The chief nursing officer (CNO) has expressed significant concern as the flu season this year has arrived several weeks earlier than usual, with particularly high rates recorded among children and young people. Data from the UK Health Security Agency (UKHSA) indicates that flu cases have risen significantly, increasing from 6.1% to 8.2% across all age groups within a week, predominantly driven by a sharp increase among school-aged children. This rate is notably higher compared to 2.9% at the same time last year. The CNO, Duncan Burton, emphasised the urgency of vaccination, especially since flu circulation in children typically precedes that in adults, which can lead to a longer and more intense flu season. He urged those eligible to get their flu jab promptly to protect themselves and their families from the virus. Flu hospitalisations have also increased, with recent figures showing 2.19 hospitalisations per 100,000 people, up from 1.74 per 100,000 the previous week, resulting in 247 new hospital admissions.

According to Mr Burton, vaccines remain one of the safest and most effective methods to curb the spread of the virus. So far this season, over 12.2 million flu vaccines have been administered, including more than 6.7 million to people aged 65 and over, 1.8 million to school-aged children, and upwards of 366,000 to two- and three-year-olds. Eligible groups have been able to book appointments since 1 September, facilitating early vaccination before the winter's peak. Health officials are calling on all eligible adults to be vaccinated by the end of November to ensure maximum protection during the winter months.

Dr Alex Allen, a consultant epidemiologist at UKHSA, described the situation as an “unusually early start” to the flu season, with the virus now spreading more widely within the community beyond children. The latest data reveals a flu positivity rate of 30.8% among children aged 5 to 14 years, compared to 20% just a week earlier. This rate among school-aged children is twice as high as the general population average of 5.7% compared to 2.5%. Dr Allen warned that those at greater risk of severe flu illness—including older adults, pregnant women, and people with underlying health conditions—should prioritise vaccination as the best defence against the virus. He also recommended that anyone with flu or Covid symptoms minimise contact with others, practise regular handwashing, and consider wearing face coverings where appropriate.

In response to the rising number of flu cases among children, several vaccination pop-up sites have been established in community locations such as fire stations during school holidays. Furthermore, a new NHS service trial began on 1 October allowing community pharmacies to administer flu vaccines to children aged two and three, aiming to raise vaccination rates in this vulnerable group. However, reports indicate a concerning decline in vaccine coverage overall, particularly among young children and other eligible groups. According to the UKHSA's annual epidemiological report for the 2024–2025 winter season, there has been a decrease in flu vaccine uptake among adults aged 65 and over, individuals with clinical risk factors under 65, and healthcare workers compared to previous seasons. Additionally, vaccination coverage for children aged two and three years remains low, with NHS England Digital figures showing coverage of around 44.4% this season—a slight improvement from last year but still below historic levels and insufficient to curb transmission effectively.

This year also marks the introduction of the chickenpox vaccine into the routine childhood immunisation schedule starting in January, reflecting ongoing efforts to enhance disease prevention in children. The UKHSA continues to encourage families and caregivers to ensure children are up to date with all recommended vaccinations to help reduce the burden of preventable illnesses.

With the flu season underway earlier than anticipated and hospital admissions rising, health officials consistently remind the public of the critical importance of vaccination to reduce severe disease and protect vulnerable populations. As Christmas approaches, time is running short to get vaccinated, making early action vital to mitigate what is expected to be a challenging winter ahead.

📌 Reference Map:

  • Paragraph 1 – [1] Nursing in Practice, [2] Gov.uk UKHSA Winter Surveillance Bulletin
  • Paragraph 2 – [1] Nursing in Practice, [3] Gov.uk UKHSA Flu Vaccination Call
  • Paragraph 3 – [1] Nursing in Practice, [5] Gov.uk UKHSA Flu Data in School Children
  • Paragraph 4 – [1] Nursing in Practice, [6] NHS England Digital Immunisation Stats, [4] Gov.uk UKHSA Epidemiological Report
  • Paragraph 5 – [1] Nursing in Practice, [4] Gov.uk UKHSA Epidemiological Report, [6] NHS England Digital Immunisation Stats, [7] NHS England Digital Immunisation Stats

Source: Noah Wire Services