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Coronavirus Compared to the Flu                                                                                       35






               How Does the New

            Coronavirus Compare

                    with the Flu?



                    By Rachael Rettner


        Since the new coronavirus was first discovered
        in January, many people have compared it with
        a more well-known disease: The flu.


        Many of these comparisons pointed to the
        perhaps underappreciated toll of the flu, which
        causes millions of illnesses and tens of
        thousands of deaths every year in the U.S.
        alone. (During the current flu season, the
        Centers for Disease Control and Prevention
        (CDC) estimates that there have been 39 million
        to 56 million flu illnesses and 24,000 to 62,000
        flu deaths in the U.S., although that number is
        an estimate based on hospitalizations with flu
        symptoms, not based on actually counting up
        every person who has died of flu.)

        The new coronavirus disease, COVID-19, has
        caused more than 1 million illnesses and 60,000
                                                         lung disease or diabetes, appear to be at higher  rate for COVID-19; the rate can vary by
        deaths in the U.S. as of April 29, according to
                                                         risk for more serious complications from         location, age of person infected and the presence
        data from Johns Hopkins University.Both
                                                         COVID-19, compared with people in younger        of underlying health conditions, Live Science
        COVID-19 and the flu are respiratory illnesses.
                                                         age groups and those without underlying          previously reported.
        But COVID-19 is not the flu. Research so far
                                                         conditions.
        indicates that COVID-19 spreads more easily
                                                                                                          Among reported COVID-19 cases in the U.S.,
        and has a higher death rate than the flu.
                                                         The overall hospitalization rate for COVID-19    nearly 6% have died. This is what's known as the
                                                         in the U.S. is about 29 hospitalizations per     case fatality rate, which is determined by
        Scientists are racing to find out more about
                                                         100,000 people as of  April 18, although the     dividing the number of deaths by the total
        COVID-19, and our understanding may change
                                                         hospitalization rate for adults ages 65 and older  number of confirmed cases. But the case fatality
        as new information becomes available. Based
                                                         is higher, at 95 hospitalizations per 100,000    rate is limited for a few reasons. First, not
        on what we know so far, here's how it compares
                                                         people, according to the CDC. However,           everyone with COVID-19 is being diagnosed
        with the flu.
                                                         because fewer people have likely gotten          with the disease — this is in part due to testing
                                                         COVID-19 in the U.S. than have gotten the flu,   limitations in the U.S. and the fact that people
        Symptoms and severity
                                                         the odds of becoming hospitalized if you have a  who experience mild or moderate symptoms
                                                         confirmed case of COVID-19 are thought to be     may not be eligible for or seek out testing. As the
        Both seasonal flu viruses (which include
                                                         higher than the odds of being hospitalized with  number of confirmed cases goes up, the fatality
        influenza  A and influenza B viruses) and
                                                         influenza.                                       rate may decrease.
        COVID-19 are contagious viruses that cause
        respiratory illness.
                                                         Children are a high risk group for complications  Researchers from Columbia University recently
                                                         from flu, but this doesn't seem to be the case for  estimated that only 1 in 12 cases of COVID-19
        Typical flu symptoms include fever, cough, sore
                                                         COVID-19 — few children have been                in the U.S. are documented, which they said
        throat, muscle aches, headaches, runny or stuffy
                                                         hospitalized with the new coronavirus. A study   would translate to an infection fatality rate of
        nose, fatigue and, sometimes, vomiting and
                                                         of COVID-19 cases in the United States           about 0.6%, according to The Washington Post.
        diarrhea, according to the CDC. Flu symptoms
                                                         published March 18 found that, among 4,226       But even this lower estimate is still at least six
        often come on suddenly. Most people who get
                                                         reported cases, at least 508 people (12%) were   times higher than that of the flu. (The case
        the flu will recover in less than two weeks. But
                                                         hospitalized, and of these, less than 1% were    fatality rate in people who become sick with flu
        in some people, the flu causes complications,
                                                         younger than 20 years old. In addition, no       may be 0.1%, but when you account for people
        including      pneumonia.      The     overall
                                                         fatalities among children were reported.         who become infected with flu but never show
        hospitalization rate in the U.S. for flu this
                                                                                                          symptoms, the death rate will be half or even a
        season is about 68 hospitalizations per 100,000
                                                         It's important to note that, because respiratory  quarter of that, the Post reported.)
        people, according to the CDC.
                                                         viruses cause similar symptoms, it can be
                                                         difficult to distinguish different respiratory   What's more, unlike the flu, for which there is a
        With COVID-19, doctors are still trying to
                                                         viruses based on symptoms alone, according to    vaccine, everyone in the population is
        understand the full picture of disease symptoms
                                                         the World Health Organization.                   theoretically susceptible to COVID-19. So while
        and severity. Reported symptoms in patients
                                                                                                          the flu affects 8% of the U.S. population every
        have varied from mild to severe, and can
                                                         Death rate                                       year, according to the CDC, between 50% and
        include fever, cough and shortness of breath,
                                                                                                          80% of the population could be infected with
        according to the CDC. Other symptoms may
                                                         The death rate from seasonal flu is typically    COVID-19, according to a study published
        include fever, chills, repeated shaking with
                                                         around 0.1% in the U.S., according to news       March 30 in the journal The Lancet. In the  U.S.,
        chills, muscle pain, headache, sore throat and
                                                         reports.                                         that would translate to 1 million deaths from
        new loss of taste or smell. COVID-19
                                                                                                          COVID-19 if half the population becomes
        symptoms appear to come on more gradually
                                                         Though the death rate for COVID-19 is unclear,   infected and there are no social distancing
        than those of flu, according to Healthline.
                                                         almost all credible research suggests it is much  measures or therapeutics, the Post reported.
                                                         higher than that of the seasonal flu.
        Older adults and people with underlying
                                                                                                                                 (Continued on Page 36)
        medical conditions, including heart disease,
                                                         It's important to note that there is no one death
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