu-related causes are tested and reported, but under-reporting of hospitalizations and deaths occurs as well….

 

“When the 2009 H1N1 flu outbreak began in April 2009, CDC began tracking and reporting the number of laboratory-confirmed 2009 H1N1 cases, hospitalizations and deaths as reported by states to CDC. These initial case counts (which were discontinued on July 24, 2009), and subsequent ongoing laboratory-confirmed reports of hospitalizations and deaths, are thought to represent a significant undercount of the actual number of 2009 H1N1 flu cases in the United States….

 

Estimates from April – October 17, 2009

 

CDC estimated that between 14 million and 34 million cases of 2009 H1N1 occurred between April and October 17, 2009. The mid-level in this range was about 22 million people infected with 2009 H1N1.

 

CDC estimated that between about 63,000 and 153,000 2009 H1N1-related hospitalizations occurred between April and October 17, 2009. The mid-level in this range was about 98,000 H1N1-related hospitalizations.

 

CDC estimated that between about 2,500 and 6,000 2009 H1N1-related deaths occurred between April and October 17, 2009. The mid-level in this range was about 3,900 2009 H1N1-related deaths.

 

Updated Estimates from April – November 14, 2009

 

“Using the same methodology CDC updated the estimates to include the time period from April through November 14, 2009 on December 10, 2009.

 

CDC estimated that between 34 million and 67 million cases of 2009 H1N1 occurred between April and November 14, 2009. The mid-level in this range was about 47 million people infected with 2009 H1N1.

 

CDC estimated that between about 154,000 and 303,000 2009 H1N1-related hospitalizations occurred between April and November 14, 2009. The mid-level in this range was about 213,000 H1N1-related hospitalizations.

 

CDC estimated that between about 7,070 and 13,930 2009 H1N1-related deaths occurred between April and November 14, 2009. The mid-level in this range was about 9,820 2009 H1N1-related deaths.

 

Updated Estimates from April – December 12, 2009

 

“Using the same methodology CDC has updated the estimates to include the time period from April through December 12, 2009.

 

CDC estimates that between 39 million and 80 million cases of 2009 H1N1 occurred between April and December 12, 2009. The mid-level in this range is about 55 million people infected with 2009 H1N1.

 

CDC estimates that between about 173,000 and 362,000 2009 H1N1-related hospitalizations occurred between April and December 12, 2009. The mid-level in this range is about 246,000 H1N1-related hospitalizations.

 

CDC estimates that between about 7,880 and 16,460 2009 H1N1-related deaths occurred between April and December 12, 2009. The mid-level in this range is about 11,160 2009 H1N1-related deaths.

….

 

2009 H1N1 Deaths (rounded to nearest ten) by Age Group

 

Mid-Level Range        Estimated Range

0-17 years                  ~1,180               ~830 to   ~1,730

18-64 years                  ~8,620            ~6,090 to ~12,720

65 years+                     ~1,360               ~960 to   ~2,010

Total  ~11,160            ~7,880 to ~12,460

….

 

“The data confirms that people younger than 65 years of age are more severely affected by this disease relative to people 65 and older compared with seasonal flu. With seasonal influenza, about 60 percent of seasonal flu-related hospitalizations and 90 percent of flu-related deaths occur in people 65 years and older. With 2009 H1N1, approximately 90% of estimated hospitalizations and 88% of estimated deaths from April through December 12, 2009 occurred in people younger than 65 years old….” (CDC. CDC Estimates of 2009 H1N1 Influenza Cases, Hospitalizations and Deaths in the United States, April-December 12, 2009, 1-15-2010.)

 

CDC FluView: “From April 2009 to October 2010, 2009 influenza A (H1N1) viruses were almost exclusively identified with few seasonal influenza viruses detected during this time. 2009 influenza A (H1N1) activity peaked in October, and low levels of influenza activity were detected during the traditional winter influenza season. Influenza activity peaked in late-October and was associated with higher pediatric mortality and higher rates of hospitalizations in children and young adults than in previous seasons. The proportion of visits to health-care providers for influenza-like illness (ILI), as reported in the U.S. Outpatient Influenza-like Illness Surveillance Network (ILINet), was the highest since ILI surveillance began in 1997 in its current form….

 

“Since April 2009, the beginning of the 2009 H1N1 pandemic, through October 2, 2010, nearly 760,000 respiratory specimens were tested for influenza, and the number of positives was approximately four times the average of the previous four seasons. Two peaks in the percentage of specimens testing positive for influenza occurred: 43% in June during the initial pandemic wave, and 39% in October during the second wave. During April 19, 2009—October 2, 2010, World Health Organization (WHO) and National Respiratory and Enteric Virus Surveillance System (NREVSS) collaborating laboratories in the United States tested 756,728 specimens for influenza viruses; 157,449 (21%) were positive. Of the 157,449 positive specimens, 155,591 (99%) were influenza A viruses and 2,273 (1%) were influenza B viruses. Among the influenza A viruses, 117,646 (76%) were sub-typed; 111,713 (95%) were 2009 pandemic H1N1, 4,199 (4%) were influenza A (H3N2), and 1,734 (2%) were seasonal influenza A (H1N1) viruses.

 

Pneumonia and Influenza Hospitalization and Death Tracking. In April 2009, in response to the emergence of the 2009 pandemic H1N1 virus, the Council of State and Territorial Epidemiologists (CSTE) initiated reporting of influenza-associated hospitalizations and deaths to CDC. On August 30, 2009, CDC and CSTE instituted modified case definitions for aggregate reporting of influenza-associated hospitalizations and deaths. This cumulative jurisdiction-level reporting is referred to as the Aggregate Hospitalization and Death Reporting Activity (AHDRA). From August 30, 2009, to April 3, 2010, a total of 41,914 laboratory-confirmed, influenza-associated hospitalizations were reported to CDC. The median number of states reporting hospitalizations per week through AHDRA was 36 (range: 29-38).

 

“From August 30, 2009, to April 3, 2010, a total of 2,125 laboratory-confirmed, influenza-associated deaths were reported to CDC through AHDRA. The median number of states reporting influenza-associated deaths per week through AHDRA was 39 (range: 30–40)….

 

Pneumonia- and Influenza-Related Mortality. During the 2009 H1N1 pandemic and the 2009-10 influenza season, the percentage of deaths attributed to pneumonia and influenza (P&I) exceeded the epidemic threshold for 11 consecutive weeks from September 27 to December 12, 2009, and again for three consecutive weeks from January 10 to January 30, 2010. The percentage of (P&I) deaths peaked twice, once at 8.1% during the week ending November 21, 2009, and again at 8.2% during the week ending January 23, 2010….

 

Influenza-Related Pediatric Mortality. During April 19, 2009 – October 2, 2010, 348 pediatric deaths associated with laboratory-confirmed influenza occurred and were reported to CDC. These deaths were reported from 44 states, New York City, and Guam. Two hundred eight-six (82.2%) of these cases were associated with laboratory-confirmed 2009 influenza A (H1N1) virus. Fifty-six pediatric deaths were associated with an influenza A virus infection for which the subtype was undetermined, but most were likely attributable to the 2009 influenza A (H1N1) strain, based on the predominance of this strain among those circulating at the time that the deaths occurred. Two deaths were associated with a seasonal influenza A (H1) virus infection in May 2009, three deaths were associated with influenza B virus infections, and one death was associated with an influenza virus that the type was not determined. The mean and median ages of children who died were 8.7 years and 9.0 years, respectively. Twenty-four children were aged < 6 months, 42 were aged 6-23 months, 36 were aged 2-4 years, 129 were aged 5-11 years, and 117 were aged 12-17 years. Prior to the 2009 influenza A H1N1 pandemic, 67 influenza-associated pediatric deaths were reported for the 2008-09 season and 88 deaths were reported for the 2007-08 season….” (CDC. FluView. “2009-2010 Influenza Season Summary.” 11-7-2011.)

 

Newspaper

 

Dec 11 (McNeil/NYT): “Federal health officials said Thursday that almost 10,000 people had died of Swine flu since April, a significant jump from mortality numbers released last month. A month ago, the Centers for Disease Control and Prevention estimated that only about 4,000 had died.

 

“Officials also said that 50 million Americans, one sixth of the country, had caught the disease, and that 213,000 people had been sick enough to be hospitalized.

 

“Several flu experts said they were not shocked by the sudden jump because the new figures were as of Nov. 14, when this fall’s wave of swine flu cases was reaching its peak. The previous estimate of 4,000 deaths, issued last month, was only through mid-October. By next month, deaths should not have risen quite as abruptly because the fall wave is tapering off and hospitals have fewer people in intensive care, experts said….

 

“Dr. Arnold S. Monto, a flu expert at the University of Michigan School of Public Health, said the flu might reach the lower end of a widely publicized forecast made in August by the President’s Council of Advisers on Science and Technology, which predicted 30,000 to 90,000 deaths. Deaths appear to be lower than expected, Dr. Monto said, partly because young victims are better able to tolerate the aggressive drug and oxygen therapy used in hospitals to save those with overwhelming pneumonia.

 

“Flu deaths are hard to count because tests are inaccurate and some people die without being tested. In addition, some die of heart attacks, emphysema or organ failure, though flu triggered their illness.

 

“About 36,000 die in a typical flu season, according to a well-known 2003 study, but epidemiologists used different methods to calculate the 10,000 swine flu deaths, said Dr. Beth P. Bell, associate director of science in the respiratory disease division of the disease control agency. In 2003, they counted winter deaths over a decade; this season’s model is based on lab-confirmed flu hospitalizations. The old method would probably conclude that more than 10,000 had died thus far, but it is impossible to know how many, Dr. Bell said….

 

“…Dr. Frieden [CDC Director] noted that American Indians and Eskimos had died at four times the rate of other Americans. That is probably not because of genetic differences, he said, but because of poverty and childhood malnutrition among other factors. (Canadian Indians have also had high death rates. But so did Australian aborigines, who have similar rates of poverty, isolation and underlying disease but are genetically distant from North American Indians.)…”

 

Source

 

Alabama Department of Public Health. Novel H1N1 Influenza (webpage) Accessed 7-29-2017 at: https://web.archive.org/web/20091021223519/http://www.adph.org/H1N1Flu/index.asp?id=3571

 

Arkansas Department of Health. “Influenza Update.” 11-5-2009, 5 pages Accessed 8-2-2017 at: http://www.healthy.arkansas.gov/programsServices/infectiousDisease/Immunizations/H1N1/Documents/Newsletters/USandArkansasinfluenzastatsNov5.pdf

 

Associated Press, Cheyenne. “More deaths as flu continues in Wyoming.” Casper Star Tribune, WY, 11-19-2009. Accessed 8-2-2010 at: http://trib.com/news/local/article_9ba1df80-d52f-11de-9de9-001cc4c03286.html

 

Associated Press, Jackson. “Swine flu vaccine at Miss. Clinics, some schools.” Leader-Call, Laurel, MS, 11-1-2009, p. A6. Accessed 8-3-2017 at: https://newspaperarchive.com/laurel-leader-call-nov-01-2009-p-6/?tag

 

Bismarck Tribune (Sara Kincaid), ND. “Few flu cases reported this year.” 3-10-2010. Accessed 8-1-2017 at: http://bismarcktribune.com/news/local/article_bf525b6c-2c82-11df-8fc5-001cc4c03286.html

 

Brazile, Donna (columnist). “We love to put numbers to things.” Star Beacon, Ashtabula, NE, 12-31-2009, A4. Accessed 8-1-2027 at: https://newspaperarchive.com/ashtabula-star-beacon-dec-31-2009-p-4/?tag

 

California Department of Public Health. Novel Influenza A (H1N1) Virus — Data Tables. 9-26-2009. Accessed 7-29-2017 at: https://web.archive.org/web/20091001121602/http://www.cdph.ca.gov/data/statistics/Pages/H1N1FluDataTables.aspx

 

Centers for Disease Control and Prevention. CDC Estimates of 2009 H1N1 Influenza Cases, Hospitalizations and Deaths in the United States. Atlanta, GA: CDC, 6-24-2014 update. Accessed 8-1-2017 at: https://www.cdc.gov/h1n1flu/estimates_2009_h1n1.htm

 

Centers for Disease Control and Prevention. CDC Estimates of 2009 H1N1 Influenza Cases, Hospitalizations and Deaths in the United States, April-December 12, 2009. “Updated Estimates from April-December 12, 2009.” Atlanta, GA: CDC, 1-15-2010. Accessed 7-29-2017 at: https://www.cdc.gov/h1n1flu/estimates/April_December_12.htm

 

Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File 1999-2015 on CDC WONDER Online Database, released December 2016 (search for ICD-10, J09-J18/influenza and pneumonia codes). Data are from the Compressed Mortality File 1999-2015 Series 20 No. 2U, 2016, as compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooperative Program. Accessed at http://wonder.cdc.gov/cmf-icd10.html on Jul 29, 2017 8:03:19 PM

 

Centers for Disease Control and Prevention. FluView. “2009-2010 Influenza Season Summary.” Atlanta, GA: CDC, U.S. Department of Health & Human Services, 11-7-2011 update. Accessed 8-16-2015 at: http://www.cdc.gov/flu/weekly/weeklyarchives2009-2010/09-10Summary.htm

 

City of Milwaukee Health Department. 2009 Influenza A (H1N1) Situational Awareness Report #13, December 3, 2009. Milwaukee, WI: MHD, 12-3-2009. Accessed 8-2-2017 at: http://city.milwaukee.gov/ImageLibrary/Groups/healthAuthors/DCP/PDFs/SwineFlu09/SitReports/MHD_H1N1_Situational_Report_12309.pdf

 

Colorado Department of Public Health and Environment. 2009-10 Pandemic H1N1 Influenza Surveillance Summary Colorado. May 2012. Accessed 7-30-2017 at: https://www.colorado.gov/pacific/sites/default/files/DC_ComDis_Influenza-Surveillance-Summary-2009-2010.pdf

 

CT.gov. Department of Public Health. Pandemic Influenza (website). Hartford, CT: DPH, 4-29-2013 modification. Accessed 7-30-2017 at: http://www.ct.gov/dph/cwp/view.asp?a=3115&q=500328&dphNav_GID=2092

 

Delaware.gov. “Delaware Flu cases Surpass Record 2009-2010 H1N1 ‘Swine Flu’ Year.” News.Delaware.gov, 3-26-2015. Accessed 7-30-2017 at: http://news.delaware.gov/2015/03/26/delaware-flu-cases-surpass-record-2009-2010-h1n1-swine-flu-year/

 

Floridahealth.gov. Florida Influenza Surveillance. Week 49: December 5-December 12, 2009. Posted 12-16-2009 on Florida Department of Health, Bureau of Epidemiology website. Accessed 7-30-2017 at: http://www.floridahealth.gov/%5C/diseases-and-conditions/influenza/_documents/2009-10/2009-w49-flu-review.pdf

 

Floridahealth.gov. Section 5: Summary of 2009 H1N1 Influenza A Surveillance. P. 249. Accessed 7-30-2017 at: http://www.floridahealth.gov/diseases-and-conditions/disease-reporting-and-management/disease-reporting-and-surveillance/data-and-publications/_documents/2009-section5.pdf

 

Health.maryland.gov. Evolution of the 2009 H1N1 Influenza Virus Pandemic. Maryland, the Nation and the World, March 2009 to April 2010. Six pages. Accessed 7-31-2017 at: https://health.maryland.gov/mhhd/Documents/Evolution_of_the_2009_H1N1.pdf

 

Idaho Department of Health and Welfare. 2009 H1N1 Flu Surveillance Data. “Influenza-Associated Mortality, by Month.” Accessed 7-30-2017 at: https://web.archive.org/web/20120422224351/http://www.healthandwelfare.idaho.gov/Health/PanFluHome/IdahoCaseCounts/tabid/890/Default.aspx

 

Illinois Department of Public Health. H1N1 Flu (webpage). Springfield, IL: DPH, 2010. Accessed 7-31-2017 at: https://web.archive.org/web/20100508012539/http://www.idph.state.il.us/h1n1_flu/

 

Illinois Department of Public Health. H1N1 Statistics. IL DPH. Springfield, IL, 2010. Accessed 7-31-2017 at: http://www.idph.state.il.us/h1n1_flu/sf_statistics.htm

 

Indiana State Department of Health. Influenza Surveillance Summary. “Week 17 (April 25 – May 1, 2010) Summary.” 2010. Accessed 7-31-2017 at: http://www.in.gov/flu/2442.htm

 

Kansas City InfoZine. “Additional Kansan Death Infected with the 2009 H1N1 Influenza a Virus.” 12-12-2009. Accessed 7-31-2017 at: http://www.infozine.com/news/stories/op/storiesView/sid/39068/

 

KHON2, Honolulu HI. “Hawaii H1N1 Death Toll Rises to 13.” 1-20-2010. Accessed 7-30-2017 at: http://archive.li/Gbu9B

 

KMOX, St. Louis (Fred Bodimer reporting). “Missouri health officials add up the H1N1 numbers.” 4-13-2010. Accessed 7-31-2017 at: https://flutrackers.com/forum/forum/united-states/seasonal-flu-2009-2014-including-h1n1-pandemic-2009-aj/missouri-ab/85563-missouri-health-officials-add-up-the-h1n1-numbers

 

Las Vegas Sun (Tiffany Gibson). “Woman, 29, first H1N1 death in new year.” 1-6-2010. Accessed 8-1-2017 at: https://lasvegassun.com/news/2010/jan/06/woman-29-first-h1n1-death-new-year/

 

Maine CDC/DHHS Public Health Update. February 4, 2010. Accessed 7-31-2017 at: http://www.maine.gov/tools/whatsnew/attach.php?id+91047&an=1

 

Maryland Department of Health and Mental Hygiene. Maryland Influenza Plan, 2013-2014 Flu Season. Accessed 7-31-2017 at: https://phpa.health.maryland.gov/OIDEOR/IMMUN/Shared%20Documents/Maryland%20Influenza%20Plan%20-%202013-2014%20Flu%20Season%20(2).pdf

 

McNeil, Donald G. Jr. “Swine Flu Death Toll at 10,000 Since April.” New York Times, 12-11-2009, p. A26. Accessed 7-29-2017 at: http://www.nytimes.com/2009/12/11/health/11flu.html

 

Miami Herald (Marc Caputo). “Worst-in-years flu season spreading in Florida.” 1-9-2013. Accessed 7-30-2017 at: http://www.miamiherald.com/latest-news/article1946210.html

 

Michigan.gov. “Reports of flu-like illness in Michigan as of April 27, 2010.” Accessed 7-31-2017 at: http://www.michigan.gov/documents/mdch/20090623_5pm_FLI_283516_7.pdf

 

Mississippi State Department of Health. Mississippi Flu Update News Release. 1-26-2010. Accessed 8-3-2017 at: http://msdh.ms.gov/msdhsite/index.cfm/23,9255,341,html

 

Missoulian (Michael Jamison). “Flathead County man dies of swine flu; 19th such death in Montana.” 12-16-2009. Accessed 7-31-2017 at: http://missoulian.com/news/local/article_5790ad34-e9d5-11de-b3f1-001cc4c03286.html

 

MPR News. H1N1 (Swine) Flu. “2 new H1N1 flu deaths reported in Minnesota.” 5-12-2010. Accessed 7-31-2017 at: http://minnesota.publicradio.org/collections/special/ongoing/h1n1-swine-flu/

 

Nebraska Department of Health & Human Services. News Release. “H1N1 Death of Washington County Resident,” 12-22-2009. Accessed 8-1-2017 at: http://dhhs.ne.gov/Pages/newsroom_newsreleases_2009_dec_h1n1flu8.aspx

 

Nevada State Health Division, Public Health Preparedness Report. 10-23-2009, 5 pages. Accessed 8-1-2017 at: http://flu.nv.gov/Swine_Flu/Reports/2009-10-23_PHP_HealthInfoReport.pdf

 

New Mexico Department of Health. H1N1 Flu in New Mexico. Situation Update October 7, 2009. Accessed 8-1-2017 at: http://archive.li/P1Lc8

 

New Mexico Department of Health. H1N1 Weekly Media Update: Oct. 21, 2009. Accessed 8-1-2017 at: http://www.nmt.edu/foundation-donate/332-office-of-emergency-planning/office-of-emergency-planning/3566-nm-department-of-health-latest-release

 

New Mexico Department of Health. New Mexico Department of Health All-Hazard Emergency Operations Plan, Annex F: Outbreaks, Pandemic Influenza Plan. May 2015, 92 pages. Accessed 8-2017 at: https://nmhealth.org/publication/view/plan/1462/

 

New York Times (Sewell Chan and Lisa W. Foderaro). “This Time, City Says It’s Ready for Swine Flu.” 9-1-2009. Accessed 8-1-2017 at: http://www.nytimes.com/2009/09/02/nyregion/02swine.html

 

Publichealth.nc.gov. North Carolina Weekly Influenza Surveillance Summary #33, 2009-2010 Influenza Season (May 27, 2010). Accessed 8-1-2017 at: http://epi.publichealth.nc.gov/cd/flu/figures/flu0910.pdf

 

Rhode Island Department of Health. Pandemic (H1N1) 2009 Epidemiology Summary Report. Rhode Island: 2009-2010. Providence, RI, undated, 43 pages. Accessed 8-1-2017 at: http://www.health.state.ri.us/publications/surveillance/2009/PandemicH1N1.pdf

 

Texas Department of State Health Services. Surveillance. “2009-2010 Texas Influenza Surveillance Information.” 2010. Accessed 8-1-2017 at: http://www.dshs.texas.gov/idcu/disease/influenza/surveillance/2010/

 

The Daily Standard, Celina OH. “Local death blamed on H1N1 virus.” 2-4-2010. Accessed 8-1-2017 at: http://dailystandard.com/archive/2010-02-04/stories/11003/local-death-blamed-on-h1n1-virus

 

The Oregonian (Don Colburn). “Flu update: Death toll in Oregon from swine flu climbs to 40 since Sept. 1.” 11-17-2009. Accessed 8-1-2017 at: http://www.oregonlive.com/health/index.ssf/2009/11/flu_update_death_toll_in_orego.html

 

The Sun (Frank Singleton), Lowell, MA. “It’s not too late to get H1N1 flu vaccination.” 1-25-2010, p. 8. Accessed 7-31-2017 at: https://newspaperarchive.com/lowell-sun-jan-25-2010-p-8/?tag

 

WAFB, Baton Rouge. “Louisiana H1N1 death toll rises to 41.” 1-6-2010. Accessed 7-31-2017 at: https://flutrackers.com/forum/forum/united-states/seasonal-flu-2009-2014-including-h1n1-pandemic-2009-aj/louisiana-ab/78962-louisiana-h1n1-death-toll-rises-to-43

 

Washington Post (Michael Laris). “Drug-resistant swine flu reported in Va. and Md.,” 12-3-2009. Accessed 7-30-2017 at: http://www.washingtonpost.com/wp-dyn/content/article/2009/12/02/AR2009120202759_pf.html

 

Washington State Department of Health, Communicable Disease Epidemiology Section. 2009 H1N1 Influenza in Washington State. A summary of the first year – April 2009-May 2010. September 2010, 17 pages. Accessed 8-2-2017 at: http://www.doh.wa.gov/Portals/1/Documents/5100/2009-H1N1-PandemicSummaryReport.pdf

 

West Virginia Department of Health & Human Resources, Offices of Epidemiology & Prevention Services. “2009-2010 Influenza Surveillance. H1N1 (Swine Origin) Influenza (SOIV).” Accessed 8-2-2017 at: http://www.dhhr.wv.gov/oeps/disease/flu/Pages/0910flu.aspx

 

Wikipedia. 2009 flu pandemic in the United States. March 2010 modification. Accessed 7-29-2017 at: https://en.wikipedia.org/wiki/2009_flu_pandemic_in_the_United_States#cite_ref-alabama_2-1

 

Wikipedia. 2009 flu pandemic in the United States by state. 7-15-2017 edit. Accessed 7-29-2017 at: https://en.wikipedia.org/wiki/2009_flu_pandemic_in_the_United_States_by_state

 

 

 

 

[1] Brazile, Donna (columnist). “We love to put numbers to things.” Star Beacon, Ashtabula, NE, 12-31-2009, A4.

[2] CDC. CDC Estimates of 2009 H1N1 Influenza Cases, Hospitalizations and Deaths in the United States. 6-24-2014 update; New Mexico Department of Health. New Mexico Department of Health All-Hazard Emergency Operations Plan, Annex F: Outbreaks, Pandemic Influenza Plan. May 2015, p.13.

[3] “According to the Centers for Disease Control and Prevention…during the H1N1 influenza pandemic in 2009 more than 60 million people got sick, more than 274,000 were hospitalized, and more than 12,000 died in the U.S.”

[4] “During 2009-2010, a new and very different flu virus called 2009 H1N1 spread worldwide causing the first flu pandemic in more than 40 years. It is estimated that the 2009 H1N1 pandemic resulted in more than 12,000 flu-related deaths in the U.S…. nearly 90 percent of the deaths occurred among people younger than 65 years of age.”

[5] A “mid-level” estimate. CDC: “CDC estimates that between about 7,880 and 16,460 H1N1-related deaths occurred between April and December 12, 2009, The mid-level in this range is about 11,160 2009 H1N1-related deaths.”

[6] We tally a range of 2,950-3,302 deaths from the State breakouts below. However, we know that this is a very significant undercounting by State. Unfortunately, CDC WONDER, which normally does allow for State breakouts, does not provide a H1N1 swine flu (ICD-10 J09.X) breakout — when one tries to “open fully” J09, the response is “these items have no subordinates and can’t be opened: J09.” A J09 Avian Flu breakout shows 1,557 deaths.

[7] “As of December 5, 2009, the Alabama Department of Public Health reports 2453 confirmed [cases?] and 36 deaths from swine flu.”

[8] “ADPH is aware of twenty influenza-associated deaths that have occurred in Alabama since July 1, 2009, nineteen of which have laboratory confirmation.”

[9] Cites: Armstrong, Michael (Associated Press). “Homer woman who died at 44 tested positive for swine flu: Swine flu (H1N1)” Anchorage Daily News, 2-15-2010.

[10] “As of December 5, 460 cases of swine flu and 11 deaths were confirmed in Alaska.” Footnotes Alaska Heath Department report on the new swine flu cases — and provides a URL which is no longer operational. Only reference we could find to 11 deaths was in AK DHSS webpage on Alaska Laboratory-Confirmed Influenza Deaths by Week, from Sep 1, 2009 through April 3, 2010.

[11] Cites Arizona Department of Health Services. The narrative section notes: “As of January 15 [2010?], Arizona has reported 142 deaths due to confirmed A/H1N1 influenza, including at least 2 in 2010. [Blanchard: we subtract the 2 deaths in 2010 to derive 140 swine flu deaths in 2009.]

[12] Cites an inoperable Arkansasmatters.com site.

[13] The deaths by age group are noted within 2009 column in Chart: “Arkansas Influenza Death by age groups 1997-2009. Report Updated: 11/3/2009 (Provisional).”

[14] We do not use the figure of 188 deaths because of the date — Sep 26, 2009. More deaths would have followed.

[15] Cites: “Alameda County Public Health – Novel H1N1 (Swine) Flu Archived October 31, 2009, at the Wayback Machine. When one clicks on this link, though, one gets a table, noted below, showing 19 deaths.

[16] From Table: “Alameda County Novel H1N1 Hospitalizations as of October 27, 2009*.” [The asterisk is for a footnote which reads: “Includes 71 ICU hospitalizations and 19 deaths.”

[17] We utilize a range in that it is conceivable the undocumented Wikipedia figure of 70 deaths is genuine and pertains to 2009 only. We view the CO DPHE figure of 82 as authoritative, but we do note that the reporting period included the first four months of 2010 and thus, quite possibly, one or more deaths in this quarter of 2010. We are attempting to isolate 2009 “swine flu” deaths.

[18] Colorado Department of Public Health and Environment. “Influenza-Associated Deaths.” Page 12 in: 2009-10 Pandemic H1N1 Influenza Surveillance Summary Colorado. May 2012. Apparently the pandemic influenza season was 8-30-2009 to 5-1-2010: “The usual method of influenza-associated death ascertainment identified a total of 69 influenza-associated deaths with laboratory confirmation from August 30, 2009 through May 1, 2010 (57 adult and 12 pediatric deaths), whereas, death certificates identified 84 potential influenza-associated deaths. After matching these two sets of reports and performing final resolution, a total of 82 laboratory confirmed influenza-associated deaths were identified in Colorado during the 2009-2010 pandemic influenza season.”

[19] A footnote takes one to a URL which when used takes one to the homepage of the Colorado Department of Public Health & Environment (which is not helpful in substantiating this source as the one noting 70 deaths, much less the time-frame or condition (laboratory-confirmed or not, for example).

[20] Cites: CTFLUWATCH, which does not lead to an operational site.

[21] “31 deaths from A/H1N1 were confirmed over the course of the pandemic.” Cites: CTFLUWATCH: CT Towns with Confirmed 2009 H1N1 Flu Cases.” Takes one to” CT.gov, Department of Public Health, Pandemic Influenza page, last modified on 4-29-2013 (which does not say anything about flu deaths in CT in 2009).

[22] Cites an inoperable source: “7th death in DE from H1N1 influenza – WGMD.COM.”

[23] Cites a Washington Post article by Michael Laris (“Drug-resistant swine flu reported in Va. and Md.”, 12-3-2009) which notes “In the District, officials confirmed the city’s first swine flu-related death. The patient was an adult male with a preexisting condition, Health Department spokeswoman Dena Iverson said.”

[24] “The last time the rate was this high: November 2009, during the H1N1 flu pandemic implicated in 230 deaths in Florida. In September of that flu season, about 7 percent of emergency-room and clinic visits were flu-related.”

[25] Notes two sources. First in an inoperable Florida Health.gov link labeled “H1N1 Media Releases.” Second is inoperable link labeled: “http://www.doh.state.fl.us/Disease_ctrl/epi/htopics/flu/2010/Week-20-2009-2010.pdf.”

[26] “In 2009, there were 187 laboratory confirmed deaths of people with 2009 influenza A H1N1 and 1,204 laboratory confirmed hospitalizations reported. These counts are likely substantially under-estimations of the total deaths and hospitalizations due to the novel virus for several reasons….Lab-confirmed influenza cases are only a small proportion of actual infections…”

[27] Table 8: Cumulative Deaths in Novel H1N1 Influenza Cases by County as of 12:00 Noon Dec 15, 2009. P. 13.

[28] Cites GA Dept. of Community Health. Seasonal Flu. “All Influenza Hospitalizations and Deaths in Georgia.” However, this webpage shows H1N1 GA Public Health Laboratory confirmed deaths up through 9-18-2010. The 2010 deaths total 33.

[29] As noted in prior footnote, this cite shows 81 2009-2010 H1N1 lab-confirmed deaths. We subtract 2010 deaths.

[30] Cites: KHON2. “Hawaii H1N1 Death Toll Rises to 13.” 1-20-2010.

[31] This is cite Wikipedia refers to for 111 H1N1 deaths. Within site is a map of the state with counties identified and with deaths per county noted — “Figure 1. Counties where deaths associated with laboratory confirmed H1N1 infection have been reported since 4/5/2009 to 6/1/2010.” Figure 1 is for the 2009 H1N1 flu season, which goes into 2010. The next Figure — “Figure 2. Reported H1N1 (2009) hospitalizations and deaths by week since 4/5/2009” appears to show the last death during the week ending Jan 16, 2010. Since the deaths are in red on top of horizontal blue columns, which sharply drop off from the week ending Dec 5, 2009, the columns are very small and it is not entirely clear, even using magnifying glass.

[32] Cites: Illinois Department of Public Health. H1N1 Flu (webpage). Within a box on the page titled “Confirmed H1N1 2009 Hospitalizations and Deaths (As of May 7, 2020, 10 a.m.)” is the cumulative number of 111 deaths.

[33] Cites: Illinois Department of Public Health. H1N1 Statistics. IL DPH. Springfield, IL, 2010.

[34] Cites “ISDH Press releases.” Indiana – State Department of Health. 2009-08-20. We followed link to Indiana State Department of Health. Influenza Surveillance Summary. “Week 17 (April 25 – May 1, 2010) Summary,” wherein it is written: “There was 1 confirmed influenza-related death reported during Week 17, 2010 (individual had underlying medical conditions; influenza virus subtype was not determined). There have been a total of 43 influenza-related deaths since June 1, 2009, of which 39 had confirmed 2009 H1N1.”

[35] “….There were no confirmed influenza-related deaths reported during Week 5, 2010. There have been a total of 41 influenza-related deaths since June 1, 2009, of which 38 had confirmed 2009 H1N1.”

[36] Cites inoperative link: “Iowa Influenza Surveillance Network (IISN) Reports.”

[37] Cites inoperable link: “Kansan dies from H1N1 – Pratt, KS – Pratt Tribune.”

[38] “Topeka, KS – InfoZine – A 72 year-old woman from the Wichita metropolitan area has died from infection with the 2009 H1N1 influenza virus, the Kansas Department of Health and Environment (KDHE) announced today. This death brings the total number of confirmed deaths from the pandemic strain statewide to 22….It is important to note that the number of deaths confirmed to be caused by pandemic H1N1 influenza under-represents the true number of deaths. The great majority of all influenza or pneumonia-related deaths that occur (pneumonia is the most common severe complication of influenza) do not have a confirmatory lab result associated with them….”

[39] Citation connects to Kentucky Health Alerts, which contains no information on 2009 H1N1 deaths in KY.

[40] Cites inoperable link for: “Department of Health & Hospitals State of Louisiana.

[41] “The Louisiana Department of Health and Hospitals confirmed one H1N1 death in the past week, bringing the total number of deaths in the state from the virus to 41. Officials identified the latest victim as a woman from the New Orleans area….”

[42] Citation takes one to the current Maine Center for Disease Control & Prevention homepage and thus is not about 2009 H1N1 in Maine.

[43] Links to: “Maine CDC/DHHS Public Health Update, February 4, 2010” Word document which reports that “There has been another death due to H1N1, bringing the total to 19 reported since August.” [Blanchard note: this was an early 2010 death.]

[44] “April 2010….Maryland announces the State’s 45th H1N1-related death.”

[45] Link takes one to inoperable Maryland Department of Health page.

[46] Link takes one to inoperable Maryland Department of Health page.

[47] Links to current Massachusetts Public Health Blog, not anything related to 2009 H1N1 in MA.

[48] “To date, males and females have been equally affected by H1N1. Overall in Massachusetts, 395 people were hospitalized (20 percent) and 30 died. Of the 30 who died, 26 had underlying conditions.”

[49] This is link from Wikipedia for Michigan figure of 88 H1N1 deaths. The only note dealing with deaths is: “Cumulative deaths associated with any influenza strain since Sep 1, 2009: 78.”

[50] “The death toll from the H1N1 flu in Minnesota has risen to 63 after the Health Department officially attributed two deaths last fall to the pandemic virus.”

[51] Links to current Minn. Department of Health webpage for Weekly Influenza & Respiratory Activity: Statistics.

[52] Footnote links to dead Clarion-Ledger newspaper webpage.

[53] “Since August 29, 2009, the beginning of the 2009-2010 flu season, The Mississippi State Department of Health (MSDH) reports 22 influenza-related deaths in Mississippi. The latest death is a female child in DeSoto County.”

[54] “Currier [State Epidemiologist] said Mississippi has had nine confirmed deaths from H1N1. She said the figure could be as high as 15 because some patients who died from the flu weren’t tested for H1N1. The state Department of Health has confirmed at least 1,200 cases through its 70 sentinel sites, providers who send the agency information abut flu activity….”

[55] Cites CBS St. Louis, KMOX (dead link).

[56] “….The Missouri Department of Health and Senior Services has confirmed 8 deaths in which the H1N1 flu virus was identified as a contributing factor. ‘We know of 9 other deaths in which the flu was involved, but the virus was never confirmed by laboratory testing to be the H1N1 virus,’ said department spokesman… ‘However, because the H1N1 flu is the dominant flu virus throughout the nation, these 9 deaths are probably associated with H1N1.”

[57] Cites: Missoulian (Jamison). “Flathead County man dies of swine flu; 19th such death in Montana.” 12-16-2009. Article writes: “Kalispell – A Flathead County man is the latest to have died from the swine flu virus, the 19th such death in Montana and one of an estimated 10,000 deaths nationwide. According to public health officials, the 63-year-old man died within the past few weeks…county health officer Joe Russell…said the man had no known underlying health problems…. Last week, the state Department of Public Health and Human Services announced that nearly all Montana swine flu deaths have been adults, and most had pre-existing medical conditions. Of the 19 deaths statewide, 12 were adults aged 45 to 64. The virus also seems more deadly for Native American populations.

[58] “As of January 21 [2010] there have been 801 confirmed cases of A/H1N1, and 18 confirmed deaths due to H1N1 flu.” Cites: “Montana Department of Public Health & Human Services – INFLUENZA: Reported Activity in Montana & the U.S.” [Which is a broken link.]

[59] Cites Inoperable Nebraska Department of Health & Human Services page.

[60] Lincoln — A Washington County woman in her sixties has died from H1N1, according to the Nebraska Department of Health and Human Services. She had health conditions, such as asthma and diabetes, which put her at risk of serious consequences from the illness….This is the 14th death from H1N1 that has occurred in Nebraska since the virus began spreading in the United States in April….”

[61] Cites inoperative flu.nv.gov/FluSurveillance Reports.htm site; also Las Vegas Review-Journal (current page).

[62] “The Southern Nevada Health District reported today that a woman died within the past week from the H1N1 virus, also known as swine flu, bringing the total number of deaths in Southern Nevada to 36. The patient was a 29-year-old woman with underlying health conditions, the health district said. It was Southern Nevada’s first H1N1-related death of 2010. There have been 3,4421 reported cases of H1N1 in Southern Nevada since Aug. 31.

[63] Cites: Nevada State Health Division, Public Health Preparedness Report. “Nevada State Public Health Laboratory Cases of H1N1 Infection” table.

[64] Cites inoperative Eagle Tribune webpage. Search and found intended source: Eagle-Tribune (Eric Parry), North Andover, MA. “NH reports 10th H1N1-related death.” 2-19-2010. “Concord — An adult female from Rockingham County is the state’s 10th confirmed H1N1-related death. Dr. Jose Montero, state director of public health, said yesterday that the woman died in late January….over the last few weeks, there has been almost no flu activity, seasonal or H1N1, Montero said.”

[65] Cites: NJToday.net. “Two New H1N1-Related Deaths Reported.” 1-13-2010. Article notes: “New Jersey reported two new H1N1-related deaths to the federal Centers for Disease Control and Prevention this week. They are: A 58-year-old Morris County female with underlying medical conditions. She was hospitalized on Dec 8, 2009 and died the next day. A 24-year-old Middlesex female with underlying conditions. She was hospitalized on Dec 31, 2009 and died Jan. 6, 2010. To date, a total of 24 H1N1 deaths have been reported since Sept. 1, 2009. There were 18 deaths reported to the CDC during last spring’s H11N1 outbreak.”

[66] Citation link goes to New Mexico Department of Health “Page Not Found.”

[67] New Mexico Department of Health. H1N1 Flu in New Mexico. Situation Update October 7, 2009.

[68] New Mexico Department of Health. H1N1 Flu in New Mexico. Situation Update October 7, 2009.

[69] New Mexico Department of Health. H1N1 Flu in New Mexico. Situation Update October 7, 2009.

[70] New Mexico Department of Health. H1N1 Flu in New Mexico. Situation Update October 7, 2009.

[71] New Mexico Department of Health. H1N1 Flu in New Mexico. Situation Update October 7, 2009.

[72] New Mexico Department of Health. H1N1 Flu in New Mexico. Situation Update October 7, 2009.

[73] New Mexico Department of Health. H1N1 Flu in New Mexico. Situation Update October 7, 2009.

[74] New Mexico Department of Health. H1N1 Weekly Media Update: Oct. 21, 2009.

[75] New Mexico Department of Health. H1N1 Weekly Media Update: Oct. 21, 2009.

[76] New Mexico Department of Health. H1N1 Flu in New Mexico. Situation Update October 7, 2009.

[77] New Mexico Department of Health. H1N1 Weekly Media Update: Oct. 21, 2009.

[78] No source citation.

[79] Source link goes to New York State Department of Health. New York State Department of Health 200902010 Flu Monitoring. This page does not provide an H1N1 mortality figure for the State.

[80] Cites two sources. First is NYT article noting 50 deaths as of Sep 1. Second is NYC Influenza Information Mortality page, which does not provide a figure for New York City H1N1-related deaths.

[81] Footnote links to: North Carolina Weekly Influenza Surveillance Summary #33, 2009-2010 Influenza Season (May 27, 2010). The “Influenza-associated Deaths Since April 2009” figure of 107 is found on page 7.

[82] “Since the state began collecting data in September, there have been 3,244 confirmed cases of influenza in the state. Four people with underlying medical conditions have died after contracting influenza. Two of the people were confirmed to have H1N1. The other people had positive influenza rapid tests, but no additional samples were available to test for a specific strain…”

[83] “The death of a 59-year-old Wapakoneta woman on Friday [Jan 29] was due to the H1N1 flu, local health officials have confirmed….Ohio Department of Health spokeswoman…said the state has confirmed 51 deaths from H1N1. However, most of those represent deaths of children because health officials are not required to report adult deaths from H1N1…The Wapakoneta woman’s death was not included in that statewide count, she added…”

[84] Footnote link takes one to a dead Tulsa World webpage.

[85] Footnote link takes one to current Oregon Health Authority “Flu Prevention” webpage which contains no information on the 2009 H1N1 outbreak.

[86] Footnote citation takes one to amazon.com website.

[87] Footnote citation takes one to dead Department of Health Home link.

[88] Footnote citation takes one to dead South Carolina Department of Health and Environment Control site.

[89] Footnote citation takes one to dead South Dakota Department of Health site.

[90] Footnote citation no longer leads to volunteertv.com.

[91] From: “Table 4. 2009 influenza A (H1N1)-associated deaths by age group and Texas Health Service Region, April 15, 2009 – May 22, 2010.”

[92] Cites: TS DSHS. Surveillance. “2009-2010 Texas Influenza Surveillance Information.” Which notes 240 deaths.

[93] Footnote citation takes one to Salt Lake Tribune “Page Not Found” page.

[94] Footnote link goes to “Page Not Found” at 3WCAX.

[95] Footnote link goes to current Virginia Department of Health Epidemiology page. No info on 2009 H1N1.

[96] Footnote link goes to Washington State Department of Health — “Sorry! We can’t find what you’re looking for.”

[97] On page 2, in reference to hospitalizations and deaths it is written: “At a minimum, more than 1,650 hospitalizations and deaths in Washington State were due this novel influenza virus. This number is likely an underestimated as it represents only the cases reported to DOH.”

[98] Footnote citation “Archived Influenza Season Data 2009-10” is a broken link.

[99] Chart titled: “Cumulative Influenza Associated Hospitalizations and Deaths, West Virginia, 2009-2010 Influenza Season.” Hospitalizations represented by green line running from Morbidity and Mortality Weekly Review Week 35 through 52 and then 1 through 14, showing 934. Deaths are in blue and include notation “Deaths=22.”

[100] Footnote citation links to current “Wisconsin’s Flu Resource” webpage.

[101] The WDHS reported 6 additional deaths in Wisconsin due to 2009 Influenza A (H1N1) since the last MHD Situational Awareness Report was issued. The City of West Allis on December 2, 2009 also announced a death within their community due to 2009 Influenza A (H1N1. This brings the total number of deaths in Wisconsin due to 2009 Influenza A (H1N1) to 41.”

[102] “The Wyoming Department of Health reports that swine flu activity is decreasing across the state but officials say residents still need to take precautions. Ten people have died in Wyoming from flu-related causes since the emergency of the H1N1 flu in the state earlier this year. A Natrona County man who died in late October and a Park County man who died last week are the latest flu-related deaths….”

[103] Cotes AP article noted above.