A big jump in the number of people being admitted to Hawke's Bay Hospital with serious cases of the flu has led to health officials encouraging more people to get the flu jab.
As at Monday, there were 10 people in Hawke's Bay Hospital with influenza.
Four days later, there were 33 people in the hospital with influenza, with one of those patients requiring intensive care support.
Three of the influenza cases currently in hospital are pregnant women.
It comes during the same week the hospital's ED reported its busiest days on record with almost 200 presentations on both Monday and Tuesday.