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New H3N2 Subclade Drives Early Flu Wave Overseas as U.S. Activity Starts to Climb

Officials urge vaccination despite a possible strain mismatch.

Overview

  • The World Health Organization says H3N2 subclade K is rapidly spreading and predominating in parts of the Northern Hemisphere, with early hospitalizations reported in the U.K. and Canada.
  • The CDC reports U.S. influenza activity remains low but is increasing, with most detected viruses in the H3N2 A category and higher recent positivity and emergency visits among children.
  • Experts caution the season’s H3N2 vaccine may not match subclade K well, yet preliminary U.K. data suggest the shot reduces hospitalizations by up to about 75% in children and up to about 40% in adults.
  • The CDC’s Nov. 17 update recommends vaccination for everyone 6 months and older, noting the flu shot helps reduce the severity of illness even when the match is imperfect.
  • U.S. flu vaccinations are lagging last year by roughly 2 million doses through October, and experts note limited domestic genomic data on subclade K circulation following recent government and staffing disruptions.