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N.D. (AP) – The flu season is off to a slow start in the Dakotas, but officials say that doesn’t mean people shouldn’t take precautions against the illness.

Health officials tell The Bismarck Tribune that there have been 67 cases of lab-confirmed influenza in North Dakota, compared with 242 at the same time last year.

The Argus Leader reports that in South Dakota there have been only seven confirmed cases, compared with 1,700 during the 2014 flu season.

South Dakota State Epidemiologist Lon Kightlinger says the flu season peaks at different times each year.

North Dakota Influenza Surveillance Coordinator Jill Baber says a severe outbreak later this season is possible.

Health officials recommend people get a flu vaccine, wash their hands frequently and stay away from public places if they become sick.