NASHVILLE (AP) — Nineteen people in Middle Tennessee have died from complications from the flu — a death toll that now surpasses the number of lives lost in the region during the 2009-2010 flu pandemic.Vanderbilt University, which tracks an eight-county area, says that most of the deaths are among people between the ages of 41 and 64. This year’s prominent flu strain, H1N1, generally hits people in the prime of their life.Among the latest victims is 46-year-old Patrick Sass of Greenbrier. His son, Chris Sass, told The Tennessean his father died Tuesday at Vanderbilt University Medical Center from complications from H1N1.“He hadn’t had a flu shot, and he wasn’t going to the doctor,” Chris Sass said.