San Diego County Health and Human Services have released the season's first Influenza Watch report, which tracks key flu indicators and acts as the best resource for tracking influenza in the region.
It may be harder this year for Canadians to get their flu shots because of delays in producing and distributing the vaccine.
For the first time, all primary school children will be offered free vaccination, and will be joined by over-65s, pregnant women and patients with underlying health conditions - bringing up the total to nearly 30 million.
While some people believe the flu vaccination actually gives you the flu, this is not the case, explains the CDC and many other experts.
The cause of death was described as a heart attack directly related to being ill with the flu.
Alongside children - so-called super-spreaders - the over-65s, pregnant women and those with existing illnesses will also be offered the vaccine.
Flu shots are covered by Medi-Cal, Medicare and by most insurance plans.
As of March 1, 2019, there had been 109 confirmed cases compared to 120 in the 2017/2018 season.More news: Stefanos Tsitsipas praises Dominic Thiem after Beijing final defeat
More news: 4 killed, 5 wounded in overnight shooting at Kansas bar
More news: Oxlade-Chamberlain left out of latest England squad - but is it fair?
Prof Yvonne Doyle, of Public Health England, urged people to come forward for the vaccine - the NHS was able to vaccinate less than half of those in some of the target groups a year ago.
"Last season we had 23 flu-related deaths in Wyoming", said Kim Deti, of the Wyoming Department of Health.
Uptake rates are "bettering remarkably", with 70 per cent receiving the vaccination final season - up from 50.6 per cent in 2015/16.
He did not say which areas saw the lowest rates, but the trusts are understood to be scattered across the country and tend to have a dispersed workforce.
Professor Van-Tam said: "We do know that flu infections, while sometimes severe, can also be asymptomatic, and staff can spread flu without realising it". "I heard that they make you sick after you get them".
The problem is being blamed on a shortage at the manufacturing level.
The delay has pressured Matt Hancock, the Well being and Social Care Secretary, to order a further 400,000 doses to stop GP surgical procedures operating quick.
"If you have an elderly relative, if you're a health care worker, or you work at a daycare or school. you're protecting yourself as well as protecting others".