Respiratory Trend Report

Month of June, 2026

Respiratory Trend Report

Month of June, 2026

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HealthTrackRx Trend Update

As June concludes, respiratory virus circulation remains at a seasonal low, with most pathogens either reaching their lowest levels of the year or continuing to decline from higher late-spring activity. COVID-19 activity remains low at 1.3% by the end of June; however, rates are expected to increase heading into July, consistent with 2024 and 2025 seasonal patterns that showed COVID-19 incidence rising in late July and August. Rhinovirus/Enterovirus also typically increases in late summer to early fall, coinciding with the back-to-school season.

Parainfluenza Virus and Adenovirus continue to show moderate circulation, ending the month at 8.5% and 4.6%, respectively. Both viruses are expected to begin declining as we move into July. Although Rhinovirus/Enterovirus is currently at the low point for the summer, it remains the most prevalent respiratory virus nationally at 22.5%. This pattern is consistent with historical trends, as Rhinovirus/Enterovirus positivity can reach as high as 40% during peak circulation.

HealthTrackRx Trend Update

As June concludes, respiratory virus circulation remains at a seasonal low, with most pathogens either reaching their lowest levels of the year or continuing to decline from higher late-spring activity. COVID-19 activity remains low at 1.3% by the end of June; however, rates are expected to increase heading into July, consistent with 2024 and 2025 seasonal patterns that showed COVID-19 incidence rising in late July and August. Rhinovirus/Enterovirus also typically increases in late summer to early fall, coinciding with the back-to-school season.

Parainfluenza Virus and Adenovirus continue to show moderate circulation, ending the month at 8.5% and 4.6%, respectively. Both viruses are expected to begin declining as we move into July. Although Rhinovirus/Enterovirus is currently at the low point for the summer, it remains the most prevalent respiratory virus nationally at 22.5%. This pattern is consistent with historical trends, as Rhinovirus/Enterovirus positivity can reach as high as 40% during peak circulation.

Trending Up

  • COVID-19 Coronavirus (SARS-CoV-2)
  • Adenovirus

Trending Down

  • Rhinovirus/Enterovirus
  • Influenza A/B
  • Coronaviruses (229E, NL63, HKU1, OC43)

  • Human Metapneumovirus

Remaining Level

  • Parainfluenza Virus (types 1-4)
  • Respiratory Syncytial Virus

  • Enterovirus D68

Trending Up

  • COVID-19 Coronavirus (SARS-CoV-2)
  • Adenovirus

Trending Down

  • Rhinovirus/Enterovirus
  • Influenza A/B
  • Coronaviruses (229E, NL63, HKU1, OC43)

  • Human Metapneumovirus

Remaining Level

  • Parainfluenza Virus (types 1-4)
  • Respiratory Syncytial Virus

  • Enterovirus D68

7 Day Enterovirus/Rhinovirus Map

This report reflects observed trends in HealthTrackRx testing positivity data, does not convey medical advice, and is provided for informational purposes only. Individuals experiencing respiratory symptoms should consult with their healthcare provider.

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HealthTrackRx Respiratory Resource Library
HealthTrackRx Respiratory Resource Library

A collection of whitepapers, articles and webinars from our scientists.