September 3, 2013
News Review From Harvard Medical School --Pediatrician Group Urges Early Flu Vaccine for Children
Children ages 6 months and older should get vaccinated against the seasonal flu as soon as the vaccine is available. This recommendation is from the American Academy of Pediatrics (AAP). There are two vaccines this year. The trivalent vaccine protects against three strains of the virus. A new quadrivalent vaccine protects against the original three plus a fourth strain. The AAP is not recommending one vaccine over the other. It wants everyone to get vaccinated at the earliest chance so they are protected. The journal Pediatrics published the recommendations online. HealthDay News wrote about it September 2.
By Henry H. Bernstein, D.O.
Harvard Medical School
What Is the Doctor's Reaction?
Flu is short for influenza. Nobody likes having the flu. It is an infection of the breathing system (nose, throat and lungs). It can bug the whole body. It causes fever, cough, sore throat, body aches and more.
Last year the flu was moderately severe compared to the year before. That's because it had:
The American Academy of Pediatrics (AAP) has just released its latest recommendations to prevent the flu. These are published online in the journal Pediatrics. Here are some key messages for this flu season:
Everyone (6 months of age and older) needs a flu vaccine every year. Vaccination is especially important for:
The flu vaccine has changed from last season. It has either 3 (trivalent) or 4 (quadrivalent) strains in it. Some of the strains are different from the vaccine last year. The vaccine protects against those virus strains expected to make people sick this year.
Quadrivalent vaccine is a new form of vaccine licensed this year. It protects against the same 3 strains as in the trivalent one. It also protects against a fourth flu virus strain. The AAP does not recommend one vaccine over another this year. Just be sure everyone gets one!
Children can get the flu vaccine in 2 ways – either an inactivated (killed) vaccine given as a shot into the muscle or a "live-attenuated" (weakened) vaccine sprayed into the nose. Both kinds are available without thimerosal. The doctor can help you decide which vaccine is best for your child.
The number of vaccine doses needed depends on your child's age and past flu vaccine history.
Children with an egg allergy still should get flu vaccine. Research shows the flu shot is safe for nearly all children with egg allergy.
What Changes Can I Make Now?
The flu is no fun. It causes children to miss their usual activities. Worst of all, the flu can lead to being admitted to the hospital or even dying.
Get vaccinated! It is the best way for your whole family to prepare for this coming flu season. Everyone -- children, their brothers and sisters, parents, caregivers -- should get a flu vaccine. When others are vaccinated, they are less likely to get the flu. As a result, they are less likely to pass it on to children. This is known as "cocooning."
Flu viruses are unpredictable. You never know when the flu will hit your community. It is important to get the vaccine as soon as it is available in your area.
Keep flu germs from spreading. The flu virus spreads easily through the air with coughing and sneezing. It also spreads by touching things like doorknobs or toys and then touching your eyes, nose or mouth.
What Can I Expect Looking to the Future?
Manufacturers think more than 130 million doses of influenza vaccine will be distributed in the United States this season. This should mean enough vaccine will be available for everyone.
Expect doctors to recommend the flu vaccine for you, your child and your whole family. Hopefully, more people than ever will be vaccinated this year. This should mean there will be fewer medical visits, hospitalizations and deaths from the flu this year.
Next year, more quadrivalent vaccines might replace the trivalent vaccines. Plus, researchers keep studying how to make the flu vaccine even more effective.