A patient described as  “under 18 years of age” developed influenza strain H1N2 variant after visiting an agricultural fair.  There was no evidence of contact transmission within the patient’s family. Year-to-date, five infections with variant influenza A viruses have been diagnosed in the U.S., with three in West Virginia involving H3N2v and two H1N2v cases in Ohio and Oregon, respectively.  Variant H1 and H3 infections acquired from hogs are not generally transmissible among humans.  The Center for Disease Control has issued recommendations to prevent infection, including minimizing close contact with pigs in show barns, hand washing and avoiding live animals if immune-compromised or pregnant.