Flu Season May Collide with COVID-19 This Fall and Winter

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The final two flu seasons within the U.S. had been mercifully gentle—one of many few silver linings of the pandemic, as COVID-19 mitigation measures doubtless additionally prevented many instances of influenza.

However our luck might run out this 12 months. Australia, which regularly serves as an (imperfect) predictor of what’s to return for the U.S., has had its worst flu season in half a decade this 12 months, CNN stories. Flu season additionally began early in Australia this 12 months, one other doable harbinger of what’s to return within the Northern Hemisphere.

Dr. Alicia Fry, chief of the epidemiology and prevention department inside the U.S. Facilities for Illness Management and Prevention’s (CDC) influenza division, cautions that “if you happen to’ve seen one flu season, you’ve seen one flu season”—that means the virus is unpredictable and guesses about it aren’t all the time correct. “Whether or not it will likely be a extreme season or a gentle season, or what to anticipate, or what viruses may flow into—that we actually simply don’t know,” Fry says.

Nonetheless, there are some components that might arrange the U.S. for a extra critical flu season this 12 months, says Dr. Brandon Webb, an infectious illness specialist at Utah’s Intermountain Medical Middle. Flu season severity varies fairly a bit from 12 months to 12 months, relying on components together with immunity within the inhabitants and which influenza pressure is circulating. “People who get influenza the 12 months prior in all probability carry over some incomplete or partial immunity,” Webb explains. Since few individuals received contaminated throughout the previous two flu seasons, “we’re globally, and particularly within the U.S., report low neighborhood immunity ranges to influenza.”

The comfort of COVID-19 mitigation measures like masking, social distancing, and distant working and education might additionally permit influenza to unfold because it did earlier than the pandemic, Fry says.

Learn Extra: You Can Still Get Long COVID If You’re Vaccinated and Boosted

The potential for a heavy flu season colliding with the nonetheless broadly circulating SARS-CoV-2 virus is regarding for the well being care system, Webb says. “If we have now even a moderate-to-high influenza season that generates 300,000 or 400,000 hospitalizations and are additionally having to cope with a fall or winter COVID wave, that might put a pressure on hospital techniques across the nation,” he says.

The perfect factor for people to do is get vaccinated sooner somewhat than later, Fry says.

On Sept. 1, federal well being officers recommended that folks 12 and older get a brand new bivalent COVID-19 booster, which targets at present circulating Omicron variants. The up to date pictures can be found to adolescents, youngsters, and adults who’re not less than two months out from their final COVID-19 vaccine dose (although some experts recommend waiting a bit longer). In the meantime, the CDC recommends getting a flu shot by the tip of October.

“If an individual desires to get each on the identical time, they’ll,” Fry says. In a Sept. 6 press briefing, White Home COVID-19 Response Coordinator Dr. Ashish Jha concurred. “I actually imagine that is why God gave us two arms—one for the flu shot and the opposite one for the COVID shot,” he mentioned.

Sometime, it could be even simpler to get twin safety in opposition to COVID-19 and the flu. Vaccine makers Moderna and Novavax are engaged on pictures that might goal each viruses in a single injection. It’s not clear if or when these mixture pictures is likely to be accessible, however their improvement affords a glimpse into what residing with each COVID-19 and influenza might appear like shifting ahead.

Many unknowns stay about even this 12 months’s looming flu season. Webb recommends maintaining a tally of each COVID-19 and influenza charges and taking precautions accordingly. Folks at increased threat for extreme respiratory illness, together with aged individuals and people with underlying situations, may need to think about carrying a masks in crowded settings.

At the least one factor makes Webb optimistic about this 12 months’s flu season: Regardless of all of the speak of pandemic fatigue, he thinks there’s been a cultural shift in the way in which individuals handle infectious illnesses.

“Individuals are, basically, far more conscious now concerning the significance of an infection management,” Webb says. “I might hope that we have now a unique tradition when it comes to recognizing that whenever you’re sick, it’s greatest to remain dwelling.”

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Write to Jamie Ducharme at jamie.ducharme@time.com.

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