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WASHINGTON — Influenza is circulating unusually early this year with cases in all 50 states — nearly all the H1N1 swine- flu variety, government health officials said Friday.

The highest concentration of flu cases is in the Southeast and a few other states, said Dr. Anne Schuchat of the Centers for Disease Control and Prevention.

The good news is that testing of vaccines for H1N1, or swine flu, show that they work quickly and with a single dose.

Swine-flu vaccine supplies are expected in mid-October, but the seasonal flu vaccine is available now. About 98 percent of the flu viruses circulating are H1N1.

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