Associated Press - November 25, 2009 11:55 AM ET

OKLAHOMA CITY (AP) - State health officials say four more people have died from complications of the swine flu.

The Oklahoma State Department of Health reported the deaths Thursday. The latest deaths occurred through last Saturday and bring to 37 the number of swine flu deaths reported in the state since tracking began Sept. 1.

Meanwhile, health officials say survey results show declining flu activity since a peak in mid-October.

Of the 37 deaths reported since September, 11 have been reported in Oklahoma County and 10 in Tulsa County. 9 of those who died were children younger than 19 and seven were 65 years old or older. The health department reports 23 of those who died had at least one underlying medical condition that may have increased their risk of influenza.

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