India: At least 48 people have died and 1,173 have tested positive for swine flu since the beginning of the year in a western Indian state popular with foreigners, according to authorities.

The highly contagious H1N1 virus that spreads from human-to-human killed around 1,100 people and infected 15,000 across the country last year, reports NDTV.

‘The health minister has already issued directions for conducting door-to-door screening for patients,’ said a spokesperson of the medical and health department of Rajasthan.

India’s capital New Delhi has reported 168 cases until January 13, according to the National Centre for Disease Control (NCDC).

Swine flu cases generally spike in the winter months of December and January in the west and north of the country including in Rajasthan and in New Delhi.

The state government has issued a high alert. Leaves of doctors and paramedical staff in the state were cancelled earlier. The Rajasthan government claims that it has made arrangements for medicines required to cure patients of swine flu.

A global pandemic alert for swine flu was declared by the World Health Organization in 2009 after early outbreaks in North America spread rapidly around the world.

Since late 2010, swine flu has been classified as a seasonal influenza virus.

Symptoms include fever, cough, headache, muscle and joint pain, sore throat and runny nose, and sometimes vomiting and diarrhoea, according to the WHO.