The CDC reports that Hawaii has the highest influenza/pneumonia mortality rate of any state: https://www.cdc.gov/nchs/pressroom/sosmap/flu_pneumonia_mortality/f

The CDC reports that Hawaii has the highest influenza/pneumonia mortality rate of any state: https://www.cdc.gov/nchs/pressroom/sosmap/flu_pneumonia_mortality/flu_pneumonia.htm https://www.cdc.gov/nchs/pressroom/sosmap/flu_pneumonia_mort... They also report that influenza/pneumonia is the fifth leading cause of death in Hawaii. https://www.cdc.gov/nchs/pressroom/states/hawaii/hi.htm https://www.cdc.gov/nchs/pressroom/states/hawaii/hi.htm Historically, influenza/pneumonia is a little under 10% of all deaths in Hawaii. The CDC and the Hawaii state department of health combine the causes. "Studies have suggested that P&I [pneumonia and influenza] is a good indicator of influenza-related deaths and therefore P&I is one method for influenza surveillance." This combination makes it difficult to determine how many deaths were due to the "flu" specifically.