Dominica and Martinique have just confirmed their first cases of swine flu. In each instance the affected individuals (there is only one case in each island) had just returned from the United States. Dominica and Martinique join the other Caribbean islands in which cases have been confirmed, which include Cuba, Jamaica, Barbados, the Bahamas, the Dominican Republic, Puerto Rico, Trinidad and Tobago, and the Cayman Islands. Meanwhile, the Dominican Republic has confirmed the first death from the virus in the region, a nearly seven-months pregnant 17-year-old from the town of Baní. The victim was a “very high risk” patient who suffered from heart disease and had a history of tuberculosis. WHO is not recommending any travel restrictions related to the outbreak of the virus.