The Atlanta Journal-Constitution

Virus scary, but flu poses bigger threat

Public health experts say seasonal illness picking back up again.

- By Helena Oliviero holiviero@ajc.com

T ho u sands of miles from Atlanta, a new and mysterious coronaviru­s emerged in the Chinese city of Wuhan in December and continues to grab headlines here and around the globe. As the number of people sick and dying from the virus soars in China, worried U.S. residents are buying up surgical masks — in bulk.

But there’s a much bigger threat closer to home, public health experts say. The flu season came early, raged hard, died down a bit and is rearing up again.

“We have this big challenge where people are very concerned

about the unknown and not taking care of the risk that is really

there, and immediate,” said Dr. José Cordero, an epidemiolo­gist at the University of Georgia.

In China, at least 722 people have died in the 2019 novel coronaviru­s outbreak and more than 34,000 are sick. There are nearly 300 cases, including at least one death, in 24 countries outside of China, according to the World Health Organizati­on.

In the U.S., 12 cases of coronaviru­s are confirmed, none in Georgia, and no deaths have been reported. The Centers for Disease Control and Prevention describes the virus as a very serious public health threat but stresses that the immediate risk to the American public is low.

Meanwhile, at least 22 million Americans have come down with the flu this season, according to the CDC. Of those, 210,000 people have been hospitaliz­ed so far and an estimated 12,000 have died.

In Georgia, 44 people have died this flu season, compared with nine at this time last year and 66 the year before, considered one of the worst seasons ever.

More than 1,500 metro Atlanta flu sufferers have been hospitaliz­ed this flu season.

Throughout the state, 8.1% of patient visits to doctors were for the flu during the week ending Feb. 1, the Georgia Department of Public Health said Friday. That’s up from 6.7% of visits the week before.

Yet it’s the coronaviru­s that likely prompted Atlanta-based Home Depot to recently place a limit on the number of face masks its customer across the nation can buy — no more than 10 per order.

Cordero, who is the department head of the Epidemiolo­gy and Biostatist­ics Department at UGA, estimates he has heard from as many as 15 family and friends with questions about the coronaviru­s. They ask what they should do to prepare, whether they should get face masks. He asks whether they’ve traveled to areas of concern in China. If not, he tells them not to worry. Get a flu shot instead.

Glen Nowak, director of the Center for Health and Risk Communicat­ion at UGA, said he understand­s why people may be more anxious about the coronaviru­s than the flu.

“We’ve gotten used to the season influenza. It comes with regularity. And based on past experience­s, people know people who recovered. It was a bad experience, but they recovered,” he said. “The coronaviru­s coverage has been alarming, and the images of people in hospitals and wearing masks, that’s a visual that this is something that is highly contagious, this is serious.”

Combine that with the measures taken to control the coronaviru­s — mandatory quarantine­s, travel bans and almost daily news conference­s with the CDC — and people start to really fret. That’s not the sort of effort that goes into combating the flu, he said.

The new virus started as a cluster of pneumonia-like cases linked to a live animal and seafood market in Wuhan, in China’s Hubei province.

Since then, the numbers have been growing dramatical­ly every day.

There are still a lot of unknowns about the virus, including how contagious it is. The CDC says it can take anywhere from two to 14 days for symptoms to appear. And it’s still not clear whether the virus can be transmitte­d in the incubation period — while patients are asymptomat­ic.

The CDC is hoping to send scientists to China to be part of an internatio­nal effort to learn more about the virus and assess the public health crisis.

Experts say the most effective way to protect against coronaviru­s is the same as the flu — wash your hands with soap and water, avoid touching your nose and mouth and stay away from sick people.

Preliminar­y figures suggest the new coronaviru­s appears to be more contagious but less likely to result in death than its cousin, Severe Acute Respirator­y Syndrome, or SARS, which killed 1 in 10 infected patients during the 2003 outbreak.

By comparison, another coronaviru­s, Middle East Respirator­y Syndrome, or MERS, killed 1 in 3 patients during outbreaks from 2012-15. Only two patients in the U.S. tested positive for MERS, both in May 2014, and both recovered.

The mortality rate of seasonal flu is about 1 in 1,000.

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