“Understanding hMPV: The Hidden Threat Behind Flu-Like Symptoms”

Rasel Ahmed
3 min readJan 4, 2025

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When flu season hits, most people think about influenza as the primary culprit behind sniffles, coughs, and fever. But lurking in the shadows is another virus that often flies under the radar: *human metapneumovirus* (hMPV). Though lesser-known, hMPV is a significant cause of respiratory illness and can sometimes mimic the flu, making it an essential topic for public awareness.

### What is hMPV?
Human metapneumovirus, or hMPV, was first discovered in 2001 but has likely been affecting humans for centuries. It belongs to the same family of viruses as respiratory syncytial virus (RSV) and is a leading cause of respiratory infections worldwide, particularly in children, the elderly, and immunocompromised individuals.

### Symptoms: hMPV vs. the Flu
At first glance, hMPV can look a lot like the flu. Common symptoms include:
- Fever
- Cough
- Runny or stuffy nose
- Sore throat
- Fatigue

In severe cases, hMPV can lead to:
- Bronchitis
- Pneumonia
- Shortness of breath

Unlike the flu, hMPV may present more gradually, and gastrointestinal symptoms (like nausea and vomiting) are less common.

### How Does hMPV Spread?
Much like the flu, hMPV spreads through respiratory droplets from coughing, sneezing, or touching contaminated surfaces. Outbreaks are most common in late winter and early spring, overlapping with flu season, which can complicate diagnosis.

### Why Is hMPV Often Overlooked?
1. Similar Symptoms: The overlap in symptoms with the flu, RSV, and COVID-19 means hMPV often goes untested.
2. Limited Awareness: Public and healthcare professionals alike may not always consider hMPV in respiratory illness cases.
3. No Specific Treatment: Unlike influenza, there is no vaccine or antiviral specifically for hMPV, which can make it seem less urgent.

### Diagnosis and Treatment
Diagnosing hMPV requires specific laboratory tests, such as PCR tests, which are not routinely performed unless requested.

Treatment focuses on symptom relief:

  • Rest and hydration
  • Over-the-counter fever reducers and pain relievers
  • In severe cases, hospitalization for oxygen therapy or other supportive measures

### Preventing hMPV
Prevention strategies are similar to those for flu and other respiratory viruses:

  • Hand Hygiene: Wash hands frequently with soap and water.
  • Avoid Contact: Stay away from people who are sick and avoid touching your face.
  • Disinfect Surfaces: Regularly clean commonly touched objects like doorknobs and phones.
  • Masking: Consider wearing a mask in crowded or high-risk settings during respiratory virus season.

### Why It Matters
Though hMPV often causes mild illness, it can lead to severe complications in vulnerable populations. Increased awareness is essential for better diagnosis, prevention, and management. Additionally, the development of vaccines or targeted treatments could significantly reduce its impact on global health.

### Final Thoughts
The next time you or someone you know experiences flu-like symptoms, consider that it might not be the flu at all. Viruses like hMPV remind us of the complexity of respiratory illnesses and the importance of vigilance during seasonal outbreaks.

Stay informed, protect yourself, and let’s keep the conversation going about emerging health threats like hMPV.

What are your thoughts or experiences with hMPV? Let us know in the comments!

Understanding hMPV: The Hidden Threat Behind Flu-Like Symptoms, Author: Rasel Ahmed, Graduate Research Assistant at Multimedia University.
Photo by HH E on Unsplash

Author: Rasel Ahmed, Graduate Research Assistant at Multimedia University.

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Rasel Ahmed
Rasel Ahmed

Written by Rasel Ahmed

Bachelor of Science at AIUB • Masters at MMU • Graduate Research Assistant

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