Main highlights in past 24 hours (30.4. 2009):
• WHO announces change to pandemic alert level to Phase 5;
• Community transmission in a country outside of Mexico (United States of America);
• Two new EU Member States (MS) report confirmed cases: Austria (1 case), Germany (3 cases);
• Total of 19 confirmed cases reported in the EU from four countries;
• First evidence of a case of human-to-human transmission within the EU;
• In Europe, all 19 confirmed cases to date have a mild clinical course, no deaths reported;
• Outside Europe, confirmed cases reported in Canada, Costa Rica, Israel, New Zealand, Peru, in addition to USA and Mexico;
• ECDC guidance for travellers to affected areas published.
The report below is based on official information provided by the national public health websites, or through other official communication channels. In addition, media reports from credible sources are included.
An update on the number of confirmed cases as of today, 30 April 2009, 08:00 hours CEST, is presented in Table 1.
Fifteen new confirmed cases have been reported in the EU within the past 24 hours, totalling 19 confirmed cases: Austria (1), Germany (3), Spain (10) and United Kingdom (5).
All European confirmed cases have a history of travel to Mexico, except for one case in Spain where there is evidence of transmission within the household.
Two probable cases (according to EU case definition agreed on 29 April 2009) have been reported by France. Laboratory confirmation is pending.
Outside of the European Union
Outside of the European Union, a total of 155 confirmed cases of novel influenza virus A(H1N1) infections have
been reported from seven countries.
Update 30 April 2009, 08:00 hours CEST – In the last 24 hours, an additional 27 cases were confirmed in the US. Latest data suggest that human-to-human
transmission occurs in the US, and for the first time outside of Mexico.
An additional three confirmed cases have been reported by New Zealand, bringing the total to 14 confirmed cases in the country. One confirmed case was reported by Peru.
One death in a confirmed case has been reported in the US, being a young child from Mexico who was seeking medical treatment in Texas for other health reasons. Whereas until yesterday, all cases reported outside of Mexico
had a mild clinical presentation, the US CDC considers that severe illness is now being observed in a few patients in the USA.
No further deaths have been reported by Mexico (seven among confirmed cases to date). Investigations continue by Mexican authorities, together with WHO, in order to assess reasons for the severity of illness in reported cases