Pandemics

The threat level is elevated due to several converging factors: high levels of flu and RSV activity in the US and Europe, ongoing severe impacts of COVID-19 particularly among older adults, and significant outbreaks of avian flu across multiple states. Despite vaccine availability, COVID-19 remains deadlier than the flu in hospitalized patients, and confusion around vaccination guidelines persists. Additionally, misinformation and surveillance gaps contribute to the risk, as evidenced by the measles outbreak threatening elimination status in the US. The combination of these factors indicates a high risk of infectious disease spread and underscores the need for robust public health responses and clear communication strategies.