COVID-19, Influenza, and RSV Wastewater Monitoring in the U.S. | Week of September 6, 2025

Summary: Week of 9/6/25

Biobot’s national wastewater network shows that COVID-19 continues to increase in week 36 (through September 36, 2025). Influenza A & B and RSV are holding steady at very low levels. National hospitalizations for COVID-19 are increasing, currently at 2.3 per 100,000 people in week 35 (through August 30). RSV hospitalizations are holding steady at very low levels, currently 0 per 100,000 people while flu hospitalizations have not been updated on the CDC website since May 3rd.

The Bottom Line: COVID-19 activity continues to increase while flu and RSV remain very low.

National Outlook

COVID-19

National SARS-CoV-2 concentrations are increasing.

Influenza

National flu A & B concentrations are holding steady at very low levels.

RSV

National RSV concentrations are holding steady at very low levels.

Regional

The South

COVID-19: SARS-CoV-2 concentrations are decreasing slightly in the South.

Influenza: Influenza A and B concentrations are holding steady at very low levels in the South.

RSV: RSV concentrations are holding steady at very low levels in the South.

The Midwest

COVID-19: SARS-CoV-2 concentrations are increasing in the Midwest.

Influenza: Influenza A is holding steady at very low levels in the Midwest, while influenza B is fluctuating slightly.

RSV: RSV concentrations are holding steady at very low levels in the Midwest.

The Northeast

COVID-19: SARS-CoV-2 concentrations are increasing in the Northeast.

Influenza: Influenza A & B are holding steady at very low levels in the Northeast.

RSV: RSV concentrations are holding steady at very low levels in the Northeast.

The West

COVID-19: SARS-CoV-2 concentrations are holding steady in the West.

Influenza: Influenza A and B concentrations are holding steady at very low levels in the West.

RSV: RSV concentrations are holding steady at very low levels in the West.


Footnotes: 
We continue to monitor the evolving H5N1 influenza virus situation, and can now test samples specifically for H5 (including H5N1) — see our blog here and please reach out to hello@biobot.io if interested. A quick reminder that Biobot’s influenza A assay described in this report includes the H5N1 influenza subtype, which is an influenza A virus, but does not distinguish between the different subtypes of influenza A (e.g. H5N1 vs H1N1). We will share any important updates as we have them via Bluesky and in the risk reports.

Wastewater data from Biobot Analytics for RSV, influenza, and SARS-CoV-2 are through September 6 30, 2025 (MMWR week 36). Clinical data for RSV, influenza, and COVID-19 are from the Centers for Disease Control and Prevention. Updates to clinical data are through August 30, 2025 (MMWR week 35).

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