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CDC Tallies 109 Pediatric Flu-Linked Encephalopathy Cases and 280 Deaths in 2024–25

Experts say low uptake left children vulnerable.

Overview

  • New CDC data from clinicians and health departments identify 109 pediatric influenza-associated encephalopathy cases last season, about one-third classified as acute necrotizing encephalopathy.
  • Clinical severity was high: 74% required ICU care, 54% needed ventilation, and 19% died, with 55% previously healthy.
  • Pediatric mortality reached 280 flu deaths, the highest in any non-H1N1 season since 2004.
  • Vaccination gaps were stark, with 84% of IAE patients with known status and 90% of the children who died not vaccinated, while overall coverage fell to 49.2%.
  • Because ANE/IAE are not routinely tracked, clinicians called for formal surveillance after January reports of fatal cases, noting the apparent surge cannot yet be quantified.