#19,064
Later this week the WHO is expected to convene their semi-annual vaccine selection committee to consider the makeup of this fall's 2026-2027 trivalent influenza shot. A decision that must be made at least six months in advance to allow time to manufacture and deliver hundreds of millions of doses of vaccine.
We reviewed their WHO Recommendations for Influenza Vaccine Composition for the 2026 Southern Hemisphere Influenza Season last September.
While this year's flu season hasn't ended yet, it has been an overwhelmingly H3N2 dominant flu season so far, with H1N1 making up less than 15% of the influenza A viruses reported (see next 2 FluView Charts).
Each subtype is made of of multiple subclades, and this year the late (and unexpected) arrival of H3N2 subclade K (92.1% share) helped to lower the effectiveness of this year's vaccine.
At roughly the same time, an emerging H1N1 clade (D3.1.1) began to turn up in Europe, before spreading globally (see Eurosurviellance Reduced neutralising antibody responses against emerging 2025/26 influenza A(H1N1)pdm09 subclade D.3.1 and A(H3N2) subclade K viruses among healthcare workers, Finland, August to October 2025)).
By week 6, FluView has this new subclade making up nearly 60% of the H1N1 viruses this season. While a direct descendent of clade 5a.2a.1, this subclade carries several new mutations and is outperforming its ancestors.
Of note, we've also been seeing small, but significant increases in reduced susceptibility to oseltamivir in some of these emerging H1N1 viruses (see Eurosurveillance: Expansion of influenza A(H1N1)pdm09 NA:S247N Viruses with Reduced Susceptibility to Oseltamivir, Catalonia, Spain, and in Europe, July to October 2025.
Today we've a preprint, authored by some of the best known flu and vaccine researchers in the world, which provides a `near real-time' assessment of the human neutralizing antibody landscape against currently circulating influenza A viruses.
They find that many humans have low antibody defenses against both H3N2 subclade K and H1N1 D.3.1.1, and that both strains are only likely to continue to thrive in the near term.
While both subtypes show continued evolution changes, the authors make specific note of recent H3N2 subclade K viruses with mutations in antigenic regions D and E, which could further increase its transmissibility.
I've only reproduced the abstract and the discussion. Follow the link to read it in its entirety. I'll have a postscript after the break.
Near real-time data on the human neutralizing antibody landscape to influenza virus as of early 2026 to inform vaccine-strain selection
Caroline Kikawa, John Huddleston, Sam A. Turner, Andrea N. Loes, Jiaojiao Liu, Sydney Gang, Tachianna Griffiths, Elizabeth M. Drapeau, Benjamin J. Cowling, Faith Ho, Nancy H. L. Leung, Janet A. Englund, Kristen Lacombe, Shinji Watanabe, Hideki Hasegawa, Michael Busch, Marion Lanteri, Mars Stone, Bryan Spencer,Richard A. Neher, Derek J. Smith, Trevor Bedford, Scott E. Hensley, Jesse D. Bloom
doi: https://doi.org/10.64898/2026.02.18.706711
This article is a preprint and has not been certified by peer review
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Abstract
Twice each year, a decision is made on whether to update the strains included in the seasonal influenza vaccine to better match the most recent circulating viral strains.
To characterize the antigenic properties of current seasonal influenza A strains to inform the upcoming decision about which strains to include in the 2026-2027 Northern Hemisphere vaccine, here we perform high-throughput sequencing-based neutralization assays using a library of 57 H3N2 and 34 H1N1 influenza hemagglutinins reflecting the circulating diversity of strains in late 2025 to early 2026. We assay this library against 302 human sera collected in late 2025.
The resulting data set encompasses 27,409 titers, and provides a near real-time portrait of the human neutralizing antibody landscape against influenza virus.
We find that many human sera have lower titers against the K subclade of H3N2 and the D.3.1.1 subclade of H1N1; these subclades have recently become dominant among their respective subtypes. Our measurements also reveal variability in titers to different subvariants within the K subclade of H3N2, with titers especially low to subclade K strains with additional mutations in antigenic regions D and E.
We make all our data and accompanying visualizations publicly available to enable their use in vaccine-strain selection and analyses of influenza evolution and immunity.(SNIP)
Discussion
Here we have used high-throughput sequencing-based neutralization assays to measure the titers of a diverse set of human sera against a large set of HAs representing H3N2 and H1N1 influenza strains circulating as of early 2026. For both of these subtypes, new subclades (K for H3N2 and D.3.1.1 for H1N1) have become dominant in the six months since the 2026 Southern Hemisphere vaccine strains were selected.Our measurements show that these new subclades are generally more poorly neutralized by human serum antibodies than other strains, likely explaining their rise. Importantly, we also find that among subclade K H3N2 strains, those with mutations in antigenic regions D and E have especially low titers, raising the possibility that such strains could increase in frequency over the coming year.In addition to these major trends, our data also shows additional fine-grain variation in titers to strains within the same subclades, and extensive heterogeneity in titers across sera, some of which partially stratifies with age group. How to best account for this additional heterogeneity in forecasting evolution and choosing vaccine strains remains an open question.By making this large dataset immediately available for analysis, we therefore hope both to inform vaccine-strain selection for the 2026-2027 season as well as spur further studies of how to leverage large and near-real-time neutralization data15 to advance public health by improving understanding and forecasting influenza evolution.
We'll get the WHO's decision late this week, or early next, on which strains to include in next fall's shot. The FDA will make their own recommendations for U.S. manufacturers, likely in early March.
Historically, H3N2 has been much harder to predict than H1N1 (see The Enigmatic, Problematic H3N2 Influenza Virus). It has been around since 1968, is more mutable, and it tends to maintain a far more diverse group of co-circulating strains.
But even when flu vaccines are a mismatch, they can often provide modest protection against the mutated strain; at least in reducing severe illness and hospitalization (see UKHSA Preprint: Early Influenza Virus Characterisation and Vaccine Effectiveness in England in Autumn 2025, A Period Dominated by Influenza A(H3N2) Subclade K).
But of course, that only helps if you get one.