What to know
Each year CDC estimates the burden of influenza in the United States. CDC uses models to estimate the number of flu illnesses, medical visits, hospitalizations, and deaths related to flu that occurred in a given season. CDC uses the estimates of the burden of flu in the population and the impact of flu vaccination to inform policy and communications related to flu.
![Burden of influenza Purple viruses floating against a cream background](/flu/media/images/2024/06/flu-mortality-rates_1.jpg)
Overview
Preliminary In-Season Disease Burden Estimates
Estimated Range of Annual Burden of Flu in the US from 2010 – 2023
The burden of flu disease in the United States can vary widely and is determined by a number of factors including the characteristics of circulating viruses, the timing of the season, how well flu vaccine is working to protect against illness, and how many people got vaccinated. While the burden of flu can vary, each year flu places a substantial burden on the health of people in the United States each year.
![graphic of flu burden cases](/flu/images/about/burden/flu-burden-fig1.jpg)
CDC estimates that flu has resulted in 9.3 million – 41 million illnesses, 100,000 – 710,000 hospitalizations and 4,900 – 51,000 deaths annually between 2010 and 2023.
Estimated U.S. Flu Burden, By Season
![Estimated U.S. Influenza Burden, By Season (2010-2023) Estimated U.S. Influenza Burden, By Season (2010-2023)](/flu/images/about/burden/Pyrmaid_withoutMedicalVisits_2022-23.jpg)
Estimates are not available for the 2020-2021 season due to minimal flu activity.
Download Flu Burden PowerPoint Presentation Slides [PPT, 1 MB, 4 pages]
Supporting Research
Flu-related illness and hospitalization
United States
- Q&A: Seasonal Flu-Associated Hospitalizations in the United States.
- Study: Annual estimates of the burden of seasonal flu in the United States: A tool for strengthening flu surveillance and preparedness. Flu Other Respir Viruses. 2018
- Study: Estimating flu disease burden from population-based surveillance data in the United States. PLoS One. 2015
- Study: The US Flu Hospitalization Surveillance Network. Emerg Infect Dis. 2015
- Study: Hospitalizations associated with flu and respiratory syncytial virus in the United States, 1993-2008. Clin Infect Dis. 2012
- Study: Flu-associated hospitalizations in the United States. JAMA. 2004
Global
- Study: Estimates of global seasonal flu-associated respiratory mortality: a modelling study. Lancet. 2017
- Study: Global role and burden of flu in pediatric respiratory hospitalizations, 1982-2012: A systematic analysis. PLoS Med. 2016
- Web article: CDC Collaborative Study: Flu Important Cause of Respiratory Hospitalizations Worldwide.
Visit Flu Burden Averted by Vaccination for CDC estimates of flu-related illness and hospitalization averted by vaccination.
Flu-related deaths
- Q&A: Estimating Seasonal Flu-Associated Deaths in the United States: CDC Study Confirms Variability of Flu.
- Background on CDC web site: Under-counting of Flu-related Deaths.
- Study: Estimates of deaths associated with seasonal flu—United States, 1976–2007. MMWR. 2010
- Study: Mortality associated with flu and respiratory syncytial virus in the United States. JAMA. 2003
Economic impact of flu
- Study: The annual impact of seasonal flu in the US: measuring disease burden and costs. Vaccine. 2007
- CDC Foundation: Flu Prevention Infographic, "Business Challenges".