Ask A GP: What Is ‘Superflu’, And How Can I Tell It From ‘Normal’ Flu?

Though the influenza H3N2 strain, a variant of the flu currently making headlines, has sometimes been termed a “superflu,” Dr Suzanne Wylie, GP and medical adviser for IQdoctor, told HuffPost UK that “the term ‘superflu’ isn’t a recognised medical diagnosis.”

Instead, she said, it usually describes, “A combination of genuine influenza, circulating Covid-19 variants, RSV, and other viral illnesses that overlap in symptoms and timing.

“This can make the overall picture feel more intense and prolonged than a typical flu season.”

This is not to say, however, that the NHS is not experiencing an extraordinarily busy flu season (they are), or that patients are not “experiencing symptoms that persist longer than usual”.

Here, the GP shared how to spot “normal” flu from what some might term a “superflu,” as well as why influenza might be so rife right now.

How can I tell a “normal” flu from a “superflu”?

Dr Wylie explained that her definition of what some might term a “superflu” is “co-infection with more than one virus, or catching a second virus before fully recovering from the first”.

In that context, she explained, “true influenza tends to come on very suddenly, often within the space of a few hours.

“High fever, profound fatigue, muscle aches, headaches, a dry cough and a sense of being completely ‘wiped out’ are characteristic. People often describe being unable to get out of bed or perform basic tasks.”

She added, “What’s sometimes labelled this year as ‘superflu’ is essentially this classic influenza picture, but with the added complication that many individuals are experiencing symptoms that persist longer than usual, lingering coughs, extended fatigue, and a slower return to normal activity.”

And, the GP said, many cases of what people believe to be flu are actually a bad cold or another respiratory infection. These “develop more gradually” than flu, “with runny noses, sore throats, congestion and milder fevers.”

You will typically still be able to function somewhat with a cold, she continued.

“The distinction can blur, especially when multiple viruses are circulating, but influenza tends to be more abrupt and systemically draining.”

Why is flu so bad this winter?

“Immunity in the population fluctuates year to year, depending on which strains have circulated previously and how closely the current strains match the [flu] vaccine,” she explained.

“If the circulating strain is one the community has not been exposed to recently, or if vaccine uptake has been lower, more people are left susceptible, leading to higher case numbers and more severe symptoms.”

The BBC notes that many people have not been exposed to the mutated H3N2 strain much in the past few years.

This is partly, Dr Wylie said, “the after-effects of the pandemic: reduced exposure to seasonal viruses over several years means people’s baseline immunity to common respiratory pathogens may be lower than it once was.”

And increased strain on healthcare may mean that people are waiting longer to get help for the flu, meaning they’re worse off by the time they’re seen, she added.

“Environmental and behavioural factors also play a role: winter gatherings, indoor living, and schools acting as hubs for virus transmission all contribute to a more intense season,” she continued.

“Many patients are also experiencing simultaneous stresses, poor sleep or chronic conditions that can make any viral illness feel harder to shake off.”

So, “the combination of genuine influenza, overlapping viruses, reduced background immunity and a challenging winter has created the sense of a particularly tough respiratory season.”

And while Dr Wylie is sceptical of the use of the word “superflu,” she advised: “If someone is unsure whether their symptoms are typical of a cold, flu or something more serious, it’s always sensible to seek medical advice, especially if symptoms are severe, prolonged or worsening.”

Share Button

The Key Nimbus And Stratus Symptom That’s Different To Covid-19

You might have heard that some newer strains of Covid – namely, the Stratus and Nimbus variants – are on the rise in the UK.

Indeed, the UK Health and Security Agency (UKHSA) recently reported that XFG and NB.1.8.1 (Stratus and Nimbus) formed most of the Covid cases last month.

And because Covid cases are ramping up right now, especially among the very young and the elderly, that means more instances of both new strains.

So far as the UKHSA currently knows, these strains are not more dangerous or make you any sicker than “regular” Covid.

“The most important thing is for those eligible to get their vaccination when it is due,” they wrote, as this can help to prevent the most extreme versions of Covid taking hold.

But how can you tell Nimbus and Stratus variants from “normal” Covid, and what should you do if you spot it?

Nimbus and Stratus vs Covid-19 symptoms

Dr Zachary Hoy, an infectious disease specialist with Pediatrix Medical Group, previously told HuffPost that the Stratus variant “would have similar symptoms to other COVID variants that have recently been circulating.”

These include:

  • a high temperature or shivering
  • a new, continuous cough – coughing a lot for more than an hour, or three or more coughing episodes in 24 hours
  • a loss or change to your sense of smell or taste
  • shortness of breath
  • feeling tired or exhausted
  • an aching body
  • a headache
  • a blocked or runny nose
  • loss of appetite
  • diarrhoea
  • feeling sick or being sick, per the NHS.

But Dr Naveed Asif, GP at The London General Practice, also said that the Nimbus variant’s most unique feature is a sore throat – one that can create a “razor blade sensation” while swallowing.

This still seems to be the case and has since been said to appear in cases of the Stratus variant, too.

And the Stratus variant may also be associated with a higher likelihood of developing a hoarse, raspy voice, a dry cough, exhaustion, and fever, though these can be a part of Covid-19 too.

What should I do if I have the Stratus or Nimbus variants?

As with any other strain of Covid and/or flu, you should try your hardest to avoid spreading the illness to others.

UKHSA says: “If you have symptoms of a respiratory infection, such as COVID-19, and you have a high temperature or do not feel well enough to go to work or carry out normal activities, you should avoid contact with vulnerable people and stay at home if possible”.

If you can’t do this, take precautions like wearing a well-fitting mask, avoiding crowded places, taking your exercise outdoors, away from others, covering your mouth or nose when you sneeze, washing your hands often with soap and water for at least 20 seconds, and avoid touching your face.

In terms of keeping yourself well while you have Covid, the NHS advises lots of rest, plenty of water, painkillers like paracetamol or ibuprofen if needed, sitting upright in a chair to help with breathlessness, and taking a spoonful of honey (don’t feed this to babies under a year old) to relieve sore throats and cough.

Call a doctor if your symptoms do not improve or get worse. Call 999 or go to the A&E if your breathlessness comes on suddenly or is so bad that you struggle to say short sentences when resting.

Share Button