Influenza (Flu) Fact Sheet

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1 Influenza (Flu) Fact Sheet What is the flu? The flu is a cntagius respiratry illness caused by influenza viruses. It can cause mild t severe illness, and at times can lead t death. Sme peple, such as lder peple, yung children, and peple with certain health cnditins, are at high risk fr serius flu cmplicatins. Every year in the United States: On average mre than 200,000 peple are hspitalized frm flu cmplicatins, and; Mre than 23,600 peple die frm flu (with a range f 3,349-48,614 peple); abut 90% f such deaths ccur in persns aged 65 years and lder. The best way t prevent this illness is by getting a flu vaccinatin. What are the symptms f the flu? The flu usually starts suddenly and may include these symptms: Fever* r feeling feverish/chills Cugh Sre thrat Runny r stuffy nse Muscle r bdy aches Headaches Fatigue (tiredness) Sme peple may have vmiting and diarrhea, thugh this is mre cmmn in children than adults * It's imprtant t nte that nt everyne with flu will have a fever. What are the cmplicatins assciated with the flu? Sme f the cmplicatins caused by flu include pneumnia, ear infectins, sinus infectins, dehydratin, and wrsening f chrnic medical cnditins, such as heart r lung disease, asthma r diabetes. Hw is the flu spread? The flu is spread in drplets released by cughing and sneezing. It usually spreads frm persn t persn, thugh ccasinally peple may be infected by tuching smething with virus n it and then tuching their eyes, nse, r muth. When and fr hw lng is a persn able t spread the flu? Yu may be able t pass n the flu t smene else befre yu knw yu are sick, as well as while yu are sick. Mst adults may be able t infect thers beginning 1 day befre symptms develp and up t 5 t 7 days after becming sick.

2 Sme peple, especially yung children and peple with weakened immune systems, might be able t infect thers fr an even lnger time. Cld Versus Flu What is the difference between a cld and the flu? The flu and the cmmn cld are bth respiratry illnesses but they are caused by different viruses. Because clds and flu share many symptms, it can be difficult (r even impssible) t tell the difference between them based n symptms alne. Mst peple wh have flu symptms will nt be tested, and d nt need t be tested, because test results usually d nt change hw a patient is treated. Treatment, if decided upn by the health care prvider, will usually be based n severity f symptms and hw likely a persn is t have cmplicatins f flu nt n the basis f a test result. What are the symptms f the flu versus the symptms f a cld? The flu tends t start very suddenly, while clds tend t develp gradually. The flu is wrse than the cmmn cld, and symptms such as fever, bdy aches, extreme tiredness and dry cugh are mre cmmn and intense. Peple with clds are mre likely t have a runny r stuffy nse. Clds generally d nt result in serius health prblems, such as pneumnia, bacterial infectins, r hspitalizatins. Preventing the Flu What is the best way t prtect myself against the flu? The single best way t prevent the flu is t get a flu vaccinatin each fall. There are tw types f vaccines: The "flu sht" is an inactivated vaccine (cntaining killed virus) that is given with a needle. It can be given in the muscle r just under the skin. The flu sht that is given in the muscle is apprved fr use in peple lder than 6 mnths, including healthy peple and peple with chrnic medical cnditins. The flu sht that is given belw the skin is fr thse years f age. The nasal-spray flu vaccine is a vaccine (smetimes called LAIV fr "Live Attenuated Influenza Vaccine") made with live, weakened flu viruses that d nt cause the flu. LAIV is apprved fr use in healthy peple 2 years t 49 years f age wh are nt pregnant. Talk t yur prvider t find ut which vaccine is right fr yu and yur family. Abut tw weeks after vaccinatin, antibdies develp that prtect against flu virus infectin fr the entire seasn. Flu vaccines will nt prtect against illnesses caused by ther viruses, such as the cmmn cld.

3 Wh shuld get the flu vaccine? Everyne 6 mnths f age and lder shuld get vaccinated against the flu. Vaccinatin shuld begin as sn as the vaccine is available. Vaccinatin t prevent flu is particularly imprtant fr persns wh are at increased risk fr severe cmplicatins frm flu r at higher risk fr flu-related utpatient, emergency department, r hspital visits. The list belw includes the grups f peple mre likely t get flu-related cmplicatins if they get sick frm influenza: Children yunger than 5, but especially children yunger than 2 years f age Adults 50 years f age and lder, but especially thse 65 years f age and lder Wmen wh are r will be pregnant during flu seasn American Indians and Alaskan Natives Residents f nursing hmes and ther chrnic care facilities Peple wh have the fllwing medical cnditins: Neurlgical and neurdevelpmental cnditins [including disrders f the brain, spinal crd, peripheral nerve, and muscle such as cerebral palsy, epilepsy (seizure disrders), strke, intellectual disability (mental retardatin), mderate t severe develpmental delay, muscular dystrphy, r spinal crd injury]. Chrnic lung disease (such as chrnic bstructive pulmnary disease [COPD] and cystic fibrsis) and Asthma Heart disease (such as cngenital heart disease, cngestive heart failure and crnary artery disease) Bld disrders (such as sickle cell disease) Endcrine disrders (such as diabetes mellitus) Kidney disrders Liver disrders Metablic disrders (such as inherited metablic disrders and mitchndrial disrders) Weakened immune system due t disease r medicatin (such as peple with HIV r AIDS, r cancer, r thse n chrnic sterids) Peple yunger than 19 years f age wh are receiving lng-term aspirin therapy Peple wh are mrbidly bese (Bdy Mass Index, r BMI, f 40 r greater) Vaccinatin effrts shuld als fcus n delivering vaccine t the fllwing persns: Health care persnnel; Husehld cntacts and caregivers f children yunger than 5 years and adults aged 50 years r lder, with particular emphasis n vaccinating cntacts f children yunger than 6 mnths

4 Des my child need t receive mre than ne dse f flu vaccine this seasn? Sme children aged 6 mnths thrugh 8 years require tw dses f flu vaccine (given a minimum f fur weeks apart). Children in this age grup wh are getting vaccinated fr the first time will need tw dses. If this is nt the first seasn that yur child is receiving flu vaccine, talk with yur child's prvider t determine hw many dses yur child needs t prtect them frm the flu this year. Wh shuld NOT be vaccinated? There are sme peple wh shuld nt be vaccinated. They include: Peple wh have had a severe reactin t a flu vaccinatin; Children less than 6 mnths f age. Sme peple shuld wait t get vaccinated until they talk with their prvider. They include: Peple wh have a severe allergy t chicken eggs; Peple wh are sick with a fever. (These peple can get vaccinated nce their symptms lessen. Peple with a mild illness can usually get the vaccine.) Peple wh develped Guillain-Barre syndrme (GBS) within six weeks f getting flu vaccine. What ther methds can help prevent the flu? Althugh the single best way t prevent seasnal flu is t get vaccinated each year, gd health habits ften can help stp the spread f germs and prevent respiratry illnesses like the flu. Avid clse cntact with peple wh are sick. When yu are sick, keep yur distance frm thers t prtect them frm getting sick t. Stay hme when yu are sick. If pssible, stay hme frm wrk, schl, and errands when yu are sick. Yu will help prevent thers frm catching yur illness. Cver yur muth and nse. Cver yur muth and nse with a tissue when cughing r sneezing. If n tissue is available, cugh r sneeze int the bend f yur arm. It may prevent thse arund yu frm getting sick. Clean yur hands. Washing yur hands ften will help prtect yu frm germs. If sap and water are nt available, use an alchl-based hand sanitizer that cntains at least 60% alchl t clean yur hands. Avid tuching yur eyes, nse, r muth. Germs are ften spread when a persn tuches smething that is cntaminated with germs and then tuches his r her eyes, nse, r muth. Practice ther gd health habits. Clean and disinfect frequently tuched surfaces at hme, wrk r schl, especially when smene is ill. Get plenty f sleep, be physically active, manage yur stress, drink plenty f fluids, and eat nutritius fd. Can the flu be treated? In certain circumstances, yur dctr r health care prvider might prescribe antiviral drugs t help reduce the severity and duratin f yur illness. Antiviral drugs are nt sld ver-the-cunter and are different frm antibitics. Yu can get

5 them nly if yu have a prescriptin frm yur dctr r health care prvider. Yur health care prvider can help decide whether yu shuld take an antiviral drug, and, if s, which ne yu shuld take. Antiviral drugs are a secnd line f defense t treat the flu if yu get sick. NYSDOH recmmends flu vaccinatin as the first and best way t prevent influenza. Last reviewed: Octber, 2013 New Yrk State Department f Health Fact Sheet Steven M. Neuhaus Cunty Executive Distributed by Orange Cunty Department f Health Eli N. Avila, MD, JD, MPH, FCLM, Cmmissiner f Health 124 Main Street Gshen, New Yrk Vice: Fax: (845)

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