Flu – You Have a Choice

20 03 2014

Kristi was a beautiful, intelligent elementary school teacher, and my only sibling. She was healthy, and ran or walked several miles many times a week.

She was active in the community, supporting anything for children. And she made sure her own two children were given lots of experiences by visiting zoos and national parks, camping, playing sports, and doing lots of other activities.

She was always on the go somewhere to do something.

She encouraged all of us to spend time with family, and to put aside our daily chores so that we wouldn’t miss out on opportunities to make memories.

She was an avid photographer and literally had thousands of photos stored on memory cards.

Sisters

Sisters

She was always the one to pick up on someone being left out, and took time to show them kindness and love. Kristi developed many strong relationships because of this positive attitude. She was very strong-willed, fighting for what she believed was the right thing in life.

My sister was someone special.

Since Kristi taught first grade, she was frequently exposed to colds and illnesses. Even though she was healthy, on December 12th, 2013, she began to develop symptoms of influenza. She had a headache, extreme fatigue, nausea and vomiting, and a hacking cough.

She went to her physician, who prescribed Tamiflu® and told her to take some over-the-counter flu relief medications.

She made a choice to not purchase the Tamiflu because, even with insurance, the cost was $65, and she had Christmas presents left to buy. Kristi didn’t want anyone to do without a precious gift, particularly her children.

The next two days she began to worsen, to the point she couldn’t get out of bed to get herself fluids. Friends came by to help her and brought her Gatorade®. My mother took her chicken noodle broth, and she was able to get out of bed on Sunday, December 15th.

She still complained of a headache, but drank lots of fluids to try to build up her strength. Kristi’s fever continued, and she started noticing some chest pain Sunday evening while in the shower. Once out, she said it went away. Urgent care had already closed, so she told us she would return to her doctor’s office on Monday morning just to make sure she wasn’t developing any complications.

My mother asked her if she had gotten a flu vaccine this year and she said, “No, but I will definitely get one next year!” She was so scared of needles that she opted to not get a vaccine, thinking lots of people get the flu and suffer through it a few days and get better.

She was not this lucky.

On December 16th, at 1:13pm, only four days into her illness, I got a call from my dad saying an ambulance had been called to her house and it didn’t sound good.

Hearing those words from my dad, who was an EMT, made me know it was serious. As I rushed to the hospital, I picked up my mom from her work and tried to reassure her to stay calm. I tried to prepare Mom for Kristi maybe being on a ventilator or unconscious, just in case.

As we approached the hospital ER doors, my father came out with tears rolling down his cheeks, and my mother instantly knew without him speaking. She desperately asked, “She didn’t make it?” He quietly shook his head. And as I stood there clinging to my parents as they mourned the death of their child I thought of my mother’s words I had so quickly brushed off, “People die from the flu, Sharon.”

As a registered nurse, I have taken care of many patients with influenza and they have recovered. I brushed it off when my mom had been worrying over the weekend because my sister was healthy! She was active. She was an adult with no complications.

Kristi was so healthy, she gave my dad a kidney 10 years ago. At her regular check-ups, her physician always said things looked great and she was doing well.

Healthy adults don’t die from the flu!

She was a fighter, she was so strong-willed. People like that don’t succumb to the flu.

But, I was wrong. Healthy adults and children die every year from the flu because they do not get vaccinated—the number one way to prevent infection.

Losing a sister, and having to see my parents mourn the loss of their first-born, was the hardest thing I have ever faced in my life.

Seeing the pain in their eyes, the thousands of tears shed, was crushing to me. I not only lost my sister but had to watch my parents’ pain, knowing I could not fix this.

But one thing I know is it could have been prevented. It only takes a minute. The pain of a needle doesn’t compare to the pain of watching your family suffer through grief, trust me! Influenza can be prevented with a simple vaccine taken yearly.

It’s your choice. Please make the decision to vaccinate yourself against this deadly illness.

by Sharon Hicks





A Brother’s Love

14 03 2014

My older brother, Evan, and I were 12 1/2 months apart.  We were the “twins” who weren’t really twins, but who shared a bond so close, that I still can’t believe he is gone.

I never needed to worry about having friends around, because I always had Evan.  We both loved sports, and I have the greatest memories of growing up playing baseball, soccer, and basketball together.  It was a great family time, and one I hope to impart to my children.

Evan wanted to be a pitcher on a college baseball team, and my dad took him around to different colleges in Georgia.  After tryouts at Georgia Southwestern University, Evan was asked to join the team as a walk-on player.

Me and Evan

Me and Evan

He was at a small university, but he loved it and loved his team.  I was attending the University of Georgia, and I was so proud of my brother for following his dream.  Both of us had plans to become orthopedic sports physicians and practice medicine together.  We would get married, our children would not only be cousins but best friends—everything was planned out, everything was in motion.

Then, Evan came down with a violent migraine, so we thought.

The ER physicians diagnosed him as having a “little virus,” but it wasn’t a “little virus.”  It was bacterial meningitis, or more specifically, “meningococcal disease.” My parents were told he had a 5% chance of survival.

I can only imagine, now that I am a parent myself, what horror they must have felt hearing that their son might die.  I was on spring break with some friends in Florida, and my parents couldn’t reach me until much later that night.  I immediately left to drive to the hospital where Evan was being treated.

In a spirit of youthful optimism, I felt that if Evan knew I was by his bedside, he would rally, just as each of us could always get the other one to rally.

But this horrible disease was stronger than all of the prayers and love being sent to Evan.  My parents and I watched the disease ravage Evan’s body,  as gangrene set in on his arms and legs.  We watched the machines monitoring Evan, willing the numbers to be stable, for some sign of improvement.

As Evan was transferred to a third hospital, a burn unit, we were told that Evan had a 1% chance of survival.  I remember asking my mom about life after death.  I didn’t understand how my brother could be so sick.  Evan went in for surgery to try to save his life, and both arms and legs were amputated.

That still wasn’t enough.

I watched my brother, in a medically induced coma, lie in bed with stumps, his face and body bloated from kidney failure.  I cried, I prayed, I begged.  I would go listen to music in my car, to try to escape from the reality of what was happening.

Then, Evan suffered 10 hours of grand mal seizures, and that caused irreversible brain swelling, and a herniated brain stem.

My brother, who I loved so much, was brain dead.

We all watched as Evan was disconnected from life support, flat-lined, and carried away in a body bag.  Those are my last images of my brother.

I missed that quarter of school, because Evan had been in the hospital almost a month.  When I went back, it was with a renewed determination to be a doctor.  I did get admitted to medical school, and when I graduated, I fist-pumped my arm, and said to myself, “Evan, I did this for both of us.”

I still talk to Evan, I still miss him so much, and I carry his memory with me everywhere.  My daughter’s middle name is Evan. When I got married, I did not have a best man, because that spot was reserved for Evan.

When my parents and I found out that Evan’s death could have been prevented with a vaccine, that was being routinely used in the military, it just made no sense.  Why hadn’t any of us been told about the vaccine?

Needless to say, I am a staunch vaccine advocate, and as a primary care physician, I make sure that all of my patients are up-to-date on all CDC-recommended vaccinations.

It really is your choice, and your life. Take control and protect yourself against infections by getting immunized.

by Ryan Bozof





Pneumo – It’s All About the Numbers

3 03 2014

DDWhen we are immunized, we usually have to get several shots, or doses, before we’re protected against a disease.

Nearly all vaccine-preventable diseases require more than one dose of vaccine to provide us with a strong immune response. It’s not fun, but it’s better than fighting all those infections.

Last summer, an article in Pediatrics described a study which looked at the cost-effectiveness of removing a primary dose of 13-valent pneumococcal conjugate vaccine (PCV13).

This vaccine helps to prevent pneumococcal infections, which can mean anything from an ear infection to pneumonia to meningitis. It can be a dangerous and deadly infection.

Right now, this vaccine is a four-dose series. The first three doses are primary doses, and the fourth dose is a booster.

A primary dose “primes” the immune system, allowing our bodies to develop stronger immunity with each primary dose we receive. The booster dose is the last shove to get us over the top, helping our bodies to develop long-lasting immunity against a particular disease.

The study in Pediatrics was the topic of conversation at PKIDs for several weeks, and, while we were surprised that removing a dose was up for consideration (and you’ll see why in a minute), we thought it was probably more of an intellectual exercise than a course of action that our public health leaders in the US would take.

After all, our tradition in the US is to use all of the tools we have to protect our citizens and prevent infections.

Come to find out, this is more than an exercise in “what if.”

In February, I attended the Advisory Committee on Immunization Practices (ACIP) meeting in Atlanta.

(As noted on their website, the ACIP “is a group of medical and public health experts that develops recommendations on how to use vaccines to control diseases in the United States. The recommendations stand as public health advice that will lead to a reduction in the incidence of vaccine preventable diseases and an increase in the safe use of vaccines and related biological products.”)

Based on that meeting, it sounds like they’re looking at removing a primary dose as a real option.

This may give us an opportunity to save money—$400 to $500 million—but it’s not a risk-free deal. In order to save that money, we have to be willing to see harm come to a lot of people.

This flies in the face of what we, as health advocates, say every day to the folks we meet, which is: Get immunized! Use the safe and effective prevention tools available to protect yourself and your family from unnecessary infections.

It’s easier to make this kind of money-saving decision if the conversation is all about the numbers: the dollar amount saved, the numbers of increased cases of disease, the numbers of hospitalizations and deaths.

Numbers are easy to talk about because they’re not personal.

But this decision to remove a primary dose of vaccine is personal. The consequences will be felt by our people, our loved ones, our friends, and our neighbors. We can’t dehumanize this process by just talking about the numbers.

If the third primary dose is removed, an average of 2.5 more people will die each year. Who are those people? One could be my niece, Millie, who’s just learning to crawl. Another could be your grandson, who loves cheerios and bananas.

Forty-four more people will get invasive pneumococcal disease. My daughter could get meningitis, and your son could get a bloodstream infection.

Fifteen hundred more people will be hospitalized for pneumonia. When my oldest was a toddler, she was hospitalized for pneumonia. It’s a terrifying experience and one that I would not have anyone else go through, if possible.

An additional 10,000 of our friends and neighbors and loved ones will have to be treated for pneumonia as outpatients.

Twenty-three hundred more ear tubes will have to be inserted into the tiny ears of children that we know.

A staggering 261,000 more children will get earaches, fevers, and possibly ruptured eardrums.

All of this happens if we decide to save money and remove a primary dose of PCV13.

It’s all about the numbers. We just have to decide which numbers are more important to us as a nation—the dollar amounts or our people?

by Trish Parnell





Rotavirus, Vaccination, and Intussusception

15 01 2014

Rotavirus is a nasty little germ that targets our stomach and intestines, making them swollen, red, and sore.

The intestines help digest the food and liquid we take in, and they make poop out of what doesn’t get absorbed into our bodies.

When the rotavirus attacks, it can cause our poop to turn into watery diarrhea. Fever, vomiting, and pain are often part of the disease.

In younger kids and babies, the diarrhea and vomiting can be nonstop, causing a serious loss of body fluids (dehydration).

The CDC says that “Rotavirus is the leading cause of severe diarrhea in infants and young children worldwide. Globally, it causes more than a half a million deaths each year in children younger than 5 years of age.”

We have effective vaccines—hospitalization rates have dropped 96 percent in the US since the vaccines became available, and the overall number of infections has plummeted.

There’s something that can happen that’s a rare side effect of the rotavirus vaccine. It’s called intussusception. The important thing to know is that intussusception happens anyway in the infant population, but with the vaccine, there appears to be a tiny increase in numbers of those affected.

Intussusception is when one part of the intestine slides into another, similar to a telescope closing. This causes a blockage in the intestines which requires hospitalization and sometimes surgery.

In the US, there are about 34 intussusception-related hospitalizations per 100,000 babies in the first year of life.

These cases happen whether a baby has been vaccinated against rotavirus or not. It’s called the “background” rate.

There has been a slight uptick in cases of intussusception with vaccination against rotavirus. For those babies vaccinated, the increase in rates of intussusception appears to be 1 to 5 cases per 100,000 babies.

We’re talking about this because a couple of studies have been done and these are the findings. It’s important to know all that we can when making health decisions for our children.

We parents don’t want to expose our babies to anything that might harm them. In the case of rotavirus disease and vaccination, it’s clear that the greater risk by far is the disease.

Talk to your baby’s healthcare provider and make the informed decision to protect your young one against rotavirus. It can be a deadly disease.





Flu Then and Now

12 12 2013

The CDC came out with a lot of flu info today. Here’s a rundown on the highlights with a link to the rest at the end of the post:

CDC says that during last year’s flu season, 45 percent of the U.S. population aged 6 months and older was vaccinated against flu.

Influenza vaccination during 2012-2013 prevented 6.6 million illnesses, 3.2 million medical visits and 79,000 hospitalizations. Overall, this resulted in 17 percent fewer illnesses, medical visits, and hospitalizations than would have happened without flu vaccination.

The numbers are big, but the percentage is small. We need to increase the numbers of those vaccinated, and we need to come up with a more effective vaccine.

CDC estimates that during 2012-2013, there were 31.8 million flu-associated illnesses, 14.4 million medically attended illnesses, and 381,000 hospitalizations in the United States.

As for this year, CDC is recommending that those who have not yet been vaccinated do so. It takes about two weeks after vaccination for the body to develop immunity.

Most years, the flu season in the US peaks between January and March, which is reason enough to get immunized in December.

This year looks to be typical. Get vaccinated now and save yourself and your family the misery of infection.

The recommendation is that everyone six months of age and older get immunized against flu.

Visit the CDC Flu website for more info: http://www.cdc.gov/flu/





Meningitis Outbreaks This Holiday Season

25 11 2013

What’s going on with meningitis at Princeton and UC Santa Barbara?

Both universities are experiencing an outbreak of meningitis—specifically, serogroup B (that’s the genetic fingerprint of the particular strain of meningitis).

In the US, we don’t have an approved vaccine against this serogroup or strain, but we do have vaccines that fight other strains of meningitis, such as C and Y. Those vaccines are working great!

We’re seeing more serogroup B infection right now because there’s no vaccine available in the US to control transmission. And, we’re seeing an outbreak because that just happens sometimes, particularly when there’s no vaccine to prevent it.

As of 25 November, there have been seven cases identified at Princeton, with a probable eighth case not yet formally identified. Three cases have been identified so far at UC Santa Barbara.

Some of the cases have been serious, but to date there are no deaths. Dr. Amanda Cohn, a pediatrician and expert in meningitis with the CDC, talked about these outbreaks today in a teleconference.

She said that while health departments and healthcare providers should be aware of symptoms and think about meningitis should they see indications, it is safe for the college kids to come home for the holidays.

CDC is not expecting transmission in the home. It tends to occur with very close contact (“french” kissing, sharing a room and coughing all over a roommate). Generally, you might get either meningococcal meningitis or meningococcal septicemia from a meningococcal infection.

Symptoms of meningococcal meningitis as noted by CDC include:

  • Sudden onset of fever
  • Headache (severe)
  • Stiff neck (hurts to move it)

Other symptoms might include:

  • Nausea
  • Vomiting
  • Photophobia (increased sensitivity to light)
  • Altered mental status (confusion)

The symptoms of meningococcal meningitis can appear quickly or over several days. Typically they develop within 3-7 days after exposure. This infection can be serious with long-term consequences such as hearing loss or brain damage, and it is at times fatal.

Symptoms of meningococcal septicemia may include:

  • Fatigue
  • Vomiting
  • Cold hands and feet
  • Cold chills
  • Severe aches or pain in the muscles, joints, chest or abdomen (belly)
  • Rapid breathing
  • Diarrhea
  • In the later stages, a dark purple rash

These symptoms can come on in a matter of hours and the infection is very dangerous.

Prevention means washing your hands and covering your coughs and sneezes. Get up-to-date on your immunizations (no matter your age) and know that, if a healthcare provider suspects someone in the home may have an infection, those in close contact will receive antibiotics to prevent the spread of the disease. There are some manufacturers working on vaccines that include serogroup B for approval in the US, but they are not yet at the final stages of development on those vaccines.





What’s New With Flu?

26 09 2013

CDC released lots of data today on last year’s flu season. This will help to inform all of us as we look at the coming season and determine our health messaging targets.

Take a look . . .

Flu vaccination is the best protection available against influenza.  All persons 6 months and older should receive a flu vaccination every year to reduce the risk of illness, hospitalization, and even death.

The 2012-13 influenza season is a reminder of the unpredictability and severity of influenza.  The 2012-13 season began early, was moderately severe, and lasted longer than average.

More children than ever before received a seasonal flu vaccination during the 2012-13 season.

  • 45.0% of people in the United States 6 months and older were vaccinated during the 2012-13 season,  less than half of the U.S. population 6 months and older.
  • Among children, coverage was highest for children aged 6-23 months (76.9%) with large increases in vaccination for children 5-12 years old (4.4 percentage points higher for the 2012-13 season compared to the 2011-12 season) and teens 13-17 year old (8.8 percentage points higher for the 2012–13 season compared to the 2011–12 season).
  • Among adults, coverage was highest for adults aged 65 years and older (66.2%) and lowest among adults aged 18-49 years (31.1%).
  • Among children, coverage was highest among non-Hispanic Asian children (65.8%), Hispanic children (60.9%), non-Hispanic black children (56.7%), and non-Hispanic children of other or multiple races (58.5%). Coverage among non-Hispanic white children was lower at 53.8%.
  • Among adults, differences in coverage among racial/ethnic populations remain, with coverage among adult non-Hispanic blacks (35%) and Hispanics (34%) far lower than their non-Hispanic white counterparts (45%).

Coverage by Age:

Coverage for children 6 months through 17 years of age was 56.6% in the 2012-13 season, an increase of 5.1 percentage points from the 2011-12 season.  State-specific flu vaccination coverage for children 6 months through 17 years ranged from 44.0% to 81.6%.

  • Coverage for children decreased with age:
    • 76.9% for children 6-23 months
    • 65.8% for children 2-4 years
    • 58.6% for children 5-12 years
    • 42.5% for children 13-17 years

• Coverage increased in the 2012-13 season:

    • Children 5-12 years: an increase of 4.4 percentage points from the 2011-12 season
    • Children 13-17 years: an increase of 8.8 percentage points from the 2011–12 season
    • Changes in coverage were not significant for other age groups

Coverage for adults aged 18 years and older was 41.5% in the 2012-13 season, an increase of 2.7 percentage points from the 2011-12 season.  State-specific coverage ranged from 30.8% to 53.4%.

  • Coverage for adults increased with increasing age:
    • 31.1% for adults 18-49 years
    • 45.1% for adults 50-64 years
    • 66.2% for adults 65 years and older
  • Coverage increased in the 2012-13 season:
    • Adults 18-49 years: an increase of 2.5 percentage points from the 2011-12 season
    • Adults 50-64 years: an increase of 2.4 percentage points from the 2011–12 season
    • Adults 65 years and older: an increase of 1.3 percentage points from the 2011–12 season
  • Among adults 18-49 years of age with at least one high-risk medical condition (asthma, diabetes, or heart disease), coverage for the 2012-13 season was 39.8%, an increase of 3 percentage points from the 2011-12 season coverage estimate of 36.8%  State-specific coverage ranged from 17.9% to 58.8%.

Coverage by Sex:

Children (6 months-17 years)

  • There were no differences in coverage for male and female children.

Adults (18 years and older)

  • Coverage was higher for females (44.5%) than for males (38.3%).

Coverage by Race/Ethnicity:

Children (6 months-17 years)

Coverage for Asian children (65.8%) was significantly higher than all other racial/ethnic groups.

  • Coverage for non-Hispanic Asian children (65.8%), Hispanic children (60.9%), non-Hispanic black children (56.7%), and non-Hispanic children of other or multiple races (58.5%) was significantly higher than for non-Hispanic white children (53.8%).
  • Coverage for non-Hispanic American Indian/Alaska Native children (52.5%) was similar to that for non-Hispanic white children (53.8%).
  • There were significant increases in coverage from the 2011-12 season for non-Hispanic white children (6.2 percentage points), non-Hispanic Asian children (7.6 percentage points), and non-Hispanic children of other or multiple races (8.5 percentage points).
  • Coverage for non-Hispanic black, Hispanic, and non-Hispanic American Indian/Alaska Native children did not change from the 2011-12 season.

Adults (18 years and older)

Coverage among adults aged 18 years and older increased across all racial/ethnic groups except for American Indian/Alaska Native adults and adults of other or multiple races in which coverage did not change.

  • Among adults, coverage for non-Hispanic Asians (44.8%), non-Hispanic whites (44.6%), and non-Hispanic American Indians/Alaska Natives (41.1%) was higher than coverage for non-Hispanic adults of other or multiple races (38.0%), non-Hispanic blacks (35.6%), and Hispanics (33.8%).

There is an opportunity to raise awareness of the important benefits that can be gained by increased vaccination among children and adults.

  • Continued efforts are needed to ensure those at higher risk of flu complications (i.e. elderly, young children, and persons with chronic health conditions) are vaccinated each year.
  • Access to vaccination should be expanded in non-traditional settings such as pharmacies, workplaces, and schools.
  • Health care providers should make a strong recommendation for and offer of vaccination to their patients and improve their use of evidence-based practices such as vaccination programs in schools and WIC settings and client reminder/recall systems.
  • Immunization information systems, also known as registries, should be used at the point of care and at the population level to guide clinical and public health vaccination decisions.

Pregnant women and healthcare workers

During the period of October 2012-January 2013, 50.5% of pregnant women reported they received the influenza vaccination before or during their pregnancy.

Overall, 72.0% of health care workers reported having had a flu vaccine for the 2012-13 season, an increase from 66.9% vaccination coverage during the 2011-12 season.





Flu Season 2013 – 2014

5 09 2013

We’re getting ready for flu season!

We had our first National Influenza Vaccine Summit call today, and here’s what’s going on:

Scott Epperson from the CDC said that the summer in the US has been quiet for seasonal flu, as we’d expect. The 2013/2014 flu season officially begins at week 40, on 29 September, 2013.

The Southern Hemisphere is at the peak of their season. They seem to have a mix of strains, with no one strain particularly dominant or problematic. There’s a mix of severity among countries and the bottom line is, we can’t say (yet) what to expect in the Northern Hemisphere this coming season.

There will be quadrivalent flu vaccines available this season, but it sounds like there will not be enough doses for everyone. Many of us will continue to use trivalent, at least this year.

The ACIP flu vaccine recommendations should come out on 20 September in the MMWR.

That’s it for now!

 

By Trish Parnell





CDC – Working 24/7

20 04 2013

Welcome to NIIW!

Every 20 seconds, a child dies from a disease that could be prevented with a safe and effective vaccine. Millions more children survive, but are left severely disabled. Vaccines have the power not only to save, but also transform lives by protecting against disease – giving children a chance to grow up healthy, go to school, and improve their lives.  Vaccination campaigns sometimes provide the only contact with health care services that children receive in their early years of life.

Immunization is one of the most successful and cost-effective health interventions—it currently averts an estimated 2 to 3 million deaths every year in all age groups from diphtheria, tetanus, pertussis (whooping cough), and measles.

cdc blogImmunization is a global health priority at CDC focusing on polio eradication, reducing measles deaths, and strengthening immunization systems. CDC works closely with a wide variety of partners in more than 60 countries to vaccinate children and provide technical assistance to ministries of health to strengthen and expand countries’ abilities to create, carry out, and evaluate their national immunization programs.

Too few people realize that the health of Americans and the health of people around the world are inextricably linked. Viruses don’t respect borders, so they travel easily within countries and across continents. By helping to stop vaccine-preventable diseases (VPDs) globally, CDC is also helping to protect people in the United States against importations of VPDs from other countries.

For example, in 2011, there were 220 reported cases of measles in the United States—200 of the 220 cases were brought into the U.S. from other countries with measles outbreaks.

The most effective and least expensive way to protect Americans from diseases and other health threats that begin overseas is to stop them before they spread to our shores. CDC works 24/7 to protect the American people from disease both in the United States and overseas. CDC has dedicated and caring experts in over 60 countries. They detect and control outbreaks at their source, saving lives and reducing healthcare costs. In 2012, CDC responded to over 200 outbreaks around the world, preventing disease spread to the U.S.

CDC’s global health activities protect Americans at home and save lives abroad. They reduce the need for U.S. assistance and create goodwill and good relationships with global neighbors.

Thanks to the CDC for sharing this information.





Flu – The Last Push

18 02 2013

It ain’t over ‘til it’s over!

Following are some ‘in the home stretch’ flu tips and resources from the CDC.

This patient’s brochure is spot-on for this year’s (or next) flu season. And if you’re worried about getting the flu, take a look. It includes tips on prevention and what you can do to make it better, should you become infected.

If you’re a health educator and your message is getting a little tired, here are some free resources, including audio/video, badges, and widgets.

We hope you got a flu shot this season. If not, take this year as a lesson and do so next year and all the years after. The vaccine works for the majority of those who take it. Don’t miss out on this crucial first step in flu prevention.

The US flu season continues; flu-like illness has fallen in the East and risen sharply in the West, so take care for the next month or so.

The timing of flu is very unpredictable and can vary from season to season. Flu activity usually peaks in the US in January or February. However, seasonal flu activity can begin as early as October and continue to occur as late as May.

Symptoms of the flu may include fever, cough, sore throat, runny nose, body aches, headaches, and fatigue.

To find out what’s going on in the world of flu, get timely information at: http://www.cdc.gov/flu/weekly/fluactivitysurv.htm

If you’re infected, get to your provider and start on antivirals.

And next year, as soon as you hear about flu vaccine being available, hightail it to your pharmacy or provider and get vaccinated!