February 4, 2026 - As flu cases continue to rise, doctors are seeing a troubling increase in severe and sometimes life-threatening complications — particularly in children. 

While influenza is often dismissed as a routine seasonal illness, medical experts warn it can lead to infections that affect the lungs, brain, heart and other vital organs.

Mustafa Bakir, MD, a pediatric infectious disease specialist with OSF HealthCare, says the flu’s ability to damage the body’s natural defenses is what makes it especially dangerous.

Flu vaccination rates remain alarmingly low

January 20, 2026 - Since the end of the COVID-19 pandemic, the number of people becoming sick with influenza (flu) has drastically increased each respiratory illness season.

A major part of that, according to Mustafa Bakir, MD, pediatric infectious disease specialist with OSF HealthCare, is due to extremely low vaccination rates.

How vaccines strengthen natural immunity

January 20, 2026 - When a child suddenly refuses to walk days after recovering from the flu, it can be terrifying for parents, but doctors say a little-known condition called viral myositis is often the cause.

It’s a muscle condition most often seen in children during or shortly after common viral infections, especially influenza (the flu). While the condition can be alarming for parents, medical experts say it is usually temporary and treatable with proper care.

Mustafa Bakir, MD, a pediatric infectious disease specialist with OSF HealthCare, explains the condition, and what parents should do if this happens with their kids.

How vaccines strengthen natural immunity

January 12, 2026 - For many adults, especially those who grew up in an era when measles, chickenpox or the flu were simply “childhood illnesses,” it can feel natural to believe that getting sick is how the body builds strong immunity.

While infection does contribute to the immune “library,” modern vaccines offer a safer, more reliable way to add to that protection without the risks of serious illness, hospitalization or long-term complications.

As flu activity surges across the U.S. this winter, experts emphasize that vaccines remain one of the strongest tools for maintaining health and preserving natural immunity over a lifetime. Doug Kasper, MD, an infectious disease specialist with OSF HealthCare, shares why vaccines are such a powerful tool. 

Respiratory illness update | Friday, January 9

January 9, 2026 - Respiratory illness activity continues to be high across Illinois and Michigan. Hospitalizations for influenza, respiratory syncytial virus (RSV) and COVID-19 all increased ahead of the New Year. 

Data across the Ministry: 

More than 7,000 influenza tests were administered from 12/28 - 1/3 with a 23.3% positivity rate. 

Tests slightly decreased from the week before, along with the positivity rate - which was 30% the week prior.

Respiratory syncytial virus (RSV) continues to circulate throughout the region. Nearly 2,000 RSV swabs were administered between 12/28 - 1/3, with a 3.8% positivity rate. 

Roughly 5,000 COVID-19 tests have been administered in the above-mentioned time frame, with an 11.3% positivity rate for each of the last 2 weeks. 

In an effort to protect our patients, their family members and OSF Mission Partners - OSF will continue to offer complimentary masks to all guests and Mission Partners when entering any of our facilities. 

Visitor restrictions are in place, with a limit of two visitors 18 years of age or older, per patient at any time. Exceptions may be made for those under 18, as well as those in isolation for influenza-like illness, to promote the patient's emotional well-being. Exceptions may also be made for end-of-life or other extreme circumstances. 

As each situation may be unique and challenging, we graciously ask for patients to feel empowered and have a conversation with their OSF care team to discuss their situation.

Can't stop coughing?

January 6, 2026 - Can’t stop coughing? It’s a common question happening with all of the upper respiratory illness going around including colds, flu and RSV.

Maybe two weeks ago you had a virus, you treated the symptoms with antibiotics, you’re feeling much better, but the cough is just lingering. Juanbosco Ayala, MD, is a pulmonologist in the Intensive Care Unit (ICU) at OSF Little Company of Mary Medical Center in Evergreen Park, Illinois. He provides medical care to patients on a daily basis, especially people who have breathing disorders and lung disease, and explains potential reasons why coughs linger on the OSF Newsroom.

Staying healthy this holiday season

December 22, 2025 - Each winter, flu activity tends to rise just as families begin gathering for the holidays. This year is no exception. National surveillance data shows influenza circulating in many regions of the country, with ongoing activity expected through winter.

As travel, school breaks and holiday events increase, health experts emphasize planning ahead to stay well. Doug Kasper, MD, an infectious disease specialist with OSF HealthCare, shares tips for staying healthy this holiday season.

Scrub Smarter: Bathroom hygiene tips 

December 15, 2025 - Bathrooms are filled with germ-breeding objects, and your toilet isn’t the sole culprit. 

Showers, toothbrushes, soap dispensers and any surface can be added to the germy list, according to Kaylin Heinz, an infection preventionist RN with OSF HealthCare. Heinz offers some cleaning tips for the different areas of your bathroom that can be found on the OSF Newsroom.

Flu vaccine:

December 9, 2025 - Each flu season, families look for ways to protect themselves while juggling busy schedules – and for parents of children who fear needles, vaccinations can be especially challenging. This year brings a new, convenient option: a nasal spray flu vaccine that can be delivered directly to your home. Doug Kasper, MD, an infectious disease specialist with OSF HealthCare, speaks to the improvement in access, and decrease in anxiety for kids this provides. 

Outdoor safety:

December 2, 2025 - A good way to prevent winter illnesses is by staying safe outdoors. Maddy Draper, APRN, a provider at OSF OnCall, has tips about bundling up and more.

Hand hygiene:

November 25, 2025 - Emily Isom has a resolution for kids and their parents with holiday gatherings upon us: pledge to keep your hands clean and away from your face to prevent the spread of illness.

Isom, a certified medical assistant in pediatrics at OSF HealthCare, often sees young people biting dirty fingernails and not washing their hands properly. She has a primer here.

Hand, foot and mouth disease (HFMD):

November 7, 2025 - One viral infection to pay close attention to this season is hand, foot and mouth disease (HFMD).

HFMD typically impacts young children, but adults and older children can get it, too. It causes painful red blisters in the mouth and throat, and on the hands, feet, and diaper area. HFMD is most common in children who are in child care because young children need frequent diaper changes and help using the bathroom. They also tend to put their hands in their mouths.

Find more information about symptoms and treatment options here. 

RSV hospitalizations 2024: 

November 6, 2025 - There was a steep decline in respiratory syncytial virus (RSV) hospitalizations among infants last RSV season, offering welcome relief this time around. Health officials point to the new vaccines and preventive antibodies as the driving force behind the turnaround.

Read about the stark drop in RSV hospitalizations in the full article here. 

COPD 2025:

November 4, 2025 - It’s something Michael Daley, MD, sees in the emergency department often and especially this time of year: chronic obstructive pulmonary disease, or COPD.

Dr. Daley, who provides care at OSF HealthCare, says while there’s no cure for COPD, medicine has come a long way to improve your quality of life with the disease.

Read the full story here.

Pneumonia 2025:

November 3, 2025 - Pneumonia.

It’s a hard enough word to spell, let alone remember how to prevent and treat it. With respiratory illness season here, it’s time for a reminder about how to avoid this possibly deadly condition.

Read the full story with OSF emergency department physician Fred Burke here.

Viral sore throat vs. bacterial sore throat: 

October 22, 2025 - With temperatures cooling, Awad Alyami, MD, an OSF HealthCare pediatrician, says we’re approaching the peak season for sore throats. Many cases have time-tested treatments, but some can have serious complications.

Dr. Alyami says a sore throat is an infection that causes inflammation in your throat. They’re annoying and painful, bringing symptoms like difficulty swallowing or talking and swelling of glands and tonsils. Causes can include tonsil stones, heartburn and allergies. But most commonly, causes break down into two groups: viral and bacterial.

Viral sore throat symptoms:

• Often comes with coughing or a runny nose
• May occur with cold, flu, or COVID-like symptoms
• Usually mild and can be treated at home with rest, hydration, and over-the-counter medicine

Bacterial (strep throat) symptoms:

• Sore throat with fever
• White patches on the back of the throat or tonsils
• May cause neck swelling in more serious cases
• More common in children
• Needs medical treatment to prevent complications like dehydration

Read the full story here. 

Respiratory distress in sick children:

October 7, 2025 – Respiratory distress can develop quickly in children, often from viral infections like RSV or influenza. Knowing when to seek care is vital, says Dr. Kelsey Grimes, a pediatrician with OSF HealthCare. “During work-time hours, you can call your pediatrician’s office and try to get a same-day appointment,” she says, noting that emergency care or 9-1-1 may be needed in severe cases. From using nasal saline and humidifiers at home to recognizing emergency signs, proactive steps help parents protect their children’s health. Read the full story here. 

Full guide to the 2025 flu, COVID-19 and RSV season (original article): 

September 15, 2025 – Across the board, late 2024 to early 2025 was recognized as a “rough” respiratory illness season.

“It was the season we had been predicting for five years, and we had a conjoining of three diseases," says Brian Curtis, MD, vice president chief medical officer for OSF Medical Group, part of OSF HealthCare, headquartered in Peoria, Illinois.

RSV (respiratory syncytial virus), influenza and COVID-19 were all heavily circulating communities in the winter months, all at the same time.

This puts a tremendous strain on the entire medical system for so many people to all get sick at once, Dr. Curtis adds. From a clinic setting, to an emergency department (ED) setting and everything in between, an influx of patients at the same time can impact how quickly people can be seen for other health concerns. 

Dr. Curtis says the 2024 respiratory illness season had reverted to a traditional pattern of RSV and Influenza circulating in the fall and winter months which is a "normal" respiratory illness season. Influenza started circulating in October and November and peaked in January and February (2025). RSV "reared its head" in the late winter, Dr. Curtis adds, which is generally expected. Along with COVID circulating through the same period. The confluence of these three viruses made a difficult busy respiratory season.

How does this impact the 2025-2026 season? 

"You don't know," Dr. Curtis points out.

There are a few key factors to pay attention to which will help paint the picture over time.

-          How effective the influenza vaccine is

-          How many people receive the flu vaccine

"Flu vaccines are ready. So, if you're ready, we're ready. People can start getting it now, and I'd recommend getting it by the end of October," Dr. Curtis says.

You can schedule an office visit through OSF MyChart to receive a vaccine at any OSF Medical Group – Primary Care location, or by visiting an OSF OnCall Urgent Care or OSF PromptCare walk-in clinic. You can also be seen at these locations for several health concerns like viral illnesses. OSF OnCall Urgent Care also offers the option to make a reservation ahead of time but also accepts walk-in patients.

-          How many high-risk individuals receive the RSV vaccine

There are two one-time RSV vaccines. The adult vaccine, which is a vaccine in the traditional sense, for people who are high-risk. This is supposed to help train your immune system to recognize and fight off certain viruses or bacteria, without getting severely ill.

Those who can receive the shot include pregnant women (who are 32 to 36 weeks pregnant who will deliver during the RSV season), all people 65 and older, and those 50 and older who have serious health conditions such as chronic heart disease, chronic lung disease, severe diabetes and a weakened immune system. 

The second vaccine is for very young kids, and it's a monoclonal antibody, which is a lab-made protein that works like natural antibodies and helps your body fight infections. It's called Beyfortus® (nirsevimab-alip). It's an injection for babies under 8 months of age entering their first RSV season.

If your child has serious health challenges like being on oxygen, having heart issues or lung issues, you might want to consider having your child receive nirsevimab into their second RSV season as well. But Dr. Curtis says to speak with your health care provider, as each situation can be unique. 

-          How members of the public respond when they are sick

Besides receiving your vaccines, hand washing, staying home when sick and covering your cough are three tips Dr. Curtis gives to not spread your germs to others. Last year, Dr. Curtis adds, people were returning to pre-pandemic behaviors such as returning to work in person while sick, which causes viruses to spread more rapidly. 

Flu vaccine myth

Dr. Curtis advises it’s never too late to receive your flu vaccine.

“If it's December or January and you haven't gotten it, you can still get it. It's still worthwhile and beneficial for you to do that. So don't think 'it's halfway through the season why bother now?' Flu doesn't care where it's in the season and it doesn't care who you are."

It's a myth to think that if you get your flu vaccine early, it won't protect you for the whole season. Dr. Curtis says that's just not true. 

What mild symptoms look like (and what to do)

Most mild cases of respiratory illnesses like RSV, COVID-19, influenza and rhinovirus or enterovirus (common cold) can be taken care of in the comfort of your own home.

"That could be a low-grade fever, cough, congestion and body aches." Dr. Curtis advises, "Tylenol and Motrin can be used, if your health circumstances allow for it, and then drinking fluids and having plenty of rest is the care for that."

Seeking medical care from a health care professional, in any type of setting, is not needed for people with mild symptoms. 

However, there are times when serious medical attention is required.

When it’s time to be seen by a medical provider

• Trouble breathing
• Unable to keep liquids down
• Fever not responding to Tylenol or Motrin
• People not acting like themselves mentally
• Serious illness lasting more than 7 days with no signs of improvement

What steps can you take now?

"The best thing you can do is take care of yourself and make sure your body is the healthiest it can be. That means prioritizing exercise, sleeping, eating right and limiting your intake of alcohol. Not taking care of your body can wear down your system and leave you susceptible to getting infections,” Dr. Curtis says.

OSF OnCall offers virtual options for patients to get care 24/7 through its Virtual Urgent Care. The appointment generally takes 5-10 minutes and gets sick patients a treatment plan within 30 minutes. No appointment is needed.

Video Interview Clips

All the talk each fall centers on colds, flu and RSV.  But one viral infection to pay close attention to is hand, foot and mouth disease (HFMD).

HFMD typically impacts young children, but adults and older children can get it, too. It causes painful red blisters in the mouth and throat, and on the hands, feet, and diaper area. HFMD is most common in children who are in child care because young children need frequent diaper changes and help using the bathroom. They also tend to put their hands in their mouths.

“Hand, foot and mouth disease is a pretty classic viral infection that’s most commonly affected in the younger age group under the age of five," says Asma Khan, DO, a pediatrician for OSF HealthCare. "The symptoms you typically see are mouth lesions, usually on the tongue or the cheeks. You also have a rash on the body, most often it's clustered on your hands and feet. Sometimes it can be a full body rash, and occasionally fevers and just feeling a little down and irritable.”

Other symptoms include sore throat, fussiness in infants and toddlers and a loss of appetite.

There are two main viruses that cause HFMD – coxsackie and enterovirus. There is usually a three to five day incubation period, when patients are infected and spreading the virus, before the initial onset of symptoms. The virus is spread through saliva, stool and respiratory droplets such as sneezing and coughing.

“There are very few complications with hand, foot and mouth disease, it’s usually more of a milder course," says Dr. Khan. "You may feel rundown for about seven to 10 days. On occasion if we have a more virulent strain of the virus, you can have more serious complications and those can be meningitis, encephalitis, or myocarditis but that has been rare. Sometimes there's a late strain of enterovirus that can be more related with those complications.”

According to Dr. Khan, the treatment is usually supportive care at home.

“It’s treating them comfortably with Tylenol and Motrin to help keep their pain down because those mouth lesions tend to be the one that’s most painful," says Dr. Khan. "The rash on the body typically is not. So we want to keep them continuing to eat and drink and then we want to make sure we really push fluids so if they're having a lot of pain in their mouth. They may not want to eat but as long as we can get them to drink and stay hydrated that’s the number one key.”

Dr. Khan adds that if your child has a high fever or shows no gradual improvement after a few days, it’s time to call your physician. 

HFMD typically occurs in the summer and fall seasons, but Dr. Khan says outbreaks can also develop in the winter. HFMD is similar to herpangina, another viral illness that is often seen in children ages three to 10. The difference between the two illnesses is that HFMD can form on the hands, feet and inside of the mouth while herpangina only forms in the mouth and throat.  

To prevent the spread of HFMD, Dr. Khan encourages parents to keep kids home from school and daycare while they have a fever or open blisters on the skin and in the mouth. Everyone in your home should wash their hands, especially after using the bathroom or changing a diaper, and before preparing food. Toys and surfaces should also be cleaned with a disinfectant as often as possible.

When is it safe for my child to return to school or child care? That is the biggest question Dr. Khan is asked by parents.

“The big criteria is fever. No child should be going to school with a fever. The fever should be gone for 24 hours," says Dr. Khan. "The rash itself is not clearly an indication to stay out of school, because a rash may take a good week or so to fully resolve, and the infectivity rate after that first week is really gone down. You don't necessarily have to keep a child out of school just because a rash has not resolved in a few days.”

For more information about HFMD, visit OSF HealthCare. 

 

Interview Clips 

What is RSV and who’s at risk

“RSV is a virus, one of the most common viruses in the pediatric population. It usually attacks the upper airway and the lungs,” says Kelsey Grimes, DO, outpatient pediatrician with OSF HealthCare. “It leads to a lot of inflammation and excess secretions. Oftentimes we get a runny nose, stuffy nose and an increased work of breathing, also known as respiratory distress. That’s the part that usually leads to us seeing them in the office, or them going to the emergency department and being hospitalized.”

RSV is the leading cause of hospitalization among U.S. infants, with the Centers for Disease Control and Prevention estimating around 58,000 to 80,000 hospitalizations and 100 to 500 deaths each year in children under five. The virus can lead to severe illnesses like bronchiolitis and pneumonia.

Prevention tools now available

In the fall of 2023, two major preventive products became available in the U.S.:

• A maternal vaccine administered during pregnancy (given between 32-36 weeks’ gestation)
• A long-acting monoclonal antibody for infants (0-7 months old) and some children (8-19 months old) at higher risk
• While these preventive products do not stop RSV infection entirely, their goal is to drastically reduce the severity of symptoms.

These tools mark a major shift in RSV prevention, including the monoclonal antibody product known as Beyfortus (also referred to as nirsevimab). The American Academy of Pediatrics reports that nirsevimab is expected to reduce the risk of severe RSV disease by about 80%.

What the data show: Fewer hospitalizations

“There’s still RSV. But we have seen a drastic decrease in hospitalizations and ICU stays, which is usually when kids get the increased work of breathing and need oxygen and support. When they're really little, it's hard for them to suck, swallow and breathe because of all the mucus and inflammation,” Dr. Grimes adds. “So sometimes even if they aren't being admitted for oxygen, it's because they're dehydrated.”

Recent surveillance data underscore how significant that decrease is. An analysis of the 2024-25 RSV season – the first with widespread availability of both maternal vaccination and the infant antibody – found hospitalization rates among infants 0-7 months old fell by approximately 28% to 43% compared to 2018-20 (pre-pandemic) seasons.

For the youngest infants (0-2 months), the declines were even sharper, around 45% to 52%.

These data signal that many severe RSV cases in infants may now be preventable, a major public-health milestone.

Side effects and practical details

“Most common side effects are local redness, swelling and pain to the area. We aren’t seeing any systemic signs with this injection,” says Dr. Grimes. “Some other vaccines have an increased risk of fevers, but with this vaccine, we’re just seeing, potentially, some localized effect from where the needle went into the thigh.”

Additional supportive measures for babies with RSV symptoms include suctioning the nose, using humidifiers or steam from hot showers, nasal saline spray and watching for secondary bacterial infections.

General prevention: stay home when sick, cough into your elbow, wash and sanitize hands and avoid contact with others when appropriate.

Why this matters

Because infants are especially vulnerable, and because RSV has long been the top reason for hospitalization among U.S. babies, these preventive tools arrive at a critical moment. The Centers for Disease Control and Prevention (CDC) recommends that eligible infants receive protection as early in the RSV season as possible, ideally within the first week of life if born during RSV season.

Key takeaways for parents

• If you’re pregnant, especially in your third trimester, ask your provider about the maternal RSV vaccine.
• After your baby is born, if they’re under 8 months or have certain health conditions, ask about monoclonal antibody protection.
• Even with these tools, everyday precautions still help: hand hygiene, limiting exposure to sick contacts and monitoring for signs of worsening breathing or dehydration.
• Early treatment and care matter: If your baby is working harder to breathe, has decreased feeding, or seems dehydrated, seek medical attention promptly.

OSF OnCall, the digital arm of OSF HealthCare, offers virtual urgent care, a great option for people to be seen without ever stepping foot into an office. Virtual visits can allow your child to be seen and receive a treatment plan in less than half an hour. Additionally, OSF OnCall offers at-home monitoring for babies and toddlers with respiratory illnesses.

Difficulty breathing, or respiratory distress, is a medical emergency. If this happens with your child, take them to the nearest emergency department immediately.

Video Interview Clips

Pneumonia.

It’s a hard enough word to spell, let alone remember how to prevent and treat it. With respiratory illness season here, it’s time for a reminder about how to avoid this possibly deadly condition.

The basics

Fred Burke, MD, an emergency medicine physician who treats people at OSF HealthCare, says pneumonia is a lung infection caused by a virus or bacteria.

“The most common bacteria that causes it is strep pneumonia [in medical terms, streptococcus pneumoniae or pneumococcus]. The viruses that cause it are things like RSV [respiratory syncytial virus], flu [influenza] and COVID-19 [coronavirus],” Dr. Burke says.

In other words, you could get the flu, and it could progress to pneumonia. The phrase double pneumonia means it’s impacting both lungs. Dr. Burke says people with pneumonia could experience coughing, fever, chills and weakness.

“It can cause a consolidation in the lungs. That interferes with air movement,” Dr. Burke says. “You can also get fluid buildup and scarring in the lungs.” Consolidation refers to inflamed cells that form a mass.

Diagnosis and treatment

Dr. Burke says when someone comes to the emergency department with pneumonia symptoms, a health care provider could do a chest X-ray or CAT scan to confirm the diagnosis.

“If we find it’s from a viral infection, people have to ride it out. There’s no treatment for [the ailment itself]. But we can treat the symptoms. We can give Tylenol for fever or an inhaler for shortness of breath or wheezing,” Dr. Burke explains. “If it’s from a bacterial infection, we give antibiotic medication.”

The person could take antibiotics by mouth for one to two weeks. Or, if they are having trouble breathing, the medicine would be given through intravenous (IV) therapy. Either way, the goal is to stop the bacteria in the lungs from growing.

Another tactic is a bronchoscope, where a pulmonologist inserts a tube down your throat to break up mucus in your airways.

But Dr. Burke cautions: don’t let the guidance of some “ride it out” fool you. Pneumonia is a common cause of hospitalization and death worldwide.

“One complication is sepsis, when the infection spreads to the blood. That can cause organ failure,” Dr. Burke warns. “Pneumonia can also cause respiratory failure [when the lungs aren’t working properly]. Those people might require additional oxygen. Or if it serious enough, they might require intubation [a breathing tube down the throat] or be placed on life support.”



Is it contagious?

Yes, pneumonia can spread from person to person, Dr. Burke says. It’s often transmitted through respiratory droplets (coughing or sneezing on someone), but it can spread on surfaces as well. A child could touch a dirty doorknob then put their hands in their mouth, for example.

That’s why everyday hygiene is important. Wash your hands with soap and warm water thoroughly and often. Cough or sneeze into your elbow or a tissue. Stay home and away from others if you’re sick. These are especially important for people at higher risk for pneumonia: people with a history of strokes or seizures, people suffering from substance abuse, people with a compromised immune system (those with HIV or a transplanted organ, for example), smokers and people with chronic obstructive pulmonary disease (COPD).

The United States Centers for Disease Control and Prevention also outlines the guidelines for the pneumococcal vaccine. Talk to your primary care provider if you have questions about the shot.

“The vaccine comes from evidence-based medicine. Experts have done studies. It’s shown to be very effective in decreasing the severity of pneumonia,” Dr. Burke explains. “I would recommend people take the vaccine.”

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You’ve likely heard of bronchitis, an illness that impacts the larger lung airways and leaves you feeling short of breath and just generally yucky.

This fall and winter, here’s another respiratory illness with “bronch” in the name to be aware of, especially if you have young kids: bronchiolitis. It’s an ailment that Awad Alyami, MD, an OSF HealthCare pediatrician, sees often this time of year.

The basics

Dr. Alyami says bronchiolitis is an infection of the bronchioles, or the small airways that branch out in the lungs.

“When they become infected, there is a lot of mucus. It makes it harder to breathe,” Dr. Alyami explains.

Other symptoms include fever, runny nose, cough and dehydration. Bronchiolitis is “easily spread,” Dr. Alyami says, through respiratory droplets, like when you cough. The illness is most common in children, especially kids under two. Other high-risk groups include babies born prematurely, with chronic lung disease, with heart disease present at birth and with immune system deficiencies.

“There are also environmental risk factors, like babies who are exposed to smoke and babies who attend day care,” Dr. Alyami adds. Attending day care, he explains, will expose a child to illnesses, no matter how clean the place is.

Cause, diagnosis and treatment

Dr. Alyami says other viruses like influenza and COVID-19 can cause bronchiolitis, but respiratory syncytial virus (RSV) is the most common cause.

“You need to see a doctor if your baby has trouble breathing at any time,” Dr. Alyami advises. “Or if your baby is younger than three months and they have a fever. Or if they are older than three months and they have a fever for more than three days. Or if the child has signs of dehydration, like if they are making fewer wet diapers than normal.”

Unlike the flu and COVID-19, there is no test for bronchiolitis. But, a health care provider may swab your nose anyway to see if you have another virus. Other tests like a chest x-ray may be done. And the provider will also examine you and ask about your health history to come up with a diagnosis.

Treatment involves making you feel comfortable until symptoms resolve.

“One of the most important things is nose suction as needed,” Dr. Alyami says. “When we suction the nose and keep it clean, it’s easier to breathe.”

A bulb suction is the most common device to do this. When you’re really stuffed up, you can use nasal spray or drops to make the secretion thinner. Then, use the suction. You can also use a humidifier if your home’s air is dry. Dr. Alyami says these devices and medicines are widely available in retail stores.

You can treat the fever with over-the-counter medication. Drink fluids to stay hydrated.

“Typically, day three to day five are the peak of symptoms,” Dr. Alyami says. “After five days, they start to improve. Symptoms can last seven to 14 days. And typically, the cough lingers for a little longer.”

In serious cases, your child may have low oxygen and need to be admitted to the hospital. There, doctors will use an oxygen tube inserted into the nostrils to help breathing. In rare cases, a doctor will put a breathing tube down the child’s throat.

Prevention

Want your child to avoid all this? Preach healthy habits, especially in fall and winter when respiratory illnesses peak. Wash your hands thoroughly. Cough and sneeze into your elbow or a tissue. If you’re sick, stay away from others.

Dr. Alyami adds that since RSV is the main cause of bronchiolitis, you should look into the RSV vaccine. This cold weather season, the vaccine is available for certain groups, like older adults, infants and pregnant women. Talk to your primary care provider if you have questions.

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“It’s important for parents and caregivers to know the signs of labored breathing, also known as respiratory distress,” says Kelsey Grimes, DO, outpatient pediatrician at OSF HealthCare. “This understanding can help them know when it's time for their children to receive immediate medical attention.”

When to seek help

OSF HealthCare has multiple options to use if your child is in respiratory distress.

“During work-time hours, you can call your outpatient pediatrician's office, or primary care provider's office, and try to get a same-day appointment,” Dr. Grimes says. “In that, OSF also has a pediatric nurse triage line where a nurse can provide guidance or recommendations based on the symptoms you tell them. In the evenings, we have the pediatric after hours clinic (2806 Knoxville Ave. Peoria, Illinois), which is a good option.”

Additionally, OSF has multiple OSF OnCall Urgent Care and OSF PromptCare locations. But oftentimes if you're concerned about breathing for your child, the OSF HealthCare Children's Hospital of Illinois pediatric emergency department or calling 9-1-1 is the right first step.”

Why labored breathing happens

“If your child has labored breathing, oftentimes in the pediatric population, the most common cause is a viral infection. With viral infections you get a lot of inflammation, mucus, snot, phlegm – all of that,” Dr. Grimes says. “Kids' airways are smaller. So, inflammation, even on the mild side, makes those airways even smaller. Then when they're plugged up with mucus, or phlegm, they are going to really struggle to breathe.”

Children with significant breathing difficulty may need oxygen support to help them recover. This can be done using high-flow oxygen therapy (HFOT), which delivers air and oxygen down into their respiratory tract. In these cases, hospitalization is required.

At home, nasal saline and suction may be recommended, as well as controlling fevers with Tylenol or Motrin.

Rhinovirus, RSV (respiratory syncytial virus) and influenza, among other virus strains, are common culprits that can cause labored breathing. When treated properly, symptoms should begin to improve after three to four days. However, if symptoms worsen, it could indicate an underlying bacterial infection. This may require antibiotics or even hospitalization, depending on the child’s age and severity of illness.

Protecting kids from germs

“Regular hand hygiene and making sure when we touch surfaces (doorknobs, countertops, etc.) that we're not rubbing our eyes or mouth after,” Dr. Grimes says. “Don't share drinks or bites of food. Do anything you can do to try and prevent germ exposure. It’s hard, because a lot of these kids are in day care, preschool and kindergarten. So, there are no boundaries, and the kids are up close and personal there. You try your best for good hygiene, but in the end, they are probably going to be exposed.”

Signs of respiratory distress

Dr. Grimes says the most important thing to watch out for is how fast your child is breathing. Respiratory distress can cause a child to breathe much faster, or sometimes slower, than normal.

Retraction breathing, or the visible “sucking in” of the skin between or below the ribs, is another red flag.

“This happens because the muscle underlying the skin is really contracting, working hard to get that air in and back out,” Dr. Grimes explains.

Retraction breathing can happen under the rib cage (subcostal), between the ribs (intercostal), above the collarbones (supraclavicular) or at the base of the neck (tracheal tugging). Flaring nostrils are also a warning sign.

Other concerning symptoms include:

• Drooling in children who are past the teething stage
• Blue discoloration around the mouth
• Head bobbing with each breath (an emergency sign)
• Sitting forward and extending the neck in a “sniffing position” to ease breathing
• Wheezing when breathing out
• Grunting when exhaling
• Lethargic behavior (confused, drowsy)

Care and comfort at home

For viral infections, medical teams focus on supportive care, especially fever control.

For babies 2 months old or younger, any high or low temperature warrants an emergency department visit. Do not give Tylenol at this age.

Once babies are over 2 months old, Tylenol may be given in the appropriate dose based on weight, always under guidance from your pediatrician. Once over 6 months of age, babies can receive Motrin, as their kidneys are more developed. Both medications can be given every six hours as needed.

“When kids are having fevers, signs of labored breathing increase as well,” Dr. Grimes notes.

Hydration is also extremely important. “Really make sure to push fluids when your kids are sick. Hydration is key in recovery.”

Parents can help clear their child’s airway by using nasal saline followed by gentle suction. Humidifiers can help loosen mucus, and standing in a steamy bathroom with the shower running hot can offer short-term relief.

The bottom line

Labored breathing can be a sign of serious illness, and early action is the best protection. Parents and caregivers who recognize the warning signs and know when to call their pediatrician or seek emergency care, can help ensure their child receives timely, life-saving support.

Making sure your child receives the recommended childhood vaccines is another way to ensure your child is protected against respiratory illness.

Video Interview Clips

We’re approaching the late summer-early fall period when respiratory illnesses begin their annual upswing. The latest news from federal health officials concerns a new variant of COVID-19, NB.1.8.1. Some people impacted have reported severe sore throats, almost like there’s a razor blade in there.

Fred Burke, MD, an emergency medicine physician who sees patients at OSF HealthCare, says illnesses like COVID, RSV and the flu will always be around. It’s just a matter of taking precautions to avoid serious illness. So, what’s the level of concern with this new COVID variant as we begin to make fall plans?

The razor’s edge

Any sore throat is an annoyance. But Dr. Burke says you should monitor severe cases closely.

“You’re less likely to want to eat or drink, which can lead to further dehydration,” he says.

You can manage sore throats at home with Tylenol or ibuprofen, chloraseptic spray, warm tea and throat lozenges. Dr. Burke says if you have trouble keeping food or fluids down, feel lightheaded or dizzy or have trouble breathing, see a health care provider right away.

COVID precautions

Dr. Burke says this new COVID variant isn’t linked to as much severe illness as other variants. But, he says it’s more easily spread.

“The average healthy person might get through it with some [figurative] bumps and bruises and little to no symptoms. For people with comorbidities or who are immunocompromised, the virus might be a little bit more detrimental,” Dr. Burke says.

Getting vaccinated and practicing good hygiene are two big tools to avoid serious illness, he adds. Wash your hands and high touch surfaces, like doorknobs, often, don’t cough or sneeze into the open air and stay home and away from others when you don’t feel well. If you’re in a crowd, especially if you have a comorbidity like diabetes, Dr. Burke says you should consider wearing a mask.

“If you’re going to have a gathering, whether at home or somewhere else, you can also recommend people take a home test to make sure they don’t have COVID prior to going,” Dr. Burke suggests. Those at-home tests can usually be found over the counter at a pharmacy.

For vaccines, recent preliminary guidance from the U.S. Food and Drug Administration recommends the shot this fall for people 65 and up. For others, the shot is recommended for people who have a compromised immune system or a comorbid condition like obesity, heart disease, high blood pressure, lung disease or depression. The website for the U.S. Centers for Disease Control and Prevention, meanwhile, has a broader recommendation. When in doubt, Dr. Burke says to talk to your primary care provider.

Learn more

Explore other resources to keep yourself safe from COVID on the OSF HealthCare website, blog and newsroom.

Interview clips

Flu remains the dominant virus

“We're seeing a lot of patients be positive with the flu. It makes you feel really bad with headache, body aches, chills, cough and fevers to name a few,” says Sarah Overton, chief nursing officer of OSF Medical Group, Home Care and Employee Health. “But we're also seeing some COVID-19 and RSV. RSV attacks very young children and older adults."

All the viruses spiking at the same time have been "somewhat crippling" for healthcare providers, Overton says OSF HealthCare hospitals are seeing high inpatients counts, with many people coming in sick with respiratory illnesses through the emergency department.

Across Illinois, nearly 20% of emergency department visits were for acute respiratory illness, according to the Illinois Department of Public Health (IDPH). 7.8% of those visits are attributed to patients with the flu.

"From Chicago and Rockford down to Alton, we're seeing a large number of respiratory illnesses. And I think the country is seeing it overall," Overton says. "The SIREN notifications from the IDPH show that other health systems in Illinois, not just OSF, are seeing this."

Illinois’ respiratory activity level, calculated by the Centers for Disease Control and Prevention (CDC) moved up to High in late December, dipped to Moderate in January, and has now returned to High to start February.

“These viruses can kill”

The IDPH has reported five flu deaths this respiratory illness season. Along with three people dying from RSV, and one person dying from RSV and COVID-19.

"There's a little bit of complacency or feeling like the COVID-19 pandemic is done. But these viruses can kill, and they can lead to major medical complications and hospital admissions. I've talked to some of my colleagues who are the nursing leaders in the hospitals, and patients coming in are indeed sick. If you can manage at home, we recommend you do so," Overton says. 

For those who are immunocompromised or chronically ill, Overton says you should consult with a medical professional in person if you are sick, but if you’re a fairly healthy individual who is mildly ill, consider staying home and rest. OSF Medical Group and OSF OnCall offer Urgent Care services for many outpatient appointments, including visits with primary care providers and specialists.

For those caring for themselves at home, there are several over-the-counter medications to help alleviate symptoms. Additionally, a health care provider may prescribe antiviral medication.

“Antiviral medication is most effective is initiated less than 48 hours after your symptoms begin,” says IDPH Director Dr. Sameer Vohra.

Flu vaccine rates down

"We've got ample flu vaccine. We are behind our influenza vaccine rates of where we've been in years past," Overton says. "It's not too late to get your flu shot, it's not too late to get your pneumonia shot. If you get it at a retail pharmacy, that's great. You can also get it at OSF or another healthcare provider. We just want you to get vaccinated.”

Flu vaccines are offered at OSF primary care and many medical specialty offices, along with commercial pharmacies. The CDC’s Flu Vaccine Finder allows you to type in your zip code and find options closest to you. Overton also recommends speaking with your healthcare provider about the recently-approved RSV vaccine available for some.

Respiratory illnesses impacting care teams

"Unfortunately, we have had some experiences with respiratory illnesses in our staff," Overton says. "We need to do everything we can to protect them. OSF Mission Partners (employees) have started masking in those areas we know exposure is likely." Respiratory cough stations with hand sanitizer, tissues and masks are available at all OSF facilities.

How health systems being overloaded impacts patients

"When we overwhelm the health system, it could lead to delays in other critical illnesses that need to come to the emergency room or urgent care to receive adequate management," Overton says.

To protect yourself and others, Overton recommends regularly washing and sanitizing your hands. Also make sure to cover your cough to decrease the spread of respiratory droplets, which is a major way the flu and other respiratory illnesses spread.

When to head to the emergency department

“Those hallmark signs of when to see care is when a fever isn't responding to medications after 24-48 hours. Or when you’re extremely uncomfortable and experiencing respiratory impacts like shortness of breath that you are struggling to breathe,” Overton says.

Warning signs look different for kids and adults. The CDC breaks down symptoms to keep a close eye on:

In children

• Fast breathing or trouble breathing
• Bluish lips or face
• Ribs pulling in with each breath
• Chest pain
• Severe muscle pain (child refuses to walk)
• Dehydration (no urine for 8 hours, dry mouth, no tears when crying)
• Not alert or interacting when awake
• Seizures
• Fever above 104 degrees Fahrenheit that is not controlled by fever-reducing medicine
• In children younger than 12 weeks, any fever
• Fever or cough that improve but then return or worsen
• Worsening of chronic medical conditions

In adults

• Difficulty breathing or shortness of breath
• Persistent pain or pressure in the chest or abdomen
• Persistent dizziness, confusion, inability to arouse
• Seizures
• Not urinating
• Severe muscle pain
• Severe weakness or unsteadiness
• Fever or cough that improve but then return or worsen

Video Interview Clips

Influenza, or the flu, is dominating the other viruses like COVID-19, respiratory syncytial virus (RSV), norovirus, Human metapneumovirus (HMPV) and others, according to Doug Kasper, MD, an infectious disease specialist with OSF HealthCare. He adds that the increase in flu cases is “typical and expected” for this time of year. The strain of flu that is circulating is an Influenza A strain, which is also predicted.

Flu at highest rate and climbing

"Seasonal influenza rates are increasing each week, per the CDC. That refers to the number of positive tests that are being seen at access sites, like (OSF) PromptCare, urgent care, emergency departments and primary care offices," Dr. Kasper says. "The percentage of tests returning positive for influenza is climbing and it's at its highest level for our season."

This comes just days after the Chicago Department of Public Health (CDPH) reported two flu deaths in children, both under the age of two.

“Even one pediatric flu death is a tremendous loss. We express sincere condolences to the families of these children,” said Dr. Olusimbo Ige, CDPH Commissioner. “Respiratory virus season is in full swing, and vaccination remains the best way to protect against severe illness, including in children.”

Why the flu vaccine is beneficial

"While the influenza vaccine is not perfect, as far as protecting against infection, cumulative influenza vaccine is associated with less severe illness,” Dr. Kasper says. This means your body builds up a library of vaccine, and over time, if you're exposed to a strain, even if it's changed, potentially had you been vaccinated or exposed to that strain in the past is beneficial for the future."

Seasonal flu shots are available and recommended for anyone 6 months and older, according to the Centers for Disease Control and Prevention (CDC). Free vaccines can be accessed at local pharmacies, or with you or your child’s primary care provider.

Is the flu up because COVID-19 is down?

"The precautions we followed for COVID-19, like masking, isolation and staying home when sick, have largely been changed in this era," Dr. Kasper says. "So, we have people that are more accustomed to coming into work when they've felt sick yesterday, whereas in the past they wouldn't do that."

In the CDC’s FluView database, the organization reports that over 37,000 people across the United States were admitted to hospitals with flu in the first week of January. Five pediatric influenza deaths were reported, now totaling 16 children who have died from the virus this flu season.

Flu vaccines are still important late in flu season

"For people that have been vaccinated, that's wonderful. For people that have not been vaccinated, there is still time and benefit to receive vaccines while we're in the middle of flu season," Dr. Kasper says. "There are therapeutics like antiviral medications that can be prescribed for people that are at risk with influenza."

Dr. Kasper says if anyone has flu-like symptoms (fever, cough, chills, body aches, headache) for more than 2 days, they should contact their medical provider immediately. They can discuss whether they should be tested for the flu and how to proceed with treating symptoms.

Video Interview Clips

When kids are in school and loved ones are gathering for the holidays, viruses tend to make the rounds. 

One common virus in school-age children is RSV.

What is RSV?

“RSV, or respiratory syncytial virus, is a respiratory illness that can impact anyone of any age around the world,” says Kinnera Are, MD, a pediatrician with OSF HealthCare. “In our population, the most at-risk would be infants and children under 2 years of age.”

How is RSV spread?

“It’s spread by nasal secretions, coughing, and sneezing respiratory droplets. It does tend to increase around the holiday season,” Dr. Are says,” because we’re around other people and we’re in gatherings with family and friends.”

How do we protect ourselves from RSV?

“Stay home if you’re not feeling well and you’re spreading respiratory droplets. Make sure to wash your hands regularly and frequently,” Dr. Are adds. “School-age kids tend to be the most hard-hit of all these kids, only because they’re around other children. The biggest way we can protect those kids in the winter is teaching good hand hygiene, making sure we’re teaching them to wash their hands really well.”

The Food and Drug Administration (FDA) has approved two RSV vaccines for adults 60 years and older. The Centers for Disease Control and Prevention (CDC) recommends adults in this age range should speak with their medical provider about if the vaccine is right for them.

Additionally, the FDA also approved two options for infants and toddlers. The CDC has signed off on a monoclonal antibody for all infants up to 8 months old, born during their first RSV season. If your child is at high risk for severe disease or severely immunocompromised, they can receive the antibody between 8 and 19 months.

Lastly, an RSV vaccine for pregnant women has been approved. Check with your medical provider about availability. The hope would be for the vaccine to provide pregnant women with antibodies they could pass to the fetus and protect newborn babies from birth to 6 months from severe RSV.

How can kids build immunity against viruses?

Two main ways: Healthy sleeping and healthy eating.

RSV is a virus and tends to just need to run its course. Dr. Are says while there is no prescription medicine to treat RSV, there are multiple over-the-counter solutions that can minimize the symptoms.

“We recommend Tylenol or ibuprofen for fevers and fussiness. Kids can have honey for those with a cough, as long as they’re over 1 year of age. Also make sure to have kids blow their noses and suction out the liquid from their noses if they have congestion or a runny nose,” Dr. Are adds.

Who else is at higher risk of RSV?

“The elderly and pregnant women are at higher risk for having more severe RSV infections,” Dr. Are says. “In children, the other populations that would be more at risk is anyone born premature, babies born during this RSV winter season, and anyone that has breathing problems or heart problems.”

Dr. Are says RSV can last anywhere from a couple days to a few weeks.

OSF OnCall offers a remote patient monitoring program for infants and toddlers with RSV and other respiratory viruses. The no-cost service connects those at home with medical specialists virtually, providing education and digital prompts to discuss signs/symptoms over a 10-day period.

The OSF OnCall RSV program is available to anyone in Illinois or Michigan. Patients must have a positive RSV test or diagnosis to qualify. To learn more about the program, click here.

Video Interview Clips

The viruses have come and gone in waves. In the late fall, respiratory syncytial virus (RSV) was spreading quickly through younger children and older adults. Fast forward to the present day, COVID-19 is once again the main antagonist, while influenza remains in the community as well.

“RSV cases have steadily down trended over the last month ago. Concurrently, we’ve seen an increase in influenza activity. Influenza activity is also seasonal, and was expected to happen during this period,” says Douglas Kasper, MD, infectious disease specialist with OSF HealthCare. “Influenza cases have also taken a downturn over the last two weeks. Typically, we will see a second spike of flu cases in March and April, so it’s not too late to get your flu shot.”

The Centers for Disease Control and Prevention (CDC) COVID-19 Tracker indicated that Illinois was at a medium level for COVID-19 hospitalizations through the week ending January 13^th.

Dr. Kasper is also the section head of infectious disease at the University of Illinois College of Medicine Peoria. He says COVID-19 cases are making the rounds throughout OSF hospitals across the communities OSF serves, in large part due to holiday gatherings, travel and kids going back to school.

“When we talked about COVID-19 in the beginning, we were worried about very severe infections,” Dr. Kasper says. “Fortunately, that has diminished significantly. We still do see people in the hospital, particularly those who are the most vulnerable, that can have difficult times clearing COVID infection. But for the majority of the population who are getting infected, most people are on their second, third, or even more number of times being infected. The severity of symptoms seems to be less than prior infection, but that doesn’t mean it doesn’t disrupt their life.”

Dr. Kasper says the best way to protect yourself against severe infection is still the COVID-19 vaccine.

“Vaccination remains the best tool. We know you can still become infected after becoming vaccinated, but the benefit of the vaccine is lessening the severity of symptoms and returning to whatever activity you have planned,” he says.

The current COVID-19 vaccine is not a booster, as some may think. It’s a reformulated vaccine that’s considered to be separate, as far as the COVID-19 strains it covers, according to Dr. Kasper.

“If you’ve received a few COVID-19 shots in 2021 or 2022, you got a booster and you felt like this was a reiteration of that, it’s a little different. That’s the benefit of at least one more COVID vaccine,” Dr. Kasper says. “It adds to the library of immunity in our population. Something that’s different than just boosting over and over again.”

Another tool available to stop the spread of COVID-19 is testing. Free tests are available at COVID.gov. At least four tests can be shipped to your home, free of charge. Dr. Kasper says this is a great way for people with mild symptoms to have peace of mind, and not spread the virus to others if they are positive.

“Testing for COVID-19 is unique. It can be done rapidly; it can be done at home. It does lend some information, as well, if you’re going to be hosting people or traveling where you may want to make others aware if you tested positive,” Dr. Kasper says. “If you’re feeling ill, and you take a test, try to rest and stay at home from work until you’re feeling better. Then, whatever period of infectiousness you’ve had will have passed by that point.”

For more severe cases of COVID-19, Dr. Kasper says Paxlovid has become a widespread option for patients.

“Paxlovid is a combination of two antiviral medications,” Dr. Kasper says. “They work to kill the virus. They terminate the virus from replicating, that’s all they do. They don’t modify your immune system or do anything to your blood cells or modify any other part of your body.  When you have a viral infection and you want to take an antiviral medication, you want to stop the virus from creating new copies of itself. Also, you want to do that as early as possible.”

Dr. Kasper says Paxlovid, and other antiviral medications, are available for positive COVID-19 patients through OSF PromptCare, OSF OnCall Urgent Care, and primary care locations so you don’t have to visit the emergency room. He adds that Tamiflu is often used when people are having a more severe flu case.

OSF HealthCare offers telehealth options that are available by phone or computer. You can talk quickly to an OSF OnCall medical provider at osfoncall.org/virtualvisit. They can walk you through your symptoms and provide a treatment plan and medication if needed.

Video Interview Clips

Puede que haya tenido un virus hace dos semanas, haya tratado los síntomas con antibióticos y se sienta mejor, pero siga teniendo tos. Juanbosco Ayala, MD, es neumonólogo de la Unidad de Cuidados Intensivos (UCI) de OSF Little Company of Mary Medical Center en Evergreen Park, Illinois. Atiende a pacientes a diario, sobre todo, a personas con trastornos respiratorios y enfermedades pulmonares. Explica las posibles causas de la tos persistente.

“Muchas veces se debe a una inflamación local que persiste. No hay mucho que hacer al respecto. En general, recomendamos antihistamínicos, y a veces, hay que repetirlos”, indica el Dr. Ayala. “Suele desaparecer con el tiempo, pero si no lo hace, obviamente se debe analizar”.

Los antihistamínicos pueden ser Claritin-D, Benadryl o Allegra, entre otros, y se pueden comprar sin receta.

A muchas personas, las temperaturas frías les provocan un aumento de moco en la garganta. Para esto, el Dr. Ayala recomienda otro medicamento de venta libre, Mucinex.

El Dr. Ayala recomienda vigilar los síntomas. Dado que muchas personas se resfrían y contraen virus en esta época del año, puede tratar sus síntomas en casa ya que es importante evitar que los hospitales se saturen.

“Si presenta alguna señal de alarma, como fiebre persistente o fiebre alta que dure más de uno a tres días, o síntomas que no desaparecen con medidas temporales, como la administración de Tylenol o Motrien, y perduran por más de dos o tres días, podría necesitar consultar a un médico”, dice el Dr. Ayala.

El Dr. Ayala ha observado un aumento en los pacientes con COVID-19.

“Ha habido un aumento notable. Es posible que algunas de las cepas recientes no sean tan letales o graves, pero se propagan fácilmente de una persona a otra”, remarca el Dr. Ayala.

¿Debería consultar a un médico?

La COVID-19, el virus respiratorio sincitial, las infecciones por estreptococo y la gripe son muy contagiosas, pero se suelen tratar en casa. Si tiene síntomas como tos o dolor de garganta, pero son leves y no tiene una enfermedad de alto riesgo, puede realizarse una prueba de detección de COVID-19 en su casa y tratar los síntomas con medicamentos de venta libre.

Consulte a un médico en los siguientes casos

Si tiene síntomas que no han mejorado en 10 días, tiene dificultad para respirar o una enfermedad preexistente, como diabetes, asma o EPOC. Si tiene manchas blancas en la parte posterior de la garganta, es un signo evidente de infección, por lo que deberá realizar un tratamiento médico indicado por un proveedor médico certificado.

Cómo mantenerse sano

Lávese las manos, tápese la boca al toser y quédese en casa si está enfermo.

Vídeos de Entrevistas

It can boost your health!

OSF HealthCare Family Medicine Physician, Dr. Alina Paul, sings and plays guitar for patients. 

She says benefits include pain reduction, better lung capacity, more confidence and a sense of belonging. It even helps with dementia.

“Don’t take it as an exercise. Don’t do it because you have to. Do it because you want to do it. Anybody can sing. Make a point to sing. It’s like meditation. It’s very beneficial," Dr. Paul says.

 If singing causes your throat or chest to hurt, take a break. 

Another pesky thing that may bother your throat or chest? That lingering cough.

It's common with all of the upper respiratory illnesses going around including colds, COVID-19, flu and Respiratory Syncytial Virus (RSV).

If you treated your symptoms and you're feeling better, but the cough is sticking around, Dr. Juanbosco Ayala, a Pulmonologist with OSF HealthCare, has some reasons why.

“A lot of times it’s due to the local inflammation that persists. There’s not much to do for it, we typically recommend antihistamines, and sometimes you’ll have to cycle those," Dr. Ayala says. "It’s usually something that subsides with time. But if it doesn’t, then obviously that may need to be looked at.”

Among the over-the-counter meds that may help clear you up include Claritin-D, Benadryl, Allegra and Mucinex.

Health Highlights Video Version With Chyrons

Health Highlights Video Version Without Chyrons

As many viruses are circulating around our communities, it is paramount to monitor your symptoms and know when the right time is to seek medical care in person. Sarah Overton, the Chief Nursing Officer for OSF Medical Group, Home Care and Employee Health, stresses the importance of virtual care when your symptoms are mild.

“That way we’re not exposing you to anyone in the public and you’re not exposing the health care worker to illness,” Overton says. “Unfortunately, we are seeing an increase in health care worker illness where our nurses and doctors have to stay home because they are being exposed to illness.”

Hospitals across the OSF Ministry have been seeing a spike in COVID-19 patients. If you suspect you have COVID-19 but your symptoms are mild, take an at-home COVID-19 test. The federal government has another stockpile of at-home tests that are free to order on COVID.gov. Every household can receive four free rapid tests. Dr. Brian Curtis, Vice President of Clinical Specialty Services with OSF HealthCare, says taking tests at home will help free up space at medical facilities.

“Coming in just to get tested takes up spots for the people that are really sick or are high-risk,” Dr. Curtis says.

“The Emergency Room is reserved for those true emergencies,” Overton adds. “We have patients that have heart attacks and lung issues with their COPD. Additional patients overflowing the Emergency Room takes away precious time from assessing those patients who shouldn’t be exposed to those viruses while being in our waiting rooms.”

But COVID-19 isn’t the only virus making the rounds in our communities right now. Influenza, Respiratory Syncytial Virus (RSV) and others are being seen often as well. So how can we stop the spread of viruses?

·         Stay home when you aren’t feeling well.

·         Wash your hands and use hand sanitizer regularly.

·         Cough or sneeze into your elbow.

·         Wipe down high-touch surfaces with disinfectant wipes.

·         Don’t share glasses or silverware with others.

·         Receive the flu shot.

For treating mild symptoms at home, Dr. Curtis offers some guidance for using over-the-counter options.

“You can take Tylenol or Motrin for fevers and aches. Make sure to drink plenty of fluids and get plenty of rest,” Dr. Curtis says.

Overton says to make sure you read the labels on any over-the-counter medication you buy. If you have any questions, you can ask a retail pharmacist, or send a message through MyChart to your OSF care team.

When is the right time to be seen?

“If you have a super deep cough that’s hanging on for quite a while or have a fever that lasts for several days,” Overton says. “Or if you have high-risk factors and may benefit from some of our medications for COVID, like Paxlovid, which are readily available in our retail pharmacy locations. We also have COVID-19 boosters able to be administered in our primary care offices.”

“There is a medication for influenza, but if you have a mild case, you’ll have more side effects from the medication than you are having from influenza itself. As far as RSV goes, there’s really no treatment for it except for supportive care.”

If you are sick and plan to visit a medical facility, please cover your face with a mask to decrease exposure to the health care workers.

Below you will find data about patient volumes in both the Peoria and Bloomington markets. The 7-day period covers November 28-December 4, and the 30-day period is for November 5-December 4.

Peoria Primary Care visits:

7-day period: 8,302 (1.6% increase from same 7-day period last year)

30-day period: 32,639 (4% increase from same 30-day period last year)

Peoria OnCall Urgent Care visits:

7-day period: 2,643

30-day period: 10,672 (13% increase from month before, 8.1% increase from same 30-day period last year)

Peoria PromptCare visits:

7-day period: 1,743

30-day period: 7,190 (14.3% increase from month prior)

OSF Saint Francis Medical Center Emergency Department - Peoria

7-day period: 1,625 (11.1% increase from week prior)

30-day period: 6,729

OSF St. Joseph Medical Center - Bloomington

Bloomington Primary Care visits:

7-day period: 2,897 (41.5% increase from week before)

30-day period: 11,608

Bloomington OnCall Urgent care visits:

7-day period: 848 (16.8% increase from week before)

30-day period: 3,508 (10.3% increase from month prior)

Bloomington PromptCare

7-day: 1,517

30-day: 6,176 (16.2% increase from month prior)

Sarah Overton Video Interview Clips

Dr. Brian Curtis Video Interview Clips

It’s the worst flu season in more than a decade. That, combined with an earlier and harsher season for another common virus RSV, has prompted OSF OnCall Digital Health to launch a no-cost, at-home monitoring program for RSV.

The collaborative effort with OSF clinical outpatient and hospital leaders will not only provide comfort and supportive care for patients and parents, it can also keep infants and toddlers out of the hospital. The remote patient monitoring (RPM) program is also in response to a state public health alert about a growing lack of pediatric ICU beds due to RSV.

RSV is the number one reason for hospitalization of children under age 1 in the United States. It can lead to bronchiolitis (inflammation of the small airways in the lung) and pneumonia (infection of the lungs), especially in babies.

However, Mary Stapel, MD, lead physician for Community Care for OSF HealthCare Saint Francis Medical Center says RSV can often be managed at home.

“For the more common cold type symptoms, we can recommend  conservative treatments at home: nasal saline with some suctioning, a cool mist humidifier you know, just kind of frequent, small feedings to optimize keeping that child hydrated.” 

Clinical Digital Care Supervisor Rose Smith, MSN, BSN, RN, says OSF OnCall was able to implement its 24/7 digitally enabled, at-home monitoring program for RSV quickly, because of its experience with similar efforts to help patients with chronic conditions such as diabetes and heart failure. In the first week of the RSV support program, more than 70 parents and caregivers have enrolled newborns and children up to age 5. Smith says they love it.

“They love having support anytime in the day, however they want to do it – text message, phone call, anything. They can send us pictures. We've really kind of taken that to tailor what parents need to feel comfortable taking their children home, you know, from a clinic; from the hospital during the scary time with RSV.” 

OSF OnCall providers and at-home caregivers use a software application that provides education or digital prompts to report relevant signs/symptoms over 10 days. Smith says upon enrollment, parents receive a care kit for at-home use from their provider following a visit or a digital community health worker can deliver one.

“We have a pulse oximeter to monitor oxygen levels and their heart rate and then we have a thermometer and then we also provide saline spray, and then a bulb syringe. A lot of parents, when their babies are born, they use them in the hospital, but they might not know that they can use them to help relieve any secretions especially before feeding their children.”

Smith adds, it’s also important to clear the nose before a nap or bedtime.  Parents or guardians also receive step-by-step written instructions as well as a video demonstration for how to use what’s provided in the kit.

The OnCall RSV RPM program is for anyone in Illinois or Michigan. Patients must have a positive RSV test or an RSV diagnosis to qualify. Referrals can be made by providers in a hospital emergency department, OSF OnCall Urgent Care, OSF PromptCare, medical offices, or following hospital discharge.

Smith says parents who have a child in the program can request a video visit at any time. The nursing staff will also recommend a video visit if needed.

“If they think their child looks off, we just have another set of eyes. The providers will look at it (to see if they need higher level of care). Sometimes our nurses can tell the parents you know, ‘We think they need to be seen. Can we do a video visit just before you take your child out especially now that it's colder out?’ You know, we don't want them if they're having trouble breathing to go outside, but we really just focus on what works best to still get them the care that they need.” 

Respiratory-related complaints made up half of all hospital emergency department visits at OSF in November, totaling 9,383 patients. Nearly 40% of those were infants and children.

At OSF HealthCare and across the country, there is concern that indoor holiday gatherings could accelerate the transmission of RSV, the flu and COVID-19, spreading hospitals and their staff thin. Some pediatric groups have been urging the federal government to declare a public health emergency in response to the surge in RSV and other respiratory illnesses. Dr. Stapel, says the three viruses have already impacted staffing across the country.

“It's not only a hard time with staffing already, but you add the holidays, you add illness, and so I think it's going to be a challenge and I think we're already doing this here, but I think preparing for what that surge, ongoing surge with staffing, and what surge capacity looks like … it's an important thing for every institution.” 

If you suspect your child has symptoms of RSV that don’t appear life-threatening, you can reach out to your pediatrician or primary care provider.

Video clips with Dr. Mary Stapel, lead physician for Community Care for OSF HealthCare Saint Francis Medical Center 

Video clips with nurse Rose Smith, Clinical Digital Care supervisor

B-roll for emote monitoring for infants-children with RSV