Flu activity in Massachusetts has surged to high levels this season, with a notable increase in pediatric cases reported by local healthcare facilities. Dr. Jeanne McCoy, chair of pediatrics at UMass Memorial Health–Milford Regional Medical Center, noted that approximately 75 percent of pediatric patients tested positive for influenza during a recent overnight shift. This alarming trend has been echoed by Mass General Brigham for Children, where Dr. Ari Cohen, chief of pediatric emergency medicine, observed that influenza has become the predominant virus leading to emergency room visits for children and teenagers in recent weeks.

According to the Centers for Disease Control and Prevention, flu activity is escalating across the United States, with several states, including New York and Rhode Island, experiencing very high rates of flu-like illnesses. Massachusetts is classified as having a high level of flu activity, with the proportion of emergency room visits resulting in hospitalization due to flu reaching 1.9 percent, more than double the rate from the previous year. Outpatient visits for flu-like symptoms also rose significantly over the last week.

Despite the spike in flu cases, levels of COVID-19 in the state remain low. Dr. Larry Madoff of the Massachusetts Department of Public Health remarked that the rising flu activity aligns with typical patterns for this time of year. He emphasized the importance of monitoring a new subvariant of the flu, known as subclade K, which has caused an earlier-than-expected spike in cases in the UK and other nations. However, sufficient data to confirm its prevalence in Massachusetts is still pending.

Clinicians are observing that children presenting at emergency departments often have high fevers, congestion, and fatigue. While the increase in cases is concerning, it appears to be driven more by the number of children contracting the virus rather than an increase in severity. Dehydration and breathing difficulties remain the most critical symptoms to watch for, particularly in infants and children with pre-existing health conditions.

Vaccination rates are a significant concern, with only about one in three residents having received a flu vaccine this season, a figure that is lower than health experts would prefer. Both Madoff and Cohen highlighted that vaccination can significantly reduce the need for emergency care, stressing that it’s not too late for families to get vaccinated. Madoff pointed out that mixed messages surrounding vaccines may contribute to lower vaccination rates, which could leave many vulnerable during the flu season.

As the situation develops, healthcare professionals are advising families to seek supportive care at home for mild cases while remaining vigilant for signs that require immediate medical attention. This includes ensuring adequate fluid intake to prevent dehydration and knowing when to consult a pediatrician or urgent care provider.

Healthcare providers are encouraging families to remain proactive during this flu season, underscoring the importance of vaccination and the need for careful monitoring of symptoms, all while maintaining awareness without undue alarm. With proper precautions and care, families can navigate this challenging flu season while protecting their children’s health.

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