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40 Swine Flu Cases Now Reported in U.S.
Date:4/27/2009

esponding Monday to the EU's travel advisory, the CDC's Besser said, "Based on the situation in the United States right now, I think it is premature to put travel restrictions on people coming to the United States. As the situation changes, that needs to be evaluated by different countries."

On Sunday, U.S. health officials declared a public health emergency in response to the swine flu outbreak.

Homeland Security Secretary Janet Napolitano said the declaration was a precautionary measure and did not mean that the threat posed by the outbreak was worsening. But, the move allows federal and state governments easier access to flu tests and medications, she said.

Napolitano said the federal government had 50 million doses of the antiviral flu medication Tamiflu, and a quarter of those doses were being released to states, if needed, "particularly prioritizing the states where we already have confirmed incidence of the flu."

Napolitano also said Sunday that the Department of Homeland Security had started "passive surveillance protocols to screen people coming into the country."

"All persons entering the United States from a location of human infection of swine flu will be processed by appropriate CDC protocols," she said. "Right now, these are passive. They are looking for people and asking about: 'Are you sick? Have you been sick?' and the like. And if so, they can be referred over for further examination. Travelers who do present with symptoms will be isolated."

Speaking at a Sunday press conference, Dr. Anne Schuchat, the CDC's Interim Deputy Director for Science and Public Health Program, said that U.S. health officials had numerous tools to fight the illness' spread and protect the health of Americans. The swine flu viruses found in the United States are resistant to two antiviral medications -- amantadine and rimantadine -- but are susceptible to the antivirals oseltamivir (Tamiflu) and zanamivir (Relenza
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