US flu season is underway, as cases surge in some areas and vaccinations
lag
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[December 21, 2024]
By MIKE STOBBE
NEW YORK (AP) — The U.S. flu season is underway, with cases surging
across much of the country, health officials said Friday.
The Centers for Disease Control and Prevention noted sharp increases in
several measures, including lab tests and emergency room visits.
“It's been increasing at a pretty steady pace now for the past several
weeks. So yeah, we are certainly in flu season now,” said the CDC's
Alicia Budd.
Thirteen states reported high or very high levels of flu-like illness
last week, about double from the week before. One is Tennessee, where a
sickness spike is hitting the Nashville area, said Dr. William Schaffner,
an infectious diseases expert at Vanderbilt University.
“Flu has been increasing, but just this last week has exploded,”
Schaffner said. He noted that in a local clinic that serves as an
indicator of illness trends, as many as a quarter of the patients have
flu symptoms.
Louisiana is another early hot spot.
“Just this week is really that turning point where people are out
because of the flu," said Dr. Catherine O’Neal, an infectious diseases
doctor at the largest private hospital in the state, Our Lady of the
Lake Regional Medical Center in Baton Rouge. "You hear parents saying,
‘I can’t come to work because of the flu’ and ‘Where can I get a flu
test?’”
Of course, there are a number of bugs that cause fever, cough, sore
throat and other flu-like symptoms. One is COVID-19. Another is RSV, or
respiratory syncytial virus, which is a common cause of cold-like
symptoms but can be dangerous for infants and the elderly.
The most recent CDC data show COVID-19 hospitalizations have been
declining since summer. COVID-19 activity is moderate nationally, but
high in the Midwest, according to CDC wastewater data.
RSV hospitalizations started rising before flu did and now show signs of
possibly leveling off, but they remain a little more common than
admissions for flu. Overall, RSV activity is low nationally, but high in
the South, the wastewater data show.
The CDC called the start of flu season based on several indicators,
include lab results for patients in hospitals and doctor's offices, and
the percentage of emergency department visits that had a discharge
diagnosis of flu.
No flu strain seems to be dominant, and it's too early in the season to
know how good a match the flu vaccine will be, Budd said.
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A sign for flu vaccination is displayed outside of a grocery store
in Glenview, Ill., Thursday, Feb. 15, 2024. (AP Photo/Nam Y. Huh,
File)
Last winter's flu season was
considered “moderate” overall, but it was long — 21 weeks — and the
CDC estimated there were 28,000 flu-related deaths. It was unusually
dangerous for children, with 205 pediatric deaths reported. That was
the highest number ever reported for a conventional flu season.
The long season was likely a factor, Budd said. Another factor was a
lack of flu vaccinations. Among the children who died who were old
enough for flu vaccinations — and for whom their vaccination status
was known — 80% were not fully vaccinated, according to the CDC.
Vaccination rates for children are even lower this year. As of Dec.
7, about 41% of adults had received a flu vaccination, similar to
the rate at the same point last year. The percentage is the same for
kids, but for them that’s a drop from a year ago, when 44% were
vaccinated against the flu, according to CDC data.
Vaccination rates are lower still against COVID-19, with about 21%
of adults and 11% of children up to date.
Flu experts suggest everyone get vaccinated, especially as people
prepare to attend holiday gatherings where respiratory viruses can
spread widely.
“All those gatherings that are so heartwarming and fun and joyous
are also an opportunity for this virus to spread person to person,”
Schaffner said. “It's not too late to get vaccinated.”
Even so, Louisiana’s health department said in a statement Friday
that it was actually backing away from recommending flu and COVID-19
vaccinations. An official wrote that the department’s latest
position is that people should talk to their doctors about whether
the shots make sense for them.
A department spokeswoman, Emma Herrock, did not respond to follow-up
questions about the policy. The state’s surgeon general, Dr. Ralph
Abraham, previously expressed concerns about the safety and
effectiveness of the COVID-19 vaccine.
Vaccines save lives and policies that dissuade people from getting
protected are irresponsibly dangerous, public health experts and
advocates say.
“People are going to die because of this policy,” said Jennifer
Herricks, founder of a group called Louisiana Families for Vaccines.
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Associated Press data journalist Nicky Forster contributed.
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