Anna Sequoia had never had the flu before. At 79, the Glen Cove resident thought she knew what to expect when she developed a sore throat while on a Caribbean cruise last week. But by the time she got home, the illness had taken a frightening turn.
“By the third night, I could barely sleep because of the coughing,” Sequoia recounted. “The coughing was so horrible my chest really hurt.”
Sequoia, who has asthma, went to an emergency room after struggling to breathe. “I told them that I was short of breath,” she said. “I immediately told them that I had been out of the country. They always want to know that. And at that point, everybody put masks on.”
Doctors diagnosed her with the flu and prescribed multiple medications, including Tamiflu, prednisone and a nasal decongestant. They also told her to use a nebulizer every four to six hours to ease her breathing. Now recovering at home, she remains shaken by the experience.
“I was scared, actually,” she said. “It’s frightening to me that people are walking around now without masks.”
Flu cases in New York have surged to more than 53,000, with Long Island recording 11,862 cases in a single week — the highest in at least two seasons. The Centers for Disease Control and Prevention reported that flu-related doctor visits nationwide are at a 15-year high. The CDC estimates that, so far this season, 24 million Americans have had the flu, resulting in 310,000 hospitalizations and 13,000 deaths.
In New York, flu activity has reached its highest level in years. The number of flu-related doctor visits climbed 7 percent in the first week of February, approaching levels last seen during the 2009-10 flu pandemic.
Dr. Bruce Farber, chief of epidemiology at Northwell Health, said this year’s flu is being driven by low vaccination rates and changes in the virus strains.
“Flu seasons vary year by year, depending upon minor drifts in the virus,” Farber said. “Secondly, the population is under-vaccinated. Flu vaccination rates are much lower than they have been in years previous … And then, of course, the matchup of the flu vaccine to this year’s strains is also always a prediction, at best.”
In New York, flu vaccination rates among children ages 6 months to 17 have dropped from 60 percent in 2020 to 49 percent this season, according to the CDC. Public health officials stress that the vaccine reduces the severity of illness and the likelihood of hospitalization, even if it doesn’t prevent infection entirely.
Health officials expect flu cases to remain high for several more weeks. “Rates have been very high the first week of February. They’re just starting to level off and fall,” Farber said. “It usually remains at high levels of infection for about eight to 10 weeks, and then slowly declines.”
Officials track the flu’s spread through hospital admissions, flu test positivity rates and emergency room visits.
The Nassau County Department of Health stressed the importance of flu vaccinations in an email to the Herald, noting that it is not too late in the season to get protected. In addition to vaccination, health officials recommend frequent hand-washing, covering coughs and sneezes, and disinfecting frequently touched surfaces to reduce the spread of the virus. Those who are not feeling well should stay home from work, school and social gatherings until they have been fever-free for at least 24 hours without medication.
Those who need help finding a vaccine can call the county health department, at (516) 227-9697.
With between 20,000 and 60,000 flu-related deaths expected annually, Farber stressed the seriousness of the illness, particularly for vulnerable populations. “People should realize that this disease is responsible for a lot of mortality every year,” he said. “It’s not a cold.”
