The second wave of H1N1 is spreading through Hamilton with 10 to 20 new flu cases in the last week.

"Usually we expect zero at this time of year," said Dr. Chris Mackie, associate medical officer of health. "There's something circulating when there really should be nothing."

Four people with H1N1 have died in Hamilton since July. The pandemic flu caused or contributed to three of those four deaths.

Click here for more information on the outbreak

Right now, there is little Hamiltonians can do to protect themselves because the H1N1 flu shot won't be available here until Oct. 26 at the earliest and possibly not until November.

"We're working together to accomplish getting the vaccine out as soon as possible," said Mackie.

There have been 32 people hospitalized in Hamilton. Two-thirds of them have been women and slightly more than that had underlying medical conditions.

Outbreaks have been declared in 10 local schools since September and two day cares.

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H1N1 spreading in Hamilton