How many days does it usually take for someone with type A flu to no longer be contagious?

Feb 21, 2025 Source: Cainiu Health
Disease description:

I was recently diagnosed with influenza A and am currently undergoing treatment. I read online that flu patients need to be isolated for a certain period to prevent spreading the illness to others. May I ask, under normal circumstances, after how many days does a person with influenza A no longer remain contagious? What precautions should be taken during this period?

Doctor's answer (1)
Dr. Ren Yi

Influenza A refers to type A influenza. Generally, individuals infected with influenza A are no longer contagious 7 to 14 days after infection, although the exact duration may vary among individuals.

Influenza A virus causes a highly contagious respiratory illness, primarily spread through droplets. Patients are most contagious from one day before symptoms appear to seven days after symptom onset. Children and individuals with weakened immune systems may remain contagious for a longer period. However, the level of contagiousness is related to the viral load, which typically decreases gradually after symptoms subside. Therefore, determining whether a person remains contagious should consider not only the time factor but also their clinical presentation.

Five days after illness onset, the contagiousness of influenza A diminishes significantly. As the host's immune response develops, viral replication is gradually suppressed, and the shedding of virus particles also decreases. Seven days after symptom onset, most patients are no longer contagious, as the viral load has decreased and the patient is usually in the recovery or convalescent phase. However, for some individuals with poor physical condition or severe illness, the contagious period might be prolonged, and they may still shed small amounts of virus and remain somewhat contagious for up to 2–3 days after symptoms have completely resolved.

In daily life, it is important to ensure adequate rest, maintain sufficient hydration, enhance nutrition, and strengthen one's immune system to promote faster recovery.