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Children 0-4 years of age have the second-highest hospitalization rate this season.

Symptoms of influenza infection include fever, chills, cough, sore throat, runny or stuffy nose, muscle or body aches, headache, fatigue (tiredness), and sometimes vomiting and diarrhea (more common in children than adults).

The United States experiences epidemics of seasonal flu each year. This time of year is called "flu season." While influenza activity has declined in recent weeks and the flu season is coming to a close, most of CDC’s influenza surveillance systems still show elevated activity.

There are several factors that make it difficult to determine accurate numbers of deaths caused by flu regardless of reporting.

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Flu viruses are constantly changing and it's not unusual for new seasonal flu viruses to appear each year.

When viruses change in that way, they are said to be “drifted” viruses.

the sheer volume of deaths to be counted; not everyone that dies with an influenza-like illness is tested for influenza; and influenza-associated deaths are often a result of complications secondary to underlying medical problems, and this may be difficult to sort out.

g of flu

s very unpredictable and can vary in different parts of the country and from season to season

However, seasonal flu activity can begin as early as October and continue to occur as late as May.

CDC recommends a yearly flu vaccine(http://www.cdc.gov/flu/protect/vaccine/index.htm) for everyone 6 months of age and older as the first and most important step in protecting against this serious disease.

In addition to getting a seasonal flu vaccine if you have not already gotten vaccinated, you can take everyday preventive actions(http://www.cdc.gov/flu/protect/habits/index.htm) like staying away from sick people and washing your hands to reduce the spread of germs. If you are sick with flu, stay home from work or school to prevent spreading flu to others.

A number of different manufacturers produce trivalent (three component) influenza vaccines for the U.S. market, including intramuscular (IM), intradermal, and nasal spray vaccines.

Multiple studies conducted over different seasons and across vaccine types and influenza virus subtypes have shown that the body’s immunity to influenza viruses (acquired either through natural infection or vaccination) declines over time.

Yes. It’s possible to get sick with the flu even if you have been vaccinated (although you won’t know for sure unless you get a flu test). This is possible for the following reasons:

You may be exposed to a flu virus shortly before getting vaccinated or during the period that it takes the body to gain protection after getting vaccinated. This exposure may result in you becoming ill with flu before the vaccine begins to protect you. (About 2 weeks after vaccination, antibodies that provide protection develop in the body.) You may be exposed to a flu virus that is not included in the seasonal flu vaccine. There are many different flu viruses that circulate every year. The flu vaccine is made to protect against the three or four flu viruses that research suggests will be most common. Unfortunately, some people can become infected with a flu virus the flu vaccine is designed to protect against, despite getting vaccinated. Protection provided by flu vaccination can vary widely, based in part on health and age factors of the person getting vaccinated. In general, the flu vaccine works best among healthy younger adults and older children. Some older people and people with certain chronic illnesses may develop less immunity after vaccination. Flu vaccination is not a perfect tool, but it is the best way to protect against flu infection.

How flu spreads

How serious is the flu?

Complications of flu can include bacterial pneumonia, ear infections, sinus infections, dehydration, and worsening of chronic medical conditions, such as congestive heart failure, asthma, or diabetes.

While seasonal influenza outbreaks can happen as early as October, most of the time influenza activity peaks in January or later. Since it takes about two weeks after vaccination for antibodies to develop in the body that protect against influenza virus infection, it is best that people get vaccinated so they are protected before influenza begins spreading in their community.

contagious respiratory illness caused by influenza viruses that infect the nose, throat, and lungs.

contagious respiratory illness

When you wake up

Third, many seasonal flu-related deaths occur one or two weeks after a person’s initial infection, either because the person may develop a secondary bacterial co-infection (such as bacterial pneumonia) or because seasonal influenza can aggravate an existing chronic illness (such as congestive heart failure or chronic obstructive pulmonary disease).

rompt treatment can mean the difference between having a milder illness versus very serious illness that could result in a hospital stay.

Flu(http://www.cdc.gov/flu/weekly/fluactivitysurv.htm) activity has returned to summer-time levels in the United States. H3N2

here was a wave of influenza B activity starting in early March. According to a report published in the Morbidity and Mortality Weekly Report (MMWR)

Influenza antiviral drugs(http://www.cdc.gov/flu/antivirals/index.htm) can treat flu illness

CDC recommends these drugs be used to treat people who are very sick or who are at high risk of serious flu-related complications(http://www.cdc.gov/flu/about/disease/high_risk.htm)

If soap and water are not available,

Most healthy adults may be able to infect other people beginning 1 day before symptoms develop and up to 5 to 7 days after becoming sick. Children may pass the virus for longer than 7 days. Symptoms start 1 to 4 days after the virus enters the body.

To avoid this, people should stay away from sick people and stay home if sick.

Linens, eating utensils, and dishes belonging to those who are sick should not be shared without washing thoroughly first. Eating utensils can be washed either in a dishwasher or by hand with water and soap and do not need to be cleaned separately. Further, frequently touched surfaces should be cleaned and disinfected at home, work and school, especially if someone is ill.

use an alcohol-based hand rub.

Most healthy adults may be able to infect other people beginning 1 day before symptoms develop and up to 5 to 7 days after becoming sick. Children may pass the virus for longer than 7 days. Symptoms start 1 to 4 days after the virus enters the body. That means that you may be able to pass on the flu to someone else before you know you are sick, as well as while you are sick. Some people can be infected with the flu virus but have no symptoms. During this time, those persons may still spread the virus to others.

"The main question is whether those policies are being enforced," Jena told Reuters Health.

Anyone who has ever been to med school or around a med school knows that physicians in training are more often than not treated like rented mules.

When residents fall sick, there are a large group of residents that can fill in," said Jena. "When you are in private practice and you become sick, you don't have a pool of physicians that you can draw on to cover for you."

n which 57 percent of residents said they had worked while sick," said the report.