An informational pamphlet about influenza A (H1N1), formerly referred to as swine flu, issued by the Centers for Disease Control, is displayed on the counter beside a box hand sanitizers at Doughery's Pharmacy in Dallas, Texas May 1, 2009. The United States has 141 confirmed cases of the H1N1 flu in 19 states, the U.S. Centers for Disease Control and Prevention said on Friday. REUTERS/Jessica Rinaldi (UNITED STATES)