Fight the Trifecta!

After two and a half years of distancing and masking, during which we were relatively well, we are now experiencing a wave of significant respiratory illnesses. Public health officials are calling this the trifecta because most of the illnesses are attributable to three viruses. We are seeing record numbers of Respiratory Syncitial Virus (RSV), Influenza (flu) and some continued COVID. 

There is a lot of overlap in the symptoms but some generalizations distinguishing the three can be used as a benchmark. The flu generally causes fever and body aches, as well as headache and cough. It can affect all ages. 

RSV generally affects children and infants. Younger children get into more trouble with RSV as they have smaller airways and can have compromised breathing. Watch for symptoms like breathing fast or struggling to breathe. 

COVID largely affects those who are not vaccinated and those with other chronic illnesses such as heart disease and diabetes.   

How can parents negotiate this difficult respiratory season? 

1. Get vaccinated. The flu shot can be given to anyone older than six months of age. The COVID vaccine is also available for children under five now. There is no vaccine for RSV yet, but as they say, keep tuned. 
2. Even though public health measures have been lifted, continue to be cautious. Keep away from crowded areas and lessen contact with sick people in particular.   
3. If you are in a public place or travelling in public transport, consider masking. Masking is no longer mandatory but is strongly suggested especially in places where there might be a lot of exposure. 
4. Handwashing!!! Encourage washing hands frequently when out and as soon as coming home. 
5. If you or your kids are safe, reach out to your primary care provider rather than going to the emergency room. They may provide guidance regarding symptom management and when to go to the ER. Emergency rooms are over run and wait times are long. You also risk exposure while waiting. If you or your child experiences difficulty breathing or signs of dehydration, do go to the ER. 

Winter is generally flu season but this year is particularly difficult. Stay healthy and fight the trifecta! 

 

Dr. Bhooma Bhayana is a family physician in London and the mother of two young men and proud grandmother of three! She continues to find wonder and enjoyment in family practice despite more than 30 years on the job!