As of November 20, 2009, the CDC reported sharp declines in H1N1 activity throughout the United States, with influenza-like illness (which may also include meningitis, pneumonia, strep pharyngitis, gastroenteritis, and the common cold) accounting for 5.5% of doctors visits, down sharply from 8% in late October, the peak of the second wave. On October 1, it was acknowledged that a recruit in basic training in Fort Jackson, South Carolina, was the Army's first swine flu death. A CDC report on the 2009 swine flu outbreak estimates there were 60.8 million H1N1 cases nationwide in the first year of the outbreak. Over the past several months, social media users have made comparisons between the spreading coronavirus and past disease outbreaks.Some widely shared Facebook posts have compared the coronavirus to the 2009 H1N1 "swine flu" pandemic, pointing out that the swine flu had 56 million more cases in its first year than the coronavirus has had so far. Neither user responded to a USA TODAY request for comment.

Benjamin said the U.S. was able to develop a vaccine relatively quickly to combat the swine flu. Influenza pandemic (H1N1) of 2009, also called H1N1 flu, byname swine flu, the first major influenza outbreak in the 21st century, noted for its rapid global spread, which was facilitated by an unusually high degree of viral contagiousness. The pattern continued through June of the same year. By April 30, 2009, 300 U.S. schools and school districts had announced closures in response to the outbreak, giving 169,000 students time off.Several US airlines waived fees for cancellations and flight changes. Benjamin said therapeutics like Theraflu also aided the U.S. response to the swine flu, while therapeutics for COVID-19 have taken longer to develop. Careful analysis showed these people likely died of something else, and not influenza.

Although the 2009 H1N1 outbreak reached epidemic levels of infection early in 2009, it did not contribute to epidemic levels of pneumonia and influenza related deaths until October 2009.In early October 2009, the Centers for Disease Control and Prevention announced that swine flu was widespread across the country. Scientists said the virus was already spreading widely among people, and, in fact, was more common in humans than in pigs, so humans were more likely to catch it from others than from pigs.In mid-October, it was reported that flu caused by the H1N1 virus was widespread in 41 states, and flu-like illnesses accounted for 6.1 percent of all doctor visits, which was considered highProjections of the supply of H1N1 vaccine had decreased significantly from a level of 120 million doses ready in October, estimated during the summer, to an estimate of 28 to 30 million doses by the end of the month. On October 14, 11.4 million doses of the H1N1 vaccine were said to be available. As of late August, 100 had been hospitalized in intensive care units and 28 had died since the beginning of the outbreak in April. But that comparison lacks important context about the severity of each virus. Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, said in a video interview with the Journal of the American Medical Association earlier this year that the swine flu was easily transmitted but was not as deadly as some other pandemics. The recruit fell ill on September 1 and died of pneumonia on September 10. (FDA is part of Department of Health and Human Services. Dr. Georges Benjamin, executive director of the American Public Health Association, told USA TODAY that because the severity of the coronavirus is quite different from that of the swine flu,  the U.S. response needed to be significantly different, too. The swine flu affected predominately children and young- to middle-aged adults: According to the CDC, 80% of deaths worldwide were in people under 65.While the U.S. government in spring 2009 initially recommended schools shut down temporarily if there were suspected cases, it soon changed its recommendation based on the lower severity of the virus. "Only 56 million to go until we equal swine flu in 2009 when we did nothing then," says a July 26 post from the Facebook user David Pike Sr., which had 22,000 shares as of Thursday. The posts, which lack any context about the number of deaths from either virus, question the U.S. response to the coronavirus, given the response to the swine flu based on the apparent disparity in the number of cases. On April 25, the World Health Organization (WHO) declared a public health emergency of international concern. Even using revised figures, the H1N1 strain did not turn out to be dramatically deadlier than the seasonal flu, but it could have been. [...] If that flu-like illness is not deadly, I don't know what the cause for alarm is for people who are not really sickened by this virus. The CDC estimates that 151,700 to 575,400 people died from that flu worldwide. In spring 2009, a new strain of the H1N1 virus that became known as "swine flu" began circulating in the United States.

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