SANTA ANA, Calif.—Health officials say five people have died of swine flu in Orange County, more than any other county in California.

County health officials on Tuesday did not provide details about the recent deaths. Last month, they reported the first victim was a middle-aged man with pre-existing medical conditions.

The county has had 387 confirmed cases of swine flu.

State officials say overall 23 people have died from the swine flu and 233 have been hospitalized.

San Diego County has reported four swine flu deaths, while Contra Costa and San Mateo counties have each had three.