It's been just over a month since H1N1 vaccines arrived in Siouxland, but some people still refuse to get it, but everyone has their own reasons as to why they choose not to.

At an H1N1 vaccine clinic held at the University of South Dakota today (Monday), students were given the chance to get vaccinated from a form of the flu that is sweeping across the country.

But for some, everything they hear on the news about the illness isn't getting them to roll up their sleeves any faster.

The first American cases of H1N1 were confirmed back in April of this year, since then infection has been widespread.

Once vaccinations were finally made available to the public– six months after the pandemic hit– they were limited.

As more vaccines arrive everyday, more public clinics are being held– but are they proving to be successful?

"Over the last three to four weeks we've had a significant decrease. About a month and a half prior is when the spike happened at our clinic and for two or three weeks there was a dramatic increase in numbers. But three to four weeks we've noticed a lessening, especially over the last two weeks." Says David Grote, P.A. at Mercy Medical Urgent Care.

Doctor's say it's too early to tell if the H1N1 vaccine is the exact cause of the decrease.

But going from seeing nearly 90 people a day with flu like symptoms– to 40– is telling them, the vaccine must be doing its job.

"If it's available, I recommend it to everybody. Especially if you have any other medical illness or are in the high risk population."

It was made available to students at USD where a clinic was held, for the top two priority groups.

Yet some students, facts aside, declined to take part. But why?

"No reason really, I just, I guess I've never gotten the flu or gotten sick so it's just not that big of a deal for me." Says USD Junior, Allison Mogen.

USD Freshman Nina Larson adds, "I've just never gotten the seasonal flu shot. It just really hasn't been a great priority. I'm not worried about getting H1N1."

Doctors say now is the perfect time to get vaccinated from H1N1, another spike in cases is expected to hit in January.