Be Prepared: Viral Respiratory Season is Coming

This post is sponsored by Children’s Mercy.

The leaves are falling, pumpkin patches are open and pumpkin spice everything is ready for purchase! Unfortunately, that also means something less fun is right around the corner as well…viral respiratory season. Since the COVID-19 pandemic, respiratory viruses can be unpredictable so being prepared is important! 

According to the American Academy of Pediatrics, last flu season a record number of children under the age of 4 years old were hospitalized. Here’s what you need to know to help keep your family safe and healthy. 

Preventing viral respiratory illnesses

  • Wash your hands for at least 20 seconds.
  • Keep away from people who are sick.
  • Cover your nose and mouth with a tissue when coughing or sneezing (or sneeze/cough into your elbow).
  • Clean surfaces often like doorknobs, car handles, phones and keys.
  • Stay at home if you are sick.
  • Stay up to date with flu and COVID-19 vaccines.

Flu Facts

Flu, or influenza, is an infection of the nose, throat and lungs caused by the influenza virus. The flu is contagious and can be spread through droplets from person to person. 

There’s a misconception that influenza “isn’t that bad,” but it can be deadly, even for children who were previously healthy. Nothing is “just a virus.” A virus, like the flu, can make you just as sick, if not sicker, than some bacterial infections. So, be sure to take the flu seriously.

Flu symptoms include:

  • Fever
  • Headache, body aches, chills
  • Cough
  • Runny nose, congestion
  • Sore throat
  • Nausea, vomiting, or diarrhea

The best way to protect yourself from getting the flu is to get vaccinated. Flu vaccine is safe and is now available and recommended for everyone 6 months and older at your doctor’s office and many places throughout your community. The flu vaccine is different from last year, so you need to be vaccinated every year for the best protection. If you have an egg allergy, you can still get the flu vaccine just talk with your doctor.

RSV Facts

Respiratory syncytial virus (RSV) is a virus that can be spread through droplets from coughing, sneezing or touching infected surfaces and then touching your face. The symptoms are cold-like. 

Symptoms include:

  • Cough
  • Trouble breathing
  • Fever
  • Runny nose and nasal congestion 

For most children, RSV causes mild symptoms, and the body fights the virus off in 1 week. In young children, particularly those less than 6 months, and children with weakened immune systems, RSV can become dangerous by causing other infections like bronchiolitis and pneumonia. It is the leading cause of hospitalization among infants in the U.S, and most infants hospitalized with RSV were otherwise healthy with no chronic medical problems.

In July 2023, the Food and Drug Administration (FDA) approved Nirsevimab (Beyfortus) to prevent RSV infections in infants. Nirsevimab is a long-acting monoclonal antibody that decreases the risk of hospitalization and severe disease from RSV in infants. It is a onetime injection that provides immunity to RSV by giving babies an antibody. It is different than a vaccine, which helps prevent disease by giving a small amount of a virus or bacteria to help a baby make antibodies with their own immune system. 

In August 2023, the Centers for Disease Control and Prevention (CDC) recommended all infants younger than 8 months old, born during or entering their first RSV season, receive Nirsevimab. Only one dose is needed, but some infants may be eligible for a dose during their second year. There is currently no RSV vaccine for infants.

The Food and Drug Administration (FDA) also approved an RSV vaccine adults 60 years and older and pregnant persons. After getting the vaccine, the pregnant person makes antibodies to RSV and passes them to the baby before delivery. When the baby is born, they have some protection against RSV. CDC has also recommended this vaccine for pregnant people who are 32-36 weeks pregnant to help protect young infants.

COVID-19 Facts

The virus that causes COVID-19 continues to circulate with a recent increase in hospitalizations. In September the CDC recommended an updated COVID-19 vaccine for everyone ages 6 months and older. This updated vaccine will provide protection against serious illness from the strains that are now circulating. Reach out to your child’s primary care provider, pharmacy, or local health department to get your child vaccinated. You can also visit to find a location near you. 

Symptoms include:

  • Fever
  • Cough
  • Fatigue
  • Muscle of body aches
  • Difficulty breathing
  • Sore throat
  • Headache
  • Sneezing
  • Vomiting/diarrhea
  • Loss of taste/smell

Treatment for Flu, RSV and COVID-19

For all these viruses, you can manage fever and pain with most over-the-counter medications. If your child is having trouble breathing or staying hydrated, call your doctor or seek medical care as soon as possible.

There is no specific treatment for RSV, but there are medications to treat flu and COVID-19. Ask your doctor if your child needs to receive treatment for either of these respiratory illnesses.

Contributing Author: Jennifer Schuster, MD, MSCI, Pediatric Infectious Diseases

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