HYDERABAD: Four people died of swine flu in Telangana as the H1N1 virus continued to spread across the state especially among medical staff with 10 of them infected on Tuesday.The H1N1 virus has found an easy prey in medical community with two dozen hospitalized after accidentally coming into contact with infected swine flu patients.On Tuesday, 54 people tested positive for the virus taking the total number of positive cases to 491.The trend of H1N1 infection among doctors is very high at Osmania General Hospital (OGH) where 12 confirmed cases were reported in the last two weeks. So much so that currently all the six positive patients undergoing treatment at the hospital's H1N1 ward are either faculty members or junior doctors."The first line of defence in the hospital is falling. Presently we are treating 13 swine flu suspects and 6 confirmed patients who are all medicos," said a hospital staffer at OGH.Three medicos, including two house surgeons and a post-graduate student, at Gandhi Hospital contracted swine flu recently but there are now Instances of doctors working in state-run hospitals in districts, including private hospitals, contracting swine flu on a daily basis are on the rise.The Telangana Junior Doctors' Association (TJUDA) blamed the spread of infection to shoddy infection control mechanism, poor hygiene, besides shortage of anti-flu vaccines for high-risk doctors working in vulnerable departments, protective N-95 masks and gloves.Sources attribute the high rate of H1N1 infection among junior doctors to non-implementation of a clear cut segregation system completely isolating both the swine flu suspect patients, the confirmed patients and their attendants from coming into contact with general patients and doctors in teaching hospitals."Every day a dozen odd medicos are turning up to give swine flu samples along with general patients which only show the pathetic condition under which we are working. Adding to our woes, on Tuesday morning a foreign student from Nigeria bashed up a junior doctor inside OGH on duty as the government failed to provide us special protection force," said Dr G Srinivas, TJUDA president.