Brazil Confirms First Flu K Case in Pará as Variant Spreads South

Brazil's Health Ministry confirmed the country's first case of Flu K, the H3N2 influenza A variant driving global alerts, in Pará state. This detection follows rising seasonal H3N2 circulation locally and comes amid the variant's dominance in the northern hemisphere.

In its December 12 flu surveillance report, Brazil's Health Ministry identified the first case of the influenza A (H3N2) K subclade—known as Flu K—in samples from Pará. Local seasonal H3N2 circulation was already increasing prior to this confirmation.

As covered in prior updates on the variant's global rise, the WHO alerted in October to increased circulation of this subclade (J.2.4.1) in North America, Europe, and Asia, coinciding with northern winter. The Pan American Health Organization (PAHO) warns it could advance the 2026 flu season in the southern hemisphere, where Brazil's peak typically hits June-August.

No evidence suggests greater severity than other H3N2 strains, though such seasons have historically caused more complications in the elderly. Symptoms mirror common flu: high fever (>38°C), chills, headache, muscle/joint pain, fatigue, dry cough, sore throat, runny/stuffy nose, malaise. Children may experience high fever, swollen lymph nodes, bronchitis, or GI issues; elderly often have milder, less symptomatic fever.

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Realistic illustration of Indonesian doctors treating super flu patients in a Bandung hospital, with Java map highlighting affected areas, conveying controlled outbreak.
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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.

Following initial alerts in Europe and the US, the H3N2 influenza 'subclade K' variant is now advancing in Chile, Peru, and Colombia, prompting Argentina to analyze local samples amid concerns of higher infection and hospitalization risks.

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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.

South Korea has confirmed two additional cases of highly pathogenic avian influenza at poultry farms, raising the total for this season to 24. The latest outbreak was detected at a chicken farm in Yeongam county, 380 kilometers south of Seoul, prompting authorities to cull animals and impose movement restrictions.

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Influenza has truly arrived in Sweden. In the first week of the year, 2,131 cases were confirmed, a 22 percent increase from the end of the previous week. The spread is assessed as medium-high level, according to the Public Health Agency.

China's National Disease Control and Prevention Administration confirmed on Tuesday that no Nipah virus cases have been detected in the country, but following the recent outbreak in India's West Bengal, it conducted a risk assessment deeming the immediate impact low. The nation has built a robust defense system over years, including specialized guidelines since 2021.

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The Department of Agriculture of the Generalitat has reported a second case of avian flu detected in a poultry farm in Lleida province, just three kilometers from the farm where the initial outbreak began in the Urgell county. The affected farm, with about 9,000 hens, was within the previously established surveillance radius.

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