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Flu season worse than normal

Wednesday, February 20, 2008
(Updated Monday, June 9 - 12:32 am)

GREENSBORO — There's plenty of statistical evidence out there to prove this flu season is worse than normal, but none of the cold, hard numbers meant anything to Melvin Lowe.

All he knew was he felt sick.

Sick enough to stay home from work at KFC. Sick enough to let his girlfriend drag him to Moses Cone Urgent Care Center on Tuesday. Sick enough to spend 55 minutes in a crowded waiting room.

Sick, sick, sick.

"I'd rather be at work," Lowe, 19, said from his seat on the examination table. "It started about three days ago. I've been sleepy and weak. My body hurts. My chest is sore from coughing. I didn't get any sleep last night. It was bad."

It didn't get any better.

"I came home from work early to check on him," Shapale Watlington said. "I came in, and the heat was cranked all the way up, and he's under the covers shivering. I said, 'Enough, you're going to the doctor.' "

Plenty of people have gone to the doctor throughout the Piedmont Triad with flu or flulike symptoms in the past couple of weeks.

"We've had a four- to fivefold increase in flu cases," at the emergency room or urgent care center, said Lori Mason, public health epidemiologist for Moses Cone Health Systems. "For the past two weeks it's remained steady at 150 confirmed cases per week. In weeks leading up to that, we had maybe 30 or fewer."

Dr. Mark Macpherson, who examined Lowe, said the urgent care center broke a record Monday when it saw 155 patients, many with flu or flulike symptoms.

"We're running out of flu tests," Macpherson said. "Really, we're almost out. ... There's 70 different kinds of flu. We only test for the ones that are likely to be there."

And it's not just flu, Macpherson said.

"Since the flu hit Greensboro, we've seen an upswing in other types of communicable disease, things like strep throat," Macpherson said. "It makes sense. If the immune system is busy fighting off the flu, it might not be able to fight off other things."

Why are there so many flu cases this year? It could have something to do with the virus itself. There's speculation some strains of the flu out there are resistant to vaccine from the U.S. Centers for Disease Control and Prevention.

"There's so many different forms, so many different strains of the flu virus," said Diane Reaves, High Point Regional Hospital spokeswoman. "The year before they make the vaccine, they try to anticipate what strains will be prevalent. They're guessing — not like you and I guess — but they're guessing. They do a lot of research and most times they get it right. Sometimes they don't.

"You should still have a flu shot," Reaves said. "It will protect you from those strains, and even if you get another strain it can speed the recovery."

Reaves said High Point Regional diagnosed 12 to 14 confirmed flu cases in its emergency room from 7 a.m. to 4 p.m. Tuesday.

"Last week we didn't have any," Reaves said.

Contact Jeff Mills at 373-7024 or jeff.mills@news-record.com

Contact Lex Alexander at 373-7088 or lex.alexander@news-record.com

Accompanying Photos

Jerry Wolford (News & Record)

Photo Caption: Dr. Mark Macpherson examines Melvin Lowe, who was suffering from flu symptoms, Tuesday at Moses Cone Urgent Care Center in Greensboro.

THE LOWDOWN ON THE FLU

Feeling under the weather? Youre not alone.
Lori Mason, public health epidemiologist for Moses Cone Health Systems in Greensboro says the typical symptoms of influenza are:
* Fever of 100 degrees or more
* Sore throat and/or cough
* Body aches
* Fatigue
Small children and the elderly are most susceptible. In the most serious cases, Mason said, patients develop pneumonia or a more serious infection and need to be hospitalized. To my knowledge, Mason said, we have seen no confirmed cases of influenza causing any fatalities this year.
So what do you do if you get the flu?
Typically, it will last 3-7 days. You should rest, drink lots of fluids, cover your mouth and nose when you sneeze and wash your hands often.
And dont be a hero: Dont go to work.
You should stay home until youre not coughing and sneezing, because thats how its passed on to others, Mason said. Usually, if youre within 3 to 5 feet of someone who is coughing and sneezing, theres a high likelihood you can get the flu.

OUNCE OF PREVENTION
There is no cure for influenza. The best anyone can do is try to prevent catching it or treat the symptoms, Mason said.
There are two anti-viral drugs designed for the flu, Tamiflu and Relenza, and they are available by prescription only.
The best course is to receive a flu shot, even though its not an exact match this year, Mason said. To be effective as preventative measure, Tamiflu or Relenza needs to be taken every day for a set length of time after youve been exposed.
It takes about two weeks for a flu shot to boost your immune system, and the prescription drugs can help protect you in the meantime.

MORE ONLINE
The N.C. Influenza Sentinel Surveillance Program: http://www.epi.state.nc.us/epi/gcdc/flu2008.html
Staff reports

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