State figures show Sacramento County with an unusually high flu death rate -- about two per 100,000 under the age of 65.
That's more than double the rate statewide.
The state figures show the Central Valley also has a higher-than-normal flu death rate this year.
Povery-striken, densely packed neighborhoods in the Sacramento region were hit hardest by this year's flu, according to a newspaper analysis.
California is reporting almost twice the number of flu-related deaths as last year.
The County Department of Health and Human Services says the most recent victim was a 53-year-old man who died at home.
California health officials are reporting the rate of illness from influenza is higher than normal for this time of year, with a more dangerous form of the virus leading the way.