Flu and Cold

November 2008

The difference between influenza and the common cold

Both influenza and the common cold are viral respiratory infections (they affect the nose, throat, and lungs). Viruses are spread from person to person through airborne droplets that are sneezed out or coughed up by an infected person. In some cases, the viruses can be spread when a person touches an infected surface (e.g., doorknobs, countertops, telephones) and then touches his or her nose, mouth, or eyes. As such, these illnesses are most easily spread in crowded conditions such as schools.

Influenza is commonly referred to as "the flu." Between October and March each year, between 10% and 40% of people are stricken with influenza. Although most people recover fully, the flu causes approximately 7,000 deaths annually in Canada, mostly among high-risk populations (people with other medical conditions or weakened immune systems, the elderly, or very young children). There are three types of influenza viruses: A, B, and C. Type A influenza causes the most serious problems in humans

There are over 200 different known cold viruses, but most colds (30-40%) are caused by rhinoviruses. In Canada, the peak times for colds are at the start of school in the fall, in mid-winter, and again in early spring. Children catch approximately eight colds per year, adults catch roughly four per year, and seniors about two per year.

Many people confuse the flu with a bad cold. The following table highlights the differences between influenza and the common cold:

Symptom

Flu

Cold

Fever

Usually present, high (102-104°F or 38-41°C); lasts 3-4 days

Uncommon

Headache

Very common

Uncommon

Aches and pains

Common and often severe

Slight

Fatigue and weakness

Can last up to 14-21 days

Mild

Extreme exhaustion

Very common at the start

Never

Stuffy nose

Sometimes

Common

Sneezing

Sometimes

Common

Sore throat

Sometimes

Common

Chest discomfort, cough

Common

Mild to moderate, hacking cough



People infected with an influenza or cold virus become contagious 24 hours after the virus enters the body (often before symptoms appear). Adults remain infectious (can spread the virus to others) for about 6 days, and children remain infectious for up to 10 days.





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