CFA's Insights for Respiratory Virus Season

What to know

  • CFA provides insights to support public health planning and response for the fall and winter respiratory virus season.
  • Our current and upcoming products related to respiratory virus season include epidemic trend estimates (Rt), season outlooks, outbreak simulators, and hospital admission forecasts and other data channels.

Current Epidemic Trends

CFA provides weekly estimates of Rt, the time-varying reproductive number, at the national and state levels to determine the current epidemic trends. Rt is a data-driven measure of disease transmission that can tell us whether infections are growing, declining, or staying the same in communities across the country. It can help public health practitioners prepare and respond to these viruses. Estimates are currently available for COVID-19, influenza, and RSV. Read more about Rt and how we calculate it.

Map of the United States showing each state colored by its epidemic growth status category for COVID-19, RSV and influenza.
Example of the Epidemic Trend tool. Visit the page to view the current epidemic growth status for COVID-19, RSV and influenza.

Respiratory Disease Season Outlook

CFA leads development of the annual CDC respiratory disease season outlook to provide decision-makers information for public health preparedness, such as planning for potential surges in hospital demand. CDC expects the 2025-2026 fall and winter respiratory disease season will likely have a similar number of combined peak hospitalizations due to COVID-19, influenza, and RSV compared to last season. See the 2025-2026 outlook for more information about forecasted impact and peak timing for each disease. CDC will continue to monitor respiratory disease activity throughout the fall and winter as warranted by changes in the trajectories of any of the three diseases.

Plot of combined peak hospitalization rates of COVID-19, influenza, and RSV during the 2022-2023, 2023-2024 and 2024-2025 seasons.
Experts believe there’s a roughly 80% chance that the hospitalization burden for COVID-19, influenza, and RSV combined at their peak during the 2025-26 season will be similar to last season.

How scenario modeling can inform decision-making

CFA has developed scenario modeling capability that allows decision-makers to examine a range of possible outcomes under different assumptions about the future, providing insights for addressing specific policy questions and for general preparedness and planning. CFA's Behind the Model explainer series unpacks how CFA uses scenario modeling in Respiratory Disease Season Outlooks.

Plot showing possible scenarios for peak COVID-19 hospitalization, during the 2025-2026 respiratory virus season.
Two possible scenarios for peak COVID-19 hospitalization, during the 2025-2026 respiratory virus season, depending on if a new variant with immune escape is introduced or not.

COVID-19 Hospital Admissions Forecast

CFA coordinates the COVID-19 Forecast Hub. The COVID-19 Forecast Hub receives forecasts from modeling teams from across the country and builds a single ensemble forecast. These ensemble forecasts for COVID-19 hospital admissions help public health decision-makers anticipate health care burden and prepare for potential COVID-19 surges.

Line chart showing daily COVID-19 hospital admissions on the y-axis and timeframe on the x-axis.
Example of a COVID-19 short-term forecast showing a line with the observed number of COVID-19 hospital admissions in black and forecasts estimating the future number of COVID-19 hospital admissions in tan and blue with shaded prediction intervals.

Respiratory Illnesses Data Channel

CFA provides forecasts and analytics to support CDC's wider efforts to prepare for the annual respiratory virus season. This includes contributing to the Respiratory Illnesses Data Channel, which provides a snapshot of COVID-19, influenza, and RSV activity in communities across the country. The channel offers critical information about current virus activity levels, wastewater testing, emergency department visits, epidemic trends (CFA's Rt estimates), and test positivity rates. With a clearer picture of that is happening, public health leaders and individuals can make informed decisions to keep themselves and those around them safe.

CDC Respiratory Illnesses Data Channel logo.
The Respiratory Illnesses Data Channel provides a snapshot of COVID-19, influenza, and RSV activity in your community.