An early flu season, a new variant and poor takeup of vaccines leave the already vulnerable health service in a dangerous position

• Prof Devi Sridhar is chair of global public health at the University of Edinburgh

You might be feeling stressed out seeing the headlines about “super flu” and comparing the current winter health challenges with 2020 and Covid. Amid all the noise, it’s difficult to know how bad this flu really is – and how much is political spin. I should start by saying “super flu” is not a scientific term or one used by any academics or clinicians I work with. It’s a colloquial phrase that’s been used by various NHS England bosses and taken up by Wes Streeting, the health secretary, and Keir Starmer.

This year, a couple of factors have come together to make it a harder flu season for hospitals to manage. First, flu has arrived earlier than previous years. This isn’t unique to the UK: it’s the same picture across the US, Canada, Japan, Germany – basically the northern hemisphere going into winter. This is in the context of multiple viruses circulating such as Covid and rhinoviruses, which means patients could be fighting one or more viruses at the same time and are more susceptible to getting sicker from influenza.

Prof Devi Sridhar is chair of global public health at the University of Edinburgh

Fit Forever: Wellness for midlife and beyond
On Wednesday 28 January 2026, join Annie Kelly, Devi Sridhar, Joel Snape and Mariella Frostrup, as they discuss how to enjoy longer and healthier lives, with expert advice and practical tips. Book tickets here or at guardian.live

They face long hours, mediocre pay and, at worst, no job, but their optimism is astonishing – let’s support them better

• Prof Devi Sridhar is chair of global public health at the University of Edinburgh

When I mentioned to colleagues in the NHS that I was helping with admissions interviews for medical students, several responded with the same wry smile and weary shrug: “Do they know what they’re getting into?” Anyone working with the health service over the past few decades has seen the job conditions get tougher, salaries stagnate and idealism erode within a crumbling system. Brexit, Covid, austerity and the rise in the cost of living haven’t helped.

From the students’ perspectives, they’ve gone through a lot to get here too. Not just the usual high-level academic performance and résumé-building either. This is a group who dealt with school closures and lockdowns during impressionable years, many come from crowded schools with little support and coaching, and yet they’ve found a way to persevere.

Prof Devi Sridhar is chair of global public health at the University of Edinburgh

Fit Forever: Wellness for midlife and beyond: On Wednesday 28 January 2026, join Annie Kelly, Devi Sridhar, Joel Snape and Mariella Frostrup, as they discuss how to enjoy longer and healthier lives, with expert advice and practical tips. Book tickets here or at guardian.live