A comparison between the two that lacks this context when comparing the nation's response is incomplete. The strain transmits between humans and was initially reported to have a relatively high mortality rate in Mexico. It also said there was significant flu activity in virtually all states, which was considered to be quite unusual for this time of year. On March 12, the day after the WHO declared COVID-19 a pandemic, the director of the National Institute for Allergy and Infectious Diseases, Anthony Fauci, testified before Congress about the "testing logjam" and called the lack of a rigorous testing system a "failing.". However, it was reported that influenza activity was beginning to increase in West Virginia, with 5.2% of patients treated by West Virginia health care providers having influenza-like illness, a major increase from 2% of patients treated by West Virginia health care providers having influenza-like illness in November. In April 2009 the World Health Organization (WHO) and the U.S. Centers for Disease Control and Prevention (CDC) expressed serious concerns that the new strain had the potential to become an influenza pandemic. Access to the vaccine opened to the general public in late December 2009. On May 6, the CDC announced that testing kits were now available for all states. working with other government agencies and manufacturers on a series of issues related to antiviral medications. 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. There was a lot of speculation and what seemed to be evidence there were dozens and dozens of deaths. The Johns Hopkins University School of Medicine Coronavirus Resource Center reported more than 204,000 Americans have died as of Sunday. The claim accurately states the number of H1N1 cases from 2009 to 2010. , On May 5, Kathleen Sebelius stated in a CDC news conference that school closures for single confirmed cases of H1N1 influenza were unnecessary, but that parents keep their child home if he or she displayed an influenza-like illness.  No contact with pigs was found for any of the seven Californian nor either of the two Texas cases, suggesting human-to-human transmission of the virus. Kathleen Sebelius was confirmed as the Secretary of Health and Human Services by the Senate on April 28, 2009 with a vote of 65–31.. The number of confirmed COVID-19 cases surpassed 1 million by April 30 and reached nearly 4 million Aug. 8, according to a chart by Our World in Data. , The Department of Commerce sent a letter to Russia and China requesting that those countries lift their ban on American pork products.  However, the State Department did recommend US citizens avoid non-essential travel to Mexico.
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