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The Domestic and International Impacts of the 2009-H1N1 Influenza A Pandemic: Global Challenges, Global Solutions: Workshop Summary (2010)
Board on Global Health (BGH)

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. "A13 Influenza (H1N1) Pandemic 2009." The Domestic and International Impacts of the 2009-H1N1 Influenza A Pandemic: Global Challenges, Global Solutions: Workshop Summary. Washington, DC: The National Academies Press, 2010.

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The Domestic and International Impacts of the 2009-H1N1 Influenza a Pandemic: Global Challenges, Global Solutions - Workshop Summary
FIGURE A13-4 Affected schools, May 2009 (Red: confirmed case. Blue: clinical case).

FIGURE A13-4 Affected schools, May 2009 (Red: confirmed case. Blue: clinical case).

SOURCE: Ministry of Health National Surveillance System.

Soon, viral spread in the metropolitan area and CABA became sustained, with serious and fatal cases. Between April and July in the Province of Buenos Aires and CABA (Figure A13-5), the majority of cases at the beginning of the outbreak belonged to the group of schoolchildren 5-15 years old. The recommendation to close schools from June 8th to 19th may have helped to reduce transmission to other age groups, since it would have limited the transmission among the primary spreaders. This measure could also have avoided the high spread to other parts of Argentina. As shown in Figure A13-6, the outbreak in the interior showed the same start for all age groups, with the majority of cases in the 15-44 years old age cohort (Figure A13-6).

The first fatality occurred on June 15th and, 10 days later, 17 more fatalities were reported in the Province of Buenos Aires and 5 in CABA.

The lack of epidemic containment in CABA and the metropolitan area of theProvince of Buenos Aires led to the spread in major cities within the Province of Buenos Aires as well as several provincial capitals, starting with Santa Fe.

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Front Matter (R1-R22)
Workshop Overview (1-94)
Appendix A1 Technical Report for State and Local Public Health Officials and School Administrators on CDC Guidance for School (K-12) Responses to Influenza during the 2009-2010 School Year (95-110)
A2 Predicting Emerging Diseases in the Twenty-first Century: The Case of Zoonotic Influenza (111-119)
A3 The Spring 2009 Influenza A H1N1 Outbreak: A Local Public Health Perspective (120-136)
A4 I nternational Law and Equitable Access to Vaccines and Antivirals in the Context of 2009-H1N1 Influenza (137-154)
A5 In Vitro and In Vivo Characterization of New Swine-Origin H1N1 Influenza Viruses (155-190)
A6 Estimation of the Reproductive Number and the Serial Interval in Early Phase of the 2009 Influenza A⁄H1N1 Pandemic in the USA (191-207)
A7 The Severity of Pandemic H1N1 Influenza in the United States, from April to July 2009: A Bayesian Analysis (208-247)
A8 Hard Choices in Difficult Situations: Ethical Issues in Public Health Emergencies (248-268)
A9 Rumors of Pandemic: Monitoring Emerging Disease Outbreaks on the Internet (269-282)
A10 Preliminary Observation of the Epidemiology of Seasonal and Pandemic Influenza A (H1N1) in South Africa, 2009 (283-296)
A11 Reflections on the 1976 Swine Flu Vaccination Program (297-305)
A12 Southern Hemisphere, Northern Hemisphere: A Global Influenza World (306-326)
A13 Influenza (H1N1) Pandemic 2009 (327-341)
A14 Origins and Evolutionary Genomics of the 2009 Swine-Origin H1N1 Influenza A Epidemic (342-380)
Appendix B Agenda (381-385)
Appendix C Acronyms (386-388)
Appendix D Glossary (389-396)
Appendix E Forum Member Biographies (397-418)