20 people have now died from the flu in IN this season

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A laboratory-confirmed positive case is of a person who is tested in a health care setting and does not include cases diagnosed without a lab test or of people who did not seek medical attention, she said. More than 200 people have been hospitalized for the flu.

Recent studies show flu vaccine reduces the risk of flu illness by about 50 to 60 percent among the overall population during seasons when most circulating flu viruses are like the vaccine viruses. Nationwide, 185 child deaths have been attributed to the flu - and about 80 percent of those kids had not received their flu shots.

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This flu season started weeks earlier than expected.

State health officials say it's not late to get a flu vaccine and encourage people to do so.

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It comes as Australia is on track to record its worst summer flu season in years, prompting a warning from doctors not to be complacent about vaccinations and hygiene.

Meanwhile, Indiana is experiencing regional flu activity.

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Vermont health officials have reported about 20 outbreaks of flu this season in the state so far, and they expect that number to rise.