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Keeping up to date: Things to know in practice for 25/26:
EVERYTHING YOU NEED TO KNOW ABOUT DELIVERING THE CURRENT INFLUENZA SEASON: Definitely have a browse here – you will find everything you need regarding the latest information on flu including slide sets, posters, training modules, and administration videos
1st July: Live attenuated influenza vaccine: patient group direction (PGD) template updated
18th July: Some programme resources updated: Added pages: ‘Flu vaccination: letter template for at risk patients and carers’, ‘When you should get your flu vaccination’, ‘Flu vaccines for children and young people for 2025 to 2026’, ‘Flu vaccination: simple text information for adults and children’.
29th May: One or two additions to the annual flu programme resources - take a look. Also - an update to the Green Book chapter: Updated information on co-administration, seasonal timing of vaccination, vaccine terminology (to future proof wording on quadrivalent and trivalent vaccines), disease surveillance, vaccine uptake, risk groups and occupational health section. Also, the UK Influenza annual epidemiological reports are in.
22nd May: UKHSA data released today shows the flu vaccine prevented 96,000 to 120,200 hospitalisations in England during last winter. Lot of uptake data trickling through too today- see the school vaccine uptake here, the frontline HCP data here, and the GP patients data here. On the whole, it seems pretty disappointing with most risk groups and eligible people down on last years uptake stats. Pregnant women seem to have done slightly better for uptake though on last year.
21st May: Updated: Flu vaccination guidance and resources for schools.
20th May: Updated today- flu vaccination: letter template for children aged 2 and 3 years. GP practices can use this template to invite parents and guardians to get their child vaccinated at the local surgery.
27th March: 38.1% of frontline healthcare workers have been vaccinated for influenza- GP surgeries seem to be doing the best for healthcare worker uptake according to the charts. In the other eligible flu cohorts, up to Feb 2025, The over 65's are on top at 74.9% uptake. The clinical risk groups from 6m to 65y are at 40%, pregnant women are at 35%, and 2 and 3 year olds are hovering around 40% uptake.
"The World Health Organization (WHO) has concluded that B/Yamagata lineages are no longer circulating and are unlikely to cause future epidemics, and that inclusion of a B/Yamagata antigen as a component of influenza vaccines is no longer warranted. WHO has stated that every effort should be made to exclude this as soon as possible, across all vaccine types. To this end, manufacturers have been preparing to move to trivalent formulations"
Videos: administering nasal flu also this one
Leaflets and posters to support flu vaccination for children (with translated resources too!)
Things to know in practice for 26/27:
Reminders:
No need to expel the air bubble in pre-filled syringes
Don't forget travellers!
Store at 2–8°C; IM injection or nasal spray
Keep an eye on dual clinics with COVID boosters—often offered together. And look out for any info on combined flu and covid vaccines!
Children in clinical risk groups who have never received a vaccine for flu before should be offered two doses 1 month apart.
Have YOU checked your own vaccine status as a HCP?
Want to geek out? Go deeper here:
June 2025: Travel healthers take note! Knowledge, attitudes, practices and vaccine acceptance towards seasonal influenza vaccination among international travelers: a cross-sectional survey in Thailand. Conclusions here if you haven't got time to read: International travellers know about flu but don't know about prevention options like vaccinations. Low vaccine acceptance rates were observed among international travellers. Travel consultations should focus on influenza awareness while traveling and associated preventative measures.
7th May 2025: I was wondering what the latest was on the combined flu and COVID vaccine, and then Fray very kindly sent me this: Moderna's combo Covid and flu mRNA shot outperforms current vaccines in large trial
8th May 2025: In the guardian today was this sad CDC info: Child deaths from flu in the US are at their highest level in 15 years with at least 216 children dying during this past season
22nd April 2025: Universal nasal flu vaccine? This was an intriguing news snippet from CIDRAP: New agreement geared toward universal avian flu vaccine.
3rd April 2025: Will We See a Bird Flu Vaccine Next Year? And another relevant article: Everything You Need to Know About Bird Flu
24th March 2025: Sheep flu!!! First case of bird flu in sheep found on UK farm
25th Feb 2025: BMJ news: Robert F Kennedy cancels flu vaccination ad campaign and key vaccine policy meeting. And at the same time, this headline: Bird flu: Two patients in US admitted to hospital with H5N1 as concerns over spread grow
(The UK has purchased 5 million bird flu vaccines, just FYI)
12th Nov 2024: Teenager in critical condition with Canada’s first human case of bird flu
16th October 2024: Brilliant article: Is it time to freak out about bird flu?
JUNE 2024 Adolescent vaccination programme in secondary schools for 2024 to 2025. Information on the adolescent vaccination programme delivered in secondary schools and the role that schools play.
Interesting Telegraph article April 2024 - avian flu - one to watch. Bird flu (or H5N1) could evolve to become a pandemic flu strain one of two ways. One, by gradually acquiring mutations that give it the ability to easily infect and spread among people, or two, by swapping genetic material with other flu viruses, such as H3N2 or H1N1, the influenza A viruses that circulate and cause illness during the flu season. That gene swapping (a process called reassortment) can occur when an animal or a person is infected at the same time with two or more flu A viruses.
Handy short video from WHO on Zoonotic flu, and a free webinar recording on flu uptake delivered by my lovely mate and fellow vaccination enthusiast, Laura
Find uptake data here: Seasonal influenza vaccine uptake in children of school age: monthly data, 2024 to 2025 and Seasonal influenza and COVID-19 vaccine uptake in frontline healthcare workers: monthly data 2024 to 2025
Improving influenza vaccine uptake in clinical risk groups: patient, provider and commissioner perspectives on the acceptability and feasibility of expanding delivery pathways in England

What is Influenza anyway?
Influenza—aka “flu”—is a contagious virus that comes around every year, just like bad Christmas telly. It mutates fast, spreads faster, and comes in seasonal waves. It’s not just a heavy cold—it can floor the fittest of us and cause serious complications, especially in vulnerable groups.
What happens If you catch it?
Think fever, chills, muscle aches, sore throat, cough, and “hit by a bus” fatigue. For most, it’s a week or two of misery. But for some—especially the very young, the elderly, or those with underlying health conditions—it can lead to pneumonia, hospitalisation, or worse.
How does It Spread?
It’s airborne—spread through coughs, sneezes, and shared air in crowded places (yes, public transport counts). You can also pick it up from surfaces if you touch your face before washing your hands. The virus can live for around 24 hours on surfaces. Most UK cases of flu occur between December and February.
Does getting flu make you Immune?
Not for long. Flu mutates regularly, so immunity to one strain doesn’t mean you’re protected against the next. That’s why the vaccine changes yearly and why an annual jab is essential for those at risk.
Can it be treated?
Antivirals like oseltamivir can help—but only if taken early (within 48 hours). Mostly, it’s about managing symptoms, staying hydrated, and letting it run its course. For high-risk individuals, early treatment is more important.
Who’s most at risk?
Infants under 6 months (especially before they can be vaccinated - hence the maternal vaccination program), pregnant people, adults over 65, healthcare workers and carers of young babies, and adolescents, people with long-term conditions (e.g. asthma, diabetes) and immunocompromised individuals.
Top reasons to encourage vaccination:
Prevents infant hospitalisation and death
Part of UK adult, maternal, and childhood schedule
Required in many healthcare roles. Protect yourself and your patients. Plus, prevent time off work (or worse, working while unwell)
Influenza leads to hundreds of thousands of GP visits and more than ten thousand hospital stays each year.
Flu epidemics can kill thousands or even millions of people. The 1918 flu epidemic is estimated to have affected half the world's population. 40-50 million people died worldwide. It could literally save a life
In the UK it is estimated that an average of 600 people a year die from complications of flu. In some years it is estimated that this can rise to over 10,000 deaths. The WHO estimates that between 250,000 and 500,000 people around the world die from the flu every year.
Protect the community. Around 1 in 3 people infected by the flu virus will not show any symptoms