Four people from Glasgow and Fife have died from swine flu bringing the number of deaths in Scotland to 21.
All four patients had significant underlying health conditions.
The deaths in Glasgow included a 16-year-old boy, a 55-year-old woman and a 77-year-old man. A 47-year-old woman from the Fife area also died.
The deaths come as a mass swine flu vaccination programme gets under way, with at-risk groups the first to be offered the immunisation.
Health Secretary Nicola Sturgeon said: "This week's figures show a decrease in the number of people consulting their GP with flu-like symptoms, but an increase in the number of overall estimated cases.
"Since the start of September the number of hospitalised cases has more than doubled.
"This rise has always been expected as we approach winter, but this means it is even more vital that those deemed at risk do all they can to protect themselves including taking advantage of the vaccination programme."
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