2009 swine flu pandemic in Argentina explained

See main article: 2009 flu pandemic and 2009 flu pandemic by country.

2009 flu pandemic in Argentina
Map1:H1N1 Argentina Map.svg
Map2:H1N1 Argentina map by confirmed cases.svg
Map3:H1N1 Argentina deaths.svg
Disease:Swine influenza
Virus Strain:H1N1
Arrival Date:29 June 2009
Origin:from Mexico DF
Deaths:626[1]
Confirmed Cases:12,010
Total Ili:1,479,988
Website:H1N1 at the Ministry of Health website

The influenza A virus subtype H1N1 (initially known as swine influenza virus or as new flu, and also locally known as gripe A, gripe porcina, and influenza porcina) arrived in Argentina in late April 2009, through air traffic contact with endemic areas, especially Mexico and the United States. The World Health Organization (WHO) and the Argentine health authorities expressed their concern from the beginning of the outbreak, that the imminent arrival of the southern winter could cause "more serious" effects in the southern hemisphere than those caused in Mexico,[2] [3] and could lead to a rebound of the epidemic around the world. The flu or influenza is mainly a seasonal disease that becomes most prevalent in winter.[4]

The first infection was confirmed on May 7 in a man who had come from Mexico City and had entered the country without symptoms on April 24. The second case was detected on May 22. Towards the end of May infection started in some schools in the northern community of the City of Buenos Aires and its suburbs, the main part of the country affected by the epidemic.

On June 15 the first death was announced: a three-month-old baby in the Greater Buenos Aires area.[5] In the second half of June, coinciding with the onset of winter, the virus was widely transmitted in Buenos Aires and spread to other parts of the country, especially the Province of Santa Fe, with its center in the city of Rosario.

On June 29, the Government decided to close schools throughout the month of July, a measure which affected 11 million students.[6] Pregnant women and other categories at risk were also dispensed from working. The measures taken by the authorities were primarily targeted to limit contagion during the winter months until the start of spring.[7]

The peak of infection lasted from the end of June until the beginning of July, increasing normal hospital demand fivefold and causing the collapse of the systems organizing hospital wards, home doctors and work place doctors.[8] The most affected area was Greater Buenos Aires, home to some 12 million people. It was estimated that up to 10% of the population of that region (approximately 1,200,000 people) could be affected by the pandemic of influenza A.[9]

In Argentina, seasonal flu outbreaks kill about 4,000 people each year, equivalent to a rate of 10 deaths per 100,000 inhabitants.[10] The contingency plan developed in 2006 to face a possible influenza pandemic estimated that the dead could reach 13,000 in the event of a moderate rate of infection (15%) and 30,000 in the event of a serious infection rate (35%).[11]

Timeline

April

April 26:The Ministry of Health issued an Epidemic Alert order asking airlines to report passengers with influenza symptoms arriving from Mexico and United States. The government also stepped up safety checks, and thermal scanners were used in airports to detect passengers running fevers.[12]

April 28:The Argentine government suspended all flights originating in Mexico until May 15 as a precautionary measure.[13] The first flight coming from Mexico arrived at Ezeiza International Airport on May 20.

May

May 1:The Argentine government sent charter flights to Mexico to pick up all Argentine tourists abroad who wished to return.

May 7:The first case of Influenza A (H1N1) was confirmed in the country, a tourist who had recently returned from Mexico. This man was from Puerto Madryn, Chubut Province.[14]

May 22:Health Authorities confirmed the second case, a woman who had arrived from the United States about 20 days before.[15]

June

June 25:A case of human-to-swine transmission was discovered in Buenos Aires province. The hog farm where it occurred was interdicted. This was the second known case of reverse-zoonosis in the world.[16]

June 28:Due to the ongoing legislative elections and the possible resignation of the Health Minister, Graciela Ocaña, reports of confirmed cases and deaths were suspended.

June 29:Argentina's Health Minister, Graciela Ocaña, announced her resignation due to some political instability in the country and stated that the current government did not support her on some projects and plans she recommended for the betterment of the country. The Provinces of Santa Fe (after confirming the first two deaths), San Luis (with 5 confirmed cases and more than 30 suspected cases) and Santiago del Estero (which on the same day confirmed 12 cases of swine flu) each decided to suspend all classes of elementary, primary and secondary schools, and recommended that the universities adopt the same procedure.

June 30:The government of the Autonomous City of Buenos Aires alongside the government of the Buenos Aires province, decreed a Health Emergency, though public services continued their operations. Winter holidays for students had started two weeks before.[17]

July

July 2:The newly appointed Health Minister Juan Luis Manzur estimated the number of affected people to be as high as 100,000, as well as 44 confirmed deaths.[18]

July 14:The number of officially recognised cases skyrocketed, with 137 deaths,[19] making the death toll in Argentina the second highest in the world, only behind the United States and surpassing confirmed cases in Mexico.

July 28:Impact on health services diminished significantly according to various specialists, though the death toll continued to increase, partly because of the delay in confirming previous fatalities. There had been no official report by the national Health Ministry since July 14.

July 30:Official reports of confirmed deaths from the provinces put the death toll around 260, while Critica newspaper[20] published an interview with Jorge Yabkowski, president of the Sindical Federation of Health Professionals of Argentina (Fesprosa), giving an estimate death toll from H1N1 flu of above 400 (while USA was at 340), based on the false death count in Buenos Aires, where many patients may have "entered the hospitals almost dead and were not tested for H1N1".

August

August 3:The students returned to schools in all except 3 provinces, while awaiting a possible second wave. The estimated cumulative number of H1N1 cases was more than 400,000 Argentinians.[21]

August 5:A new report was released by the ministry of health,[22] showing 762,711 ILI cases up to Aug 1, 2009, of which more than 700,000 were of the A (H1N1) swine flu type.[23] Only 47% of the 337 confirmed H1N1 flu deaths had a history of chronic disease or any other risk factor. Additionally, 402 deaths were in the process of being confirmed, whereas the number of cases began to decrease in 18 of the 24 provinces.

August 14: Further decrease in activity levels. Official death count: 404.[24]

August 24:Indicators showed a decreasing activity tendency, while intensity was still high. The impact on health services returned to low, and most provinces had no recent deaths. The official death count was 439.[25]

August 29:Week 32 saw no further decrease in new ILI cases, reaching 818,031 cumulative cases. Confirmed deaths: 465, deaths under study: 349.[26]

September

September 7:ILI cases reported up to week 33: 1,054,707. Cumulative data up to week 32: 8,384 H1N1 lab-confirmed cases, 512 deaths (+196 under study), respiratory disease cases requiring hospitalization: 8,962.[27]

September 12:Week 35 national report stated that up to week 34 there were 8,851 (+467) total lab-confirmed cases, with 514 (+2) confirmed deaths among them and 196 (+0) additional deaths under study (no provinces specified). The cumulative respiratory disease cases requiring hospitalization were 9,480 (+518), and the cumulative ILI cases reported were 1,060,285 (+5,578).[28]

September 26:There was no official report for week 36. Week 37 national report: 9,036 (+185) total lab-confirmed cases; 538 (+24) confirmed deaths; 252 (+56) additional deaths under study. Cumulative respiratory disease cases requiring hospitalization: 10,306 (+826); cumulative ILI cases reported: 1,098,834 (+38,549).[29]

October

October 2: Week 38 national report: 9,049 (+13) total lab-confirmed cases; 539 (+1) confirmed deaths; 254 (+2) additional deaths under study. Cumulative respiratory disease cases requiring hospitalization: 10,773 (+467); cumulative ILI cases reported: 1,151,655 (+52,821).[30]

October 10: Week 39 national report: 9,119 (+70) total lab-confirmed cases; 580 (+41) confirmed deaths; 247 (−7) additional deaths under study. Notably, the date of decease of last confirmed death is August 20. Cumulative respiratory disease cases requiring hospitalization: 11,086 (+313); cumulative ILI cases reported: 1,163,433 (+11,778).[31]

October 24: Week 40 national report: 9,196 (+77) total lab-confirmed cases; 585 (+5) confirmed deaths; 247 (+0) additional deaths under study. Last confirmed death: September 5. Cumulative respiratory disease cases requiring hospitalization: 11,689 (+603); cumulative ILI cases reported: 1,187,540 (+24,107).[32]

November

November 1: Week 42 national report: 10,209 (+1,013) total lab-confirmed cases; 593 (+8) confirmed deaths; 248 (+1) additional deaths under study. Last confirmed death: September 12. Cumulative respiratory disease cases requiring hospitalization: 12,139 (+450); cumulative ILI cases reported: 1,219,949 (+32,409).[33]

Timeline Summary

2009A (H1N1) Flu Outbreak and Pandemic Milestones in Argentina
First case confirmed in Chubut.
May 22First case confirmed in Buenos Aires province.
May 23First case confirmed in the City of Buenos Aires.
May 24Community outbreaks confirmed.
May 30First case confirmed in Neuquen.
June 1First case confirmed in Santa Fe.
June 11First case confirmed in Misiones.
June 12First case confirmed in Córdoba.
June 14First case confirmed in Tierra del Fuego.
June 15First death confirmed in Buenos Aires province.
June 16First death confirmed in the City of Buenos Aires.
June 17First case confirmed in Chaco.
June 18First case confirmed in Tucuman.
June 19First case confirmed in Santa Cruz.
June 20First case confirmed in San Juan.
June 21First case confirmed in San Luis.
First case confirmed in Salta.
First case confirmed in La Pampa.
June 22First case confirmed in Jujuy.
First case confirmed in Rio Negro.
First case confirmed in Mendoza.
Characterization of the genome of the virus.
June 23First case confirmed in Corrientes.
First case confirmed in Entre Rios.
First case confirmed in Formosa.
June 24First death confirmed in Misiones.
June 26Second known cases of reverse zoonosis in the world.
June 27First death confirmed in Santa Fe.
June 29First case confirmed in Santiago del Estero.
June 30First case confirmed in Catamarca.
July 1First death confirmed in Corrientes.
July 4First case confirmed in La Rioja.
July 5First death confirmed in Córdoba.
July 14First death confirmed in La Pampa.
July 21First death confirmed in Mendoza.
July 24First death confirmed in San Luis.
First death confirmed in Santiago del Estero.
August 1First death confirmed in Tucuman.

Confirmed cases and deaths by province

Confirmed cases and deaths by province
ProvincesNational Health MinistryProvinces / news reportsSource
Confirmed CasesDeathsConfirmed CasesDeathsDate / CommentReferences
9,196 <-- PLEASE, KEEP THIS REFERENCE, THE PAHO IS THE ONLY ORGANIZATION WHICH GIVES PROVINCIAL REPORTS -->58511,459678Sum of reports
Buenos Aires2,8882072,888207Oct 23, PAHO[34]
City of Buenos Aires3,5291963,529196Oct 23, PAHO
Santa Fe5728376089Jul 19/Aug 31[35] [36]
Córdoba492261,32740Aug 1/15, news[37] [38]
Misiones38319523Sep 9, Prov. MH[39]
Rio Negro1291025621Aug 21, news[40]
Neuquén2191127113Aug 16, HSN[41]
Corrientes129817913Aug 27, news[42]
Entre Ríos149819912Aug 30, news[43]
Santa Cruz83725311Aug 9, news[44]
Mendoza119615010Aug 18, news[45]
San Luis615618Sep 9, news[46]
Santiago del Estero3931106Jul 27/31, news[47] [48]
San Juan372415Aug 24, news[49]
Salta911915Aug 6, news[50]
Tucumán501505Aug 11, news[51]
La Pampa13941394Aug 5, MSAR
Chubut8021703Sep 10, Prov. MH[52]
Formosa8011293Aug 25, news[53]
Chaco3601572Aug 7, news[54]
Jujuy2212591Aug 10, news[55]
Catamarca3031Aug 27, news[56]
Tierra del Fuego18701870Aug 12, PAHO
La Rioja240550Aug 25, news[57]
Latest national report, Oct 29, 2009 (no provinces specified): 10,209 (+1,013) total lab-confirmed cases; 593 (+8) confirmed deaths; 248 (+1) additional deaths under study. Cumulative respiratory disease cases requiring hospitalization 12,139 (+450); cumulative ILI cases reported: 1,219,949 (+32,409).

Confirmed cases and deaths by date

DayNumber of confirmed casesAdded cases on that day
May 71+1
May 222+1
May 245+3
May 2519+14
May 2737+18
May 2870+33
May 2980+10
May 30100+20
May 31115+15
June 1131+16
June 2144+13
June 3151+7
June 5174+23
June 6202+28
June 7215+13
June 8235+20
June 9256+21
June 10281+25
June 11343+62
June 12470+127
June 13569+99
June 14644+75
June 15733+89
June 16871+138
June 17918+47
June 18946+28
June 191,010+64
June 201,080+70
June 211,118+38
June 221,213+95
June 231,294+81
June 241,391+97
June 251,488+97
June 26[58] 1,587+99
July 4[59] 2,409+822
July 5[60] 2,485+76
July 9[61] 2,677+192
July 11[62] 2,928+251
July 14[63] 3,056+128
Aug 5[64] 5,619+2,563
Aug 13[65] 6,768+1,149
Aug 21[66] 7,173+405
Aug 28[67] 8,240+1,067
Sep 4[68] 8,384+144
Sep 12[69] 8,851+467
Sep 25[70] 9,036+185
Oct 29,049+13
Oct 99,119+70
Oct 23[71] 9,196+77
Oct 29[72] 10,183+987
Nov 6[73] 10,248+65
Nov 18[74] 11,030+782
Dec 4[75] 11,234+204
Dec 11[76] 11,393+159
Dec 18[77] 11,458+65
Dec 30[78] 11,746+288
DayNumber of confirmed casesAdded cases on that day
June 151+1
June 164+3
June 186+2
June 197+1
June 2210+3
June 2317+7
June 2421+4
June 2523+2
June 2626+3
June 2931+5
June 3041+10
July 244+3
July 352+8
July 457+5
July 1082+25
July 12100+18
July 14137+37
July 29227+90
Aug 5337+110
Aug 13404+67
Aug 21439+35
Aug 28465+26
Sep 4512+47
Sep 12514+2
Sep 25538+24
Oct 2[79] 539+1
Oct 9[80] 580+41
Oct 23585+5
Oct 29593+8
Nov 6600+7
Dec 4613+13
Dec 11616+3
Dec 18617+1
Dec 30617–

External links

Notes and References

  1. Web site: INFLUENZA PANDÉMICA (H1N1) 2009. REPÚBLICA ARGENTINA . February 17, 2010 . February 12, 2010. Ministry of Health of the Nation. Spanish. https://web.archive.org/web/20100327030457/http://www.msal.gov.ar/archivos/Informe_SE_5_H1N1.pdf. March 27, 2010 . dead.
  2. Web site: Gripe porcina: el Gobierno advierte que el invierno agravará la situación . April 30, 2009 . Clarín . Spanish . 19 August 2009 . May 3, 2009 . https://web.archive.org/web/20090503142329/http://www.clarin.com/diario/2009/04/30/um/m-01909057.htm . dead .
  3. Web site: OMS pide seguir atentos a gripe porcina y alerta de llegada a hemisferio sur . May 5, 2009 . El Economista. Spanish. 19 August 2009 .
  4. https://www.npr.org/templates/story/story.php?storyId=1551913 "Weather and the Flu Season"
  5. Web site: Un beba de tres meses es la primera víctima fatal de Gripe A en la Argentina . June 15, 2009 . Spanish . 19 August 2009 . June 18, 2009 . https://web.archive.org/web/20090618135526/http://www.clarin.com/diario/2009/06/15/um/m-01939573.htm . dead .
  6. Web site: Clarín . July 2, 2009 . País en emergencia: suspenden las clases en todas las provincias . Spanish . 19 August 2009 . July 4, 2009 . https://web.archive.org/web/20090704221340/http://www.clarin.com/diario/2009/07/02/sociedad/s-01950958.htm . dead.
  7. Web site: Sin clases para frenar la influenza A. July 5, 2009 . Cecchi. Horacio. July 1, 2009. 12. Spanish.
  8. Web site: Colapsó el sistema médico a domicilio: los prestadores piden "racionalidad" . June 9, 2009 . Clarín . Spanish . 19 August 2009 . June 12, 2009 . https://web.archive.org/web/20090612223857/http://www.clarin.com/diario/2009/06/09/um/m-01935931.htm . dead.
  9. Web site: Máxima alerta sanitaria: Hay 335 pacientes hospitalizados. Fuerte aumento de muertes por gripe A. 5 July 2009 . Gallo. Daniel. 24 June 2009. La Nación. Spanish.
  10. Web site: Cristina cruzó a Manzur por hablar de 100.000 infectados. 4 July 2009. 4 July 2009. Clarín. Spanish. July 7, 2009. https://web.archive.org/web/20090707001616/http://www.clarin.com/diario/2009/07/04/sociedad/s-01952450.htm. dead.
  11. Web site: Plan de Contingencia Integrada para Pandemia de Influenza y SARS. 2009. Poder Ejecutivo Nacional. Ministerio de Salud. Spanish. 19 August 2009 . https://web.archive.org/web/20090620001321/http://www.msal.gov.ar/archivos/plan-contingencia-2009.pdf. June 20, 2009. dead. mdy-all.
  12. News: Heguy, Silvina. La Argentina ya controla a los pasajeros que llegan a Ezeiza. Clarín. April 26, 2009. April 28, 2009. Spanish. April 27, 2009. https://web.archive.org/web/20090427213915/http://www.clarin.com/diario/2009/04/26/elmundo/i-01906060.htm. dead.
  13. News: Por la gripe porcina, el Gobierno suspende los vuelos con México. Clarín. April 27, 2009. April 28, 2009. Spanish. May 1, 2009. https://web.archive.org/web/20090501140637/http://www.clarin.com/diario/2009/04/28/um/m-01907438.htm. dead.
  14. News: Argentina confirms first H1N1 flu case. Reuters . May 7, 2009. May 7, 2009. https://web.archive.org/web/20090511163433/https://www.reuters.com/article/GCA-SwineFlu/idUSTRE5468RC20090507. May 11, 2009 . live.
  15. News: 2nd case confirmed – Swine flu . Buenos Aires Herald . May 22, 2009 . May 22, 2009 . https://web.archive.org/web/20090611001823/http://www.buenosairesherald.com/argentina/note.jsp?idContent=602211 . June 11, 2009 . dead .
  16. MercoPress, "Human-To-Swine A/H1N1 Virus Contagion In Argentine Hog Farm", June 26, 2009, (accessed June 27, 2009)
  17. Web site: Gripe A: la Ciudad declaró la emergencia sanitaria, pero no suspende actividades públicas . June 30, 2009 . Clarin . Spanish . https://web.archive.org/web/20090703061527/http://www.clarin.com/diario/2009/06/30/um/m-01949718.htm . July 3, 2009 . live . August 31, 2009 . mdy .
  18. News: Ya hay en el país 100.000 contagiados por la gripe A . . July 2, 2009 . July 2, 2009 . Spanish . https://web.archive.org/web/20090706042251/http://www.lanacion.com.ar/nota.asp?nota_id=1146304&pid=6796181&toi=6256 . July 6, 2009 . live . mdy-all .
  19. News: La Argentina es el segundo país en cantidad de muertos por gripe A. La Nación. July 14, 2009. July 14, 2009. Spanish.
  20. News: Critica Digital . July 30, 2009 . July 31, 2009 . Spanish . https://web.archive.org/web/20090901160217/http://www.criticadigital.com.ar/index.php?secc=nota&nid=27178 . September 1, 2009 . live .
  21. Web site: Title Unknown . https://web.archive.org/web/20110531161454/http://www.el-litoral.com.ar/leer_noticia.asp?IdNoticia=115370 . May 31, 2011 . dead . August 31, 2009 . mdy-all .
  22. Web site: INFLUENZA PANDÉMICA (H1N1) 2009. REPÚBLICA ARGENTINA – SEMANA EPIDEMIOLÓGICA Nº 30 . Ministerio de Salud de la Nación Argentina . https://web.archive.org/web/20090824065809/http://www.msal.gov.ar/archivos/informe-influenza-pandemica-05-08-09.pdf . August 24, 2009 . dead . August 5, 2009 . August 31, 2009 . mdy-all .
  23. Web site: Argentina swine flu deaths double to 337: officials . https://web.archive.org/web/20090807164509/http://www.lankabusinessonline.com/fullstory.php?nid=345855572 . August 7, 2009 . dead . August 31, 2009 . mdy-all .
  24. Web site: INFLUENZA PANDÉMICA (H1N1) 2009. REPÚBLICA ARGENTINA – INFORME SEMANA EPIDEMIOLÓGICA Nº 31 (2 al 8 de agosto) . Ministerio de Salud de la Nación Argentina . https://web.archive.org/web/20090823132945/http://www.msal.gov.ar/archivos/Informe%20SE%2031-COM.%20ARG-1.pdf . August 23, 2009 . dead . August 13, 2009 . September 8, 2009 . mdy-all .
  25. Web site: INFLUENZA PANDÉMICA (H1N1) 2009. REPÚBLICA ARGENTINA – INFORME SEMANA EPIDEMIOLÓGICA Nº 32 . Ministerio de Salud de la Nación Argentina . https://web.archive.org/web/20091007100821/http://www.msal.gov.ar/archivos/Informe%20SE%2032-%20ARG_COM-1A_AF.pdf . October 7, 2009 . dead . August 21, 2009 . August 31, 2009 . mdy-all .
  26. Web site: INFLUENZA PANDÉMICA (H1N1) 2009. REPÚBLICA ARGENTINA – INFORME SEMANA EPIDEMIOLÓGICA Nº 33 . Ministerio de Salud de la Nación Argentina . https://web.archive.org/web/20091219235930/http://www.msal.gov.ar/archivos/Informe%20H1N1%20SE%2033%20COM.zip . December 19, 2009 . dead . August 28, 2009 . August 31, 2009 . mdy-all .
  27. Web site: INFORME SEMANA EPIDEMIOLÓGICA Nº 34 . https://web.archive.org/web/20091007100826/http://www.msal.gov.ar/archivos/Informe_SE_34-_ARG_COM.pdf . October 7, 2009 . dead . September 4, 2009 . September 7, 2009 . mdy .
  28. Web site: INFORME SEMANA EPIDEMIOLÓGICA Nº 35. September 12, 2009. September 22, 2009. https://web.archive.org/web/20090919204841/http://www.msal.gov.ar/archivos/12-09-09%20INFORME%20INFLUENZA%20PANDEMICA%20_H1N1_.pdf. September 19, 2009 . dead.
  29. Web site: INFORME SEMANA EPIDEMIOLÓGICA Nº 37. September 26, 2009. September 30, 2009. https://web.archive.org/web/20091220001106/http://www.msal.gov.ar/archivos/INFORME%20GRIPE%20A.pdf. December 20, 2009. dead. mdy-all.
  30. Web site: INFORME SEMANA EPIDEMIOLÓGICA Nº 38 . October 2, 2009 . October 2, 2009 . https://web.archive.org/web/20091220000845/http://www.msal.gov.ar/archivos/Informe%20SE%2038-%20ARG_COM%5B1%5D.pdf . December 20, 2009 . dead . mdy-all .
  31. Web site: INFORME SEMANA EPIDEMIOLÓGICA Nº 39 . October 9, 2009 . October 10, 2009 . https://web.archive.org/web/20091219235957/http://www.msal.gov.ar/archivos/Informe_SE_39-_ARG_COM%5B1%5D.pdf . December 19, 2009 . dead . mdy-all .
  32. Web site: INFORME SEMANA EPIDEMIOLÓGICA Nº 40. October 23, 2009. October 26, 2009. https://web.archive.org/web/20091220000058/http://www.msal.gov.ar/archivos/Informe_SE40-_ARG_COM_final.pdf. December 20, 2009. dead. mdy-all.
  33. Web site: INFORME SEMANA EPIDEMIOLÓGICA Nº 42. October 29, 2009 . November 2, 2009. https://web.archive.org/web/20091122100905/http://www.msal.gov.ar/archivos/Informe%20SE42VF-%20ARG_COM.pdf. November 22, 2009 . dead.
  34. Web site: PAHO Influenza A(H1N1) Surveillance . October 6, 2009. https://web.archive.org/web/20091008214127/http://new.paho.org/hq/images/atlas/en/atlas.html. October 8, 2009 . live.
  35. Web site: Son 62 las v ctimas por Gripe A :: Notife.com - Diario Digital de Santa Fe . 2009-08-14 . dead . https://web.archive.org/web/20110714203129/http://www.notife.com/noticia/articulo/975464/Son_62_las_victimas_por_Gripe_A.html . July 14, 2011 . mdy .
  36. Web site: Portal de la Provincia de Santa Fe . 2009-08-18 . dead . https://web.archive.org/web/20110706084254/http://www.portal.santafe.gov.ar/index.php/web/content/view/full/74 . July 6, 2011 . mdy .
  37. Web site: LAVOZ.com.ar - Gripe A: prorrogan hasta el 9 de agosto la licencia a embarazadas . https://web.archive.org/web/20110706082303/http://www.lavoz.com.ar/09/08/01/secciones/sociedad/nota.asp?nota_id=538769 . July 6, 2011 . live . September 8, 2009 . mdy .
  38. Web site: LAVOZ.com.ar | Gripe A: Confirman que hubo 40 muertes por la pandemia en Córdoba . August 18, 2009 . https://archive.today/20121230053733/http://www.lavoz.com.ar/09/08/15/Gripe-confirman-hubo-muertes-pandemia-Cordoba.html . December 30, 2012 . dead . mdy-all .
  39. Web site: Informe Epidemiológico Semanal Integrado. Semana Epidemiológica Nº 37.. September 23, 2009.
  40. Web site: Confirman que en Río Negro hubo 21 casos fatales . https://web.archive.org/web/20090826143414/http://www.rionegro.com.ar/diario/2009/08/21/125082499689.php . August 26, 2009 . dead . August 31, 2009 . mdy .
  41. Web site: Subsecretaría de Salud de la Provincia del Neuquén . https://archive.today/20090927023120/http://www.neuquen.gov.ar/salud/gripe_h1n1_amplia.asp?id=53 . September 27, 2009 . dead . September 23, 2009 . mdy-all .
  42. News: Aún sigue el alerta por gripe A. August 27, 2009. Spanish. September 6, 2009. https://web.archive.org/web/20110531161511/http://www.el-litoral.com.ar/leer_noticia.asp?IdNoticia=116919. May 31, 2011. dead. mdy-all.
  43. News: GRIPE A: NO SE HAN CONFIRMADO NUEVAS MUERTES EN ENTRE RIOS. August 30, 2009. Spanish. September 6, 2009. https://web.archive.org/web/20110706081758/http://www.maximaonline.com.ar/nota.php?inot=18650. July 6, 2011. dead. mdy-all.
  44. Web site: Title Unknown . https://web.archive.org/web/20091007112009/http://www.santacruz.gov.ar/planes/partes/Parte_37.pdf . October 7, 2009 . dead . September 23, 2009 . mdy-all .
  45. Web site: Ya hay 10 muertos por gripe A en Mendoza y hubo 150 nuevos tratamientos - MDZ Online . August 18, 2009 . https://web.archive.org/web/20110728003927/http://www.mdzol.com/mdz/nota/152799-Ya-son-diez-los-muertos-por-gripe-A-en-Mendoza-y-hubo-150-nuevos-tratamientos/ . July 28, 2011 . dead . mdy-all .
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