West Virginia public health officials report that 558 physicians, hospitals and clinics have signed up for the H1N1 vaccine, and many are still awaiting shipments.
Part of the problem is the vaccine is first heading to high-risk segments of the population, and in many instances there simply is not enough to go around.
State officials are attempting to organize a mass distribution of the vaccine at the start of 2010.
The Department of Health and Human Resources reports the virus is now widespread throughout West Virginia. Roughly 13,000 cases of influenza-like illnesses have been reported.
Health officials are attributing as many as seven West Virginia deaths to the swine flu.
