H1N1 Swine Flu in Bahrain - A Case Study

Colourised electron microscope photograph of the H1N1 virus (CDC)

As the world turns its eyes towards China and the seemingly escalating spread of the novel coronavirus, the media's coverage gave uncomfortable flashbacks to the news coverage of the swine flu epidemic in 2009. The H1N1 virus, a strain of the influenza virus endemic in pigs, was first noticed in March 2009 and before long, a global pandemic was declared. It was estimated that up to 21% of the world's population may have contracted the disease and at least 18,000 died (though estimates point up to 500,000 may have died worldwide as a result). Over the course of a year, the pandemic died down and the WHO declared in August 2010 that the pandemic was over.

Below is a brief chronological history of what transpired in the island nation of Bahrain as it coped with the H1N1 pandemic. It begins chronologically and ends in the winter of 2009 when swine flu statistics were no longer published. I previously posted the below to Wikipedia back in 2012.

As It Happened:

On 27 April 2009, Bahrain's health ministry declared the country to be free from the flu, citing that pig farms do not exist in the country and that live pork is not imported into the country.[1] On 28 April, Bahraini MPs from the Al Asalah Salafi party called for the prohibition of pork products in the country.[2] On 30 April, Bahrain banned pork imports from the United States and Mexico where the bulk of its imports originate from, with the Ministry of Health stating that the country is taking extra precautions despite the World Health Organization stating that the flu cannot be contracted via the consumption of pork.[3] The Ministry announced the creation of isolation wards in the country's main hospitals and also recommended that people should avoid hugging and kissing, so as to avoid contact with infected individuals.[4][5] Also on the same day, it was announced that passengers arriving through the Bahrain International Airport would be screened and would also send suspicious flu patients to isolation wards.[4] It was also announced that pharmacies in the country were stockpiled with enough Tamiflu (an antiviral medication for influenza) to cover 20% of the population.[6] A special hotline was also set up.[7]

Public health poster, 2009 (Ministry of Health, BH)

Concerns began to emerge in the country about whether or not the health care sector could handle the influx of flu patients.vThe Ministry of Health set up screening facilities on the King Fahd Causeway to screen travelers entering the country.[8] On 1 May, it was announced that a 41-year-old male American traveler and a female passenger from Paris were quarantined at Salmaniya Medical Complex after displaying flu-like symptoms. However, both passengers tested negative to H1N1 tests.[9] On 26 May, a Bahraini student who had recently arrived from New York was confirmed as having contracted the flu; he was the first confirmed case of swine flu to hit the island country. It is also the first case involving a Gulf national contracting the disease. Health officials have stated the boy had suffered a mild form of the disease and was discharged from the hospital after spending five days in quarantine.[10] On 15 June, seven Bahraini students, all age 17, tested positive for the H1N1 virus.[11] The students were among a group of students who had recently returned from a student exchange program in the United States.[11] On 17 June, three more Bahrainis tested positive for the flu, all of whom were in contact with the previous seven students.[12]

In July, the Ministry of Health launched an awareness campaign ahead of the start of the academic year, with many fearing the reopening of schools would lead to a much greater outbreak of the flu.[13] By early August, 18 confirmed cases of the flu were reported.[14] Haj travel agencies have reported that thousands of Bahraini pilgrims have cancelled their trips to Mecca over fears of contracting swine flu.Over 180 confirmed cases of the flu were reported in late August, all of whom had returned from traveling abroad.[15]

On 31 August, a 30-year-old Filipino housemaid died after contracting the H1N1 virus, becoming Bahrain's first confirmed death as a result of the virus.[16] On 3 September, it was reported that a 24-year-old Bahraini man died after succumbing to the H1N1 virus, being the first Bahraini to die of the disease.[17] He was pronounced dead at BDF Hospital and there were allegations that he had been earlier misdiagnosed by a private hospital.[17] On 8 September, it was announced that patients with flu-like symptoms would be treated with Tamiflu nationwide, regardless of having a fever or not. It was also announced that a million doses of the swine flu vaccine were ordered.[18] The Bahraini Ministry of Education had decided to postpone the opening of schools until October as a precaution, a decision that drew criticism from the World Health Organization.[19] In November 2009, the government stated that up to 1,346 cases of the H1N1 virus were confirmed in the country, along with 15,000 suspected cases of the virus.[20]

References:

1. Bahrain Flu Free says health ministry". TradeArabia(via HighBeam Research). 27 April 2009. Archived from the original on 17 May 2013. Retrieved 1 September 2012.
2. "Bahraini MPs call for ban on pork". Arab News (via HighBeam Research). 29 April 2009. Archived from the original on 17 May 2013. Retrieved 1 September 2012.
3. "Bahrain curb on pork imports". TradeArabia (via HighBeam Research). 30 April 2009. Archived from the original on 17 May 2013. Retrieved 1 September 2012.
4. "Fever patients quizzed in Bahrain flu alert". TradeArabia(via HighBeam Research). 30 April 2009. Archived from the original on 17 May 2013. Retrieved 1 September 2012.
5. "'Avoid hugs and kisses' says health officer". TradeArabia(via HighBeam Research). 30 April 2012. Archived from the original on 17 May 2013. Retrieved 1 September 2012.
6. ^ "Municipalities bracing for possible swine flu outbreak". Arab News (via HighBeam Research). 4 May 2009. Archived from the original on 17 May 2013. Retrieved 1 September 2012. 
7. "Bahrain launches swine flu hotline". Trade Arabia (via HighBeam Research. 5 May 2009. Archived from the original on 17 May 2013. Retrieved 1 September 2012
8.  "Flu vigil 'vital' for Bahrain". TradeArabia. 14 May 2009. Archived from the original on 17 May 2013. Retrieved 1 September 2012. 
9. ^ "US National is First Suspected Swine Flu Case in Bahrain". News Blaze. 1 May 2009. Retrieved 1 September 2012.
10. "Bahrain confirms 1st case of swine flu". TradeArabia(via HighBeam Research). 26 May 2012. Archived from the original on 17 May 2013. Retrieved 1 September 2012. 
11. "7 Bahraini students hit by swine flu". TradeArabia. 15 June 2009. Archived from the original on 17 May 2013. Retrieved 1 September 2012. 
12. ^ "Bahraini swine flu cases rise". TradeArabia. 17 June 2009. Archived from the original on 17 May 2013. Retrieved 1 September 2012. 
13. "'Swine flu' alert as schools close for summer". Gulf Weekly (via HighBeam Research). 12 July 2009. Archived from the original on 17 May 2013. Retrieved 1 September 2012.
14. "Swine flu fight is on". Gulf Weekly (via HighBeam Research). 9 August 2009. Archived from the original on 17 May 2013. Retrieved 1 September 2012.
15.  "Flu scare hits Umrah trips from Bahrain". TradeArabia (via HighBeam Research). 23 August 2009. Archived from the original on 17 May 2013. Retrieved 1 September 2012. 
16. "Bahrain reports first swine flu death". TradeArabia (via HighBeam Research. 31 August 2009. Archived from the original on 17 May 2013. Retrieved 1 September2012.
17.  "Second flu death in Bahrain". Trade Arabia (via HighBeam Research). 3 September 2009. Archived from the original on 17 May 2013. Retrieved 1 September2012. 
18. "Bahrain to treat all flu patients with Tamiflu". TradeArabia. 8 September 2009. Archived from the original on 17 May 2013. Retrieved 1 September 2012. 
19. "WHO raps Bahrain schools delay". TradeArabia (via HighBeam Research). 9 September 2009. Archived from the original on 17 May 2013. Retrieved 1 September2012. 
20. "Flu cases top 1,346 in Bahrain". TradeArabia. Archived from the original on 17 May 2013. Retrieved 1 September 2012

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It's A Girl: King Albert II Finally Acknowledges That Delphine Boël Is His Daughter

Baroness Sybille de Selys Longchamps, Delphine Boël, and the Prince of Liege (later King Albert II of the Belgians)

After years of legal battles on the matter, King Albert II of Belgium, who abdicated in 2013, has today acknowledged that he is the biological father of Delphine Boel. A communiqué from the king was issued via his attorney, Alain Berenboom, this evening. The statement reads as follows:

His Majesty King Albert II has taken note of the results of the DNA test in which he cooperated at the request of the Brussels court of appeal. The scientific conclusions show that he is the biological father of Madame Delphine Boël. 

Even though there are arguments and legal objections to justify that legal paternity does not necessarily mean biological paternity, and that the procedure used seems to him disputable, King Albert has decided not to use those arguments and to end with honour and dignity this painful procedure. 

King Albert insists that since the birth of Madame Delphine Boël he was not involved in any family, social or educational decision regarding Madame Delphine Boël, and that he has always respected the bond that existed between Madame Delphine Boël and her legal father.

Alain De Jonge, Delphine Boël's lawyer, gave a brief comment after learning of the king's unexpected admission of paternity: "We will refrain from commenting for the time being."

Since the late 1990s, through both private and public channels, Delphine Boël has sought to gain recognition from King Albert II that he is her biological father. For almost twenty years, the king stubbornly refused to take any responsibility for his actions. It is not clear why the eighty-five year-old former sovereign has taken this step today. However, in an interview that the king's lawyer Monsieur Berenboom gave today, he said: "The king will no longer legally contest that he is her legal father. We have noted the results of the DNA test. It shows that through DNA King Albert is 99.99% likely the biological father of Delphine Boël. The king will treat his children equally. He will include Boël in his will at the same level as his other children. King Albert therefore now has four children."

Sybille de Selys Longchamps with her daughter Delphine.

Jonkvrouw Delphine Michèle Anne Marie Ghislaine Boël was born on 22 February 1968 at Brussels. Her parents are Albert (b.1934), then Prince of Liège and later King of Belgium, and Baroness Sybille de Selys Longchamps (b.1941). At the time of Delphine's birth, both of her parents were married to other people. Albert of Belgium had married Donna Paola Ruffo di Calabria (b.1937) in 1959; Sybille de Selys Longchamps had married Jonkheer Jacques Boël in 1962. At the time of Delphine's birth, her father already had three children with his wife, but her mother had no children with her husband.

Albert, Sybille, and Delphine on holiday in Corsica (1974).
Photograph (c) VIER

Albert and Sybille began their relationship in the Summer of 1966: they met in Greece, where her father was the Belgian ambassador. By this point, both parties were in marriages that had soured. In the 2013 documentary Our Daughter Is Called Delphine, Sybille stated: "From the start I felt that we were not indifferent to each other. Months later I was invited to a dinner. I was seated next to Albert. I immediately realised this was done on purpose. Paola was furious. She butted him with her elbow once or twice. At that point I realised he had feelings for me." A romance developed, and Albert's brother King Baudouin pressured Sybille's father to get the couple to end their relationship. However, Sybille was already pregnant with Albert's child: "I thought I could not have children because I had had an infection. We had not taken any precautions." Albert sent Sybille flowers when he learned that she had given birth to their daughter. 

Embed from Getty Images

Sybille and Delphine

In the early 1980s, Albert and Sybille ended their relationship. Albert, who became King of the Belgians in 1993, and Paola healed the issues in their marriage. Sybille divorced Jacques Boël in 1978, and remarried in 1982 to the Honourable Michael Anthony Rathborne Cayzer, a son of the 1st Baron Rotherwick. Sybille became a widow when Anthony died in 1990.

Embed from Getty Images

For many years, Delphine Boël has been in a relationship with James O'Hare. The couple have two children: Joséphine (b.2003) and Oscar (b.2008). One might surmise that Delphine named her children after her paternal great-great-great-grandparents, King Oscar I of Sweden and Norway and his wife Joséphine (née Duchess von Leuchtenberg).

Embed from Getty Images

Through her father Albert, Delphine's ancestry is Gotha through and through. Through her mother Sybille, Delphine's roots are heavily grounded in the Belgian aristocracy. However, her maternal family offers a surprising American connection: Delphine's great-great-great-grandfather was James McMillan (Hamilton, Ontario 12 May 1838 - Manchester, Massachusetts 10 August 1902), who served as a United States Senator from the State of Michigan from 1889 until 1902.

U.S. Senator James McMillan of Michigan

+++++++

The Ancestry of Delphine Boël

1. Jonkvrouw Delphine Michèle Anne Marie Ghislaine Boël (b.Brussels 22 February 1968)

who is partnered with James O'Hare and has issue:

- Joséphine O'Hare (b.Uccle, Brussels 17 October 2003)

- Oscar O'Hare (b.28 April 2008)

Parents

2. King Albert II of the Belgians (b.Stuyvenberg Castle, Brussels 6 June 1934; he married at Brussels on 2 July 1959 Donna Paola Margherita Maria Antonia Consiglia Ruffo di Calabria [b.Forte dei Marmi 11 Sep 1937])

who was in a relationship between 1967 and 1984 with

3. Baroness Sybille Michèle Emilie Marie Ghislaine de Selys Longchamps (b.Uccle, Brussels 28 August 1941; she 1stly married at Ways, Belgium on 11 September 1962 [divorced 1978] Jonkheer Jacques Pol Pascal Marie Ghislain Boël [b.Brussels 31 March 1929]; she 2ndly married on 14 May 1982 the Hon. Michael Anthony Rathborne Cayzer [28 May 1920 - London March 1990])

Grandparents 

4. King Léopold III of the Belgians (Brussels 3 November 1901 - Brussels 25 September 1983)

who wed in a civil ceremony at Stockholm on 4 November 1926 and then married in a religious ceremony at Brussels on 10 November 1926

5. Princess Astrid Sofia Lovisa Thyra of Sweden (Arvfurstens Palace, Stockholm, Sweden 17 November 1905 - Küssnacht am Rigi, Schwyz, Switzerland 29 August 1935

6. Count Michel François Raphaël Marie Ghislain de Selys de Longchamps (Waremme 2 April 1910 - Villers-la-Ville 23 October 1982)

who married at Brussels on 25 November 1937

7. Countess Pauline Julie Caroline Cornet de Ways-Ruart (Brussels 23 December 1914 - Brussels 19 October 1953)

Great-Grandparents

8. King Albert I of the Belgians (Brussels 8 April 1875 - Marche-les-Dames 17 February 1934)

who married at Munich on 2 October 1900

9. Duchess Elisabeth Gabriele Valerie Maria in Bavaria (Possenhofen 25 July 1876 - Brussels 23 November 1965)

10. Prince Oscar Carl Vilhelm of Sweden (Stockholm 27 February 1861 - Stockholm 24 October 1951)

who married at Copenhagen on 27 August 1897

11. Princess Ingeborg Charlotta Carolina Frederikke Louise of Denmark (Charlottenlund 2 August 1878 - Stockholm 11 March 1958)

12. Raymond Charles Michel Ghislain de Sélys Longchamps (Liège 25 February 1880 - Woluwé-Saint-Lambert, Brussels 23 October 1966)

who married 

13. Emilie Caroline de Theux de Meylandt et Montjardin (Aywaille 4 June 1880 - Woluwé-Saint-Lambert, Brussels 2 October 1972)

14. Count Paul Martin Félix Cornet de Ways-Ruart (Brussels 16 August 1866 - Brussels 27 January 1951)

who married

15. Gladys "Jewel" McMillan (Detroit, Michigan, United States of America 10 May 1891 - Brussels 30 April 1967)

Great-Great-Grandparents 

16. Prince Philippe Eugène Ferdinand Marie Clément Baudouin Léopold Georges of Belgium, Count of Flanders (Laeken 24 March 1837-Brussels 17 November 1905)

who married at Berlin on 25 April 1867

17. Princess Marie Luise Alexandra Karoline of Hohenzollern (Sigmaringen 17 November 1845 - Brussels 26 November 1912)

18. Duke Karl Theodor in Bavaria (Possenhofen 9 August 1839 - Kreuth 29 November 1909)

who married at Kleinheubach on 29 April 1874 

19. Infanta Maria José "Maria Josefa" Beatriz Joana Eulália Leopoldina Adelaide Isabel Carolina Micaela Rafaela Gabriela Francisca de Assis e de Paula Inès Sofia Joaquina Teresa Benedita Bernardina of Portugal (Bronnbach 19 Mar 1857 - Vienna 11 Mar 1943)

20. King Oscar II of Sweden and Norway (Stockholm 21 January 1829 - Stockholm 8 December 1907)

who married at Biebrich on 6 June 1857 

21. Princess Sophie Wilhelmine Marianne Henriette of Nassau (Biebrich 9 July 1836 - Stockholm 30 December 1913)

22. King Frederik VIII of Denmark (Copenhagen 3 June 1843 - Hamburg 14 May 1912)

who married at Stockholm on 28 July 1869 

23. Princess Louise Josephine Eugenie of Sweden and Norway (Stockholm 31 October 1851- Copenhagen 20 March 1926)

24. Michel Ferdinand Raphaël de Sélys Longchamps (Liège 20 November 1841 - Waremme 11 January 1911)

who married

25. Eusébie de Brigode de Kemlandt (Liège 10 June 1850 - Liège 5 March 1935)

26. Marie Georges Theodore Xavier de Theux de Meylandt et Montjardin (Saint-Trond, Limbourg 23 September 1838 - Brussels 13 December 1896)

who married at Namur on 10 May 1865
27. Eugénie Louise Philippine Ghislaine de Thysebaert (Namur 25 October 1844 - Brussels 6 July 1902)

28. Count Arthur Marie Antoine Ghislain Félix Cornet de Ways-Ruart (Brussels 27 September 1838 - Vonêche 28 January 1890)

who married at Warnant on 12 October 1865

29. Marie Josèphe Ghislaine Caroline de Jacquier de Rosée (Warnant 2 July 1839 - Etterbeek 30 December 1927)

30. James Howard McMillan (Detroit, Michigan 17 September 1866 - Colorado Springs, Colorado 9 May 1902)

who married in June 1890 

31. Julia Villiers Lewis (Detroit, Michigan 12 August 1870 - 23 January 1956)

Sources: 

For 20 Years, This Artist Has Claimed the King of Belgium Is Her Father. Now He’s Been Ordered to Take a DNA Test.

Bioethics and royalty - Georgetown University

“We didn’t take precautions. I thought I couldn’t have a baby” - VRT News

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Avengers Endgame (2019) BluRay ORG Hindi 480p 720p 1080p Dual Audio ESub x264 | HEVC 10bit

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Avengers: Age of Ultron (2015) :

Avengers: Age of Ultron is a 2015 American superhero film based on the Marvel Comics superhero team the Avengers, produced by Marvel Studios and distributed by Walt Disney Studios Motion Pictures. It is the sequel to 2012’s The Avengers and the eleventh film in the Marvel Cinematic Universe (MCU).

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Adrift in space with no food or water, Tony Stark sends a message to Pepper Potts as his oxygen supply starts to dwindle. Meanwhile, the remaining Avengers — Thor, Black Widow, Captain America and Bruce Banner — must figure out a way to bring back their vanquished allies for an epic showdown with Thanos — the evil demigod who decimated the planet and the universe.

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Altered Carbon (Season 1) [Hindi 5.1 DD] Dual Audio | All Episodes 1-10 | 480p & 720p

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Academy Award-nominated filmmaker Noah Baumbach directs this incisive and compassionate look at a marriage breaking up and a family staying together.

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