| May 4, 2009 (CNN) -- The World Health Organization (WHO) cautioned that the swine flu outbreak could gain momentum in the months ahead, despite claims by the health secretary of Mexico -- the epicenter of the outbreak -- that the virus "is in its declining phase."
WHO says it has confirmed 506 cases and 19 deaths in Mexico. As of May 4, the world has 985 confirmed cases of the virus, known to scientists H1N1 virus, in a total of 20 countries. The USA has reported 226 confirmed cases in 30 states.
The outbreak is only about 10 days old, and even if the illness is declining, it could return, said Gregory Hartl, the WHO spokesman for epidemic and pandemic diseases, at a briefing.
"I would like to remind people that in 1918 the Spanish flu showed a surge in the spring, and then disappeared in the summer months, only to return in the autumn of 1918 with a vengeance," Hartl said. "And we know that that eventually killed 40 million to 50 million people."
In Washington, U.S. Secretary of Health Kathleen Sebelius, appearing on CNN's "State of the Union," warned that even if the flu outbreak wanes, "it could come back with greater force in the winter and fall, when we get into flu season." |