After a slow start, influenza is beginning to take hold across the U.S. The good news is that it’s unlikely to be as bad as last season, when almost 80,000 Americans died. The bad news is that there’s a long way to go.

During the last week of December, some 4.1 percent of doctor visits in the U.S. were because of flu-like illnesses, according to the Centers for Disease Control and Prevention’s weekly report known as FluView. In terms of severity, that’s right in the middle of the four previous flu seasons.

Hardest hit thus far has been the southern U.S., covering a 10-state sweep from South Carolina to New Mexico and up to Utah. Another pocket of virulence has been growing in New Jersey and New York City. So far, there’s been minimal to low levels across most of the northern half of the country.

But there are several months left in the season.

“It’s too soon to say what direction it will go,” said Lynnette Brammer, head of the CDC’s domestic influenza surveillance team. Influenza typically peaks between December and February, she said.

The dominant strain currently circulating, called H1N1, is less likely to affect the elderly – a particularly vulnerable group-and it tends to be more sensitive to vaccination.

“The main thing right now is to get vaccinated,” she said.