Flu cases persist in Nepal with severe symptoms, doctors warn of complications

KATHMANDU: Raj Ghimire, 28, from Banasthali, exhibited flu-like symptoms such as fever, body aches, cough, sore throat, and fatigue. Though he recovered after two weeks of rest at home, he continues to experience a mild cough.

Similarly, Sanu Khadka from Bhaktapur reported the flu to be more severe this year, experiencing an extended cough and fatigue that left her unable to lift her head for a week.

She expressed that this was the first time she had struggled with such prolonged symptoms.

Many others are also complaining of similar symptoms, with most encountering prolonged flu-like conditions.

Dr. Naveen Kumar Mishra, a chest and respiratory disease specialist, explained that despite the flu season typically ending, cases with long-lasting symptoms are still being reported.

While flu cases are common between January-March and July-September in Nepal, this year’s flu season has stretched unusually long.

According to Dr. Mishra, the symptoms of seasonal flu usually subside within a week, but for some, it can lead to more complicated issues.

With the changing season, flu cases are on the rise, and the symptoms are notably severe, particularly with prolonged coughing.

Other symptoms include sudden fever, dry cough, headache, muscle aches, fatigue, sore throat, and runny nose. The cough, which can be severe, may last for two weeks or longer.

Dr. Sher Bahadur Poon, an infectious disease specialist, warned that the flu could lead to respiratory system infections and increase the risk of viral or bacterial pneumonia.

He noted that more patients are presenting with persistent coughs, often lasting several weeks, which is termed as “Post-Viral Cough.” He also pointed out that the loss of smell and taste, which was previously associated with COVID-19, is also being observed in this flu, suggesting possible sub-variants of COVID-19.

Dr. Poon emphasized that the changing weather and air pollution are contributing to an increased risk of the flu. He noted that the Hong Kong flu is currently being reported, and children, the elderly, and those with chronic illnesses are at higher risk.

He urged the public to consult a doctor if symptoms worsen and to be vigilant for pneumonia, stressing the importance of wearing masks, maintaining hygiene, and taking adequate rest. Getting vaccinated against the flu is also recommended.

The World Health Organization (WHO) states that seasonal flu viruses are classified into four types: A, B, C, and D, with types A and B being the most prevalent during pandemics.

WHO reports that seasonal flu results in 30 to 50 million cases worldwide each year, with an estimated 290,000 to 650,000 deaths due to respiratory complications.

Although the flu vaccine does not provide 100% protection, it can help reduce the severity of symptoms and prevent hospitalization.

Medical professionals explain that flu symptoms typically appear two days after exposure to an infected person.

In high-risk individuals, the flu can lead to severe complications, hospitalization, and even death.

Dr. Mishra, head of the Respiratory Department at Kathmandu Medical College, cautioned that people with asthma, children under five, individuals over 60, and those with weakened immune systems are particularly vulnerable to flu complications.

He advised those with worsening symptoms or a decrease in oxygen levels to seek immediate medical attention, while mild symptoms can usually be managed with rest, hydration, and self-care.

In cases of complications, pneumonia, heart issues, and blood infections may occur, so maintaining high alertness is essential.