Doctor Jamie Anderson says that at this time of year many things are going around but you'll know when you have more than just a common cold.
"Some of the symptoms that may differentiate the flu from a cold would be a fever, chills, body aches, cough, sore throat, and just feeling more fatigued and tired," said Anderson.
The national report, released by Direct Relief puts Lubbock, Dallas, and San Antonio among the most likely places to catch the bug this season.
The flu, Anderson says can be deadly.
"The young and the elderly are most susceptible due to their immune system. Those are the people we most need and want to protect."
36,000 people a year die from the flu, according to the report.
"If you're having other symptoms such as feeling short of breath, productive cough,” said Anderson. “The flu can lead to other illnesses such as pneumonia that can cause significant complications and hospitalizations."
Anderson said that there are anti-viral medications your doctor can prescribe in addition to some tried and true over-the-counter remedies.
"Just your general cough and cold suppressants can be helpful for some of the symptoms."
Those symptoms can last anywhere from 5 to 7 days.
"If you're sick with the flu, stay home and get better to prevent spreading it," Anderson said.