23 June 2023
Healthy vaccinated child gives her GP a high-five

The flu season in Australia is serious and unusual. Children should receive the flu vaccine as a matter of urgency.

Key points 

  • We have experienced an early flu season
  • Cases of influenza B are outnumbering cases on influenza A
  • Children are being affected at a greater rate than adults
  • There is currently a low influenza vaccine uptake in children who live in South Western Sydney, this needs to change
  • Parents and carers are strongly encouraged to have their children vaccinated against the flu

After years of COVID-19 lockdowns, travel restrictions and relative isolation, it is not surprising Australians are experiencing another unusual flu season.

Influenza cases throughout South Western Sydney has steadily increased from early March 2023. In June, cases of influenza B are outnumbering cases on influenza A. From information reported by WHO Influenza Collaborating Centre, the influenza subtype is B-Victoria-like and should be well covered by the vaccine (which contains an inactivated virus from the B-Victoria lineage). Influenza A is predominantly pH1N1 rather than H3N2.

A majority of reported cases have been in children and adolescents, with a peak in primary school aged children. Fewer cases in adults are being reported compared to children.

 

Flu activity in figures

The overall flu test positivity has come up to 12% which is high.

Graph showing flu test positivity rates have increased drastically from early January at 0.5% to mid-June at 12%.
Figure 1: Number and proportion of tests positive for influenza at sentinel NSW laboratories, 1 January 2023 to 11 June 2023

Most influenza occurs in children and adolescents, as shown in the below chart.

Graph showing the majority of positive flu tests in South Western Sydney are being recording between the ages 0 to 19 years in June 2023
Figure 2: Influenza notifications in South Western Sydney by age and gender to 20 June 2023 (source NCIMS)

On a positive note, in South Western Sydney we have experienced only one influenza outbreak in aged care, despite lots of testing. Typically, H3N2 creates more problems for our elderly. This may be due to our older age groups having prior immunity, and/or are less affected by H1N1, and/or the flu vaccine is well matched.

 

Vaccination uptake for influenza

Latest influenza vaccination coverage by state as of 17 June, for NSW.

  • Under 5 year-olds is 20% (Aboriginal and Torres Strait Islander is 12.6%)
  • 65 years and over is 57% (Aboriginal and Torres Strait Islander is 59.8%)

As of June, South Western Sydney is running behind NSW vaccine coverage

Age group South Western Sydney
flu vaccine uptake
New South Wales
flu vaccine uptake
6 months to <5 9.1% 13.5%
5 to <15 years 6.7% 7.6%
15 to <50 years 11.1% 13.2%
50 to <65 years 22.6% 24.1%
≥65 years 45.1% 49%

 

Flu in kids under 5 can be serious

Help us vaccinate kids while we can

Resources for Aboriginal people – Influenza (nsw.gov.au)

Influenza resources in community languages – Influenza (nsw.gov.au)

WHO Influenza Collaboration Centre

 

Flu immunisation message from clinicians

 

Flu immunisation message from community members