By May 21, according to Xinhua in Hong Kong, "Wen Wei Po" report, the World Health Organization said on the 20th, the global influenza H1N1 infection confirmed influenza cases or 10,000 cases of breaking, to 10,234 cases, 83 people were killed. Japan, Asia's largest epidemic outbreak spread further from the Kansai region to Tokyo, and emergence of the first health care workers infected with a flow. Tokyo Metropolitan Government said on the 20th, the replica watches recent New York went to the United States, Hachioji-shi, 16-year-old female high school student was diagnosed with Tokyo the first case of a flow, but also outside the Kansai region of Japan confirmed its first cases. Like the United States in patients with lateral spread of age 20 confirmed cases in Japan to 263 cases, the most affected areas in Asia, 86% of infected persons between the ages of 10-19 years old, a higher proportion of young people of the characteristics of the disease significantly, with the same trend emerged in the United States. Although there are some families in Japan between the infectious disease cases, but a very small number of obvious characteristics of the spread of high school or extra-curricular activities among the members of the "horizontal" spread. Following the Osaka Prefecture and Hyogo Prefecture, the Shiga also the first confirmed case. Otsu Ritsumeikan market, a college student 23-year-old male university student, had last Friday in Kobe before the Dior watches live market, Shiga back this week after a fever over 38 degrees Celsius and cough symptoms, hospitalized last night, confirmed on the 20th suffering from a stream. He took Tamiflu, the temperature has dropped to about 36 degrees, the current convalescence at home, but the universities need to be closed. Newly diagnosed patients is another one in Kobe, Hyogo Prefecture, central members of the public hospitals of 25-year-old health care worker, she is Japan's first health care workers infected with a stream. Subsequent visits to the Gucci watches hospital declined to implement the measures. Close to the third phase of "spreading period" Health, Labor and Welfare said that in the future the number of infections will increase the number of a stream, with the rapid expansion of the epidemic, the Government is considering amendments to the current response measures. Kobe, the relevant departments and that the current situation in the third phase of the epidemic is close to "the spread of a view." Prior to the Japanese government decided not to raise the second phase "took place in the early" state of the epidemic. Market as a result of Kobe and Osaka a rapid increase in the IWC watches number of infections, the ministry agreed to receive general hospitals suspected patients of infectious diseases do not rely on the designated hospitals. In addition, Yokohama, Kanto region in the primary market demands to provide schools with individual physical condition table; myoko Niigata market allocation to the elderly people living alone masks.