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Hospitalizations increase as virus ‘trifecta’ spreads across state

By Emma Herwehe

Posted January 10, 2024

Indiana is currently handling a trifecta of respiratory illnesses, consisting of RSV, the flu and COVID-19. (Chris Meyer/Indiana University)

Viral respiratory illnesses have been on the rise across the state, as winter and cold weather set in. Indiana is currently handling a trifecta of respiratory illnesses, consisting of RSV, the flu and COVID-19.

It is possible to get all three at the same time, also known as the ‘trifecta.’

Graham McKeen, Director of Public and Environmental Health in the IU Office of Environmental Health and Safety, said that hospitalizations are up and all three viruses are coming to fruition. RSV may be more on a national decline, but the flu and COVID are both getting close to peaking.

“Flu is getting very close to peaking, we think,” McKeen said. “There was a slight decline in Marion County’s data that I follow over last week, but that doesn’t mean that it couldn’t go back up again. And that level is still really high, it’s about as high as it was this time last year, which was a pretty bad flu season.”

The key to avoiding the ‘trifecta’ is prevention, especially getting the COVID booster shot and flu shot.

The vaccines will not necessarily prevent transmission, but they will help lessen symptoms.

“So there’s certainly time if you have not been boosted, which only 17 percent of Hoosiers have gotten the new bivalent vaccine,” McKeen said. “You still have time to get your flu shot. So both of those would still be advised.”

An RSV vaccine is available to adults 60 years and older and pregnant people. An RSV antibody immunization is available for infants.

Along with getting vaccinated, McKeen advises taking precautions such as wearing a mask in crowded spaces and staying home if sick.

“If and when you do wear a mask, wear one that works better,” McKeen said. “Surgical masks are going to help, but they’re not going to be as effective as something like a KN95 or an N95. These viruses are so tiny they can hang out in the air, so that is still of value as well.”

The new COVID-19 variant, JN.1, is super mutated and highly transmissible. McKeen recommends testing for COVID multiple times if sick or if you have been in contact with someone known to have it.