HONOLULU (AP) - The state Department of Health says Hawaii's swine flu death count rose by four between June and August to 10.

Department spokeswoman Janice Okubo said Friday that one of the four was a 5-year-old. She says the case marks Hawaii's first swine flu death involving a child.

Okubo says the other new cases included two adults with underlying health issues. She says the child and another adult who died had no underlying medical conditions.

The deaths from swine flu were confirmed by state epidemiologist Dr. Sarah Park.

Officials aren't releasing additional details because of patient privacy.

The novel H1N1 Influenza A, or swine flu, is a new virus that was first reported in the United States in April.

The first case of H1N1 flu was confirmed in Hawaii on May 5.