Kristin Gourlay / RIPR

Pun intended.

It's National Influenza Vaccination Week (according to the CDC), which I read as yet one more way to snap us out of complacency and into a clinic for a flu shot.

But it seems no amount of exhortation will move some people closer to the needle (or nasal spray).

Kristin Gourlay / RIPR

A child from Rhode Island has died from a combination of infections, including enterovirus D68, or EV-D68. It’s one of the first known deaths with some kind of link to EV-D68. What role the respiratory virus played in the child’s death is still unclear.

Kristin Gourlay / RIPR

For the second time this season, the Rhode Island health department has declared flu widespread. That means that any unvaccinated health care workers must wear surgical masks around patients until the declaration of “widespread” is lifted. Flu was declared widespread in Rhode Island for most of January and February this year. But the health department says this time is more intense than the first.

The dominant strain now affects the elderly, in particular. 13 people have died from flu in Rhode Island this season, all of them in their 80s and 90s.

Kristin Gourlay / RIPR

That depends on your priorities. But first, here's what's at issue:

The state’s health department is considering updates to its immunization policy for school kids from preschool through college. The proposals would require flu shots for kids up to age five and the HPV vaccine for kids entering ninth grade.