Latest figures from Health Protection Scotland (HPS) show just over 41% of those aged under 65, who are considered "at risk", have had their flu jab this winter - but cases of flu have more than doubled compared to the same time previous year.
"We are aware that planning for the 2018-19 influenza vaccination campaign is already underway and many practices and pharmacy providers are in the process of placing provisional orders for next season's influenza vaccine", said the NHS in a press release.
Nurse Lisa Maynard said they've had one confirmed flu hospitalization there, but they've seen a 29 percent increase in flu like cases in the past few months in Bryan County.
A Centers for Disease Control and Prevention map showed IL in the highest bracket for flu activity.
"In the last week, we have noticed a significant increase in influenza outbreaks across our region", said medical health officer Dr. Martin Lavoie.
The number of influenza cases are up, and Fraser Health is concerned emergency rooms will get plugged up.
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The Tennessee Department of Health is offering free flu vaccines at all county health departments in the state while supplies last.
"If people have any type of flu like symptom-coughing-any symptoms at all-we ask them to wear a mask", said Rogers.
According to the CDC, flu vaccination rates for adults in recent years hover just over 40 percent. "Getting it during the holiday season is even worse", said Chakravarty.
"The vaccine is the best protection there is against flu", he added.
However, England data on hospitalisations suggested the dreaded "Aussie flu" H3N2 was on the rise - with 112 hospitalisations in 19 hospitals last week, compared to five across 12 trusts the week before - for which there was no vaccine made available to patients.
"It turns out that that's about as good the flu vaccine has always been", he said. Influenza is easily spread from person to person, and an infected person can spread the virus before they develop symptoms. Hand sanitizer is good, too, but it doesn't replace hand washing.