Cause
The flu is caused by the
influenza virus. Doctors classify the virus as
influenza type A and type B, each of which includes several subtypes or
strains. These strains are different from the original virus but retain some of
its characteristics. Type A is usually responsible for the annual outbreaks
that typically occur in the late fall and early winter.
The influenza virus changes often, so having flu caused by one
strain does not give you full
immunity to other strains.
- Widespread outbreaks of the flu usually follow
significant changes (called antigenic shifts) in the virus and occur about
every 10 years. People who get the flu tend to become much sicker when a shift
in the flu virus occurs.
- Minor changes in the virus (called
antigenic drifts) occur nearly every year.
The virus is spread from person to person through:
- Direct contact, such as shaking
hands.
- Small droplets that form when a person sneezes or
coughs.
- Contact with objects such as handkerchiefs that have been
in contact with fluids from an infected person's nose or throat.
When are you contagious?
People who have the flu are most likely to pass it to someone
else from 1 day before to 5 days after symptoms develop. Children may be
infectious for up to 6 days before symptoms develop.
Symptoms usually develop 1 to 4 days after you are infected.
Because symptoms may not develop for a couple of days, you may pass the flu to
someone before you know you have it.