Four more Hawaii residents have been confirmed to have the H1N1 influenza, or swine flu, to bring the total to 10.
The Hawaii Department of Health announced Wednesday that three cases were confirmed by the department and a fourth case was confirmed by the Washington State Public Health Laboratory.
The three cases in Hawaii are two adults and an adolescent who are residents of Oahu with no recent travel. All are recovering at home and school officials have been notified, the department said.

The fourth case, which tested positive in Washington, is an adult resident of Maui County who became sick while in Washington, was hospitalized briefly and has fully recovered. The individual will return home after the period of required isolation.