▁the ▁middle ▁of ▁June ▁ 2 0 0 9 , ▁the ▁number ▁of ▁US ▁cases ▁sur pass ed ▁those ▁of ▁Mexico , ▁which ▁had ▁been ▁the ▁previous ▁leader ▁in ▁diagn osed ▁cases ▁of ▁the ▁disease . ▁Tow ard ▁the ▁end ▁of ▁June ▁ 2 0 0 9 , ▁the ▁number ▁of ▁death s ▁related ▁to ▁the ▁virus ▁in ▁the ▁US ▁sur pass ed ▁those ▁of ▁all ▁other ▁countries ▁as ▁well . ▁ ▁On ▁June ▁ 2 5 , ▁the ▁CD C ▁released ▁information ▁reve aling ▁that ▁there ▁were ▁more ▁than ▁likely ▁over ▁one ▁million ▁( 1 , 0 0 0 , 0 0 0 ) ▁cases ▁of ▁the ▁disease ▁in ▁the ▁US , ▁most ▁of ▁which ▁had ▁not ▁been ▁reported ▁or ▁diagn osed . ▁ ▁Death s ▁rel ating ▁to ▁this ▁new ▁stra in ▁of ▁influen za ▁began ▁appearing ▁in ▁the ▁US ▁in ▁late ▁April , ▁and ▁by ▁early ▁June , ▁ 1 5 ▁states ▁had ▁reported ▁fatal ities ▁related ▁to ▁or ▁directly ▁occurr ing ▁from ▁the ▁virus . ▁On ▁October ▁ 2 4 th , ▁the ▁Ob ama ▁administration ▁declared ▁a ▁national ▁emer gency . ▁Death s ▁tot aled ▁at ▁ 4 , 0 0 0 ▁as ▁of ▁November ▁ 1 5 , ▁ 2 0 0 9 . ▁( L ater ▁reaching ▁an ▁estimated ▁ 1 2 , 4 6 9 ▁American ▁death s , ▁as ▁of ▁ 0 3 / 2 0 2 0 ▁according ▁to ▁the ▁W HO ). ▁The ▁CD C ▁distributed ▁a ▁v acc ine ▁for ▁the