- 1204 new cases, including 879 new cases from Germany and including the first fatal Belgium, were confirmed and reported from the EU and EFTA countries, reaching a total of 24,021;

- 661 new cases including 10 fatal cases, were reaching a cumulative total of 15

- The US recommendations for priority groups for pandemic influenza vaccine were published

This report is based on official information provided by the national public health websites, or through other official communication channels. An update on the number of confirmed cases as of 20 July 2009, 17:00 hours CEST, is presented in Table 1 and Table 2.

Disclaimer: The number of confirmed cases reported is based on laboratory test results, except for the US. Depending on the national laboratory testing policies, the actual number of cases by country may therefore be higher. Several countries have now announced concentrating on mitigation measures and this usually implies focused laboratory testing. For these countries, the reported numbers of cases presented in this report will severely underestimate the true incidence in the country and will not be comparable to countries still recommending laboratory tests of all suspected influenza cases.

Epidemiologic update

Out of the 31 EU and EFTA countries, 30 countries A(H1N1)v infection, including 38 deaths were reported from the EU and EFTA countries Outside of the EU and EFTA countries, a total of Swaziland reported their first cases. 10 total, 153,629 cases including 1089 fatal cases Globally, the total number of confirmed deaths.