Flu (seasonal) – including symptoms, treatment and prevention
Influenza, commonly known as the flu, is an infection of the nose, throat and lungs caused by the influenza A or B (or rarely C) viruses. It is highly infectious.
In Australia, seasonal flu of varying severity occurs every year, usually between May and September. This fact sheet covers seasonal influenza – information on avian influenza in humans and pandemic influenza are provided in separate factsheets.
Influenza is a notifiable condition1
How influenza is spread
The flu virus is spread when an infected person talks, coughs or sneezes small droplets containing infectious agents into the air. The droplets in the air may be breathed in by those nearby. Infection may also be spread by contact with hands, tissues and other articles soiled by infected nose and throat discharges.
Signs and symptoms
- rapid onset of fever
- muscle aches
- running nose
- sore throat
- a cough.
Most people recover within a week, although the cough and fatigue may last longer. Flu is much more serious than the common cold. It can lead to pneumonia (lung infection or inflammation) and other complications, and even death, particularly in:
- people aged 65 years and over
- pregnant women
- young children
- people with chronic conditions like heart disease, diabetes and lung disease.
Influenza and pregnancy
Pregnant women are more likely to have severe complications from the flu, especially in the second and third trimesters. While the flu virus does not cross the placenta and infect the baby while in the uterus, the high fever and any chest complications caused by flu can be potentially harmful to the baby. Because of these risks, a doctor may recommend antiviral medication for pregnant women with the flu.
There is no evidence that the antiviral medications used in Australia to treat flu are associated with adverse effects in pregnancy. Similarly, women may continue to breastfeed while taking antiviral medication. The best protection for the mother and baby is for the pregnant mother to have the flu vaccine, which is safe and funded at any stage of pregnancy.
Not all people with symptoms need to be tested for flu. The diagnosis may be suspected on clinical symptoms and examination (especially during the flu season) and is best confirmed by laboratory testing of mucus from the back of the nose or throat.
(time between becoming infected and developing symptoms)
Average of 2 days for the flu (range 1 to 4 days).
(time during which an infected person can infect others)
Usually from 1 day before onset of symptoms until 7 days after the onset of symptoms. After 5 days the level of infectiousness is probably very low, however some people, especially children and people with weakened immune systems, might be able to infect others for a longer time.
Most people recover with rest, drinking plenty of fluids and use of paracetamol for the relief of pain and fever. Aspirin should not be given to children under 12 years of age unless specifically recommended by a doctor.
People with moderate or severe illness, pregnant women, Aboriginal and Torres Strait Islander Australians and those with chronic medical conditions may benefit from specific antiviral medication. This can reduce symptoms by about 1 day and prevent some of the more serious complications of flu, but is only effective if commenced within 48 hours of illness onset.
Antiviral therapy may sometimes be used to prevent infection in close contacts of people with influenza, such as vulnerable household contacts and residents of institutions such as aged care facilities. A contact is any person who has been close enough to an infected person to be at risk of having acquired the infection from that person.
When to seek medical advice
Seek medical advice if:
- you are concerned about the symptoms
- symptoms are getting worse
- shortness of breath
- difficulty breathing
- inability to keep liquids down because of vomiting
- symptoms of dehydration (such as being dizzy when standing or passing much less urine than normal).
- Exclude people with flu from childcare, preschool, school and work until there has been no fever for 24 hours (without using a fever reducing medicine such as paracetamol).
- Wash hands as soon as possible after sneezing or coughing and after contact with nose and throat discharges or articles soiled by these. Use soap and water or an alcohol based hand rub.
- Wipe down all frequently touched surfaces regularly with a cleaning cloth dampened with detergent, or a large alcohol wipe.
- Cover a cough or sneeze with a tissue or your arm, not with your hand. Drop used tissues immediately into a rubbish bin, then wash your hands.
- Flu vaccines reduce the risk of getting severe influenza. Influenza vaccination is required every year as the influenza virus is constantly changing and each year the influenza vaccines are altered to provide protection against the strains that are circulating.
- Annual flu vaccination is recommended for anyone 6 months of age or older who wishes to reduce the likelihood of becoming ill with influenza.
- Annual flu vaccination is strongly recommended and should be actively promoted for people at increased risk of complications from influenza infection or who may transmit influenza infection to others who are at increased risk of complications.
Immunisation website – www.sahealth.sa.gov.au/immunisation
- Immunisation programs
- Flu vaccine and pregnancy frequently asked questions
- Flu vaccine frequently asked questions
- Flu vaccine myths
Wash, wipe cover website – www.sahealth.sa.gov.au/washwipecover
SA Health website – www.sahealth.sa.gov.au
- Exclusion periods from childcare, preschool, school and work
- Hand hygiene
- When you have a notifiable condition
- Bird flu in humans
1 – In South Australia the law requires doctors and laboratories to report some infections or diseases to SA Health. These infections or diseases are commonly referred to as 'notifiable conditions'.