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09BERLIN672 2009-06-05 15:37:00 UNCLASSIFIED//FOR OFFICIAL USE ONLY Embassy Berlin
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1. (SBU) SUMMARY: The number of H1N1 cases in Germany rose to
49 on June 5 as eleven more people were confirmed to be
infected with the new virus. The states of Lower-Saxony and
Rhineland-Palatinate reported their first infections. END

2. (SBU) On June 5, the National Reference Center for
Influenza at the Robert Koch Institute (RKI) announced in its
press briefing eleven new laboratory-confirmed cases of H1N1
in Germany. This increases the total number of confirmed
cases to forty-nine (Refs B-E). According to the institute,
ten of the infections occurred in the US and one was a case of
human-to-human transmission in Germany. The new cases were
distributed among the federal states as follows: Hesse (2),
Baden-Wuerttemberg (3), Lower Saxony (1), Thuringia (2),
Rhineland-Palatinate (1) and Bavaria (2).

First Infections in Rhineland-Palatinate and Lower Saxony



3. (SBU) RKI reported on June 5 the first infections in the
federal states of Rhineland-Palatinate and Lower Saxony. The
Health Ministry in Lower Saxony confirmed the virus in a 4-
year old boy who returned from a trip to the US with his
family. He showed flu-like symptoms and was treated at a
hospital. Media reports indicate that he is now at home where
he and his family are in quarantine. A 4-year old girl from
Rhineland-Palatinate was also confirmed to have the flu.
Media reports indicate that the girl returned from a trip to
the US with her family with fever and cold symptoms. Health
officials report that in both cases the course of the flu is

Tally of sources


4. (SBU) In 30 of the 49 (total, to date) cases, the
infection occurred in the US, nine cases occurred in Mexico,
and one in England. Nine of the infections were transmitted
among five families of Germans who returned from travel, at a
hospital and the airport.