Colorado is in the course of a record-breaking flu season. Within the week finishing Dec. 27, 2025, 831 folks had been hospitalized with influenza – probably the most because the state began monitoring flu circumstances twenty years in the past. Hospitalizations eased the next week to 737 however nonetheless stay upper than prior years.
Colorado is one of the best 5 states with probably the most flu job within the nation, with physician’s visits for flu-like sickness at a 30-year list top, in keeping with the Facilities for Illness Keep an eye on and Prevention’s weekly influenza surveillance file.
I’m an emergency medication and significant care doctor on the College of Colorado. In my 18 years of practising medical medication, this yr is without doubt one of the worst I’ve noticed. Our emergency division hit a list choice of single-day general visits over the vacations, and talk over with volumes have stayed top. Flu is most likely contributing to this development.
Whilst there’s all the time a season the place respiration viruses hit onerous, this yr influenza is making sufferers depressing and wreaking havoc on each the state and nationwide well being care gadget.
How does this yr’s ‘super flu’ vary from different flu seasons?
This season is particularly tough as a result of the quantity of folks searching for emergency care. This flu got here on speedy and appears to be very contagious, and its signs are extra critical than different fresh years’ flu traces.
Flu has a tendency to motive fever, frame aches and possibly a cough. However this so-called tremendous flu has additionally brought about vomiting and diarrhea, which has made folks really feel a lot worse than remoted respiration signs on my own. When persons are feeling worse, they search emergency care, which is a part of why our emergency division is seeing such a lot of folks.
In previous flu seasons, which most often run from October via February, emergency rooms had been complete as a result of they had been dealing with more than one outbreaks, such because the 2022 “tripledemic” of COVID-19, flu and RSV.
However this 2025-26 flu season, we’re seeing top emergency division visits in particular from the flu. The primary team of sufferers we’re seeing are wholesome people who find themselves feeling worse with this flu, which comes with nausea, vomiting and diarrhea, and are available to the emergency division in search of symptomatic aid.
The second one team are the ones with critical manifestations of the flu or who’ve underlying comorbidities corresponding to bronchial asthma or center illness that may be exacerbated via influenza. This can be a inhabitants that can require oxygen, or they’re a transplant affected person they usually’re requiring hospitalization.
This double whammy of folks feeling actually depressing from their signs plus folks with comorbidities experiencing headaches is whilst you actually see a pressure at the well being care gadget.
The CDC ranks Colorado’s flu job some of the perfect within the U.S., in conjunction with Louisiana, New Jersey, New York and South Carolina.
Are any age teams being hit more difficult than others?
The U.S. is seeing the perfect choice of visits to emergency departments in kids ages 5 to 17.
Children usually appear to be having milder flu circumstances than adults, which is conventional for a few of these viruses. However there were 17 pediatric deaths related to influenza around the U.S., with 8 within the week finishing January 3. That choice of deaths in kids isn’t conventional at this level within the season.
Younger folks of their 20s are feeling beautiful unhealthy from this yr’s flu, however we’re now not seeing numerous headaches or hospitalizations on this team around the U.S. and in emergency departments in Colorado.
We’re seeing numerous individuals who have underlying stipulations, corresponding to bronchial asthma, in addition to diabetes, weight problems, center illness and people who are immune-compromised. They get the flu, after which it results in roughly a cascade, or a worsening in their underlying clinical issues. That is other from what we noticed with COVID-19, the place wholesome folks were given very, very in poor health from COVID-19 itself.
The older you get, the much more likely you might be to enjoy headaches, corresponding to desiring oxygen, which most often calls for hospitalization.
Are you continue to encouraging folks to get the flu shot in the event that they haven’t but?
Sure, you will have to nonetheless believe getting your flu shot, particularly if in case you have clinical issues.
Getting an annual, up to date flu shot is helping with severity of sicknesses, despite the fact that it doesn’t supply general coverage. Particularly if in case you have underlying stipulations, it’s vital to do the whole lot you’ll to lower symptom severity, period and chance of hospitalization.
Getting the flu shot reduces the danger of critical sickness and hospitalization, particularly for people who find themselves older or produce other clinical stipulations.
Genaro Molina/Getty Photographs
When will have to you believe going to an emergency room?
Anytime respiring turns into tough, otherwise you enjoy critical chest ache or complications which might be peculiar, that’s one thing that we would like you to hunt clinical take care of in an instant. And naturally, if any individual’s apprehensive a couple of symptom, we’re right here twelve months a yr, and we’re satisfied to lend a hand.
In case you are feeling unhealthy – corresponding to a light headache, frame aches, fever, infrequently some cough and congestion, and as I discussed with this flu, doubtlessly vomiting and diarrhea – this is very standard.
If it’s flu, COVID-19 or RSV in a wholesome, mildly symptomatic affected person, it doesn’t actually subject what they have got, as a result of there’s now not a selected remedy. There’s now not the rest that we will be able to do this’s going to lead them to higher, rather then “tincture of time,” which means a variety of relaxation.
If in case you have underlying clinical issues, corresponding to diabetes, lung issues or are immune-compromised, and you might be experiencing critical signs, you will have to on the very least see your number one care physician if now not the emergency division.
Is it vital to get examined for the sake of understanding what you have got?
A large number of sufferers wish to know what virus they have got, however in the event you’re younger and wholesome, there’s now not actually a necessity for trying out rather then surveillance.
Colorado’s infectious illness trackers say wastewater surveillance is the No. 1 manner to determine what infectious sicknesses are locally. We will be able to’t get a complete pattern via hospitals and clinics, as a result of there are such a lot of people who find themselves house, don’t get examined and don’t search well being care.

In Colorado and different states, wastewater is examined for infectious pathogens, together with influenza, COVID-19 and RSV. This trying out signifies the superiority of a plague in a given neighborhood.
Portland Press Bring in/Getty Photographs
At this time, wastewater samples in Colorado are trying out extremely top for the flu and beautiful low for RSV and COVID-19. Wastewater is an excessively dependable check as a result of everyone produces wastewater.
As well as, it’s vital for the full well being care gadget that laboratory trying out be used judiciously. Trying out does lend a hand us perceive what’s locally. However from a medical institution and emergency division lens, the extra assessments we ship to the lab that need to be run, the extra trying out services and products for different sicknesses get sponsored up. It additionally provides a burden to nursing and different medical body of workers, in addition to prices for the affected person and medical institution.
But when a affected person is in poor health with manageable signs from a plague, it’s the similar usual recommendation: Keep at house, wash your fingers and believe a masks if you must cross out in public.