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2009 swine flu pandemic in Malaysia

August 24, 2023

Total Cases Cases Deaths
Laboratory
confirmed 		Estimated Confirmed
(Suspected)
Malaysia 2,253[1](5,876)[2] 15,000+[3] 78[1]
Total Cases Cases
Imported
transmissions 		Local
transmissions
Malaysia 574[1] 1,679[1]

The 2009 flu outbreak in Malaysia was part of a larger flu pandemic involving a new type of influenza A virus subtype H1N1 (A (H1N1)) virus. As of 11 August 2009, the country had over 2,253 cases, beginning with imported cases from affected countries, including the United States and Australia from 15 May 2009 onwards, and the first identified local transmission on 17 June 2009. From 12 August 2009, the Malaysian Health Ministry said that it had discontinued officially updating the total number of H1N1 cases within Malaysia in line with guidelines issued by the World Health Organization. As of 21 August 2009 the unofficial number of cases reported in the media is 5,876 so far. The first death related to the A(H1N1) virus was reported on 23 July 2009 and so far there have been 78 deaths reported. On 6 July 2009 Malaysia announced that it was shifting from containment to mitigation to tackle the spread of the virus. The federal government had declared a national health emergency in Malaysia because of the A(H1N1) outbreak and was considering imposing a health curfew similar to the week-long shutdown of non-essential services and industries in Mexico.

Outbreak evolution in Malaysia:[image reference needed]
  Deaths
  Confirmed cases

Government measures

 
The Malaysian government has started to stockpiled more than 2 million doses of Tamiflu, influenza antiviral drug in case of an outbreak of the virus

Since the Nipah virus outbreak in 1999, the Malaysian Health Ministry has put in place processes to be better prepared to protect the Malaysian population from the threat of infectious diseases. Malaysia was fully prepared during the Severe Acute Respiratory Syndrome (SARS) situation (Malaysia was not a SARS-affected country) and the episode of the H5N1 (bird flu) outbreak in 2004.[citation needed]

The Malaysian government has developed a which serves as a time-bound guide for preparedness and response plan for the influenza pandemic. It provides a policy and strategic framework for a multisectoral response and contains specific advice and actions to be undertaken by the Ministry of Health at the different levels, other governmental departments and agencies and non-governmental organisations to ensure that resources are mobilised and used most efficiently before, during and after a pandemic episode.[citation needed]

According to the Malaysian Ministry of Health, headed by Liow Tiong Lai, health screenings were carried out on passengers travelling to and from Mexico via sea, air and land beginning 17 April 2009.[4][5] The Health Ministry's disease control division has activated its operations room to monitor the swine flu situation and informed medical practitioners who are treating cases with symptoms of influenza-like illness or severe pneumonia and persons who had visited Mexico, California or Texas to inform the district health office immediately for preventive and control measures.[6] As has several Asian countries, thermal scanners had been installed at entry points at the Kuala Lumpur International Airport (KLIA) following the start of the global alert on the flu.[7] Screenings were imposed in Pengkalan Hulu, at the border with Thailand, in late April.[8] Quarantine rooms had been allocated in 28 hospitals,[9] and the country has stockpiled more than 2 million doses of Tamiflu, as of May 2009.[10]

The Malaysian Health Ministry has warned Malaysians not to withhold health information to the authorities saying that those doing so could be fined RM10,000 or jailed two years or both if they are found guilty under the Disease Prevention Act 1988.[11] On 18 June 2009, Malaysian Deputy Prime Minister Muhyiddin Yassin declared that all visitors and Malaysians returning from abroad will be required to fill out the health declaration form following the influenza A (H1N1) pandemic around the world.[12]

Mitigation of the Virus

On 17 August, the government said that will consider declaring a health curfew if the mortality rate of Influenza A(H1N1) is above 0.4% from the current 0.1%-0.3%. Health Minister Datuk Seri Liow Tiong Lai said that they are currently treating the flu as a "health emergency".[13]

Mask use

Health Minister Datuk Seri Liow Tiong Lai urged the public to wear a mask if showing symptoms of the flu.[14]

School closures

In response to the country's first case of A (H1N1), the health ministry urged calm among the populace "as the situation is under control" and "the ministry has taken all the possible precautionary measures to control and contain the disease after the WHO issued a level-five alert."[15] In addition, schools were issued strict hygiene procedures on 16 May to contain any H1N1 outbreak among students and teachers.[16]

Sekolah Rendah Kebangsaan Assunta 1 in Petaling Jaya became the fourth school to be closed in a week.[17][18]

A (H1N1) cases

The country had reported no suspected cases before 4 May 2009,[6] but all cases tested negative between 4 and 15 May. The 2009 FOBISSEA primary tournament in Kuala Lumpur was cancelled due to an unidentified student who was found to have contracted the virus whilst at the airport. Teams from British International Schools throughout South-East Asia were immediately sent home and quarantined.

15 May – 10 June

On 15 May, the Health Ministry confirmed Malaysia's first case of A (H1N1) infection of a 21-year-old male student who had arrived at the KLIA on 13 May via a Malaysia Airlines flight (MH091) from Newark and on transit at Stockholm-Arlanda Airport, followed by a second case on 16 May of a female student in Penang who shared the same flight as the first patient and boarded an AirAsia flight (AK5358) from KLIA to Penang International Airport.[5][7][15][19] This makes Malaysia the 36th country to detect A (H1N1) within its borders.[7]

The first patient has been hospitalised at the Sungai Buloh Hospital, while house quarantines were undertaken on two of the second patient's friends who boarded the same flight, along with their family members.[5][20] All passengers of the flights were also asked to contact the Health Ministry or head to any hospital, clinic or health office or further action, and crew members of MH091 and AK5358 were located and grounded.[5][19] As the first patient has indicated, the use of thermal scanners is revealed not to be entirely effective as symptoms of his flu had yet to manifest; the Health Ministry resumes the use of the scanners nevertheless.[7][15]

 
Thermal scanning for swine flu at Singapore Airport

On 4 June, three additional inbound airline passengers were reported to be carrying the virus. The earliest of the three is a 23-year-old male student who returned from United States on 1 June via the same Malaysian Airlines flight (MH091) that the first cases of A (H1N1) were detected.[21][22] On the same day, two German tourists and friends (aged 30 and 32) who were holidaying in Southeast Asia and arrived in Malaysia were confirmed to be infected with the virus; both had flown into the country on 3 June via an Air Asia flight (AK702) after transferring from a Singapore Airlines flight (SQ45) from Germany to Singapore on 1 June.[21][22] The third reported victim developed symptoms on 3 June and was hospitalised in Tunku Jaafar Hospital, while the two tourists developed symptoms while in Kuala Lumpur on 3 June and were given similar medical treatment. All three patients were reported to be stable.[21][22] As it has been for the last two cases, passengers sharing both the Malaysian Airlines and Air Asia flights are being traced.[21][22] On 5 June, sixth case were reported from a student who took the same flight with the fourth patient. On the next day, a girl from Australia was confirmed to be infected with Influenza A (H1N1) when the airport scanner detected severe fever making her the 7th confirmed case overall in Malaysia.[23]

10–20 June

On 10 June, two new Influenza A(H1N1) cases had been detected in Malaysia. The eighth case involved a 17-year-old American student who accompanied her parents for a holiday in the country. The ninth case was a New Zealand national who arrived in the country at 7.30am on 5 June on an Air Asia flight DX7 2723.[24][25] Malaysia recently registered two more cases of the disease, bringing the total to 11 cases. The 10th patient in the country was a 17-year-old girl who had just returned from a holiday in Melbourne, Australia on 9 June. The 11th patient was a 41-year-old woman who had returned from Manila to Penang on 6 June.[26]

A 12th case was reported on 13 June 2009 whereby a 19-year-old medical student was returning to Malaysia after a 17-day holiday in Melbourne.[27]

As of 15 June 2009, the total number of cases have increased to 17, with an addition of 5 new cases.[28] The 13th case was a 12-year-old student who returned from a holiday in Manila. The 14th case was a British tourist, hospitalised in Kuantan after showing symptoms in Pulau Tioman. The 15th and 17th cases involved Malaysians who recently came back from Melbourne, both being currently hospitalised in Sungai Buloh Hospital. The 16th case involved an American resident, currently hospitalised in Queen Elizabeth Hospital in Kota Kinabalu, Sabah.[29][30] A Filipino man was confirmed as the 18th victim of influenza A (H1N1) in Malaysia, after being detected as having a fever and cough during the screening process when he arrived at the KL International Airport from Manila.[31]

Malaysia recorded its first local infection of influenza A(H1N1) on 17 June 2009 involving the 19th case as that person had no history of having travelled to a country that had the flu.[32][33]

A 20th case was reported whereby a 23-year-old local public university male student who made a seven-day study visit together with 12 students and lecturers to Melbourne, returned from Melbourne aboard Air Asia X D7 2723 and landed at the Low Cost Carrier Terminal on 17 June. The 21st case came about with a 20-year-old medical student of a Melbourne university who returned to holiday in Malaysia aboard MH 128 and arrived at the KLIA on 16 June.[34] The 22nd case showed that a 54-year-old man who had travelled to Manila on business on 9 June and arrived at KLIA on 12 June. It was reported that the 23rd case was a 22-year-old female Malaysian student who arrived from Melbourne by Air Asia at the LCCT on 14 June.[35]

On 18 June 2009 the Crisis Preparedness and Response Centre in Malaysia reported there were four imported cases of Influenza A(H1N1), bringing to total of 27 cases overall.[36][37]

On 19 June 2009 Director-General of Health Tan Sri Dr Mohd Ismail Merican said that eight new Influenza A(H1N1) cases were detected bringing the total number of cases of the disease in Malaysia to 35. The 35th case is a 20-year-old male Malaysian student who is studying in a university in Melbourne and has been there since January who came back to Malaysia for a holiday.[38][39]

20–30 June

On 20 June 2009 7 new cases of A(H1N1) were reported bringing the total number of confirmed cases so far to 42. One of the new cases included a local transmission of the virus whereby an 11-year-old student of Sekolah Jenis Kebangsaan Cina (SJKC) Davidson, Kuala Lumpur, contracted the virus from her grandmother who was 31st case confirmed.[40][41]

On 21 June 2009, eight more cases confirmed.[42] Three of them were students from SJK(C) Jalan Davidson who contracted the virus from the 31st patient, which brought the total of confirmed cases in the country soaring to 50. SJK(C) Jalan Davidson had also been closed and more than one thousand people in the school had been quarantined.[43]

On 22 June 2009 it was reported that there were 8 new cases of A(H1N1) in Malaysia bringing the total number of confirmed cases to 58 overall. The 51st case is a three-year-old girl who returned from a week-long holiday in Melbourne on 19 June with her parents on MH 148. The 52nd case is a 35-year-old MAS air steward who was on duty on MH1 Delta from London and arrived in KLIA on 18 June. The 53rd case is a 27-year-old woman who returned from a holiday in Sydney with her husband on 16 June on MH 122. She is in Kuala Lumpur Hospital. The 54th case is a 25-year-old woman who had contact with the 48th case and was confirmed with the flu 21 June in Hospital Sultanah Bahiyah, Alor Star. She is the 5th local transmission.[44]

1–10 July

On 9 July 61 new cases of Influenza A(H1N1) were confirmed, consisting of 37 imported cases and 24 locally transmitted which makes the number of cases in Malaysia soared to 574. Among the 574 cases, 415 cases were reported to have been imported while 159 cases were locally transmitted. One of the visitors who visited a company in Cyberjaya were confirmed to have contracted the virus, which caused 12 workers to be put under home quarantine.[45]

11–31 July

On 23, 18 July new cases were confirmed in Malaysia consisting 17 local transmission and 1 imported case.[46]

1 August onwards

According to the Health Ministry another 39 cases of A(H1N1) were reported on 2 August.[47]

16 new cases of H1N1 were discovered on 5 August 2009 bringing the total number of cases to 1,492.[48]

33 new cases were reported on 6 August 2009, bringing the total cases in Malaysia to 1525.[49] It was reported on the same day that an immigration detainee from Togo was found dead at the Sepang detention centre. According to the guard, the prisoner did not complain of fever or cough. Autopsy were conducted on 4 August 2009 in Selayang Hospital and discovered that the patient had Influenza A(H1N1). However, they were still unable to determine if the flu was the direct cause of the patient's fatality.[50]

On 8 August 2009, 53 more cases were confirmed and brought the number of cases in Malaysia to 1578. Among the 1578 cases, 574(36%) were imported cases and 1004(64%) were local transmission.[51]

A record of more than 200 cases were confirmed on 9 August 2009. 202 new local transmitted cases were confirmed which brought the number of flu cases soared to 1780. 13 patients were still in ICU, and four of them were still in critical condition.[52] 270 new local cases were confirmed on 11 August 2009, bringing the total cases in Malaysia to 2,253.[53]

Deaths

 
Reported death as of 15 October 2009

July

On 23 July 2009 first A(H1N1) related death was confirmed. The patient is a 30-year-old Indonesian man who had multiple medical condition, including obesity and enlarged heart. However, Health Minister Datuk Liow Tiong Lai revealed that the flu was not the direct cause of the patient's fatality.[54]

August

On 6 August 2009, in Putrajaya another death was confirmed involving a 57-year-old pensioner who was a diabetic and had hypertension.[55] On 7 August 2009, a 40-year-old obese man who was admitted to Kuala Lumpur Hospital died of acute coronary syndrome and cardiogenic shock. The man had developed a fever and had been coughing since 28 July 2009. His autopsy result confirmed that he is the nation's fifteen Influenza A(H1N1) death.

On 8 August 2009, three more deaths were recorded, which brought the death cases in Malaysia to 18.[56] The sixteenth death was a 5-year-old boy who had upper respiratory tract infection and sought treatment in a private clinic on 3 August. He was then had a seizure and was sent to Tengku Ampuan Afzan Hospital and confirmed to have the H1N1 virus. He died on 7 August 2009 due to acute encephalitis secondary to Influenza A(H1N1).[57] The seventeenth death was a one-year-old toddler who had history of hyperthyroidism and was under treatment for it. He had symptoms of the flu but did not seek for treatment. He was then sent to Sultanah Amanah Hospital, Johor Bahru. He was confirmed to have the flu on 4 August 2009. However, after five days of treatment, his condition deteriorated with symptoms of drowsiness, lethargy and altered consciousness and was sent to ICU. On 7 August 2009, he died due to pneumonia with underlying H1N1 infection. The eighteenth death was a 63-year-old man who had asthma and tuberculosis. He was admitted to Selayang Hospital and died on 6 August due to severe pneumonia with positive Influenza A(H1N1) and underlying pulmonary tuberculosis.[58]

Eight more deaths were confirmed on 9 August 2009.[59] Among the eight patient who died, three died on 3 August, two on 5 August, four on 7 August and one on 8 August.[60] All of them were in the high-risk group except a 20-year-old college student who was found dead at her hostel about a week after obtaining outpatient treatment. Among the dead were two Sabahans, one of them was a 24-year-old obese woman from Ranau who died of pulmonary oedema after a bout of flu while the other one was a 74-year-old man who had a history of heart problem who died of pneumonia and pulmonary oedema. The other deaths were a 47-year-old patient with asthma in Sarawak and a 37-year-old obese man who died of broncho-pneumonia at the hospital in Johor Bahru.[61]

Six more deaths were confirmed on 10 August 2009, bringing the total death cases in Malaysia skyrocketed to 32. Of the six cases, four of them had underlying medical cases.[62] Another six deaths were recorded on 11 August 2009. Among the six death cases, four of them had been diagnosed with asthma, hypertension and diabetes.[63]

As at 12 August 2009 the total of deaths reported raised to 44 with six more cases confirmed.[64] A 60-year-old man who had histories of diabetes, hypertension and heart problems was hospitalised on 6 August after showing symptoms of the flu. Throat swab and antiviral drugs were prescribed. However, he died on the next day due to severe pneumonia. Lab result confirmed the man as an Influenza A(H1N1) patient on 9 August. A 62-year-old man who was a diabetic was hospitalised on 6 August. He was then later dehydrated and given antiviral drug for precaution against the flu. Throat swab was taken on 7 August. However, he died on the same day due to pneumonia and possible cancer. A 20-year-old who didn't have any history of underlying medical condition experienced fever, coughing and sore throat. He sought for treatment at a hospital on 6 August and was later hospitalised due to suffocation. Antiviral drugs were later prescribed by the doctor. On the next day, he died due to severe pneumonia and septicaemia. A 10-year-old baby was among the death cases confirmed on 12 August. She showed symptoms but was hospitalised six days later due to suffocation. Antiviral drugs were not given. On the next day, she died due to bronchopneumonia. An 18-year-old woman who was 26 weeks pregnant, and was also obese, showed symptoms on 3 August. Her condition deteriorated and was then later sent to ICU, where a throat swab was performed. She died due to severe pneumonia. A 1-year-old toddler who had congenital heart disease had a seizure and fever on 7 August. Antiviral drugs were not given to the toddler and he died on 9 August 2009 while undergoing a surgery.[65]

Seven more deaths were confirmed on 13 August 2009, bringing the total number of death cases in Malaysia rose to 51. All of the seven fatalities were in high-risk group.[66] A 4-month-old baby who had an extremely low immunity was hospitalised on 8 August 2009 after he showed symptoms of fever, breathing difficulty, vomiting, coughing and diarrhoea. A throat swab was conducted, but he died on 10 August due to severe pneumonia.[67] Lab result confirmed he had Influenza A(H1N1) on the next day, making him one of the victims of the flu. A 37-year-old diabetic woman was hospitalised after showing symptoms. She was later given antiviral drugs but died on 10 August. A 69-year-old woman who had history of hypertension was found to have been coughing. Throat swab was conducted after she was transferred to ICU due to suffocation. On 11 August 2009, she died due to acute myocarditis. A woman in her 20s, who also had a history of congenital disease, started to have fever and coughing on 6 August. She was later admitted and given antiviral drugs on 8 August. However, she died on 10 August due to severe bronchopneumonia. A 4-year-old boy who had congenital disease was treated on 2 August after exhibiting symptoms of the flu. He was later confirmed to have the flu after a throat swab was taken; however, he died before the confirmation was received. A 92-year-old lady who had asthma and a 43-year-old man who had diabetes, hypertension and heart diseases died on 11 August 2009 due to severe pneumonia.[68]

Five more cases were confirmed on 14 August.[69] A two-month-old baby who was born prematurely was admitted to the hospital following fever, coughing, sneezing and difficulty in breathing. He was given antiviral drugs and was placed on mechanical ventilation as his condition deteriorated, but he died on 12 August due to pneumonia. Another two-month-old baby was rushed to the hospital when he was found unconscious. His condition was critical and was sent to ICU. He tested positive for the flu on 8 August, but died on 10 August due to myocarditis, hepatitis and renal impairment associated with H1N1. A 49-year-old diabetic woman, who was also obese and having tuberculosis was confirmed to have the virus on 11 August. A 57-year-old diabetic man sought for treatment on 2 August after showing symptoms of the flu. On 3 August, he returned to the clinic after experiencing fever, vomiting and diarrhoea. He was then sent to hospital and given antiviral drugs. Despite given antiviral drugs, he died on 12 August due to sepsis. A 19-year-old teenager was admitted to the hospital after complaining having fever and coughing. He was then suffocated and died on 11 August due to pneumonia.[70]

3 more deaths were confirmed on 15 August.[71] A 22-year-old obese man was hospitalised on 9 August but died on 12 August due to viral pneumonia. A 29-year-old man who had valvular heart disease was admitted to the hospital after flu symptoms persisted for 2 days. Antiviral drugs were given on 10 August but he died 2 days later due to bronchopneumonia. A 44-year-old woman who had asthma was tested positive for the flu on 10 August but died on 13 August due to pneumonia.[72][73]

Another three deaths were confirmed on 16 August, raising the total number of deaths to 62.[74] The 59th death was a 6-year-old child with Down's syndrome who had the flu for 3 days before being confirmed as a H1N1 patient. He died on 13 August due to pneumonia with underlying Down's syndrome with AVSD and pulmonary hypertension. A 3-year-old child was hospitalised on 1 August after having symptoms for 5 days. Confirmed to have contracted the virus on 3 August and antiviral drugs were given on the same day. However, he died on 14 August due to severe pneumonia. A man in his 50s who had symptoms on 28 July was hospitalised. He also had been vomiting and had had diarrhoea two days before he was admitted. On 13 August, he was confirmed dead due to septicaemia with severe pneumonia.[75]

On 17 August, two more deaths were announced.[76] A 7-month-old boy who had asthma was transferred to ICU after having fever and coughing for 2 days. Antiviral drugs were given and was confirmed to have the virus on 12 August. However, he was confirmed dead three days later due to severe pneumonia and acute respiratory failure. A 74-year-old diabetic woman, who also had CCF was admitted to the hospital after she was found unconscious in her house. She died on 11 August due to severe pneumonia. Her test results came back on 12 August and confirmed her as a H1N1 patient.[77]

On 18 August, three more death cases were confirmed and brought the number of death cases in Malaysia to 67.[78] A 33-year-old woman was transferred to ICU after her lungs disease began to deteriorate after 4 days of treatment in a private hospital. She showed symptoms on 31 July and antiviral drugs were started on 7 August. On 12 August, she died due to bronchopneumonia. Her result later came back and was positive for the flu. A 10-year-old school girl, who was diagnosed with Systemic lupus erythematosus was sent to ICU after she had breathing difficulty, chest pain and stomach ache. Antiviral drugs were given since 8 July. Despite on medicine, she died on 13 August due to Systemic lupus erythematous with severe pneumonia with renal impairment. A 71-year-old woman with Chronic obstructive pulmonary disease, hypertension, Ischaemic heart disease and Diabetes mellitus type 2, showed symptoms of the flu and was hospitalised on 12 August. However, on 14 August, she died due to Ischaemic dilated cardiomyopathy precipitated by pneumonia.[79]

On 20 August, one new death was confirmed. The victim was a 34-year-old woman who was in the 34th week of pregnancy. The patient was treated and admitted into a private hospital in Johor Baru on 8 Aug after developing fever and cough for a day. She was subsequently, referred and admitted to the intensive care unit of the Sultanah Aminah Hospital in Johor Baru for breathing difficulties five days later. Tamiflu was administered. However, she died on next day due to severe pneumonia and respiratory failure.[80]

Another death was confirmed on 24 August, increasing the death toll to 69. The patient, a 38-year-old teacher, who was also obese, tested positive for H1N1 by a private clinic. Tamiflu was not administered but only gave her symptomatic treatment. Five days later, on 18 August, she was admitted to the hospital after having breathing difficulties and cyanosis. She was referred to KL Hospital and Tamiflu was administered. However, the woman died on 19 August due to pneumonia with AVDS.[81] One more death was confirmed on 25 August by the Mortality Review Committee. A 3-year-old boy who had febrile convulsion and cough was hospitalised on 12 August. The boy was then transferred to ICU after his condition deteriorate and tamiflu was administered. He tested positive for the flu on 17 August. However, he died on the next day due to H1N1 encephalitis with Cerebral oedema and multiorgan failure.

The death of a 24-year-old woman brought the number of cases in Malaysia to 71. The patient, having fever, cough and headache was admitted to a private hospital in Kuantan on 10 August and received viral pneumonitis treatment. She was then referred to a government hospital and placed in ICU after her condition worsened. Her condition continued to deteriorate despite the administration of Tamiflu. On 19 August, she was confirmed dead due to H1N1 secondary to ARDS.[82]

One more death was confirmed on 30 August.[83] A 49-year-old patient with heart problems was brought to Melaka Hospital after having fever, cough and vomiting which persisted for 2 days. He was given antiviral drugs and antibiotics and he was also tested for tuberculosis, typhoid, dengue, Leptospirosis and H1N1 but all of the tests came back negative. The patient's condition deteriorate and was confirmed dead on 19 August due to severe pneumonia with septic shock and H1N1. The post-mortem biopsy report based on lung samples tested positive for Influenza A(H1N1) on 24 Aug.[84]

September

On 3 September 2009 the death of a 25-year-old woman was confirmed bringing the total number of deaths related to A(H1N1) to 73. The woman received outpatient treatment after developing flu symptoms. She was then subsequently brought to Sibu Hospital and administered antiviral drugs. However, she died on 1 September due to severe pneumonia with H1N1 infection.[85]

It was announced that on 11 September, the death of the 19-year-old man brought the total number of death cases to 74.[86] The patient was brought to Gerik Hospital after flu symptoms persisted for 4 days. On 20 August, he was transferred to Ipoh Hospital where he was administered Tamiflu. Despite given antiviral drugs, he died on 23 August due to Acute Pulmonary Oedema with Underlying Influenza A(H1N1) infection.[87]

Another two death cases were confirmed on 15 September, bringing the total number of cases to 76 in total.[88] The first death, a 45-year-old woman who had hypertension was referred to Tambunan Hospital on 17 August after flu symptoms persisted. She was then sent to Keningau Hospital and antiviral was administered. After 10 days in ICU, she died due to severe bronchopneumonia and Acute respiratory distress syndrome.[89] The second death registered was a 19-year-old teenage girl. She was sent to Kuala Lumpur Hospital and antiviral was administered. Despite given antiviral drugs, she died on 31 August due to severe pneumonia with H1N1 infection.[90]

Terminology

The flu virus is officially designated by the WHO as "Influenza A (H1N1)", following a name change from "swine flu" to avoid suggestions that eating pork products carried a risk of infection, and is referred as such by Malaysia's Health Minister. However, Information Communication and Culture Minister Rais Yatim suggested on 25 June that the local media use "swine flu" (Malay: selsema babi) instead, justifying that the dangers of the flu would be better understood by the public, and that the flu would be easily described in Malay, a language which is officially used in news programmers of government-owned television and radio channels.[91]

See also

Notes

  1. ^ a b c d MOH Website updates, Malaysia Ministry of Health. Retrieved 30 August 2009. 10 September 2009.
  2. ^ "A(H1N1): 380 new cases, but no deaths reported". The Star. 21 May 2009. Retrieved 21 August 2009.
  3. ^ a/l Chindambaram, Dr. Suresh Kumar (26 April 2012). "H1N1". Retrieved 23 January 2021.
  4. ^ . The Star. 26 April 2009. Archived from the original on 18 June 2009. Retrieved 20 August 2009.
  5. ^ a b c d . The Star. 16 May 2009. Archived from the original on 18 June 2009. Retrieved 20 August 2009.
  6. ^ a b . Malaysian Insider. 26 April 2009. Archived from the original on 29 April 2009. Retrieved 20 August 2009.
  7. ^ a b c d . The Star. 15 May 2009. Archived from the original on 19 May 2009. Retrieved 20 August 2009.
  8. ^ . The Star. 29 April 2009. Archived from the original on 18 June 2009. Retrieved 20 August 2009.
  9. ^ . The Star. 11 May 2009. Archived from the original on 18 June 2009. Retrieved 20 August 2009.
  10. ^ "H1N1 flu outbreak: H1N1 flu watch". The Straits Times. 2 May 2009. Retrieved 20 August 2009.
  11. ^ . Malaysian Insider. 18 June 2009. Archived from the original on 21 June 2009. Retrieved 20 August 2009.
  12. ^ . Malaysian Insider. 18 June 2009. Archived from the original on 21 June 2009. Retrieved 20 August 2009.
  13. ^ . The Star. 17 August 2009. Archived from the original on 1 September 2009. Retrieved 20 August 2009.
  14. ^ . Archived from the original on 9 October 2012. Retrieved 7 September 2018.
  15. ^ a b c . The Star. 16 May 2009. Archived from the original on 18 June 2009. Retrieved 20 August 2009.
  16. ^ "A (H1N1): Schools to follow Health Ministry hygiene procedures". The Star. 16 May 2009. Retrieved 20 August 2009.
  17. ^ . New Straits Times. 23 May 2009. Archived from the original on 26 June 2009. Retrieved 20 August 2009.
  18. ^ . New Straits Times. 23 May 2009. Archived from the original on 26 June 2009. Retrieved 20 August 2009.
  19. ^ a b . The Star. 17 May 2009. Archived from the original on 18 June 2009. Retrieved 20 August 2009.
  20. ^ . Malaysiakini. 15 May 2009. Archived from the original on 2 August 2009. Retrieved 20 August 2009.
  21. ^ a b c d "A (H1N1) flu: M'sia reports 3 more cases". The Star. 4 June 2009. Retrieved 5 June 2009.
  22. ^ a b c d "Influenza A (H1N1) Cases Rise To Five". Bernama. 4 June 2009. Retrieved 5 June 2009.
  23. ^ "Malaysia confirms 7th case of Influenza A (H1N1)". The Star. 6 June 2009. Retrieved 20 August 2009.
  24. ^ . The Malaysian Insider. 10 June 2009. Archived from the original on 13 June 2009. Retrieved 20 August 2009.
  25. ^ "H1N1 cases up to nine now". The Star. 11 June 2009. Retrieved 20 August 2009.
  26. ^ "WHO may raise pandemic alert". The Star. 11 June 2009. Retrieved 20 August 2009.
  27. ^ "A(H1N1): Twelfth case confirmed in Malaysia". The Star. 13 June 2009. Retrieved 20 August 2009.
  28. ^ . Xinhua News Agency. 15 June 2009. Archived from the original on 18 June 2009. Retrieved 20 August 2009.
  29. ^ "Five new cases, flu panel to meet". The New Straits Times. 16 June 2009. Retrieved 20 August 2009.
  30. ^ . Archived from the original on 7 September 2012. Retrieved 7 September 2018.
  31. ^ "A (H1N1): Filipino traveller confirmed as 18th case". The Star. 16 June 2009. Retrieved 20 August 2009.
  32. ^ "H1N1 CRISIS: 19th victim is also first local case". New Straits Times. 17 June 2009. Retrieved 20 August 2009.
  33. ^ . The Star. 17 June 2009. Archived from the original on 1 September 2009. Retrieved 20 August 2009.
  34. ^ . Malaysian Insider. 17 June 2009. Archived from the original on 25 August 2009. Retrieved 20 August 2009.
  35. ^ "First local H1N1 infection". Sun2Surf. 17 June 2009. Retrieved 20 August 2009.
  36. ^ "Four Import Cases of Flu Take Total To 27". Bernama. 18 June 2009. Retrieved 20 August 2009.
  37. ^ "Four more imported cases detected". The Star. 19 June 2009. Retrieved 20 August 2009.
  38. ^ "Eight New Influenza A (H1N1) Cases Detected, Total Now 35 Cases". Bernama. 19 June 2009. Retrieved 20 August 2009.
  39. ^ "Eight new H1N1 cases detected". The Star. 20 June 2009. Retrieved 20 August 2009.
  40. ^ "Seven new H1N1 cases detected today". The New Straits Times. 20 June 2009. Retrieved 20 August 2009.
  41. ^ "7 new A(H1N1) cases in Malaysia, total: 42 - LATEST". SinChew. 20 June 2009. Retrieved 20 August 2009.
  42. ^ "Malaysia shuts school with three H1N1 flu cases". Channel NewsAsia. 21 June 2009. Retrieved 20 August 2009.
  43. ^ "A(H1N1): First school in Malaysia closed (Update 2)". The Star. 21 June 2009. Retrieved 20 August 2009.
  44. ^ . Xinhua News Agency. 22 June 2009. Archived from the original on 24 October 2012. Retrieved 20 August 2009.
  45. ^ "A(H1N1): Msia moving from containment to mitigation". The Star. 9 July 2009. Retrieved 20 August 2009.
  46. ^ . Sun2Surf. 23 July 2009. Archived from the original on 26 July 2009. Retrieved 30 August 2009.
  47. ^ "A (H1N1): Tests confirm 11-year-old boy is sixth A (H1N1) - related death". The Star. 2 August 2009. Retrieved 20 August 2009.
  48. ^ "Influenza A H1N1 Deaths Leap To 14". Bernama. 6 August 2009. Retrieved 20 August 2009.
  49. ^ . Xinhua News Agency. 7 August 2009. Archived from the original on 10 August 2009. Retrieved 30 August 2009.
  50. ^ "Immigration Detainee's Cause of Death To Be Known Next Week". Bernama. 7 August 2009. Retrieved 20 August 2009.
  51. ^ . PennLive.com. 8 August 2009. Archived from the original on 6 March 2012. Retrieved 30 August 2009.
  52. ^ MUGUNTAN VANAR (10 August 2009). "A (H1N1) virus claims eight more victims". The Star. from the original on 13 August 2009. Retrieved 30 August 2009.
  53. ^ "Six More Deaths Raises H1N1 Toll To 38". Bernama. 11 August 2009. from the original on 15 September 2009. Retrieved 30 August 2009.
  54. ^ "First H1N1-related death in Malaysia". New Straits Times. 24 July 2009. from the original on 27 August 2009. Retrieved 30 August 2009.
  55. ^ MAZWIN NIK ANIS (6 August 2009). "A(H1N1): Death toll increases to 14 (Update)". The Star. from the original on 1 September 2009. Retrieved 30 August 2009.
  56. ^ "H1N1: More H1N1 fatalities today". New Straits Times. 8 August 2009. from the original on 13 September 2009. Retrieved 30 August 2009.
  57. ^ . Malaysian Insider. 8 August 2009. Archived from the original on 18 September 2009. Retrieved 30 August 2009.
  58. ^ BEH YUEN HUI (8 August 2009). "A (H1N1): 3 more deaths, taking total to 18". The Star. from the original on 31 August 2009. Retrieved 30 August 2009.
  59. ^ . AsiaOne. 9 August 2009. Archived from the original on 12 August 2009. Retrieved 20 August 2009.
  60. ^ "H1N1: Eight More Deaths Today, Death Toll Is 26". Bernama. 9 August 2009. from the original on 7 February 2011. Retrieved 30 August 2009.
  61. ^ MUGUTAN VANAR (9 August 2009). "A(H1N1): Eight more deaths reported". The Star. from the original on 1 September 2009. Retrieved 30 August 2009.
  62. ^ MAZWIN NIK ANIS (10 August 2009). "A (H1N1): 6 more deaths, taking total to 32". The Star. from the original on 31 August 2009. Retrieved 30 August 2009.
  63. ^ "A(H1N1): Six more succumb to flu pandemic, 270 new cases". Sun2Surf. 11 August 2009. from the original on 14 August 2009. Retrieved 30 August 2009.
  64. ^ "A(H1N1): 6 more deaths, total fatalities at 44". The Star. 12 August 2009. from the original on 1 September 2009. Retrieved 30 August 2009.
  65. ^ . Malaysian Insider. 12 August 2009. Archived from the original on 17 September 2009. Retrieved 30 August 2009.
  66. ^ "A(H1N1): Seven more deaths reported (Update)". The Star. 13 August 2009. from the original on 1 September 2009. Retrieved 30 August 2009.
  67. ^ "Influenza A(H1N1): Death toll now 51". New Straits Times. 13 August 2009. from the original on 16 September 2009. Retrieved 30 August 2009.
  68. ^ "Malaysia confirms 7 new swine flu-related deaths". Jakarta Post. 13 August 2009. from the original on 14 August 2009. Retrieved 20 August 2009.
  69. ^ "Malaysia confirms 5 new swine flu-related deaths". Jakarta Post. 14 August 2009. Retrieved 20 August 2009.
  70. ^ . Malaysian Insider. 14 August 2009. Archived from the original on 17 September 2009. Retrieved 30 August 2009.
  71. ^ . AsiaOne. 16 August 2009. Archived from the original on 19 August 2009. Retrieved 20 August 2009.
  72. ^ LOH FOON FONG (16 August 2009). "A(H1N1): Three more deaths reported". The Star. from the original on 19 August 2009. Retrieved 30 August 2009.
  73. ^ "Influenza A(H1N1): 3 more deaths push toll to 59". New Straits Times. 16 August 2009. from the original on 18 September 2009. Retrieved 30 August 2009.
  74. ^ "Disabled Child Latest H1N1 Death". Bernama. 16 August 2009. from the original on 4 June 2011. Retrieved 30 August 2009.
  75. ^ "A(H1N1) 3 more deaths; total 62". Sun2Surf. 16 August 2009. Retrieved 20 August 2009.
  76. ^ "Two more A(H1N1) fatalities; death toll 64". The Nut Graph. 17 August 2009. Retrieved 20 August 2009.
  77. ^ . The Star. 17 August 2009. Archived from the original on 1 September 2009. Retrieved 20 August 2009.
  78. ^ . Sun2Surf. 18 August 2009. Archived from the original on 21 August 2009. Retrieved 20 August 2009.
  79. ^ "Three More H1N1 Deaths, Total Rises To 67 People". Bernama. 18 August 2009. Retrieved 20 August 2009.
  80. ^ LESTER KONG (20 August 2009). "Influenza A(H1N1) hits record high with 569 cases". The Star. from the original on 26 August 2009. Retrieved 30 August 2009.
  81. ^ "A(H1N1): SMK USJ 12 teacher died of the flu (Update)". The Star. 24 August 2009. from the original on 27 August 2009. Retrieved 30 August 2009.
  82. ^ MAZWIN NIK ANIS (26 August 2009). "A (H1N1): 24-year-old woman is the latest victim". The Star. from the original on 29 August 2009. Retrieved 30 August 2009.
  83. ^ . Malaysian Insider. 30 August 2009. Archived from the original on 2 September 2009. Retrieved 4 September 2009.
  84. ^ "A (H1N1): One more A(H1N1) death reported". The Star. 30 August 2009. from the original on 2 September 2009. Retrieved 30 August 2009.
  85. ^ "Flu death toll rises to 73". The Star. 4 September 2009. Retrieved 4 September 2009.
  86. ^ "A (H1N1): One death after seven days". The Star. 11 September 2009. from the original on 15 September 2009. Retrieved 11 September 2009.
  87. ^ "One A(H1N1) Death Registered on Friday". Bernama. 11 September 2009. Retrieved 11 September 2009.
  88. ^ "Influenza A(H1N1): Death toll now 76". New Straits Times. 16 September 2009. Retrieved 16 September 2009.
  89. ^ "Two new A(H1N1) deaths registered today". The Nut Graph. 16 September 2009. Retrieved 16 September 2009.
  90. ^ "A(H1N1): Two new deaths reported". Sun2Surf. 16 September 2009. Retrieved 16 September 2009.
  91. ^ "Rais Suggests Media Use 'Swine Flu' Instead". Bernama. 25 June 2009. Retrieved 26 June 2009.

External links

Ministry of Health, Malaysia

  • (in Malay)

August 24, 2023
2009, swine, pandemic, malaysia, total, cases, cases, deathslaboratory, confirmed, estimated, confirmed, suspected, malaysia, total, cases, casesimported, transmissions, localtransmissionsmalaysia, 2009, outbreak, malaysia, part, larger, pandemic, involving, t. Total Cases Cases DeathsLaboratory confirmed Estimated Confirmed Suspected Malaysia 2 253 1 5 876 2 15 000 3 78 1 Total Cases CasesImported transmissions LocaltransmissionsMalaysia 574 1 1 679 1 The 2009 flu outbreak in Malaysia was part of a larger flu pandemic involving a new type of influenza A virus subtype H1N1 A H1N1 virus As of 11 August 2009 the country had over 2 253 cases beginning with imported cases from affected countries including the United States and Australia from 15 May 2009 onwards and the first identified local transmission on 17 June 2009 From 12 August 2009 the Malaysian Health Ministry said that it had discontinued officially updating the total number of H1N1 cases within Malaysia in line with guidelines issued by the World Health Organization As of 21 August 2009 the unofficial number of cases reported in the media is 5 876 so far The first death related to the A H1N1 virus was reported on 23 July 2009 and so far there have been 78 deaths reported On 6 July 2009 Malaysia announced that it was shifting from containment to mitigation to tackle the spread of the virus The federal government had declared a national health emergency in Malaysia because of the A H1N1 outbreak and was considering imposing a health curfew similar to the week long shutdown of non essential services and industries in Mexico Outbreak evolution in Malaysia image reference needed Deaths Confirmed casesContents 1 Government measures 1 1 Mitigation of the Virus 1 2 Mask use 2 School closures 3 A H1N1 cases 3 1 15 May 10 June 3 2 10 20 June 3 3 20 30 June 3 4 1 10 July 3 5 11 31 July 3 6 1 August onwards 4 Deaths 4 1 July 4 2 August 4 3 September 5 Terminology 6 See also 7 Notes 8 External linksGovernment measures Edit The Malaysian government has started to stockpiled more than 2 million doses of Tamiflu influenza antiviral drug in case of an outbreak of the virusSince the Nipah virus outbreak in 1999 the Malaysian Health Ministry has put in place processes to be better prepared to protect the Malaysian population from the threat of infectious diseases Malaysia was fully prepared during the Severe Acute Respiratory Syndrome SARS situation Malaysia was not a SARS affected country and the episode of the H5N1 bird flu outbreak in 2004 citation needed The Malaysian government has developed a National Influenza Pandemic Preparedness Plan NIPPP which serves as a time bound guide for preparedness and response plan for the influenza pandemic It provides a policy and strategic framework for a multisectoral response and contains specific advice and actions to be undertaken by the Ministry of Health at the different levels other governmental departments and agencies and non governmental organisations to ensure that resources are mobilised and used most efficiently before during and after a pandemic episode citation needed According to the Malaysian Ministry of Health headed by Liow Tiong Lai health screenings were carried out on passengers travelling to and from Mexico via sea air and land beginning 17 April 2009 4 5 The Health Ministry s disease control division has activated its operations room to monitor the swine flu situation and informed medical practitioners who are treating cases with symptoms of influenza like illness or severe pneumonia and persons who had visited Mexico California or Texas to inform the district health office immediately for preventive and control measures 6 As has several Asian countries thermal scanners had been installed at entry points at the Kuala Lumpur International Airport KLIA following the start of the global alert on the flu 7 Screenings were imposed in Pengkalan Hulu at the border with Thailand in late April 8 Quarantine rooms had been allocated in 28 hospitals 9 and the country has stockpiled more than 2 million doses of Tamiflu as of May 2009 10 The Malaysian Health Ministry has warned Malaysians not to withhold health information to the authorities saying that those doing so could be fined RM10 000 or jailed two years or both if they are found guilty under the Disease Prevention Act 1988 11 On 18 June 2009 Malaysian Deputy Prime Minister Muhyiddin Yassin declared that all visitors and Malaysians returning from abroad will be required to fill out the health declaration form following the influenza A H1N1 pandemic around the world 12 Mitigation of the Virus Edit On 17 August the government said that will consider declaring a health curfew if the mortality rate of Influenza A H1N1 is above 0 4 from the current 0 1 0 3 Health Minister Datuk Seri Liow Tiong Lai said that they are currently treating the flu as a health emergency 13 Mask use Edit Health Minister Datuk Seri Liow Tiong Lai urged the public to wear a mask if showing symptoms of the flu 14 School closures EditIn response to the country s first case of A H1N1 the health ministry urged calm among the populace as the situation is under control and the ministry has taken all the possible precautionary measures to control and contain the disease after the WHO issued a level five alert 15 In addition schools were issued strict hygiene procedures on 16 May to contain any H1N1 outbreak among students and teachers 16 Sekolah Rendah Kebangsaan Assunta 1 in Petaling Jaya became the fourth school to be closed in a week 17 18 A H1N1 cases EditThe country had reported no suspected cases before 4 May 2009 6 but all cases tested negative between 4 and 15 May The 2009 FOBISSEA primary tournament in Kuala Lumpur was cancelled due to an unidentified student who was found to have contracted the virus whilst at the airport Teams from British International Schools throughout South East Asia were immediately sent home and quarantined 15 May 10 June Edit On 15 May the Health Ministry confirmed Malaysia s first case of A H1N1 infection of a 21 year old male student who had arrived at the KLIA on 13 May via a Malaysia Airlines flight MH091 from Newark and on transit at Stockholm Arlanda Airport followed by a second case on 16 May of a female student in Penang who shared the same flight as the first patient and boarded an AirAsia flight AK5358 from KLIA to Penang International Airport 5 7 15 19 This makes Malaysia the 36th country to detect A H1N1 within its borders 7 The first patient has been hospitalised at the Sungai Buloh Hospital while house quarantines were undertaken on two of the second patient s friends who boarded the same flight along with their family members 5 20 All passengers of the flights were also asked to contact the Health Ministry or head to any hospital clinic or health office or further action and crew members of MH091 and AK5358 were located and grounded 5 19 As the first patient has indicated the use of thermal scanners is revealed not to be entirely effective as symptoms of his flu had yet to manifest the Health Ministry resumes the use of the scanners nevertheless 7 15 Thermal scanning for swine flu at Singapore AirportOn 4 June three additional inbound airline passengers were reported to be carrying the virus The earliest of the three is a 23 year old male student who returned from United States on 1 June via the same Malaysian Airlines flight MH091 that the first cases of A H1N1 were detected 21 22 On the same day two German tourists and friends aged 30 and 32 who were holidaying in Southeast Asia and arrived in Malaysia were confirmed to be infected with the virus both had flown into the country on 3 June via an Air Asia flight AK702 after transferring from a Singapore Airlines flight SQ45 from Germany to Singapore on 1 June 21 22 The third reported victim developed symptoms on 3 June and was hospitalised in Tunku Jaafar Hospital while the two tourists developed symptoms while in Kuala Lumpur on 3 June and were given similar medical treatment All three patients were reported to be stable 21 22 As it has been for the last two cases passengers sharing both the Malaysian Airlines and Air Asia flights are being traced 21 22 On 5 June sixth case were reported from a student who took the same flight with the fourth patient On the next day a girl from Australia was confirmed to be infected with Influenza A H1N1 when the airport scanner detected severe fever making her the 7th confirmed case overall in Malaysia 23 10 20 June Edit On 10 June two new Influenza A H1N1 cases had been detected in Malaysia The eighth case involved a 17 year old American student who accompanied her parents for a holiday in the country The ninth case was a New Zealand national who arrived in the country at 7 30am on 5 June on an Air Asia flight DX7 2723 24 25 Malaysia recently registered two more cases of the disease bringing the total to 11 cases The 10th patient in the country was a 17 year old girl who had just returned from a holiday in Melbourne Australia on 9 June The 11th patient was a 41 year old woman who had returned from Manila to Penang on 6 June 26 A 12th case was reported on 13 June 2009 whereby a 19 year old medical student was returning to Malaysia after a 17 day holiday in Melbourne 27 As of 15 June 2009 the total number of cases have increased to 17 with an addition of 5 new cases 28 The 13th case was a 12 year old student who returned from a holiday in Manila The 14th case was a British tourist hospitalised in Kuantan after showing symptoms in Pulau Tioman The 15th and 17th cases involved Malaysians who recently came back from Melbourne both being currently hospitalised in Sungai Buloh Hospital The 16th case involved an American resident currently hospitalised in Queen Elizabeth Hospital in Kota Kinabalu Sabah 29 30 A Filipino man was confirmed as the 18th victim of influenza A H1N1 in Malaysia after being detected as having a fever and cough during the screening process when he arrived at the KL International Airport from Manila 31 Malaysia recorded its first local infection of influenza A H1N1 on 17 June 2009 involving the 19th case as that person had no history of having travelled to a country that had the flu 32 33 A 20th case was reported whereby a 23 year old local public university male student who made a seven day study visit together with 12 students and lecturers to Melbourne returned from Melbourne aboard Air Asia X D7 2723 and landed at the Low Cost Carrier Terminal on 17 June The 21st case came about with a 20 year old medical student of a Melbourne university who returned to holiday in Malaysia aboard MH 128 and arrived at the KLIA on 16 June 34 The 22nd case showed that a 54 year old man who had travelled to Manila on business on 9 June and arrived at KLIA on 12 June It was reported that the 23rd case was a 22 year old female Malaysian student who arrived from Melbourne by Air Asia at the LCCT on 14 June 35 On 18 June 2009 the Crisis Preparedness and Response Centre in Malaysia reported there were four imported cases of Influenza A H1N1 bringing to total of 27 cases overall 36 37 On 19 June 2009 Director General of Health Tan Sri Dr Mohd Ismail Merican said that eight new Influenza A H1N1 cases were detected bringing the total number of cases of the disease in Malaysia to 35 The 35th case is a 20 year old male Malaysian student who is studying in a university in Melbourne and has been there since January who came back to Malaysia for a holiday 38 39 20 30 June Edit On 20 June 2009 7 new cases of A H1N1 were reported bringing the total number of confirmed cases so far to 42 One of the new cases included a local transmission of the virus whereby an 11 year old student of Sekolah Jenis Kebangsaan Cina SJKC Davidson Kuala Lumpur contracted the virus from her grandmother who was 31st case confirmed 40 41 On 21 June 2009 eight more cases confirmed 42 Three of them were students from SJK C Jalan Davidson who contracted the virus from the 31st patient which brought the total of confirmed cases in the country soaring to 50 SJK C Jalan Davidson had also been closed and more than one thousand people in the school had been quarantined 43 On 22 June 2009 it was reported that there were 8 new cases of A H1N1 in Malaysia bringing the total number of confirmed cases to 58 overall The 51st case is a three year old girl who returned from a week long holiday in Melbourne on 19 June with her parents on MH 148 The 52nd case is a 35 year old MAS air steward who was on duty on MH1 Delta from London and arrived in KLIA on 18 June The 53rd case is a 27 year old woman who returned from a holiday in Sydney with her husband on 16 June on MH 122 She is in Kuala Lumpur Hospital The 54th case is a 25 year old woman who had contact with the 48th case and was confirmed with the flu 21 June in Hospital Sultanah Bahiyah Alor Star She is the 5th local transmission 44 1 10 July Edit On 9 July 61 new cases of Influenza A H1N1 were confirmed consisting of 37 imported cases and 24 locally transmitted which makes the number of cases in Malaysia soared to 574 Among the 574 cases 415 cases were reported to have been imported while 159 cases were locally transmitted One of the visitors who visited a company in Cyberjaya were confirmed to have contracted the virus which caused 12 workers to be put under home quarantine 45 11 31 July Edit On 23 18 July new cases were confirmed in Malaysia consisting 17 local transmission and 1 imported case 46 1 August onwards Edit According to the Health Ministry another 39 cases of A H1N1 were reported on 2 August 47 16 new cases of H1N1 were discovered on 5 August 2009 bringing the total number of cases to 1 492 48 33 new cases were reported on 6 August 2009 bringing the total cases in Malaysia to 1525 49 It was reported on the same day that an immigration detainee from Togo was found dead at the Sepang detention centre According to the guard the prisoner did not complain of fever or cough Autopsy were conducted on 4 August 2009 in Selayang Hospital and discovered that the patient had Influenza A H1N1 However they were still unable to determine if the flu was the direct cause of the patient s fatality 50 On 8 August 2009 53 more cases were confirmed and brought the number of cases in Malaysia to 1578 Among the 1578 cases 574 36 were imported cases and 1004 64 were local transmission 51 A record of more than 200 cases were confirmed on 9 August 2009 202 new local transmitted cases were confirmed which brought the number of flu cases soared to 1780 13 patients were still in ICU and four of them were still in critical condition 52 270 new local cases were confirmed on 11 August 2009 bringing the total cases in Malaysia to 2 253 53 Deaths Edit Reported death as of 15 October 2009July Edit On 23 July 2009 first A H1N1 related death was confirmed The patient is a 30 year old Indonesian man who had multiple medical condition including obesity and enlarged heart However Health Minister Datuk Liow Tiong Lai revealed that the flu was not the direct cause of the patient s fatality 54 August Edit On 6 August 2009 in Putrajaya another death was confirmed involving a 57 year old pensioner who was a diabetic and had hypertension 55 On 7 August 2009 a 40 year old obese man who was admitted to Kuala Lumpur Hospital died of acute coronary syndrome and cardiogenic shock The man had developed a fever and had been coughing since 28 July 2009 His autopsy result confirmed that he is the nation s fifteen Influenza A H1N1 death On 8 August 2009 three more deaths were recorded which brought the death cases in Malaysia to 18 56 The sixteenth death was a 5 year old boy who had upper respiratory tract infection and sought treatment in a private clinic on 3 August He was then had a seizure and was sent to Tengku Ampuan Afzan Hospital and confirmed to have the H1N1 virus He died on 7 August 2009 due to acute encephalitis secondary to Influenza A H1N1 57 The seventeenth death was a one year old toddler who had history of hyperthyroidism and was under treatment for it He had symptoms of the flu but did not seek for treatment He was then sent to Sultanah Amanah Hospital Johor Bahru He was confirmed to have the flu on 4 August 2009 However after five days of treatment his condition deteriorated with symptoms of drowsiness lethargy and altered consciousness and was sent to ICU On 7 August 2009 he died due to pneumonia with underlying H1N1 infection The eighteenth death was a 63 year old man who had asthma and tuberculosis He was admitted to Selayang Hospital and died on 6 August due to severe pneumonia with positive Influenza A H1N1 and underlying pulmonary tuberculosis 58 Eight more deaths were confirmed on 9 August 2009 59 Among the eight patient who died three died on 3 August two on 5 August four on 7 August and one on 8 August 60 All of them were in the high risk group except a 20 year old college student who was found dead at her hostel about a week after obtaining outpatient treatment Among the dead were two Sabahans one of them was a 24 year old obese woman from Ranau who died of pulmonary oedema after a bout of flu while the other one was a 74 year old man who had a history of heart problem who died of pneumonia and pulmonary oedema The other deaths were a 47 year old patient with asthma in Sarawak and a 37 year old obese man who died of broncho pneumonia at the hospital in Johor Bahru 61 Six more deaths were confirmed on 10 August 2009 bringing the total death cases in Malaysia skyrocketed to 32 Of the six cases four of them had underlying medical cases 62 Another six deaths were recorded on 11 August 2009 Among the six death cases four of them had been diagnosed with asthma hypertension and diabetes 63 As at 12 August 2009 the total of deaths reported raised to 44 with six more cases confirmed 64 A 60 year old man who had histories of diabetes hypertension and heart problems was hospitalised on 6 August after showing symptoms of the flu Throat swab and antiviral drugs were prescribed However he died on the next day due to severe pneumonia Lab result confirmed the man as an Influenza A H1N1 patient on 9 August A 62 year old man who was a diabetic was hospitalised on 6 August He was then later dehydrated and given antiviral drug for precaution against the flu Throat swab was taken on 7 August However he died on the same day due to pneumonia and possible cancer A 20 year old who didn t have any history of underlying medical condition experienced fever coughing and sore throat He sought for treatment at a hospital on 6 August and was later hospitalised due to suffocation Antiviral drugs were later prescribed by the doctor On the next day he died due to severe pneumonia and septicaemia A 10 year old baby was among the death cases confirmed on 12 August She showed symptoms but was hospitalised six days later due to suffocation Antiviral drugs were not given On the next day she died due to bronchopneumonia An 18 year old woman who was 26 weeks pregnant and was also obese showed symptoms on 3 August Her condition deteriorated and was then later sent to ICU where a throat swab was performed She died due to severe pneumonia A 1 year old toddler who had congenital heart disease had a seizure and fever on 7 August Antiviral drugs were not given to the toddler and he died on 9 August 2009 while undergoing a surgery 65 Seven more deaths were confirmed on 13 August 2009 bringing the total number of death cases in Malaysia rose to 51 All of the seven fatalities were in high risk group 66 A 4 month old baby who had an extremely low immunity was hospitalised on 8 August 2009 after he showed symptoms of fever breathing difficulty vomiting coughing and diarrhoea A throat swab was conducted but he died on 10 August due to severe pneumonia 67 Lab result confirmed he had Influenza A H1N1 on the next day making him one of the victims of the flu A 37 year old diabetic woman was hospitalised after showing symptoms She was later given antiviral drugs but died on 10 August A 69 year old woman who had history of hypertension was found to have been coughing Throat swab was conducted after she was transferred to ICU due to suffocation On 11 August 2009 she died due to acute myocarditis A woman in her 20s who also had a history of congenital disease started to have fever and coughing on 6 August She was later admitted and given antiviral drugs on 8 August However she died on 10 August due to severe bronchopneumonia A 4 year old boy who had congenital disease was treated on 2 August after exhibiting symptoms of the flu He was later confirmed to have the flu after a throat swab was taken however he died before the confirmation was received A 92 year old lady who had asthma and a 43 year old man who had diabetes hypertension and heart diseases died on 11 August 2009 due to severe pneumonia 68 Five more cases were confirmed on 14 August 69 A two month old baby who was born prematurely was admitted to the hospital following fever coughing sneezing and difficulty in breathing He was given antiviral drugs and was placed on mechanical ventilation as his condition deteriorated but he died on 12 August due to pneumonia Another two month old baby was rushed to the hospital when he was found unconscious His condition was critical and was sent to ICU He tested positive for the flu on 8 August but died on 10 August due to myocarditis hepatitis and renal impairment associated with H1N1 A 49 year old diabetic woman who was also obese and having tuberculosis was confirmed to have the virus on 11 August A 57 year old diabetic man sought for treatment on 2 August after showing symptoms of the flu On 3 August he returned to the clinic after experiencing fever vomiting and diarrhoea He was then sent to hospital and given antiviral drugs Despite given antiviral drugs he died on 12 August due to sepsis A 19 year old teenager was admitted to the hospital after complaining having fever and coughing He was then suffocated and died on 11 August due to pneumonia 70 3 more deaths were confirmed on 15 August 71 A 22 year old obese man was hospitalised on 9 August but died on 12 August due to viral pneumonia A 29 year old man who had valvular heart disease was admitted to the hospital after flu symptoms persisted for 2 days Antiviral drugs were given on 10 August but he died 2 days later due to bronchopneumonia A 44 year old woman who had asthma was tested positive for the flu on 10 August but died on 13 August due to pneumonia 72 73 Another three deaths were confirmed on 16 August raising the total number of deaths to 62 74 The 59th death was a 6 year old child with Down s syndrome who had the flu for 3 days before being confirmed as a H1N1 patient He died on 13 August due to pneumonia with underlying Down s syndrome with AVSD and pulmonary hypertension A 3 year old child was hospitalised on 1 August after having symptoms for 5 days Confirmed to have contracted the virus on 3 August and antiviral drugs were given on the same day However he died on 14 August due to severe pneumonia A man in his 50s who had symptoms on 28 July was hospitalised He also had been vomiting and had had diarrhoea two days before he was admitted On 13 August he was confirmed dead due to septicaemia with severe pneumonia 75 On 17 August two more deaths were announced 76 A 7 month old boy who had asthma was transferred to ICU after having fever and coughing for 2 days Antiviral drugs were given and was confirmed to have the virus on 12 August However he was confirmed dead three days later due to severe pneumonia and acute respiratory failure A 74 year old diabetic woman who also had CCF was admitted to the hospital after she was found unconscious in her house She died on 11 August due to severe pneumonia Her test results came back on 12 August and confirmed her as a H1N1 patient 77 On 18 August three more death cases were confirmed and brought the number of death cases in Malaysia to 67 78 A 33 year old woman was transferred to ICU after her lungs disease began to deteriorate after 4 days of treatment in a private hospital She showed symptoms on 31 July and antiviral drugs were started on 7 August On 12 August she died due to bronchopneumonia Her result later came back and was positive for the flu A 10 year old school girl who was diagnosed with Systemic lupus erythematosus was sent to ICU after she had breathing difficulty chest pain and stomach ache Antiviral drugs were given since 8 July Despite on medicine she died on 13 August due to Systemic lupus erythematous with severe pneumonia with renal impairment A 71 year old woman with Chronic obstructive pulmonary disease hypertension Ischaemic heart disease and Diabetes mellitus type 2 showed symptoms of the flu and was hospitalised on 12 August However on 14 August she died due to Ischaemic dilated cardiomyopathy precipitated by pneumonia 79 On 20 August one new death was confirmed The victim was a 34 year old woman who was in the 34th week of pregnancy The patient was treated and admitted into a private hospital in Johor Baru on 8 Aug after developing fever and cough for a day She was subsequently referred and admitted to the intensive care unit of the Sultanah Aminah Hospital in Johor Baru for breathing difficulties five days later Tamiflu was administered However she died on next day due to severe pneumonia and respiratory failure 80 Another death was confirmed on 24 August increasing the death toll to 69 The patient a 38 year old teacher who was also obese tested positive for H1N1 by a private clinic Tamiflu was not administered but only gave her symptomatic treatment Five days later on 18 August she was admitted to the hospital after having breathing difficulties and cyanosis She was referred to KL Hospital and Tamiflu was administered However the woman died on 19 August due to pneumonia with AVDS 81 One more death was confirmed on 25 August by the Mortality Review Committee A 3 year old boy who had febrile convulsion and cough was hospitalised on 12 August The boy was then transferred to ICU after his condition deteriorate and tamiflu was administered He tested positive for the flu on 17 August However he died on the next day due to H1N1 encephalitis with Cerebral oedema and multiorgan failure The death of a 24 year old woman brought the number of cases in Malaysia to 71 The patient having fever cough and headache was admitted to a private hospital in Kuantan on 10 August and received viral pneumonitis treatment She was then referred to a government hospital and placed in ICU after her condition worsened Her condition continued to deteriorate despite the administration of Tamiflu On 19 August she was confirmed dead due to H1N1 secondary to ARDS 82 One more death was confirmed on 30 August 83 A 49 year old patient with heart problems was brought to Melaka Hospital after having fever cough and vomiting which persisted for 2 days He was given antiviral drugs and antibiotics and he was also tested for tuberculosis typhoid dengue Leptospirosis and H1N1 but all of the tests came back negative The patient s condition deteriorate and was confirmed dead on 19 August due to severe pneumonia with septic shock and H1N1 The post mortem biopsy report based on lung samples tested positive for Influenza A H1N1 on 24 Aug 84 September Edit On 3 September 2009 the death of a 25 year old woman was confirmed bringing the total number of deaths related to A H1N1 to 73 The woman received outpatient treatment after developing flu symptoms She was then subsequently brought to Sibu Hospital and administered antiviral drugs However she died on 1 September due to severe pneumonia with H1N1 infection 85 It was announced that on 11 September the death of the 19 year old man brought the total number of death cases to 74 86 The patient was brought to Gerik Hospital after flu symptoms persisted for 4 days On 20 August he was transferred to Ipoh Hospital where he was administered Tamiflu Despite given antiviral drugs he died on 23 August due to Acute Pulmonary Oedema with Underlying Influenza A H1N1 infection 87 Another two death cases were confirmed on 15 September bringing the total number of cases to 76 in total 88 The first death a 45 year old woman who had hypertension was referred to Tambunan Hospital on 17 August after flu symptoms persisted She was then sent to Keningau Hospital and antiviral was administered After 10 days in ICU she died due to severe bronchopneumonia and Acute respiratory distress syndrome 89 The second death registered was a 19 year old teenage girl She was sent to Kuala Lumpur Hospital and antiviral was administered Despite given antiviral drugs she died on 31 August due to severe pneumonia with H1N1 infection 90 Terminology EditThe flu virus is officially designated by the WHO as Influenza A H1N1 following a name change from swine flu to avoid suggestions that eating pork products carried a risk of infection and is referred as such by Malaysia s Health Minister However Information Communication and Culture Minister Rais Yatim suggested on 25 June that the local media use swine flu Malay selsema babi instead justifying that the dangers of the flu would be better understood by the public and that the flu would be easily described in Malay a language which is officially used in news programmers of government owned television and radio channels 91 See also Edit2009 flu pandemic by country 2009 flu pandemic timeline COVID 19 pandemic in MalaysiaPortals Asia Biology Malaysia Medicine VirusesNotes Edit a b c d MOH Website updates Malaysia Ministry of Health Retrieved 30 August 2009 Archived 10 September 2009 A H1N1 380 new cases but no deaths reported The Star 21 May 2009 Retrieved 21 August 2009 a l Chindambaram Dr Suresh Kumar 26 April 2012 H1N1 Retrieved 23 January 2021 Malaysia on alert after deadly flu hits Mexico The Star 26 April 2009 Archived from the original on 18 June 2009 Retrieved 20 August 2009 a b c d A H1N1 Second confirmed case in Malaysia Update 4 The Star 16 May 2009 Archived from the original on 18 June 2009 Retrieved 20 August 2009 a b Operations room activated to monitor swine flu Malaysian Insider 26 April 2009 Archived from the original on 29 April 2009 Retrieved 20 August 2009 a b c d Malaysia confirms first case of A H1N1 flu Update 2 The Star 15 May 2009 Archived from the original on 19 May 2009 Retrieved 20 August 2009 Swine Flu Screening team stationed at Thai border The Star 29 April 2009 Archived from the original on 18 June 2009 Retrieved 20 August 2009 Special quarantine rooms at 28 hospitals for A H1N1 The Star 11 May 2009 Archived from the original on 18 June 2009 Retrieved 20 August 2009 H1N1 flu outbreak H1N1 flu watch The Straits Times 2 May 2009 Retrieved 20 August 2009 Health warning Declare the truth or face possible jail term Malaysian Insider 18 June 2009 Archived from the original on 21 June 2009 Retrieved 20 August 2009 Mandatory now to fill health declaration form Malaysian Insider 18 June 2009 Archived from the original on 21 June 2009 Retrieved 20 August 2009 2 more die health curfew if mortality rate reaches 0 4pc The Star 17 August 2009 Archived from the original on 1 September 2009 Retrieved 20 August 2009 Avoid shaking hands and wear a mask Liow advises people Nation The Star Online Archived from the original on 9 October 2012 Retrieved 7 September 2018 a b c 21 year old student from US has H1N1 The Star 16 May 2009 Archived from the original on 18 June 2009 Retrieved 20 August 2009 A H1N1 Schools to follow Health Ministry hygiene procedures The Star 16 May 2009 Retrieved 20 August 2009 Two more school closures today New Straits Times 23 May 2009 Archived from the original on 26 June 2009 Retrieved 20 August 2009 6 schools affected by flu New Straits Times 23 May 2009 Archived from the original on 26 June 2009 Retrieved 20 August 2009 a b Home quarantine for passengers and crew of AirAsia flight Update The Star 17 May 2009 Archived from the original on 18 June 2009 Retrieved 20 August 2009 M sia hit with first A H1N1 flu case Malaysiakini 15 May 2009 Archived from the original on 2 August 2009 Retrieved 20 August 2009 a b c d A H1N1 flu M sia reports 3 more cases The Star 4 June 2009 Retrieved 5 June 2009 a b c d Influenza A H1N1 Cases Rise To Five Bernama 4 June 2009 Retrieved 5 June 2009 Malaysia confirms 7th case of Influenza A H1N1 The Star 6 June 2009 Retrieved 20 August 2009 Two new H1N1 cases confirmed The Malaysian Insider 10 June 2009 Archived from the original on 13 June 2009 Retrieved 20 August 2009 H1N1 cases up to nine now The Star 11 June 2009 Retrieved 20 August 2009 WHO may raise pandemic alert The Star 11 June 2009 Retrieved 20 August 2009 A H1N1 Twelfth case confirmed in Malaysia The Star 13 June 2009 Retrieved 20 August 2009 Malaysia confirms five A H1N1 flu cases Monday Xinhua News Agency 15 June 2009 Archived from the original on 18 June 2009 Retrieved 20 August 2009 Five new cases flu panel to meet The New Straits Times 16 June 2009 Retrieved 20 August 2009 A H1N1 Malaysia confirms 5 more taking total to 17 Update Nation The Star Online Archived from the original on 7 September 2012 Retrieved 7 September 2018 A H1N1 Filipino traveller confirmed as 18th case The Star 16 June 2009 Retrieved 20 August 2009 H1N1 CRISIS 19th victim is also first local case New Straits Times 17 June 2009 Retrieved 20 August 2009 A H1N1 First locally transmitted case confirmed The Star 17 June 2009 Archived from the original on 1 September 2009 Retrieved 20 August 2009 First case of locally transmitted A H1N1 flu Malaysian Insider 17 June 2009 Archived from the original on 25 August 2009 Retrieved 20 August 2009 First local H1N1 infection Sun2Surf 17 June 2009 Retrieved 20 August 2009 Four Import Cases of Flu Take Total To 27 Bernama 18 June 2009 Retrieved 20 August 2009 Four more imported cases detected The Star 19 June 2009 Retrieved 20 August 2009 Eight New Influenza A H1N1 Cases Detected Total Now 35 Cases Bernama 19 June 2009 Retrieved 20 August 2009 Eight new H1N1 cases detected The Star 20 June 2009 Retrieved 20 August 2009 Seven new H1N1 cases detected today The New Straits Times 20 June 2009 Retrieved 20 August 2009 7 new A H1N1 cases in Malaysia total 42 LATEST SinChew 20 June 2009 Retrieved 20 August 2009 Malaysia shuts school with three H1N1 flu cases Channel NewsAsia 21 June 2009 Retrieved 20 August 2009 A H1N1 First school in Malaysia closed Update 2 The Star 21 June 2009 Retrieved 20 August 2009 Malaysia confirms eight more flu cases second school closed Xinhua News Agency 22 June 2009 Archived from the original on 24 October 2012 Retrieved 20 August 2009 A H1N1 Msia moving from containment to mitigation The Star 9 July 2009 Retrieved 20 August 2009 First H1N1 related death in Malaysia Sun2Surf 23 July 2009 Archived from the original on 26 July 2009 Retrieved 30 August 2009 A H1N1 Tests confirm 11 year old boy is sixth A H1N1 related death The Star 2 August 2009 Retrieved 20 August 2009 Influenza A H1N1 Deaths Leap To 14 Bernama 6 August 2009 Retrieved 20 August 2009 Malaysian PM views A H1N1 flu a serious threat Xinhua News Agency 7 August 2009 Archived from the original on 10 August 2009 Retrieved 30 August 2009 Immigration Detainee s Cause of Death To Be Known Next Week Bernama 7 August 2009 Retrieved 20 August 2009 Malaysia confirms 3 new swine flu related deaths PennLive com 8 August 2009 Archived from the original on 6 March 2012 Retrieved 30 August 2009 MUGUNTAN VANAR 10 August 2009 A H1N1 virus claims eight more victims The Star Archived from the original on 13 August 2009 Retrieved 30 August 2009 Six More Deaths Raises H1N1 Toll To 38 Bernama 11 August 2009 Archived from the original on 15 September 2009 Retrieved 30 August 2009 First H1N1 related death in Malaysia New Straits Times 24 July 2009 Archived from the original on 27 August 2009 Retrieved 30 August 2009 MAZWIN NIK ANIS 6 August 2009 A H1N1 Death toll increases to 14 Update The Star Archived from the original on 1 September 2009 Retrieved 30 August 2009 H1N1 More H1N1 fatalities today New Straits Times 8 August 2009 Archived from the original on 13 September 2009 Retrieved 30 August 2009 3 more H1N1 deaths total now 18 Malaysian Insider 8 August 2009 Archived from the original on 18 September 2009 Retrieved 30 August 2009 BEH YUEN HUI 8 August 2009 A H1N1 3 more deaths taking total to 18 The Star Archived from the original on 31 August 2009 Retrieved 30 August 2009 Influenza A H1N1 Another 8 die total deaths 26 in M sia AsiaOne 9 August 2009 Archived from the original on 12 August 2009 Retrieved 20 August 2009 H1N1 Eight More Deaths Today Death Toll Is 26 Bernama 9 August 2009 Archived from the original on 7 February 2011 Retrieved 30 August 2009 MUGUTAN VANAR 9 August 2009 A H1N1 Eight more deaths reported The Star Archived from the original on 1 September 2009 Retrieved 30 August 2009 MAZWIN NIK ANIS 10 August 2009 A H1N1 6 more deaths taking total to 32 The Star Archived from the original on 31 August 2009 Retrieved 30 August 2009 A H1N1 Six more succumb to flu pandemic 270 new cases Sun2Surf 11 August 2009 Archived from the original on 14 August 2009 Retrieved 30 August 2009 A H1N1 6 more deaths total fatalities at 44 The Star 12 August 2009 Archived from the original on 1 September 2009 Retrieved 30 August 2009 Two toddlers die of H1N1 fatalities now at 44 Malaysian Insider 12 August 2009 Archived from the original on 17 September 2009 Retrieved 30 August 2009 A H1N1 Seven more deaths reported Update The Star 13 August 2009 Archived from the original on 1 September 2009 Retrieved 30 August 2009 Influenza A H1N1 Death toll now 51 New Straits Times 13 August 2009 Archived from the original on 16 September 2009 Retrieved 30 August 2009 Malaysia confirms 7 new swine flu related deaths Jakarta Post 13 August 2009 Archived from the original on 14 August 2009 Retrieved 20 August 2009 Malaysia confirms 5 new swine flu related deaths Jakarta Post 14 August 2009 Retrieved 20 August 2009 Premature child among latest 5 dead Malaysian Insider 14 August 2009 Archived from the original on 17 September 2009 Retrieved 30 August 2009 Three more H1N1 deaths reported in Malaysia AsiaOne 16 August 2009 Archived from the original on 19 August 2009 Retrieved 20 August 2009 LOH FOON FONG 16 August 2009 A H1N1 Three more deaths reported The Star Archived from the original on 19 August 2009 Retrieved 30 August 2009 Influenza A H1N1 3 more deaths push toll to 59 New Straits Times 16 August 2009 Archived from the original on 18 September 2009 Retrieved 30 August 2009 Disabled Child Latest H1N1 Death Bernama 16 August 2009 Archived from the original on 4 June 2011 Retrieved 30 August 2009 A H1N1 3 more deaths total 62 Sun2Surf 16 August 2009 Retrieved 20 August 2009 Two more A H1N1 fatalities death toll 64 The Nut Graph 17 August 2009 Retrieved 20 August 2009 2 more deaths total rises to 64 The Star 17 August 2009 Archived from the original on 1 September 2009 Retrieved 20 August 2009 A H1N1 Toll rises to 67 with three more deaths Sun2Surf 18 August 2009 Archived from the original on 21 August 2009 Retrieved 20 August 2009 Three More H1N1 Deaths Total Rises To 67 People Bernama 18 August 2009 Retrieved 20 August 2009 LESTER KONG 20 August 2009 Influenza A H1N1 hits record high with 569 cases The Star Archived from the original on 26 August 2009 Retrieved 30 August 2009 A H1N1 SMK USJ 12 teacher died of the flu Update The Star 24 August 2009 Archived from the original on 27 August 2009 Retrieved 30 August 2009 MAZWIN NIK ANIS 26 August 2009 A H1N1 24 year old woman is the latest victim The Star Archived from the original on 29 August 2009 Retrieved 30 August 2009 49 year old latest H1N1 victim toll rises to 72 Malaysian Insider 30 August 2009 Archived from the original on 2 September 2009 Retrieved 4 September 2009 A H1N1 One more A H1N1 death reported The Star 30 August 2009 Archived from the original on 2 September 2009 Retrieved 30 August 2009 Flu death toll rises to 73 The Star 4 September 2009 Retrieved 4 September 2009 A H1N1 One death after seven days The Star 11 September 2009 Archived from the original on 15 September 2009 Retrieved 11 September 2009 One A H1N1 Death Registered on Friday Bernama 11 September 2009 Retrieved 11 September 2009 Influenza A H1N1 Death toll now 76 New Straits Times 16 September 2009 Retrieved 16 September 2009 Two new A H1N1 deaths registered today The Nut Graph 16 September 2009 Retrieved 16 September 2009 A H1N1 Two new deaths reported Sun2Surf 16 September 2009 Retrieved 16 September 2009 Rais Suggests Media Use Swine Flu Instead Bernama 25 June 2009 Retrieved 26 June 2009 External links EditMinistry of Health Malaysia Official A H1N1 Portal in Malay Retrieved from https en wikipedia org w index php title 2009 swine flu pandemic in Malaysia amp oldid 1160228637, wikipedia, wiki, book, books, library,

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