Northwestern states are also seeing steady increases in swine flu cases. Dr. Scott Fields of Oregon Health and Sciences University said he's just seeing a high rate of viral illness.
Dr. Frank James of the University of Washington said he has seen 14 swine flu deaths so far and that daily school absenteeism last week reached 10 percent in one school in each district, "so the number of cases … is definitely rising.
In contrast, California and the northeast seem to be faring better.
Dr. Amy Kaji of UCLA said H1N1 cases have dropped off since April-May, and Dr. Andrew Racine of the Montefiore Medical Center in New York said "we've seen very, very little flu activity so far -- which is in keeping with the information we're receiving both from the New York City Department of Health and from the CDC, which is showing only sporadic flu activity in New York."
Racine said all indications are that the first shipments of H1N1 vaccine will only be about 18,000 doses for New York City.
But given the low incidence rates thus far, he said, "ultimately the city will have more flu vaccine than it probably needs."