Saturday, March 25, 2023

Rise in H3N2 and Covid-19 cases: What is the difference between the two respiratory viruses?

The symptoms are more severe in H3N2 than Covid because most people have received two doses of vaccines of the latter, says expert.

Daphne Clarance

New Delhi,UPDATED: Mar 20, 2023 19:16 IST


 

In Short

·         The strain of influenza B seen in India is Victoria, while in influenza A, H3N2 is very prominent.

·         The typical symptom of the current H3N2 virus is fever, ranging between 101 to 102 degrees Fahrenheit.

·         The treatment for the two viruses also differs in terms of specific symptoms.

By Daphne Clarance: India is witnessing severe cases of the influenza virus, simultaneously with a spike in the incidence of Covid-19. Although the two respiratory viruses have overlapping symptoms, doctors have shared some differences to recognise signs when a person gets influenza or Covid-19.

Influenza occurs in two types A and B. Influenza A, which is currently circulating in the country, is of two different types - H1N1 and H3N2. Influenza B comes in two lineages as well - Victoria and Yamagata.

The strain of influenza B seen in India is the Victoria lineage, while in influenza A, the H3N2 is very prominent. H1N1 is doing the rounds as well but with fewer cases of incidence, according to the Indian Council of Medical Research (ICMR).

According to Dr V Ravi, Virologist and Head of Research and Development, Tata Medical and Diagnostics, New Delhi, the symptoms are more severe in H3N2 than Covid because most people have received two doses of vaccines of the latter, which now has mild ways on influencing.

"The typical symptom of the current H3N2 virus is fever, ranging between 101 to 102 degrees Fahrenheit. A very severe cough is seen while many patients are also experiencing a sore throat or change in voice. The most severe symptom is difficulty breathing," said Dr Ravi.

He added that the fever usually lasts for 4 to 5 days. However, the cough will persist for another week. "This is because the virus affects the windpipe and bronchioles that produce the cough," he said.

The most prominent difference between Covid and H3N2 is that it is more contagious and spreads very fast from human to human because of the nature of the virus, but H3N2, like H1N1, spreads seasonally, usually during the change of season.

"The severity of illnesses, however, is almost equal. H3N2 can also become severe, like pneumonia. In rare cases, a lung transplant might be needed," as per Dr Chinnadurai R, Lead Consultant - Critical Care, Aster RV Hospital, Bangalore.

"I think we are going back to the pre-Covid era in which the H3N2 is dominating," he added.

Dr Chinnadurai said that if a Covid-infected person speaks to someone, in 10 minutes the virus spreads.

"But in H3N2, it is not likely to spread very fast if two people are talking. The possibility may be that we could have better immunity to fight H3N2 because pre-Covid this was part of the seasonal flu," he said.

Dr Tanu Singhal, Consultant, Paediatrics and Infectious Disease, Kokilaben Dhirubhai Ambani Hospital, Mumbai, said that the two viruses are usually transmitted through cough droplets that spread for 1 metre or 3 feet. "That's why the risk of transmission is higher in closed spaces compared to larger spaces," the expert said.

The treatment for the two viruses also differs in terms of specific symptoms. While in H3N2, anti-fever medication is prescribed, for Covid, doctors recommend Covid-specific drugs that are newer in the market.

To diagnose the two viruses, an advanced PCR (Polymerase Chain Reaction) test can be taken. However, it is expensive.

"There is an advanced PCR test that tests for all respiratory viruses. In this time, we're not just seeing a spread of Covid or flu but other viruses like Adenovirus and human metapneumovirus(HPV). This advanced PCR test can see all these kinds of viruses. The only problem is that the tests are very expensive, ranging between Rs 5,000 to Rs 10,000," said Dr Singhal

https://www.indiatoday.in/health/story/rise-in-h3n2-and-covid-19-cases-what-is-the-difference-between-the-two-respiratory-viruses-2349165-2023-03-20 

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