14. Seasonal Patterns Fall, late spring : Rhinovirus Parainfluenza Winter, spring: RSV, coronavirus Summer: Enterovirus (year) Adenovirus: Outbreaks in Military facilities daycare centers, hospital
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17. But how do I know it’s just a cold? Mod-Severe Mild Chest discomfort/ cough Common Common Sore throat Sometimes Common Sneezing Common Common Nasal congestion Usual Unusual Extreme fatigue May last 3 wks Mild Malaise Severe Mild Myalgia Usual Rare Headache 39-40 o Rare Fever INFLUENZA COLD
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19. Facts: Influenza Vaccine All of the mentionated before Plus Health care workers Pregnant women in second or third trimestrer
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23. Complications Sinusitis: Acute bacterial sinusitis develops in 0.5 to 2.5 percent of adult patients after viral *1 Lower respiratory tract disease : RSV, elderly (CHF) and immunocompromised Acute otitis media: Eustachian tube dysfunction; *1 J Allergy Clin Immunol 1998 Sep;102(3):403-8.