President Barack Obama has warned the US is not "out of the woods yet" in containing swine flu.
He warned of "an even worse flu season coming sometime in the fall". Officials have confirmed infections in the US have nearly doubled overnight to 1,639.
Mr Obama said in Washington."We still have to take precautions." The US president paid tribute to efforts by the US Centers for Disease Control and Prevention (CDC) to track the spread of the virus. He said CDC experts believe there could be an even more virulent outbreak later in the year. CDC spokesperson Dave Daigle said that confirmed US cases had risen to 1,639 from 896 on Thursday. He said the cases had been in 43 states.
Meanwhile Canada has reported its first flu death in Alberta province. The victim was a woman in her thirties.The World Health Organization (WHO) has confirmed two fatalities in the US.
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