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In late March and early April, 2009, an outbreak of H1N1 influenza A virus infection was detected in Mexico, with subsequent cases observed in several other countries including the United States (1, 2). Though limited information was available on the early pre-pandemic situation in Mexico, subsequent cases in the U.S. and Canada had a common travel history of returning from Mexico, the epicenter of the current outbreak. After that, however, secondary cases without a travel history developed in the U.S. and Canada, which spread to the United Kingdom and Spain over several weeks with increasing local community-wide transmission. As the days go by, the number of infected patients and countries with laboratory-confirmed cases is increasing. As of May 19, 2009, there have been over 9,830 laboratory-confirmed cases in 40 countries (3).

Novel Influenza A (H1N1): Where Are We?