HONOLULU -- Hawaii health officials announced Monday afternoon that the state recorded its first death related to the swine flu.

The victim was 60 years old. She died at Tripler Army Medical Center on June 19.

Officials said the woman was not active duty and it was not known where she contracted the flu. They said she was already in a "precarious medical state" before being diagnosed as having the swine flu.

The patient contracted pneumonia as a complication to the H1N1 influenza, officials said.

Officials said another patient, also with underlying medical issues, was hospitalized elsewhere with H1N1.

"These two new severe cases of novel H1N1 are a sad reminder of the seriousness of influenza, particularly for those at-risk for complications," said Dr. Sarah Park, of Hawaii’s Department of Health. "Unfortunately, we knew this would happen eventually, as we have flu-related deaths and hospitalizations every year from regular seasonal influenza."

"The influenza infection itself was not the primary cause of death in this case, it was a contributing factor to the patient’s already declining condition due to multiple serious health issues," Park said.

The U.S. Centers for Disease Control and Prevention said there have been 127 swine-flu related deaths in the U.S. as of June 25. More than 27,000 people have contracted the disease across the nation.

The CDC said Hawaii has had 465 swine flu patients.

A new outbreak among firefighters on Molokai, meanwhile, has hit 20 workers or more than half the small island's fire department staff.

The state plans to send public health staff to Molokai -- which has a population about 7,000 people -- on Tuesday to conduct additional education and outreach efforts.

"The situation on Molokai shows how influenza can affect basic central services and cripple limited resources," Park said.

Park urged people to think about and plan for the impact a flu pandemic may have on workplaces, schools and communities.