Flu, COVID, RSV and Norovirus are colliding in Virginia
Add Axios as your preferred source to
see more of our stories on Google.

The flu is once again colliding with COVID and RSV in Virginia — but this time, it's happening while norovirus cases are well above normal levels nationwide.
Why it matters: The result is a "quad-demic" of illness hitting simultaneously in what's shaping up to be a more active virus season than last year.
The big picture: Overall respiratory illness activity is high and trending up as of last Friday, according to the Virginia Department of Health.
- Those illnesses account for a greater percentage of ER visits (about 20%) than they were the past two years around this time.
- And in the week of Jan. 19-25, VDH reported 19 Norovirus-like outbreaks — exceeding the figures from last January.
Threat level: Kids are the ones visiting the hospital the most for respiratory illnesses, per VDH data, specifically the 0-4 age group for COVID and RSV and 5-to-17-year-olds for flu.
- The Central and Eastern parts of the state have the highest respiratory illness levels.
- It's also where two children died from the flu, VDH announced this week.
- One was between 5 and 12 years old from Eastern Virginia. The other was a teenager from the Central region, which includes Chesterfield, Henrico, Richmond and Hanover.
Flashback: Virginia recorded 5 flu-related pediatric deaths in the 2022-23 respiratory season and 3 in the 2023-24 season.
Between the lines: The "quad-demic" is happening as the 2024-25 flu shot rates for kids statewide is lower than it was last year.
- VDH data also shows only 30% of all Virginians have gotten their flu vaccine this year. About 13% have received the latest COVID shot.
The bottom line: Keep washing those hands and covering your coughs.
Go deeper: Oregon researchers narrow on path to universal flu vaccine
