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In a follow-up to a report on possible swine flu cases in fairgoers in Livingston County, Michigan and San Luis Obispo County, California earlier this week, the Centers for Disease Control and Prevention (CDC) reports four human infections with novel influenza A viruses were reported by two states–two each in California and Michigan.

Image/CDC
Image/CDC

All four cases occurred in children younger than 18 who had direct contact with swine. They were not hospitalized and are recovering or have fully recovered from their infections. No human-to-human transmission has been identified.

These are the first A(H1N2)v virus infections detected in the United States in 2018.

In related news, CDC has partnered with the U.S. Department of Agriculture (USDA) and 4-H to develop “The Junior Disease Detectives: Operation Outbreak,” a graphic novel intended to educate youth audiences about variant flu and the real disease detective work conducted by public and animal health experts when outbreaks of infectious diseases occur.