ine ▁and ▁rim ant ad ine , ▁two ▁common ▁influen za ▁ant iv iral ▁dru gs . ▁No ▁contact ▁with ▁p igs ▁was ▁found ▁for ▁any ▁of ▁the ▁seven ▁Californ ian ▁nor ▁either ▁of ▁the ▁two ▁Texas ▁cases , ▁suggesting ▁human - to - human ▁transmission ▁of ▁the ▁virus . ▁ ▁On ▁April ▁ 2 8 , ▁ 2 0 0 9 , ▁the ▁director ▁of ▁the ▁Cent ers ▁for ▁D ise ase ▁Control ▁and ▁Pre vention ▁confirmed ▁the ▁first ▁official ▁US ▁death ▁of ▁sw ine ▁flu . ▁Test s ▁confirmed ▁that ▁a ▁ 2 3 - month - old ▁to dd ler ▁from ▁Mexico , ▁who ▁was ▁probably ▁inf ected ▁there , ▁died ▁on ▁April ▁ 2 7 ▁from ▁the ▁flu ▁while ▁visit ing ▁Texas . ▁ ▁Out break ▁across ▁the ▁US ▁ ▁C ases ▁of ▁H 1 N 1 ▁spread ▁rapidly ▁across ▁the ▁United ▁States , ▁with ▁particularly ▁severe ▁out break s ▁in ▁Texas , ▁New ▁York , ▁Ut ah , ▁and ▁California . ▁Early ▁cases ▁were ▁associated ▁with ▁recent ▁travel ▁to ▁Mexico ; ▁many ▁were ▁students ▁who ▁had ▁tra ve led ▁to ▁Mexico ▁for ▁spring ▁break . ▁On ▁May ▁ 4 , ▁ 2 0 0 9 , ▁the ▁CD C ▁reported ▁one ▁death , ▁ 2 8 6 ▁confirmed ▁cases ▁of ▁H 1 N 1 ▁flu ▁across ▁ 3 6 ▁states , ▁ 3 5 ▁hospital izations , ▁and ▁expected ▁H 1 N 1 ▁to ▁eventually ▁spread ▁to ▁all ▁states . ▁A ▁large ▁number ▁of ▁cases , ▁according ▁to