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Young Hockey Player’s Death A Flu Warning

January 22, 2018 2 comments

By Amy Pisani, Executive Director of Every Child By Two/Vaccinate Your Family

Each of us has a tipping point; the moment when a news story becomes personal, more impactful and perhaps spurs action.

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Every Child By Two Executive Director, Amy Pisani, with her son Nicholas, a fellow hockey player from CT.

After hearing of the tragic death of 10-year-old Nico Mallozzi, an ice hockey player from a neighboring town who died Sunday from complications related to flu, I immediately reached out to our hockey league president to ask him to urge our teams to implement the same flu protocol that Nico’s team is now doing: Stay home if you have symptoms of influenza, don’t share water bottles and shake hands post game with gloves on. Thursday evening our league distributed Nico Mallozzi # 7 memorial stickers for every player’s helmet.

According to friends and family writing online, Nico was a sweet, happy, healthy child from New Canaan, CT. He had traveled to upstate New York to cheer on his team during a hockey tournament in which he did not participate because he was feeling sick.  Nico was hospitalized on his way home and died the same day, reportedly from influenza and its complications.

As the executive director of Every Child By Two, a national non-profit organization whose mission is to ensure that all families are protected from vaccine-preventable diseases, it saddens me to learn of yet another family suffering the devastating loss of a child. As a fellow hockey mom, this tragedy resonates deeply.  Anyone with a child on a team knows that hockey families are a tight group. From fall to early spring, we travel the region at all hours of the day and night in support of our children. We cherish our children’s teammates, who we watch grow up from wobbly “learn to skaters” to dedicated players who often commit five or six days a week to practice and playing games, building lifelong friendships.

Nico’s tragic death is a poignant reminder that children of any age, even those who are healthy and athletic, can be taken by flu in a heartbeat. 

Each year, the Centers for Disease Control and Prevention warns us that approximately 100 children will die from influenza every season. Sadly, as of last week, here in the U.S. there have already been 30 children who died from flu so far this season, and this number will continue to climb, as we are nowhere near the end of this outbreak. Unfortunately, these kinds of statistics don’t always resonate with the public and as a result, health advocates are challenged to find ways to spur families to take the time to vaccinate everyone 6 months and older against flu each and every year.

To make matters worse, there are mixed messages about the effectiveness of influenza vaccines and getting across the idea that some protection from the vaccine is better than none is often difficult. As with any infectious disease, community prevention is of paramount importance. Since no vaccine is 100 percent effective and not everyone is able to be vaccinated due to age or underlying medical conditions, we must provide a barrier around one another to keep diseases from taking the lives of children like Nico.

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It’s not too late to get a flu shot for yourself and your family.

While the peak of flu activity varies from year to year, it often occurs between December and February, and can last as long as until May. Although 12,000 to 56,000 people die each season, influenza vaccination has been shown to reduce the risk of flu-associated death by 65 percent among healthy children and by 51 percent among children with underlying high-risk medical conditions. Other research indicates that adults benefit from repeated flu vaccination year after year. The study found flu vaccination was 74 percent effective in preventing intensive care unit admissions in older individuals and 70 percent effective in preventing deaths among older adults.

These statistics matter and they all say the same thing; protect your entire family from flu by getting vaccinated against this potentially deadly disease every year.

For more information on this year’s flu season, visit:

 


This editorial was originally published in the Hartford Courant.

 

Is This Season’s Flu More Severe Than Usual or Just Highly Active?

January 13, 2018 10 comments

At this point in the flu season people often wonder if all the media hype is part of an orchestrated effort to panic people about flu, or if it is really signaling serious concern.

There are lots of flu stories in the news these days.  From reports of  74 Californian’s who’ve died from flu – five times the number seen at this point last year – to 13 school districts in TX closing due to the high number of flu cases among students, we’re left to wonder….

Is this year’s flu season more severe than usual or just highly active at the moment?

A recent CDC media briefing has helped clarify the following concerns regarding the latest flu activity in the U.S.: 

Right now, flu is widespread everywhere.  

One of the most notable differences between this season and others is in relation to the geographic spread of flu. This is the first time over the course of 13 years of surveillance data that the entire nation is experiencing widespread flu at the exact same time, as can be noted by the color of CDC’s flu surveillance map below.

FluWeeklyReportActivity is severe right now.

 

One of the ways the CDC tracks influenza activity is to record the number of lab confirmed cases of flu and hospitalizations by week. What they’ve noted is a very rapid increase in the number of people seeing their healthcare providers for flu diagnosis, along with a rapid rise in the numbers of people being hospitalized with lab confirmed flu. For instance, this week’s surveillance data indicates that there’s been 22.7 hospitalizations per 100,000 people in the U.S., which is up considerably from the 13.7 number recorded last week.

So far this season, influenza A (H3N2), has been the most prevalent strain in circulation. Unfortunately, historically it is often the strain linked to more severe illness, especially among children and older individuals above the age of 65. Interestingly enough, the current flu surveillance observations seem to be in line with two more previous H3N2 dominant seasons; the 2014-2015 and 2012-2013 seasons.WHOPHL02_small

Additionally the hospitalizations so far this season seem to be in line with other H3N2 predominant seasons, with the highest rates among those over the age of 65, those between 50-64, and children under 5 years of age.

Flu can cause mild disease in some, but severe disease and death in others.

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Sadly, there have been as many as 30 pediatric deaths so far this season. While children are at great risk, there are plenty of reports of otherwise healthy adults who have been hospitalized or died from flu this season.

Peak season may have started early, but there are many more weeks to go.

Speaking to the media on behalf of the CDC on Friday, Dr.  Jernigan explained,

“If we look at the timing of the season, even if we have hit the top of the curve or the peak of the seasonal activity, it still means we have a lot more flu to go.”

He went on to suggest that there will likely be at least 11 to 13 more weeks of elevated influenza activity this season, before activity begins to subside. Even though it can take about two weeks for protection from vaccination to set in, Dr. Jernigan explained that we still have a lot of flu season to get through and that vaccination efforts should continue as long as influenza viruses are circulating.

While we are seeing a lot of H3N2 circulating now, we are also seeing H1N1 show up in states that have already had H3N2 activity. And we know that B viruses also tend to show up later in the season. Each of these strains are covered in the vaccine, so flu vaccination now can still help to prevent, or lessen the severity of flu throughout the remainder of the season.

Vaccination is our best defense.  

While flu vaccination is far from perfect, it remains our best defense. Not only can it help prevent flu, but it can also help lessen the severity of symptoms if a vaccinated person does end up getting infected.  This can reduce the chances of an individual being hospitalized or dying from flu.

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In fact, a recent study showed that influenza vaccination reduced the risk of flu-associated death by 65% among healthy children and by 51% among children with underlying high-risk medical conditions. Another study indicated that many older adults benefit from repeated flu vaccination. When getting vaccinated in both the current and previous seasons, the study found flu vaccination was 74% effective in preventing ICU admissions in older individuals and 70% effective in preventing deaths among older adults.

Manufacturers are reporting that they’ve shipped more than 151 million doses of flu vaccine this season, so there shouldn’t be a problem finding a flu vaccine in your area.  Simply refer to the flu vaccine finder for assistance.

We won’t know preliminary flu vaccine effectiveness until February.  

Read more…

Most Popular Posts of 2017 Address Flu, Vaccine Safety, Disease Outbreaks and Maternal Vaccines

December 27, 2017 Leave a comment

As we look back at the success of the Shot of Prevention blog this past year, we’re especially grateful to our blog readers, contributors and subscribers.

Whether you’ve shared a post, shared your story, or shared your expertise, we recognize that our growth and success would not have been possible without your support. Thanks to you, our posts are helping people to make important immunization decisions for themselves and their families.

In these final days of 2017, we hope that you will revisit the top ten posts from the past year and share them with others in your social networks.  

1)  3 Things I’ve Learned Since Losing My Son To Flu

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It’s been eight years since Serese Marotta of Families Fighting Flu lost her five-year-old son, Joseph, to the flu. She’s not the same person she was eight years ago. Today, she sees things through a different lens as a bereaved parent. Losing a child is devastating, but she feels a responsibility to pass on some of the lessons she’s learned through her personal tragedy, which she does in her article here.

 

2)  10 Things Parents Who Don’t Vaccinate Their Kids Should Know

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In some cases, children who have suffered with a preventable disease were unvaccinated.  This could be the result of parents who did not have access to certain vaccines, parents who willfully refused a particular vaccine, or it could because they were too young to be fully vaccinated. After Riley Hughes passed away in the arms of his parents when he was just 32 days old, his parents made it their mission to educate people about the dangers of whooping cough, and promote the need for vaccination. In a plea to parents who still choose not to vaccinate, Riley’s mom posted the following list of “things to know” here.

 

3)  Even With All Our Modern Medicine I Watched My Sister Die From Flu

lizaLiza was healthy and only 49 years old when she contracted flu. She sought medical care early. She was cared for at a good hospital in a major city.  She had no other infections. And she was unvaccinated. To say that her death was a surprise to her brother is an understatement.  And yet her brother, Dr. Michael Northrop is a pediatric intensive care physician. His story traces the clinical course of Liza’s illness, and expresses the grief he felt as he helplessly watched his sister  succumbs to an illness that even modern medicine can’t always save us from. To read his story, click here.

 

4) Take It From This Mom, The Flu Is No Joke

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After her four-year old daughter is rushed to the emergency room, she writes a warning to others.  “The words just the flu need to be eradicated from our lexicon. Because this? This is the flu. There’s no ‘just’ about this. It was terrifying. It was the most helpless I’ve ever felt as a mommy. And it was potentially deadly.  All because I was too busy to get our flu shots.” Read the full story here.

 

5) Flu Vaccine Benefits Go Beyond Effectiveness of One Strain

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Amid speculation about how effective the flu vaccine will be this year, Dr. LJ Tan addresses some of the public’s most prominent concerns. He starts with a basic explanation of flu and flu vaccines, discusses the factors that play into vaccine effectiveness, and addresses rumors about this year’s flu vaccines. To gain a better understanding, read more here.

 

6) How My Sister Helped Save My Daughter From Whooping Cough

As a Medical Director responsible for Community Health and Prevention at Intermountain Healthcare in Salt Lake City, Utah, Tamara Sheffield is a huge advocate for SOTI_Pertussis_FBimmunizations. She is especially appreciative of maternal immunizations, which she considers one of today’s most promising new preventive health strategies. But her reasons go beyond her professional understanding of how maternal flu and Tdap vaccines pass on protective antibodies to newborns. Her surprising story ends with a twist involving her own daughter who nearly died from whooping cough when she was just three weeks old. Read it here.

 

7) Multiple Vaccine Oversight Committees Ensure Our Public Safety

While 2017 brought a lot of uncertainty about health services in this country, Dr. Dorit Reiss, Professor of Law at the University of California Hastings College of Law, explains 178_NFID_Vaccine_Safety_infograms_2_FINALwhy the public should remain confident in vaccine safety. In this post she reviews the specific ways in which vaccine safety is regulated in the U.S., and the oversight committees that monitor vaccines pre and post licensure. Her scrutiny explains that it would be hard to hide a problem if one existed, and that when problems do occur, they are quickly discovered and addressed. To learn more about vaccine safety oversight, read the full post here.

 

8) Why Should Vaccinated Individuals Worry About Measles Outbreaks

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With various measles outbreaks reported across the U.S. and the world in 2017, it’s important to understand why vaccinated individuals should be concerned. Many people mistakenly think that vaccinated individuals are not at risk during outbreaks. However, when it comes to infectious diseases like measles, one person’s decision not to vaccinate can negatively impact the health of others and this post explains how.

 

9) Five Things I’ve Learned About Vaccines Through 21 Years of Parenting

HowHerdImmunityWorksWe’ve all received plenty of unsolicited advice about how to care for our children. However, when making health decision for our families we should rely on evidence based research and credible information from reputable sources. In this post, I share five of the most important things I’ve learned about vaccines through my journey as a parent and immunization blogger. Spoiler alert: it begins with science and it ends with action.

 

10) Five Things Expectant Parents Need to Know About Vaccines in Pregnancy

SOTI-PregnancyCoverFBWhile well-meaning friends and family will provide a constant stream of advice on what to do and what to avoid while pregnant, all this information can be overwhelming. Expectant couples should rely on credible medical sources such as the CDC, the American College of Obstetricians and Gynecologists (ACOG), and the American College of Nurse Midwives. This blog post reviews the 5 things these trusted organizations say about the flu and Tdap vaccines routinely recommended during pregnancy. Learn more here.

 

We hope you have found our content to be engaging and informative.  We have exciting changes planned for Shot of Prevention in 2018 in hopes of engaging even more people in these important immunization conversations in the years to come.  

If you have suggestions for topics you would like us to address in 2018, or you would like to contribute a guest post for publication, please email shotofprevention@gmail.com.

Also, if you want to receive important immunization news and join in our online discussions, be sure to “Like” our Vaccinate Your Family Facebook page, follow our @ShotofPrev Twitter feed and subscribe to Shot of Prevention by clicking the link on the top right of this page.

Thanks again for your continued support and best wishes for a happy and healthy new year!

Flu Vaccine Benefits Go Beyond Effectiveness of One Strain

December 11, 2017 2 comments
LJ TanGuest post by Litjen (LJ) Tan, MS, PhD; co-chair and co-founder of the National Adult and Influenza Immunization Summit.

 

There seems to be a lot of speculation recently about how effective the influenza (flu) vaccine will be at preventing cases of influenza this season.

We have heard suggestions that the vaccine may only be 10% effective against flu this year, that there may be mismatches in the vaccine compared to the influenza strains that are circulating, and thus, that the vaccine is not worth getting.

To address these concerns I will start with a basic explanation of flu and flu vaccines, and then discuss the factors that play into vaccine effectiveness.

First, let me say that influenza is a serious respiratory infection that is responsible for about 30% of all the respiratory infections during the winter season. When I say serious, I mean that flu can keep you down for a week or more, and you will feel completely miserable. Additionally, each year thousands of people of all ages die from flu in the U.S.; it can be very dangerous. So, that office colleague who said that he was out with the flu yesterday very likely did not have influenza. Not fully understanding the dangers of flu is why some people fail to see the value of flu prevention.  

Flu is caused by multiple strains of influenza viruses that circulate during the winter season; specifically, we have influenza type A (with the H3N2 and H1N1 strains) and influenza type B (there are two type B strains that can circulate and currently 90% appear to be the Yamagata lineage, but since it is still so early in the season and sample sizes are small, this data point may not be statistically significant). Because these strains of flu viruses can switch every season in terms of dominance, and can also mutate, manufacturers need to develop a new influenza vaccine every year and people need to be re-vaccinated each year.

To be clear, the vaccine development process is the same every year, it is just that the starting, or “seed”, vaccine virus that we immunize against has to be identified before it can be used to develop our country’s annual vaccines.

When that seed virus is identified, it is then amplified (or passaged) to develop more seed virus. Then that seed virus is further amplified to create the large quantities of vaccine virus that we ultimately need to prepare an adequate supply of vaccines to protect our population. That amplification of the seed virus, and the making of large amounts of vaccine virus, can occur in eggs, which is the more traditional way, or it can also occur in cell cultures. So there needs to be four seed viruses developed and amplified to create influenza vaccines – an H3N2 seed, an H1N1 seed, and the two B seed viruses.

So why do we keep hearing people say that this year’s flu vaccine may only be 10% effective? Where did that suggestion come from?

When we say that a flu vaccine is 10% effective, what we usually mean is that it was effective in preventing 10% of cases of influenza in those who were vaccinated. This 10% number that you may have heard is actually a data point from Australia, and it’s not against all strains of flu, but specifically against the H3N2 strain that dominated the southern hemisphere this past flu season. If you look at the Australian data for all influenza, the vaccine effectiveness goes up to 33%. Agreed, that’s not great for Australians (although, it’s still better than no protection), but is looking at the Australian data truly reflective of what might happen in the US?

It’s unlikely, and here’s why. Read more…

Take it From This Mom, the Flu is No Joke

November 6, 2017 Leave a comment
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This week, the Centers for Disease Control and Prevention (CDC) has organized a Flu Blog-a-thon, calling for immunization supporters to post content about the importance of flu vaccination.  We are honored to share Immunize Nevada’s special contribution, which is a powerful story shared to help educate parents about the dangers of flu.

 


 The Flu is No Joke, by Mikalee Byerman

 

The words “just the flu” need to be eradicated from our lexicon.

Because this? This is the flu.

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There’s no “just” about this. It was terrifying. It was the most helpless I’ve ever felt as a mommy. And it was potentially deadly.

My baby, 4 years old and so very tiny, is the real face of the flu.

I rushed her to the emergency room one midnight a few weeks ago because she was suddenly having trouble breathing. She had been home sick from school with a fever all day, and I even took her to her doctor earlier that afternoon fearing it might be the flu. But he didn’t even test her, because, as he assured me, “I haven’t seen any flu yet this year.” What he did see were signs of an ear infection, so he sent us home with antibiotics.

But just eight hours later saw the onset of spasms that rocked her whole body as she struggled for air. I’ll never forget the empty look of lethargy behind her eyes, contrasting against the sheer effort it took to inhale breath. She was so sick, and I knew we couldn’t wait until morning. By the time we got to the ER, she was hypoxic. The definition of hypoxia:

When your body doesn’t have enough oxygen; this is a dangerous condition. Without oxygen, your brain, liver, and other organs can be damaged just minutes after symptoms begin.

It was there we were tested and learned that this was all due to the flu.

All told, I easily could have lost my baby if I had waited a few more minutes to rush her to the ER. And in terms of the far less important (but very real) financial impact, I just received a bill for $11,427 in the mail.

All because I was “too busy” to get our flu shots just yet — because I was sure I still had ample time. I was “too busy” juggling all the stuff of single mommyhood — kids’ crazy schedules, career, marketing my book, setting up speaking engagements, planning a surprise vacation for my family, taking care of all the day-to-day stuff — all things that seem so trivial now, that I completely overlooked something that could have prevented all this pain and suffering. Luckily, there should be no long-term medical issues though, and again, I couldn’t be more grateful for that.

But yeah, because I’m a single mom, this hospital visit will have long-term financial ramifications. And it was likely preventable. If only.

So in the aftermath of this life-changing event, I have new perspective and a few takeaways about the flu:

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1. We need to stop calling everything that is not the flu “the flu.”

As a culture, I feel like we’ve become desensitized to the seriousness of the flu, because we say we have the “stomach flu” when we spend a few days throwing up. But hey, here’s a fun fact: There’s NO SUCH THING AS STOMACH FLU — influenza is a respiratory illness, whereas when people throw up a lot, that’s a gastrointestinal illness. So please, call a stomach bug just that — a stomach bug or stomach virus. It’s not the flu.

2. If you’ve ever had the flu, you KNOW YOU’VE HAD THE FLU.

I hear people sometimes say something like “I think I might have a touch of the flu,” or “I think I had the flu a few days ago, but I’m good now.” Nope. Doesn’t happen. The flu is like death, but with the unfortunate complication of still being alive. I can say this because, of course, since I hadn’t scheduled a flu shot for my kids, I also had skipped my own — which means I too came down with the flu, while in the hospital holding a bedside vigil for my toddler. I spent two days sitting next to my sick daughter, not being able to sleep except on a hard-as-nails fold-out torture device called a “hospital cot,” while suffering from the flu myself. Fever, chills, never-ending achiness all over my body, a throat that felt like fire — It. Was. AWESOME.

And I’ll never forget the pain, the sleeplessness due to the pain or the mere longevity of it (I started Tamiflu right away, which typically shaves a day or two off of symptoms — but I was still sick for eight solid days). There’s no guesswork about the flu — you have it, or you don’t, and if you do, you KNOW.

3. Let’s say you could get a quick and painless vaccine to prevent all this. Spoiler alert: You CAN!

The vaccine isn’t perfect, but it increases your likelihood of not contracting the three or four predicted strains for a given season. And as a mommy who just watched her tiny toddler suffer for days in the hospital and then be quarantined for many more in our home, I can say this: If I could increase her likelihood of NOT getting the flu by pretty much any percentage in exchange for a shot, I would take it. And according to the CDC: “While vaccine effectiveness can vary, recent studies show that flu vaccination reduces the risk of flu illness by between 40 percent and 60 percent among the overall population during seasons when most circulating flu viruses are well-matched to the flu vaccine.” Forty to 60 percent? Yeah, I’ll take it.

4. The flu shot does not give you the flu. Just stop saying that.

If you happen to get the flu right after getting the shot, that’s quite the unfortunate coincidence, but keep this in mind: It takes only one to four days for symptoms to appear after you contract the flu, and it takes up to two weeks for the body to build antibodies. So if you get the flu within these windows, chances are you already had the flu and/or your body wasn’t fully protected yet. It is NOT because you got the shot. That’s simply not possible. Some people do experience relatively minor symptoms immediately following the flu shot, but that is; a) not the flu, and b) likely just your body’s immune system reacting to the vaccine as it should, and symptoms subside rather quickly.

MikaleeSo if you’re a busy parent, this blog is for you. Or if you think that a flu shot doesn’t work, or isn’t “worth it,” or that your child will get over it because it’s “just the flu,” I hope you keep this baby in mind. 

Because take it from me: I would have done anything to prevent our 10 days of hell. I’m pretty sure you would do the same for your kids, if given the chance. And you have the chance.

Please, make time for the flu shot. Today.

Mikalee Byerman is the author of this post and the VP of Strategy for the Estipona Group, one of Immunize Nevada’s communication partners. She is also a freelance writer and mom to three kids, all of whom have now received their flu shots — and will every year moving forward, on or before Oct. 1.

 


Other Flu Blog-a-thon participants include the following:

To further support the CDC’s efforts to promote flu vaccination, join in on the #FluStory Twitter Storm, beginning December 6 at 1 pm ET.  To encourage vaccination and emphasize the seriousness of flu, @CDCFlu is asking participants to share their experiences with having the flu using the hashtag #FluStory.  By tweeting about missing major life events to facing a serious illness, we can highlight the impact flu has on our communities and create a storm of support around flu vaccination.

What Signals the Start of Flu Season?

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One might think that flu season starts with the arrival of vaccine in the local pharmacy or provider’s office.  Others might believe that flu season in the U.S. begins with the first case of lab verified flu.  While flu viruses are most common during the fall and winter months,  influenza activity can begin as early as September or October and last as late as May.

The CDC monitors certain key flu indicators (like outpatient visits of influenza-like illness, lab results and reports of flu hospitalizations and deaths). When these indicators rise and remain elevated for a number of consecutive weeks, than “flu season” is said to have begun.

In preparation for flu season, the Centers for Disease Control and Prevention (CDC) and the National Foundation for Infectious Diseases (NFID) kick off their annual flu vaccine campaign each September with a special press conference which emphasizes the importance of flu vaccination.

The reality is that influenza is difficult to predict. No one knows when it will peak, how many people will suffer or die, or even how effective the flu vaccine will be.

However, what experts do know is that the flu is inevitable, yet preventable.  Every year there is suffering, hospitalizations and even deaths, but much of that could be prevented if more people were protected through annual vaccination.  2017 Flu News LBE

 

Flu is a fickle and unpredictable virus. 

This was the message Dr. Bill Schaffner delivered during the news conference last week.  Since 2010, flu-related hospitalizations in the U.S. typically range from 140,000 to 710,000 each year, killing between 12,000 and 56,000 people each year.  While the exact number may differ drastically from year to year, this just highlights how dangerous and unpredictable influenza is.

Now is the ideal time to get a flu shot. You want to be vaccinated weeks before possible exposure, because it can take about two weeks post-vaccination for your body to build the proper immune response from the vaccine.

Everyone should consider flu vaccination – even healthy individuals.

Flu Fact of the Week

The flu vaccine is recommended for everyone 6 months and older.  It not only helps to reduce the risk of flu illness and serious complications for the person getting vaccinated, but it also helps to reduce the amount of flu circulating in the community.  By reducing the incidence of flu, we can help protect those who might be more susceptible to serious flu illness, such as young infants too young to get vaccinated, pregnant women and older individuals who may be more susceptible to flu infection, and individuals with certain medical conditions, like heart disease, asthma and diabetes, who are at increased risk of complications from flu.

Too often people mistakenly believe that if they are healthy they don’t need a flu vaccine.  Or, they don’t realize how dangerous the flu can be and consider it akin to a bad cold.  However, influenza is a contagious respiratory illness with no cure.  Once the virus takes hold, all we can do is treat the symptoms.  While antiviral drugs are recommended to try to lessen symptoms and shorten the time one is stick by a day or two, the reality is that influenza must run it’s course.  This is why Dr. Northrop could do nothing but watch while his otherwise healthy adult sister succumbed to influenza and died.

Why choose vaccination if it can’t guarantee you won’t get flu?  

We often hear people explain that they won’t get a flu shot because it doesn’t guarantee that they won’t get the flu.  While it is true that the flu vaccine isn’t a 100% guarantee, the annual flu vaccine is  typcially about 40-60% effective.  Therefore, getting your annual flu vaccine means you will reduce your chances of getting the flu by 40% to 60% as compared to someone who does not get vaccinated. It also means that flu vaccination can significantly reduce the risk of flu-associated hospitalization and death (especially among children and older adults).

As an example, last year’s flu vaccine effectiveness was deemed to be approximately 42% effective overall.  While that may not sound overly impressive, it is estimated that flu vaccination last year prevented about 5.4 million cases, 2.7 million flu-related doctor’s visits and 86,000 hospitalizations last season.  But last year only about 46.8% of the U.S. population 6 months and older received a flu vaccine. Now imagine if more people had been vaccinated. The CDC estimates that if overall flu vaccination coverage had been just 5 percentage points higher, another 490,000 illnesses and 7,000 hospitalizations could have been prevented.

What determines flu vaccine effectiveness?  

Read more…

Updates from June 2017 Meeting of the Advisory Committee on Immunization Practices

July 13, 2017 2 comments

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Recently, the Advisory Committee on Immunization Practices (ACIP) met to discuss several important developments concerning vaccines. As you may be aware, this impartial group of experts advises the U.S. Centers for Disease Control and Prevention (CDC) on all matters related to vaccine recommendations. In the coming years, the ability of the CDC and public health departments to implement the recommendations of this group may be under threat from proposed provisions within the health care reform bills and congressional budget cuts.

The activities of the ACIP are supported by staff at the CDC, which receives annual appropriations from the federal government to fulfill its duties.  This federal immunization funding is at risk of being drastically cut if the Prevention and Public Health Fund (PPHF) is eliminated. (Click here to see a breakdown of the impact of the elimination of the PPHF funds by state.) If Congress follows the recommendation of the President, funding will be reduced by another 14% beginning in Fiscal Year (FY) 2018.

The result is that CDC may no longer be able to fully support its immunization functions including:

  • ACIP staffing;
  • Vaccine purchase and supply management;
  • Vaccine safety monitoring;
  • Education initiatives;
  • Disease surveillance;
  • Outbreak response; and
  • Funding support for state, territory, and city immunization programs.

An example of the critical activities conducted by the CDC includes support for the ACIP.  This committee of experts from diverse fields such as vaccinology, immunology, pediatrics, internal medicine, nursing, family medicine, virology, public health, infectious diseases, and\preventive medicine meets three times a year to review and discuss vaccine research and scientific data related to vaccine effectiveness and safety, clinical trial results, outbreaks of vaccine-preventable disease or changes in vaccine supply.

There are 15 voting members, 8 ex officio members who represent other federal agencies with responsibility for immunization programs in the United States, and 30 non-voting representatives of liaison organizations that bring related immunization expertise. All members volunteer their time and come from many leading professional and public organizations such as the American Academy of Pediatrics, the National Foundation for Infectious Diseases, and the American Geriatrics Society. This is the only meeting to gather such a comprehensive group of experts whose aim it is to protect individual and public health.

The current health care reform discussions that are happening in Congress may have a direct impact on this Committee. Please continue to reach out to your Representatives and Senators to let them know the importance of keeping PPHF and CDC fully funded. (You can find your Members of Congress at http://whoismyrepresentative.com/ and some suggestive language to share here.) 

The value of the ACIP can not be overstated. During their most recent committee meeting in June, members discussed several important issues recapped in the summary below.

Read more…