Flu season typically begins in October, peaks between December and February, and can last through March. Credit: Getty Images

Houston-area doctors are warning families to take early action before flu activity peaks.

โ€œWeโ€™re definitely seeing an uptick,โ€ said Dr. Tyeshia Babineaux, pediatrician with Texas Childrenโ€™s Pediatrics. โ€œFrom babies to school-age kids, weโ€™re seeing flu cases show up earlier than last year. Itโ€™s not at its peak yet, but itโ€™s already here.โ€

The Centers for Disease Control and Prevention (CDC) reported 216 pediatric flu-related deaths nationwide during the 2024โ€“25 season, the highest total in a non-pandemic year since the agency began tracking pediatric deaths two decades ago. Nearly 90% of those children were not fully vaccinated, and more than 48,000 were hospitalized.

Medical experts say that flu season in Houston began in mid-September, earlier than usual.

โ€œFamilies should get flu shots as soon as they become available,โ€ said Dr. Neelima Kale, senior vice president of clinical affairs at Legacy Community Health. โ€œThey usually arrive around mid-September or early October. It takes a couple of weeks for your body to build immunity, so the earlier, the better.โ€

The flu season typically starts in October, peaks between December and February, and can last through March, according to the CDC.

Flu vaccines vary in effectiveness from year to year depending on circulating strains, but they consistently reduce severe illness and hospitalizations. The CDC estimates vaccines prevented nearly 10 million flu cases and 7,900 deaths during the 2023โ€“24 season.

Spotting symptoms

Because the flu, COVID-19, and RSV (Respiratory syncytial virus) often circulate at the same time, parents may have difficulty distinguishing between them.

โ€œThe common cold comes on slowly,โ€ Kale said. โ€œFlu and COVID hit you hard and fast. If your child isnโ€™t drinking water, seems unusually tired, or has a high fever, itโ€™s time to see a doctor.โ€

Babineaux said one of the clearest signs of flu is how sick a child feels. โ€œThe flu makes you feel like youโ€™ve been run over by a bus,โ€ she said. โ€œYou see fever, fatigue, and body aches. With a cold, kids can usually still play and go about their day. With the flu, theyโ€™re down.โ€

Doctors can perform rapid tests for flu, COVID-19, and RSV in clinics to guide treatment. Flu antiviral medications are available for children if diagnosed early.

Health professionals emphasized that basic hygiene remains one of the most effective defenses.

โ€œWash your hands, cover your cough, and stay home when youโ€™re sick,โ€ Kale said. โ€œIf your immune system is vulnerable and youโ€™re in a crowded place, wearing a mask still helps.โ€

Babineaux said child care centers and schools play a key role in limiting the spread. โ€œChildren sneeze, cough, and touch everything,โ€ she said. โ€œRegularly cleaning shared surfaces, teaching kids to cover their coughs with their elbows, not their hands, and using sanitizer can make a big difference.โ€

Affordable options for families

For families concerned about cost, both Legacy Community Health and Texas Childrenโ€™s Hospital offer vaccination support. Legacy provides sliding-scale payment options for uninsured patients and operates 39 school-based clinics across the Houston area.

Texas Childrenโ€™s participates in the Vaccines for Children program, which provides free immunizations for children regardless of insurance status.

โ€œYou can bring your child for checkups and routine vaccinations,โ€ Babineaux said. โ€œWeโ€™ll see them regardless of ability to pay. The key is making sure theyโ€™re protected.โ€

Parents should prioritize vaccinations not only for their children but for everyone in the household. Healthy habits support immunity throughout the season. 

โ€œMake sure kids get enough rest, eat balanced meals, and wash their hands,โ€ Babineaux said. โ€œThese are simple things that help protect families.โ€

Local flu shot resources

Legacy Community Health

  • 39 locations across the Houston area, including school-based clinics.
  • Offers flu shots on a sliding-fee scale for uninsured patients.
  • Appointments: www.legacycommunityhealth.org | 832-548-5000

Texas Childrenโ€™s Hospital Community Care Centers

  • Provides vaccines through the Vaccines for Children (VFC) program.
  • No-cost immunizations for eligible children.
  • More info: www.texaschildrens.org

Harris County Public Health

I cover Houston's education system as it relates to the Black community for the Defender as a Report for America corps member. I'm a multimedia journalist and have reported on social, cultural, lifestyle,...