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Early influenza virus characterisation and vaccine effectiveness in England in autumn 2025, a period dominated by influenza A(H3N2) subclade K
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Freja CM Kirsebom1
,
Catherine Thompson2
,
Tiina Talts2
,
Beatrix Kele2
,
Heather J Whitaker3
,
Nick Andrews1
,
Nurin Abdul Aziz1
,
Christopher Rawlinson1
,
Rebecca E Green1
,
Catherine Quinot1
,
Nicholas Gardner1
,
Elizabeth Waller1
,
Alex Allen1
,
Conall H Watson1,4
,
Suzanna LR McDonald1
,
Maria Zambon2
,
Richard Pebody4,5
,
Mary Ramsay6,7
,
Katja Hoschler2
,
Anika Singanayagam2,4,*
,
Jamie Lopez Bernal1,4,*
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View Affiliations Hide AffiliationsAffiliations: 1 Immunisation and Vaccine-preventable Diseases Division, UK Health Security Agency, Colindale, London, United Kingdom 2 Respiratory Virus Unit (RVU), UK Health Security Agency, Colindale, London, United Kingdom 3 Modelling Division, UK Health Security Agency, Colindale, London, United Kingdom 4 NIHR Health Protection Research Unit in Respiratory Infections, Imperial College London, United Kingdom 5 Epidemic & Emerging Infections Directorate, UK Health Security Agency, Colindale, London, United Kingdom 6 Public Health Programmes Directorate, UK Health Security Agency, Colindale, London, United Kingdom 7 NIHR Health Protection Research Unit in Immunisations, London School of Hygiene and Tropical Medicine, United Kingdom * These authors contributed equally to this work and share last authorship.Correspondence:Freja KirsebomFreja.Kirsebom ukhsa.gov.uk
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View Citation Hide Citation
Citation style for this article: Kirsebom Freja CM, Thompson Catherine, Talts Tiina, Kele Beatrix, Whitaker Heather J, Andrews Nick, Abdul Aziz Nurin, Rawlinson Christopher, Green Rebecca E, Quinot Catherine, Gardner Nicholas, Waller Elizabeth, Allen Alex, Watson Conall H, McDonald Suzanna LR, Zambon Maria, Pebody Richard, Ramsay Mary, Hoschler Katja, Singanayagam Anika, Lopez Bernal Jamie. Early influenza virus characterisation and vaccine effectiveness in England in autumn 2025, a period dominated by influenza A(H3N2) subclade K. Euro Surveill. 2025;30(46):pii=2500854. https://doi.org/10.2807/1560-7917.ES.2025.30.46.2500854 Received: 11 Nov 2025; Accepted: 20 Nov 2025
Abstract
Influenza A(H3N2) subclade K (J.2.4.1) has dominated the 2025/26 season start in England. Post-infection ferret antisera raised against northern hemisphere 2025/26 vaccine strains showed reduced reactivity to subclade K viruses in England, aligning with World Health Organization reports. Nevertheless, early post-vaccination, vaccine effectiveness against influenza-related emergency department attendances and hospital admissions remained within typical ranges, at 72–75% in children and adolescents (< 18 years) and 32–39% in adults. Hence, vaccination remains effective against clinical disease caused by influenza A(H3N2) viruses.
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