Highest probability for clinical diagnosis of COVID is after the Flu Season. Both present with Flu-like symptoms. Take one from the equation, and what’s left is the all year round cause of cough, sore throat, runny nose, nasal congestion, shortness of breath, fever, body aches, body malaise, headache, fatigue, nausea, vomiting and diarrhea. Extra clue, loss of taste and smell. Though that is less common, if not rare with BA.2.
It makes sense to consider Flu-Like symptoms after Flu Season as COVID. Challenge is testing elusive BA.2 on time. Too soon, false negative. Not enough specimen swab surface contact, false negative. High degree of suspicion is key. If it manifest like COVID, treat it cautiously like it’s COVID.
First week of April, an uptick of Flu-like symptoms in the Bay Area. Difference, Patients presenting with mild symptoms are standing side by side with the non-sick individuals in Healthcare Facilities like the lobby, pharmacy, lab, x-ray, then outside settings from public transports to stores and restaurants. And since proper masking is optional, People are coughing and sneezing without masks in crowded spaces instantaneously dispersing the more transmissible infected droplets of the now dominant BA.2 Subvariant.
An interesting observation, most of the Flu-like presenting Patients have resulted negative for Influenza, COVID and RSV. Is BA.2 harder to detect than Alpha, Delta and Omicron? It appears to be.
Elusiveness, is this a new defense mechanism of the virus? Anything is possible with viral mutations.
I give it 4 more weeks before Public Health of several Counties will make a Public Warning of the increasing new case numbers and increasing hospitalizations. In places where Government Leaders are against COVID safety, restrictions and reporting, Surge warnings will be kept away from Public Knowledge. Public will not know they are already having a community outbreak.
Summer, COVID will be Hot and Widespread like Summer 2021. Difference however is that many people will choose all together to stop observing infection safety guidelines like testing, reporting and quarantine.
Crazy, weird and confusing rest of 2022? For sure. Fun? Always until it’s not. Memorable? Guaranteed!
Austin Nurse Friend asked my Wife, “How do we know we have BA.2?” Wife answered, “I don’t know.” I told me Wife “We wouldn’t know unless Public Health does DNA Sequencing, and this are only for those infected with COVID for the second or third time.”
U.S.A. has lagged in DNA Sequencing as compared to U.K. and will further lag as COVID becomes less of a priority and concern in the Country. For the time being, we are spreading BA.2 among each other clueless and blind.