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Abstract

The 2025/26 season was marked by co-circulation of influenza A subtypes, with the first detection of A(H3N2) subclade K in September 2025. In August 2025 in Portugal, 14.8% (95% CI: 12.2–17.8) of 886 persons tested had cross-protective antibodies against this subclade. The overall seroprevalence against circulating A(H1N1)pdm09 strains was 28.1% (95% CI: 24.4–32.0). These data highlight the presence of previous cross-reactive antibodies and the possible advantage of vaccination in the extent of detectable antibodies against influenza viruses.

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/content/10.2807/1560-7917.ES.2026.31.6.2600070
2026-02-12
2026-03-15
/content/10.2807/1560-7917.ES.2026.31.6.2600070
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References

  1. European Centre for Disease Prevention and Control (ECDC). Assessing the risk of influenza for the EU / EEA in the context of increasing circulation of A (H3N2) subclade K. Stockholm: ECDC; 20 Nov 2025. Available from: https://www.ecdc.europa.eu/sites/default/files/documents/Threat%20Assessment%20Brief%20-%20Assessing%20the%20risk%20of%20increasing%20circulation%20of%20A%28H3N2%29%20subclade%20K.pdf
  2. Dapat C, Peck H, Jelley L, Diefenbach-Elstob T, Slater T, Hussain S, et al. Extended influenza seasons in Australia and New Zealand in 2025 due to the emergence of influenza A(H3N2) subclade K viruses. Euro Surveill. 2025;30(49):1-7.  https://doi.org/10.2807/1560-7917.ES.2025.30.49.2500894  PMID: 41383175 
  3. World Health Organisation (WHO). Recommendations for influenza vaccine composition. Geneva: WHO. [Accessed: 10 Feb 2026]. Available from: https://www.who.int/teams/global-influenza-programme/vaccines/who-recommendations
  4. World Health Organization (WHO). Manual for the laboratory diagnosis and virological surveillance of influenza. Geneva: WHO; 1 Jan 2011. Available from: https://www.who.int/publications/i/item/manual-for-the-laboratory-diagnosis-and-virological-surveillance-of-influenza
  5. Guiomar R, Pereira da Silva S, Costa I, Conde P, Cristóvão P, Rodrigues AP, et al. Seroprevalence of protective antibodies against influenza and the reduction of the influenza incidence rate: an annual repeated cross-sectional study from 2014 to 2019. Influenza Other Respir Viruses. 2024;18(5):e13307.  https://doi.org/10.1111/irv.13307  PMID: 38798072 
  6. Eurostat. Revision of the European Standard Population: Report of Eurostat’s task force - 2013 edition. 2013. Luxembourg: Eurostat; 11 Jul 2013. Available from: https://ec.europa.eu/eurostat/documents/3859598/5926869/KS-RA-13-028-EN.PDF.pdf/e713fa79-1add-44e8-b23d-5e8fa09b3f8f?t=1414782757000
  7. Guiomar R, Verdasca N, Henriques C, Dias D, Rodrigues AP. Programa Nacional de Vigilância da Gripe e Outros Vírus Respiratórios. [National Surveillance Program for Influenza and Other Respiratory Viruses Report 2024/2025]. Lisbon: Instituto Nacional de Saúde Doutor Ricardo Jorge (INSA); 2025. Portuguese. Available from: http://hdl.handle.net/10400.18/10565
  8. Lewis N, Harvey R, Galiano M, Byrne A, Xiang Z, Cross K, et al. Report prepared for the WHO consultation on the composition of influenza virus vaccines for the southern hemisphere 2026. London; The Francis Crick Institute; 2025. Available from: https://www.crick.ac.uk/sites/default/files/2025-10/WHOCC_London_Seasonal_VCM_SH2025.pdf
  9. National Institute of Health. Boletim de Vigilância Epidemiológica da Gripe e outros Vírus Respiratórios. [Bulletin of Epidemiological Surveillance of Influenza and Other Respiratory Viruses]. Lisbon: National Institute of Health; 2026. Portuguese. Available from: https://www.insa.min-saude.pt/category/informacao-e-cultura-cientifica/publicacoes/atividade-gripal
  10. General Directorate of Health (DGS). Campanha de Vacinação Sazonal contra a Gripe: Outono-Inverno 2024-2025. [Seasonal influenza vaccination campaign: Autumn - Winter 2024-2025]. Lisbon: DGS; 4 Sep 2024. Portuguese. Available from: https://www.dgs.pt/normas-orientacoes-e-informacoes/normas-e-circulares-normativas/norma-n-072024-de-04092024-campanha-de-vacinacao-sazonal-contra-a-gripe-outono-inverno-2024-2025-pdf.aspx
  11. General Directorate of Health (DGS). Relatório da Vacinação Sazonal 2024/2025. [Seasonal Vaccination Report, 2024/2025]. Lisbon: DGS; 2025. Portuguese. Available from: https://www.dgs.pt/publicacoes/relatorio-vacinacao-sazonal.aspx
  12. Li Z-N, Liu F, Jung YJ, Jefferson S, Holiday C, Gross FL, et al. Pre-existing cross-reactive immunity to highly pathogenic avian influenza 2.3.4.4b A(H5N1) virus in the United States. Nat Commun. 2025;16(1):10954.  https://doi.org/10.1038/s41467-025-66431-2  PMID: 41360781 
  13. Kirsebom FCM, Thompson C, Talts T, Kele B, Whitaker HJ, Andrews N, et al. 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):2500854.  https://doi.org/10.2807/1560-7917.ES.2025.30.46.2500854  PMID: 41267661 
  14. European Centre for Disease Prevention and Control (ECDC). Early estimates of seasonal influenza vaccine effectiveness against influenza requiring medical attention at primary care level in Europe, week 41 - 49, 2025. Stockholm: ECDC; 19 Dec 2025. Available from: https://www.ecdc.europa.eu/en/news-events/early-estimates-seasonal-influenza-vaccine-effectiveness-against-influenza-requiring
  15. De Clercq A, Blanquart F, Vieillefond V, Visseaux B, Jacques A, Haim-Boukobza S, et al. Interim vaccine effectiveness against influenza virus among outpatients, France, October 2025 to January 2026. Euro Surveill. 2026;31(2):1-7.  https://doi.org/10.2807/1560-7917.ES.2026.31.2.2500992  PMID: 41540925 
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