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My Profile Top News Reuters top ten news stories delivered to your inbox each day. Subscribe You are here: Home > News > International > Article Home Business & Finance News U.S. Politics International Technology Entertainment Sports Lifestyle Oddly Enough Health Science Special Coverage Video Pictures Your View The Great Debate Blogs Weather Reader Feedback Do More With Reuters RSS Widgets Mobile Podcasts Newsletters Your View Make Reuters My Homepage Partner Services CareerBuilder Affiliate Network Professional Products Support (Customer Zone) Reuters Media Financial Products About Thomson Reuters WHO official says world edging towards pandemic Tue Jun 2, 2009 1:59pm EDT Email | Print | Share | Reprints | Single Page [-] Text [+] By Laura MacInnis and Stephanie Nebehay GENEVA (Reuters) - The spread of H1N1 flu in Australia, Britain, Chile, Japan and Spain has nudged the world closer to a pandemic, the World Health Organisation said on Tuesday. The newly-discovered strain had caused more infections than seasonal influenza at the start of Chile's flu season, raising concern about how it would spread in the southern hemisphere, according to Keiji Fukuda, the WHO's acting assistant director-general. The virus has mainly affected people aged below 60 and caused 117 deaths worldwide, including some otherwise healthy people, he said. For now, the WHO's pandemic scale remained at the second-highest level but the threshold may soon be crossed. "Globally we believe that we are at Phase 5 but we are getting closer to Phase 6," Fukuda told journalists. "The future impact of this infection has yet to unfold." He added: "It is probably fair to call the situation something like moderate right now. We do have some hesitation to call the situation mild." The new flu, a mixture of swine, bird, and human viruses, remains most prevalent in North America but has infected nearly 19,000 people in 64 countries, according to the U.N. agency's latest toll, which tends to lag behind national figures but is considered more secure. Fukuda said that, while many countries had reported only a small number of infections linked to people traveling to the disease epicenters of Mexico and the United States, others were starting to see more sustained patterns of infection in schools, offices and neighborhoods. "There are a number of countries that appear to be transition, moving from travel-related cases to more established community types of spread," he said, citing Australia, Britain, Chile, Japan and Spain as examples. "We still are waiting for evidence of really widespread community activity in these countries. It is fair to say that they are in transition and are not quite there yet which is why we are not in Phase 6 yet," Fukuda said. PANDEMIC PATTERNS Experts say it is nearly impossible to gauge how widespread the H1N1 flu has become because many patients suffer only mild symptoms and are not formally diagnosed, treated and documented. "We don't know the full number of people who are infected across the entire spectrum. So right now it appears that the number of severe illnesses appears relatively limited, but again we don't have a perfectly good handle on the numerator and the denominator of what we are seeing," Fukuda said. In Chile, which is just entering its normal flu season, Fukuda said the H1N1 variety appeared to be eclipsing other strains in circulation. "Most of the influenza viruses that they are seeing so far are the new influenza A-H1N1 viruses," he said. "They are seeing many fewer of the normal seasonal influenza viruses and the majority of viruses are the H1N1. "We need to see whether this pattern holds up in other countries," Fukuda continued. 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