North Dakota sees worst flu outbreak in 25 years, with record cases and ERs overwhelmed.

Flu cases are surging in North Dakota, with the state reporting its highest influenza activity in over 25 years. In Grand Forks County, half of flu tests are positive, and emergency departments, especially in Fargo, are overwhelmed, with one hospital seeing 120 flu cases in a week. Nationally, flu-like illness is affecting 8% of outpatient visits—the highest rate in more than two decades. The outbreak is starting earlier and more severely than usual, with type A flu dominant. Health officials urge vaccination, rest, hydration, and seeking care from primary providers instead of emergency rooms, especially for high-risk individuals.