Strains of influenza B are exclusively contracted by humans, while A can be carried (and spread) by animals, however, both strains are transmitted mainly by respiratory droplets from coughing and contact with an infected person.The flu is caused by an influenza virus. Most people get the flu when they breathe in tiny airborne droplets from the coughs or sneezes of someone who has the flu. You can also catch the flu if you touch something with the virus on it, and then touch your mouth, nose, or eyes. People often confuse colds and flu.Influenza types A and B. These 2 types of viruses cause widespread illness (epidemics) almost every winter. They often lead to more people needing to go to the hospital, and more people dying from the flu. Public health officials focus on stopping the spread of types A and B. One of the reasons the flu remains a problem is because the viruses ...serious flu complications. There are two main types of . influenza viruses: types A and B. Both type A and B . influenza viruses regularly spread in people, and are . responsible for seasonal flu ... fever* or feeling feverish/chills. cough. sore throat. runny or stuffy nose. muscle or body aches. headaches. fatigue (tiredness) some people may have vomiting and diarrhea, though this is more common in children than adults. *It’s important to note that not everyone with flu will have a fever.Mar 26, 2018 · Influenza — commonly known as the flu — is a respiratory infection caused by flu viruses. There are three main types of influenza: A, B, and C. Types A and B are similar, but influenza B can ... COVID-19/Flu A&B. test has three Test lines, one for SARS-CoV-2, one for influenza A, and one for influenza B. The three Test lines allow for the separate and differential identification of ...for influenza A and B were not re-established with the modified device and may vary from previous performance. Performance characteristics may vary against other emerging influenza viruses. If ...The four types of influenza are A, B, C, and D. Types A and B are widespread during most winters in the United States. Type C is milder than types A or B and does not spread as easily. Type D ...Aug 22, 2023 · FluNet Summary. This content is last updated on 22 August 2023. National Influenza Centres (NICs) and other national influenza laboratories from 108 countries, areas or territories reported data to FluNet for the time period from 24 July 2023 to 06 August 2023* (data as of 18/08/2023 06:58:57AM UTC). The WHO GISRS laboratories tested more than ... Mar 30, 2023 · There are four types of influenza viruses: A, B, C, and D. Influenza A and B viruses cause seasonal epidemics of disease in people (known as flu season) almost every winter in the United States. Influenza A viruses are the only influenza viruses known to cause flu pandemics (i.e., global epidemics of flu disease). A healthcare professional may be able to test for COVID-19, the flu and RSV at the same visit. Abbott offers several diagnostic tools to aid in fast, reliable respiratory virus testing. From our ID-NOW™ rapid system to the Alinity m Resp-4-Plex to the Panbio COVID-19/Flu A&B Rapid Panel test*, we are equipping clinicians with tools to ...Follow recommended infection prevention and control measures1. SARS-CoV-2 Testing. Test for SARS-CoV-2 by nucleic acid detection 2. , 3 ; OR if not available, by SARS-CoV-2 antigen detection assay. 5. a) If SARS-CoV-2 Test result is positive, administer supportive care. If the patient is at high risk for progression to severe COVID-19 ...Full genome sequencing can reveal the approximately 13,500-letter sequence of all the genes of the influenza virus’ genome. The two influenza types (A and B) that cause seasonal epidemics have eight RNA gene segments. These genes contain instructions for making new viruses and play an important role in how influenza viruses cause infection.There are two main types of flu (influenza) virus, types A and B, that are responsible for seasonal flu epidemics (“flu season”) each year. Influenza A is often considered worse. Influenza A viruses are: More prevalent Type A viruses are responsible for most cases (about 75%) of the flu ; Often cause more severe illnessInfluenza B almost exclusively infects humans and is less common than influenza A. Flu type B also mutates about two to three times more slowly than influenza A. Because humans are the natural host of influenza B, pandemics generally do not occur with influenza B viruses. 22. Although scientists can classify and monitor the different types of ... Follow recommended infection prevention and control measures1. SARS-CoV-2 Testing. Test for SARS-CoV-2 by nucleic acid detection 2. , 3 ; OR if not available, by SARS-CoV-2 antigen detection assay. 5. a) If SARS-CoV-2 Test result is positive, administer supportive care. If the patient is at high risk for progression to severe COVID-19 ...A healthcare professional may be able to test for COVID-19, the flu and RSV at the same visit. Abbott offers several diagnostic tools to aid in fast, reliable respiratory virus testing. From our ID-NOW™ rapid system to the Alinity m Resp-4-Plex to the Panbio COVID-19/Flu A&B Rapid Panel test*, we are equipping clinicians with tools to ...Rapid assays for the diagnosis of influenza A and B viruses in patients evaluated at a large tertiary care children's hospital during two consecutive winter seasons. J Clin Virol. 2008;41(2):143-147. Cruz AT, Demmler-Harrison GJ, Caviness AC, et al. Performance of a rapid influenza test in children during the H1N1 2009 influenza a outbreak.Flu viruses are of four main types: A, B, C and D. Human influenza type A and B viruses are mainly responsible for the “flu season,” or seasonal influenza epidemics almost every winter in the United States. Type A influenza: This is the cause of most flu cases. It is the only influenza virus causing flu pandemics (a large number of flu ...Jul 29, 2023 · Flu symptoms tend to develop one to two days after exposure to the virus and last for between five to seven days. Day 1 to Day 3 are characterized by the abrupt onset and worsening of symptoms. Day 5 to Day 6 is when most people start to feel notably better. By Day 8, most people will have recovered and no longer be contagious. Influenza types A and B. These 2 types of viruses cause widespread illness (epidemics) almost every winter. They often lead to more people needing to go to the hospital, and more people dying from the flu. Public health officials focus on stopping the spread of types A and B. One of the reasons the flu remains a problem is because the viruses ... Follow recommended infection prevention and control measures1. SARS-CoV-2 Testing. Test for SARS-CoV-2 by nucleic acid detection 2. , 3 ; OR if not available, by SARS-CoV-2 antigen detection assay. 5. a) If SARS-CoV-2 Test result is positive, administer supportive care. If the patient is at high risk for progression to severe COVID-19 ...Print. The Centers for Disease Control and Prevention (CDC) recognizes that school administrators, teachers, staff, and parents are concerned about influenza (flu), particularly its effects on children. Educators and staff can help slow the spread of respiratory illnesses, including flu. On this page, you will find information on preventing the ...Flu viruses are of four main types: A, B, C and D. Human influenza type A and B viruses are mainly responsible for the “flu season,” or seasonal influenza epidemics almost every winter in the United States. Type A influenza: This is the cause of most flu cases. It is the only influenza virus causing flu pandemics (a large number of flu ... Feb 16, 2023 · indicate that influenza A and/or influenza B is likely, and diagnostic test results for other causes of illness (e.g., other respiratory illness) are negative. The flu is an infection of the nose, throat, and lungs. It spreads easily from person to person. This article discusses influenza types A and B. A type of influenza A infection due to the H1N1 influenza strain is commonly called the swine flu. Alternative Names1. INTRODUCTION. Influenza outbreaks are seen every year during the colder months of the year. Until now, four influenza pandemics have been reported, including the H1N1 (1918), the H2N2 (1957), the H3N2 (1967) and the H1N1 pandemic in 2009. 1 In addition, seasonal flu is reporting in different countries every year.Table 2: Available FDA-Cleared Rapid Influenza Diagnostic Tests (Antigen Detection Only) 1. These tests provide results in 10-15 minutes and differentiate between influenza A and B. Available FDA cleared tests as of August 2020. May 18, 2021 · H1N1 flu is a subtype of influenza A. Subtypes of influenza A are categorized based on two proteins on the surface of the virus, hemagglutinin (H) and neuraminidase (N). There are many H and N subtypes, and each one is numbered. All H and N flu subtypes are influenza A viruses. Each influenza subtype has many different strains of influenza virus. Yes. There are tests that will check for seasonal influenza A and B viruses and SARS-CoV-2, the virus that causes COVID-19. Testing for these viruses at the same time gives public health officials important information about how flu and COVID-19 are spreading and what prevention steps people should take.Mayo Clinic offers flu shots in Arizona, Florida and Minnesota. Your health care provider will conduct a physical exam, look for signs and symptoms of flu, and possibly order a test that detects influenza viruses. During times when flu is widespread, you may not need to be tested for it. Your health care provider may diagnose you based on your ...CoV-2 negative results are presumptive and confirmation with a molecular assay, if necessary for patient management, may be performed. All negative influenza A and B test results are Results are for the identification and differentiation of RNA from SARS-CoV-2, Influenza A, Influenza B and RSV. Limitations This assay is intended for use only under the Food and Drug Administration's Emergency Use Authorization.Jan 10, 2020 · Types Symptoms Comparison Treatment Prevention Outlook There are four types of influenza virus. Influenza A is the most common, followed by influenza B. Both are highly contagious, and... Interference was observed for flu A, flu B, RSV, and SARS-CoV-2 when evaluated with high concentrations of Pneumocystis jirovecii (PJP). There is a risk of false negative for flu A, B, RSV, and SARS-CoV-2 results under certain co-infection circumstances with Pneumocystis jirovecii (PJP). The Alinity m Resp-4-Plex assay was validated with ... Overview. Influenza virus testing is not required to make a clinical diagnosis of influenza in outpatients with suspected influenza, particularly during increased influenza activity when seasonal influenza A and B viruses are circulating in the local community. However, influenza virus testing can inform clinical management when the results may ...Mayo Clinic offers flu shots in Arizona, Florida and Minnesota. Your health care provider will conduct a physical exam, look for signs and symptoms of flu, and possibly order a test that detects influenza viruses. During times when flu is widespread, you may not need to be tested for it. Your health care provider may diagnose you based on your ...The fastest molecular flu test just got faster and even better. Now with early detection and positive results in as few as 5 minutes, allowing you to make effective clinical decisions sooner. Abbott ID NOW is a rapid, instrument-based system for the qualitative detection of infectious diseases using isothermal nucleic acid amplification technology.Influenza A viruses infect a range of mammalian (e.g. pigs and horses) and avian species, whereas type B and C infections are largely restricted to humans. Only types A and B cause human disease of any concern. All of the currently identified 16 HA and 9 NA subtypes of influenza A viruses are maintained in wild, aquatic bird populations.Influenza B almost exclusively infects humans and is less common than influenza A. Flu type B also mutates about two to three times more slowly than influenza A. Because humans are the natural host of influenza B, pandemics generally do not occur with influenza B viruses. 22. Although scientists can classify and monitor the different types of ... Nov 14, 2022 · The CDC Influenza SARS-CoV-2 (Flu SC2) Multiplex Assay is a real-time reverse-transcription polymerase chain reaction (rRT-PCR) laboratory test that can simultaneously detect and differentiate between influenza A, influenza B, and SARS-CoV-2 in upper or lower respiratory specimens. The test is a highly accurate, nucleic acid-based diagnostic ... Print. The Centers for Disease Control and Prevention (CDC) recognizes that school administrators, teachers, staff, and parents are concerned about influenza (flu), particularly its effects on children. Educators and staff can help slow the spread of respiratory illnesses, including flu. On this page, you will find information on preventing the ...The four main types of Type A and B influenza viruses that are most likely to spread and make people sick during the upcoming flu season are the targets of seasonal influenza (flu) vaccines. All of the available flu vaccinations in the United States offer protection against the influenza A(H1), A(H3), B/Yamagata, and B/Victoria lineage viruses.The flu is an infection of the nose, throat, and lungs. It spreads easily from person to person. This article discusses influenza types A and B. A type of influenza A infection due to the H1N1 influenza strain is commonly called the swine flu. Alternative Names The CDC Influenza SARS-CoV-2 (Flu SC2) Multiplex Assay is a real-time reverse-transcription polymerase chain reaction (rRT-PCR) laboratory test that can simultaneously detect and differentiate between influenza A, influenza B, and SARS-CoV-2 in upper or lower respiratory specimens. The test is a highly accurate, nucleic acid-based diagnostic ...Interference was observed for flu A, flu B, RSV, and SARS-CoV-2 when evaluated with high concentrations of Pneumocystis jirovecii (PJP). There is a risk of false negative for flu A, B, RSV, and SARS-CoV-2 results under certain co-infection circumstances with Pneumocystis jirovecii (PJP). The Alinity m Resp-4-Plex assay was validated with ... cough. sore throat. runny or stuffy nose. muscle or body aches. headaches. fatigue (tiredness) some people may have vomiting and diarrhea, though this is more common in children than adults. *It’s important to note that not everyone with flu will have a fever. More information is available at Flu and COVID-19 symptoms. For influenza A and influenza B viruses, selective amplification of target nucleic acid from the sample is achieved by the use of target-specific forward and reverseJun 22, 2023 · Influenza A is the most common type of influenza virus that causes the seasonal flu. Influenza A viruses are classified by subtypes based on surface proteins hemagglutinin (H) and neuraminidase (N). The viruses are named for the combination of proteins, such as A (H1N1) or A (H3N2). Influenza B. H1N1 flu is a subtype of influenza A. Subtypes of influenza A are categorized based on two proteins on the surface of the virus, hemagglutinin (H) and neuraminidase (N). There are many H and N subtypes, and each one is numbered. All H and N flu subtypes are influenza A viruses. Each influenza subtype has many different strains of influenza virus.Jan 12, 2023 · Nationally, flu activity during the 2021-2022 season began to increase in November and remained elevated until mid-June with two different waves of influenza A (H3N2) virus activity occurring; the first peaked in late December 2021, and the second in April 2022. Prior to the emergence of SARS-CoV-2, flu activity would most commonly begin to ... Performance characteristics for influenza A and B were established during February through March 2011 when influenza viruses A/California/7/2009 (2009 H1N1), A/Perth/16/2009 (H3N2), and B/Brisbane/60/2008 (Victoria-Like) were the predominant influenza viruses in circulation according to the Morbidity and Mortality Weekly Abstract. Influenza is an infectious respiratory disease that, in humans, is caused by influenza A and influenza B viruses. Typically characterized by annual seasonal epidemics, sporadic pandemic ...Mar 29, 2017 · Strains of influenza B are exclusively contracted by humans, while A can be carried (and spread) by animals, however, both strains are transmitted mainly by respiratory droplets from coughing and contact with an infected person. This allows strains of A to be spread more rapidly than B, while also meaning strains of B cannot cause pandemics ... Jan 12, 2023 · Flu symptoms for both A and B tend to appear in progression, beginning with a sudden onset of fever. Other early symptoms include: Dry cough Runny nose Sore throat Body aches Headache Fatigue When young children acquire influenza, they may experience nausea, vomiting, or diarrhea in addition to respiratory symptoms. There are four types of influenza virus: influenza A, B, C, and D. Types A and B are responsible for the flu epidemics that occur in the United States most winters. Influenza, or the flu, is a ...Viral transport medium acceptable for collection of influenza specimens in 1 mL or 3 mL volumes can be used to transport swabs for COVID-19 testing. For swabs in saline: OP, NP or anterior nasal swabs may be placed in 1 to 3 mL of sterile saline (0.85 to 0.9%) in a sterile screw cap container. Performance characteristics for influenza A and B were established during February through March 2011 when influenza viruses A/California/7/2009 (2009 H1N1), A/Perth/16/2009 (H3N2), and B/Brisbane/60/2008 (Victoria-Like) were the predominant influenza viruses in circulation according to the Morbidity and Mortality Weekly Aug 15, 2022 · The flu is caused by an influenza virus. Most people get the flu when they breathe in tiny airborne droplets from the coughs or sneezes of someone who has the flu. You can also catch the flu if you touch something with the virus on it, and then touch your mouth, nose, or eyes. People often confuse colds and flu. The CDC Influenza SARS-CoV-2 (Flu SC2) Multiplex Assay is a real-time reverse-transcription polymerase chain reaction (rRT-PCR) laboratory test that can simultaneously detect and differentiate between influenza A, influenza B, and SARS-CoV-2 in upper or lower respiratory specimens. The test is a highly accurate, nucleic acid-based diagnostic ...*The BD Veritor™ System for Rapid Detection of SARS-CoV-2 & Flu A+B is intended for the in vitro, simultaneous qualitative detection and differentiation of SARS-CoV-2 nucleocapsid antigen and/or influenza A and B nucleoprotein antigens directly from anterior nasal swab samples taken from individuals who are suspected of a viral respiratory infection consistent with COVID-19 by a healthcare ...Flu Treatment. If you get sick with flu, influenza antiviral drugs may be a treatment option. Antiviral drugs work best when started early, such as one to two days after your flu symptoms begin. Check with your doctor promptly if you are at higher risk of serious flu complications and you get flu symptoms .(SARS-CoV-2) (Coronavirus disease [COVID-19]), influenza virus types A and B, and respiratory syncytial virus, multiplex amplified probe technique Influenza/RSV and COVID-19 0240U Infectious disease (viral respiratory tract infection), pathogen-specific RNA, 3 targets (severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2], influenza A ...cough. sore throat. runny or stuffy nose. muscle or body aches. headaches. fatigue (tiredness) some people may have vomiting and diarrhea, though this is more common in children than adults. *It’s important to note that not everyone with flu will have a fever. More information is available at Flu and COVID-19 symptoms.The influenza A and B virus genomes each comprise eight negative-sense, single-stranded viral RNA (vRNA) segments, while influenza C virus has a seven-segment genome. (See Table 1.) The eight segments of influenza A and B viruses (and the seven segments of influenza C virus) are numbered in order of decreasing length.The flu is an infection of the nose, throat, and lungs. It spreads easily from person to person. This article discusses influenza types A and B. A type of influenza A infection due to the H1N1 influenza strain is commonly called the swine flu. Alternative NamesThe Flu SC2 Multiplex Assay and similar panels identify co-infections or alternative causes of influenza-like and COVID-19–like illnesses. The Flu SC2 Multiplex Assay can enable collection of critical data on influenza A and B viruses and SARS-CoV-2, as well as the prevalence of co-infection among these respiratory viruses.Rapid Molecular Assay [influenza viral RNA or nucleic acid detection] A and B. NP 5 swab, nasal swab. 15-30 minutes 6. Yes/No 6. Immunofluorescence, Direct (DFA) or Indirect (IFA) Florescent Antibody Staining [antigen detection] A and B. NP 4 swab or wash, bronchial wash, nasal or endotracheal aspirate. 1-4 hours.There are two main types of influenza viruses: types A and B. Both type A and B influenza viruses regularly spread in people and are responsible for seasonal flu each year. WHAT IS THE There are two main types of flu (influenza) virus, types A and B, that are responsible for seasonal flu epidemics (“flu season”) each year. Influenza A is often considered worse. Influenza A viruses are: More prevalent Type A viruses are responsible for most cases (about 75%) of the flu ; Often cause more severe illnessInfluenza (the flu) is a viral infection that causes symptoms like fever and chills, sneezing, coughing and a sore throat. The flu can be serious for some people, but if you are otherwise fit and healthy you usually don’t need to see a doctor. There is a vaccine available for the flu, and it’s recommended that everyone over the age of 6 ...Influenza epidemics, also known as seasonal flu, occur annually and are the most common emerging infection among humans. These epidemics have major medical impacts, but they are generally not fatal except in certain groups such as the elderly. Pandemics, on the other hand, happen once every few decades on average.Only type A and B cause human disease of any concern. Influenza virus is transmitted primarily by droplets or respiratory secretions of infected persons. Influenza occurs all over the world, with an annual global attack rate estimated at 5 – 10% in adults and 20 – 30% in children. Yes, for some people. There are three flu vaccines that are preferentially recommended for people 65 years and older. These are Fluzone High-Dose Quadrivalent vaccine, Flublok Quadrivalent recombinant flu vaccine and Fluad Quadrivalent adjuvanted flu vaccine . This recommendation was based on a review of available studies which suggests that ... May 18, 2021 · H1N1 flu is a subtype of influenza A. Subtypes of influenza A are categorized based on two proteins on the surface of the virus, hemagglutinin (H) and neuraminidase (N). There are many H and N subtypes, and each one is numbered. All H and N flu subtypes are influenza A viruses. Each influenza subtype has many different strains of influenza virus. There are three types of flu viruses: A, B, and C. Type A and B cause the annual influenza epidemics that have up to 20% of the population sniffling, aching, coughing, and running high... (SARS-CoV-2) (Coronavirus disease [COVID-19]), influenza virus types A and B, and respiratory syncytial virus, multiplex amplified probe technique Influenza/RSV and COVID-19 0240U Infectious disease (viral respiratory tract infection), pathogen-specific RNA, 3 targets (severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2], influenza A ... A healthcare professional may be able to test for COVID-19, the flu and RSV at the same visit. Abbott offers several diagnostic tools to aid in fast, reliable respiratory virus testing. From our ID-NOW™ rapid system to the Alinity m Resp-4-Plex to the Panbio COVID-19/Flu A&B Rapid Panel test*, we are equipping clinicians with tools to ...Waner JL, Todd, SI, Shalaby H, et al. Comparison of Directigen FLU-A with viral isolation and direct immunofluorescence for the rapid detection and identification of influenza A virus. J Clin Microbiol. 1991; 29(3):479-482. 2037665
Influenza (the flu) is a viral infection that causes symptoms like fever and chills, sneezing, coughing and a sore throat. The flu can be serious for some people, but if you are otherwise fit and healthy you usually don’t need to see a doctor. There is a vaccine available for the flu, and it’s recommended that everyone over the age of 6 .... Daisy pink71
Rapid assays for the diagnosis of influenza A and B viruses in patients evaluated at a large tertiary care children's hospital during two consecutive winter seasons. J Clin Virol. 2008;41(2):143-147. Cruz AT, Demmler-Harrison GJ, Caviness AC, et al. Performance of a rapid influenza test in children during the H1N1 2009 influenza a outbreak.For use with Sofia 2 and Sofia. The Sofia Influenza A+B Fluorescent Immunoassay (FIA) uses advanced immunofluorescence-based lateral-flow technology to detect influenza A and influenza B viral nucleoprotein antigens. Sofia 2 with Advance Result Technology (ART) delivers accurate, objective and automated results in as few as three minutes.Viral transport medium acceptable for collection of influenza specimens in 1 mL or 3 mL volumes can be used to transport swabs for COVID-19 testing. For swabs in saline: OP, NP or anterior nasal swabs may be placed in 1 to 3 mL of sterile saline (0.85 to 0.9%) in a sterile screw cap container. There are 4 types of influenza viruses, types A, B, C and D. Influenza A and B viruses circulate and cause seasonal epidemics of disease. Influenza A viruses are further classified into subtypes according to the combinations of the hemagglutinin (HA) and the neuraminidase (NA), the proteins on the surface of the virus. Currently circulating in ...Rapid assays for the diagnosis of influenza A and B viruses in patients evaluated at a large tertiary care children's hospital during two consecutive winter seasons. J Clin Virol. 2008;41(2):143-147. Cruz AT, Demmler-Harrison GJ, Caviness AC, et al. Performance of a rapid influenza test in children during the H1N1 2009 influenza a outbreak.Interference was observed for flu A, flu B, RSV, and SARS-CoV-2 when evaluated with high concentrations of Pneumocystis jirovecii (PJP). There is a risk of false negative for flu A, B, RSV, and SARS-CoV-2 results under certain co-infection circumstances with Pneumocystis jirovecii (PJP). The Alinity m Resp-4-Plex assay was validated with ... Abstract. Influenza is an infectious respiratory disease that, in humans, is caused by influenza A and influenza B viruses. Typically characterized by annual seasonal epidemics, sporadic pandemic ...Jan 12, 2023 · Flu symptoms for both A and B tend to appear in progression, beginning with a sudden onset of fever. Other early symptoms include: Dry cough Runny nose Sore throat Body aches Headache Fatigue When young children acquire influenza, they may experience nausea, vomiting, or diarrhea in addition to respiratory symptoms. All negative influenza A and B test results are presumptive. It is recommended these results be confirmed by viral culture or an FDA-cleared influenza A and B molecular assay. Negative results ... Flu viruses are of four main types: A, B, C and D. Human influenza type A and B viruses are mainly responsible for the “flu season,” or seasonal influenza epidemics almost every winter in the United States. Type A influenza: This is the cause of most flu cases. It is the only influenza virus causing flu pandemics (a large number of flu ...May 18, 2021 · H1N1 flu is a subtype of influenza A. Subtypes of influenza A are categorized based on two proteins on the surface of the virus, hemagglutinin (H) and neuraminidase (N). There are many H and N subtypes, and each one is numbered. All H and N flu subtypes are influenza A viruses. Each influenza subtype has many different strains of influenza virus. Jan 12, 2023 · Flu symptoms for both A and B tend to appear in progression, beginning with a sudden onset of fever. Other early symptoms include: Dry cough Runny nose Sore throat Body aches Headache Fatigue When young children acquire influenza, they may experience nausea, vomiting, or diarrhea in addition to respiratory symptoms. .
