Flu in Virginia: Activity Declines, Pediatric Death Reported | Richmond Times-Dispatch

Virginia health officials reported a second influenza-associated pediatric death this season, even as overall flu activity across the state continues to decline. The most recent death involved a teenager, following an earlier case involving a preschool-aged child, both occurring in the eastern region of Virginia, according to the Virginia Department of Health (VDH).

The decline in flu activity is reflected in recent emergency room data. For the first time since early December, influenza cases accounted for less than 2% of emergency room visits statewide last week, totaling approximately 1,200 cases. This represents a significant drop from earlier in the season, when flu activity was surging.

The first pediatric death of the 2025-2026 flu season was reported on January 15, 2026. The victim was a preschool-age child (0-4 years) also located in VDH’s Eastern Region. State Health Commissioner Karen Shelton, MD, expressed sorrow over the loss, stating, “We at the Virginia Department of Health, are broken hearted and extend our sympathies to the family of this child during this difficult time.” Shelton emphasized the importance of vaccination, urging eligible individuals to receive a flu shot to protect themselves and others.

Despite the recent deaths, health officials have not reported any additional flu-related deaths in the past three weeks, though they caution that delayed data submissions could alter these totals. As of January 10, the level of respiratory illnesses in Virginia was considered moderate, with 5.4% or 4,676 emergency department visits attributed to flu.

Vaccination rates remain relatively low, with approximately 31.9% of Virginians vaccinated against the flu as of late January – an increase of less than one percentage point since that time. COVID-19 vaccination coverage is even lower, at roughly 11% of residents. In the Hampton Roads area and the broader eastern region, approximately 12% of emergency room visits over the past week were linked to respiratory illnesses, including influenza, COVID-19, and RSV. Health experts have noted that children, including infants, toddlers, and teenagers, comprise the majority of patients seeking hospital care for respiratory illnesses.

VDH recommends annual flu vaccinations for most individuals aged six months and older, along with frequent handwashing, covering coughs and sneezes, and staying home when sick. Individuals at increased risk for flu complications are advised to consult a healthcare provider when symptoms begin to determine if antiviral treatment is recommended, as treatment is most effective when initiated within two days of symptom onset.