It IS becoming worse than normal flu IMO.
They expect around 6000 deaths - 4 times the national average for normal flu
An unborn child has become the second swine flu-related death in Queensland.
Palm Island mayor Alf Lacey said a pregnant 19-year-old woman lost her 36-week-old baby at the weekend because of swine flu complications.
Mr Lacey said the woman remained in intensive care at the Townsville Hospital.
He said there were many others on the island with swine flu and he feared there could be more deaths.
"There needs to be a proper plan in place from health authorities for small discrete indigenous communities," Mr Lacey told AAP.
A Queensland Health spokesman said health authorities were rolling out a specific plan to fight flu in indigenous communities, including Palm Island.
A flu clinic opened on Palm Island on Monday.
Pregnant women and indigenous people are among the most vulnerable to swine flu complications.
Queensland's chief health officer Jeannette Young has declined to comment on the case, citing patient privacy.
Queensland has recorded more than 4,100 cases of swine flu.