For Peace of Mind: Volume 8 - Possibilities…

Special Features

Respiratory Infections

Reducing your risk of catching common

Tere are some simple things which we can all do to reduce our risk of catching respiratory infections. While some respiratory infections – such as the common cold – are generally easy to recover from, others like influenza and pneumococcal disease can result in serious illness and even death. This is particularly the case for people who have underlying medical conditions which put them at greater risk of complications from respiratory infection (see below). Examples of underlying medical conditions which put people at greater risk of complications from respiratory infection
• Chronic heart disease – such as ischemic heart disease, angina or those who have suffered a heart attack
• Chronic respiratory disease – such as asthma or Chronic Obstructive Pulmonary Disease (COPD)
• Diabetes
• Renal disease

Influenza (“flu”)

Influenza is a debilitating viral illness with common symptoms including fever, headaches, muscle aches and pains. Influenza can also cause viral pneumonia (infection of the lungs).

Pneumococcal disease

Many people haven’t heard of pneumococcal disease and don’t know what it causes. In adults it most commonly causes pneumonia, an infection of the lungs which can be very serious. Pneumococcal disease can also cause:

• Meningitis – inflammation around the brain
• Septicaemia – blood poisoning
• Endocarditis – an infection of the heart

On average, each year nearly 2,500 Australians aged 65 or over die from either influenza or pneumonia2 (of which pneumococcal infection3 is a leading cause). In Australia and other developed countries more people die during the winter months; 4 when respiratory infections such as influenza5 (“flu”) and pneumococcal disease are more common. ForAustralia’s temperate regions this means that people are much more likely to catch such infections from June through to September. For those living in tropical Queensland, the risk of infection is much more evenly spread across the year. There are some easy things which we can all do to reduce the spread of infection – and our risk of contracting any such diseases (see below).

Easy steps to reduce the spread of respiratory infections

• Hand wash regularly
• Cover your nose and mouth when coughing and sneezing
• Keep your hands away from your mouth and face
• Get vaccinated

Vaccination against influenza and pneumococcal disease is recommended for all people with conditions listed above.6 The Federal Government funds free vaccinations against influenza and pneumococcal disease to everyone aged 65 or over, and the vaccines are available on the PBS for those under 65 with specific medical conditions.

The Influenza Specialist Group (ISG), an independent committee consisting of medical and scientific specialists and patient support group representatives, has been encouraging people who are at greater risk of experiencing complications from influenza or pneumococcal disease to get vaccinated. In recent years, they have particularly focussed on those aged under-65 as they have also shown a poor vaccine uptake.

“Even if you feel fit and healthy, for anyone with an underlying illness such as heart disease, diabetes, asthma or renal disease,

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it is important that you consider getting vaccinated against influenza and pneumococcal disease. It has been proven that those with an underlying medical condition are put at greater risk of complications if they develop a respiratory infection,” said Mr
Hampson, Convenor of the ISG. A recent study found the risk of suffering a heart attack increases by nearly five times – and the risk of suffering a stroke by over three times – within the first three days after developing an acute respiratory tract infection.7 Respiratory tract infections can be caused by several agents, including viruses and bacteria commonly found in Australia like influenza and pneumococcal disease.

Mr Hampson warned that both diseases disrupt everyday lives. For example, while it can take around three weeks for a healthy adult to fully recover from influenza – including two to three days confined to bed – this can be much longer for a person with an underlying medical condition. “Do yourself a favour and consult your doctor about getting vaccinated against influenza and pneumococcal disease - you could save yourself from experiencing the worst this winter,” Mr Hampson said.

References

1. The Australian Lung Foundation. LungNet News. February 2005 (online). www.lungnet.com.au
2. AIHW GRIM Books 2004 (based on pooled data from 1997 – 2002)
3. National Health and Medical Research Council. The Australian Immunisation Handbook 8th Edition (online). 2003. http://immunise. health.gov.au/handbook.htm
4. Australian Institute of Health and Welfare. Seasonality of Death (Bulletin 3). Australia: 15-Nov-02; ISSN1446-9820; ISBN1-74024- 209-2; AIHW Cat. No. AUS-29
5. Department of Health and Ageing. Communicable Disease Intelligence March 2004: 28(4). Found at: www.health.gov.au
6. National Health and Medical Research Council. The Australian Immunisation Handbook 8th Edition (online). 2003. http://immunise. health.gov.au/handbook.htm
7. Smeeth L, Thomas S, Hall A et al. Risk of myocardial infarction and stroke after acute infection or vaccination. N Engl J Med 2004;351:2611-2618

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