That’s ten people a state. Is that really an outbreak?
How many have to sicken or die for you to call it an outbreak, huh?
I'd say, yes. I have had the symptoms, my wife has had them, and many people we know have had them. The ones likely going to the doctors are the ones hid hard by them, which is little ones and the elderly.
Most I know just stay home, take the medicine, and wait it out. We don't go to the hospital unless it gets real bad (dehydration, etc...).