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The worries follow last year's winter crisis, which saw health secretary Jeremy Hunt beg people to stay away from turmoil-hit hospitals.
We need to be prepared, alert and flexible.'There is no point in trying to close the borders.
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One includes the so-called 'Aussie flu', a strain of influenza A which wreaked havoc on hospitals in Australia during the country's winter.
The H3N2 subtype triggered two and a half times the normal number of cases in Australia.
Britain's flu season tends to mirror what has happened there.
Experts fear the virulent flu strain, which has now reached the UK, could prove as deadly as the Hong Kong flu in 1968, which killed one million people.
Nick Phin, of PHE, said: 'Flu activity, as measured by a number of different systems, has continued to increase in the last week or two.
'This is to be expected as the season progresses and at this point the numbers are in-keeping with previous years.'The circulating flu strains match those in the current flu vaccine, so the vaccine remains the best defence against the virus.'The PHE figures follow repeated predictions by researchers that the flu vaccine may only be 20 per cent effective this winter - just like last year.
The total recorded in week 51 is also double that of last year, when 583 cases, mainly of the H3N2 subtype, were reported.