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SEASONAL SPOTLIGHT

BY BILL GOTTLIEB

Flu Care Why was the flu a no-show last year, and how can we keep it from coming back? The COVID-19 pandemic has revolutionized our understanding and experience of viral infections of the respiratory system, including infection by the influenza virus, says Neil Schachter, MD, a pulmonologist and medical director of pulmonary rehabilitation at the Mount Sinai — National Jewish Health Respiratory Institute in New York City and the author of The Good Doctor’s Guide to Colds and Flu. Last year, for example, there was virtually no flu season. Typically, flu season lasts from October to April, with the official charts that track flu rates showing a huge statistical bump in the middle of winter and then a subsequent decline. But from October 2020, to April 2021, there was no bump whatsoever, domestically or internationally, says Dr. Schachter.

Why was the flu a no-show last year, and how can we keep it from coming back? Masks and Social Distancing “There is no definitive scientific proof that social distancing, masks and other pandemic-based preventive measures contributed to or were the major players in preventing the flu, but … this is probably what happened,” says Dr. Schachter. He explains that since the influenza virus, like COVID-19, can be spread via airborne transmission, it’s unsurprising that the flu “can be mitigated by the same protective barriers, such as masks, and by social distancing.” So, the most important advice to give patients for preventing the flu is the same advice as for preventing COVID-19: Wear a mask, practice social distancing, wash your hands frequently, and don’t touch your face.

At-a-Glance •

To prevent the flu, patients (and clinicians) should mask up, practice social distancing, wash their hands frequently, and avoid touching the face.

With rare exceptions, everyone ages 6 months and older should get a flu vaccine early in the season every year.

There are four antiviral drugs that are FDA-approved for the treatment of influenza.

A variety of over-the-counter products can ease symptoms and make patients more comfortable.

CONVENIENT CARE CLINICIAN

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