Taking a practical approach to flu season

by Frances Gough MD

15 October 2009

While the intentions of many are good, sometimes too much information can be confusing. Taking a practical approach to the flu means looking at the facts and then doing what you can for you and your family. Knowledge is the best way to prepare for the flu season.

So when approaching this flu season, take a deep breath—there is no need to panic. Use reliable information to your advantage. This is an opportunity to stay healthy and to learn what you can do to control the spread of flu, or prevent you and your family from getting it.

First, here are a couple facts about this year’s flu: two kinds of flu are making headlines. You’ve likely heard about the H1N1 flu (or “swine flu”) in the media, but there is also the seasonal flu. The good news for both is that prevention and basic self-care can help you stay healthy—or fight the flu. Note that whatever precautions you take for H1N1 flu are also a good idea for seasonal flu.

Here are a few other trusted guidelines to help you navigate flu season:

Use reliable resources for flu information. As vaccines are being distributed now and recommendations change, it’s best to check government resources such as the national Centers for Disease Control and Prevention (CDC) or Flu.gov, or local resources for your county such as King County Health Services.

Get your flu shot, if appropriate. Prevention can make a big difference when it comes to health concerns such as the flu. The best way to prevent the flu is to get vaccinated with a flu shot every year. This year, there are two types of flu shots: The seasonal flu vaccine and a vaccine for the H1N1 strain of flu.

Since influenza usually occurs from November until April, it’s best to get your flu shot early. Flu shots are available through your primary care provider, pharmacy, supermarket, or sometimes even your employer. Some insurance companies are waiving out-of-pocket costs for the H1N1 vaccine to encourage people to get immunized against the flu. Find out more about if a flu shot is appropriate for you by checking the CDC guidelines on who should get a flu shot.

Know if you are at higher risk. People over the age of 65, pregnant women, infants and children under the age of 5, and people with chronic conditions are at risk for serious complications from both kinds of flu. Complications include bacterial pneumonia, ear infections, sinus infections, and dehydration. The flu can also worsen chronic medical conditions such as congestive heart failure, asthma, and diabetes. If you are in one of these risk groups, check with your primary care physician.

Take routine precautions to stay healthy. The following tips may sound simple, but they stand the test of time. Practicing good health habits can often help stop the spread of germs and prevent respiratory illnesses caused by the flu.

  • Avoid close contact with people who are sick—if you can stay up to 6 feet away, that’s best.
  • Wash your hands frequently for 20 seconds using soap and warm water or use an alcohol-based hand sanitizer.
  • Cover your mouth and nose with a tissue when coughing or sneezing, properly discard the tissue, and clean your hands.
  • For children, these same rules apply but you may need to help them wash their hands and teach them to cover when they cough or sneeze.

Don’t forget basic self-care. If you do get the flu, drink plenty of water or clear fluids. For children, consider oral rehydration solutions such as Pedialyte®. Get extra rest and make healthful food choices. Breathe moist air from a hot shower or humidifier and elevate your head using a pillow to help alleviate a cough at night.

Know when to call your doctor. If you are at higher risk, call your doctor if you develop flu-like symptoms or think you may have been exposed to the flu. For normally healthy individuals with mild flu symptoms, treatment with an antiviral medication is not usually recommended. Stay home and follow basic self-care guidelines. For individuals with moderate to severe cases of the flu, antiviral medication may be prescribed to reduce the length of the illness. For most individuals requiring treatment, this treatment should begin within 48 hours of the initial onset of symptoms.

Recognize the difference between using an antiviral medication for treatment versus flu prevention. Antiviral medication works by stopping the reproduction of virus within the body, allowing your body’s defenses to eliminate the virus. Treatment with antiviral medication may make you feel better, and reduce the course of your illness by a day or two. Using antiviral medication to try to prevent the flu is indicated for higher risk individuals who have been exposed to the illness. For more information on antiviral medicines, see http://www.cdc.gov/flu/protect/antiviral/keyfacts.htm.

With these guidelines and following any updates from the CDC, you and your family should be well on your way to staying as healthy as possible this flu season.

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