Lifelong Health: Antibiotics Won't Help -- Important Facts About the Flu *Dr.
David Lipschitz * Despite vaccinations, influenza remains a serious health
hazard, affecting 30 million to 50 million Americans each year. Influenza
accounts for millions of days lost from work or school, 85,000-500,000
hospital admissions and, on average, 36,000 deaths each year, according to
U.S. government statistics.

This year has brought on a particularly harsh flu season, because the
current vaccine prevented only 40 percent of flu-causing strains of the
virus -- down from the 70 to 80 percent that are usually prevented. From the
young to the old, the flu is hitting everyone around us -- myself included.
It is a truly miserable and drawn-out session of sleepless nights, high
fevers and hacking coughs.

For the next fewmonths, influenza viruses will continue to circle the
nation, so it's vitally important that we recognize symptoms of the flu and
differentiate them from those of other viral infections such as a cold or a
sore throat.

In general, the flu brings several cardinal symptoms: sudden onset of high
fever (greater than 101 degrees), generalized aches and pains, severe
headache, a mild sore throat, stuffy nose, as well as a persistent and
troublesome cough. This is different from a viral sore throat or cold, which
usually starts more gradually with a cough, sore throat and nasal
stuffiness. In addition, there is generally the absence of fever, headaches
or generalized aches and pains.

Diagnosing the flu is an easy task through a simple nasal swab for the
influenza virus. Within 30 minutes, you should know whether you have
influenza. If you think you have the flu, get checked immediately. Starting
antiviral therapy within 24 hours of diagnosis can markedly reducethe
severity of the symptoms, and the length of the illness, which can
occasionally last for as long as two weeks.

The antiviral therapies that are the most effective include Tamiflu, an oral
medication taken twice daily for five days, and Relenza, a powder that is
inhaled twice daily for five days. Unfortunately, rather than being tested,
most patients who become ill call their physicians, who inappropriately
prescribe an antibiotic. Remember, the vast majority of fevers, coughs, sore
throats and sinus congestion are caused by viruses; therefore, antibiotic
use, apart from being unnecessary, can lead to resistant bacteria and
serious problems at a later date.

Unfortunately, the flu is not just a frustrating health nuisance; influenza
can, on occasion, bring about serious complications. These are much more
likely to occur in the very young or very old. Many older people become
dehydrated and confused and are prone to inhaling mucus into their lungs,
whichcan lead to a serious bacterial pneumonia. Far more dangerous are viral
complications, which include encephalitis, myocarditis (damage to the heart
muscle, which can lead to heart failure) and acute respiratory distress
syndrome (which is associated with potentially fatal damage to the lungs).
In many children and some adults, an ear infection can occur in patients who
develop the flu.

Influenza is highly infectious and readily spreads from one person to
another, whether by direct contact or through the air when an infected
individual coughs or sneezes without covering his nose and mouth. Patients
with influenza should not to go to work or school. It is important to wash
your hands regularly with soap and water or frequently use a gel antiseptic.
If you must be around others, consider wearing a mask to prevent spread of
the virus. And when sneezing or coughing, always turn away and cover your
mouth and nose.

It is very possible that Americans willexperience another influenza pandemic
in the coming years. Though many people point to bird flu as the next great
epidemic, we already have virulent mutations of the influenza virus that are
wreaking havoc today. It is critically important to be aware of the flu, to
be compulsive about vaccinations and to know how to seek treatment that can
be life saving. Do not let the low effectiveness of this year's vaccine keep
you from being proactive. Even in this "bad year" for the vaccine, the
prevalence of the illness is only a fraction of what it would be if at-risk
populations were not vaccinated.




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