In the first 2 years of the coronavirus disease 2019 pandemic, influenza transmission decreased substantially worldwide, meaning that health systems were not faced with simultaneous respiratory epidemics. In 2022, however, substantial influenza transmission returned to Nicaragua where it co-circulated with severe acute respiratory syndrome coronavirus 2, causing substantial disease burden.
Keywords: Nicaragua; SARS-CoV-2; incidence rate; influenza; vaccination.
© The Author(s) 2022. Published by Oxford University Press on behalf of Infectious Diseases Society of America.