Five years after the pandemic of swine flu in 2009 the world still faces deadly consequences of the illness. This year s first death case due to swine flu in India was recently reported. The patient was diagnosed with swine flu on May 13 2014. He was from Kota Rajasthan and was undergoing treatment at a private hospital. The number of reported swine flu cases this year might not be as high as the previous ones for now but this case definitely creates an alarming situation. Clearly we need to understand the disease in a better way to prevent more