▁said ▁to ▁be ▁available . ▁As ▁of ▁November ▁ 2 0 , ▁ 2 0 0 9 , ▁the ▁CD C ▁reported ▁sharp ▁decl ines ▁in ▁H 1 N 1 ▁activity ▁throughout ▁the ▁United ▁States , ▁with ▁influen za - like ▁ill ness ▁( which ▁may ▁also ▁include ▁men ing itis , ▁p neum onia , ▁st rep ▁ph ary ng itis , ▁g astro enter itis , ▁and ▁the ▁common ▁cold ) ▁account ing ▁for ▁ 5 . 5 % ▁of ▁do ctors ▁vis its , ▁down ▁sharp ly ▁from ▁ 8 % ▁in ▁late ▁October , ▁the ▁peak ▁of ▁the ▁second ▁wave . ▁However , ▁taking ▁the ▁v acc ine ▁is ▁still ▁ur ged ▁by ▁the ▁CD C , ▁as ▁a ▁third ▁wave ▁of ▁the ▁disease ▁may ▁swe ep ▁across ▁the ▁US , ▁possibly ▁in ▁January / F ebru ary ▁ 2 0 1 0 . ▁as ▁of ▁December ▁ 2 4 , ▁the ▁second ▁wave ▁of ▁H 1 N 1 ▁has ▁clearly ▁pe aked , ▁with ▁p neum onia ▁and ▁influen za ▁death s ▁falling ▁below ▁the ▁ep ide mic ▁threshold ▁for ▁the ▁first ▁time ▁in ▁ 1 1 ▁weeks , ▁and ▁the ▁proportion ▁of ▁do ctors ▁vis its ▁do ▁to ▁influen za - like ▁ill ness ▁falling ▁to ▁bas eline ▁( 2 . 3 % ), ▁down ▁from ▁ 5 . 5 % ▁ 1 ▁month ▁before , ▁on ▁November ▁ 2 0 . ▁However , ▁it ▁was ▁reported ▁that ▁influen za ▁activity ▁was ▁beginning ▁to ▁increase ▁in ▁West