Flu season has arrived and so has the H1N1 virus – the virus that causes swine flu. When seasonal influenza is in full force it can be difficult to distinguish between it and infection with the swine flu virus without doing laboratory testing. How do the two infections differ? A new research report shows that the H1N1 flu virus may be shed for longer periods of time than the seasonal influenza virus.
Usually, people with seasonal influenza are told to stay home and away from other people until the fever completely resolves. Unfortunately, this may not apply to the H1N1 flu virus. It appears that the H1N1 flu virus continues to be shed up to ten days after the initial symptoms start – several days longer than what is typically seen with seasonal flu.
Does this mean you're still contagious ten days after developing symptoms? Not necessarily. To be contagious a certain quantity of virus has to be shed and, in this study, researchers only documented that virus was being shed, not how much. It's unclear whether there's enough of the H1N1 virus being actively shed seven to ten days out to cause infection. How long a person remains contagious with the H1N1 flu virus may also depend on whether they received antiviral medications such as Tamiflu.
Because there's the potential for being contagious even after the fever has subsided, many experts recommend that people with the H1N1 flu virus stay home from work and school until they're no longer coughing. Cough is one of the primary means by which the H1N1 virus is spread and once the cough is gone, the risk of transmitting the virus is much lower. In the same vein, it's important to stay away from people with the H1N1 virus who are still coughing – particularly if they're running a fever.
What does this study show? If you're diagnosed with the H1N1 flu virus, don't be too quick to rush back to work after only a few days of rest. There's a chance that you'll spread the infection to your co-workers which won't earn you many fans at the office. If at all possible, stay home not only until your fever is gone, but until your cough has completely subsided. For most people this will be seven days or more. If you work in a facility with people at high risk for H1N1 flu complications such as children, pregnant women, and the elderly, it's even more important that you not return to work until you've fully recuperated.
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