Influenza and Coronavirus
When I first published this post, I didn’t know these basic recommendations help fight another serious infectious respiratory disease-COVID-19 due to the SARS-CoV-2.
1. If you think you have the “flu”, remember it could be something else.
To many people “the flu” is any respiratory illness characterized by fever, cough, congestion, fatigue, and aches. That term has become so nonspecific even we doctors use it that way. But flu should refer to influenza, one of many viruses that cause respiratory illness. The other major ones are the COVID-19 virus and RSV (respiratory syncytial virus).
Several other viruses cause mild respiratory illnesses such as
- rhinosinusitis, aka “colds”, upper respiratory infections-URIs,
- bronchitis,
- pharyngitis (sore throat)
Pneumonia is a respiratory illness caused by several viruses and bacteria and less commonly fungi. I’m not discussing those in this post.
2. If your doctor thinks you have influenza or COVID, take it seriously .
Before the “rapid flu” test, we doctors diagnosed influenza by the characteristic symptoms, exam, and knowing there was an outbreak in the community. The test is helpful for confirmation but like the COVID test may be negative depending on when the test occurs.
3. The best way to prevent influenza is by vaccination.
The World Health Organization (WHO), Centers for Disease Control and Prevention(CDC) , the National Foundation for Infectious Disease and other reputable medical organizations recommend vaccination against influenza.
People refuse vaccination because they believe it is ineffective, unnecessary, dangerous, toxic, unnatural, subversive, and who knows what else. I don’t think I or anyone else are going to change their minds.
My family and I always get vaccinations which have successfully protected us without side effects or adverse reactions. There are risks, just like there are with any medical procedure, or lots of other things we do in life. In this case, we have decided the benefit outweighs the risk.
If you don’t want a “flu shot”, discuss it with your doctor before saying no. Your doctor can explain any concerning information you have heard and offer reassurance Please listen.
4. Stay away from others if you are sick.
It’s not a coincidence that influenza outbreaks coincide with the American holiday season (approximately November through January). So to protect us all,
- Stay home if you are sick, and ask your family, co-workers, and employees to do the same.
- Cover your nose and mouth when coughing or sneezing; use your sleeve, not your hand.
- Keep your hands away from your eyes, nose, and mouth.
- Wash your hands frequently, thoroughly, and long enough.
- Wash frequently touched surfaces with disinfectant.
5. If you get sick, don’t ask your doctor for an antibiotic.
Antibiotics attack bacteria. Influenza and 99% of all respiratory illnesses are due to viruses.
There are influenza antiviral drugs that will “shorten the duration and severity of symptoms” by 1-2 days if started early. The effectiveness is uncertain for an illness that will resolve within 10-14 days regardless. But if it gets you back to school or work a day earlier, it may be worth the cost-they are not cheap drugs.
For COVID, the antivirals minimize the chance of the illness becoming severe, especially for high-risk people.
Otherwise, the treatment is“symptomatic” or “supportive” care for the milder respiratory infections.
- Rest; eat and drink as normally as possible; extra fluids if running a fever
- Non-prescription cough/congestion /pain/fever meds
Acetaminophen for aches and fever
Lozenges for sore throat, cough, and congestion
Breathing moist air using a humidifier
(The previous are affiliate links. )
6. Influenza and COVID complications
People die from complications of influenza, and infants, young children and the elderly have the most significant risk. The most common fatal complication is bacterial pneumonia, an infection in the lung. Influenza can also attack the nervous system causing brain inflammation (encephalitis and/or meningitis) and paralysis in the form of Guillain-Barre syndrome.
Persons with chronic illnesses like diabetes, lung disorders, depressed immune systems, and cancer are at greater risk of complications and should always consult a physician if feeling ill. If you don’t know if you fall into that category, ask your doctor.
what you really need to know
We should all take influenza and COVID-19 seriously; consider my suggestions, talk to your personal doctor, keep up with recommendations from your local public health professionals, and do your part to keep your family and community well.
Here are some previous posts about infections.
Get Smart About Antibiotics
“Most common infections, such as colds, flu, most sore throats, bronchitis, and many sinus and ear infections, are caused by viruses and do not respond to antibiotic treatment. “
6 smart facts about antibiotics
“You may think of antibiotics as safe, harmless drugs with no potential for serious effects. Usually, antibiotics are well tolerated and safe. But serious side effects are possible, though infrequent.”
Sorting out sinusitis
“If you have a bacterial sinus infection with more than mild symptoms, an antibiotic may relieve symptoms and help you recover sooner. “
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Dr Aletha
watercress words by Dr Aletha 