The Kansas Department of Health and Environment says two more people have died from the H1N1 flu.

A 44 year-old man from the Kansas City metropolitan area was confirmed to have pandemic H1N1 on November 10. His death was reported to KDHE on November 20. The man had underlying health conditions that placed him at greater risk for severe complications of influenza.

A 35 year-old man from northeast Kansas was confirmed to have pandemic H1N1 on October 12. His death was reported to KDHE on November 20. The man did not have any underlying health conditions that placed him at greater risk for severe complications of influenza.

The department says that twenty-one people in Kansas have now reportedly died after being infected with H1N1.

Cases of H1N1 flu have been confirmed in 89 of the state's 105 counties since it first surfaced in Dickinson County in late April.