Flu-linked brain disease rises in U.S. kids amid low vaccination rates

109 cases of flu-linked brain disease in U.S. kids last season, with only 16% vaccinated.

Why it matters

  • Influenza-associated encephalopathy (IAE) is a severe complication of flu in children.
  • High death rates and ICU admissions highlight the severity of IAE.
  • Low vaccination rates among affected children underscore the importance of flu shots.

By the numbers

  • 109 IAE cases identified in 2024–25.
  • 55% of cases were in previously healthy kids.
  • 74% of IAE cases required ICU admission.
  • 19% of IAE cases resulted in death.
  • 41% of ANE cases resulted in death.

The big picture

  • The 2024–25 flu season was severe, with record pediatric deaths.
  • IAE and ANE are serious complications of influenza, affecting even healthy children.
  • Annual flu vaccination is recommended for all children aged ≥6 months to prevent such complications.

What they're saying

  • Personal anecdotes emphasize the importance of flu shots.
  • Experts highlight the high death rates and low vaccination rates among affected children.

Caveats

  • The study relies on convenience sampling and may not represent all U.S. IAE cases.
  • Discharge diagnoses may underrepresent the true incidence of IAE.
  • Data was collected from electronic health records and may not include complete clinical courses.

What’s next

  • CDC is integrating surveillance for IAE and ANE into existing systems for the 2025–26 flu season.
  • Increased awareness and vaccination efforts are needed to prevent severe flu complications in children.