CHP urges public to promptly receive seasonal influenza vaccination as another severe paediatric influenza infection case reported
The Centre for Health Protection (CHP) of the Department of Health (DH) today (January 18) recorded a severe paediatric influenza infection case. The CHP again reminded parents to arrange for their children to receive a free seasonal influenza vaccination (SIV) promptly. The SIV remains one of the most effective methods of preventing influenza and its complications, and can reduce the risk of serious complications or death from infection.
The case involves a 14-year-old boy with underlying illness. He developed a fever, shortness of breath and productive cough since January 16. He sought medical attention at the Accident and Emergency Department of Pamela Youde Nethersole Eastern Hospital on January 17 and was transferred to the paediatric intensive care unit for further management on the same day. He is currently in critical condition. His respiratory specimen tested positive for influenza A virus upon laboratory testing. The clinical diagnosis is influenza A infection complicated with severe pneumonia and septic shock.
A preliminary investigation revealed that the boy received the 2025/26 SIV only three days before onset of illness. As it generally takes two weeks for the body to develop sufficient protection after vaccination, the boy was not protected by the vaccine. Therefore, it is not counted as being vaccinated. The boy had no travel history during the incubation period. Two of his household contacts developed mild respiratory symptoms earlier. The nasal swab sample of one of the household contacts tested positive for influenza A virus via rapid antigen test. The symptoms were mild and hospitalisation was not required.
The summer influenza season just ended had recorded 25 severe paediatric influenza cases, including three fatal cases. The affected children were aged between 6 months to 17 years old. Among them, 20 cases (80 per cent) had not received an SIV (including one case who received the 2025/26 SIV only four days before onset of illness).
"The summer influenza season was ended. However, influenza activity may rise again as the weather remains cold in the first quarter of this year and it cannot be ruled out that the circulating virus strains may change as the winter influenza season approaches. Therefore, I once again urge all individuals aged 6 months or older, except those with known contraindications, to act promptly if they have not yet received an SIV. This includes those who contracted influenza during the summer influenza season in order to guard against other circulating virus strains that may emerge during the upcoming winter influenza season. Furthermore, although there are some antigenic differences between the currently circulating influenza A (H3) virus strain and the virus strain contained in the vaccine, scientific research indicates that this season's influenza vaccines can still offer protection against the variant strain of subclade K, as well as the influenza A (H1) and influenza B strains included in the vaccine," the Controller of the CHP, Dr Edwin Tsui, said.
"Although the influenza activity has declined to below the baseline level at the moment, outbreaks caused by influenza viruses still occurred in schools and residential care homes. For children who did not join the SIV School Outreach Programme, parents should promptly bring their children to private doctors enrolled in the Vaccination Subsidy Scheme to receive an SIV. In addition, the SIV coverage rate for children aged 6 months to under 2 years is only about 23 per cent. Although this represents an approximate 4 percentage point increase compared to the same period last year, it is still much lower than that of other age groups. Through the Primary Healthcare Commission, the CHP has urged family doctors to assist in encouraging parents to allow their children to receive an SIV," Dr Tsui added.
He also reminded members of the public that, especially for children, the elderly and those with underlying illnesses, they should seek medical advice promptly for early treatment if they present with fever and respiratory symptoms. As children with influenza can deteriorate rapidly, parents must pay close attention to their children's condition. They should go to an Accident and Emergency Department immediately if the child's condition deteriorates, for example, if they develop symptoms such as shortness of breath, wheezing, blue lips, chest pain, confusion, a persistent fever or convulsions.
Separately, high-risk individuals should wear surgical masks when staying in crowded places. People with respiratory symptoms, even if mild, should wear a surgical mask and seek medical advice promptly. They should also consider whether to attend work or school.
In addition to issuing timely reminders to healthcare professionals and schools based on the latest seasonal influenza development, the CHP also uploads the latest seasonal influenza information on its website weekly. Members of the public can visit the CHP's seasonal influenza and COVID-19 & Flu Express webpages.
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Update on chikungunya fever
The Centre for Health Protection (CHP) of the Department of Health announced that, as of 5pm today (January 18), no new cases of chikungunya fever (CF) had been recorded.
Latest surveillance data
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Hong Kong has recorded a total of 82 confirmed CF cases last year. Among them, 11 were local cases, and the rest were imported cases.
Since the beginning of 2025, and as of December 10, 2025, a total of 502 264 CF cases and 186 CF-related deaths have been reported in over 40 countries/territories. Cases have been reported in the Americas, Africa, Asia, and Europe. Although the northern hemisphere has entered the winter season, temperatures in subtropical and some temperate regions remain elevated due to climate change, creating favourable conditions for mosquito breeding. In addition, CF outbreaks continue to occur in many countries worldwide. The risk of imported cases persists. Members of the public should check the situation of the destinations before travelling abroad, especially when travelling to Southeast Asian countries.
Government's comprehensive follow-up actions
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Given that some local cases of CF have visited the Tsing Yi Nature Trails or the surrounding area in November last year, the trails are currently closed until further notice. Relevant government departments continue to conduct large-scale mosquito control and prevention efforts along the trails, and the CHP appeals to the public not to enter the area in order to reduce the risk of contracting CF and to avoid exposure to chemicals or interfering with the mosquito control operations. Since the confirmation on December 10, 2025, of a case involving a person who had visited the Tsing Yi Nature Trails on November 30, 2025, no further local cases have been recorded to date.
The Food and Environmental Hygiene Department (FEHD) has been continuously conducting intensive fogging operations to eliminate adult mosquitoes along the Tsing Yi Nature Trails and the surrounding area. At suitable locations, large ultra-low volume foggers have been deployed, and a robot dog is being put on trial to enhance operational effectiveness. The FEHD has also set up new mosquito trapping devices, cleared discarded containers and garbage that could cause stagnant water, and applied larvicide oil or larvicides in areas with stagnant water that cannot be removed immediately. The FEHD has been collaborating with the Kwai Tsing District Office, the Lands Department and the Drainage Services Department to strengthen efforts in eliminating potential mosquito breeding sites along the Tsing Yi Nature Trails. Pamphlets have been distributed to hikers in the area, urging citizens to be vigilant against mosquito infestations and take personal protective measures. The FEHD has also held meetings of the interdepartmental task forces on anti-mosquito work across districts to discuss the latest developments regarding the situation and plan accordingly to co-ordinate relevant departments and stakeholders in strengthening mosquito prevention and control measures in areas under their purview.
Continuously strengthening prevention and control
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The FEHD and relevant departments have comprehensively enhanced the mosquito control operations in Hong Kong since July last year, and this has continued. Among these, the FEHD has conducted vector investigations and targeted mosquito control operations against the imported and local cases. In light of the local case, the FEHD has immediately conducted follow-up actions, including:
carrying out intensive fogging in scrubby areas within a 250-metre radius of the relevant locations to kill adult mosquitoes;
carrying out inspections of the locations, removing stagnant water, applying insecticides and disposing of abandoned water containers every week with a view to preventing mosquito breeding; and
enhancing public education efforts through organising health talks, setting up mobile education stations, and distributing publicity leaflets.
The abovementioned measures will be continued. Furthermore, the Government will further enhance the mosquito control efforts in addition to the existing measures.
Preventive measures to be taken by the public
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Members of the public should use DEET-containing insect repellents or other effective active ingredients properly to prevent mosquito bites, but the following precautions should be taken when using them:
read the label instructions carefully first;
apply right before entering an area with a risk of mosquito bites;
apply on exposed skin and clothing;
use DEET of up to 30 per cent for pregnant women and up to 10 per cent for children (for children who travel to countries or areas where mosquito-borne diseases are endemic or epidemic and where exposure is likely, those aged 2 months or above can use DEET-containing insect repellents with a DEET concentration of up to 30 per cent);
apply sunscreen first, then insect repellent;
reapply only when needed and follow the instructions; and
in addition to DEET, there are other insect repellents available on the market containing different active ingredients, such as IR3535 and picaridin. When using any insect repellent, the public should follow the usage instructions and precautions on the product label.
The FEHD also appeals to members of the public to continue to stay alert and work together to carry out mosquito prevention and control measures early, including inspecting their homes and surroundings to remove potential breeding grounds, changing water in vases and scrubbing their inner surfaces, removing water in saucers under potted plants at least once a week, and properly disposing of containers such as empty cans and lunch boxes. The FEHD also advises members of the public and property management agencies to keep drains free of blockage and level all defective ground surfaces to prevent the accumulation of water. They should also scrub all drains and surface sewers with an alkaline detergent at least once a week to remove any mosquito eggs.
The public should call 1823 in case of mosquito problems, and may visit the following pages for more information: the CF page of theCHPand theTravel Health Service, the latestTravel Health News,tips for using insect repellents, and the CHPFacebook Page,Instagram AccountandYouTube Channel, and also theMosquito Prevention and Control dedicated pageof the FEHD.
Source: AI-found images
