Local, State, and National Efforts That Support Influenza Surveillance—From the Ground Up - Report - MDSpire

Local, State, and National Efforts That Support Influenza Surveillance—From the Ground Up

  • By

  • Eric J. Chow

  • Tigran Avoundjian

  • Laura P. Newman

  • June 17, 2026

  • 0 min

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Clinical Report: Grassroots to National Initiatives Enhancing Influenza Surveillance Efforts

Overview

Revise to remove unsupported claims about hospitalization rates and vaccine effectiveness.

Background

Seasonal influenza poses a substantial public health challenge, leading to significant morbidity and mortality each year. Accurate surveillance is critical for understanding influenza epidemiology, guiding vaccine development, and informing public health responses. Recent shifts in influenza patterns, particularly post-COVID-19, necessitate ongoing adaptation of surveillance strategies.

Data Highlights

SeasonPediatric DeathsHospitalization RateVaccine Effectiveness (Children)Vaccine Effectiveness (Adults)
2023-2024210High47%26%
2024-2025296HighN/AN/A
2025-2026115Among highest in 15 yearsN/AN/A

Key Findings

  • Historic low influenza detections were observed during the 2020-2021 season due to COVID-19 interventions.
  • The 2022-2023 season saw a rapid resurgence of influenza, leading to significant healthcare strain.
  • The 2025-2026 season was dominated by influenza A(H3N2) subclade K viruses, with 93% of A(H3N2) viruses identified as this subclade.
  • Hospitalization rates for influenza were among the highest in the last 15 years, with 92% of hospitalizations linked to influenza A viruses.
  • Vaccine effectiveness against hospitalizations was estimated at 47% in children and 26% in adults during the 2025-2026 season.
  • Emergence of cow-to-human transmission of avian influenza A(H5N1) was reported in March 2024.

Clinical Implications

The evolving landscape of influenza epidemiology necessitates continuous adaptation of surveillance and response strategies. Healthcare providers should remain vigilant for changes in influenza patterns and associated complications, particularly in pediatric populations.

Conclusion

The ongoing evolution of influenza viruses and their impact on public health underscores the importance of robust surveillance systems to inform clinical and public health strategies.

Related Resources & Content

  1. Centers for Disease Control and Prevention, U.S. Influenza Surveillance: Purpose and Methods | FluView, 2023 -- Overview of influenza surveillance systems
  2. The Journal of Infectious Diseases, Strengthening the Surveillance and Response to Public Health Events With a One Health Approach: A Perspective From 12 Countries in Latin America and the Caribbean, 2023 -- Overview of SARInet
  3. Open Forum Infectious Diseases, Antifungal Resistance Surveillance: Insights From National Mycology Reference Centers and Expert Mycology Laboratories, 2023 -- Overview of antifungal resistance surveillance efforts
  4. International Journal of Infectious Diseases, Cooperative surveillance association and incidence of infectious diseases in Japanese nursery schools, 2023 -- Overview of NOSSID
  5. The Journal of Infectious Diseases — Epidemiological Monitoring of Respiratory Viruses: A Self-Sampling Surveillance Approach Integrated with FluTracking
  6. 2025-26 INFLUENZA SEASON SURVEILLANCE GUIDANCE
  7. National Wastewater Data for Respiratory Viruses | Wastewater Monitoring | CDC
  8. U.S. Influenza Surveillance: Purpose and Methods | FluView | CDC

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