Of all the potential global disasters that we periodically list and examine, only one has threatened repeatedly to become a reality: the flu, a variety of which is now spreading quickly across the world. A global flu epidemic seems a feeble threat compared to an asteroid impact or a nuclear holocaust, which nobody has encountered.

Japan confirmed its fourth case of the A(H1N1) flu virus on Sunday in a teenager who returned from a school trip to Canada with the three other Japanese who contracted the ailment, commonly known as swine flu.

Mexico city sprang back to life this week after two weeks of fear and inactivity. Officials shut down most of the economy to halt the spread of a previously unknown strain of the mongrel H1N1 virus, which is comprised of avian, swine and human influenza viruses. The hope is that the outbreak has now peaked.

The flu outbreak may be winding down in Mexico and causing fewer deaths than feared, but health officials now fear that a more virulent version will return to kill millions.

In the spring of 1918, North Americans were complaining about an unseasonable flu that was sweeping through several cities. They and the rest of the world were still blissfully unaware of what was in store for later that year: a pandemic that would kill 50 million people, or by some estimates many more - certainly more than the Great War that was still raging.

The influenza A (H1N1) epidemic once again shows that poor countries are the worst affected. (Editorial)

The World Health Organisation is considering an overhaul of its pandemic rating system amid criticism that it provoked alarm by rapidly escalating its warnings over swine flu.

Officials at the agency's headquarters in Geneva said they were discussing changes to the six-point scale to make clear in the future the gravity of the threat posed by a new virus.

The World Health Organization (WHO) this week remained on the verge of declaring a pandemic of the H1N1 swine-associated flu
virus. Public-health bodies and scientists have made progress in starting to understand the outbreak, but major questions remain about how severe the disease will get.

Damned if you do, damned if you don

With swine flu now widespread in the United States, the World Health Organization reported Monday that the disease had widened globally, too, with 20 countries reporting 985 laboratory confirmed cases, compared with 18 countries reporting 898 confirmed cases on Sunday.

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