Slashdot Mirror


Fighting the Flu May Hurt Those Around You

sciencehabit writes "When you've got the flu, it can't hurt to take an aspirin or an ibuprofen to control the fever and make you feel better, right? Wrong, some scientists say. Lowering your body temperature may make the virus replicate faster and increase the risk that you transmit it to others. A new study claims that there are at least 700 extra influenza deaths in the United States every year because people suppress their fever."

36 of 351 comments (clear)

  1. So... by Anonymous Coward · · Score: 5, Informative

    You're fucked, but I feel better?

    Dude, you are so fucked!

    1. Re:So... by clemdoc · · Score: 5, Interesting

      When you're sick enough to (feel you) need medication, stay at home.
      Don't spread germs all over the workplace / auditorium / public mass transport.

    2. Re:So... by quantumghost · · Score: 4, Interesting
      I'll say that the outcome is hardly surprising. Nice to see some numbers attached, though.

      When you're sick enough to (feel you) need medication, stay at home. Don't spread germs all over the workplace / auditorium / public mass transport.

      Nice idea, but almost useless....

      The typical incubation period for influenza is 1—4 days (average: 2 days). Adults shed influenza virus from the day before symptoms begin through 5—10 days after illness onset. However, the amount of virus shed, and presumably infectivity, decreases rapidly by 3—5 days after onset in an experimental human infection model. Young children also might shed virus several days before illness onset, and children can be infectious for 10 or more days after onset of symptoms.

      What this basically means is that you are infectious the day before you show symptoms.....therefore you will not be able to ever stop the flu, at least not without a better vaccine (no, don't go pulling that Jenny McCarthy shit or I'll have to slap you); we can just mitigate some of the spread. It is incumbent upon the uninfected to keep from getting infected, as those who are will not know they are until its too late.

      The science is that fever is an adaptive response to an infection. Yes, fever is what makes you feel like crap, but it changes the kinetics of viral (and bacterial replication). Ever notice that microbiological (especially bacterial) incubators are set to 37 deg C? That's the sweet spot for replication....change it and you put the invader at a disadvantage. Modern medicine unfortunately has taken on the dogma that: "If it ain't right, it needs to be fixed", a few (and growing) are starting to learn that not all that is wrong is bad....I continually rally against treating fevers less than 40 deg C (above that is concern for brain injury), but I have an uphill fight against an entrenched culture.

      My personal strategy? I take the anti-pyretics so i can sleep or function, but reintroduce the elevated temperature by bundling up and keeping my core above 37 deg C. This is not scientific, just what works for me, YMMV and I won't be held responsible if you up and die from the flu as this is not my official advice.

    3. Re:So... by noh8rz10 · · Score: 5, Funny

      When you're sick enough to (feel you) need medication, stay at home.

      Don't spread germs all over the workplace / auditorium / public mass transport.

      that's why I drive alone in my SUV to work and am hostile in my cubicle so nobody bothers me.

    4. Re:So... by RabidReindeer · · Score: 4, Insightful

      When you're sick enough to (feel you) need medication, stay at home.

      Don't spread germs all over the workplace / auditorium / public mass transport.

      Sorry, but that's not how things work these days.

      If you don't come in and work many hours every day then you are the obvious candidate for replacement by someone who will.

      So suck down those anti-fever drugs and get to work!

  2. human germs don't like higher body temp by alen · · Score: 5, Interesting

    read about it in the last few years after one of my kids had an almost 105 fever one week
    human pathogens like the 98.6 body temp and a fever is the body's natural way of fighting these pathogens
    the flu virus also likes low humidity which is why people buy humidifiers in the winter time

    unless my kid has some crazy high fever i try to avoid giving him tylenol or some other fever reducer as long as possible. usually until its almost time for bed

    1. Re:human germs don't like higher body temp by zmooc · · Score: 4, Funny

      In Europe we call temperatures of more than 100 boiling, not fever. I'm surprised your kid lasted a week.

      --
      0x or or snor perron?!
    2. Re:human germs don't like higher body temp by Trent+Hawkins · · Score: 4, Funny

      All Germs come from Germany. That's why they're called Germs.

    3. Re:human germs don't like higher body temp by pr0fessor · · Score: 3, Interesting

      I try to avoid taking anything if I can and usually find that a 4-6 hour nap, with an extra blanket, a shower afterwards, and clean bedding will take care of whatever bug I happen to have in less than 24 hours.

      My wife on the other hand has a pharmacy on her nightstand and when she gets a bug, which is much more often than I do, it also lasts longer.

    4. Re:human germs don't like higher body temp by BobMcD · · Score: 3, Funny

      The seven hundred deaths, annually, you mean?

      It that's an unacceptable number of deaths by your standards, then I suggest you quit your job immediately:
      http://www.huffingtonpost.com/...

      "Work-Related Deaths Kill 150 Americans Per Day"

      That's 54750 a year. Having a job is roughly 78 times more fatal than being around someone who took aspirin with the flu.

      ACT NOW!

    5. Re:human germs don't like higher body temp by ebno-10db · · Score: 4, Funny

      In Europe we call temperatures of more than 100 boiling, not fever. I'm surprised your kid lasted a week.

      Don't act like you're all scientific and stuff until you start using Kelvin. Normal body temperature is 310.2K.

  3. That's a laughable risk... by Herder+Of+Code · · Score: 5, Interesting

    Considering the population of the USA the percentage of the population killed each year by this is 0.00022300095%. On the other hand deaths for the flu have been as low as 3000 yearly so that's 23.3% of deaths. Still, the number of deaths compared to the population makes it comparable to winning the lottery in any case.

    1. Re:That's a laughable risk... by Rob+the+Bold · · Score: 4, Insightful

      Considering the population of the USA the percentage of the population killed each year by this is 0.00022300095%. On the other hand deaths for the flu have been as low as 3000 yearly so that's 23.3% of deaths. Still, the number of deaths compared to the population makes it comparable to winning the lottery in any case.

      As low as 3000 deaths? If people knew the flu killed 3000 people (in an off year!), we could justify interment camps for infected people and monitor all phone calls to find out who complains of symptoms. We could create a cabinet level government department with a multi-billion-dollar budget just for battling the flu.

      Or not. Because the flu generally doesn't also commit spectacular acts of property destruction and it kills its victims quietly in homes and hospital beds with no one to watch or mourn except the victims' actual friends and family.

      --
      I am not a crackpot.
  4. Re:I've always wondered that about antihistamines by SailorSpork · · Score: 5, Interesting

    Yes, but sometimes it's over responsive. In this case, allergies. The only true long-term healthy solution to allergies is to physically move somewhere else; even if that means another city/state/country.

    Or allergy tolerance shots. I get injected every week with a dose of what I am allergic to, in order to slowly build up my allergen tolerance and lower the amount of drugs I need to control my symptoms. It's to the point where I can now have pets!

  5. Re:I've always wondered that about antihistamines by tverbeek · · Score: 4, Insightful

    With infections, I've always taken the approach of doing only as much symptom-relief as absolutely for my sanity/productivity/safety. Things like fever and coughing are part of the body's immune response, and letting them do their work will result in a faster recovery, so I'll put up with the discomfort and inconvenience.

    --
    http://alternatives.rzero.com/
  6. Aches & Pains by CohibaVancouver · · Score: 3, Insightful

    I think most people (myself included) take the meds for 'aches and pains' and to sleep. The fever gets suppressed as a byproduct of those meds. If there was some way to take meds to keep the fever without aching joints and a screaming headache that would be fine with me.

    1. Re:Aches & Pains by swb · · Score: 5, Informative

      There is. They're called opioids. But taking opioids makes you a dangerous drug addict, so you're not allowed to have them.

  7. Stay Home by CohibaVancouver · · Score: 5, Insightful

    I'm quite sure the larger contributing factor to the flu spreading is people going to work while sick, not a suppressed fever.

    Much better approach would be creating a culture in the USA where its OK to stay home when sick.

    But of course we can't do that, because SOCIALISM.

    1. Re:Stay Home by Spacelem · · Score: 4, Insightful

      Socialism doesn't keep you at work, when you're sick, that's capitalism, with its "performance at the expense of everything else" approach. Or were you being sarcastic? (I can't tell).

      Also, socialism provides free medical care to sick people, so they don't just put things off and get worse and worse until eventually they eventually either need an emergency room (at a much higher cost), or spread communicable but treatable diseases like TB. It also makes medicine cheaper because of collective bargaining, rather than allowing each person to try to bargain for something that they can't do without.

    2. Re:Stay Home by ceoyoyo · · Score: 4, Interesting

      "Socialism" really is a synonym for "badness" in the US, isn't it?

      Socialism is an economic system where the state collects taxes to fund things like social programs, that allow people to do things like not work when they're sick without fear of, for example, starving to death. Socialism is also usually associated with regulation, such as laws that say you need to give your employees ample sick days.

      Capitalism is an economic system where the market (which is generally controlled by those who have capital) makes the decisions. Although it's possible in a labor-shortage situation that employers would insist on sick employees staying home to avoid a productivity hit, in current corporate capitalistic practice this doesn't seem to happen. Employees are generally granted the minimum sick time required by law.

      For examples, see Europe (lots of sick and vacation days, more socialist) versus the USA (few sick and vacation days, more capitalist).

    3. Re:Stay Home by Bacon+Bits · · Score: 5, Insightful

      Trust me, it's being paid for by everyone (including the one getting the "free" healthcare) - but the costs are hidden in your taxes.

      You say that like it's not also true without socialized or universal heathcare. The only difference is that the costs are hidden in taxes, unpaid debt, and lost productivity instead of merely taxes. Or did you think all those unpaid medical bills just disappeared?

      --
      The road to tyranny has always been paved with claims of necessity.
  8. Re:Fevers don't kill by geminidomino · · Score: 4, Interesting

    The immune system isn't usually that self-destructive.

    Lupus FTFY. (I know, I know. "It's never lupus!")

  9. Re:Probably going out/to work by geogob · · Score: 5, Interesting

    This may surprise a lot of people here, but in Germany the general rule is, if you get sick on vacation days and have a medical attestation prooving it, your affected (infected?) vacation days go back in your unused vacation.

  10. Here's how to fix this... by bobbied · · Score: 4, Insightful

    Here's an idea.. Get sick, stay home! If you wan to medicate at home, knock yourself out. Just don't come to work and avoid going out in public.

    Employers should be *actively* looking though their employees and sending home those who are sick. Have a fever? Go home. Don't come back until at least 24 hours w/o a fever. Take your laptop, work from home. Day Care's should have the *same* policy for workers and children, don't come in if you had a fever in the last 24 hours.

    I'm serious, this *should* be a matter of law. I know that it won't fix everything, but it sure will slow down a virus if folks would be careful. I live with a person who has a compromised immune system. Getting a virus is a *serious* deal for us and may someday kill them. We have to be extremely careful and I just hate it when I have to deal with people who are obviously ill in public.

    --
    "File to fit, pound to insert, paint to match" - Aircraft Maintenance 101
    1. Re:Here's how to fix this... by CastrTroy · · Score: 4, Insightful

      That works great until you start thinking about the fact that at many work places, people get very few sick days, and many don't get any paid sick days. Unless you can fix that problem, you're going to have a lot of trouble getting people to take sick days when they can still make it into work. If you only get 5 or 6 paid sick days a year, then you're going to want to keep those in case something really nasty comes along, like gastroenteritis (aka, the stomach flu), or if their kid gets sick and they have to stay home with the kid.

      --

      Anthropic principle: We see the universe the way it is because if it were different we would not be here to see it.
  11. Re:I've always wondered that about antihistamines by Sique · · Score: 3, Insightful

    Actually, it's not an allergic reaction on the virus. Allergic is a reaction if the target would be harmless to the body. But a virus is not, and the reaction is actually necessary. Suppressing the reaction thus means the virus is not attacked at all, or at least it is attacked with a reduced intensity. So while you might feel better with Benadryl, in fact you are in the same camp like the people who suppress the fever -- being sick longer, being contagious longer, and thus prolonging the flu waves.

    --
    .sig: Sique *sigh*
  12. Re:Probably going out/to work by adolf · · Score: 5, Informative

    This may surprise a lot of people in Germany, but in the US the general rule is, you don't have any vacation days and can't afford to take time off of work to see a doctor.

    And if you do take time off of work to get well and figure out how to pay a doctor and any treatment they might suggest, it's entirely possible that, upon attempting to return to work, you find yourself jobless.

    Therefore, again generally, we tend to take as many over-the-counter drugs as we can to begin feeling half-way human so we can keep working every day even if it kills us and those around us (which, according to TFA, it does).

  13. Re:Hrrrrr... by waspleg · · Score: 4, Interesting

    Ah yes, the pervasive "I GOT MINES" ... Baby Boomer?

  14. Re:What is fever ? by compro01 · · Score: 4, Informative

    Is the fever a side result of the effect of the virus on the organism ? Or is it a way for the organism to fight the virus and eliminate it ? Because we get fevers in most cases of severe infections and I doubt most germs are sensitive to a 3C increase in body temperature... I can still brew beer from anything like 10C to 40C...

    Most viruses and bacteria are more temperature sensitive than yeast is. Also, higher temperatures improve the function of white blood cells and reduces the effects of endotoxins.

    --
    upon the advice of my lawyer, i have no sig at this time
  15. Re:Probably going out/to work by Anonymous Coward · · Score: 4, Insightful

    > People think it's their duty to use up all their sick days

    That is the effect of setting a quota. In civilised countries you get as many sick days as your health requires.

  16. Re:Probably going out/to work by Dixie_Flatline · · Score: 4, Insightful

    The quota for sick days is low because there's not much respect for working people by people that are getting rich off of them. It gets better the higher up the payscale you go (particularly in an office environment, where they've finally figured out that one person coming in sick means having dozens of people sick and underperforming for weeks on end while the infection runs its course) but it's still a problem that needs to be managed.

    People work better when they're healthy and well rested, and people that are healthy and well rested tend to stay that way.

    I don't know many people that call in sick for vacation days; we don't actually have an allotment of days at my office. You're just expected to tell people that you're sick so the work can be taken care of, take care of yourself, and come back as soon as is reasonable. But I'm a Canadian in Canada. It's been like this more or less my entire professional life.

  17. Re:No more asprin? by ebno-10db · · Score: 3, Funny

    I guess Obamacare will make aspirin illegal now as a preventative action.

    That's the least of it. It will destroy our civilization and lead to Stalinism. I know that's true because I've read it on right-wing web sites.

  18. Re:Fevers don't kill by angel'o'sphere · · Score: 3, Informative

    Fevers don't kill people.
    That is nonsense.
    Your fever can go up to roughly 44 celsius, around that temperature you die.
    The fever wasn't what caused the problems
    Yes, the fever can be the cause of the problem, I sugget to read at least the basics about medicine before writing such nonsense. Simple info: http://wiki.answers.com/Q/What...
    More complex: http://en.wikipedia.org/wiki/F...

    (And I really wonder: it is something you learn in school in latest 4th grade, how can an adult not know the basis about fever?)

    --
    Cost free eBook I read (by iBook/Kobo/Amazon/ObookO/Gutenberg etc.): "The Green Odyssey" by Philip Jose Farmer.
  19. Re:Probably going out/to work by Common+Joe · · Score: 3, Interesting

    This may surprise a lot of people here, but in Germany the general rule is, if you get sick on vacation days and have a medical attestation prooving it, your affected (infected?) vacation days go back in your unused vacation.

    I like this part of Germany, but I don't like another part. You're required to go to the doctor if you're sick to get a slip of paper saying you're excused. For me, without a car, that means getting on a bus and / or train and spreading my germs and being out in the cold weather at the absolute worst time to be out in it. People get sicker when they are out in the weather. Been there. Done that.

  20. Re:Fevers don't kill by Jason+Levine · · Score: 3, Interesting

    Both of my boys have had febrile seizures and stopped breathing. This usually doesn't cause any problems, but is the scariest thing I've ever gone through. In the case of my youngest son, though, he turned grey, stopped breathing, and didn't start back on his own. Luckily, my mother-in-law was there and knew how to do rescue breaths on him until the paramedics arrived. He was hospitalized so they could figure out why he didn't start breathing again. He's had multiple febrile seizures since then and every time he gets a fever we give him medicine to get it under control quickly.

    Did this kill him? No, but without the rescue breaths my mother-in-law administered this story could have had a much different ending.

    --
    My sci-fi novel, Ghost Thief, is now available from Amazon.com.
  21. not useless at all... by Ionized · · Score: 3, Informative

    so since you have spread the infection for one day, before you were showing symptoms, you might as well go ahead and spread it for several more days afterwards?

    horsehockey. one day worth of germs 3 days worth of germs.

    stay at home when you are sick.