Virginia's Health Commissioner sent a memo this week to doctors at state agencies that says 95 percent of influenza illness being reported are actually the H1N1 virus.
A newly established Office of H1N1 Response in the state is working with emergency responders to prepare for another outbreak this fall.
Dr. Karen Remley says the virus continues to affect the young disproportionately, with the highest number of cases being reported at at camps and day cares.
Nationwide, more than 37,000 cases of H1N1, or swine flu, have been confirmed. Of those cases, 211 patients have died.
Those numbers rose from 170 deaths and nearly 34,000 confirmed and suspected swine flu cases reported last week
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