Two cases of influenza A have been confirmed in people exposed to swine at the Fowlerville Family Fair in Livingston County, the Livingston County Health Department and Michigan Department of Health and Human Services confirmed.

The fair took place between July 23 and 28 and several pigs there tested positive for swine flu on July 27, state health officials said. Further testing is being conducted to determine if the flu found in the swine and people are the same strain.

Other fair attendees have reported influenza-like illness and are being tested.

“We are urging those who visited the swine barn at the Fowlerville Fair to monitor their health and follow up with their healthcare provider if they start feeling ill,” said Dr. Eden Wells, chief medical executive for the state's health office. “It can take up to 10 days for symptoms to appear and some individuals can develop serious complications.”

The county health department and Fowlerville Fair Board reached out to swine exhibitors, their families and attendees who visited the swine barn at the fair shortly after receiving the test results to notify them of possible exposure to infected pigs, the release said. Healthcare providers in the area have also been instructed to watch for patients with respiratory symptoms who report exposure to swine or visited the fair.

Symptoms of swine flu in people are similar to the seasonal flu and can include fever, cough, runny nose and sometimes body aches, nausea, vomiting or diarrhea.

Even in healthy people, swine flu can cause severe disease such as pneumonia which may require hospitalization and can even lead to death.

Individuals with health questions can call the Livingston County Health Department at (517) 552-6882.

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