Healthy Living
Influenza--often called the flu--is a highly contagious illness caused by viruses that spread when infected people cough or sneeze. When you breathe airborne flu viruses through your mouth or nose. they settle in your throat. and the rest of your respiratory system.
It's also possible (though uncommon) to become infected by touching an object that has viruses on it. like a telephone or doorknob. and then touching your nose or mouth.
The flu can make people of all ages seriously ill. Symptoms include high fever. extreme tiredness. and more. (Children may also get nausea. diarrhea and vomiting.) Flu may lead to bronchitis and pneumonia. lung and heart problems. such as chronic obstructive pulmonary disease (COPD) and congestive heart failure.
Flu causes about 200.000 deaths each year in the U.S. Depending upon which flu virus strains are circulating. the disease sickens from five percent to 20 percent of the people in the U.S. annually during the fall and winter flu "season." The viruses may be active from October to May.
According to the Centers for Disease Control and Prevention (CDC) and the Advisory Committee on Immunization Practices (ACIP). the best way to prevent flu and protect yourself and others from serious complications is to get an annual flu vaccination. Getting vaccinated before the end of the calendar year offers the best protection against the flu. which often peaks in February.
Two types of vaccines are available in the U.S. One is inactivated (killed) and given as an injection; the other is a live attenuated (weakened) nasal-spray vaccine. Protection develops two weeks after vaccination. Both types reduce flu risk. but the nasal spray is only approved for healthy people. with no chronic conditions or other risks (including pregnancy).
A word of caution: If you are allergic to eggs. have ever had an allergic reaction to flu vaccine. have ever had Guillain-Barré Syndrome. or have a current illness. consult your health care professional before receiving either vaccine.
Anyone can get the flu. The virus is highly contagious and may spread from person to person before symptoms appear and up to five days afterwards. Children may be infectious for 10 days or more. Smoking increases your risk of flu infection and mortality.
Because flu thrives in close quarters. children are more likely to become infected than adults. Yet older people and very young children are more likely to be hospitalized or die from flu-related causes. People who work in close physical spaces with others who are infectious. such as in office cubicles. or travel on crowded public transportation. may be exposed to influenza viruses easily. So are those who sleep and live in tight quarters with individuals who may be infected. such as in shelters. nursing homes or college dormitories.
Anyone wanting to avoid getting the flu (one New England Journal of Medicine study of healthy working adults showed those receiving the vaccine had 43 percent fewer days of sick leave from work)
A word of caution: If you are allergic to eggs. have ever had an allergic reaction to flu vaccine. have ever had Guillain-Barré syndrome. or have a current illness. consult your health care professional before receiving either vaccine.
How do you know if you have the flu (influenza) or just a cold? Both affect your respiratory system and have similar symptoms. However. there are significant differences in the severity of each illness and their potential to cause serious complications or death:
A cold creeps up on you. little by little. It might start with sneezing. then move on to a sore throat. or achy muscles. You might not feel great. but--armed with enough tissues--you can still pursue most daily activities.
The flu strikes quickly. often with debilitating exhaustion. Flu usually makes you too sick and weak to go to work. or even to leave your bed.
With the flu. an intense headache. strong aches and pains. and a serious dry cough. In addition. you could suffer chills. a runny or stuffy nose. after most flu symptoms have passed. fatigue can still linger.
When you have a cold. you rarely have a fever or headache and fatigue is mild. Sneezing. a stuffed nose and sore throat are common with a cold. but less so with the flu.
Although people talk about having a "stomach flu." adults don't have stomach-related symptoms with the disease. Stomach flu isn't influenza--it's a gastrointestinal disorder.
Flu is usually diagnosed based upon symptoms and a physical exam. If your symptoms fit those of other patients becoming ill during the time when flu is in your community. your doctor can presume that you have one of the current strains of flu.
Because flu symptoms are sometimes similar to those of viral illnesses such as Respiratory Syncytial Virus (RSV) and Parainfluenza. as well as bacterial conditions such as bronchitis and pneumonia. you may receive more sophisticated diagnostic testing if needed. Lab tests based on viral swabs of your nasal passages or throat. can confirm whether you have the flu.
Annual vaccinations reduce or prevent your risk of getting the flu. As of yet. there are no effective vaccines for RSV or parainfluenza. although research continues.
It was the fastest-moving. most lethal influenza outbreak in recorded history.000 U.S. deaths and killing more than 50 million people worldwide. More than half of those who died were healthy people. aged 18 to 40.
Such disease outbreaks are called pandemics because they cover the entire world and affect many people. There were two other influenza pandemics in the 20th century.000 dead in the U.S.
Although modern flu vaccines and antiviral medications better protect public health.000 people still die from flu-related causes in the U.S. every year. That's the result of an average flu season. not a pandemic. Worldwide. the fatality rate may be 20 times higher or more.
Experts are concerned that new flu strains. appearing in bird and animal populations. may threaten humans with a new pandemic. Some even consider such an event inevitable. fueled by a growing world population. increased foreign travel. and immunization levels that are still low among many people. despite flu being a vaccine-preventable disease.
Get a flu vaccination every fall. particularly if you are high risk for suffering flu complications. Remember. if you are allergic to eggs. have ever had an allergic reaction to flu vaccine. have ever had Guillain-Barré Syndrome. or have a current illness. you need to consult your health care professional before receiving a flu vaccination.
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