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Toddler dies as swine flu cases mount

  • Story Highlights
  • Health officials around world act to prevent swine flu from entering their borders
  • More than 150 deaths in Mexico are thought to have been caused by swine flu
  • Russia bans all meat imports from Mexico and southern United States
  • In the United States, the largest number of cases is in New York City
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(CNN) -- A two-year-old child became the first person to die of swine flu outside of Mexico Wednesday, as numbers of suspected and confirmed cases continued to rise around the globe.

Quarantine officers monitor arrivals with a thermographic device at Bangkok's main international airport.

Quarantine officers monitor arrivals with a thermographic device at Bangkok's main international airport.

The toddler, who died Monday at a hospital in Houston, Texas, was visiting the United States from Mexico.

Meanwhile, an official at the World Health Organization said Wednesday evening that his agency had confirmed 114 cases of swine flu worldwide.

However, that number does not include additional cases announced by the Centers for Disease Control and Prevention (CDC), now at 91.

The WHO was still listing 64 swine flu cases for the United States. "It's clear that the virus is spreading, and we don't see it slowing down at this point," said Dr. Keiji Fukuda, assistant director-general of WHO, at a news conference.

He said the most severe cases are in Mexico; other countries have milder cases so far.

According to the WHO's figures, the number of deaths from the virus was seven in Mexico. But with the U.S. death -- confirmed by the Centers for Disease Control and Prevention (CDC) -- the number rises to eight.

The world body did not immediately provide a breakdown for the additional cases that had been substantiated through lab tests Wednesday. Nor was it clear whether the U.S. death was part of its updated figure.

The WHO list also does not include 11 additional cases reported by New Zealand health officials, four by Spain, three each by German and Britain, two in Costa Rica and one in Austria.

In the United States, the number of confirmed cases has risen to 91 and is spread across 10 states, the Center for Disease Control announced Wednesday. One of those cases was fatal, but the majority are not severe, according to acting CDC chief Dr. Richard Besser. Five patients have been hospitalized, including the 23-month-old child who died, he said.

Mexico said the virus is suspected of being behind 159 deaths and more than 2,500 illnesses. Those figures are being investigated.

Including figures from local governments, these are the outbreaks -- confirmed and suspected -- so far:


Cases: None confirmed, but 91 cases were being investigated Wednesday morning, the country's health department said.


Cases: One. A 28-year-old woman is doing well and recovering after contracting swine flu, the Austrian Health Ministry said.


Cases: Six mild cases

Measures: Issued a travel health notice, saying its public health agency was "tracking clusters of severe respiratory illness with deaths in Mexico." Tell us what you think about the swine flu outbreak


Cases: None

Measures: Banned pork imports from Mexico, and from California, Kansas and Texas in the United States.


Cases: Two. A 21-year-old woman who returned from Mexico on Saturday tested positive, the Costa Rican health ministry said. Swine flu also has been diagnosed in a 30-year-old man, said ministry spokesman Roy Alvarada. Neither case is on the WHO list.


Cases: Three. None of the cases has resulted in deaths, said the Robert Koch Institute -- Germany's disease control center. The positive tests were not included in the WHO tally.

The German cases were: a 22-year-old woman in Hamburg who displayed flu-like symptoms after a trip to Mexico; a man in his late 30s being treated in the city of Regensburg in the southern state of Bavaria; and a 37-year-old woman in Bavaria who also had traveled to Mexico.


Cases: None Video Watch how public health officials grade phases of pandemic alerts »

Measures: Indian health officials advised citizens to postpone their non-essential travel to the swine flu-hit regions.

Public Health Emergency

According to the World Health Organization, a public health emergency is an occurence or imminent threat of illness or health conditions caused by bioterrorism, epidemic or pandemic disease, or highly fatal infectious agents or toxins that pose serious risk to a significant number of people.

At a White House news conference Sunday, Homeland Security Secretary Janet Napolitano said the emergency declaration is standard procedure -- citing that one was declared for the inauguration and for recent flooding.

Stepped up surveillance at ports and airports.

States asked to review their preparedness.


Cases: None

Measures: Increased surveillance; testing the temperatures of travelers flying into the country.


Cases: Two. Both men recently returned from Mexico.

The 5-year-old niece of one of the men was suspected of having the flu and was undergoing hospital treatment.

Measures: The Health Ministry has not issued special instructions to the public, nor adopted measures for monitoring those returning from Mexico.

The country is calling the outbreak "Mexico flu" so that citizens do not have to pronounce the name of an animal considered impure in Judaism and Islam. Video Watch efforts in Mexico to prevent spread of the virus »


Cases: None

Measures: The foreign ministry suspended visa waivers for visitors from Mexico.

Airport officials are checking passengers before they disembark.


Cases: None

Measures: Screening passengers from Europe and the Americas at Jomo Kenyatta International Airport in Nairobi.

Government encourages Kenyans to defer traveling to Mexico.

Kenya set up 26 screening centers to test people for avian flu following that outbreak a few years ago, and will also use the centers for swine flu testing.


Cases: 159 deaths and more than 2,500 infections are thought to have been caused by swine flu, said Jose Angel Cordova, Mexico's health secretary.

Only 26 cases -- 19 infections and seven deaths -- have been confirmed by laboratory tests in Mexico and reported to the World Health Organization. Do you think we should be worried about swine flu?

Measures: Mexico City has closed its schools and universities until further notice. It has also ordered restaurants only to serve takeaway meals, so customers do not congregate. In addition, bars, clubs, movie theaters, pool halls, gyms, sport centers and convention halls have been told to close until May 5.

Troops passed out 4 million filter masks in the city of 20 million residents.

Officials are considering shutting down the bus and subway systems.

Citizens are asked to avoid large crowds, refrain from kissing, and stay at least six feet from one another.

The World Bank is offering $205 million to deal with the outbreak.


Cases: 14. All inflected were part of a study group from Auckland's Rangitoto College who returned to New Zealand from Mexico over the weekend.

Three people tested positive for the swine flu virus, and those cases were confirmed by the WHO.

Because the rest of the group exhibited similar symptoms, and all of them returned positive result for Influenza A -- the general category of strains that includes the H1N1 swine flu -- the health ministry said it was assuming that everyone who traveled with the Rangitoto College group has swine flu.

Measures: New Zealanders who traveled to Mexico or North America in the past two weeks are asked to get in touch with health officials if they have flu-like symptoms.


Cases: None

Measures: Banned all meat imports from Mexico and the southern United States.

Announced it will screen incoming passengers from those two countries by taking their temperatures.

Set up a government commission to plan response, and advised citizens against traveling to Mexico.


Cases: A 51-year-old woman, who recently returned from Mexico, tested positive for type-A influenza. Tests are being conducted to see whether the influenza is of the swine flu strain. The woman has been quarantined.

Measures: Suspended pork imports from Mexico, the United States and Canada.

Stepped up inspections of passengers returning from affected areas.

Took steps to double its stockpile of Tamiflu anti-viral medicine -- enough to treat about 5 million people, or 10 percent of the country's population.


Cases: Four cases confirmed and 59 others suspected -- many of whom had recently traveled to Mexico, the health ministry said. None were in serious condition.

Measures: The government is trying to reach passengers who were on flights with people suspected or confirmed with the flu.


Cases: None.

Measures: Airport officials are keeping a closer eye on passengers arriving from Mexico.

The health ministry is calling the virus "the flu that has caused an outbreak in Mexico," so that the public does not confuse "swine flu" with "bird flu." The ministry also said it did not want to hurt the pork industry.


Cases: None

Measures: The ministry of health issued a circular, asking doctors to be prepared to deal with any potential swine flu cases.


Cases: Two confirmed, in Scotland. The patients are recovering.

Measures: The Foreign Office advised against all but essential travel to Mexico.


Cases: 91 confirmed by the CDC spread across 10 states. One of those cases was fatal, but the majority are not severe, according to acting CDC chief Dr. Richard Besser. Five patients have been hospitalized, including the 23-month-old child who died, he said.

Among the new cases not included in the CDC figures:

A Nassau County, New York, resident tested positive for swine flu, the county health department said Tuesday night. The resident is "associated" with the St. Francis Preparatory School in Queens, where at least 28 of the United States' 64 confirmed cases were reported after several students returned from a trip to Cancun, Mexico. The Nassau County information was not included in a CDC tally released at 11 p.m. Tuesday.

A college student in Indiana tested positive for swine flu and is recovering, state health officials said. They attributed the test confirmation to the CDC. The case has not yet been included in CDC's latest figures.

California's public health department confirmed 11 swine flu cases -- one more than CDC figures.



Cases: None.

Measures: Security stepped up at airports and borders.

All About MexicoInfluenzaCenters for Disease Control and Prevention

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