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A report in The Times of India says that doctors say that this is not the beginning of a "second wave" despite the startling and sudden increase in confirmed cases.

How startling? 232 confirmed on Saturday 5 December.

Since the disease first appeared in Delhi, 29 people have died, say reports.

Figures from WHO are now unreliable: the group says "As many countries have stopped counting individual cases, particularly of milder illness, the case count is likely to be significantly lower than the actual number of cases that have occurred."

WHO appears to have ceased its bi-weekly update of reported cases and deaths.

From a peak of 150 countries reporting to the WHO's FluNet, only 22 filed responses for reporting week 15 November to 21 November 2009.

It appears that the disease is no longer fashionable or a sufficient priority in many countries.

But figures published in the UK over the weekend say that in one district alone - East Lancashire - there have been 18,000 suspected cases since the disease was first identified there. And there were two deaths in Scotland last week.

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