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U.S. Braces for Tougher Flu Season as Drifted H3N2 Variant Spreads

Preliminary U.K. results show the shots cut hospitalizations despite a drifted H3N2 variant.

Overview

  • Health agencies report a genetically drifted H3N2 subclade (known as subclade K) driving earlier, heavier outbreaks in the U.K., Canada and Japan, with WHO noting it now predominates in parts of the Northern Hemisphere.
  • U.S. flu activity remains relatively low but is rising, especially in children, and H3N2 is the leading strain, though limited surveillance leaves the domestic footprint of subclade K uncertain.
  • U.K. preliminary effectiveness estimates indicate vaccines reduce hospitalizations by roughly 70%–75% in children and about 30%–40% in adults this season.
  • The current vaccine targets nearby H3N2 groups rather than subclade K, which could lower protection against infection even as it still helps prevent severe outcomes.
  • Flu shot uptake is trailing last year by about 2 million doses at retail pharmacies (26.5 million Aug–Oct), and hospitals are preparing for added pressure from overlapping respiratory threats, including ongoing measles and COVID-19.