Announcement

**Gert van der Hoek** · September 2, 2009, 03:34 AM

Re: South Africa: 27 deaths; 12 were pregnant

H1N1 death toll up

Latoya Newman

September 02 2009 at 10:12AM

The latest report on swine flu infections from the National Institute for Communicable Diseases states that the number of confirmed infections has risen to 5 841, with 27 deaths.

In KwaZulu-Natal, the number of confirmed cases of A(H1N1) flu had increased to 881, while the death toll remained two.

Institute spokeswoman Nombuso Shabalala said 12 of the 27 fatal cases to date were pregnant women.

"People with asthma; diabetes; chronic lung, kidney and heart problems; depressed immunity; or pregnant women, especially in the second or third trimester, or in the puerperal period (the six weeks following the completion of labour) must receive early treatment with antivirals if flu-like illness is present, including fever, muscle pain and a dry cough.
"Treatment should be instituted prior to any laboratory results (from tests for swine flu) for this group of patients.

"The majority of illness in persons without any underlying conditions remains mild and self-limiting," she said.

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**Shiloh** · September 8, 2009, 01:29 PM

Re: South Africa: 31 A/H1N1 deaths; 14 were pregnant

Source: http://www.news24.com/Content/World/...u_deaths_in_SA

31 swine flu deaths in SA
2009-09-08 19:01

Johannesburg - Thirty one people have died of swine flu while more than 7 000 laboratory confirmed swine flu cases have been recorded in South Africa, the National Institute of Communicable Diseases said on Tuesday.

In a statement, NICD said the latest figures were as of Monday, September 7 and that Gauteng remained the province with the highest number of H1N1 laboratory-confirmed cases.

An increase was also noted in the Western Cape and KwaZulu-Natal.

"The underlying associations related to mortality in the four new additional deaths, include pregnancy (two), obesity (one), HIV positive (one) and a 5-year-old who was apparently healthy," the institute said.

"In the majority of persons without any underlying conditions the illness remains mild and self-limiting," it said.

- SAPA

**Shiloh** · September 15, 2009, 06:01 AM

Re: South Africa: 47 A/H1N1 deaths

Source: http://www.ecr.co.za/kagiso/content/...u-deaths-in-SA

47 swine flu deaths in SA
15 September 2009 - 12:21
Author: Bongi Tshiqi
Swine flu continues to claim lives in South Africa.

The Health Department's told ECR Newswatch that 47 people have died of H1N1 while about 11 000 people are confirmed to have the illness.

It emerged over the weekend that a KZN doctor had died of swine flu. However the department's Fidel Hadebe says those getting infected are still mainly pregnant women and young children.

He says the situation has become more manageable at hospitals.

"Panic seems to have eroded somehow. I think people gradually have come to understand more about the H1N1 influenza.

We still working hard as a department and as a country to respond to this pandemic. We cannot rest until we begin to see a significant decline in the number of cases reported."

**Shiloh** · September 15, 2009, 05:47 PM

Re: South Africa: 47 A/H1N1 deaths

Source: http://www.iol.co.za/index.php?set_i...3407334C302816

Swine flu death toll rises

September 16 2009 at 12:15AM

Forty-seven people had died from swine flu in South Africa by Monday, the National Institute for Communicable Diseases said on Tuesday.

There had also been 11 253 laboratory-confirmed cases of the illness caused by the (A)H1N1 virus.

Of the people who died, 20 were pregnant women, five of whom were HIV-positive.

Underlying conditions identified for the 27 other people included obesity and diabetes, which accounted for most of the fatalities, followed by HIV and hypertension.

"In the majority of persons without any underlying conditions the illness remains mild and self-limiting," the institute said. - Sapa

**B.C.** · September 25, 2009, 03:02 AM

H1N1 death toll at 57

H1N1 death toll at 57

September 25 2009 at 09:40AM

At least 57 people have died of swine flu while more than 11 500 laboratory confirmed cases have been recorded in South Africa, the National Institute of Communicable Diseases (NICD) said on Friday.

NICD spokesperson Nombuso Shabalala said Gauteng had the highest number of H1N1 laboratory-confirmed cases while an increase was also noted in the Western Cape and KwaZulu-Natal. - Sapa

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**Shiloh** · September 25, 2009, 06:42 AM

Re: South Africa: 59 A/H1N1 deaths

Source: http://www.sowetan.co.za/News/Article.aspx?id=1069653

Swine flu claims 59
25 September 2009
Zinhle Mapumulo

TWELVE more people have died of swine flu in South Africa, bringing the number of fatalities to 59.

The National Institute for Communicable Diseases of the National Health Laboratory Service said on Tuesday that the number of confirmed cases had also increased to 11545, with females accounting for over 60percent of all cases.

?Of the 66 percent women who died of the N1H1 virus, 40percent of them were either pregnant or in puerperal period. Of the 21 pregnancy-related deaths, 93percent were in the third trimester. Some 14 of the expectant mothers tested for HIV and the majority had concurrent active pulmonary tuberculosis,? said the NICD?s Nombuso Shabalala.

Swine flu was first reported in South Africa in mid June. At the time Gauteng was the most affected province but Western Cape is now leading in the number of fatalities, accounting for 33 deaths, followed by the Eastern Cape at seven.

The NICD has issued a warning to the public about a second wave of swine flu that could or might already have hit the country.

**Shiloh** · September 30, 2009, 08:22 AM

Re: South Africa: 83 A/H1N1 deaths

Source: http://allafrica.com/stories/200909300207.html

South Africa: H1N1 Toll is 'Very Low', Says NICD Director
Luphert Chilwane

30 September 2009

Johannesburg ? The Death Toll From Swine Flu known scientifically as the A(H1N1) pandemic influenza virus -- has risen to 83 in SA, the National Institute for Communicable Diseases (NICD) said yesterday.

The NICD said at least 11726 people had been infected with swine flu in SA. The first case was confirmed in Johannesburg by the Department of Health in June.

Prof Barry Schoub, director of the NICD, said the death toll was still very low compared to the number of people infected with the virus. "Thousands of people have been infected so far but only 83 have died," he said.

Schoub said the death rate was likely to rise in the next winter season, but "we hope by then we would have developed a vaccine to prevent the spread".

He said 60 deaths were confirmed by the National Health Laboratory Service, and 23 by private sector laboratories.
[B
In the NICD's preliminary report, 59% of the patients who died were female and 41% were male. Twenty-four of those who died were pregnant.

Twenty-three patients who died were both diabetic and obese, 16 had tested HIV-positive, eight had heart disease and six had tuberculosis.][/B]

Schoub said HIV, diabetes, obesity and pregnancy were some of the risk factors in swine flu.

**Anne** · October 6, 2009, 04:05 PM

Re: South Africa: 83 A/H1N1 deaths

NICD The National Institute For Communicable Diseases

http://www.nicd.ac.za/

(NICD) aims to keep you updated with relevant and current information concerning COVID-19 in South Africa.

Pandemic influenza A/H1N1 update

As of 29 September 2009, 11 729 laboratory-confirmed cases of pandemic influenza A(H1N1) 2009 infection have been reported in South Africa. All nine provinces have reported cases, with the majority (45%, n=5 318) residing within Gauteng followed by Western Cape (17%, n=1 963) Provinces (Table 2). Males and females were equally affected, and ages range from an infant less than one month old to 90 years with a median of 15 years (Figure 1). Since the peak of the outbreak in the 32nd week of 2009 (3 to 9 August), we have observed a steady decline in the number of new laboratory-confirmed pandemic influenza cases reported to the NICD (Figure 2). Although this trend is believed to be a true reflection of the pandemic?s progression among the South African community, it is likely attributable to multiple factors, including: more focus on testing only severe cases and a reduction in public interest resulting in fewer clinically mild patients submitting specimens.

A total of 60 pandemic influenza A(H1N1)-related deaths has been confirmed by the National Health Laboratory Service (NHLS) to date. An additional 24 deaths were confirmed by private sector laboratories where specimens were not available to NHLS/NICD for testing. This brings the total number of laboratory-confirmed deaths to 84. These patients ranged from 3 days to 70 years (median 32 years) in age and females accounted for a higher proportion (58%, n=49). The majority of deaths have been reported from the Western Cape Province (45%, n=38), which may be partially due to heightened testing and follow-up of deaths in this province (Table 2).

Although follow-up investigations to obtain clinical histories on all pandemic influenza-related deaths are ongoing, limited clinical information is currently available for the majority of these cases (Table 1). Notably, 52% (16/31 tested) were HIV-infected and 28% (23/81) were either pregnant or in the puerperium. Among pregnant women, 94% (16/17) were within the third trimester of pregnancy and two women were puerperal (within 42 days post-delivery). The prevalence of HIV among pregnant and puerperal patients tested (10/14, 71%) was elevated and 17% (4/23) had documented active pulmonary TB.

**Shiloh** · October 7, 2009, 06:50 AM

Re: South Africa: 91 A/H1N1 deaths

Source: http://www.news24.com/Content/World/...1_deaths_at_91

SA's H1N1 deaths at 91
2009-10-07 13:29

SA to stop counting at 100

Once a total of 100 cases of swine flu have been confirmed in South Africa, authorities will stop the individual laboratory confirmation of cases, the Department of Health says.

Johannesburg - Ninety-one people have died from swine flu in South Africa but the number of cases is falling as the country moves into the warmer summer months, the National Institute for Communicable Diseases (NICD) said on Wednesday.

It also recorded 12 278 cases from samples it was sent and those sent to private laboratories with most diagnosed cases in the 10 to 14 year age group.

NICD spokesperson Nombuso Shabalala said as seasons changed and people panicked less, the numbers of people going for tests had dropped.

"Not so many people are going for testing. Because there is more information and knowledge, people are not really panicking," she said.

The deaths were between the age groups of three and 70, with 59% female.

Pregnant women accounted for the highest "underlying condition" with 25 mothers dying of the virus.

Those with HIV/Aids, or who were obese, accounted for the second most deaths with 16 in each category.

Ninety-five percent of the pregnant women were in their third trimester.

The Western Cape had the highest number of deaths at 39, followed by KwaZulu-Natal 21, and Eastern Cape 10.

- SAPA

**Anne** · March 4, 2010, 01:44 PM

Re: South Africa: 91 A/H1N1 deaths

NICD The National Institute For Communicable Diseases

http://www.nicd.ac.za/

(NICD) aims to keep you updated with relevant and current information concerning COVID-19 in South Africa.

Last Updated: 15 February, 2010 

This is a situation report issued by the NICD in order to report on cases that tested positive for pandemic influenza A(H1N1) 2009 as on 15 February 2010. There have been no new laboratory-confirmed cases reported to the NICD since the last report.

Table 1: Number of pandemic influenza A(H1N1) 2009 cases and deaths by province, South Africa,
15 February, 2010
<table border="1" bordercolor="#006600" cellpadding="1" cellspacing="0"> <tbody><tr> <td rowspan="2" bgcolor="#99cc99"> Province* </td> <td colspan="2" bgcolor="#99cc99">

Laboratory-confirmed cases ?

</td> <td rowspan="13">
</td> <td colspan="3" bgcolor="#99ff99">

Laboratory-confirmed H1N1 deaths ?

</td> </tr> <tr> <td bgcolor="#99cc99">

Cumulative total

</td> <td bgcolor="#99cc99">

Incidence rate (per 100 000 population)

</td> <td bgcolor="#99ff99">

NHLS

</td> <td bgcolor="#99ff99">

Private Sector

</td> <td bgcolor="#99ff99">

Total

</td> </tr> <tr> <td> Eastern Cape </td> <td>

682

</td> <td>

10.26

</td> <td>

7

</td> <td>

3

</td> <td>

10

</td> </tr> <tr> <td> Free State </td> <td>

314

</td> <td>

10.82

</td> <td>

2

</td> <td>

0

</td> <td>

2

</td> </tr> <tr> <td> Gauteng </td> <td>

5,585

</td> <td>

53.03

</td> <td>

9

</td> <td>

4

</td> <td>

13

</td> </tr> <tr> <td> KwaZulu-Natal </td> <td>

2,258

</td> <td>

21.61

</td> <td>

7

</td> <td>

15

</td> <td>

22

</td> </tr> <tr> <td> Limpopo </td> <td>

545

</td> <td>

10.43

</td> <td>

0

</td> <td>

0

</td> <td>

0

</td> </tr> <tr> <td> Mpumalanga </td> <td>

500

</td> <td>

13.86

</td> <td>

1

</td> <td>

0

</td> <td>

1

</td> </tr> <tr> <td> Northern Cape </td> <td>

134

</td> <td>

11.68

</td> <td>

2

</td> <td>

1

</td> <td>

3

</td> </tr> <tr> <td> North West </td> <td>

465

</td> <td>

13.48

</td> <td>

1

</td> <td>

1

</td> <td>

2

</td> </tr> <tr> <td> Western Cape </td> <td>

2,115

</td> <td>

39.48

</td> <td>

36

</td> <td>

4

</td> <td>

40

</td> </tr> <tr> <td> Unknown </td> <td>

42

</td> <td>

-

</td> <td>

-

</td> <td>

-

</td> <td>

-

</td> </tr> <tr> <td> South Africa Total </td> <td>

12,640

</td> <td>

25.63

</td> <td>

65

</td> <td>

28

</td> <td>

93

</td> </tr> </tbody></table> ? An individual with acute respiratory infection in whom pandemic influenza A(H1N1) 2009 infection has been laboratory-confirmed. Incidence rate calculations based on 2009 mid-year population estimates published by Statistics South Africa (available online: www.statssa.gov.za)

Table 1: Selected clinical characteristics of pandemic influenza A(H1N1) 2009 related deaths, South Africa, 15 February, 2010

<table width="512" border="1" bordercolor="#000099" cellpadding="1" cellspacing="0"> <tbody><tr bgcolor="#c5d9e9"> <td width="32%">

Factor

</td> <td width="21%">

Frequency of factor / Number of cases with data available

</td> <td width="12%">

%