Podcasts > Stuff You Should Know > Selects: How the Flu Works

Selects: How the Flu Works

By iHeartPodcasts

In this episode of the Stuff You Should Know podcast, hosts Josh Clark and Chuck Bryant provide an in-depth look at how the flu virus works. They explain the different types of influenza viruses and how they spread from animals to humans. Learn about the body's response to a flu infection, the symptoms it causes, and the potential for serious complications.

The hosts emphasize the importance of flu vaccines as the primary prevention method and the need to combat antibiotic resistance. They also cover practical tips for preventing transmission through hygiene practices like handwashing and staying home when sick.

Listen to the original

Selects: How the Flu Works

This is a preview of the Shortform summary of the Mar 15, 2025 episode of the Stuff You Should Know

Sign up for Shortform to access the whole episode summary along with additional materials like counterarguments and context.

Selects: How the Flu Works

1-Page Summary

Flu Virus Infection

According to Josh Clark and Chuck Bryant, there are three main types of influenza viruses: A, B, and C. Influenza A is most common and severe, while B and C are milder and mainly affect humans. Typically, flu viruses jump from animals like birds to humans, but can sometimes spread directly from birds to humans.

The flu virus binds to respiratory cells, hijacks the cell's machinery to rapidly replicate and spread throughout the body, infecting millions of new cells in seconds.

Flu Symptoms and Associated Complications

Clark and Bryant describe the flu as a respiratory illness with fever, body aches, cough, sneezing, and congestion. These symptoms result from the immune system's inflammatory response to the viral infection.

While seemingly minor, the flu can lead to serious complications like bacterial pneumonia, dehydration, ear/sinus infections, and exacerbation of existing conditions like asthma, diabetes, and heart disease. Each year, the flu causes around 36,000 deaths in the US alone.

Flu Prevention and Treatment: Focus On Vaccines

The two emphasize flu vaccines as the primary prevention method. Vaccines expose the body to inactivated virus strains, allowing antibody production. However, their yearly effectiveness varies due to virus mutations.

Clark and Bryant caution against overusing antivirals like [restricted term] to avoid promoting drug resistance. They recommend hygiene practices like handwashing, covering coughs, and staying home when sick to prevent transmission.

1-Page Summary

Additional Materials

Counterarguments

  • The statement that influenza A is the most common and severe might be misleading, as the prevalence and severity can vary by season and geographic location.
  • While birds are a common source for flu viruses, other animals such as pigs also play a significant role in the transmission and evolution of influenza viruses.
  • The flu virus does not infect millions of new cells in seconds; the replication and spread throughout the body is a process that takes time, usually hours to days.
  • The number of flu-related deaths can vary significantly from year to year, and the figure of 36,000 deaths annually in the US may not accurately reflect current statistics or account for variations in data collection methods.
  • While flu vaccines are a primary prevention method, their effectiveness can be influenced by factors other than virus mutations, such as the age and health of the individual receiving the vaccine.
  • The recommendation to avoid overusing antivirals like [restricted term] is valid, but it's important to note that when used appropriately, antivirals can be an important tool in treating and preventing the spread of influenza.
  • Hygiene practices are important, but they may not be sufficient on their own to prevent flu transmission, especially in high-risk environments or populations.

Actionables

  • You can create a "flu buddy" system with a friend or family member to check in on each other during flu season, ensuring you both have necessary supplies like tissues, pain relievers, and fluids in case one falls ill. This mutual support can help manage symptoms quickly and prevent the spread of the virus by reducing the need to go out while sick.
  • Develop a personalized flu season routine that includes daily vitamin D supplementation, as research suggests it can help bolster the immune system against respiratory infections. Incorporating a vitamin D-rich diet or a supplement into your daily routine, especially during flu season, may provide an additional layer of protection.
  • Use a dedicated mobile app to track flu symptoms and receive reminders for flu shots based on your location's flu season trends. By inputting daily health data, the app could alert you to potential flu symptoms early on and remind you to schedule a vaccination when the flu season is approaching, optimizing your chances of staying healthy.

Get access to the context and additional materials

So you can understand the full picture and form your own opinion.
Get access for free
Selects: How the Flu Works

Flu Virus Infection

Josh Clark and Chuck Bryant delve into the world of the influenza virus, discussing its different types and contagious nature.

Influenza Virus Strains and Subtypes Infect Various Species

In their discussion, Clark and Bryant clarify there are three primary types of influenza viruses: A, B, and C.

Three Main Types of Influenza: A, B, and C

Type A influenza is the most common and best known for causing severe illness. Type B influenza is milder, less common, and almost exclusively affects humans, except for a rare case involving seals. Type C is even less prevalent than type B, mostly infecting humans and pigs, without any major known epidemics to its credit.

Influenza a Infects Humans, Birds, Pigs, etc.; B and C Mainly Humans

Typically, influenza is transmitted from animals to humans, with birds often playing a role in the spread of the virus. While previously it was believed that for humans to contract the flu from birds, it required a "mixing vessel," such as a pig (which can be infected by both bird and human flu viruses), to create a new strain, cases have shown avian flu can jump directly from birds to humans. This is especially true for individuals in close contact with poultry.

Influenza Hijacks Cells to Replicate and Spread

The flu virus is known to bind with cells in the respiratory tract, where it the ...

Here’s what you’ll find in our full summary

Registered users get access to the Full Podcast Summary and Additional Materials. It’s easy and free!
Start your free trial today

Flu Virus Infection

Additional Materials

Actionables

  • You can minimize your risk of catching avian flu by avoiding direct contact with live poultry when visiting areas with known outbreaks. For example, if you're traveling to a region with a reported avian flu case, steer clear of farms, live animal markets, and other places where you might come into close contact with birds.
  • Enhance your understanding of how flu viruses spread by creating a simple simulation game with friends or family using colored stickers to represent virus transmission. Each person starts with a set number of stickers, and through normal interactions, they 'transmit' a sticker to others, showing how quickly a virus can spread in a social setting.
  • Stay informed ...

Get access to the context and additional materials

So you can understand the full picture and form your own opinion.
Get access for free
Selects: How the Flu Works

Flu Symptoms and Associated Complications

Chuck Bryant and Josh Clark discuss the flu, as well as the symptoms and complications associated with it, emphasizing the seriousness of this common but potentially dangerous illness.

Flu Symptoms: Fever, Body Aches, Cough, Sneezing, Congestion

The flu is recognized as a respiratory illness with symptoms often similar to those of a cold, such as coughing, sneezing, and congestion. However, both Chuck and Josh note key differences, like the presence of a fever and severe body aches. Josh even recalls a night when he woke up shivering, indicating a fever, and Chuck describes the aches as making him feel "like dog doo doo." They agree that the symptoms of the flu, which include fever, body aches, cough, sneezing, and congestion, distinctly mark the illness and its intensity compared to a common cold.

Immune Response Causes Respiratory Infection Symptoms

Chuck and Josh attribute the symptoms of the flu, such as inflammation in the lungs, to the body's immune response to the respiratory infection. They explain that as the body fights off the virus, symptoms like fever and lung inflammation often occur.

Flu Can Cause Serious Complications for High-Risk Groups

Chuck and Josh stress that the flu can be very dangerous, with the potential to result in death. They cite statistics from various flu seasons to illustrate the serious impact of the flu and its complications, including an average of around 36,000 deaths per year in the US. The World Health Organization reports up to half a million people worldwide can die annually from the flu.

High-risk groups like children under two and the elderly are more likely to suffer from the flu because of their less developed or weaker immune systems. These groups are particularly susceptible to serious complications from the flu.

One of the most serious complications from the flu is bacterial pneumonia, which can occur as a secondary infection after the body’s immune system has been weakened by the flu virus. The hosts describe the potential for bac ...

Here’s what you’ll find in our full summary

Registered users get access to the Full Podcast Summary and Additional Materials. It’s easy and free!
Start your free trial today

Flu Symptoms and Associated Complications

Additional Materials

Actionables

  • You can create a personalized flu action plan that includes steps to take at the first sign of symptoms, such as increasing fluid intake and resting, to prevent dehydration and reduce the risk of complications. For example, keep a checklist on your fridge with reminders to drink water or herbal tea every hour and to have a designated spot to rest comfortably away from others to minimize the spread of infection.
  • Develop a "flu preparedness kit" with essential items like a thermometer, over-the-counter pain relievers, decongestants, cough syrup, and a list of emergency contacts, including your doctor's number. This kit ensures you have everything you need at hand, reducing the need to go out when you're feeling unwell and potentially spreadin ...

Get access to the context and additional materials

So you can understand the full picture and form your own opinion.
Get access for free
Selects: How the Flu Works

Flu Prevention and Treatment: Focus On Vaccines

The importance of vaccinations, the judicious use of antiviral medications, and general flu prevention methods are the topics discussed by Clark and Bryant to ensure public health and safety.

Flu Vaccines: Primary Prevention, Effectiveness Varies Yearly

Vaccines are heralded as the primary form of defense against the flu.

Flu Vaccines Expose the Body to Inactivated or Weakened Strains, Allowing the Immune System to Build Antibodies

Clark and Bryant explain that the annual flu vaccine exposes the body to not live version of the predicted virus strain, leading the immune system to produce antibodies. Vaccinations are especially encouraged for families with newborns under six months old, as these infants are not eligible for the vaccine.

Annual Flu Vaccine Effectiveness Varies Due To Predicted Strains

The effectiveness of the flu vaccine generally ranges from 40 to 60% for the strain predicted that year, and this variance depends on the accuracy of the scientists' predictions. Specifically, vaccines may sometimes not confer immunity effectively due to factors such as the mutation of the virus when grown in egg protein, a typical medium used for vaccine production. For instance, the hosts mention an occurrence with an H3 type flu in Australia where only 15% of vaccinated individuals gained immunity.

Clark and Bryant discuss that the CDC has stopped recommending the nasal flu vaccines. They also explain the search for a universal flu vaccine targeting more stable parts of the flu virus common among all strains may provide a longer-term or even lifelong solution to flu immunity.

Judicious Use of Antivirals Reduces Flu Severity and Duration to Avoid Resistance

Clark and Bryant stress the importance of judicious use of antiviral drugs like [restricted term], [restricted term], and [restricted term] to prevent the flu from replicating or trapping it inside a cell. They argue that using antivirals indiscriminately, similarly to how antibiotic overuse can lead to antibiotic resistance, could promote the evolution of drug-resistant flu strains.

Prevent Flu: Handwash, Cover Coughs, Stay Home if Sick

Th ...

Here’s what you’ll find in our full summary

Registered users get access to the Full Podcast Summary and Additional Materials. It’s easy and free!
Start your free trial today

Flu Prevention and Treatment: Focus On Vaccines

Additional Materials

Counterarguments

  • The effectiveness of flu vaccines can be lower than 40% in some years, which may lead some to question their overall utility.
  • The development of a universal flu vaccine has been a long-term goal with many challenges, and there is no guarantee of success or timeline for its availability.
  • Antivirals are not always accessible or affordable for everyone, which can limit their impact on reducing flu severity and duration.
  • Overemphasis on handwashing and hygiene might lead to a false sense of security, as the flu can also be spread through airborne particles.
  • Staying home when sick is not always feasible for individuals without paid sick leave or those in precarious employment situations.
  • The recommendation to avoid n ...

Actionables

  • You can create a "flu prevention kit" for your home and workplace that includes hand sanitizer, disinfectant wipes, and masks to encourage consistent hygiene practices. By having these items readily accessible, you're more likely to use them regularly, reducing the risk of flu transmission through surfaces and airborne particles.
  • Develop a habit tracker app or use an existing one to monitor your flu prevention behaviors, such as handwashing frequency, time spent in crowded places, and adherence to staying home when feeling unwell. This personal data can help you identify patterns and improve your preventive measures over time.
  • Organize a "flu buddy" system amon ...

Get access to the context and additional materials

So you can understand the full picture and form your own opinion.
Get access for free

Create Summaries for anything on the web

Download the Shortform Chrome extension for your browser

Shortform Extension CTA