An alarming new report out of Hawaii suggests that flu cases in the state are on the rise, and this season may be much worse than the last season. The Centers for Disease Control and Prevention states that there was flu activity in 29 U.S. states, up from 21 last week, which means that the flu season is shifting into high gear now.

Hawaii wasn’t among the states, but they know it’s coming beause it usually starts on the mainland before ending up at the island state. The Hawaii Department of Health reported last week that outpatient visits in the state for flu-like illness was a lot higher than the national baseline, indicating a major uptick in cases is likely coming.

The CDC says the H3 influenza strain is the predominant factor in this year’s flu season, and it’s an aggressive flu with severe effects, particularly for young and old patients. It includes high fever, headache, body ache, fatigue and other unpleasant symptoms, including nausea and vomiting. That’s why it’s a good idea to go ahead and get vaccinated, health experts say.

Here are the CDC recommendations about the flu.

Influenza (flu) is a contagious disease that can be serious. Every year, millions of people get sick, hundreds of thousands are hospitalized, and thousands to tens of thousands of people die from flu. CDC urges you to take the following actions to protect yourself and others from flu.

1. Get yourself and your family vaccinated!

Get yourself and your family vaccinated!
A yearly flu vaccine is the first and most important step in protecting against flu viruses. Everyone 6 months or older should get an annual flu vaccine by the end of October, if possible, or as soon as possible after October.

Flu vaccines are offered in many locations, including doctor’s offices, clinics, health departments, pharmacies and college health centers, as well as by many employers, and even in some schools. Protect Yourself. Protect Your Family. Get Vaccinated. #FightFlu

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2. Take everyday preventive actions to help stop the spread of flu viruses!

Avoid close contact with sick people, avoid touching your eyes, nose, and mouth, cover your coughs and sneezes, wash your hands often (with soap and water), and clean and disinfect surfaces and objects that may be contaminated with flu viruses.

If you become sick, limit contact with others as much as possible. Remember to cover your nose and mouth with a tissue when you cough or sneeze, and throw tissues in the trash after you use them. Stay home for at least 24 hours after your fever is gone except to get medical care or for other necessities. (Your fever should be gone for 24 hours without the use of a fever-reducing medicine before resuming normal activities.)

Take everyday preventive actions to help stop the spread of flu viruses!Learn more
3. Take Antiviral Drugs if Your Doctor Prescribes Them!

Take Antiviral Drugs if Your Doctor Prescribes Them!
If you get the flu, antiviral drugs can be used to treat flu illness.

Antiviral drugs can make illness milder and shorten the time you are sick. They also can prevent serious flu complications, like pneumonia.

CDC recommends that antiviral drugs be used early to treat people who are very sick with the flu (for example, people who are in the hospital) and people who are sick with the flu and are at high risk of serious flu complications, either because of their age or because they have a high risk medical condition.