Four more Oklahomans died from the swine flu, bringing the total deaths to 38 from the novel virus in the state, according to a state health report released Wednesday.

Two of the reported deaths were in Tulsa County, the report said.

Hospitalizations last week fell to 31 from 46 the previous week, a month-long trend that may signal a slowdown in the spread of the swine flu virus, officials said.

Of the recently reported deaths, two were adults ages 50 to 64 and two were 65 or older, the report shows.

State officials recently opened vaccination clinics to all who want to be vaccinated against the H1N1 virus. The next clinic in Tulsa County will be held 2 p.m. to 7 p.m. on Dec. 3 at Tulsa Community College's west campus, 7505 W. 41st St.