WHO Formalizes Alert on H3N2 Subclade K Ahead of 2026 Flu Season

Building on recent surges in Europe and the US, the World Health Organization has issued a formal alert for the 2025-2026 flu season due to the rapid global spread of influenza A(H3N2) subclade K (J.2.4.1) since August 2025. While not more severe, its advance prompts preparations in the Northern Hemisphere and anticipation in the Southern Hemisphere, including Brazil.

The WHO's alert highlights subclade K's genetic changes enhancing transmissibility, now prominent in global sequencing and driving early flu activity in Europe. Global flu remains within norms, but some regions face intensified early surges straining health systems.

In the Southern Hemisphere, the variant is absent so far, but experts warn of imminent arrival via holiday travel. "We can only imagine that this subclade will reach the country... the chance of this clade entering Brazil and spreading rapidly is very high," says Rosana Richtmann, head of infectology at Grupo Santa Joana.

Through the Global Influenza Surveillance and Response System (GISRS), involving over 130 countries, WHO data confirms vaccine effectiveness at 70-75% against child hospitalizations (ages 2-17) and 30-40% in adults, despite drifts.

Annual vaccination, hygiene, and antivirals remain key, especially with Brazil's low 2025 coverage signaling urgency for 2026 campaigns. No travel bans advised.

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Super flu cases detected in Central and West Java

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Central Java's Health Department detected one case of super flu, or influenza A H3N2 subclade K, in Semarang at the end of December 2025. Meanwhile, Hasan Sadikin Hospital in Bandung confirmed 10 cases in West Java from August to November 2025, with one patient dying due to comorbidities. Health officials stress that this is not a new virus and the situation is under control.

A mutation of the influenza A virus, known as the H3N2 K subclade, has led to increased hospitalizations in Europe and the United States, though no more severe cases are reported. In Latin America, including Mexico, preventive surveillance is in place without this variant predominating. Authorities recommend vaccination for vulnerable groups amid the risk of spread.

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Building on international alerts, Colombia's Ministry of Health confirmed the first case of influenza A(H3N2) subclade K in a traveler with mild symptoms. Officials are monitoring this seasonal variant, with pediatric experts urging enhanced prevention amid peak transmission risks for children.

The United States managed to curb a bird flu outbreak in 2025 after its first known human death from the virus, ending the public health emergency response by July. Despite progress, experts warn that the H5N1 strain remains a threat to animals and could still pose risks to humans. Efforts focused on testing, vaccination research, and biosecurity measures helped reduce cases in livestock and people.

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Hong Kong health authorities are urging residents to get the latest seasonal influenza vaccine as the city braces for a potential winter flu wave, with temperatures dropping to the season's lowest. The Centre for Health Protection's appeal coincides with concerns from an infectious disease specialist about low vaccination rates in the community. Recent data indicates the summer flu season is winding down.

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