The 2025 flu season has turned out to be unlike any other in recent memory. This year, the flu season is marked by record-setting infections, multiple viral peaks, vaccine mismatches, and an overstretched healthcare system.

According to the Centers for Disease Control and Prevention (CDC), this year’s influenza activity is the most intense since the 2009 swine flu pandemic, with over 80 million estimated illnesses and rising. What’s driving this intensity, and what should the public know about prevention and symptom management?

Let’s break down what makes this flu season so severe and what it means for your health.

A Season Like No Other: What Makes 2025 Different?

In most years, flu activity in the U.S. typically follows a predictable pattern, starting in October, peaking between December and February, and fading by April. But the 2024–2025 season has defied that rhythm.

Cases surged past the national baseline in December and then, unexpectedly, peaked again in February, a second wave that blindsided doctors and public health experts.

As of March 2025, the CDC had reported an estimated 37 million influenza infections, 480,000 hospitalizations, and 21,000 deaths. Hospitalizations, in fact, reached their highest levels in 15 years.

One key driver? A mismatch between circulating flu strains and this year’s vaccine. The dominant strains: H1N1 and H3N2, accounted for more than 99% of cases.

H3N2, in particular, is known for mutating quickly and evading immune responses, and only about half of circulating H3N2 samples matched well with vaccine antibodies, according to CDC surveillance data.

Post-Pandemic Immune Gap

Another reason this year’s flu is hitting so hard: our immune systems are still catching up.

During the height of the COVID-19 pandemic, widespread masking, social distancing, and school closures suppressed not just SARS-CoV-2 but also seasonal flu and other common respiratory viruses. While that helped in the short term, it reduced community-level immunity over time, especially among children, who typically build natural resistance through repeated exposures.

“Young children who were toddlers or preschoolers during the pandemic missed early exposures to flu viruses,” explained experts at the nonprofit group Families Fighting Flu. “Now they’re in school, more socially active, and more vulnerable.”

The CDC reported a troubling spike in pediatric flu deaths this season with 216 fatalities, making it the deadliest flu season for children outside of a pandemic year. Neurological complications such as seizures and hallucinations also rose among young patients.

A Shift in Viral Dominance

Another unusual trend: COVID-19 has taken a back seat this winter

Unlike previous years when COVID-19 variants dominated respiratory illness charts, flu has surged ahead as the top driver of doctor visits and hospitalizations. This could be due to a shift in viral dominance, changing weather patterns, or differences in immunity buildup. According to the CDC, nearly 8% of all outpatient visits are currently for flu-like symptoms, much higher than what’s typical for this time of year.

Vaccine Fatigue and Gaps in Coverage

Vaccination remains the strongest tool we have to fight influenza, but uptake has been stagnant, or worse, declining, in key groups.

As of April 2025:

• Only 49.2% of children and 46.7% of adults had received the flu vaccine
• Among pregnant women, that number dropped to 38%
• Medicare beneficiaries aged 65+ had just 48.3% coverage
• And overall, nearly 9.2 million fewer doses were administered compared to the pre-pandemic 2019–2020 season

Barriers like vaccine hesitancy, misinformation, racial and ethnic disparities in healthcare access, and fewer flu shot clinics in rural areas continue to widen the gap.

What Are the Symptoms in 2025?

The 2025 flu has shown typical but often more intense symptoms than in previous years. Here’s what to look out for:

• Sudden onset fever
• Severe body aches and chills
• Sore throat and persistent cough
• Nasal congestion
• Diarrhea and vomiting (more frequent in children)
• Extreme fatigue
• Headache
• In some children, neurological symptoms like confusion or seizures

These symptoms may overlap with COVID-19 or RSV, but tend to come on faster and hit harder in flu cases this season.

How Long Do Symptoms Last?

For most healthy people, flu symptoms begin 1 to 4 days after exposure and typically last about 5 to 7 days. However, fatigue and cough may linger for up to two weeks.

You’re considered most contagious in the first 3 to 4 days after symptoms start but can continue to spread the virus up to a week later. The CDC recommends staying home until you’ve been fever-free for at least 24 hours without medication.

Vaccinated individuals may experience milder or shorter symptoms, but those with underlying conditions, young children, and older adults may have longer recoveries and higher risk of complications.

Can the Flu Cause Serious Health Problems?

Yes, especially in people with weakened immune systems, chronic illnesses, or no prior flu immunity.

Possible complications include:

• Pneumonia
• Ear and sinus infections
• Exacerbation of asthma or heart disease
• Life-threatening conditions requiring ICU care

This is why experts stress that prevention remains the best medicine.

How to Protect Yourself and Your Family

Here’s how to lower your risk during the remainder of the 2025 season:

• Get vaccinated, even now. It may still protect against circulating strains
• Wash your hands often with soap and water
• Avoid touching your face in public settings
• Cover your mouth and nose when coughing or sneezing
• Stay home if you’re unwell to prevent spreading the virus

Do you enjoy an occasional glass of wine or a weekend drink with friends? You are not alone. Studies show that more than 84% of adults consume alcohol at some point in their lives. While drinking in moderation might seem harmless, doctors warn that alcohol has a lasting impact on the brain, and the effects become more serious with regular or heavy use. We got in touch with Dr Amlan Tapan Mohapatra, Consultant Neurologist, Manipal Hospital Bhubaneswar who told us more about the same.

How Alcohol Affects the Brain and Nervous System

Alcohol influences the entire nervous system, which includes the brain, spinal cord, and peripheral nerves. In small amounts, it slows down brain activity, causing relaxation or mild drowsiness. But when consumed frequently or in large quantities, alcohol can damage nerve cells and disrupt communication between them. Dr Amlan Tapan Mohapatra told us, “Over time, this can affect memory, coordination, mood, and behavior.”

Neurologists classify alcohol-related brain problems into two groups — acute and chronic conditions. Acute effects occur suddenly, often during or soon after heavy drinking. One example is Wernicke’s encephalopathy, caused by a severe deficiency of vitamin B1 (thiamine). It leads to confusion, poor coordination, and abnormal eye movements. If left untreated, it can progress to Korsakoff psychosis, a permanent condition marked by memory loss, confusion, and changes in personality.

Other short-term complications include alcohol-induced seizures and delirium tremens, which can trigger intense confusion, hallucinations, and restlessness during withdrawal.

Long-Term Damage to the Brain and Muscles

Dr Amlan Tapan Mohapatra told us that with continued drinking, chronic neurological disorders may develop. Alcoholic neuropathy is one such condition that damages peripheral nerves, causing burning pain, numbness, and weakness in the hands and feet. Many people experience difficulty walking, balancing, or even holding small objects.

Alcohol can also damage muscle fibers, leading to alcoholic myopathy, which results in muscle weakness and gradual loss of strength. In some cases, prolonged alcohol abuse causes cerebellar degeneration, a condition that impairs coordination and balance, often leading to tremors and frequent falls.

Long-term use of alcohol also raises the risk of stroke and dementia, both of which severely affect memory and cognitive function. Another rare but serious disorder linked to heavy alcohol consumption is Marchiafava–Bignami disease, which leads to the thinning and wasting of brain tissue. Symptoms may include difficulty walking, slurred speech, poor memory, and unpredictable behavior.

Why Moderation Isn’t Always Safe

Dr Amlan Tapan Mohapatra stress that there is no truly “safe” amount of alcohol for the brain. Even moderate drinking can interfere with sleep, attention, and decision-making. Over time, these effects accumulate, contributing to cognitive decline and neurological disorders.

To protect brain health, doctors recommend reducing or eliminating alcohol intake, maintaining a balanced diet rich in vitamins (especially B1), and seeking early medical support if symptoms such as confusion, imbalance, or numbness develop.

While alcohol may offer a brief sense of relaxation, the long-term cost to brain function and mental clarity is often too high. The healthiest choice, neurologists agree, is moderation, or better yet, abstinence.

You may think that hours at the gym and a carefully balanced diet guarantee a healthy heart. But experts now say that the secret to lasting heart health might be simpler and quieter. New insights suggest that while exercise and nutrition are vital, skipping sleep can quietly undo their benefits. Even the fittest body cannot perform at its best if the heart is constantly deprived of rest.

Why Heart Health Deserves More Attention

The heart works around the clock, beating nearly 100,000 times a day to keep blood flowing through every cell. When it weakens, the entire body begins to suffer. According to the World Health Organization (WHO), cardiovascular diseases are the world’s leading cause of death, responsible for roughly 17.9 million lives lost each year.

High blood pressure, stress, poor diet, and lack of sleep are among the biggest contributors. What’s striking is that most of these risks are preventable through small, consistent lifestyle changes, including better sleep.

What Science and Doctors Are Saying

Dr. Sudhir Kumar, a Hyderabad-based neurologist, recently drew attention online by saying that “regular vigorous exercise cannot offset the negative impact of chronic sleep deprivation.” In a post on X (formerly Twitter), he compared two healthy individuals, one who runs daily but sleeps poorly, and another who sleeps 7–8 hours while walking for only 20 minutes a day. The well-rested individual, he explained, had better heart resilience in the long run.

Exercise strengthens muscles, improves cholesterol, and supports blood pressure regulation. However, sleep deprivation reverses many of these benefits. It increases inflammation, elevates stress hormones, and forces the heart to work harder even at rest. Over time, this strain stiffens arteries and raises the risk of heart disease. Research published in the European Heart Journal found that sleeping fewer than six hours a night can raise cardiovascular risk by up to 40%, regardless of a person’s fitness level.

Sleep: The Body’s Built-In Repair System

As Dr. Kumar explains, sleep is the time when the body heals and restores itself. During deep rest, heart rate slows, blood pressure stabilizes, and tissues repair. Without enough sleep, the body remains in a semi-stressed state, limiting recovery. Hormone levels fluctuate, insulin sensitivity drops, and inflammation rises, all of which make the heart more vulnerable.

The example of someone who sleeps well but exercises moderately shows how balance works better than intensity. A routine that includes seven to eight hours of quality rest and light daily movement, such as brisk walking, can strengthen the heart, improve metabolism, and build lasting resilience.

The Healthier Way Forward

For fitness enthusiasts who thrive on high-intensity workouts, Dr. Kumar advises cutting back slightly to allow enough rest. Just one extra hour of sleep may help the heart recover and function more efficiently. True fitness, he adds, is not about how hard you push but how well you let your body repair itself.

A new long-term observational study suggests that increasing your daily step count could help slow cognitive decline in older adults already showing biological markers of early Alzheimer’s disease.

The buildup of beta amyloid and tau proteins is considered a defining feature of Alzheimer’s. Amyloid can start collecting between brain cells as early as a person’s 30s, interrupting communication within the brain. As these deposits grow, they can trigger the spread of abnormal tau proteins, which form tangles inside neurons and eventually destroy them.

“Regular physical activity may slow the buildup of tau, which is the protein most strongly linked to memory loss, and delay mental decline in those in the early stages of Alzheimer’s,” said Dr. Wai-Ying Wendy Yau, a neurologist and memory disorders specialist at Massachusetts General Hospital in Boston.

Daily Steps May Slow Alzheimer’s Progression, New Study Suggests

Although many people aim for 10,000 steps a day as a standard fitness goal, researchers found that walking as few as 3,000 steps daily appeared to delay brain changes associated with Alzheimer’s.

The 14-year study found that cognitive decline was delayed by about three years among participants who took 3,000 to 5,000 steps a day, and by nearly seven years in those who reached 5,000 to 7,000 steps daily.

“We want older adults who may be at risk of Alzheimer’s to consider small, manageable increases in their activity levels,” said Dr. Yau, who also works with Mass General Brigham Hospital in Boston. “Consistent habits, even mild ones, can support brain and cognitive health over time.”

How Does Walking Affect the Brain?

Globally, dementia affects about 50 million people, with Alzheimer’s being the most common cause. In the UK alone, over 500,000 people are estimated to have the disease. The condition is driven by toxic accumulations of amyloid-beta plaques and tau tangles in the brain.

For the study, Yau and her colleagues analyzed data from 296 adults aged 50 to 90 who were cognitively healthy when the research began. Their data included annual cognitive assessments, pedometer-based step counts, and PET scans that measured amyloid and tau levels.

Participants with low amyloid at baseline showed minimal cognitive decline or tau buildup over the years. However, those with higher amyloid levels faced greater risk, and in this group, walking more steps was associated with slower cognitive decline and reduced tau buildup. In contrast, sedentary participants experienced faster tau accumulation and mental decline, according to findings published in *Nature Medicine*.

Why Exercise Might Protect the Brain

While researchers caution that the study cannot completely rule out reverse causation, where early Alzheimer’s changes may cause reduced physical activity, the data still suggest a protective role for movement.

“We need randomized clinical trials to confirm cause and effect, but it’s promising that exercise may help alter the course of the disease,” said Dr. Yau. “Even among people with amyloid buildup, higher activity levels could mean a slower rate of decline.”

The exact mechanism remains uncertain, but scientists believe exercise improves blood circulation, reduces inflammation, and boosts hormones and growth factors that protect brain cells. “That’s the million-dollar question we hope to explore in future studies,” Yau added.

A Simple Habit With Major Potential

Dr. Julia Dudley of Alzheimer’s Research UK said the results highlight the impact of small, consistent activity. “The findings show that even a modest amount of walking, roughly 5,000 steps a day, is linked with slower accumulation of tau in the brain, one of the main drivers of Alzheimer’s,” she said.

“This gives us a clearer understanding of how everyday movement can influence brain health and affect the root causes of the disease. More research, especially clinical trials, is needed to confirm how physical activity can prevent or slow dementia. But studies like this underline that simple, consistent lifestyle choices may help keep our minds healthier for longer.”