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Flu hospitalizations are also on the rise, with the highest levels in seniors, a pattern often seen in H3N2-dominant seasons.
More states are reporting their first cases and even deaths, but at the national level, flu levels remained low last week.
MSF says the outbreak is not over and calls for rapid response teams for hot spots.
Canada, Britain announce enhanced screening, as officials in Spain probe how a health worker was infected.
A late-season "flu B" surge serves as a reminder that it can be severe in adults, as a recent study shows.
China reported two more H7N9 cases, as scientists said targeting H9N2 might prevent other novel avian flu viruses.
US flu activity continues a slow decline, similar to Canada, while Europe shows mixed activity.
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