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Influenza A/H1N1: update 27 April
27 April 2009
U.S.A and Canada 
The CDC has confirmed more cases in New York bringing the total number of laboratory confirmed cases in the United States to 40. The cases continues to be mild and no further cases has been reported from new localities. Six cases, two from British Columbia and four from Nova Scotia have been identified by the 26 April but none today. 
Source:  Public Health Agency of Canada and U.S. Human Cases of Swine Flu Infection

United Kingdom and Spain 
Two people in the United Kingdom are confirmed with influenza A/H1N1 after returning from a vacation in Mexico, and one person returning from Mexico to Spain has been confirmed infected. 
Source:  BBC

Mexico 
Number of deaths due to suspected influenza A/H1N1 has increased to 149, but only 26 cases have been laboratory confirmed. 

Quarantine 
Some governments including China, Russia, Japan and Taiwan began planning to put anyone with symptoms of the virus under quarantine. 
Source:  ProMED

Comment on A influenza, A/H1N1 (swine flu)
 
It was expected that further cases would be identified outside Mexico in people returning to their home countries. The number of such cases are still small, and there are so far no sign that the virus has started to spread locally. 
The infection in patients in North America and Europe are still mild. 

Under the circumstances travels to Mexico should be avoided if not strictly necessary. 
Travellers to Mexico staying for more than a few days should bring either Tamiflu or Relenza with them for self treatment, should they develop an influenza like illness.