Respiratory season begins in New York: Flu and RSV levels low but rising

A woman holds a box of tissues.
Influenza is increasing in New York — the number of cases in the state increased by 42% last week. (Getty Images)

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It’s officially the respiratory season. The New York state and New York City health departments have begun releasing data. Time for a State of Affairs to kick us off.

Covid-19: minimal

Covid-19 transmission has continued to decrease in New York. Levels are considered “minimal.”

A line graph shows declining SARS-CoV-2 concentrations in New York.
SARS-CoV-2 concentrations in New York (yellow line) are minimal and declining. (Data from the CDC National Wastewater Surveillance System. Annotations by YLE.)

It’s the same story in the city — transmission of Covid-19 is low.

A line graph shows New York City average SARS-CoV-2 wastewater concentrations.
New York City average SARS-CoV-2 wastewater concentrations. (Data from the New York State Wastewater Surveillance Network. Figure by YLE.)

To continue the good news (there is a lot of it this week!), hospitalizations for Covid-19 have gone down among New Yorkers, especially those over 65 years old, who have the highest risk.

A line graph shows New York City daily hospitalizations by age.
New York City daily hospitalizations by age. (Data from the NYC Department of Health Covid-19 Dashboard. Annotations by YLE.)

Influenza and RSV: low but increasing

Influenza is increasing in New York — the number of cases in the state increased by 42% last week. These increases are widespread across the state; influenza cases and hospitalizations are going up in all regions except for the Western region (but I expect things will begin picking up there soon).

A graphic shows increasing number of influenza cases.
Influenza regional incidence from the New York State Influenza Surveillance Report. Annotations by YLE.

RSV data are harder to analyze because cases are not required to be reported to public health departments in New York. However, six New York labs (Liverpool, Albany, Syracuse, and three from New York City) participate in an optional Centers for Disease Control and Prevention surveillance program. Data for the most recent week show that positive tests for RSV remain low.

A line graph shows testing data for RSV, influenza, and Covid-19 for New York state.
Testing data for RSV, influenza, and Covid-19 for New York state labs participating in the Centers for Disease Control and Prevention National Respiratory and Enteric Virus Surveillance System NREVSS. (New York Department of Health)

Data for the city show that positive RSV tests increased by 12% last week, but we’re still at very low levels.

A line graph shows New York City RSV testing data.
New York City RSV testing data from the Influenza and RSV Surveillance Report. (Annotations by YLE.)

Severe influenza and RSV remain very low in New York state: Both are less than 0.1 hospitalizations per 100,000 people.

Other viruses: circulating

If you’re feeling sick, it’s most likely due to enteroviruses or rhinoviruses, which cause the common cold, or parainfluenza viruses, which also cause cold or flu-like illness. Those are testing very high, which is normal once kids go back to school.

A graphic shows New York City respiratory virus testing data on influenza and RSV.
New York City respiratory virus testing data from the Influenza and RSV Surveillance Report. (Influenza and RSV Surveillance Report)

Typically, these infections are milder, but they can still be annoying. If you are feeling ill, wearing a mask and limiting social gatherings are ways to slow down disease transmission.

It’s still a great time to get your vaccines

Ideally, we want to get these before respiratory waves start, as they are a prevention tool. The time is now!

  • Influenza and updated Covid-19 vaccines are available throughout New York City; find locations using the NYC Vaccine Finder, including sites offering free vaccines for people without insurance.
  • Vaccination locations throughout the rest of New York state can be found at Vaccines.gov.
    • The New York State Vaccines for Adults Program provides vaccines at no cost to underinsured, eligible adults throughout the state; find more info here.
  • RSV vaccines and monoclonal antibodies are available for a subset of people (pregnant people, older adults, and babies). YLE National has a great post on how effective these treatments were in preventing severe disease last year.

Bottom line

Respiratory diseases are still low, but influenza and RSV are starting to heat up, marking the start of the respiratory season. Now is a great time to consider getting your fall vaccines!

Love,

Your Local Epidemiologist

Dr. Marisa Donnelly, a senior epidemiologist with wastewater monitoring company Biobot Analytics, has worked in applied public health for over a decade, specializing in infectious diseases and emerging public health threats. She holds a PhD in epidemiology and has led multiple outbreak investigations, including at the California Department of Public Health and as an Epidemic Intelligence Service Officer at the Centers for Disease Control and Prevention. Marisa has conducted research in Peru, focusing on dengue and Zika viruses and the mosquitoes that spread them. She is Healthbeat’s contributing epidemiologist for New York in partnership with Your Local Epidemiologist, a Healthbeat supporter. She lives in New York City. Marisa can be reached at mdonnelly@healthbeat.org.

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