2009 swine flu pandemic in Canada

As of 9 April 2010, there were 1,278 confirmed hospitalized cases in Alberta.[7]

On 2 May 2009, Canadian Food Inspection Agency executive vice-president Brian Evans announced that an infected Alberta farm worker recently returned from Mexico had apparently passed the virus to a swine herd in his care. Although the herd had been quarantined, Evans stressed that the infection represented no threat to food safety and judged the possibility of infected pigs passing the virus back to humans "remote". Evans said the infection of the herd was the first known case of the H1N1 virus being transmitted from humans to pigs.[8] Transmission from the same herd of pigs back to humans was revealed on 20 July, though it occurred on 7 May when the humans, health inspectors, were taking samples from the infected herd with improper self-protective measures.[9]

On 8 May, health officials in Alberta confirmed that swine flu contributed to the death of a woman in Northern Alberta on 28 April, Canada's first death associated with the illness.[10][11][12][13][14][15]

As of 14 August 2009, there were 1,648 confirmed cases of swine flu in Alberta. Health and Wellness Alberta stopped reporting non-hospitalized cases on 21 August.[7]

The B.C. government has reported 1,060 severe flu cases as of 2 February 2010. 49 of 56 fatalities were people with underlying medical conditions.[16] The province is no longer reporting non-severe cases (Total cases reached 676 by 10 August).[17]

The initial cases in British Columbia involved two young men aged 25–35 from the B.C. Lower Mainland who had recently come back from Mexico, according to Danuta Skowronski, head of flu and respiratory illnesses at the BC Centre for Disease Control, run by the provincial government. The cases were discovered by normal flu testing conducted by the disease control centre after the men had visited a doctor about flu-like symptoms. She noted the disease seemed "widespread" in Mexico and should not be mistaken by tourists to be linked only with urban Mexico City.[18] The first fatality in British Columbia caused by the H1N1 virus occurred on 14 July, and was a young child who died within 24 hours of being rushed to the hospital.[19] There were concerns of H1N1 during the months leading up to the 2010 Winter Olympics that occurred in Vancouver in February 2010, as a result volunteers were required to be vaccinated.[6] On 28 January, Perry Kendall, the provincial health officer, stated that the chances of a third wave of H1N1 were "diminishing". However, he maintained that vaccinations continued to be recommended for all and are vital for reducing the risk of another wave of H1N1.[20]

As of 5 October 2009, there were 892 confirmed cases in the province, with 7 deaths associated with the H1N1 virus.[21] As of 1 February 2010, there had been 1,774 new confirmed cases, with 4 deaths since the start of the "second wave" 6 October.[21]

On 3 May, the first case in Manitoba was confirmed in the Brandon area.[22] The second case in Manitoba was announced on 12 May. The second case, a Winnipeg woman in her 50s was admitted to hospital, although the province noted she also has an unidentified underlying medical condition.

As of 4 January 2010, there were 267 hospitalized cases in the province.[23]

On 13 June, Newfoundland and Labrador reported their first case of swine flu, becoming the final province to do so. The case involves a sample collected from a young man who was treated Thursday 11 June at the hospital in Grand Falls-Windsor.[24]

The first recorded death of a person with swine flu was recorded on 1 November 2009, when a 36-year-old woman died from the virus.[25]

The first case in New Brunswick was confirmed to be present in Greater Moncton on 1 May 2009.[26]

By 28 August, there had been 147 confirmed cases in New Brunswick. The first deaths occurred 13 November.[27]

On 1 June, the Northwest Territories confirmed their first case of swine flu.[28] The first death occurred in November.[1]

From the beginning of the 2009–10 flu season in September until 2 December, there were 739 confirmed cases, including 255 hospitalizations.[29]

First cases: Nova Scotia's chief medical officer, Robert Strang, said on 26 April that the National Microbiology Laboratory in Winnipeg confirmed late the previous day that four people in the province between the ages of 12 and 18 were recovering from "relatively mild" cases of the disease. The four people were students attending King's-Edgehill School preparatory school in Windsor, Nova Scotia. One of the infected students had been on a recent school trip to the Yucatán Peninsula in southern Mexico.[30][31]

On 16 July 2009, Nunavut reported its first swine flu death.[32] As of 5 August, there were 496 confirmed cases of the swine flu.[33]

There were 8,633 confirmed cases in Ontario, with 1,725 hospitalizations as of 10 December.[34]

On 27 April 2009, four cases were suspected to be swine flu in Ontario. This number grew to ten cases in five days.[35] On 25 May, Ontario Health Minister David Caplan confirmed that a Toronto man in his 40s had died of the virus.[36][37]

The Toronto region acted as a secondary epicentre during the 2003 SARS epidemic, and took extra precautions against the H1N1 virus in the early stages of the pandemic.[38]

Ontario is also home to what is believed to be the youngest Canadian death from swine flu. A two-month-old baby was admitted to the London Health Sciences Centre on 2 November 2009; the boy died in the early morning two days later.[39] This death, is one of three recently reported in London, Ontario, and has brought the number of confirmed deaths from H1N1 since April in Ontario to 95 as of 26 November 2009.[1]

As of 8 December 2009, there were 50 hospitalizations in the province, and no deaths.[40]

Prince Edward Island confirmed its first two cases in Charlottetown on 4 May 2009.[41]

Swine can be infected by both avian and human influenza strains of influenza, and therefore are hosts where the antigenic shifts can occur that create new influenza strains.

There had been 2,422 hospitalized cases as of 4 December 2009.[42]

While an early case Quebec turned out not to be swine flu,[43] on 30 April 2009, the first case in the province was confirmed in the Greater Montreal Area.

The first case of death was announced on 8 June, making the total of 4 deaths for Canada. The person was a more than 65-year-old woman suffering from respiratory diseases before being hospitalized on 2 June. According to medical expertise, she had never traveled to Mexico and had no contact with those who did.[44]

Confirmed cases totalled 10,714 between 30 August and 4 December 2009.[42]

The first cases were confirmed on 7 May in the Saskatoon and Regina areas.[45]

The province stopped counting individual cases as of 23 July 2009. At that point there were 888 confirmed cases.[46]

On 12 May 2009, Yukon reported its first case of swine flu.[1] The first death was a school-aged girl who died on 1 November.[47]