Global H1N1 death toll may be 15 times higher than previously reported
An Algerian doctor prepares a vaccine dose against the H1N1 flu in 2009 in a hospital in Algiers.
June 25th, 2012
07:09 PM ET

Global H1N1 death toll may be 15 times higher than previously reported

The actual number of deaths from the 2009 H1N1 pandemic might have been more than 15 times higher than previously thought, according to a study released on Monday.

When the new H1N1 virus, often referred to as swine flu, spread around the world three years ago, 18,500 deaths were reported to the World Health Organization in the first 16 months of the pandemic.  Based on this new study, published online in The Lancet Infectious Diseases, researchers estimate 284,400 people actually died in the first year the virus was circulating around the world.

According to a model developed by the study authors, the actual number of deaths linked to the H1N1 flu virus could range anywhere from 151,700 to 575,400.   Lead study author Dr. Fatimah Dawood says she and her colleagues used three types of data to come up with their estimates:

- The percentage of people who were sickened by H1N1 in 12 countries.
- The proportion of people who got sick from H1N1 and then went on to die (data that was only available from five countries).
- Previously published country-specific overall mortality rates.

Health officials recognize that the number of laboratory-confirmed flu deaths can considerably underestimate of the actual number of deaths from the flu.  During the 2009 pandemic, many countries, particularly in Africa and Southeast Asia, lacked the ability to perform routine laboratory tests and therefore had difficulty identifying H1N1-related deaths.

While the WHO data suggests less than 12% of the confirmed deaths were in Africa and Southeast Asia, this new study estimates 51% of the deaths may have been from those two regions alone.  According to these new calculations, Africa had the highest mortality rate, which was most likely influenced by the lack of access to health care and vaccines.

Dawood, a medical epidemiologist (also known as a disease detective) at the Centers for Disease Control and Prevention, says she hopes this research will help "limit the loss of human life in future pandemics."

She says it could be used to reduce the impact of  outbreaks of new viruses worldwide, particularly in countries with fewer resources, and also help improve public health responses during pandemics in parts of the world that suffered more deaths.

Even though this study provides a larger number of deaths attributed to the H1N1 pandemic than previously thought, this flu outbreak was not nearly as deadly as some others.

Cécile Viboud (PhD) and Lone Simonsen (PhD), researchers at the National Institutes of Health who have studied the H1N1 pandemic, write in an accompanying commentary that the "2009 influenza pandemic was far from the doomsday scenario of a 1918-like pandemic that could have caused millions of deaths worldwide."

Still,  the H1N1 virus had a significant impact on younger people.

This study estimates 80% of the deaths occurred in people younger than 65 - mostly in 18- to 64-year-olds - confirming what was seen by health officials during the earlier stages of the outbreak. In comparison, many deaths associated with seasonal flu are among the elderly, according to Dawood.

soundoff (76 Responses)
  1. remotelysensed

    just a ploy to sell more vaccines

    June 25, 2012 at 19:48 | Report abuse | Reply
    • Matt Murphy

      You do know that most vaccine manufacturers don't actually make profit off of vaccines, right? Vaccines are provided, often at cost or at a loss, as a public health service. It turns out the drug companies only do vaccines because they help the population live longer. Drug manufacturers can't sell to you if you're dead.

      June 25, 2012 at 19:56 | Report abuse |
    • Joel M Parker

      Follow the logic.. What is a ploy? Mentioning the death of a quarter million people 3 years ago is supposed to sell me a vaccine shot, what in the future?

      I think the ploy would be spreading fear with fear cherries on top to hopefully get ahead of the next pandemic.

      Or maybe there are micro machines in the vaccines, and the quarter million people who died were pig aliens.

      If you just wanted to sell vaccines it would be so much easier. It's called duck flu. It's reportedly coming up from Mexico where it has beheaded hundreds.

      June 25, 2012 at 20:10 | Report abuse |
    • Toto

      A ploy to sell more tin foil hats.

      June 25, 2012 at 20:13 | Report abuse |
    • Katie

      You got that right. Gullible people put so much faith in vaccines they don't pay attention to who profits (and yes, the pharmaceutical companies do indeed make a profit from vaccines – what ? You thought they produced them for humanitarian reasons?) they don't pursue reporting side effects (which doctors routinely pass off as unrelated and routinely don't report) and they have the mistaken idea that vaccines kills diseases (they do the opposite – they allow diseases to mutate) and that they keep people safe. In fact – 20% of the time vaccines don't work at all. As for the 80% in whom they do work, their efficacy varies wildly from 100% to 15%, and the lasting effect of the vaccine can be three months to forever. You just don't know what category YOU fall into. Of course, the medical answer to these problems is 1) vaccinate everybody and 2) vaccinate more often. What vaccines will do for you is lower your immune system for a period of six weeks while your body adjusts to what should be a large production of antibodies toward whatever you have been vaccinated for, leaving you quite vulnerable to everything else. However, if you have any autoimmune disorders (diabetes, MS, MD, thyroid disorders, etc) you should be monitored closely by your physician for problems every time you get a vaccination.

      June 25, 2012 at 20:14 | Report abuse |
    • Ryan

      The good news about all these vaccine conspiracy nuts is eventually they'll all be killed by curable diseases and won't bother anyone anymore. Evolution in action.

      June 25, 2012 at 20:17 | Report abuse |
    • sandy

      I know someone who died of this disease. It's not an imaginary illness invented to boost the bottom line. I was vaccinated and had a "mild" version, which was still memorably awful.

      June 25, 2012 at 20:37 | Report abuse |
    • Answer

      Let these fools catch the next wave and be rid of them.

      June 25, 2012 at 20:44 | Report abuse |
    • whybs on twitter

      Religious moron!

      June 25, 2012 at 20:46 | Report abuse |
    • whybs on twitter

      Correction... moron!

      June 25, 2012 at 20:47 | Report abuse |
    • Bucktooth

      Research!! Vaccines are causing Autism, killing young girls with Guardisil, poisoning young people. That Dr. Oz holds thousands of shares of H1N1 stock..he'll tell you to get vaccinated in a minute! Dosn't prevent anything, and Pharm is making a ton!!
      People are getting I'll from vaccines! Check it out on a source than CNN!

      June 25, 2012 at 21:23 | Report abuse |
    • Steve P

      Katie...the two least profitable ventures of the pharmaceutical industry...antibiotics and vaccines. Side effects...doctors pass off and don't report...nonsense. Your post lacks the first medical or physiological truth. Just a whole lot of nonsensical, brainwashed hyperbole. Absolutely and completely not grounded in reality. It is somewhat shameful that you try to pass your amateur and completely erroneous and misguided nonsense as fact. And, yes, this is coming from a physician. And, no, I make virtually nothing from providing vaccinations. And, no, I do not get kickbacks from "big pharma". I just really get annoyed by people without the first bit of understanding of physiology, pharmacokinetics, and medical science opining on a topic they clearly and unequivocally do not have the first bit of understanding. You should be equally ashamed and embarrassed.

      June 25, 2012 at 22:07 | Report abuse |
    • Steve P

      Bucktooth...in a word, you are a moron. Sorry to be so frank.

      June 25, 2012 at 22:09 | Report abuse |
    • A scientist

      Katie: If your goal is to see if you can have an inaccuracy in every sentence, you came pretty close. A few examples of the nonsense in your post:
      1. Vaccines don't cause viruses to mutate. Viruses do that just fine on their own.
      2. Doctors don't ignore side effects just because they believe them to be unrelated to the vaccine. They are required to report all adverse post-vaccine reactions, even if they are clearly unrelated. As a result, the number of true adverse reactions are actually vastly over-reported.
      3. It is true that vaccines are not 100% effective, but of course no medical intervention is. To draw the absurd conclusion from this that no protection is better than some protection makes no sense. Seat belts don't save every life in a car crash, and you have no way of knowing whether they will save yours. Does that mean that you shouldn't use them?
      4. Vaccines do not "lower your immune system for a period of six weeks". Your body is constantly being bombarded by antigens; the amount in your vaccines is negligible compared to what you encounter on a daily basis, so has a negligible effect on your ability to respond to other antigens.
      5, No one claims that vaccines kill diseases (perhaps you are thinking of antibiotics). However, they do teach your body how to fight off a virus. This isn't a theory, it is a demonstrated fact. Why do you think that small pox has disappeared, and polio was close to being wiped out (until anti-vaccine rumors began to spread in Asia and Africa)?

      June 25, 2012 at 22:10 | Report abuse |
    • enoch100

      I'm the only one that survived H1N1. The rest of you are my illusions.

      June 25, 2012 at 22:52 | Report abuse |
    • bob

      is it wrong to wish smallpox on the likes of katie (and jenny macarthy)?

      those who rail against the evils of vaccines have no idea what it is like to suffer with some of the diseases that said evil has greatly reduced, if not eliminated from modern society.

      June 25, 2012 at 23:21 | Report abuse |
    • GAHistorian

      Hardly, I need only use three more words,

      1918 Flu Pandemic.

      June 25, 2012 at 23:56 | Report abuse |
    • jeff

      Obama has ruined America. I hope the swine flu epidemic is 100000X worse than projected. I don't care anymore what happens to people.

      June 26, 2012 at 00:31 | Report abuse |
    • Shane

      Thank you very much Katie, for your insight as someone who really has not done any actual research at all.

      I have a few practicing physicians in my family. I will go with what they have said, their education, and their experience over someone who has listened to Oprah and Jenny McCarthy, who have no medical degrees and are fairly clueless about the subject as a whole.

      Vaccines are the reason Smallpox, Pollio, and many other terrible viruses are a non-factor in most parts of the world. And as someone else stated, even if they are not 100% effective, since nothing is, its better to at least have partial protection than none at all. And getting these vaccines isn't just for you, its to help others too. Some people cannot get vaccines, so by more people getting it you create a herd immunity which is fairly effective as well. But the fewer people that are vaccinated, the less likely it is for the herd immunity to work.

      As far as vaccines hurting your immune system, try reading a medical book, or some actual research.

      I bet you think Vitamin C is the cure all for cancer too.

      June 26, 2012 at 03:02 | Report abuse |
    • angryersmell

      So don't take any, and definitely don't give any to your kids.

      June 26, 2012 at 06:58 | Report abuse |
    • oldpatriot

      18,500 is now estimated at 284,400 who died, how does the CD, the media and foreign government miss 200,000 people dying ?
      Especially when they were actively looking for victims at the time.

      This is just more propaganda, if you can't get hte numbers right when it happens why should we trust what you have to say now, especially when these numbers are not real, they are based on a computer model not a body ciount.

      June 26, 2012 at 07:51 | Report abuse |
    • zeus_z

      Im loling at the second reply that vaccine manufaacturers dont make profit.. its amazing the false information thats put out there and is actually promoted as if its an absolute truth.

      June 27, 2012 at 13:25 | Report abuse |
  2. Ted Bing

    nicely written and very informative. 15 times more is a lot

    June 25, 2012 at 19:52 | Report abuse | Reply
  3. Jackie Chan

    remotelysensed – you're a troll.

    June 25, 2012 at 19:53 | Report abuse | Reply
  4. Zooni

    The article makes perfect sense. If a country can not test for the flu, then deaths from the flu go unrecorded. What is also missing from the death rates is many people die to effects of the Flu and never get tested in western countries. One effect is on middle aged overweight people get blood clots and die from them in the form of heart attacks.

    June 25, 2012 at 19:55 | Report abuse | Reply
  5. D Rock

    Obama did it.

    Trump/Gadaffi 2012

    June 25, 2012 at 19:57 | Report abuse | Reply
  6. Paula

    Interesting facts!!!!!!!!!!!

    June 25, 2012 at 19:58 | Report abuse | Reply
  7. makes sense

    real eye opener

    June 25, 2012 at 20:04 | Report abuse | Reply
  8. Julie

    BUT THERE IS A CURE – of course they won't tell you that. Screw the vaccines. Just Google liposomal Vitamin C and 60 Minutes. Mega dose or IV Vitamin C kills swine flu. But since it can't be patented or made gazzillions of dollars off of, you won't hear about it. You can make it at home for about $15.00. New Zealand's 60 Minutes did a story on it.

    June 25, 2012 at 20:11 | Report abuse | Reply
    • Oldmanalex

      Well Julie, I see a commercial opportunity for you here. How you are going to keep a highly water soluble, hydrophilic compound like Vitamin C in the lipophilic environment in a liposome? If you work out how to do that, and show that it works, I guarantee that you will be able to patent it, and make millions. If on the other hand you are repeating something with no factual basis, you will find out what some of us already know; drug development is usually a license to lose money, and only occasionally a license to print oodles of it.

      June 25, 2012 at 21:50 | Report abuse |
    • Julie

      Oldmanalex, I see you didn't google as you would have found the answer yourself. However I have done the work for you. So check out this link about Liposomal Encapsulated Technology http://www.racehorseherbal.com/Infections/LET/let.html.

      From there I recommend you watch the 60- Minutes video about a man who was on life support and whose doctors told the family that the man would die until the family insisted upon IV Vitamin C. The rest of the story is history. Check it out.

      I also recommend you google Dr. Levy.

      Vitamin C can cure many things other than bird flu.... and we start with Cancer, Diabetes, and more and more. The list is too long.

      You won't believe me if I just post it here. You need to research it to prove it to yourself.

      June 26, 2012 at 01:20 | Report abuse |
    • Julie

      You can also buy it on the internet already made, but it's a little pricey. I prefer to make it at home on the cheap.

      June 26, 2012 at 01:22 | Report abuse |
    • Shane

      There is little evidence that it is as helpful as Dr. Levy states. And "miracle" recoveries which are not repeatable don't really mean that its the truth.

      A vast majority of the studies are extremely flawed and do not actually use accurate scientific meathods.

      June 26, 2012 at 03:36 | Report abuse |
  9. jane

    Yeah. You are so right. Just keeping us used to living in fear.

    June 25, 2012 at 20:12 | Report abuse | Reply
  10. interesting fact

    Not surprised that it is 15 times...It may be even more...In may countries like India, China and African countries it is difficult to figure out exact number of deaths..Good article.

    June 25, 2012 at 20:14 | Report abuse | Reply
  11. Katie

    Homeopathy worked better and saved more lives during the flu pandemic of 1918 than what was becoming more traditional medical practices.

    June 25, 2012 at 20:17 | Report abuse | Reply
    • Stoonsceptic

      Really?! Interesting. And you know this how????

      June 25, 2012 at 20:47 | Report abuse |
    • homeopathy=magic

      Homeopathy? You mean the practice where you use tiny amounts of something; add it to water and the more water you add stronger it becomes? I bet that wouldn't fly in HS chem. I am guessing homeopathy may have been better in 1918 but probably not for treatment reasons. Some of the medical treatments in 1918 were pretty rough so the placebo affect (read as homeopathy) probably did alright. I would be interested in reading your source however. I have no problem with homeopathy if it doesn't claim things it can't do, financially burden people, or cause harm. It rarely causes harm other than a delay in treatment, but unfortunately it is often very expensive and claims results that are not founded on any evidence better than anecdotal.

      June 25, 2012 at 23:07 | Report abuse |
  12. jane

    I don't trust the government. They have infected whole populations with their "experiments". Google CHEMTRAILS. How can we trust that our government will keep collateral damage to the "brown people"? De-population is real and if you believe the fluffy stuff your leaders tell you....oops!

    June 25, 2012 at 20:20 | Report abuse | Reply
    • Shane

      The Cyphillis experiements were done a long time ago, and they were wrong. Nothing on that scope will likely ever be done again by the US government.

      Chemtrails have been debunked so many times it isn't funny anymore. Their biggest "support" was a reporter that misread something on air.

      June 26, 2012 at 03:05 | Report abuse |
  13. jane

    Dont trust the government. They have infected whole populations with their "experiments". Google CHEMTRAILS. How can we trust that our government will keep collateral damage to the "brown people"? De-population is real and if you believe the fluffy stuff your leaders tell you....oops!

    June 25, 2012 at 20:22 | Report abuse | Reply
  14. jane

    They have infected whole populations with their "experiments". Google CHEMTRAILS. How can we trust that our government will keep collateral damage to the "brown people"? De-population is real and if you believe the fluffy stuff your leaders tell you....oops!

    June 25, 2012 at 20:23 | Report abuse | Reply
    • Duckmanbill

      Your tin foil hat is not on tight enough

      June 25, 2012 at 20:27 | Report abuse |
  15. Cindy

    "Mother Nature" will kill off the population increase, one way or another.

    June 25, 2012 at 20:25 | Report abuse | Reply
  16. Duckmanbill

    I contracted H1N1, but thanks to Tamiflu, kicked its butt in 2 days.

    June 25, 2012 at 20:27 | Report abuse | Reply
  17. Donnybjo

    Oh no!!! There out to kill is again!!!!

    June 25, 2012 at 21:13 | Report abuse | Reply
  18. Donnybjo

    Oh no there out to kill us again

    June 25, 2012 at 21:14 | Report abuse | Reply
  19. Arthur

    My son spent 32 days in the ICU in 2009. Having been administered medicine before the doctors were able to get a specimen, it was never ascertained if the illness was indeed H1N1. Those 39 days total in the hospital providing him company 24/7 probably saved his life. I later learned that I was the only one who believed that he would recover. They thought I was insane.

    June 25, 2012 at 21:30 | Report abuse | Reply
  20. jane

    Hahahaha. CNN comment monitors! You very funny.

    June 25, 2012 at 21:44 | Report abuse | Reply
  21. elizabeth

    H1N1 hit hard in 2009, so the revised death toll is not a big surprise to me. We had a number of cases in my area before vaccine was available, and at least 2 deaths in young people. What was interesting to me in talking to my primary doctor was the fact that the vast majority of H1N1 cases were never even reported to the state health department and/or the CDC because many cases were not officially laboratory tested and confirmed to be H1N1 specifically. It makes one wonder how many deaths there were in the "developed" countries if the disease was tracked only casually.

    June 25, 2012 at 21:45 | Report abuse | Reply
    • momhere

      My son was in the PICU in critical condition for 8 days with H1N1 Flu/Pneumonia in 2009. His case was never in the count because the CDC had run out of swabs (which they provide to the hospitals). There was no accurate count of cases. My son survived, but when we went back to visit, the nurses cried and said, "We are so glad to see him. We did not know if he was going to make it."

      July 4, 2012 at 23:49 | Report abuse |
    • momhere

      Also, another kid hospitalized at the same time, and a few pregnant women died from H1N1 during our stay in the hospital.

      July 4, 2012 at 23:51 | Report abuse |
  22. Ted Lewington

    If you will notice, we have major illness outbreaks whenever there is a Bush in office. Aids was introduced when former CIA Director George H.W. Bush was Vice President & Swine flu was introduced into the human population during George W. Bush's

    June 25, 2012 at 22:02 | Report abuse | Reply
    • Ted Lewington

      I think we're safe now. It won't happen again. At least, until Jeb Bush takes the Oval Office. But, then it will be a different type of Virus that's used

      June 25, 2012 at 22:04 | Report abuse |
  23. NY Nurse

    Read the link carefully. Look how many times "May, Might, Could have, Is possible" are used. I worked on a H1N1 study for NYCDOH the year after the outbreak. We found about a dozen cases. The paranoia and hysteria of "scientists" is stunning. I've sat in on large meetings where the MD's seemed almost giddy at the prospect of a worldwide pandemic. I actually think they were disappointed it fizzled out.

    The big one is coming, but this is not it.

    June 25, 2012 at 22:10 | Report abuse | Reply
    • homeopathy=magic

      Obviously you haven't read many research papers or you would realize that those terms you singled out are very common. They indicate the limitations of science. All research studies conducted demonstrate something in a controlled environment and then extrapolate those results to the world. Terms like probable, may, could , and others are imprecise and necessary. Remember research doesn't "prove" anything; it just demonstrates results of one test at one time in a specific situation.
      I would also much rather have paranoid people planning for dealing with outbreaks than people who don't prepare. Some scientists are a little off, and may get excited in odd ways, but I can almost guarantee none of them want mass death otherwise they wouldn't be working to prevent it!

      June 25, 2012 at 23:36 | Report abuse |
  24. freedom fascist

    This is fear mongering by the business fascists. Don't believe it, everything you read on this site is a lie thrown at you to a) confuse b) scare c) deceive d) manipulate

    type http://www.itanimulli.com into your address bar 😉

    They're in control...if you believe them

    June 25, 2012 at 22:10 | Report abuse | Reply
  25. jimzcarz


    June 25, 2012 at 22:15 | Report abuse | Reply
  26. Squeeker

    That's one flu bug that I wished I WAS dead once I got infected! I've never been so sick in my life. If I weren't normally a strong and healthy individual I think it would have killed me. The symptoms were BRUTAL...ughhh!!! And to think I'd just gotten a flu shot about a month prior to infection, but they didn't include H1N1 in the mix because there wasn't enough of it at that time. Lucky me!

    June 25, 2012 at 22:21 | Report abuse | Reply
  27. basslinks

    Feeble statistics are all about selling medicine like H1N1 and HPV vaccinations. Wake up America. The pharmaceutical companies are behind the scare. There is a pill for everything and they are selling it.

    June 25, 2012 at 23:12 | Report abuse | Reply
  28. Keith

    Don't get the vaccine, if you are normally healthy you will recover just fine from the swine flu. If you are having difficulty there is Tami flu to save you.

    June 25, 2012 at 23:19 | Report abuse | Reply
    • Shane

      Relatively healthy person here. I had H1N1 and it laid me up for quite a while. Spent four days in the hospital, and another week in my house.I really don't advise anyone taking your advice since the vaccine can prevent you from being infected in the first place.

      The reason I didn't get vaccinated, my area was having a shortage so I held off a bit so that others who would have likely had a worse reaction than me.

      June 26, 2012 at 03:13 | Report abuse |
  29. E N

    Do these guys even know that mentioning H1N1 is gonna bring another fear frenzy? You're not exactly helping anyone sharing this info, except the guys selling vacines.

    June 25, 2012 at 23:33 | Report abuse | Reply
  30. jane

    What happened to all the comments?

    June 26, 2012 at 01:23 | Report abuse | Reply
  31. jane

    Thx CNN

    June 26, 2012 at 01:26 | Report abuse | Reply
  32. Harry

    I got Swine Flu and didn't die. It was probably the worst flu I ever had. Can't say I would recommend getting a vaccine for it though unless you were HIV or elderly.

    June 26, 2012 at 01:30 | Report abuse | Reply
  33. Dave`

    @Matt Murphy – you are totally delusional or a blatant shill. They are sucking on the public teat like so many other big corps and get the contracts via their lobbyists...besides, it's Golmen Sux job to be doing God's work...not big pharma.

    June 26, 2012 at 02:33 | Report abuse | Reply
  34. Dave

    First and last flu shot I ever got was the first round of swine flu back in the 70's or so – I forget. I do know I've never been so sick after getting htat shot and half of it dribbled down my arm they did it so fast. I know I would be dead had they actually injected it all in me. Just eat proper, do probiotics, enjoy sauerkraut, build up your immune system...

    June 26, 2012 at 02:36 | Report abuse | Reply
  35. jane

    You comments keep dissapearing

    June 26, 2012 at 02:38 | Report abuse | Reply
  36. Cobra129

    Guess some agency needs more taxpayer money.........starting with the scare tactics

    June 26, 2012 at 06:07 | Report abuse | Reply
  37. Richard

    The Chinese farmers live with their animals the way Europeans did in the Middle Ages. No wonder diseases eminate from their so often.

    June 26, 2012 at 09:07 | Report abuse | Reply
  38. Cherry Pop

    In my home town before the outbreak was declared a mystery virus was killing hundreds and the hospitals asked people not to come in unless they were in critical need. This didn't make the papers, but my mothers was receiving post op care and was horrified by what she saw. She thought it was "The Stand". Anyways, the numbers never made the paper and a few months later the outbreak was over. Was it h1n1? Idk and the doctors probably didn'kt test for that. From my experience, our government does not release news about these event unless/until it can generate a useful response. Blind panic is rarely useful.

    June 26, 2012 at 13:24 | Report abuse | Reply
  39. larry5

    Did they change the name so that pigs would feel better about themselves? I pig with low self esteem would be a terrible thing. I understand that because as I kid I was in the 4-H and our club raised a lot of pigs. One particular pig avoided the ax because he routed out gophers and ate them. When he grew up to his adult 400 pounds he also became a great watch pig. He would also play fetch with a soccer ball. I know it would have hurt his feelings to know that some human named a disease after him.

    June 27, 2012 at 07:52 | Report abuse | Reply
  40. Katherine

    Instead of just arguing and talking about H1N1, how about actually helping solve the problem for good? I came across this website called Invention United ( http://www.inventionunited.com/ ) where you can help make suggestions to companies and universities about how to take their technologies and actually end problems like H1N1 for good.

    June 27, 2012 at 15:15 | Report abuse | Reply
  41. tomhua

    The e-book website copy to a new browser to open a URL http://www.znjnn.com

    October 2, 2012 at 22:56 | Report abuse | Reply
  42. Elial Rebollo

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    June 1, 2013 at 20:16 | Report abuse | Reply

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