A King County female child died on July 18 from complications of H1N1 influenza (swine flu) and her underlying health conditions, according to King County.

This is the second reported H1N1 death in King County.

"Our hearts go out to this child's family," said Dr. David Fleming, Director and Health Officer for Public Health - Seattle & King County. "This tragedy reminds us that the H1N1 virus is still here and children, particularly those with underlying health conditions, are at increased risk for more serious infections. As we expect the virus to become more widespread in the fall, children's health will be a primary concern for us."

Several countries in the Southern Hemisphere are currently experiencing widespread H1N1 outbreaks, and health officials are anticipating increased flu activity in the United States and locally as soon as September, when most schools open for the fall.

Public Health continues to monitor for new infections locally, including testing hospitalized patients suspected of H1N1 infection.

Efforts are underway to develop a H1N1 vaccine that could be available locally later in the year. While the amounts and delivery dates are uncertain at this time, Public Health – Seattle & King County is working with local and state partners to determine the most effective way to distribute vaccine to those recommended to receive it as it becomes available.

Public Health encourages the community to prepare now for the expected resurgence of H1N1 in the fall:

• Individuals and families should make plans now for keeping themselves and their children at home and away from work, school and child cares if they are ill until they are no longer infectious. This also means working with schools to assure learning continues at home whenever possible.

• Businesses and organizations should use the summer months to prepare for a reduced work force if many become ill or need to stay at home. Employers are also encouraged whenever possible to allow for flexibility in sick leave policies so that staff may stay home and not infect others, as well as care for sick family members and children.

• Healthcare providers and hospitals should be prepared for a surge in patient volume, and review patient triage and staffing plans.

• People should plan to get vaccinated early for the seasonal flu in the fall. Seasonal influenza, a separate virus from the pandemic H1N1, will also be circulating in the fall, and can also cause serious illness. Seasonal flu vaccine will be readily available. Once H1N1 vaccine becomes available, additional vaccination recommendations will be forthcoming.

• Check Public Health's Web site for frequently updated information and resources: www.kingcounty.gov/health/H1N1.