The document summarizes spam trends from December 2009. The key points are:
1) North America and EMEA accounted for 57% of spam in December, up from 50% in November, though APJ and South America are increasing in spam share.
2) The average size of spam messages decreased, with fewer attachments. Health and product spam increased and now make up 52% of messages.
3) Notable spam in December included messages pretending to be Xmas cards with malware, claiming banks had declared bankruptcy, and advertising pills from Amazon.