Influenza (or flu) is a highly contagious viral respiratory tract infection. An estimated 5 to 20 percent of people in the U.S. get influenza each year. Influenza is characterized by the abrupt onset of fever, muscle aches, sore throat, and a nonproductive cough.
Influenza can make people of any age ill. Although most people are ill with influenza for only a few days, some have a much more serious illness and may need to be hospitalized. Influenza can also lead to pneumonia and death.
Influenza viruses are divided into three types, designated as A, B, and C.
Influenza viruses continually mutate or change, which enables the virus to evade the immune system of its host. This makes people susceptible to influenza infection throughout their lives. The process works as follows:
The older antibody can, however, provide partial protection against reinfection. Currently, three different influenza viruses circulate worldwide: two type A viruses and one type B virus. Immunizations given each year to protect against the flu contain the influenza virus strain from each type that is expected to cause the flu within that year.
Although each flu season is different, approximately 5 to 20 percent of the population will get the flu each year. Of those who get the flu, between 3,000 and 49,000 will die from it or from complications, with more than 90 percent of deaths occuring in people older than 65.
The influenza virus is generally passed from person to person by airborne transmission, such as sneezing or coughing. But, the virus can also live for a short time on objects, such as doorknobs, pens, pencils, keyboards, telephone receivers, and eating or drinking utensils. Therefore, it may also be spread by touching something that has been handled by someone infected with the virus and then touching your own mouth, nose, or eyes.
The following are the most common symptoms of the flu. However, each individual may experience symptoms differently. Influenza is called a respiratory disease, but the whole body seems to suffer when a person is infected. People usually become acutely ill with several, or all, of the following symptoms:
Fever and body aches usually last for three to five days, but cough and fatigue may last for two weeks or more. Although nausea, vomiting, and diarrhea may accompany the flu, these gastrointestinal symptoms are rarely prominent. "Stomach flu" is an incorrect term sometimes used to describe gastrointestinal illnesses caused by other microorganisms.
The symptoms of the flu may resemble other medical conditions. Always consult your doctor for a diagnosis.
Specific treatment for influenza will be determined by your doctor based on:
The goal of treatment for influenza is to help prevent or decrease the severity of symptoms. Treatment may include:
Consult your doctor for more information.
A new influenza vaccine is introduced each September. Everyone who is at least 6 months old should get a flu vaccine this season. It is usually recommended for specific groups of people (see below), as well as for people who want to avoid having the flu. In addition, antiviral medications are approved for use in preventing the flu. All of these medications are available by prescription, and a doctor should be consulted before any medication is used for preventing the flu.
A nasal-spray flu vaccine, called FluMist, is currently approved to prevent flu due to influenza A and B viruses in healthy children and adolescents ages 2 to 17, and healthy adults ages 18 to 49. As with other live virus vaccines, FluMist should not be given for any reason to pregnant women and people with immune suppression, including those with immune deficiency diseases, such as AIDS or cancer, and people who are being treated with medications that cause immunosuppression. FluMist also should not be given to the following groups of people:
Following these precautions may also be helpful:
Vaccine effectiveness varies from year to year, depending on the degree of similarity between the influenza virus strains included in the vaccine and the strain or strains that circulate during the influenza season. The 2012-2013 flu vaccine will protect you against three different flu strains, including the 2009 H1N1 virus. Vaccine strains must be chosen 9 to 10 months before the influenza season, and sometimes mutations occur in the circulating strains of viruses between the time vaccine strains are chosen and the next influenza season. These mutations sometimes reduce the ability of the vaccine-induced antibody to inhibit the newly mutated virus, thereby reducing vaccine effectiveness.
Vaccine effectiveness also varies from one person to another, depending on factors such as age and overall health.
The most serious side effect that can occur after influenza vaccination is an allergic reaction in people who have a severe allergy to eggs. For this reason, people who have an allergy to eggs should not receive the influenza vaccine.
The National Center for Infectious Diseases, a division of the CDC, says that influenza vaccine causes no side effects in most people who are not allergic to eggs. Less than one-third of people who receive the vaccine experience some soreness at the vaccination site, and about 5 to 10 percent experience mild side effects, such as headache or low-grade fever for about a day after receiving the vaccination.
Because these mild side effects mimic some influenza symptoms, some people believe the influenza vaccine causes them to get influenza. However, according to the CDC, "influenza vaccine produced in the United States has never been capable of causing influenza because the only type of influenza vaccine that has been licensed in the United States to the present time is made from killed influenza viruses, which cannot cause infection."
The flu causes complications that may develop into a more serious disease or become dangerous to some groups, such as older adults and those with chronic medical conditions. For these reasons, the CDC recommends that the following groups immunize themselves each year. Always consult your doctor for more information regarding who should receive the flu vaccine:
The CDC recommends getting the flu shot every year, as soon as it becomes available in your community. Flu season can begin as early as October and most commonly peaks in the U.S. in January or Febuary, but influenza seasons are unpredictable. The flu shot takes one to two weeks to become effective.
Although there are many new medications designed to treat flu symptoms and even shorten the duration of the illness, the flu vaccine still offers the best protection against the flu.
Every year, the flu shot "cocktail" changes to combat the current strains of influenza affecting the population. The World Health Organization monitors flu outbreaks worldwide and recommends appropriate vaccine compositions to be used for the next year. However, sometimes, a strain may appear that was not included in the flu vaccine. People who have had the flu shot tend to have milder symptoms if they contract the flu.
Because the flu is a highly contagious infection usually spread by droplets produced by an infected person who is coughing or sneezing, travelers are very susceptible to contracting the flu.
The CDC recommends that travelers have the flu vaccine at least two weeks in advance of planned travel to allow time to develop protective immunity. There are other anti-viral drugs available to help prevent viral infections and complications. Consult your doctor for more information.
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