2009 swine flu pandemic in Spain

• There are 969 confirmed cases, with the latest all taken by awaiting samples. The Spanish government has affirmed the situation is under constant monitoring and control, recommending the population not to panic.
• Madrid has the greatest number of confirmed cases.[4]
• The North African Spanish cities of Ceuta and Melilla and also La Rioja have not reported any confirmed cases[4] of swine flu.

A 19-year-old woman in Spain became the first patient in continental Europe who died because of swine flu.[5] A second death was confirmed on 9 July in the Canary Islands, it was a 41-year-old man with a chronic disease.[6] The second affected land in Europe has reported seven death cases up to 29 July.

In early June, Madrid had an outbreak of swine flu among school children. By 9 June over 100 school children in Madrid had been confirmed to have swine flu.[7]

On 21 August 2009 the first death occurred in Andalusia when a 39-year-old woman, 39 weeks pregnant, died six days after being admitted to the Hospital Valme in Sevilla. On the same day, a 50-year-old woman died in the Hospital de La Línea (Cádiz) after being admitted on 3 August.

On 23 August, a morbidly obese 20-year-old woman died after being admitted to the Hospotal San Cecilio de Granada on 19 August. This was the third fatality due to H1N1 that weekend.

On 22 May 2009, the Ministry of Defence quarantined the Military Engineering Academy in Hoyo de Manzanares, where there were six confirmed and a further five suspected cases.[8]

On 1 June 2009, the Community of Madrid Health Office (represented by Juan José Güemes) confirmed two cases at the Isaac Albéniz secondary school and announced that this number could increase considerably in the future. The school head reported 25 cases, but these have not been confirmed.[9]

On 9 June 2009, the Community of Madrid Health Office confirmed 121 cases in 17 schools.[10] On 11 June 2009, there were 139 cases confirmed in 22 schools.[11]

On 29 June 2009 a 20-year-old woman died after giving birth, becoming the first to die of H1N1 infection in Spain.[12]

On 16 July, the fourth death in Spain and second in the Community of Madrid occurred. A 71-year-old man with chronic obstructive pulmonary disease died in the Hospital Universitario La Paz, Madrid.[13]

On 24 August 2009, a man died in a Madrid hospital (although his identity was not revealed on his family's request). This was the sixteenth death due to the H1N1 virus in Spain.

On 9 July 2009 the second death occurred in the Canary Islands. A 41-year-old man died in the ICU of the Hospital Universitario de Gran Canaria Doctor Negrín in Las Palmas. His rapid deterioration was due to a previous condition.[14]

On 12 August, the tenth death due to H1N1 occurred in Spain with the death of a 30-year-old man, admitted to the Hospital Insular de Gran Canaria on 20 July, who also showed additional risk factors.[15]

On 17 August, an 11-year-old boy died of a chronic illness which was aggravated by the H1N1 infection.[16]

On 16 July 2009, the third death occurred in the Hospital Son Llàtzer, Palma, Majorca. The deceased was a 33-year-old Nigerian woman with no previous health issues.[13]

On 20 July 2009 in Teulada, Spain a man who had been on dialysis since 1993 died. This was the fifth death at the national level.[17]

On 27 July 2009 the sixth person died: a 53-year-old man, in the Hospital La Ribera in Alzira, Valencia. He had a serious prior pathology.[18]

On 10 August the ninth person died: a 28-year-old woman admitted to the Hospital 9 de Octubre in Valencia.[19]

On 14 August the eleventh person died, a 31-year-old pregnant woman in an irreversible coma in the Hospital General, Castellón de la Plana.[20]

On 29 July 2009, a 34-year-old man died (the seventh in Spain) in Villarrobledo, Albacete. He had been admitted on 12 July with a serious illness.[21]

On 4 August 2009 the first death in Catalonia and eighth in the country occurred. The patient, a 35-year-old woman, died in Girona after being admitted to hospital two days before.[22]

  Deaths

  Confirmed cases

  Suspected cases

  Formerly suspected cases

The first case of H1N1 in Galicia was recorded on 29 April 2009 in the province of Ourense,[23] although it was not confirmed until several days later.[24] The deceased was a woman who had recently travelled to Mexico.

Patients with similar symptoms to those of H1N1 had been recorded previously and were considered as possible cases at the time. The first was detected in Mos[25] on 27 April 2009 in a middle-aged male patient[26] who had arrived from Mexico several days beforehand. The first flu case in Spain was confirmed on the same day in Almansa, but was unrelated. On 1 May 2009 another new suspected case appeared in A Coruña,[27] also in a Mexican person. Several days later these cases were confirmed to be unrelated to H1N1.[28]

On 27 August 2009 a 33-year-old male died in Vigo due to complications from flu, although he had other serious conditions.[29]

• Ministry of Health and Social Policy of Spain official website, Special about the swine flu (in Spanish)
• Department of Health of the Basque Government (in Spanish and Basque)
• Official website of the Basque Health Service/Osakidetza (in Spanish and Basque)
• Department of Health of the Generalitat of Catalonia (in Spanish, English, and Catalan)
• Enciclopedia Médica Medline Plus: Gripe porcina (in Spanish)
• Organización Mundial de la Salud (OMS): Gripe porcina (in Spanish)