Ask the Experts: Influenza: Disease Issues

Results (4)

From 2010–11 through 2023–24, CDC estimates the annual influenza-related burden of 9–41 million illnesses, 4.3–18 million medical visits, 120,000–710,000 hospitalizations, and 6,300–52,000 deaths. The 2024–25 season was particularly severe. Preliminary estimates for the 2024–25 season include 47–82 million illnesses, 21–37 million outpatient visits, 610,000–1,300,000 hospitalizations, and 27,000–130,000 deaths. While an average of 129 pediatric deaths were reported during the years 2010–24, 275 influenza-related deaths were reported in 2024–25 (see www.cdc.gov/flu-burden/php/data-vis/index.html).

Rates of infection from seasonal influenza are highest among children, but the risks for complications, hospitalizations, and deaths are highest among adults age 65 years and older. CDC’s estimates of hospitalizations and deaths associated with influenza during the 2023–24 season showed that adults age 65 years and older accounted for only 8% of medical visits for influenza but 68% of deaths and 50% of hospitalizations. Adults in the 15-year age span from 50 through 64 years accounted for 20% of influenza-related hospitalizations and 20% of influenza-related deaths. (www.cdc.gov/flu-burden/php/data-vis/2023-2024.html).

Annual seasonal vaccination is the best way to reduce the serious burden of hospitalizations and deaths from influenza in the United States. Most people understand that the burden is highest among the oldest people, and 2024–25 vaccination rates in this age group were estimated at 70% by the end of April 2025. However, 2024–25 vaccination rates dropped off dramatically to just 48% among adults 50 through 64, despite this age group accounting for 20% of hospitalizations and deaths. (https://gis.cdc.gov/grasp/FluView/FluHospRates.html)

Last reviewed: September 3, 2025

While even healthy children and adults get severe influenza or die from influenza and its complications, the risk of severe influenza is higher for children younger than 5 years, adults 50 years and older, pregnant people, Alaska Natives and American Indians, and residents of nursing homes or other long-term care facilities. Medical conditions that increase a person’s risk of severe influenza include chronic pulmonary (including asthma), cardiovascular (excluding isolated hypertension), renal, hepatic, neurologic, hematologic, or metabolic disorders (including diabetes mellitus); immunocompromising conditions due to any cause (including, but not limited to, immune suppression caused by medications or HIV); extreme obesity (body mass index of 40 or greater for adults); and the chronic use of aspirin- or salicylate-containing medications in children through age 18 (due to the risk of Reye syndrome after influenza infection).

More information about risk factors for severe influenza infection can be found at: www.cdc.gov/flu/highrisk/index.htm.

Last reviewed: September 3, 2025

The timing and severity of influenza seasons are always unpredictable. Although influenza viruses circulated at very low levels while measures to prevent the spread of COVID-19 were widely adopted during the pandemic, the circulation of influenza viruses has returned to pre-pandemic patterns. Current information on influenza virus circulation can be found at www.cdc.gov/fluview/.

Last reviewed: September 3, 2025

Information regarding influenza surveillance is available year-round from CDC. For an overview and link to CDC’s influenza surveillance systems, visit www.cdc.gov/fluview/. CDC publishes updated information weekly. In addition, periodic updates about influenza are published in MMWR. CDC also publishes respiratory virus surveillance information that integrates influenza, COVID-19 and RSV at www.cdc.gov/respiratory-viruses/data/index.html.

State and local health departments should be consulted regarding local access to public health influenza vaccination programs and information about state or local influenza activity. Contact state or local health officials to report influenza outbreaks and for guidance in outbreak response.

Last reviewed: September 3, 2025

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