Mexico is telling citizens to stay home, urging businesses to close for five days and suspending government services as the World Health Organization warns the swine flu outbreak is on the brink of becoming a global epidemic.
In the United States, federal health officials said Thursday the number of confirmed cases had risen to 109. President Barack Obama told Americans the government was “taking the utmost precautions and preparations” to stop the virus.
Mexican President Felipe Calderon said in a televised address that only essential businesses such as supermarkets, hospitals and pharmacies should stay open, and only critical government workers such as police and soldiers would be on duty from Friday through Tuesday. School had already been canceled nationwide through Tuesday.
The steps are aimed at stopping further spread of the virus, blamed for 168 deaths in Mexico and one in the United States, even though the WHO has suggested nations should focus on minimizing its effects, not containing its spread.
“There will be no government activities — those that are not fundamental for citizens — nor any private-sector activities that are not fundamental to common life,” Calderon said Wednesday night in a televised address.
“There is no safer place to protect yourself against catching swine flu than in your house,” he said, defending the government against criticism that it had been slow to act against signs of a new and dangerous virus.
In the U.S., both Vice President Joe Biden and the acting head of the Centers for Disease Control and Prevention said in televised interviews Thursday there would be no practical benefit to closing the U.S.-Mexican border. Biden said on CBS that it would be a “monumental undertaking” with far-reaching consequences.
Biden also said on NBC’s “Today” show that he is advising his own family to stay off commercial airlines and even subways because of swine flu. If one person sneezes on a confined aircraft, he said, “it goes all the way through the aircraft.”
Within two hours, Biden’s office issued a statement backing off the remarks and suggesting he was talking about travel to Mexico.
His precautions go beyond official advice from the U.S. government; Obama merely urged people to wash their hands, cover their coughs and stay home when they feel sick. Calderon gave similar advice.
The WHO on Wednesday raised its alert level to Phase 5, the second-highest, indicating a pandemic may be imminent, and was talking about moving to Phase 6. The Phase 5 alert — the first ever — activates added efforts to produce a vaccine.
“It really is all of humanity that is under threat during a pandemic,” WHO Director General Margaret Chan said in Geneva. “We do not have all the answers right now, but we will get them.”
Switzerland and the Netherlands became the latest countries to report swine flu infections. In addition to Mexico and the U.S., Canada, New Zealand, Britain, Germany, Spain, Israel and Austria have confirmed cases.
The Swiss government said a 19-year-old student with swine flu was mistakenly released from the hospital and then hastily readmitted. The Dutch said a 3-year-old child who recently returned from Mexico had contracted swine flu and was being treated and recovering well.
European Union health ministers planned emergency talks in Luxembourg to coordinate national efforts in preventing the spread of swine flu in Europe.
WHO flu chief Dr. Keiji Fukuda said it was difficult to say whether the outbreak justified declaring a Phase 6 pandemic.
By definition, he said, a pandemic means “established transmission of this new virus in multiple countries and multiple regions of the world. So right now we’re saying that we see it convincingly in two countries in one region of the world.”
“We think we are in the process of moving toward there, but we still need to see the evidence that we are there,” Fukuda said.
The WHO raised its tally of confirmed swine flu cases around the world to 236 from 148, with most of the new cases from Mexico. The WHO count lags behind what individual countries report.
The United States confirmed its first swine flu death on Wednesday, a Mexican toddler who visited Texas with his family and died Monday night in Houston. Thirty-nine Marines were confined to their base in California after one came down with the virus, a mix of pig, bird and human genes to which people have limited natural immunity.
The outbreak appeared to be stabilizing in Mexico, the epicenter. New deaths and cases seemed to be leveling off after an aggressive public health campaign launched when the epidemic was declared April 23. Hospital records suggest the outbreak may have peaked here last week.
Calderon said authorities would use the partial shutdown to consider whether to extend emergency measures or ease some restrictions. The dates of the shutdown include a weekend and two holidays, Labor Day and Cinco de Mayo, minimizing the added disruption.
Even before the shutdown went into full effect, a surprised radio reporter exclaimed that traffic was unusually light Thursday. Businessmen in surgical masks trudged in for their last day of work, passing beggars who kept their masks on too. Even the capital’s legendary smog seemed to be easing.
Obama said his administration has made sure that needed medical supplies are on hand and he praised the Bush administration for stockpiling 50 million doses of antiviral medications.
“The key now is to just make sure we are maintaining great vigilance, that everybody responds appropriately when cases do come up. And individual families start taking very sensible precautions that can make a huge difference,” he said.
Ecuador, Cuba and Argentina have all banned travel to or from Mexico, and Peru has banned inbound flights. The Panama Canal Authority ordered pilots and other employees who board ships passing through the waterway to use surgical masks and gloves.
The U.S., the European Union and other countries have discouraged nonessential travel to Mexico. Some countries have urged their citizens to avoid the United States and Canada as well. Health officials said such bans would do little to stop the virus.
In France, President Nicolas Sarkozy met with Cabinet ministers to discuss swine flu, and the health minister said France would ask the European Union to suspend flights to Mexico.
Medical detectives have not pinpointed where the outbreak began. Scientists believe that somewhere in the world, months or even a year ago, a pig virus jumped to a human and mutated, and has been spreading between humans ever since.
China has gone on a rhetorical offensive to squash any suggestion it’s the source of the swine flu after some Mexican officials were quoted in media reports in the past week saying the virus came from Asia and the governor of Mexico’s Veracruz state was quoted as saying the virus specifically came from China.
One of the deaths in Mexico directly attributed to swine flu was that of a Bangladeshi immigrant, said Mexico’s chief epidemiologist, Miguel Angel Lezana. He said the unnamed Bangladeshi had lived in Mexico for six months and was recently visited by a brother who was reportedly ill. Lezana suggested the brother could have brought the virus from Pakistan or Bangladesh.
By March 9, the first symptoms were showing up in the Mexican state of Veracruz, where pig farming is a key industry in mountain hamlets and where small clinics provide the only local health care.
The earliest confirmed case was there: a 5-year-old boy who was one of hundreds of people in the town of La Gloria whose flu symptoms left them struggling to breathe. People from La Gloria kept going to jobs in Mexico City despite their illnesses, and could have infected people in the capital.
Days later, a door-to-door tax inspector was hospitalized with acute respiratory problems in the neighboring state of Oaxaca, infecting 16 hospital workers before she became Mexico’s first confirmed death.
Neighbors of the inspector, Maria Adela Gutierrez, said Wednesday that she fell ill after pairing up with a temporary worker from Veracruz who seemed to have a very bad cold.
Jose Cordova, the Mexican health secretary, said getting proper treatment within 48 hours of falling ill “is fundamental for getting the best results” and suggested people can survive the virus if it is quickly diagnosed and treated.
But it was neither caught quickly nor treated properly in the early days in Mexico, which lacked the capacity to identify the virus, and whose health care system has become the target of widespread anger and distrust. In case after case, patients have complained of being misdiagnosed, turned away by doctors and denied access to drugs.
Swine flu has symptoms nearly identical to regular flu — fever, cough and sore throat — and spreads like regular flu, through tiny particles in the air, when people cough or sneeze. People with flu symptoms are advised to stay at home, wash their hands and cover their sneezes.
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