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A28    SCIENCE
                 Wednesday 11 March 2020
            Flu and coronavirus: Similar symptoms, different fears




            By MARILYNN MARCHIONE
            AP Chief Medical Writer
            Is  it  the  flu,  a  cold  or  the
            new  coronavirus?  Patients
            and doctors alike are pars-
            ing signs of illness to figure
            out  who  needs  what  tests
            or  care  and  how  worried
            they should be.
            "You  have  three  differ-
            ent  major  viruses  floating
            around at the same time,"
            causing  somewhat  similar
            symptoms  —  but  different
            levels  of  concern,  said  Dr.
            Gary  LeRoy,  president  of
            the American Academy of
            Family Physicians.
            So what's the biggest dan-
            ger?  And  why  are  we  re-
            sponding to them so differ-
            ently?
            FAMILIAR FOE
            COVID-19,    the   disease
            caused by the new corona-
            virus, is a flu-like illness that   In this Friday, Feb. 9, 2018 file photo, a 73-year-old man places a cold compress on his forehead while battling the flu at a hospital
            has  killed  a  small  fraction   in Georgia.
            of  the  number  of  people                                                                                                     Associated Press
            that the flu kills every year.  are developed.            ter about two weeks.         extreme  exhaustion,  mus-   Fever,  cough  and  notice-
            Through the first four months  HOW  DEADLY  ARE  THE  VI-  SO WHAT DO I HAVE?          cle  or  body  aches,  a  dry  able  shortness  of  breath
            of  the  outbreak,  coronavi-  RUSES?                     Flu,  cold  and  coronavirus   cough and chills.          --  "if  you  have  those  three
            rus  has  killed  about  4,300  Flu kills about 0.1% of those  often  share  certain  symp-  "It really hits you like a bus,"  components,  especially  if
            people.  Flu  kills  290,000  to  it infects, but that's still hun-  toms,  but  differences  in   and  people  may  start  a  it's  associated  with  some
            650,000 every year around  dreds of thousands of peo-     intensity and how they ap-   day well but feel terrible by  recent  travel  or  someone
            the world, according to the  ple  each  year  because  it  pear                        afternoon, LeRoy said.       you  know  who's  been  ex-
            World Health Organization.   infects millions.            can  offer  clues  to  which   Flu  symptoms  can  include  posed  to  COVID-19,  those
            To  some,  that  comparison  Researchers  are  still  try-  one  is  causing  the  misery.   a  runny  or  stuffy  nose,  things  should  prompt  you
            seems comforting because  ing to understand just how  Doctors  can  test  for  the     headaches     and    possi-  to  call  for  medical  atten-
            flu  is  such  a  familiar  foe.  deadly  the  new  corona-  flu and get results within a   bly  vomiting  or  diarrhea,  tion," LeRoy said.
            President  Donald  Trump  virus  is.  The  mortality  rate  day,  but  coronavirus  test-  though  the  latter  two  are  "Mildly  ill  patients  should
            regularly brings it up, noting  from  infection  with  the  ing  is  still  limited  by  avail-  more  common  in  children  be  encouraged  to  stay
            in a tweet how many more  virus  isn't  known  yet  be-   ability in the United States.  than  adults,  the  U.S.  Cen-  home,"  the  CDC's  Dr.  Sue
            Americans die from flu and  cause  the  cases  caught  Colds are often suspected       ters for Disease Control and  Gerber  told  doctors  on  a
            adding,  "Nothing  is  shut  in an early part of an out-  because  adults  get  about   Prevention says.            conference call last week.
            down,  life  &  the  economy  break  are  often  the  most  two  on  average  each     Symptoms  of  COVID-19  People  having  difficulty
            go on ... Think about that!"  severe,  people  with  mild  year,  said  LeRoy,  a  family   may  appear  more  slowly.  breathing   should   seek
            But  to  public  health  ex-  or no symptoms aren't be-   medicine doctor and asso-    They  usually  include  fever,  care, and older people or
            perts, the huge number of  ing tested, and sometimes  ciate dean at Wright State       a  dry  cough  and  notice-  those with other conditions
            flu  deaths  is  exactly  why  overwhelmed     hospitals  University in Dayton, Ohio.  able  shortness  of  breath,  should  contact  their  doc-
            extraordinary  steps  should  struggle to care for the sick-  "The common cold just starts   according  to  the  World  tors  early  in  the  course  of
            be taken to try to prevent  est patients. Various reports  out with a sore or scratchy   Health Organization. A mi-  illness, she said.
            the  new  coronavirus  from  have estimated the fatality  throat, cough, runny nose,   nority  of  cases  develop  PREVENTION
            spreading widely.            rate from less than 1% to as  stuffy nose" and any fever is   pneumonia,  and  the  dis-  To  protect  yourself,  wash
            The flu's annual return can't  high as 4% among cases di-  usually mild, he said.      ease  is  especially  worri-  your hands well and often,
            be  stopped  because  it's  agnosed so far, depending  Flu  symptoms  are  more in-    some  for  the  elderly  and  keep them away from your
            already  so  embedded  in  on location.                   tense and usually come on    those  with  other  medical  face,  and  avoid  crowds
            the population. There is still  Most  people  infected  by  suddenly, the Yale New Ha-  problems  such  as  high  and standing close to peo-
            a chance COVID-19 cases  the  new  coronavirus  de-       ven Health System advises.   blood pressure, obesity, di-  ple.
            can  be  limited  or  spread  velop  mild  or  moderate  They  can  include  a  high   abetes or heart conditions.  There's  one  big  difference
            slowed  while  treatments  symptoms and recover af-       fever (over 100.5 degrees),   One  study  of  hospitalized  between flu and coronavi-
                                                                                                   patients  in  China  found  rus: A vaccine exists to help
                                                                                                   that  about  half  did  not  prevent the flu and it's not
                                                                                                   have  a  fever  when  they  too  late  to  get  it.  It  won't
                                                                                                   were  admitted  but  nearly  protect you from catching
                                                                                                   all developed one.           the  coronavirus,  but  may
                                                                                                   WHAT TO DO IF YOU'RE SICK    put you in a better position
                                                                                                   Don't  go  straight  to  your  to fight it.
                                                                                                   doctor's  office  --  that  just  "You don't want to have a
                                                                                                   risks  making  more  people  compromised immune sys-
                                                                                                   sick,  officials  urge.  Call  tem if you were to encoun-
                                                                                                   ahead, and ask if you need  ter   coronavirus,"   LeRoy
                                                                                                   to be seen and where.        said.q
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