Indian tourists and travellers to Canada must now carry a medical certificate to state they have not been infected with the swine flu that has killed more than 1,100 people in India.
The current notification impacts people including tourists who want to travel from the western Indian states of Gujarat and Rajasthan to any part of Canada.
But the requirement could be expanded as the swine flu epidemic in India grows.
Indian media said the decision was taken by the Canadian government as the spread of H1N1 virus has been rampant in Gujarat and Rajasthan.
"Any person planning to visit Canada will have to get a certificate that he is not suffering from swine flu from the National Civil Hospitals (NCH). The check-up and certification cost will be Rs 5,000," said NCH medical superintendent Mahesh Vadel.
Dr R K Kanchal, deputy director of health at NCH said, "It is now mandatory for people travelling to Canada to carry, a medical certificate stating he or she is not suffering from swine flu."
The New Civil Hospital (NCH) in Surat started quick swine flu testing services for the Canada bound travellers from the region on Saturday. A Canada bound traveller can get the test done against fees of Rs 5,000. The test report will be handed over to the traveller on next day of samples collected, NCH authorities informed. 
NCH Surat issued a note last Saturday directing Canada bound travellers to get the test done in hassle free manner at the specially developed set-up under the present circumstances. The note said, that, "A person shall register at the case registering window in NCH producing copies of passport and air ticket to Canada. A person can register at common window, Trauma Centre or Swine Flu ward. Once registered the person can submit fees of Rs 5,000 to medical superintendent office and get a receipt." 
"The person needs to submit the receipt, copies of passport and air ticket at the microbiology laboratory in NCH. On submitting the documents samples for test will be collected at the laboratory. The laboratory will provide service during 10:30 am to 2 pm from Monday to Friday. The report will be given on next day of samples collected at 4 pm," the note said. 
Swine flu has claimed more than 1,100 lives in India this year, while the number of cases reported across the country so far is 21,000, a health ministry official said this week.
A total of 16 deaths were reported last weekend, bringing the toll due to the disease to 1,115, the official said.
While the number of deaths has climbed across the country, it has gone down in states like Rajasthan, he said.
The health ministry held a high-level meeting on swine flu this week, chaired by union health secretary B.P. Sharma while Indian Health Minister J.P. Nadda is being briefed about the situation twice a day, the official added.
Among those impacted by the swine flu is Bollywood starlet Sonam Kapoor, who went for a checkup at a Rajkot hospital. However her publicist says the actress is on the road to recovery.
"She's been shifted to a hospital in Mumbai and she's showing signs of a speedy recovery. Hopefully she should be back at work soon. We thank all her fans and the industry alike for the love and support they have shown her," the publicists added.
Meanwhile, A west Indian city has banned most public gatherings in an attempt to halt the spread of swine flu.
Officials prohibited gatherings of five or more people in Ahmedabad, the capital of Gujarat state, starting Wednesday. Marriages and funerals are exempt from the ban, but participants will need to wear protective masks, officials said.
The law invoked for the ban is generally used to maintain law and order, not health, and officials said they would be flexible in interpreting which public events would be prohibited.
Gujarat has had the second-highest number of deaths, with 231, after the northwestern state of Rajasthan, where 234 have died.
Among the thousands in Gujarat testing positive for H1N1, the virus that causes swine flu, were its assembly speaker and state health minister.
Doctors said the death toll was high because many patients delayed going to hospitals.
Federal Health Minister J.P. Nadda urged people not to panic, saying there was enough medicine to cope with the rising number of cases.
The ministry has instructed states to set up isolation wards and is providing free flu tests at some government hospitals

What is swine flu

Swine flu is an infection caused by a virus. It's named for a virus that pigs can get. People do not normally get swine flu, but human infections can and do happen. In 2009 a strain of swine flu called H1N1 infected many people around the world.
The virus is contagious and can spread from human to human. Symptoms of swine flu in people are similar to the symptoms of regular human flu and include fever, cough, sore throat, body aches, headache, chills and fatigue.
There are antiviral medicines you can take to prevent or treat swine flu. There is a vaccine available to protect against swine flu. You can help prevent the spread of germs that cause respiratory illnesses like influenza by covering your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.
Washing your hands often with soap and water, especially after you cough or sneeze. You can also use alcohol-based hand cleaners.
Avoiding touching your eyes, nose or mouth. Germs spread this way.
Trying to avoid close contact with sick people.
Staying home from work or school if you are sick. 
– Centers for Disease Control and Prevention