H1N1 has claimed a life in Woodbury County.
That death is among three more being reported by the State Health Department.
It's not known if the victim is a young man who may have died of H1N1 a few weeks ago at Mercy Medical Center.
But two of the three did have health conditions that put them at risk.
So far Iowa's had 14 deaths from H1N1, 13 of them adults and one child.
Meanwhile, Nebraska has reported two more H1N1 related deaths.
One in Adams County and the other in Seward County.