How Bad Is the Flu Season in Every State?

GracedByTheLight / Getty Images 36. Oklahoma > Flu-like illness activity level: High > Flu-like symptoms so far this flu season (Oct 1- Jan 5): 3.2% of patients > Flu-like symptoms in offseason (regional): 4.0% of patients > 65 and over…

Published January 15, 2019, 6:17pm ET · 11 min read

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The Centers for Disease Control and Prevention said during its latest reporting week that the flu is “widespread in most of the country.”

An estimated 6 to 7 million people have been sick with the flu so far this season, and between 69,000 and 84,000 have been hospitalized. Though these figures are high and the flu season has not yet peaked, this year’s flu season is unlikely to be as bad as last year’s unusually bad season.

In fact, while influenza-like-illnesses this time last year were sharply on the rise, eventually reaching levels last seen during the 2009 swine flu pandemic, the number of states experiencing high flu levels dropped last week compared to the week before.

Click image to enlarge

To identify the incidence of the flu in every state, 24/7 Wall St. reviewed the latest weekly influenza surveillance report prepared by the influenza division of the CDC. Influenza-like illness activity levels (minimal, low, moderate, and high) are based on the difference between current and off-season average proportions of outpatient visits to health providers for flu-like illnesses.

It is important to note that outbreaks occurring in a single city can cause a state to display high activity levels, and data collected may disproportionately represent certain populations within a state and therefore may not accurately capture influenza activity for the whole state.

The percentage of outpatient visits with flu-like illnesses so far this flu season (Oct. 1, 2017 through Jan. 5, 2019) was calculated by 24/7 Wall St. using data reported weekly to the CDC.

Activity levels for states are measured against regional off-season average patient visits for flu-like illnesses. Across the 10 geographical regions the CDC defines, these off-season baselines range from 1.1% of patients in the Seattle region (Idaho, Oregon, and Washington) to 3.1% in the New York region (New Jersey and New York). Activity levels are as of the first week of January, and measure the percentage of current outpatients reporting flu and flu-like illnesses compared to such reports over the past non-flu seasons. States with high activity levels are those where flu cases have exceeded the respective baseline by the most.

Each state’s 65 and over population was obtained from the U.S. Census Bureau’s 2017 American Community Survey.

Click here to see how bad the flu season is in every state.

SeanPavonePhoto / Getty Images

1. Alabama
> Flu-like illness activity level: High
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 2.9% of patients
> Flu-like symptoms in offseason (regional): 2.2% of patients
> 65 and over population: 16.5% (22nd highest)
> 5 and under population: 5.9% (19th lowest)

[entry-topics ids=”8017″]

urbanglimpses / Getty Images

2. Alaska
> Flu-like illness activity level: Minimal
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 2.5% of patients
> Flu-like symptoms in offseason (regional): N/A
> 65 and over population: 11.2% (2nd lowest)
> 5 and under population: 7.2% (2nd highest)

[entry-topics ids=”176″]

BCFC / Getty Images

3. Arizona
> Flu-like illness activity level: High
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 2.7% of patients
> Flu-like symptoms in offseason (regional): 2.3% of patients
> 65 and over population: 17.1% (11th highest)
> 5 and under population: 6.2% (20th highest)

[entry-topics ids=”24592″]

Davel5957 / Getty Images

4. Arkansas
> Flu-like illness activity level: Low
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 2.1% of patients
> Flu-like symptoms in offseason (regional): 4.0% of patients
> 65 and over population: 16.5% (19th highest)
> 5 and under population: 6.2% (18th highest)

[entry-topics ids=”50255″]

moonjazz / Flickr

5. California
> Flu-like illness activity level: Low
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 2.0% of patients
> Flu-like symptoms in offseason (regional): 2.3% of patients
> 65 and over population: 13.9% (6th lowest)
> 5 and under population: 6.2% (17th highest)

[entry-topics ids=”1337″]

Gary Gray / Getty Images

6. Colorado
> Flu-like illness activity level: High
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 3.6% of patients
> Flu-like symptoms in offseason (regional): 2.2% of patients
> 65 and over population: 13.8% (5th lowest)
> 5 and under population: 5.9% (21st lowest)

[entry-topics ids=”180″]

enfi / Getty Images

7. Connecticut
> Flu-like illness activity level: Moderate
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 2.5% of patients
> Flu-like symptoms in offseason (regional): 1.8% of patients
> 65 and over population: 16.8% (14th highest)
> 5 and under population: 5.1% (4th lowest)

[entry-topics ids=”22247″]

Ultima_Gaina / Getty Images

8. Delaware
> Flu-like illness activity level: Minimal
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 0.4% of patients
> Flu-like symptoms in offseason (regional): 2.0% of patients
> 65 and over population: 18.0% (6th highest)
> 5 and under population: 5.7% (11th lowest)

[entry-topics ids=”3426″]

Sean Pavone / Getty Images

9. Florida
> Flu-like illness activity level: Minimal
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): N/A
> Flu-like symptoms in offseason (regional): 2.2% of patients
> 65 and over population: 20.1% (the highest)
> 5 and under population: 5.4% (7th lowest)

[entry-topics ids=”1657″]

ferrantraite / Getty Images

10. Georgia
> Flu-like illness activity level: High
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 4.2% of patients
> Flu-like symptoms in offseason (regional): 2.2% of patients
> 65 and over population: 13.4% (4th lowest)
> 5 and under population: 6.3% (15th highest)

[entry-topics ids=”22721″]

wingmar / Getty Images

11. Hawaii
> Flu-like illness activity level: Minimal
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 2.0% of patients
> Flu-like symptoms in offseason (regional): 2.3% of patients
> 65 and over population: 17.8% (8th highest)
> 5 and under population: 6.3% (16th highest)

[entry-topics ids=”14042″]

CodyHaskell / Getty Images

12. Idaho
> Flu-like illness activity level: Minimal
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 0.6% of patients
> Flu-like symptoms in offseason (regional): 1.1% of patients
> 65 and over population: 15.3% (14th lowest)
> 5 and under population: 6.8% (7th highest)

[entry-topics ids=”59347″]

marchello74 / Getty Images

13. Illinois
> Flu-like illness activity level: Moderate
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 1.6% of patients
> Flu-like symptoms in offseason (regional): 1.8% of patients
> 65 and over population: 15.2% (12th lowest)
> 5 and under population: 6.0% (23rd lowest)

[entry-topics ids=”11106″]

Sean Pavone / Getty Images

14. Indiana
> Flu-like illness activity level: Moderate
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 1.7% of patients
> Flu-like symptoms in offseason (regional): 1.8% of patients
> 65 and over population: 15.4% (16th lowest)
> 5 and under population: 6.3% (14th highest)

[entry-topics ids=”35717″]

rruntsch / Getty Images

15. Iowa
> Flu-like illness activity level: Minimal
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 0.7% of patients
> Flu-like symptoms in offseason (regional): 1.6% of patients
> 65 and over population: 16.7% (16th highest)
> 5 and under population: 6.3% (13th highest)

[entry-topics ids=”59348″]

ricardoreitmeyer / Getty Images

16. Kansas
> Flu-like illness activity level: Moderate
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 1.6% of patients
> Flu-like symptoms in offseason (regional): 1.6% of patients
> 65 and over population: 15.4% (18th lowest)
> 5 and under population: 6.6% (9th highest)

[entry-topics ids=”14041″]

Sean Pavone / Getty Images

17. Kentucky
> Flu-like illness activity level: High
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 2.5% of patients
> Flu-like symptoms in offseason (regional): 2.2% of patients
> 65 and over population: 15.9% (24th lowest)
> 5 and under population: 6.2% (19th highest)

[entry-topics ids=”59349″]

Robert John Photography / Getty Images

18. Louisiana
> Flu-like illness activity level: High
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 3.9% of patients
> Flu-like symptoms in offseason (regional): 4.0% of patients
> 65 and over population: 14.9% (7th lowest)
> 5 and under population: 6.5% (11th highest)

[entry-topics ids=”59350″]

SeanPavonePhoto / Getty Images

19. Maine
> Flu-like illness activity level: Minimal
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 1.1% of patients
> Flu-like symptoms in offseason (regional): 1.8% of patients
> 65 and over population: 20.0% (2nd highest)
> 5 and under population: 4.8% (2nd lowest)

[entry-topics ids=”36448″]

Sean Pavone / Getty Images

20. Maryland
> Flu-like illness activity level: High
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 1.5% of patients
> Flu-like symptoms in offseason (regional): 2.0% of patients
> 65 and over population: 14.9% (8th lowest)
> 5 and under population: 6.0% (24th lowest)

[entry-topics ids=”28049″]

grantreig / Getty Images

21. Massachusetts
> Flu-like illness activity level: High
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 1.6% of patients
> Flu-like symptoms in offseason (regional): 1.8% of patients
> 65 and over population: 16.1% (24th highest)
> 5 and under population: 5.3% (6th lowest)

[entry-topics ids=”22627″]

SolomonCrowe / Getty Images

22. Michigan
> Flu-like illness activity level: Low
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 1.4% of patients
> Flu-like symptoms in offseason (regional): 1.8% of patients
> 65 and over population: 16.7% (15th highest)
> 5 and under population: 5.7% (12th lowest)

[entry-topics ids=”11110″]

7Michael / Getty Images

23. Minnesota
> Flu-like illness activity level: Moderate
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 2.1% of patients
> Flu-like symptoms in offseason (regional): 1.8% of patients
> 65 and over population: 15.4% (19th lowest)
> 5 and under population: 6.3% (12th highest)

[entry-topics ids=”19886″]

Tiago_Fernandez / Getty Images

24. Mississippi
> Flu-like illness activity level: Moderate
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 3.1% of patients
> Flu-like symptoms in offseason (regional): 2.2% of patients
> 65 and over population: 15.6% (20th lowest)
> 5 and under population: 6.1% (24th highest)

[entry-topics ids=”59351″]

benkrut / Getty Images

25. Missouri
> Flu-like illness activity level: Moderate
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 1.5% of patients
> Flu-like symptoms in offseason (regional): 1.6% of patients
> 65 and over population: 16.5% (20th highest)
> 5 and under population: 6.1% (23rd highest)

[entry-topics ids=”28577″]

EJ-J / Getty Images

26. Montana
> Flu-like illness activity level: Minimal
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 0.9% of patients
> Flu-like symptoms in offseason (regional): 2.2% of patients
> 65 and over population: 18.1% (5th highest)
> 5 and under population: 5.8% (17th lowest)

[entry-topics ids=”3837″]

chapin31 / Getty Images

27. Nebraska
> Flu-like illness activity level: High
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 3.8% of patients
> Flu-like symptoms in offseason (regional): 1.6% of patients
> 65 and over population: 15.4% (17th lowest)
> 5 and under population: 6.9% (6th highest)

[entry-topics ids=”11091″]

ddub3429 / Getty Images

28. Nevada
> Flu-like illness activity level: Low
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 1.0% of patients
> Flu-like symptoms in offseason (regional): 2.3% of patients
> 65 and over population: 15.3% (15th lowest)
> 5 and under population: 6.1% (22nd highest)

[entry-topics ids=”59354″]

DenisTangneyJr / Getty Images

29. New Hampshire
> Flu-like illness activity level: Minimal
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 0.6% of patients
> Flu-like symptoms in offseason (regional): 1.8% of patients
> 65 and over population: 17.6% (9th highest)
> 5 and under population: 4.7% (the lowest)

[entry-topics ids=”22615″]

espiegle / Getty Images

30. New Jersey
> Flu-like illness activity level: High
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 3.7% of patients
> Flu-like symptoms in offseason (regional): 3.1% of patients
> 65 and over population: 15.7% (22nd lowest)
> 5 and under population: 5.8% (15th lowest)

[entry-topics ids=”22720″]

muha04 / Getty Images

31. New Mexico
> Flu-like illness activity level: High
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 2.2% of patients
> Flu-like symptoms in offseason (regional): 4.0% of patients
> 65 and over population: 16.8% (13th highest)
> 5 and under population: 6.1% (25th highest)

[entry-topics ids=”59355″]

Eloi_Omella / Getty Images

32. New York
> Flu-like illness activity level: Moderate
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 1.6% of patients
> Flu-like symptoms in offseason (regional): 3.1% of patients
> 65 and over population: 15.9% (25th lowest)
> 5 and under population: 5.8% (16th lowest)

[entry-topics ids=”4614″]

RickSause / Getty Images

33. North Carolina
> Flu-like illness activity level: Moderate
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 1.7% of patients
> Flu-like symptoms in offseason (regional): 2.2% of patients
> 65 and over population: 15.9% (23rd lowest)
> 5 and under population: 5.9% (18th lowest)

[entry-topics ids=”20037″]

afiler / Flickr

34. North Dakota
> Flu-like illness activity level: Minimal
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 1.1% of patients
> Flu-like symptoms in offseason (regional): 2.2% of patients
> 65 and over population: 14.9% (9th lowest)
> 5 and under population: 7.0% (4th highest)

[entry-topics ids=”15103″]

fotoguy22 / Getty Images

35. Ohio
> Flu-like illness activity level: Minimal
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 1.0% of patients
> Flu-like symptoms in offseason (regional): 1.8% of patients
> 65 and over population: 16.6% (18th highest)
> 5 and under population: 6.0% (22nd lowest)

[entry-topics ids=”4458″]

GracedByTheLight / Getty Images

36. Oklahoma
> Flu-like illness activity level: High
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 3.2% of patients
> Flu-like symptoms in offseason (regional): 4.0% of patients
> 65 and over population: 15.3% (13th lowest)
> 5 and under population: 6.7% (8th highest)

[entry-topics ids=”6084″]

svetlana57 / Getty Images

37. Oregon
> Flu-like illness activity level: Low
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 1.2% of patients
> Flu-like symptoms in offseason (regional): 1.1% of patients
> 65 and over population: 17.1% (12th highest)
> 5 and under population: 5.6% (10th lowest)

[entry-topics ids=”59358″]

SeanPavonePhoto / Getty Images

38. Pennsylvania
> Flu-like illness activity level: Moderate
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 1.6% of patients
> Flu-like symptoms in offseason (regional): 2.0% of patients
> 65 and over population: 17.8% (7th highest)
> 5 and under population: 5.5% (9th lowest)

[entry-topics ids=”11113″]

Meybruck / Getty Images

39. Rhode Island
> Flu-like illness activity level: Low
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 0.7% of patients
> Flu-like symptoms in offseason (regional): 1.8% of patients
> 65 and over population: 16.7% (17th highest)
> 5 and under population: 5.2% (5th lowest)

[entry-topics ids=”9799″]

KeithBriley / Getty Images

40. South Carolina
> Flu-like illness activity level: High
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 2.8% of patients
> Flu-like symptoms in offseason (regional): 2.2% of patients
> 65 and over population: 17.2% (10th highest)
> 5 and under population: 5.8% (13th lowest)

[entry-topics ids=”11112″]

stevegeer / Getty Images

41. South Dakota
> Flu-like illness activity level: Minimal
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 0.7% of patients
> Flu-like symptoms in offseason (regional): 2.2% of patients
> 65 and over population: 16.3% (23rd highest)
> 5 and under population: 7.0% (5th highest)

[entry-topics ids=”14040″]

DenisTangneyJr / Getty Images

42. Tennessee
> Flu-like illness activity level: Low
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 1.4% of patients
> Flu-like symptoms in offseason (regional): 2.2% of patients
> 65 and over population: 15.9% (25th highest)
> 5 and under population: 6.0% (25th lowest)

[entry-topics ids=”59360″]

SeanPavonePhoto / Getty Images

43. Texas
> Flu-like illness activity level: Moderate
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 3.5% of patients
> Flu-like symptoms in offseason (regional): 4.0% of patients
> 65 and over population: 12.2% (3rd lowest)
> 5 and under population: 7.1% (3rd highest)

[entry-topics ids=”1575″]

johnnya123 / Getty Images

44. Utah
> Flu-like illness activity level: High
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 2.4% of patients
> Flu-like symptoms in offseason (regional): 2.2% of patients
> 65 and over population: 10.8% (the lowest)
> 5 and under population: 8.2% (the highest)

[entry-topics ids=”59361″]

DenisTangneyJr / Getty Images

45. Vermont
> Flu-like illness activity level: Moderate
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 1.4% of patients
> Flu-like symptoms in offseason (regional): 1.8% of patients
> 65 and over population: 18.8% (4th highest)
> 5 and under population: 4.8% (3rd lowest)

[entry-topics ids=”1866″]

SeanPavonePhoto / Getty Images

46. Virginia
> Flu-like illness activity level: High
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 2.5% of patients
> Flu-like symptoms in offseason (regional): 2.0% of patients
> 65 and over population: 15.0% (10th lowest)
> 5 and under population: 5.9% (20th lowest)

[entry-topics ids=”1834″]

SEASTOCK / iStock

47. Washington
> Flu-like illness activity level: Minimal
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 0.6% of patients
> Flu-like symptoms in offseason (regional): 1.1% of patients
> 65 and over population: 15.1% (11th lowest)
> 5 and under population: 6.1% (21st highest)

[entry-topics ids=”8439″]

DenisTangneyJr / Getty Images

48. West Virginia
> Flu-like illness activity level: Minimal
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 1.2% of patients
> Flu-like symptoms in offseason (regional): 2.0% of patients
> 65 and over population: 19.3% (3rd highest)
> 5 and under population: 5.4% (8th lowest)

[entry-topics ids=”38858″]

AndreyKrav / Getty Images

49. Wisconsin
> Flu-like illness activity level: Low
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 1.6% of patients
> Flu-like symptoms in offseason (regional): 1.8% of patients
> 65 and over population: 16.5% (21st highest)
> 5 and under population: 5.8% (14th lowest)

[entry-topics ids=”11108″]

(c) Sean Board / Getty Images

50. Wyoming
> Flu-like illness activity level: Minimal
> Flu-like symptoms so far this flu season (Oct 1- Jan 5): 1.2% of patients
> Flu-like symptoms in offseason (regional): 2.2% of patients
> 65 and over population: 15.6% (21st lowest)
> 5 and under population: 6.5% (10th highest)

[entry-topics ids=”19422″]

Contact [email protected] for any questions or corrections.

Thomas Frohlich
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