H3N2 'Super Flu' Drives Record Severity in US and UK Flu Seasons

Following initial alerts across Europe and the US, the Influenza A H3N2 subclade K variant—dubbed 'super flu'—has escalated into one of the most severe early outbreaks in the US and UK. The 2024-25 season marks the worst in the US since 2017-18 and earliest in the UK since 2003-04, with vaccines showing reduced effectiveness against this strain.

The H3N2 subclade K outbreak, previously noted for triggering hospitalizations in Europe, the US, and surveillance in Latin America, has intensified this fall. The US CDC reports the 2024-25 flu season as the most severe since 2017-18, with widespread virus circulation overwhelming health resources.

In the UK, arrivals are the earliest since 2003-04, surprising officials. This 'super flu' strain's rapid spread and vaccine resistance—due to antigenic drift—heighten risks for vulnerable groups.

Health authorities in both nations urge vaccination, hygiene, and early treatment despite challenges. Rising hospitalizations underscore the virus's evolution, complicating preparedness. Ongoing monitoring by CDC, UK bodies, and WHO will track further developments amid global peaks.

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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.

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 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 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.

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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Measles infections in the United States hit their highest level in over three decades last year, with 2,242 confirmed cases. A surging outbreak in South Carolina, which has infected more than 600 people since October, threatens to surpass a major incident in West Texas. This development signals another challenging year for public health ahead.

 

 

 

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