Two Kansas men who were infected with the H1N1 virus have died, bringing the state death toll to 20.

The Kansas Department of Health and Environment reported these deaths:

• A 44-year-old from the Kansas City metropolitan area who had underlying health conditions that placed him at greater risk for severe complications of influenza. The area includes Franklin, Johnson, Leavenworth, Linn, Miami and Wyandotte counties.

• A 35-year-old from northeast Kansas who did not have any underlying health conditions. The area includes Marshall, Nemaha, Brown, Doniphan, Riley, Pottawatomie Atchison, Geary, Morris, Lyon and Douglas counties.

Spokespeople with Douglas, Leavenworth and Johnson counties said the deaths likely did not occur in their counties because they were not contacted by KDHE. A Franklin County spokeswoman declined to comment.