The World Health Organization cautioned that the swine flu outbreak could gain momentum in the months ahead, despite claims by the health secretary of Mexico -- the epicenter of the outbreak -- that the virus "is in its declining phase." As of early Monday, Mexican health officials reported 568 cases and 22 fatalities linked to the flu. WHO says it has confirmed 506 cases and 19 deaths in Mexico. The world has 985 confirmed cases of the virus, known to scientists H1N1 virus, in a total of 20 countries, WHO said Monday, according to a report of CNN. The United States has reported 226 confirmed cases in 30 states. The U.S. cases include one death -- a Mexican toddler visiting relatives in the United States. According to WHO, Canada has 85 confirmed cases; Spain has 40; the United Kingdom has 15; Germany has 8; New Zealand has 4; Israel has 3; El Salvador has 2; France has 2; and Austria, China, Colombia, Costa Rica, Denmark, Ireland, Netherlands, Italy, South Korea and Switzerland each have one. The outbreak is only about 10 days old, and even if the illness is declining, it could return, said Gregory Hartl, the WHO spokesman for epidemic and pandemic diseases, at a briefing Sunday.