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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.

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