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INFLUENZA



           If there’s one word school principals dread hearing       Tiny influenza particles,
           each winter, it’s “influenza.”
                                                              emitted by talking and
           In the past two years, schools in at least a dozen U.S.  breathing, are infectious as
           states shut down because of flu outbreaks. 34      well. These particles can travel


             “Flu is a major contributor to absenteeism,” said  across a room and hover
             Wisconsin epidemiologist Huong McLean, Ph.D.,    for hours.
             lead author of a CDC-funded study on school
             absences and influenza. 35                       Handwashing is critical for containing the spread
                                                              of influenza, and many schools diligently train
           That’s because the flu is so easily spread.        teachers and students before flu season. However,
                                                              compliance is notoriously low. In surveys, even 67%
           Imagine a sunny classroom window where you         of adults admit they’ve bypassed the soap in public
           can see dust floating in the air. “That’s where your   bathrooms.  At hospitals, 76% of doctors and
                                                                         37
           influenza particles sit,” explains Dr. Bischoff of Wake   nurses fail to comply with handwashing protocol,
           Forest School of Medicine.                         and according to Swiss researchers, the hands of
                                                              doctors and nurses deposit potentially harmful
           Large influenza particles, emitted by a cough or a   microbes every 4 seconds onto patients and hospital
           sneeze, are the most potent. Once released into    surfaces. 38,39  First-graders are not likely doing any
           the air, these particles — 50 to 100 microns in size,   better.
           about the diameter of a human air — travel 3 to 6
           feet before dropping onto surfaces.


                  Large influenza particles,

           emitted by a cough or
           a sneeze, are the most potent.



           But tiny influenza particles, emitted by talking and
           breathing, are infectious as well, Bischoff’s research
           shows. These particles — as small as 1 to 2 microns
           (a micron is a millionth of a meter) — can travel
           across a room and hover for hours. Up to 89%
           of flu-carrying particles are of the small, nomadic
           variety. 36

           Even if all flu-infected students sneezed into tissues
           and covered their mouths to cough, a highly unlikely
           scenario, the virus would still wander freely around
           school.                                            Schools also work hard to promote the flu vaccine,
                                                              yet vaccination rates in the United States hover
           What’s more, people infected with the virus are    just below 60% for children.  Even in a good year,
                                                                                       40
           contagious for about four days before they develop   vaccines reduce the risk of contracting the flu by only
           symptoms. So seemingly healthy students have       40% to 60%.  In pandemic years, the vaccine misses
                                                                          41
           ample opportunity to propel the virus into the air   the mark badly, with effectiveness below 20%.
           or deposit infectious particles on doorknobs, desks,
           books, or friends.


           ©2020 Novaerus                                                                                    7
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