Several Southern California hospitals have begun using overflow tents outside emergency rooms to cope with a rising number of patients with flu and other respiratory illnesses.

The San Diego-Union Tribune reported Friday that overflow tents were put up at Scripps Memorial Hospital in Encinitas, Jacobs Medical Center at UC San Diego Health in La Jolla and Sharp Grossmont Hospital in La Mesa to handle an increase in respiratory illness.

Scripps hospitals and doctor's offices reported 1,695 positive flu tests since Sept. 1, up from 471 during the same time period one year ago. 

Flu shot

A patient receives a dose of vaccine during a vaccination campaign against the flu. (Nicolas Maeterlinck/Belga/AFP via Getty Images)

The move comes amid a rise in flu symptoms in emergency room patients in San Diego County. About 9% of these patients had flu symptoms last week, up from 7% two weeks ago, according to a county report. 

The San Diego-Union Tribune also flagged an increase in patients with COVID-19 symptoms, though not as quickly, according to the county’s weekly respiratory illness report.

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"The fear is that everything is just sort of bouncing off everything else and once you’ve been through the flu you could still get hit by COVID or whatever other virus you’re going to get," said Dr. Ghazala Sharieff, Scripps Health's chief medical officer of acute care operations and clinical excellence.

"I’m hopeful, but we’re still kind of planning that it’s going to be this way through February," Sharieff said.

Flu vaccine administered

A pharmacist administers a free flu shot at a CVS Health Corp. Pharmacy in Miami, Florida, on Sept. 30, 2020. (Marco Bello/Bloomberg via Getty Images)

Generally, the flu hits hardest from late December through February.

The Southern Hemisphere also dealt with an earlier than usual influenza season. Chile's influenza positivity rates reached epidemic thresholds as early as January, several months sooner than usual.

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Health experts said it was not immediately clear whether flu cases would reach an earlier-than-usual peak in California, which typically sees the bulk of cases in December through February, or a prolonged flu season.

Nurses prepare influenza vaccine injections during a flu shot clinic at Dorchester House, a health care clinic, in Boston, Massachusetts January 12, 2013. Influenza has officially reached epidemic proportions in the United States, with 7.3 percent of deaths last week caused by pneumonia and the flu, the U.S. Centers for Disease Control and Prevention said on January 11. REUTERS/Brian Snyder (UNITED STATES - Tags: HEALTH SOCIETY) - RTR3CCV9

Nurses prepare injections during a flu shot clinic at Dorchester House, a health care clinic, in Boston, Massachusetts. (Reuters/Brian Snyder)

Much of the United States is seeing a fast start to the flu season. Earlier this month, the Centers for Disease Control and Prevention said more flu cases are being reported than is typically expected at this time.

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On Friday, the CDC reported that the flu and similar viral illnesses are notably high in Georgia, New York City, South Carolina, Tennessee, Texas and Washington, D.C.

"Early increases in seasonal influenza activity continue nationwide. The southeastern and south-central areas of the country are reporting the highest levels of activity followed by the Mid-Atlantic and the south-central West Coast regions." the CDC said.

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Most of those are influenza A, specifically a strain called H3N2. While any version of the flu can be dangerous in vulnerable populations, this strain has been known to cause more severe illness.

The Associated Press contributed to this report.