A snapshot of influenza activity in all 50 states

Published on NewsOK Modified: January 13, 2013 at 12:12 am •  Published: January 13, 2013
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Nebraska: One child and two adults have died from the flu in Nebraska, where cases are up this year compared with last year. There are some spot shortages of vaccines, but supplies are adequate in most places.

Nevada: Confirmed flu cases are up 57 percent in Nevada from two weeks ago and the increase is continuing. Authorities say it is too soon to tell whether this will be a severe season.

New Jersey: Hospital emergency room visits by patients with flu-like symptoms in New Jersey are double the number seen at this time last year. Two children have died, both with underlying medical conditions that made them more vulnerable. Flu activity is highest in central and northeast portions of New Jersey.

New York: The governor has declared a flu emergency. The order allows pharmacists give vaccines to anyone 6 months or older, suspending a state law that limits pharmacists to administering immunizing agents to those 18 or older. Flu has been reported in every county and has been widespread for seven weeks. Reported cases declined last week but hospitalizations for lab-confirmed flu were up. Two children and at least 10 New York City adults have died from flu-related illness. Statewide adult deaths aren't tracked.

North Dakota: Flu activity is earlier than usual but not abnormal; one death, in an elderly resident, has been reported.

Ohio: There have been nearly 2,000 flu-related hospitalizations in Ohio since October, compared to 86 in last year's unusually mild flu season, and 175 the previous season. One child has died from flu complications; there were no child deaths last season and only one the previous year. The state Health Department says there are sufficient supplies of vaccine available around the state.

Oregon: Flu is widespread and increasing in Oregon but authorities say it's not outside the normal range. No deaths in children have been reported.

New Hampshire: The flu season is more severe in New Hampshire than in recent years, but the state public health director says it's not yet alarming. So far, 14 flu-related deaths in adults have occurred, an unusually high number this early in the season, but no child deaths. A Health Department spokeswoman said she was not aware of any vaccine shortages.

New Mexico: Flu has hit earlier and harder than usual in New Mexico. There have been no deaths but 88 New Mexicans have been hospitalized with flu-like illness compared with two cases at this time last year. Vaccine supply is ample.

North Carolina: Flu is prevalent in every county but declined slightly this past week; authorities say it's too soon to know if that's a trend. "This was a very early onset of the flu season and the proportion of medical visits that are due to flu-like illness has been higher than we've seen in the past decade," said health department spokesman Mark Van Sciver. As of Jan. 10, there were 17 reported flu deaths, including 14 people older than 65. Local public health departments had adequate vaccine supply.

North Dakota: Flu activity is earlier than usual but not abnormal; one death, in an elderly resident, has been reported.

Ohio: There have been nearly 2,000 flu-related hospitalizations in Ohio since October, compared to 86 in last year's unusually mild flu season, and 175 the previous season. One child has died from flu complications; there were no child deaths last season and only one the previous year. The state Health Department says there are sufficient supplies of vaccine available around the state.

Pennsylvania: Flu is widespread, with cases in at least half the state's regions. Of 23 flu-related deaths, one was an infant. Hospitals throughout Pennsylvania have reported an influx of cases; at least one hospital, to free up ER capacity and minimize flu transmission, has erected an outdoors MASH-like "surge tent." Other hospitals have mobile flu units.

Rhode Island: Health Director Michael Fine says flu is "particularly severe" in Rhode Island and that it could be the worst season in years. The state has seen 5,568 emergency room visits for flu-like symptoms since Dec. 10, an average of about 180 a day. A Health Department spokeswoman says "people are sick everywhere." Many people are seeking vaccination and supplies are plentiful. No children have died from the flu.

South Carolina: Flu is widespread in South Carolina but hospitalizations have slightly decreased. Of 22 flu deaths, one was an infant, the rest adults older than 50. The State's Division of Health and Environmental Control has ample vaccine; whether there were any shortages elsewhere was unclear.

South Dakota: Flu activity is earlier and occurring at higher levels than usual in South Dakota. Nine people have died from flu-related illness, all older than 75.

Tennessee: Dr. Kelly Moore, the medical director of the Tennessee Immunization Program, says the flu season seems worse than in recent years but that clinic reporting is often disrupted over the holidays, so whether cases are increasing or not is uncertain. "We're not hearing reports of any hospitals being overwhelmed," she said. One child has died from flu-related illness.

Texas: Flu cases have been reported in more than half of Texas, and several county health departments say this season is worse than in past years. In the last week of December, nearly 12 percent of doctor visits were for flu-like symptoms, almost double the amount for that week in 2011. The number of cases dropped last week. In the Dallas area, many parents say their doctors don't have the pediatric vaccine so they've sought the shots at the county health department. At least six Texas children have died from flu-related illness since last fall.

Utah: Utah officials say flu cases spiked last week but dipped this week, and call it an early and active season. No deaths have been reported. Utah's vaccine supply is holding steady with no reports of shortages.

Vermont: Flu cases appear to be on the rise in Vermont. Three adults have died, all in December. Vermont Health Department officials say flu rates are higher than other years but the number of deaths does not appear out of the ordinary. A total of 10 people died from the flu last year; seven in 2011 and none in 2010.

Virginia: Virginia hit widespread influenza activity in December, a month or two early, which hasn't happened since the 2003-2004 season. Outbreaks have been reported in schools and nursing homes in all regions of the state but no children have died.

Washington: Flu has spread to more than half the communities in Washington state; that's not unusual but it appears to be increasing and authorities say is could be worse than recent mild seasons. There have been five lab-confirmed flu deaths in adults and one in a 12-year-old boy.

West Virginia. State public health officials say fewer than 1,400 cases of flu have been confirmed and flu-like symptoms are widespread. Public Health Commissioner Marian Swinker said Friday that more than 15,000 people have told doctors they were ill last month, with nearly 4,400 reporting they were sick so far this month. There have been no flu-related deaths in the state.

Wisconsin: Flu-related hospitalizations in Wisconsin total more than 1,300, versus 389 for all of last year. One child has died. State officials believe they have an ample supply of vaccine and no shortages. In Milwaukee, hospital emergency department visits have tripled over the past few weeks due to patients with flu-like symptoms and ambulances were being diverted elsewhere, a city Health Department spokeswoman said Friday.

Wyoming: Flu activity is high in Wyoming. One county ran out of vaccine last week and the distributor won't have any more flu vaccine this season. Supplies are available from many doctors' offices and other providers, and thousands of people have already been vaccinated. There have been no reported deaths.

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State health officials generally only keep track of children's flu deaths. Often the cause is pneumonia or related to frailty or other health problems so it is hard to draw conclusions about a flu season from state reports.

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Compiled by AP Medical Writer Lindsey Tanner with reports from AP bureaus in all states.