What seasonal flu is
Seasonal flu is a common and highly contagious respiratory infection.
It is usually caused by influenza A or B viruses, but there are many subtypes and strains.
Seasonal flu can cause mild to severe illness. Most people recover within a few days, but some people are at greater risk of getting severely unwell from it.
Seasonal flu is caused by a different virus to COVID-19.
Seasonal flu vaccines are the best protection against severe illness from flu.
Why it matters to public health
Seasonal flu is a common cause of hospitalisation. Before the COVID-19 pandemic, it was the most common cause of notifiable disease deaths.
Flu infections can vary widely from year to year. During the COVID-19 pandemic, flu cases were lower than usual, as COVID-19 restrictions reduced the spread of flu.
On average, each year in Australia, seasonal flu results in an estimated:
- 3,500 deaths
- 300,000 general practitioner consultations
- 18,000 hospitalisations.
This has a major impact on:
- individuals – through illness, missed school or work, complications like pneumonia, hospitalisation and death
- our health system – through added demand on health professionals, clinics and hospitals
- businesses and our economy – through lost work time and productivity.
Because of these major impacts, and the fact that new flu viruses can cause pandemics, we:
- monitor and report on the patterns of flu infections in Australia
- plan for how to manage major outbreaks and pandemics.
Symptoms
If you have serious symptoms – such as severe shortness of breath or chest pain – call 000 immediately.
Common symptoms include:
- fever and chills
- cough
- sore throat
- runny or stuffy nose
- tiredness
- headache
- muscle and joint pain.
Symptoms might range from mild to severe, and you might not get all of those symptoms.
healthdirect’s symptom checker can help you:
- work out whether you have the flu or another illness
- decide whether to see a doctor.
Onset of symptoms
Symptoms will usually show about 2 days after getting infected, but this can range from 1 to 4 days.
How it spreads
Seasonal flu spreads easily through droplets from your respiratory tract. When you do things like talk, cough or sneeze, these droplets disperse through the air and may land on people and surfaces.
Other people can catch seasonal flu by:
- their mouth, nose or eyes coming into contact with these droplets
- breathing in these droplets
- touching surfaces or objects that have been in contact with an infected person, then touching their mouth, nose or eyes.
Read more about how seasonal flu spreads.
Infectious period
The time people are usually most infectious are the first 3 days after symptoms appear. You can infect others from the day before you show symptoms until around 7 days after symptoms begin, sometimes longer.
Prevention
Flu vaccines are available to protect against the most common strains. Eligible people can get vaccines for free under the National Immunisation Program or state or territory programs. If you are not eligible for a free vaccine, you can buy one from your doctor or pharmacy.
The best ways to protect against seasonal flu are to:
- get vaccinated each year, especially around April–May
- if you are sick with cold and flu symptoms, stay home and if you need to leave home, wear a mask
- put physical distance between yourself and others
- maintain good hygiene, including by regularly washing your hands and maintaining respiratory hygiene
- avoid touching your eyes, nose and mouth, particularly if you are around people who are unwell
- regularly clean objects and surfaces you use often, such as mobile phones and door handles.
Read more ways to prevent the flu.
High-risk groups and settings
Some people are at greater risk of getting the flu or of getting very sick from it.
The flu can spread quickly in homes and other settings including:
- residential aged care homes
- other residential care facilities
- childcare centres
- schools.
If you are at greater risk, it is especially important to:
- get your flu vaccination each year – it’s free for certain people in high-risk groups
- take steps to protect yourself
- avoid crowded places
- avoid people who are sick with cold and flu symptoms
- see your doctor as soon as symptoms start – medicine works best when taken in the first 2 days of illness.
People at greater risk may choose to wear a face mask in a public place, and when around others.
People at greater risk of severe disease
Seasonal flu poses a greater risk of severe illness for:
- babies and young children (aged under 5 years)
- people aged 65 years or older
- people who are pregnant
- Aboriginal and Torres Strait Islander people
- people with some chronic conditions
- people who are immunocompromised
- people who smoke.
People at greater risk of becoming infected
People are at greater risk of becoming infected with seasonal flu if they:
- are not up to date with their annual vaccination
- have had contact with someone who has the flu – especially if they have been in close and prolonged contact (such as living in the same house).
Diagnosis and treatment
Your doctor can diagnose the flu with a flu test. The sample is usually collected from your nose or throat with a cotton swab and sent do a laboratory for testing.
You can test yourself with a rapid antigen test (RAT) that detects the flu. These tests are widely available in supermarkets and pharmacies. These are not as accurate as tests requested by your doctor.
Read more about diagnosing the flu.
You can use healthdirect’s directory to find a health service near you.
Most people will get better without any treatment within 7 to 10 days. If you’re at risk of severe illness, your doctor might prescribe antiviral or pain medicines.
Antibiotics are not used to treat the flu, because they do not work for viral infections. Taking antibiotics when you don’t need them can increase the risk of antibiotic resistance.
Read more about how to manage or treat the flu.
Surveillance and reporting
Influenza is a nationally notifiable disease – these are diseases that present a risk to public health.
Health authorities in each state and territory report new laboratory confirmed cases to us daily through the National Notifiable Diseases Surveillance System.
We also track data on flu collected through other surveillance systems, including:
- Influenza Complications Alert Network (FluCAN)
- FluTracking
- Australian Sentinel Practices Research Network (ASPREN)
- Short Period Incidence Study of Severe Acute Respiratory Infection (SPRINT-SARI).
This helps us to:
- monitor case numbers around the country
- understand who is at risk of severe disease
- know where to target public health actions
- decide whether we need to take action.
We analyse the data, and report on flu case numbers through:
- our influenza dataset
- the Australian Respiratory Surveillance Report
- our data visualisation tool, where you can filter and search the latest information.
For more information about our surveillance and reporting activities, see our:
- communicable diseases surveillance activities
- Australian national surveillance plan for COVID-19, influenza, and RSV
- Australian Influenza Surveillance Program.
Outbreaks
Seasonal flu outbreaks are common, especially in winter months. Their frequency and severity vary depending on:
- the strains circulating
- vaccination rate
- public health measures.
State and territory health departments provide guidance and support for outbreaks of seasonal flu – for example, in aged care homes or hospitals.
We have a national plan for responding to flu in certain situations when it presents a serious threat to Australia, such as when:
- a new flu virus with pandemic potential is circulating
- a state or territory requests assistance with seasonal flu.
In these cases, we follow our action plans, to minimise the impact on the health of Australians and on our health system.
Read more about how we define and plan for outbreaks and pandemics.
Support
For information about seasonal flu in your state or territory see:
- Australian Capital Territory
- New South Wales
- Northern Territory
- Queensland
- South Australia
- Tasmania
- Victoria
- Western Australia.
We regularly add new content to this website. This will include more topics and diseases. In the meantime, information about other diseases in Australia is on the Department of Health and Aged Care’s website.