Flu and Measles as reported by Douglas County as of February 4, 2026

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Influenza Activity

Influenza activity remains high in Douglas County and most of the U.S. is still experiencing elevated levels of activity. A total of 555 cases of influenza were reported last week in Douglas County and 503 were reported the week prior. Influenza B activity has also been slightly increasing over the past few weeks in Douglas County. Nationally, overall influenza activity increased last week after several weeks of decreasing activity. CDC still classifies the 2025-2026 influenza season as moderately severe.

Influenza A(H3N2) viruses are still the most frequently reported influenza viruses so far this season and is driving this season’s high activity. Influenza antiviral drugs should also be considered as early as possible for patients at higher risk for severe illness. There remains no indication that A(H3N2) subclade K influenza viruses are resistant to available influenza antiviral medications. 

Measles Update

Measles activity is rising again nationally. As of January 30, a total of 2,267 measles cases were reported in the U.S. in 2025 and 588 cases have already been reported in 2026. Most notably, South Carolina is now experiencing the largest measles outbreak in the US since measles was declared eliminated in 2000. The measles outbreak in South Carolina has resulted in 876 measles cases so far, surpassing the Texas outbreak in early 2025. In Nebraska, four cases were recently reported in Platte County and one case reported last week in Lancaster County. 

Healthcare providers should consider measles for patients of any age who have a fever AND a rash, especially those reporting recent travel or other potential exposures. Suspect cases of measles should be reported immediately to the Douglas County Health Department at 402-444-7214 (after hours at 402-444 -7000).

Douglas County: A total of 3,871 laboratory-confirmed cases of influenza have been reported so far this season (since October 1, 2025), with 555 cases reported last week (week ending January 31, 2026).