Raleigh, N.C. — The North Carolina Department of Health and Human Services (NCDHHS) is reporting a notable rise in flu activity statewide, along with an increase in flu-related deaths early in the season. Three additional deaths were reported over the past week, bringing the total number of flu-related deaths to nine. This exceeds the number of deaths reported at the same point last season.
Last year, North Carolina recorded 542 flu-related deaths—the highest number reported since statewide tracking began in 2009. No pediatric flu deaths have been reported so far this season.
Health officials say the current increase is driven in part by the spread of influenza A (H3N2) subclade K, now the most commonly reported strain nationwide. While this strain differs from the H3N2 virus included in this year’s vaccine, early data suggests the current flu shot still offers meaningful protection, especially against severe illness.
“Flu is spreading quickly across North Carolina,” said State Epidemiologist Dr. Zack Moore. “The influenza vaccine remains the most important tool to prevent serious illness or death from flu. It’s not too late to protect yourself and your loved ones.”
Flu Rise Coincides With Holiday Travel
The surge comes as many North Carolinians begin holiday gatherings and winter travel. Vaccination remains the strongest defense against severe illness, hospitalization, and death from influenza, COVID-19, and RSV.
Vaccines are especially important for those at higher risk of complications, including:
- Adults ages 65 and older
- Children under 5
- Pregnant women
- Individuals with weakened immune systems
- People with chronic conditions such as asthma, diabetes, heart disease, and obesity
Flu, COVID-19, and RSV vaccines may be administered during the same visit, and are widely available at pharmacies, clinics, health departments, and federally qualified health centers.
New Public Toolkit Released
To support communities during the 2025–2026 respiratory virus season, NCDHHS has released a bilingual Respiratory Illness Communications Toolkit. The toolkit includes fact sheets, posters, videos, and social media resources for schools, employers, health departments, and community groups.
Early Treatment Matters
Health officials urge early testing and treatment for anyone who begins experiencing symptoms. Antiviral medications are most effective when started shortly after illness begins, particularly for those at higher risk for complications.
Preventive Measures
NCDHHS recommends the following steps to reduce the spread of respiratory viruses:
- Wash hands frequently with soap and water
- Avoid touching your eyes, nose, and mouth
- Disinfect commonly touched surfaces
- Cover coughs and sneezes
- Stay home when sick and limit exposure to others
- Wear a mask around others if ill, and use separate household spaces when possible
North Carolinians can find information on vaccines, testing, and treatment at MySpot.nc.gov. Weekly updates on flu, COVID-19, and RSV trends are available on the North Carolina Respiratory Virus Summary Dashboard.
