As we approach another flu season it is important to consider possible beliefs regarding flu vaccination that our patients may have but won’t state as the reason for their refusal to be vaccinated. The CDC estimated approximately 80,000 deaths were associated with influenza infection during the 2017-2018 flu-season, which is the highest mortality rate in recent history.
“I got the flu shot, and it gave me the flu.”
To address this common misconception patients should be informed about the Inactivated Influenza vaccine not containing live virus. They should also be told that vaccination does not confer full immunity for nearly 2 weeks, and they may have contracted the flu during this time. This highlights the importance of being vaccinated before peak flu activity.
“I got the flu shot, and I still got the flu.”
The CDC reports that the 2017-2018 vaccine effectiveness was estimated to be 40%, which is to say that patients who were vaccinated were 40% less likely to require medical attention for flu illness. Beyond this, evidence suggests that vaccinated patients requiring hospitalization for flu were 37% less likely to require ICU admission. Of all child flu-related deaths during the 2017-2018 season, 80% were in unvaccinated children.
“I’m allergic to eggs, and I can’t get the flu shot.”
If a patient can consume cake that contains eggs and the “allergic reaction” does not involve anaphylactoid symptoms, they are able to receive the standard Inactivated Influenza Vaccine. In patients with anaphylactoid reactions to eggs the Recombinant Influenza Vaccine (Flublok) contains no egg protein.
Products the pharmacy is currently stocking include: Flulaval (+/-preservative) (IIV4) for patients 6 months of age and older and is the same dose for all age groups; Flumist (LAIV4) (nasal) for non-pregnant patients ages 2-49 years; Flublok (egg-free) (RIV4) for patients 18 years and older with egg allergy; and Fluzone high-dose for our patients 65 years and older.
Given all the facts and the wide range of products available to suit our patients, we are prepared to meet your healthcare needs this influenza season.
1. What You Should Know for the 2017-2018 Influenza Season. Centers for Disease Control and Prevention. https://www.cdc.gov/flu/about/season/flu-season-2017-2018.htm. Published 2018. Accessed November 2, 2018. 2. Arriola C, Garg S, Anderson EJ, et al. Influenza Vaccination Modifies Disease Severity Among Community-dwelling Adults Hospitalized With Influenza. Clin Infect Dis. 2017;65(8):1289-1297.
Time to Get Vaccinated for the 2018 Flu Season
October has just begun and it’s the perfect time to get your flu shot. Getting vaccinated each year provides the best protection throughout flu season. It’s important to get a flu vaccine every year, even if you got vaccinated the season before. Flu strains constantly change, and it’s not unusual for new flu viruses to appear each year.
Flu season typically begins in October and November, peaks during the months of December through February and then tapers off in the spring.
The flu vaccine takes about two weeks after vaccination to fully develop protective antibodies against the flu virus. The U.S. Centers for Disease Control and Prevention (CDC) recommends people get vaccines by the end of October to be fully immunized against this year’s flu. Infants and some young children who need two doses for full protection should start the vaccination process soon, because the two doses must be given at least four weeks apart.
The CDC has updated its age recommendation this year to include babies six months of age. Children six months through eight years of age will need two doses of flu vaccine if they are getting vaccinated for the first time or if they have only had one dose of flu vaccine in the past. Children who have had two doses of flu vaccine (given at any time) only need one dose per season.
To prevent the spread of flu to children younger than 6 months and too young to get a flu vaccine, everyone who is around the baby should be vaccinated. Also, studies have shown that flu vaccination of a mother during pregnancy can protect the baby after birth from flu infection for several months.
According to CDC, flu can spread from the person who is ill to others up to six feet away. Most experts think that flu viruses spread mainly by droplets made when people with flu cough, sneeze or talk. These droplets can land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs. A person can also get flu by touching a surface or object that has flu virus on it and then touching their own mouth, nose, or possibly their eyes.
People with flu are most contagious in the first three to four days after their illness begins. Most healthy adults may be able to infect others beginning one day beforesymptoms develop and up to five to seven days after becoming sick. Children and some people with weakened immune systems may pass the virus for longer than seven days. Generally speaking, most people can return to school or work after being fever-free without fever-reducing medications for at least 24 hours.
Symptoms can begin about two days after the virus enters the body. That means that you may be able to pass on the flu to someone else before you know you are sick, as well as while you are sick. Some people can be infected with the flu virus but have no symptoms. During this time, those people may still spread the virus to others.
The best way to avoid getting ill is to get the flu vaccine every season. Flu vaccines are available at all Valley Health primary care center, including school-based health locations. If you have questions about the safety of the influenza vaccine, and which type of vaccine delivery system is best for you and your loved ones (spray, injection, jet injector), please feel free to call your Valley Health provider for information.
If you are having flu-like symptoms and would like an evaluation, please contact your primary care provider or call your local Valley Health location.
Preventive Health & Adult Immunizations
As the saying goes, an ounce of prevention is worth a pound of cure. Korey Mitchell, MD, a Valley Health family medicine provider at our Fort Gay and Stepptown locations, discusses preventive care and the importance of immunizations through adulthood. Contact your neighborhood Valley Health location to schedule an appointment today.
Valley Health Supports Vaccines for Children Program
In addition to new clothes, shoes and supplies, school readiness also involves getting children vaccinated. Valley Health is here to help parents, grandparents and other caregivers get children up to date on their required vaccines prior to the start of school.
Valley Health locations are part of the West Virginia and Ohio Vaccines for Children (VFC) Program, which ensures that all children in our service area have the opportunity to receive their recommended vaccinations on schedule, regardless of insurance status or ability to pay. Vaccinations protect babies, young children and adolescents from 16 diseases.
All vaccines under the VFC program are free to qualifying children, although other fees may apply. To qualify, children must be younger than 19 years of age and Medicaid-eligible, uninsured or underinsured.
Now is the perfect time for parents to ensure that their children’s immunizations are in check. West Virginia law requires that all children enrolled in a public, private or parochial school in the state, or at a state-regulated child care center, be appropriately immunized prior to admission. In particular, children entering Pre-K, Kindergarten, second grade, seventh grade and twelfth grade will need to have their vaccinations up to date before school starts in the fall. Ohio has very similar requirements for students entering Kindergarten, seventh and twelfth grades.
Parents of infants should also ensure that their babies are immunized. Following the recommended immunization schedule protects infants and children by providing immunity early in life, before they come into contact with potentially life-threatening diseases.
Some adults have concerns about the safety of vaccines and about the number of shots that may be given to a child during one doctor’s visit. Healthcare providers, like Valley Health, have confidence and trust that vaccines are safe and effective. Research and constant monitoring have generated data to show vaccines are highly protective against serious diseases, and any side effects are mild and rare. Three or four shots given to a baby may seem a lot, but it adds up to protection against more than a dozen diseases and contains fewer antigens than what a baby encounters every day in normal exposure to the world.
For more information about the VFC program or to make an appointment to update your child’s immunizations, please call your neighborhood Valley Health center.