What You Need To Know About The Tripledemic

By Yhordan Serpentini | November 16, 2022

As we reach the middle of the 2022-2023 flu season, health officials are warning us to be prepared for a “tripledemic” of influenza, COVID-19, and RSV. Although it may sound concerning to the public that we are experiencing three pandemics, it isn’t actually as bad as it seems. That being said, you should be aware of these viruses, as well as the symptoms, treatment, and prevention, so you and your loved ones can experience a safe healthy winter. Here is what you need to know about the tripledemic.

What you need to know about the tripledemic

What Is The "Tripledemic?"

The “tripledemic” is a term that is being used to describe the concurrent occurrence of influenza, COVID-19, and RSV. This is particularly concerning among many hospitals and other public health institutions as all three viruses have been known for causing serious respiratory issues separately, adding fear to an intense potential wave of ill patience towards the peak of winter. 

What Are The Symptoms of Influenza, COVID-19, and RSV?

It’s important to know the symptoms of each virus to ensure early diagnosis and treatment, for the fastest way to recover. Influenza, COVID-19, and RSV share many common symptoms, such as fever, cough, and shortness of breath. This can make it difficult to distinguish between the three conditions.

However, there are some key differences between the viruses that help doctors better understand and diagnose a patient. For instance, the Influenza virus may also cause body aches, fatigue, and nausea, while COVID-19 may cause loss of taste or smell, and RSV typically only affects young children and causes severe cold-like symptoms. Below are the common symptoms you would find among all three viruses, as well as the ones that distinguish the three.

For the Influenza virus, symptoms usually appear suddenly upon exposure–anywhere from 1-4 days after infection–and they typically range from mild to severe. The following are some of the likely symptoms caused by the Influenza Virus:

  • fever* or feeling feverish/chills
  • cough
  • sore throat
  • runny or stuffy nose
  • muscle or body aches
  • headaches
  • fatigue (tiredness)
  • vomiting and diarrhea (common in children)

For RSV, symptoms usually appear to be cold-like that occur anywhere from four to six days after infection. Once again, the virus is extremely common among children, though it is a possibility that adults can be infected and affected by the virus, as well. The following are some of the likely symptoms caused by RSV:

  • Runny nose
  • Loss of appetite
  • Minor or severe coughing
  • Low or high fever
  • Wheezing
  • Irritability
  • Sneezing
  • Difficulty breathing

For COVID-19, there is a wide range of mild and severe symptoms–they can appear anywhere from 2-14 days after exposure. The following are some of the possible symptoms found in patients infected with COVID-19:

  • Fever or chills
  • Cough
  • Shortness of breath or difficulty breathing
  • Fatigue
  • Muscle or body aches
  • Headache
  • Loss of taste or smell
  • Sore throat
  • Congestion or runny nose
  • Nausea or vomiting
  • Diarrhea

As mentioned earlier, all three viruses typically share symptoms very similarly; however, there are some symptoms that help physicians better diagnose a patient accurately. For example, patients infected with COVID-19 are likely to experience a change in or a loss of taste and/or smell (can occur in flu, but is very unlikely).

COVID-19 also targets other areas of the body, such as the lungs and heart, or even cancer cells, so experiencing intense muscle pain is also a common symptom–it is also why those with existing cardiovascular or pulmonary diseases, or malignant tumors, are classified as high-risk patients. In most cases where physicians are suspicious of a potential COVID-19 infection, they will test you for the virus.

When To Seek Medical Attention

Normally, these viruses will pass over time. That being said, there are instances where certain demographics are prone to developing worsened symptoms that can be serious if left untreated. If a child or an adult is experiencing any of the following symptoms, it may be best to seek medical attention as soon as possible:

Within Children:

  • Fast breathing, trouble breathing, or hyperventilation
  • Bluish lips or face
  • Ribs pulling in with each breath
  • Chest pain
  • Severe muscle pain (child refuses to walk)
  • Dehydration (no urine for 8 hours; dry mouth; no tears when crying)
  • Not interacting when awake
  • Seizures
  • Fever above 104°F
  • Any fever found in children younger than 12 weeks
  • Fever or cough that returns or worsens
  • Worsening of chronic medical conditions

Within Adults:

  • Difficulty breathing or shortness of breath
  • Persistent pain or pressure in the chest or abdomen
  • Persistent dizziness, confusion, inability to arouse
  • Seizures
  • Irritability
  • Dehydration
  • Not urinating
  • Severe muscle pain
  • Lack of, or loss of, activity
  • Irritability
  • Severe weakness or unsteadiness
  • Fever or cough that  returns or worsens
  • Worsening of chronic medical conditions

For more information on influenza, COVID-19, and RSV, you can visit the Centers for Disease Control and Prevention’s website at cdc.gov. You can also talk to your healthcare provider if you have any questions or concerns.

Treatments for Influenza, COVID-19, and RSV

There is no specific treatment for influenza, COVID-19, or RSV, but there are some general measures you can take to ease your symptoms. For all three illnesses, rest, drink plenty of fluids, and take over-the-counter medications like ibuprofen and acetaminophen to help with fever and pain. You can also use a humidifier to help with congestion.

Getting vaccinated is also a great way to lower your chances of being infected or transmitting the virus(es) from one person to another upon contact. The flu vaccine is available every year and protects against the most common strains of the virus. Currently, there are three available Influenza A+B vaccines that are free to the public: the Fluzone High-Dose Quadrivalent vaccine, the Flublok Quadrivalent recombinant flu vaccine, and the Fluad Quadrivalent adjuvanted flu vaccine. 

Similarly, COVID-19 has up to four available vaccines free to the public: the Pfizer-BioNTech, Moderna, Novavax, and the Johnson & Johnson’s Janssen (J&J/Janssen) vaccines. Additionally, just like the flu vaccine, there are also available booster vaccinations that are now being developed annually to protect yourself from the virus’ inevitable mutations.

Unfortunately for RSV, there are not really any available options to treat the virus outside of over-the-counter medicines. Despite not having any available treatment specifically for RSV yet, researchers are further attempting to develop a potential vaccine or antiviral for RSV.

How To Protect Yourself and Prevent Transmission

The flu, RSV, and COVID-19 are all highly contagious respiratory diseases that are contracted through the respiratory system, such as the mouth and nose/sinuses. The best way to prevent all three illnesses is by practicing basic hygiene and transmission awareness. This includes avoiding touching your eyes, mouth, and nose before washing your hands after touching frequently touched surfaces, avoiding sneezing or coughing on your hands, covering your sneezes and coughs (preferably with your shirt or napkin), and maintaining distance from ill individuals or individuals showing signs of infection.

Disclaimer: This blog is not intended to be medical advice

References:

  • Centers for Disease Control and Prevention. (2022, October 28). RSV (respiratory syncytial virus). Centers for Disease Control and Prevention. Retrieved November 9, 2022, from https://www.cdc.gov/rsv/index.html

  • Centers for Disease Control and Prevention. (2022, October 24). Symptoms and care of RSV (respiratory syncytial virus). Centers for Disease Control and Prevention. Retrieved November 9, 2022, from https://www.cdc.gov/rsv/about/symptoms.html

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