break ▁reached ▁ep ide mic ▁levels ▁of ▁in fection ▁early ▁in ▁ 2 0 0 9 , ▁it ▁did ▁not ▁contribute ▁to ▁ep ide mic ▁levels ▁of ▁p neum onia ▁and ▁influen za ▁related ▁death s ▁until ▁October ▁ 2 0 0 9 . ▁ ▁The ▁second ▁wave ▁ ▁In ▁early ▁October ▁ 2 0 0 9 , ▁the ▁Cent ers ▁for ▁D ise ase ▁Control ▁and ▁Pre vention ▁announced ▁that ▁sw ine ▁flu ▁was ▁w ides p read ▁across ▁the ▁country . ▁It ▁also ▁said ▁there ▁was ▁significant ▁flu ▁activity ▁in ▁virt ually ▁all ▁states , ▁which ▁was ▁considered ▁to ▁be ▁quite ▁unusual ▁for ▁this ▁time ▁of ▁year . ▁There ▁was ▁particular ▁worry ▁about ▁pre gn ant ▁women . ▁As ▁of ▁late ▁August , ▁ 1 0 0 ▁had ▁been ▁hospital ized ▁in ▁int ensive ▁care ▁units ▁and ▁ 2 8 ▁had ▁died ▁since ▁the ▁beginning ▁of ▁the ▁out break ▁in ▁April . ▁On ▁October ▁ 1 , ▁it ▁was ▁acknowled ged ▁that ▁a ▁rec ruit ▁in ▁basic ▁training ▁in ▁Fort ▁Jackson , ▁South ▁Carolina , ▁was ▁the ▁Army ' s ▁first ▁sw ine ▁flu ▁death . ▁The ▁rec ruit ▁fell ▁ill ▁on ▁September ▁ 1 ▁and ▁died ▁of ▁p neum onia ▁on ▁September ▁ 1 0 . ▁ ▁D ell ▁Children ' s ▁Medical ▁Center ▁in ▁Austin , ▁Texas , ▁ere cted ▁two ▁t ents ▁in ▁its ▁par king ▁lot ▁to ▁handle ▁emer gency ▁room ▁vis its , ▁and ▁hosp it als ▁around ▁Colorado ▁Spr ings ▁recorded ▁a ▁ 3 0