The Atlanta Journal-Constitution

Does cold weather make it easier to get the flu?

Viruses that cause the seasonal malady thrive in winter conditions.

- By Helena Oliviero holiviero@ajc.com

There are indication­s that this flu season may be more severe than previous years. It’s also been unusually cold. Is there a connection?

Does cold weather really make it easier to get the flu?

Every year, flu activity peaks during winter months. Flu is spreading fast this year with indication­s of this season being more severe than previous years. It’s also been unusually cold. Is there a connection? Does the cold weather cause the flu to spread faster?

Yes, in both direct and indirect ways, according to experts.

The main reason flu and other respirator­y viruses are more likely spread during cold weather is because people tend to stay indoors and in more crowded locations when it’s cold outside, according to Dr. Andi Shane, associate professor of pediatric infectious disease and global health at Emory University of School of Medicine and medical director of hospital epidemiolo­gy at Children’s Healthcare of Atlanta.

In other words, close contact with people who are ill helps spread flu and other respirator­y viruses.

Cold winter temperatur­es and dry air may also enable some viruses to survive longer in the environmen­t as well as survive in nostrils and airways, increasing the ability of viruses to replicate and cause infection, she said.

During the last week of the year 2017, influenza activity increased sharply across the United States, according to the Centers for Disease Control and Prevention. During the week of Dec. 24-Dec. 30, 2017, there were 51 hospitaliz­ations in metro Atlanta due to influenza, according to the most recent statistics available. There has been one confirmed influenza-related death in the state, according to the Georgia Department of Public Health. The DPH said the person who died was over the age of 65 and was suffering from other medical conditions, but released no more informatio­n.

There’s still time to take precaution­s to prevent getting the

contagious virus infection often associated with a high fever and body aches making you so exhausted and sick you have no choice but to stay in bed.

Last year’s seasonal flu vaccine effectiven­ess was only 42 percent. The limited effectiven­ess was due to a mutation that occurred in the influenza A (H3N2) vaccine strain, according to a new study published in the journal Proceeding­s of the National Academy of Sciences. The predominan­t flu strain this year is H3N2, a form of influenza A. This strain is included in this year’s flu vaccine, but informatio­n on how effective the vaccine has been is typically not available until the flu season is over.

Vaccine effectiven­ess typically ranges from 40 to 60 percent in a good year.

Experts say even if the vaccine is not a perfect match, the vaccine can still help lessen the severity of the flu, and reduce the chance of experienci­ng severe complicati­ons from the flu. Getting a vaccine can also reduce the length of the flu if you do get sick.

If you do get sick and think you may have the flu, experts urge you to contact your health care provider right away. There are antivirals such as Tamiflu or Relenza which can help treat the flu, but the medication needs to be taken within 48 hours of the onset of symptoms to be effective.

Dr. Shane provides her key strategies for flu prevention:

—It’s not too late to get a flu vaccine. Flu strains usually circulate in Georgia through mid-April. With three or four strains in the flu vaccine, it can be beneficial at any time during the flu season. Everyone 6 months of age and older needs a seasonal flu vaccine every year. Some children younger than 8 years of age will need two doses of flu vaccine spaced one month apart to be fully protected if this is their first year to get a flu vaccine.

— Encourage everyone around you to receive a flu immunizati­on. Encouragin­g immunizati­on of everyone around you helps protect them and helps to protect you.

— If you are sick, stay away from others. The flu is spread by droplets. Reducing opportunit­y for physical contact reduces opportunit­ies for the flu to be spread.

— Wash your hands. Practice good hand hygiene —wash your hands with soap and water or a hand sanitizing product liberally — before and after eating, going to the bathroom, spending time in high-traffic settings such as the mall or airport.

— Cover your cough and sneezes with the inside of your elbow or a tissue that is then discarded. Sneezing into the inside of your elbow or a tissue reduces the chances those droplets (those tiny drops from a sick person) will fly out when you cough or sneeze and land on the mouths or noses of people nearby.

— Take care of yourself. To help your immune system be in good enough shape to fight off the flu and other germs, eat a balanced diet, get plenty of sleep and exercise.

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