Medical Chronicle May 2017 | Page 43

CLINICAL WINTER AILMENTS A SHOT IN THE ARM IS NOT A SHOT IN THE DARK Why should people get vaccinated against the flu? Influenza is a serious disease that can lead to hospitalisation and sometimes even death. Every flu season is different, and influenza infection can affect people differently, but millions of people get the flu every year, hundreds of thousands of people are hospitalised and thousands or tens of thousands of people die from flu- related causes every year. Even healthy people can get very sick from the flu and spread it to others. An annual seasonal flu vaccine is the best way to reduce risk of getting sick with seasonal flu and spreading it to others. When more people get vaccinated against the flu, less flu can spread through that community. and any allergies to flu vaccine or its components. WHEN SHOULD PATIENTS BE VACCINATED? Flu vaccination should begin soon after the vaccine becomes available. However, as long as flu viruses are circulating, vaccination should continue to be offered throughout the flu season. Since it takes about two weeks after vaccination for antibodies to develop in the body that protect against influenza virus infection, it is best that people are vaccinated so they are protected before influenza begins spreading in their community. Flu vaccine is produced by private manufacturers, and the timing of availability depends on when production is completed. Source: CDC HOW DO FLU VACCINES WORK? Flu vaccines cause antibodies to develop in the body about two weeks after vaccination. These antibodies provide protection against infection with the viruses that are in the vaccine. The seasonal flu vaccine protects against the influenza viruses that research indicates will be most common during the upcoming season. Traditional trivalent flu vaccines are made to protect against three flu viruses; an influenza A (H1N1) virus, an influenza A (H3N2) virus, and an influenza B virus. Quadrivalent vaccines protect against an additional B virus. ARE ANY OF THE AVAILABLE FLU VACCINES RECOMMENDED OVER OTHERS? Annual influenza vaccination is recommended for everyone six months and older with either the inactivated influenza vaccine (IIV) or the recombinant influenza vaccine (RIV). There is no preference for one vaccine over another among the recommended, approved injectable influenza vaccines. There are many vaccine options to choose from, but the most important thing is for all people six months and older to get a flu vaccine every year. WHO SHOULD NOT BE VACCINATED? CDC recommends use of the inactivated influenza vaccine or IIV and the recombinant influenza vaccine (RIV). The nasal spray flu vaccine (live attenuated influenza vaccine or LAIV) should not be used during 2016-2017. Different flu vaccines are approved for use in different groups of people. Factors that can determine a person’s suitability for vaccination, or vaccination with a particular vaccine, include a person’s age, health (current and past) 9568 Influvac 2017 Med Ad.indd 1 2017/02/23 11:57 AM MEDICAL CHRONICLE | MAY 2017 43