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

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

The Centers for Disease Control and Prevention (CDC) expects the upcoming fall and winter respiratory disease season in the United States will likely have a similar number of combined peak hospitalizations due to COVID-19, influenza, and RSV compared to last season.

As the respiratory virus season arrives, OSF OnCall is also reminding parents that it offers an at-home monitoring and support program for babies and toddlers 5 and under who have an infection from a respiratory virus. Those include: the flu, rhinovirus, croup, pneumonia, and others including RSV, the number one reason for hospitalization of children under age 1 in the United States. It can lead to other infections including bronchiolitis (inflammation of the small airways in the lung) and pneumonia (infection of the lungs), especially in babies.

The digital health arm of OSF HealthCare will provide support for patients with a pediatric respiratory virus and caregivers in the comfort of their own homes. Enrollment offers a connection to OSF OnCall care teams 24/7 and monitoring tools that will aid in proactive response to worsening respiratory virus symptoms, keeping infants and toddlers out of the hospital.

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

“For the more common cold type symptoms, we can recommend the 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, RN, says OSF OnCall was able to implement its 24/7 digitally enabled, at-home support program for RSV so quickly two years ago because of its experience with similar monitoring to help patients with chronic conditions such as diabetes and heart failure. Smith says parents and caregivers have loved it.

How it works

“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.”

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

“So we have a pulse oximeter to monitor oxygen levels and their heart rate and then we have a thermometer, and 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 also receive step-by-step written instructions as well as a video demonstration for how to use what’s provided in the kit.

The OSF OnCall respiratory illness RPM program is for anyone in Illinois or Michigan. Patients must have a positive test or diagnosis of a respiratory infection 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 OSF OnCall nurse 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 a 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.”

Last season, the remote monitoring program for pediatric respiratory viruses enrolled a total of 717 babies and toddlers from September through April.

At OSF HealthCare and across the country, there is concern a return to school and more activities moving indoors this fall could accelerate the transmission of RSV, the flu, COVID-19, and other viral illnesses. Dr. Stapel advises making sure you and everyone around you practices good hand hygiene, coughs into the inside of their elbow, and stays home from parties and other obligations if you are sick.

If you suspect your child has symptoms of RSV, the flu, or some other respiratory virus that don’t appear life-threatening, you can reach out to your pediatrician, primary care provider or OSF OnCall Urgent Care which also has a virtual visit option anytime.

Video clips with Dr. Mary Stapel and Rose Smith, RN

B-roll for RPM for pediatric viruses

OSF On Call, the digital health arm of Peoria, Illinois-based OSF HealthCare has enrolled nearly 80 more babies and toddlers in a program to monitor at home, those with respiratory illness. The program provides support for patients with a pediatric respiratory virus. Enrollment offers a connection to OSF OnCall care teams 24/7 and monitoring tools that will aid in proactive response to worsening respiratory virus symptoms, keeping infants and toddlers out of the hospital.

September through January of this year, the program enrolled 966 children compared to 890 a year ago. This comes as the Illinois Department of Public Health (IDPH) announced that after a one-week dip, the state’s overall respiratory illness level has ticked up again from Moderate to High, driven by a notable increase in emergency department (ED) visits and hospital admissions for flu.

The program requires a referral from a medical provider and is for babies and toddlers 5 and under with a confirmed diagnosis. Referrals can be made by providers in a hospital emergency department, OSF OnCall Urgent Care, OSF PromptCare, medical offices, or following hospital discharge.

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

“For the more common cold type symptoms, we can recommend the 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, RN, says OSF OnCall was able to implement its 24/7 digitally enabled, at-home support program for RSV so quickly two years ago because of its experience with similar monitoring to help patients with chronic conditions such as diabetes and heart failure. Smith says parents and caregivers have loved 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.”

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

“So we have a pulse oximeter to monitor oxygen levels and their heart rate and then we have a thermometer, and 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 also receive step-by-step written instructions as well as a video demonstration for how to use what’s provided in the kit.

Smith says parents who have a child in the program can request a video visit at any time. The OSF OnCall nurse 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 a 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.”

Dr. Stapel advises making sure you and everyone around you practices good hand hygiene, coughs into the inside of their elbow, and stays home from parties and other obligations if you are sick.

If you suspect your child has symptoms of RSV, the flu, or some other respiratory virus that don’t appear life-threatening, you can reach out to your pediatrician, primary care provider or OSF OnCall Urgent Care which also has a virtual visit option anytime.

Dr. Mary Stapel

Rose Smith

B-roll for OSF OnCall at-home pediatric respiratory monitoring

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

Now health professionals are warning the public about a number of health concerns that can come with sitting on the toilet too long and scrolling on your cell phone. 

Many people have gotten into the habit of taking their phone into the bathroom with them and scrolling TikTok or Instagram while they do their business. 

Kaylin Heinz, an infection preventionist registered nurse at OSF HealthCare, recommends making the mental decision to not even take your phone with you. 

A simple flush doesn't get rid of the nastiness that is common in the restroom. Especially with bathrooms that have showers and bathtubs in them. 

The moisture in the room can lead to bacteria, fungi and virus growth, not just inside the toilet, but on all bathroom surfaces. 

Heinz calls these a “breeding ground” for germs. 

“With sitting and scrolling, you're sitting there for long periods. Your hands are probably dirty before you go to the bathroom, because you're typically not washing your hands before you go to the bathroom. Then when you're sitting on the toilet, you're probably setting your phone down on a surface area that has germs," Heinz says. "Then you'll wash your hands, which you'll typically think your hands are clean, but they're not. Then you wash your hands and pick up the phone that was on the surface with germs, and now your hands are dirty again. And you're picking up the germs, taking them elsewhere, and spreading them to other people.”

Does your toothbrush hang out on the bathroom counter? You might want to rethink that. 

Heinz says if it's not put away safely, it likely has fecal matter on it. 

Another tip, she says, is to close the lid before flushing. It helps keep the germs inside and not aerosolize across the room.

Health Highlights Video Version With Chyrons

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