Picture: Pixnio
Picture: Pixnio

Kids are more vulnerable to flu. Here’s what to look out for this winter

By Christopher Blyth, Kristine Macartney And Samantha Carlson Time of article published Jun 7, 2019

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Influenza-associated deaths in childhood are uncommon. Despite this, influenza is the most common cause of vaccine-preventable death – more common than meningococcal disease or pertussis (whooping cough).

More cases and greater harms

Influenza virus is predominantly spread in droplets created when people with flu cough and sneeze. The virus can also live on objects touched by those with flu, picked up by the hands of others.

Children are more likely to catch and spread influenza: they have large volumes of virus in their nasal secretions and, after infection, shed this for days. They also have poorer hygiene practices, often coughing and spluttering over those closest to them.

For many young children with flu, it is the first time they are exposed to the virus. Their immune system is naïve to influenza and therefore responds more slowly to the infection. This means the influenza virus can cause significant ill-effects before the immune system can bring it under control.

Thousands of children who contract the flu are hospitalised every year; hospitalisation rates in children are much greater than in older people. Children younger than five years are the age group most likely to be hospitalised.

Although children with underlying medical conditions including chronic disorders of the heart, lungs, nervous and immune system are most susceptible, more than half of children admitted to hospital each year are healthy.

What should you look out for?

Influenza most commonly causes fever, cough, headache, a sore throat and a runny nose. The virus can also infect the lungs, causing pneumonia.

Some children react to the infection by developing vomiting, diarrhoea and muscle aches and pains.

Many parents aren’t aware that influenza can also cause damage to the brain, heart, kidneys and muscles. It is unclear why these complications occur in some children and not others, but they can be severe.

Young children get frequent infections and often develop symptoms that are difficult to distinguish from influenza. Testing on a nose or throat swab can be done to confirm if the illness is caused by influenza virus.

Parents should seek medical attention if their child:

- has difficulty breathing (breathing rapidly or drawing in chest or neck muscles)


is vomiting and refusing to drink


is more sleepy than normal

- has pain that doesn’t get better with simple pain relief medication.

Most importantly, if you’re worried about your child during the flu season, see a doctor.

How can I protect my children?

Those too young to be vaccinated (children five months and younger) are protected by their mothers being vaccinated during pregnancy.

You can get your family vaccinated at your local general practice, council or community health clinic.

As the virus is constantly changing, the effectiveness of the vaccine can vary each year. Research has shown that the risk of flu is reduced, on average, by 50-60% in children who receive the vaccine.

This can mean that some children who get vaccinated will unfortunately still get the flu. However, some evidence suggests the disease will be milder if you catch it and have been vaccinated.

It’s not possible to predict who will catch the flu or develop complications, but vaccination remains the most effective and safest tool to protect children against influenza.

Childhood flu vaccination programs have an added bonus of reducing flu in others in the community who are not vaccinated by reducing the spread of the virus. This is called “herd” or “community” immunity and particularly helps protect vulnerable people who may be at risk of becoming seriously ill with the flu.

The Conversation

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