Should we panic about swine flu?
So how worried should we be?
The death toll in Mexico has risen to 159. In the United States, California has declared a state of emergency and Dr Richard Besser, the acting head of the Centres for Disease Control, has warned there will almost certainly be fatalities.
Here, health officials are waiting for the results of tests on 23 people with symptoms of the disease, and in Europe, Germany is added to the list nations with confirmed cases.
It all reads very much like the start of a pandemic: one we were warned to expect, although the most likely vector was assumed to be poultry rather than pigs.
And yet it remains the case that no one outside Mexico has died of the disease.
That fact offers some hope. It could be that the strain circulating in Mexico is unusually virulent. Or it could be that the total number of cases in Mexico is very much higher. If 10,000 people have caught the flu there for instance, then 159 deaths - bad as that is - does not herald global armageddon.
Good health care, and the anti-viral drugs like Tamiflu and Relenza we've been stockpiling in recent years, should be enough to see us through.
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One troubling scenario remains however. This strain of swine flu does appear to be easily transmitted. If it gets to south-east Asia where the much more virulent H5N1 bird flu is widespread, then we might expect the strains to mix and mutate. That could throw up a highly virulent and easily transmissible virus.
If that happens one of the world's leading experts on the 1918 flu pandemic, Professor John Oxford from Barts and the Royal Hospital London argues, all bets are off.



I'm Tom Feilden and I'm the science correspondent on the Today programme. This is where we can talk about the scientific issues we're covering on the programme.