Influenza (or flu) is a highly contagious viral infection and is one of the most severe illnesses of the winter season. An estimated 10 to 20 percent of the population in the US contract influenza each year. Influenza is characterized by the following:
- Muscle aches
- Sore throat
- Abdominal pain
Influenza can make people of any age ill. Although most people and children are ill with influenza for only a few days, some have a much more serious illness and may need to be hospitalized. Influenza may also lead to pneumonia and/or death.
Different types of influenza:
Influenza types A and B are responsible for epidemics of respiratory illness that occur almost every winter and are often associated with increased rates of hospitalization and death.
Efforts to control the impact of influenza are focused on types A and B. One of the reasons the flu remains a problem is because the viruses actually alter their structure, exposing adults and children to new types of the virus each time.
Influenza type C usually causes either a very mild respiratory illness or no symptoms at all. It does not cause epidemics and does not have the severe public health impact that influenza types A and B do.
Influenza viruses continually mutate or change, which enables the virus to evade the immune system of a child. People are susceptible to influenza infection throughout their lives.
Causes of influenza:
An influenza virus is generally passed from person to person by airborne transmission. Your child can contract the flu by coming in contact with airborne viruses from an affected person by way of sneezing and coughing. The virus can live for a short time on objects such as telephone receivers, eating or drinking utensils, doorknobs, pens/pencils, keyboards, for example. Therefore, it may also be spread when your child touches something that has been handled by someone infected with the virus and then your child touches his/her own mouth,nose, or eyes.
People are generally the most contagious with the flu 24 hours before they start having symptoms and during the time they have the most symptoms. That is why it is hard to prevent the spread of the flu, especially among children, because they do not always know they are sick while they are still spreading the disease. The risk of infecting others usually stops around the seventh day of the infection.
Symptoms of influenza:
- Fever, which may be as high as 103° F to 105° F
- Aches and pains
- Not feeling well all over
- Cough that is nonproductive
- Sore throat
- Stuffy nose or clear nose
- Worsening cough
Most people recover from influenza within a week, but may be left feeling exhausted for as long as three to four weeks.
The symptoms of influenza may resemble other conditions or medical problems. Always consult your child’s physician for a diagnosis.
Cold different from the flu:
A cold and the flu (influenza) are two different illnesses. A cold is relatively harmless and usually clears up by itself after a period of time, although sometimes it may lead to a secondary infection, such as an ear infection. he Flu can lead to complications, such as pneumonia and even death.
Prevention of Influenza:
A new influenza vaccine is introduced each September. It is usually recommended for specific groups of people (see below), as well as for persons who want to avoid having the flu. In addition, three antiviral medications (amantadine, rimantadine, and oseltamivir) are approved for use in preventing the flu. All of these medications are available by prescription, and a physician should be consulted before any medication is used for preventing the flu.
According to the American Lung Association, an influenza vaccination is about 70 percent effective in preventing influenza, or reducing its severity, and is considered safe. Vaccine effectiveness varies from year to year, depending upon the degree of similarity between the influenza virus strains included in the vaccine and the strain or strains that circulate during the influenza season. Vaccine strains must be chosen nine to ten months before the influenza season. Sometimes, changes occur in the circulating strains of viruses between the time vaccine strains are chosen and the next influenza season.
Vaccine effectiveness also varies from one person to another, depending on factors such as age and overall health.
Side effects of the vaccine:
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, children who have an allergy to eggs should not receive the influenza vaccine.
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 a headache or a low-grade fever for about a day after vaccination. Because these mild side effects mimic some influenza symptoms, some people believe 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 recommendations for those who should have the influenza vaccine include the following:
Persons 50 years old or older (Vaccine effectiveness may be lower for elderly persons, but it can significantly reduce their chances of serious illness or death from influenza.). Residents of nursing homes and any other chronic care facilities that house persons of any age who have chronic medical conditions
Adults and children who have chronic disorders of the pulmonary or cardiovascular systems, including children with asthma, cystic fibrosis, and chronic lung disease of infancy (bronchopulmonary dysplasia, BPD)
- Chronic metabolic diseases (i.e., diabetes)
- Renal dysfunction
Children and teenagers (aged 6 months to 18 years) receiving long-term aspirin therapy
Women who will be in their second or third trimester of pregnancy during the influenza (fallwinter) season (The flu vaccine may not be appropriate in all cases. Consult your physician for more information.)
In addition, the following groups should be vaccinated:
Employees of nursing homes and chronic care facilities who have contact with patients or residents
Providers of home care to persons at high risk
Household members (including children) of persons in high-risk groups
Persons of any age who wish to decrease their chances of influenza infection, excluding persons who are allergic to eggs
Specific treatment for influenza will be determined by your child’s physician based on:
Your child’s age, overall health, and medical history
Extent of the condition
Your child’s tolerance for specific medications, procedures, or therapies
Expectations for the course of the condition
Opinion or preference
The goal of treatment for influenza is to help prevent or decrease the severity of symptoms.
There is no cure for influenza. Treatment may include:
Medications to relieve aches and fever (Aspirin should not be given to children with a fever without first consulting your child’s physician.). The drug of choice for children would be acetaminophen (Tylenol).
- Medications used for congestion and nasal discharge
- Bed rest
- Increased fluid intake
Medication for your child’s cough may be prescribed by your child’s physician after a thorough evaluation
Antiviral medications – the medications may help to shorten the duration of the illness and to decrease the severity of the flu, but do not cure the flu. They must be started very shortly after symptoms begin. Two types of these medications are amantadine and rimantadine. The length of therapy will be determined by your child’s physician.