The flu, short for influenza, is a contagious respiratory illness caused by influenza viruses.

Introduction

It can cause mild to severe illness and can even lead to death in some cases. The symptoms of the flu include fever, cough, sore throat, runny or stuffy nose, body aches, headache, chills, and fatigue. Some people may also experience vomiting and diarrhea, although this is more common in children.

The flu is spread from person to person through respiratory droplets that are released when someone with the flu coughs, sneezes, or talks. The virus can also live on surfaces and be transferred to people who touch those surfaces and then touch their mouth, nose, or eyes.

The best way to prevent the flu is by getting an annual flu vaccine. Other preventive measures include washing your hands regularly, covering your coughs and sneezes, staying away from sick people, and avoiding touching your face.

If you do get the flu, treatment may include antiviral medication, which can help reduce the severity and duration of the illness. It is also important to rest, stay hydrated, and manage your symptoms with over-the-counter medications as needed.

 

Symptoms

The symptoms of the flu can vary in severity from mild to severe, and they usually come on suddenly. Some of the most common symptoms of the flu include:

  • Fever (usually above 100.4°F or 38°C)
  • Chills and sweats
  • Cough
  • Sore throat
  • Runny or stuffy nose
  • Muscle or body aches
  • Headache
  • Fatigue or weakness

In some cases, people with the flu may also experience:

  • Vomiting and/or diarrhea (more common in children than adults)

It's important to note that the symptoms of the flu can be similar to other respiratory illnesses, such as the common cold or COVID-19, so it's always a good idea to speak with a healthcare provider if you're experiencing flu-like symptoms.

 

Causes

The flu is caused by influenza viruses, which are highly contagious and can be easily transmitted from person to person. Influenza viruses are constantly changing, which is why the flu vaccine needs to be updated each year to target the most common strains of the virus.

The flu virus is spread through respiratory droplets that are released when someone with the flu coughs, sneezes, or talks. These droplets can land in the mouths or noses of people who are nearby or be inhaled into the lungs. The virus can also live on surfaces, such as doorknobs, and can be spread when someone touches a contaminated surface and then touches their mouth or nose.

Once a person is infected with the flu virus, it can take between 1-4 days for symptoms to appear. During this time, the person can still spread the virus to others, even if they don't have any symptoms yet.

It's important to note that the flu is not caused by the cold weather itself, but the fact that people tend to spend more time indoors in close proximity to others during the winter months, which makes it easier for the virus to spread.

 

Prevention

Preventing the flu involves taking steps to reduce the risk of exposure to the virus and protect yourself and others from getting sick. Some of the most effective ways to prevent the flu include:

  1. Getting vaccinated: The annual flu vaccine is the best way to protect yourself from the flu. The vaccine is designed to protect against the strains of the virus that are expected to be most common during the flu season.
  2. Practicing good hygiene: Washing your hands regularly with soap and water, or using an alcohol-based hand sanitizer, can help prevent the spread of germs. Covering your mouth and nose with a tissue or your elbow when you cough or sneeze can also help prevent the spread of the virus.
  3. Avoiding close contact with sick people: If you're around someone who has the flu, try to keep your distance as much as possible.
  4. Staying home when you're sick: If you have the flu, stay home until you've been fever-free for at least 24 hours without the use of fever-reducing medication.
  5. Cleaning and disinfecting surfaces: Use a disinfectant to clean surfaces that may be contaminated with the flu virus, such as doorknobs, light switches, and countertops.
  6. Practicing good health habits: Eating a healthy diet, getting enough sleep, and managing stress can help support your immune system and reduce your risk of getting sick.

By taking these steps, you can help protect yourself and others from getting the flu.

 

Virology

The flu is caused by influenza viruses, which belong to the Orthomyxoviridae family. Influenza viruses are single-stranded RNA viruses that have a segmented genome. There are four types of influenza viruses: A, B, C, and D. Influenza A and B viruses are the most common causes of seasonal flu epidemics in humans.

Influenza viruses have two major surface proteins that are used to identify different strains of the virus: hemagglutinin (HA) and neuraminidase (NA). There are 18 known HA subtypes and 11 known NA subtypes. The HA protein is responsible for allowing the virus to attach to and infect host cells, while the NA protein is responsible for releasing new virus particles from infected cells.

Influenza viruses are constantly evolving, which is why new flu vaccines need to be developed each year. The virus can undergo antigenic drift, which is a gradual accumulation of mutations in the HA and NA genes, or antigenic shift, which is a sudden and major change in the HA or NA genes that results in a new strain of the virus.

Influenza viruses primarily infect the respiratory tract, including the nose, throat, and lungs. The virus is spread through respiratory droplets that are released when someone with the flu coughs, sneezes, or talks. The virus can also live on surfaces and be transferred to people who touch those surfaces and then touch their mouth, nose, or eyes.

 

Diagnosis

The diagnosis of the flu is usually based on a combination of symptoms and a physical examination. Your healthcare provider may ask about your symptoms and medical history and perform a physical exam to check for signs of the flu, such as a fever or a cough.

In some cases, your healthcare provider may order laboratory tests to confirm the diagnosis or rule out other illnesses. The most common laboratory test for the flu is a rapid influenza diagnostic test (RIDT), which can detect influenza antigens in respiratory secretions. RIDTs can provide results within 15-30 minutes, but they may not be as accurate as other laboratory tests.

In some cases, your healthcare provider may order a more sensitive laboratory test called a reverse transcription polymerase chain reaction (RT-PCR) test. This test can detect the genetic material of the influenza virus in respiratory secretions and is considered the most accurate test for the flu.

It's important to note that not everyone with the flu will need to be tested, as the treatment for the flu is often based on the presence of typical symptoms and the timing of the illness. However, testing may be recommended for people who are at higher risk of complications from the flu, such as young children, older adults, and people with certain underlying medical conditions.

 

Treatment

The treatment of the flu is primarily focused on managing the symptoms and preventing complications. In most cases, the flu will resolve on its own within a week or two, and treatment is not always necessary.

However, for people who are at higher risk of complications, or for people with severe or prolonged symptoms, antiviral medications may be recommended. These medications can help shorten the duration of the illness, reduce the severity of symptoms, and prevent complications. The most common antiviral medications used to treat the flu are oseltamivir (Tamiflu), zanamivir (Relenza), and peramivir (Rapivab).

In addition to antiviral medications, other treatments for the flu may include:

  1. Over-the-counter medications: Over-the-counter medications such as acetaminophen (Tylenol) and ibuprofen (Advil) can help reduce fever and relieve pain.
  2. Plenty of rest and fluids: Getting plenty of rest and drinking plenty of fluids can help support your immune system and reduce symptoms.
  3. Humidifiers or steamy showers: Humidifiers or steamy showers can help relieve congestion and coughing.
  4. Avoiding smoking and secondhand smoke: Smoking and secondhand smoke can irritate the respiratory tract and make symptoms worse.

It's important to note that antibiotics are not effective against the flu, as the flu is caused by a virus, not bacteria. Additionally, it's important to seek medical attention if you have severe or prolonged symptoms, or if you are at higher risk of complications from the flu.