At the end of October 2009 President Obama declared the H1N1 Pandemic a National Emergency. This declaration facilitated the implementation of emergency plans designed to enhance the ability of treatment facilitaties to handle the surge in H1N1 patients. In the USA over 1,000 deaths have been linked to the virus. The week before the declaration US officials reported that H1N1 activity was widespread in 46 states and health officials say that numbers can be compared to peak seasonal flue levels.
The CDC estimates that the number of cases is significantly higher than the number of confirmed cases. In May 2009, the CDC estimated there were 100,000 cases of H1N1 in the US; At the June ACIP meeting the CDC estimated there were 1 million cases in the US, but, according to conservative estimates the number of actual cases is probably more like 40 times the number of confirmed cases.
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