Seasonal flu kills about 700,000 people each year across the world

Seasonal influenza is sometimes seen as a mild illness, but it remains a major cause of death. In serious cases, it can cause deadly complications such as pneumonia, strokes, and heart attacks. Researchers estimate that the flu causes about 400,000 respiratory deaths and 300,000 cardiovascular deaths globally each year.The flu is most dangerous for infants and older adults. The map here shows rates of respiratory deaths caused by the flu in adults aged 65 and over, averaged across 2002–2011 (excluding the 2009 Swine Flu pandemic).The data shows that death rates tend to be higher in South America, Africa, and South Asia than in Europe or North America.I come from South America, and I found this surprising: most of what I hear about flu deaths tends to come from richer countries in the Northern Hemisphere. But the map shows that the flu is also deadly, in some cases even more so, in other regions where poverty, worse underlying health, limited access to healthcare, and lower vaccination coverage contribute to higher mortality.One explanation for my misperception might be that surveillance and reporting are stronger in the countries that I associate with deaths from flu. Another could also be age differences: people in high-income countries tend to be older, so their total number of deaths — the ones you actually hear about — may still be higher, even if rates are lower.When you consider the total death toll, you realize that the numbers are very large on the whole. Recall that the map only includes respiratory deaths, so the overall mortality is actually higher if we include other flu-related complications like cardiovascular disease.Even if you account for the uncertainty of estimates in low-income countries — due to limited testing and death registration — the overall pattern remains striking: seasonal influenza kills hundreds of thousands each year, with many of these deaths in South America, Africa, and South Asia.Read more in our article, “How many people die from the flu?”