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Cold? Flu? H1N1? How can you tell the difference?

By: cnn.comPosted On: 09/21/2009 3:24 P

When Tyra Smith's boyfriend, Chris Lewis, first suggested they be guinea pigs in a H1N1 vaccination study in August, she wasn't so crazy about the idea. But then she warmed to it: While she doesn't like needles, she thought she'd help out because she knew H1N1 was a serious virus.
To cut your risk of catching a bug, doctors say wash your hands and avoid touching your mouth, nose and eyes.

To cut your risk of catching a bug, doctors say wash your hands and avoid touching your mouth, nose and eyes.

"I heard people might die from it," Smith said. "So I think it's a good idea to help people, by being involved."

Lewis and Smith, both from Baltimore, Maryland, were among the first Americans to receive H1N1 flu shots. As part of a trial of 2,400 people, they gave blood samples and kept diaries of their symptoms, all in an effort to get an H1N1 vaccine ready for the fall. Now that the results from this and other trials are in, Health and Human Services Secretary Kathleen Sebelius announced that the FDA has approved applications from four manufacturers to make H1N1 flu vaccine, which should be ready for high-risk patients by October 15. She said there will be enough vaccine available for everyone eventually.

And that's just in time. With fall in the air and old man winter right around the corner, seasonal flu and the common cold are sure to follow -- and H1N1 is here; in its most recent H1N1 update, the Centers for Disease Control and Prevention said 21 states are reporting widespread flu activity.

This cold and flu season could star a cornucopia of viruses. Doctors say they worry the two flu strains (H1N1 and seasonal) could combine, further complicating the situation. Mix in colds, which are prevalent this time of year, and the immune system of Americans could be dealt a one-two punch.

So, how can someone tell if those sniffles they're having is something to be concerned about?

Infectious disease experts say people need to be aware of the symptoms. Dr. Shmuel Shoham, an infectious-disease specialist at Washington Hospital Center, says the common cold, seasonal flu and H1N1 are all respiratory illnesses, but they're caused by different viruses.

Symptoms of the cold are more common, and can make the patient miserable for three to five days. A patient usually has a stuffy nose, congestion, some body aches and a growing cough.

According to the CDC seasonal flu and H1N1 symptoms consist of fever, more painful body aches, dry cough, diarrhea and severe fatigue. It's hard, without testing, to tell apart the seasonal strain of flu from the H1N1 variety. Video Watch more on cold, flu and H1N1 symptoms

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