"That black abyss is something that people can avoid if they would simply get the flu vaccine", said Pool.
Added to that uncertainty is the question of how effective this season's vaccine may be in preventing people from getting the flu.
"Grandparents are an important part of our families, and as they age, their health begins to decline", said Serese Marotta, Chief Operating Officer, Families Fighting Flu.
An antiviral medication can shorten the flu by one to three days, ease symptoms, and cut the risk of complications, but only if you start it within 48 hours of getting sick.
Other explanations for Penobscot's numbers include the possibility that there are actually more flu cases in the community or that designated health care providers are being especially avid in reporting their cases.
Doctors typically look south to get an idea of what's coming.
Dr. Marc Siegel is an infectious diseases expert from NYU Langone Medical Center in New York City.
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Being vaccinated better protects not only the individual, but also everyone around them.
And the vaccine is no guarantee of protection.
More than 7,000 cases of the flu have already been confirmed in the U.S.
The flu season is finally upon us, but recent reports revealed that this year's flu shot may be ineffective. "There's still some protection against all flu illness in Australia last season". The cost of adult flu vaccine is $25.00.
H3N2 is a subtype of influenza A, viruses which tend to cause more severe disease in some segments of the population, specifically the elderly and young children. And in Australia, which used the identical vaccine as Canada's this past season, its effectiveness against H3N2 infection was far less - only about 10 per cent.
Dr. Allison McGeer, director of infection control at Mount Sinai Hospital in Toronto, said lab testing in Ontario is turning up "quite a lot of B isolates, almost as many Bs as H3N2".
"What's not measured is that, even if you get the flu in spite of the vaccine, your flu case is likely to be milder; you're less likely to have the complications of pneumonia, having to be hospitalized and dying", he said.