{"id":15993,"date":"2020-10-14T13:00:34","date_gmt":"2020-10-14T17:00:34","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=15993"},"modified":"2024-05-28T09:52:38","modified_gmt":"2024-05-28T13:52:38","slug":"influenza-a-vs-influenza-b","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/influenza-a-vs-influenza-b\/","title":{"rendered":"Influenza A vs. Influenza B: What\u2019s the difference?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\"><a href=\"#causes\">Influenza A vs. B causes<\/a> | <a href=\"#prevalence\">Prevalence<\/a> | <a href=\"#symptoms\">Symptoms<\/a> | <a href=\"#diagnosis\">Diagnosis<\/a> | <a href=\"#treatments\">Treatments<\/a> | <a href=\"#risk-factors\">Risk factors<\/a> | <a href=\"#prevention\">Prevention<\/a> | <a href=\"#when-to-see-a-doctor\">When to see a doctor<\/a> | <a href=\"#faqs\">FAQs<\/a> | <a href=\"#resources\">Resources<\/a><\/span><\/p>\n<p><span style=\"font-weight: 400;\">It starts small. You might wake up with an annoying throat tickle and a runny nose, or you might feel a little more groggy throughout the day than usual. But there&#8217;s more on the way. You come down with a fever, chills, body aches, and you&#8217;re couch-ridden with the <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/what-is-the-flu\/\"><span style=\"font-weight: 400;\">flu<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span data-sheets-root=\"1\" data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;&quot;}\" data-sheets-userformat=\"{&quot;2&quot;:6849,&quot;3&quot;:{&quot;1&quot;:0},&quot;9&quot;:1,&quot;10&quot;:2,&quot;12&quot;:0,&quot;14&quot;:{&quot;1&quot;:2,&quot;2&quot;:0},&quot;15&quot;:&quot;Arial&quot;}\" data-sheets-formula=\"=CONCATENATE(R[0]C[-2],R[0]C[-3],R[0]C[-1])\"><\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8220;The flu&#8221; has become a broad term that people use to incorrectly describe a wide range of illnesses. We often hear people say &#8220;Oh, I came down with the stomach flu last week,&#8221; or &#8220;The kids got the 24-hour flu.&#8221; But <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/cold-vs-flu\/\"><span style=\"font-weight: 400;\">\u201cflu\u201d<\/span><\/a><span style=\"font-weight: 400;\">\u00a0refers to <\/span><a href=\"https:\/\/www.cdc.gov\/flu\/about\/viruses\/types.htm\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">four types of influenza viruses <\/span><\/a><span style=\"font-weight: 400;\">(A, B, C, and D), most prominently influenza A and influenza B.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Influenza A can infect humans and animals. In most cases, it\u2019s associated with <\/span><a href=\"https:\/\/www.cdc.gov\/flu\/about\/season\/flu-season.htm\"><span style=\"font-weight: 400;\">seasonal<\/span><\/a><span style=\"font-weight: 400;\"> epidemics in the United States (a.k.a &#8220;<\/span><a href=\"https:\/\/www.singlecare.com\/blog\/flu-season-2020\/\"><span style=\"font-weight: 400;\">flu season<\/span><\/a><span style=\"font-weight: 400;\">&#8220;) and global pandemics. It&#8217;s always changing, so it has various subtypes, including the infamous bird flu (avian influenza) and <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/news\/g4-swine-flu-expert-review\/\"><span style=\"font-weight: 400;\">swine flu<\/span><\/a><span style=\"font-weight: 400;\">. On the other hand, influenza B has two subtypes (Victoria and Yamagata), which occur, for the most part, only in humans and mutate slower, so it&#8217;s not really a pandemic risk.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Read on for a complete guide to these two types of flu viruses.<\/span><\/p>\n<h2 id=\"causes\"><span style=\"font-weight: 400;\">Causes<\/span><\/h2>\n<h3><span style=\"font-weight: 400;\">Influenza A<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The most <\/span><a href=\"https:\/\/www.cdc.gov\/flu\/about\/disease\/spread.htm\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">common form of transmission<\/span><\/a><span style=\"font-weight: 400;\"> is through tiny droplets created when an infected person talks, sneezes, coughs, or breathes heavily. Type A is also (albeit very rarely) contracted via contact with an <\/span><a href=\"https:\/\/www.cdc.gov\/flu\/avianflu\/virus-transmission.htm\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">infected animal<\/span><\/a><span style=\"font-weight: 400;\">, like a bird or pig. Influenza can also be transmitted through inanimate objects if a sick individual contaminates it, such as a doorknob.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Influenza B<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Like influenza A viruses, influenza type B is primarily transmitted through contact with the droplets when an infected individual coughs, sneezes, or talks. Animals aren&#8217;t usually susceptible to the influenza B virus, so generally aren\u2019t considered to be carriers.\u00a0<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th>\n<h2><span class=\"title\">Influenza A vs. B causes<\/span><\/h2>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b>Influenza A<\/b><\/td>\n<td><b>Influenza B<\/b><\/td>\n<\/tr>\n<tr>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Contact with droplets from an infected individual<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Contact with infected animals (rare)<\/span><\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Contact with droplets from an infected individual<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/how-do-you-get-the-flu\/\"><b>Is the flu airborne? Learn how the flu spreads<\/b><\/a><\/p>\n<h2 id=\"prevalence\"><span style=\"font-weight: 400;\">Prevalence<\/span><\/h2>\n<h3><span style=\"font-weight: 400;\">Influenza A<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Influenza A is the most common type of flu. It accounts for <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5102436\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">approximately 75% of total flu virus infections<\/span><\/a><span style=\"font-weight: 400;\">, and it&#8217;s the most likely cause of the &#8220;seasonal flu&#8221; that hits the U.S. every winter. That&#8217;s not a small number, especially considering the <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3278149\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">25 to 50 million cases nationwide every year<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.cdc.gov\/mmwr\/volumes\/68\/wr\/mm6824a3.htm\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">During the 2018-19 flu season,<\/span><\/a><span style=\"font-weight: 400;\">, the Centers for Disease Control and Prevention (CDC) tested 1,145,555 specimens for influenza, and of the 177,039 positive results, 95% were influenza A.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Influenza A is further broken down into <\/span><a href=\"https:\/\/www.cdc.gov\/flu\/about\/viruses\/types.htm\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">subtypes based on 2 proteins<\/span><\/a><span style=\"font-weight: 400;\"> on the surface of the virus called <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2395936\/pdf\/bullwho00427-0070.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">hemagglutinin and neuraminidase<\/span><\/a><span style=\"font-weight: 400;\">.. The subtypes of both of these proteins result in many different possible combinations\u00a0 and unique influenza A viruses. In addition, small genetic mutations that cause changes in these surface proteins over time may allow these strains to improve their ability to infect people each season. This characteristic presents challenges in predicting a predominantly circulating influenza A virus when it comes to deciding on the composition of the influenza vaccine months before the actual flu season hits. All of these factors together contribute to the predominance of influenza A virus infection each season.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Influenza B<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Of course, numbers and percentages can vary from season to season. For example, the early stages of the 2019-2020 influenza season saw<\/span><a href=\"https:\/\/www.cdc.gov\/mmwr\/volumes\/69\/wr\/mm6902e1.htm?s_cid=mm6902e1_e&amp;deliveryName=USCDC_921-DM16973\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\"> influenza B as the most common type<\/span><\/a><span style=\"font-weight: 400;\">, especially among children.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But most years, it takes a backseat to type A. It doesn&#8217;t spread quite as easily because it mutates slower and only has two main subtypes: Victoria and Yamagata.. On average, though, type B infections account for around 25% of total flu cases.\u00a0<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th>\n<h2><span class=\"title\">Influenza A vs. B prevalence<\/span><\/h2>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b>Influenza A<\/b><\/td>\n<td><b>Influenza B<\/b><\/td>\n<\/tr>\n<tr>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Around 75% of all influenza cases (on average)<\/span><\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">About 25% of all influenza cases (on average)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">More common and severe among children<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 id=\"symptoms\"><span style=\"font-weight: 400;\">Symptoms<\/span><\/h2>\n<h3><span style=\"font-weight: 400;\">Influenza A<\/span><\/h3>\n<p><a href=\"https:\/\/www.cdc.gov\/flu\/about\/keyfacts.htm\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Symptoms<\/span><\/a><span style=\"font-weight: 400;\"> of\u00a0 influenza A tend to be similar regardless of subtype. The most common are runny nose, sore throat, fever, chills, body aches, and fatigue.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The main difference is their severity. Type A symptoms often come on stronger and sometimes result in hospitalization or even death.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Influenza B<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Type B causes similar <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/flu-symptoms\/\"><span style=\"font-weight: 400;\">symptoms<\/span><\/a><span style=\"font-weight: 400;\"> to the ones listed above, but they&#8217;re usually milder. However, it still has the potential to increase in severity, causing hospitalization and death,<\/span><a href=\"https:\/\/publications.aap.org\/pediatrics\/article-abstract\/138\/3\/e20154643\/52696\/Hospitalization-for-Influenza-A-Versus-B?redirectedFrom=PDF\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\"> particularly in children<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th>\n<h2><span class=\"title\">Influenza A vs. B symptoms<\/span><\/h2>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b>Influenza A<\/b><\/td>\n<td><b>Influenza B<\/b><\/td>\n<\/tr>\n<tr>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Runny nose<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sore throat<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fever<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Chills<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Body aches<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cough<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Headaches<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fatigue<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Chest discomfort<\/span><\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Runny nose<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sore throat<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fever<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Chills<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Body aches<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cough<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Headaches<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fatigue<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Chest discomfort<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">(Symptoms can be less severe than influenza A)<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/news\/coronavirus-symptoms-vs-cold-and-flu\/\"><b>Coronavirus (COVID-19) vs. the flu vs. a cold<\/b><\/a><\/p>\n<h2 id=\"diagnosis\"><span style=\"font-weight: 400;\">Diagnosis<\/span><\/h2>\n<h3><span style=\"font-weight: 400;\">Influenza A<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">A physical exam is the first step. If the doctor identifies common flu signs and symptoms and there is circulating flu activity in the local community, they will likely order a test to confirm the diagnosis. Every flu test requires a healthcare provider to swab a patient&#8217;s nose or sometimes throat.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The fastest and most common <\/span><a href=\"https:\/\/www.cdc.gov\/flu\/symptoms\/testing.htm\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">test<\/span><\/a><span style=\"font-weight: 400;\"> is a rapid influenza diagnostic test (RIDT). Results take 10 to 15 minutes, but they might be less accurate than other tests. Plus, RIDTs don&#8217;t provide information about the subtypes of influenza A.\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.cdc.gov\/flu\/professionals\/diagnosis\/overview-testing-methods.htm\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Rapid molecular assays<\/span><\/a><span style=\"font-weight: 400;\"> are also common in-office tests. They take slightly longer but are more accurate than some RIDTs in that there is a less chance of a test producing a false negative or false positive.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If a doctor needs more detailed information about the virus&#8217; genetic material and strain, they might send the swab to a lab for more in-depth molecular assays that can differentiate influenza A subtypes.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Novel type A viruses, typically animal-borne, don\u2019t often show up on more basic, commercially-available tests. If a doctor suspects a novel virus, they should discuss the possibility of\u00a0 a reverse transcription-polymerase chain reaction (RT-PCR) test with local and state health departments.\u00a0 Viral culture is also another available test which is generally not used for clinical decision-making, but for more extensive evaluation of viruses. Culture is most often used for monitoring of potentially novel influenza A or B viruses that might be considered for the next flu season vaccines.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Influenza B<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Like type A, the diagnosis begins with a physical examination, which can sometimes be enough to make a diagnosis. But a test is often necessary for confirmation.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Even though type B is often a less complex virus, <\/span><a href=\"https:\/\/www.cdc.gov\/flu\/professionals\/diagnosis\/clinician_guidance_ridt.htm\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">RIDTs are less sensitive to its antigens<\/span><\/a><span style=\"font-weight: 400;\">, so these tests aren&#8217;t always accurate. Consequently, a doctor might order a more robust test if they suspect a type B infection.\u00a0<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th>\n<h2><span class=\"title\">Influenza A vs. B diagnosis<\/span><\/h2>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b>Influenza A<\/b><\/td>\n<td><b>Influenza B<\/b><\/td>\n<\/tr>\n<tr>\n<td>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">Rapid influenza diagnostic test (RIDT)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Rapid molecular assays<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Viral culture<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reverse transcription-polymerase chain reaction (RT-PCR) (if the doctor suspects a novel type A strain)<\/span><\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">Rapid influenza diagnostic test (RIDT)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Rapid molecular assays<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Viral culture<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 id=\"treatments\"><span style=\"font-weight: 400;\">Treatments<\/span><\/h2>\n<h3><span style=\"font-weight: 400;\">Influenza A<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Supportive care is important in the management of a flu infection. Most people simply hunker down with home remedies like lots of fluids, plenty of rest, and that all-healing homemade chicken soup. Pain relievers like <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/ibuprofen\"><span style=\"font-weight: 400;\">ibuprofen (Motrin)<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/acetaminophen\"><span style=\"font-weight: 400;\">acetaminophen (Tylenol)<\/span><\/a><span style=\"font-weight: 400;\"> are highly effective at mitigating flu symptoms but are not active against the virus.\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.singlecare.com\/conditions\/influenza-a-treatment-and-medications\"><span style=\"font-weight: 400;\">Antiviral medications<\/span><\/a><span style=\"font-weight: 400;\"> are available, but even these are unable to completely eradicate the influenza virus. They are able to shorten the severity and duration of symptoms by approximately one day, therefore prompt initiation should be considered for those\u00a0 who are part of high-risk groups for complications (children, the elderly, other medical conditions), or who have severe symptoms. The rationale to take antiviral medications despite their inability to eradicate viral replication includes that they may reduce risk of complications, including hospitalization. For patients already hospitalized, some data supports initiation of these medications can reduce the risk of death.\u00a0 These medications should be initiated as early in the viral course as possible\u2013ideally within two days of exhibiting flu symptoms. <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/tamiflu\"><span style=\"font-weight: 400;\">Tamiflu<\/span><\/a> <a href=\"https:\/\/www.singlecare.com\/prescription\/tamiflu\"><span style=\"font-weight: 400;\">(oseltamivir phosphate)<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/relenza-diskhaler\"><span style=\"font-weight: 400;\">Relenza (zanamivir)<\/span><\/a><span style=\"font-weight: 400;\">, Rapivab (peramivir) and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/xofluza-80-mg-dose\"><span style=\"font-weight: 400;\">Xofluza<\/span><\/a> <a href=\"https:\/\/www.singlecare.com\/prescription\/xofluza-80-mg-dose\"><span style=\"font-weight: 400;\">(baloxavir)<\/span><\/a><span style=\"font-weight: 400;\"> are all available antivirals to treat flu. Each of these medications have their own role in therapy. For example, Tamiflu (oseltamivir) is FDA approved for use in adults and pediatric patients as young as 14 days old for treatment of influenza infection for typically a 5 day course; it also is FDA approved for prophylaxis in high risk individuals following a known exposure. Rapivab (peramivir) is available as an intravenously administered medication and is therefore used almost exclusively in patients who are hospitalized. Rapivab (peramivir) can be administered as a single dose as treatment in uncomplicated cases, but with other available options is more likely to be reserved for patients who are hospitalized and unable to receive any of the other treatment options, at which time it is administered as a daily infusion for up to 5 to 10 days.\u00a0 Relenza (zanamivir) is a powder that is inhaled using an inhaler device twice daily for 5 days, and while it can be used in children as young as 7 years of age it should be avoided in people with breathing problems (like asthma or COPD). Relenza (zanamivir) can also be given for post-exposure prophylaxis like Tamiflu (oseltamivir). Xofluza (baloxavir) is a pill taken as a single dose by mouth for both treatment and post-exposure prophylaxis.\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Influenza B<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Type B <\/span><a href=\"https:\/\/www.cdc.gov\/flu\/treatment\/whatyoushould.htm\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">treatments <\/span><\/a><span style=\"font-weight: 400;\">are nearly identical to type A treatments. The most common response is simply to let the illness run its course while consuming fluids, resting, and taking over-the-counter medications.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Because influenza B is generally less severe, it might not require antiviral medication, although healthcare providers might still prescribe them for high-risk individuals.\u00a0<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th>\n<h2><span class=\"title\">Influenza A vs. B treatments<\/span><\/h2>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b>Influenza A<\/b><\/td>\n<td><b>Influenza B<\/b><\/td>\n<\/tr>\n<tr>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Home remedies (fluids, rest, OTC pain relievers)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Prescription antivirals<\/span><\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Home remedies (fluids, rest, OTC pain relievers)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Prescription antivirals<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/conditions\/influenza-treatment-and-medications\"><b>Influenza treatments and medications<\/b><\/a><\/p>\n<h2 id=\"risk-factors\"><span style=\"font-weight: 400;\">Risk factors<\/span><\/h2>\n<h3><span style=\"font-weight: 400;\">Influenza A<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Influenza A is unpleasant for the average person. Still, it can be dangerous for seniors (65 or older), <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/22078723\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">children<\/span><\/a><span style=\"font-weight: 400;\">, pregnant women, people with compromised immune systems, or people with a chronic health condition (like heart disease, kidney disease, or asthma).\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Influenza B<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Risk factors for type B infections and complications are very similar, although influenza B is more prevalent among children.\u00a0<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th>\n<h2><span class=\"title\">Influenza A vs. B risk factors<\/span><\/h2>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b>Influenza A<\/b><\/td>\n<td><b>Influenza B<\/b><\/td>\n<\/tr>\n<tr>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Aged 65 or older<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Aged 5 or younger<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pregnancy<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Obesity<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Chronic conditions (asthma, heart disease, kidney disease, etc.)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Weakened immune system<\/span><\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Aged 65 or older<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Aged 5 or younger<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pregnancy<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Obesity<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Chronic conditions (asthma, heart disease, kidney disease, etc.)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Weakened immune system<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/flu-complications\/\"><b>Which groups are at high-risk for flu complications?<\/b><\/a><\/p>\n<h2 id=\"prevention\"><span style=\"font-weight: 400;\">Prevention<\/span><\/h2>\n<h3><span style=\"font-weight: 400;\">Influenza A<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">One effective strategy for effective flu prevention (and healthy living in general) is to limit potential exposure. This means <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/how-to-wash-your-hands\/\"><span style=\"font-weight: 400;\">washing hands<\/span><\/a><span style=\"font-weight: 400;\">, avoiding extended contact with infected individuals, disinfecting infected surfaces, etc. Anyone who&#8217;s already come down with influenza A can help stop its spread by staying home and coughing or sneezing into their elbow.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Beyond that, the most effective line of defense is the <\/span><a href=\"https:\/\/www.cdc.gov\/flu\/prevent\/vaxsupply.htm\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">influenza vaccine<\/span><\/a><span style=\"font-weight: 400;\"> (flu shot).All flu shots will now be quadrivalent, meaning they can protect against four different flu viruses. Historically, the flu vaccine was designed to protect against only three different flu viruses: two influenza A viruses (H1N1 and an H3N2 virus) and one influenza B virus. The quadrivalent vaccines include an influenza B virus from a second lineage to provide even broader protection against circulating seasonal influenza viruses.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Strains of influenza A (H3N2) can mutate quickly, though, so health officials have to anticipate its evolution every year. As a result, the seasonal flu vaccine <\/span><a href=\"https:\/\/www.cdc.gov\/flu\/vaccines-work\/vaccineeffect.htm#why_flu_vax_less_effective_against_H3N2\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">can be less effective in preventing type A infections<\/span><\/a><span style=\"font-weight: 400;\"> if that prediction is off.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Influenza B<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Taking the same general precautions (washing hands, avoiding sick individuals, etc.) effectively prevents type B infection and spread. The flu vaccine is typically a safe bet for influenza B, but it might not always be a perfect match for the annual strain.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It&#8217;s important to dispel a common myth here. Getting a flu shot will not infect someone with influenza A or B. The vaccines contain dead viruses or a single influenza protein, or in the case of the nasal spray vaccine weakened live virus, none of which are <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/flu-shot-reactions\/\"><span style=\"font-weight: 400;\">enough to infect a human<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th>\n<h2><span class=\"title\">How to prevent influenza A vs. B<\/span><\/h2>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b>Influenza A<\/b><\/td>\n<td><b>Influenza B<\/b><\/td>\n<\/tr>\n<tr>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Avoiding sick individuals<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Washing hands<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Disinfecting surfaces<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Maintaining healthy eating, sleeping, and exercise habits<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Seasonal flu vaccine<\/span><\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Avoiding sick individuals<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Washing hands<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Disinfecting surfaces<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Maintaining healthy eating, sleeping, and exercise habits<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Seasonal flu vaccine<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 id=\"when-to-see-a-doctor\"><span style=\"font-weight: 400;\">When to see a doctor for influenza A or B<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">A majority of people will ride out the flu from home with only mild-to-moderate symptoms. But sometimes it&#8217;s better to visit your healthcare provider. Anyone with one or more of the risk factors for complications listed above should consider seeing a professional to make sure it doesn&#8217;t evolve into a more severe disease or respiratory infection.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A healthcare provider might also be necessary for individuals with severe or prolonged symptoms or other complications like difficulty breathing, chest pain, sudden dizziness, vomiting, neck stiffness, or loss of consciousness.<\/span><\/p>\n<h2 id=\"faqs\"><span style=\"font-weight: 400;\">Frequently asked questions about Influenza A and B<\/span><\/h2>\n<h3><span style=\"font-weight: 400;\">Which is worse: influenza A or influenza B?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Influenza type A and type B are similar, but type A is overall more prevalent, sometimes more severe, and can cause flu epidemics and pandemics.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Is influenza A virus or bacteria?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Influenza A is a virus, although it may present with similar symptoms of common respiratory bacterial infections, like sinusitis.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">How long does Type A flu last?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Symptoms typically last five to seven days, although they can linger for up to two weeks. Getting a pre-emptive flu shot or taking antiviral medications can help shorten the duration.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">How contagious are influenza A and B?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Influenza is considered a contagious infectious disease. The <\/span><a href=\"https:\/\/sph.umich.edu\/pursuit\/2020posts\/how-scientists-quantify-outbreaks.html\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">reproductive number<\/span><\/a><span style=\"font-weight: 400;\">, or R0 (pronounced \u201cR naught\u201d) is a term used to describe just how contagious an infectious disease may be. For seasonal influenza, the R0 is generally 1 or 2\u2013meaning for every person with influenza, they transmit the infection to 1 or 2 other individuals. For context, measles is reported to have an R0 of 12 to 18, while SARS-COV-2 (the virus responsible for COVID-19) has an R0 of 1.5 to 3.5.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The flu virus can spread from an infected person up to <\/span><a href=\"https:\/\/www.cdc.gov\/flu\/about\/disease\/spread.htm\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">6 feet away<\/span><\/a><span style=\"font-weight: 400;\"> through <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/how-do-you-get-the-flu\/\"><span style=\"font-weight: 400;\">respiratory droplets<\/span><\/a><span style=\"font-weight: 400;\"> made when they cough, sneeze, or talk. Less commonly, the virus can live for a period of time on inanimate objects like doorknobs and be transmitted when picked up by an individual who goes on to touch their mouth, nose, or even eyes.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">How long is influenza A and B contagious?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">People with the flu are <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/how-long-is-the-flu-contagious\/\"><span style=\"font-weight: 400;\">contagious<\/span><\/a><span style=\"font-weight: 400;\"> one day before symptoms develop and five to seven days after that.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Does influenza go away on its own?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">In most cases, yes. Generally, it will run its course in seven to 10 days. High-risk individuals (children, the elderly, those with chronic medical conditions, etc.) may need to see a healthcare provider to prevent further flu complications.<\/span><\/p>\n<h2 id=\"resources\"><span style=\"font-weight: 400;\">Resources<\/span><\/h2>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.cdc.gov\/flu\/vaccines-work\/vaccineeffect.htm\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Vaccine effectiveness: How well do the flu vaccines work?<\/span><\/a><span style=\"font-weight: 400;\">, CDC<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.cdc.gov\/flu\/professionals\/diagnosis\/clinician_guidance_ridt.htm\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Rapid influenza diagnostic tests<\/span><\/a><span style=\"font-weight: 400;\">, CDC<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/pediatrics.aappublications.org\/content\/pediatrics\/138\/3\/e20154643.full.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Hospitalization for influenza A versus B<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">Pediatrics<\/span><\/i><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.cdc.gov\/mmwr\/volumes\/69\/wr\/mm6902e1.htm?s_cid=mm6902e1_e&amp;deliveryName=USCDC_921-DM16973\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Morbidity and mortality weekly report<\/span><\/a><span style=\"font-weight: 400;\">, CDC<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3278149\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Influenza update<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">Pharmacy and Therapeutics<\/span><\/i><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5102436\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Estimating the lineage dynamics of human influenza B viruses<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">PLOS One<\/span><\/i><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.cdc.gov\/flu\/other\/canine-flu\/keyfacts.html\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Key facts about canine influenza (dog flu)<\/span><\/a><span style=\"font-weight: 400;\">, CDC<\/span><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Influenza A vs. B causes | Prevalence | Symptoms | Diagnosis | Treatments | Risk factors | Prevention | When to see a doctor | FAQs | Resources It starts small. You might wake up with an annoying throat tickle and a runny nose, or you might feel a little more groggy throughout the day [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":54457,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[11169,3381],"coauthors":[8861],"class_list":["post-15993","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-cold-flu","tag-vaccines","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Influenza A vs. B: Differences, causes, symptoms, treatments, &amp; more<\/title>\n<meta name=\"description\" content=\"Influenza Type A can be more severe than Type B. Another difference is Influenza Type B is only found in humans, whereas Type A can be found in animals too. 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Another difference is Influenza Type B is only found in humans, whereas Type A can be found in animals too. 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