Publication date: May 27, 2026
Seasonal influenza circulation was profoundly disrupted during the COVID-19 pandemic, resulting in an unprecedented global decline in viral activity and genetic diversity. As non-pharmaceutical interventions gradually relaxed, influenza viruses re-emerged in multiple regions in 2022; however, genomic data from Latin America remain limited, particularly for the first post-pandemic season. In this study, we analyzed the epidemiological, genomic, and evolutionary patterns of influenza A and B viruses circulating in Mexico between June 2018 and June 2023, with a specific focus on the first post-pandemic season (June 2022-June 2023). More than 90% of the influenza virus genomes available from Mexico for this post-pandemic period were generated in this study, while data from earlier seasons were used for contextualization. Following a near-complete absence of influenza circulation during 2020-2021, viral activity re-emerged in late 2021 and intensified during 2022-2023. Post-pandemic circulation in Mexico was dominated by influenza A(H3N2), with a lower contribution from A(H1N1)pdm09 and a delayed re-emergence of B/Victoria; B/Yamagata was not detected. Genomic analyses revealed rapid lineage turnover after the pandemic, characterized by the predominance of post-pandemic clades and reduced genetic diversity compared with pre-pandemic seasons. Phylogenetic analyses indicated multiple introductions and strong regional connectivity across North and South America.

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Semantics
| Type | Source | Name |
|---|---|---|
| disease | MESH | Influenza |
| disease | MESH | COVID-19 pandemic |
| pathway | KEGG | Influenza A |
| drug | DRUGBANK | Coenzyme M |
| disease | MESH | ext |
| disease | MESH | infections |
| disease | MESH | strain |
| disease | MESH | Emerging Communicable Diseases |
| disease | MESH | included |
| drug | DRUGBANK | Ademetionine |
| drug | DRUGBANK | Aspartame |
| disease | MESH | NS1 |
| disease | MESH | NS2 |
| disease | MESH | star |
| disease | MESH | recurrence |
| drug | DRUGBANK | Trestolone |
| disease | MESH | Dis |
| disease | MESH | Lam |
| drug | DRUGBANK | Alpha-1-proteinase inhibitor |
| drug | DRUGBANK | (S)-Des-Me-Ampa |
| drug | DRUGBANK | Carboxyamidotriazole |
| disease | MESH | injury |
| drug | DRUGBANK | Influenza A virus |
| drug | DRUGBANK | Influenza B virus |