The number of laboratory-confirmed cases of the swine flu or A(H1N1) virus has increased to 4,694 - double from the last Friday's figure - and also claimed 53 lives around the world, the World Health Organization (WHO) has said.
According to latest WHO update, Mexico and the US have topped the list of 30 countries where laboratory-confirmed human cases of the virus have been reported. Mexico has 1,626 cases with 48 deaths while the US has 2,532 with three deaths.
"WHO's pandemic alert level remains at Phase 5 – on a six-point warning scale – as it has for the past several days," Dr Keiji Fukuda, WHO's Acting Assistant Director- General for Health Security and Environment said.
"Community-level sustained human-to-human transmission has been documented in North America, in Mexico and in the United States most clearly. We do not see clear evidence of sustained community-level transmission going on in other countries yet," he said.
Dr Fukuda noted that it is possible that the alert level will go up to Phase 6, which would mean that the spread of the virus has become established in another region outside of North America and is spreading at the community level.
At the same time, the current situation could stabilise where it is now, or the alert level could even go back down to Phase 4 in the future.