Ten Questions on
Influenza and the Liturgy

Throughout the years, the BCL Newsletter has addressed the liturgical implications of the transmission of pathogens on numerous occasions. As the flu season once again approaches, the Secretariat for the Liturgy has consulted with experts and offers the following brief reflections on influenza and the Liturgy.
According to the Centers for Disease Control "influenza (commonly called `the flu') is a contagious respiratory illness caused by influenza viruses. Infection with influenza viruses can result in severe illness and life-threatening complications. An estimated 10% to 20% of U.S. residents get the flu each year: an average of 114,000 people are hospitalized for flu-related complications and 36,000 Americans die each year from complications of flu."
Various concerns with the availability and efficacy of influenza vaccines have again raised issues of concern.
According to the Centers for Disease Control, "as with other infectious illnesses, one of the most important and appropriate preventive practices is careful and frequent hand hygiene. Cleaning your hands often using either soap and water or waterless alcohol-based hand sanitizers removes potentially infectious materials from your skin and helps prevent disease transmission."
According to the CDC, "influenza viruses are spread when a person who has the flu coughs, sneezes, or speaks and spreads virus into the air, and other people inhale the virus. When these viruses enter the nose, throat, or lungs of a person, they begin to multiply, causing symptoms of the flu.
The viruses can also be spread when a person touches a surface with flu viruses on it (for example, a door handle) and then touches his or her nose or mouth. A person who is sick with the flu can spread viruses - that means they are contagious. Adults may be contagious from one day before developing symptoms to up to seven days after getting sick. Children can be contagious for longer than seven days."
While the single best way to prevent the flu is to get vaccinated each fall, the CDC recommends these other ways to prevent the flu: "Avoid close contact with people who are sick. When you are sick, keep your distance from others to protect them from getting sick too; stay home when you are sick. If possible, stay home from work, school, and errands when you are sick. You will help prevent others from catching your illness; cover your mouth and nose. Cover your mouth and nose with a tissue when coughing or sneezing. It may prevent those around you from getting sick; clean your hands. Washing your hands often will help protect you from germs; Avoid touching your eyes, nose or mouth. Germs are often spread when a person touches something that is contaminated with germs and then touches his or her eyes, nose, or mouth."
In those localities where the outbreak of the disease has been the most significant, bishops have introduced several liturgical adaptations in regard to such practices as the
distribution of Holy Communion and the exchange of the Sign of Peace in order to limit the spread of contagion.
Priests, deacons, and extraordinary ministers of Holy Communion should be especially reminded of the need to practice good hygiene. Ministers of Holy Communion should be encouraged to wash their hands before Mass begins, or even to use an alcohol based anti-bacterial solution before and after distributing Holy Communion. They should instruct people who feel ill not to receive from the cup.
The Diocesan Bishop should always be consulted regarding any changes or restriction of options in the celebration of Roman Catholic Liturgy. However, the need for the introduction of widespread liturgical adaptations for the prevention of the transmission of influenza in the dioceses of the United States of America is not evident at this time.
The Secretariat will continue to closely monitor the situation and provide the best advice possible to Diocesan Bishops and their Offices for Worship. The Secretariat likewise appreciates whatever information Diocesan Offices for Worship are able to provide concerning local conditions and the pastoral responses developed by Diocesan Bishops. Continuously updated information is available from the Centers for Disease Control at http://www.cdc.gov/flu/.
Copyright ©2004 by the United States Conference of Catholic Bishops. Dioceses and Parishes may reproduce this resource, provided that it is not offered for sale and that this copyright notice is included on all copies.