---
title: The Burden of You and the Flu
description: The Burden of You and the Flu
---

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## Something Powerful

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## The Burden of You and the Flu

<http://static1.squarespace.com/static/595689fc9de4bbc892200518/t/59568acc5fd63b5f2928789e/1498845367504//img.png.com/static/595689fc9de4bbc892200518/t/59568acc5fd63b5f2928789f/1498843852524/1000w/>

Depending on your situation in life we look at illness in  
 many different ways.  As an [irritant](https://www.google.ca/search?q=definition+of+irritant&sourceid=ie7&rls=com.microsoft:en-CA:IE-Address&ie=&oe=&gws_rd=cr&ei=ywaFUq3LCeKYyAHPtYHwDw) -  
 your spouse or significant other or your children ALWAYS get sick when you  
 have the least time to deal with their whining shenanigans.  As an [impediment](http://www.thefreedictionary.com/impediment) -  you do not have the time nor the patience to  
 feel under the weather due to work or family commitments. As an [inconvenience](http://www.macmillandictionary.com/dictionary/british/inconvenience) - your colleagues insist  
 upon coming to work or your friends or family insist on coming for a visit  
 without the forethought that they may spread their illness to you or your  
 family.

In my blog from two weeks ago "[Cleaning, Hand Hygiene & Vaccination a few of my Interventions for Flu Season](http://talkcleantome.blogspot.ca/2013/10/cleaning-hand-hygiene-vaccination-few.html)" I have  
 already captured the key tips (Interventions) for limiting the spread of the  
 flu, but after reading an article recently published in AJIC by Mitchell et al  
 titled "[Understanding the burden of influenza infection among adults in Canadian hospitals: A comparison of the 2009-2010 pandemic season with the prepandemic and postpandemic seasons](http://www.ajicjournal.org/article/S0196-6553(13)01023-7/abstract?rss=yes)", I realized that the impact to me,  
 my family, my colleagues or the burden of influenza on our healthcare system  
 was not touched upon and is something of great importance and worthy of  
 consideration.

The truth of the matter is that Influenza infections are  
 costly. They cause substantial morbidity  
 and mortality and are strain on every country's healthcare resources.  However, the impact or burden to our healthcare system varies greatly year to  
 year depending on the Influenza strains in circulation.  The study reviewed lab-confirmed inpatient  
 characteristics, treatment and outcomes of the pandemic season (2009-2010) with  
 the prepandemic (2006-2007 & 2008-2009) and postpandemic (2010-2011)  
 seasons. Of the 2868 cases identified,  
 629 cases were from the prepandemic season, 1132 cases from the pandemic season  
 and 1107 cases from the postpandemic season. Of interest was the fact that the healthcare-associated influenza cases  
 was lower during the pandemic than the pre and post pandemic seasons.  Also of interest was the fact that the  
 Healthcare-associated Influenza cases was higher in acute care facilities than  
 long term care facilities during the pandemic season as compared with pre and  
 post pandemic seasons.

With respect to patient characteristics, during the  
 pandemic season the median age of those inflicted during the pandemic season  
 was significantly lower than the pre and post pandemic season (hence the lower  
 infection rates seen in LTC's!).   
Similarly, during the pandemic season inpatients were more apt to have  
 pulmonary disease whereas in the postpandemic season they were more likely to  
 have chronic heart and kidney disease.   
Possibly as expected, more severe outcomes were reported during the  
 pandemic season as vaccination rates were lower.

Of particular interest was the impact of infection  
 prevention and control practices during the pandemic season.  With knowledge that vaccines were not readily  
 available, ensuring effective interventions were in place (hand hygiene,  
 cleaning and disinfection, isolation etc) likely helps limit  
 healthcare-associated transmission.  If  
 this is true, then the ugly truth is that the increase of healthcare-associated  
 infections in the postpandemic season could be directly related to a lapse and  
 complacency around in infection prevention practices.

We cannot underestimate the flu and its significant  
 impact on the resources needed to effectively limit its spread.  Being prepared to combat Influenza should not  
 be relegated as a response to an outbreak or a pandemic.  The threat of infection and the threat of  
 transmission is an ongoing annual concern and should be an automatic response  
 on a daily basis during Flu Season.   
Influenza is an enveloped, easy to kill virus.  Ensuring that environmental surfaces and  
 patient care equipment are cleaned and disinfected daily (and of course after  
 each patient use!) will go a long way to minimizing transmission from  
 environmental surfaces.   Of course,  
 getting vaccinated and washing your hands helps too!

*Bugging Off! *

Nicole

 

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