COLUMBUS, Ohio (AP) — State health officials say influenza activity is now widespread in Ohio, and they’re encouraging residents to get vaccinated.

The Ohio Department of Health says it has received reports of flu-like illness in more than half the regions in the state. Since the flu season began in October, 833 influenza-associated hospitalizations have been reported in Ohio. Those primarily occurred in northeast and east-central Ohio.

More than twice as many hospitalizations had been reported at this time in the previous flu season, when the state saw 1,922 hospitalizations. Flu is usually the worst in January or February.

The health department says no pediatric fatalities have been reported in Ohio this season.