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Seasonal Influenza Activity, Vaccination Rates, and Pediatric Influenza Mortality, Massachusetts 2024-2025
Catherine M Brown1, Carley Perez Kauffman1, Victoria Carroll1
1Massachusetts Department of Public Health, Boston, MA, USA.
NEJM Evidence
|January 16, 2026
Summary
During the 2024-2025 influenza season, Massachusetts saw high influenza activity and low pediatric vaccination rates. Most pediatric deaths occurred in unvaccinated children, highlighting the need for improved influenza immunization in this age group.
Area of Science:
- Public Health
- Epidemiology
- Infectious Diseases
Background:
- Influenza poses a significant public health threat annually.
- Understanding seasonal trends and vaccination impact is crucial for effective interventions.
- Pediatric mortality during influenza seasons requires targeted surveillance.
Purpose of the Study:
- To analyze influenza activity, vaccination coverage, and pediatric mortality in Massachusetts for the 2024-2025 season.
- To inform public health strategies for the current influenza season.
- To assess the role of vaccination in preventing pediatric influenza deaths.
Main Methods:
- Utilized public health surveillance data from Massachusetts.
- Tracked influenza-like illness (ILI), emergency department visits, and hospitalizations.
- Analyzed vaccination coverage in pediatric patients and older adults, and reviewed pediatric mortality data.
Main Results:
- Influenza activity was elevated, indicated by increased ILI, emergency department visits, and hospitalizations.
- Pediatric vaccination coverage was low, while coverage remained high for individuals aged 65 and older.
- Ten pediatric deaths were reported; 7 had pre-existing conditions, and 8 of the 10 deceased children were unvaccinated.
Conclusions:
- Elevated influenza activity necessitates robust public health responses.
- Low pediatric vaccination coverage is a critical concern.
- Influenza vaccination is likely a key factor in preventing pediatric mortality, especially in vulnerable children.
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