Dayton Daily News

PUBLIC HEALTH U.S. health experts: Don't skip flu shots

- By Lauran Neergaard

Amid all the focus on COVID-19 vaccinatio­ns, U.S. health experts have another plea: Don’t skip your flu shot.

Flu cases have dropped to historical­ly low levels during the pandemic. The U.S. and Europe experience­d hardly any flu last winter, and the Southern Hemisphere just ended its second flu season of the coronaviru­s pandemic with little to report.

But with U.S. schools and businesses reopened and internatio­nal travel resuming this fall, flu could make a comeback. The big question is whether it will trickle in or roar back and put extra pressure on hospitals already strug- gling with COVID-19 surges.

“People are sick to death of hearing about having to roll on out and get vaccines of any sort,” said flu specialist Richard Webby of St. Jude Children’s Research Hospital in Memphis.

Yet after 18 months of little influenza exposure, “we probably as a population don’t have as much immunity against this virus as we typically might,” Webby said. “It makes absolute sense to go on out and get that vaccine and at least prepare for something that, you know, could be quite severe.”

Here are some things to know:

Q: Who should get a flu vaccine?

A: The Centers for Disease Control and Prevention says just about everybody needs an annual flu vaccinatio­n, starting with 6-month-old babies. Influenza is most dangerous for adults over age 65, young children, pregnant women and people with certain health conditions, such as heart or lung disease.

Q: Why do I need one this year, since flu hasn’t been a threat during the pan

demic?

A: COVID-19 restrictio­ns — especially for children, who are flu’s biggest spreaders — may have had a side benefit of tamping down influenza and other respirator­y bugs. But the U.S. experience­d an unusual summer surge of children hospitaliz­ed with a different virus, named RSV, that usually strikes in the winter. That’s a worrying sign of what to expect if flu returns.

Q: What’s the forecast for flu winter?

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A: Flu is notoriousl­y difficult to predict. But there’s a little more circulatin­g in some countries this fall than last, including a recent uptick in China, said Webby, who directs a World Health Organizati­on flu center.

Q: When should I get a flu vaccine?

A: Now. The CDC encourages people to get their vaccine by the end of October. Doctors’ offices, retail pharmacies and local health department­s have millions of doses in hand. And most Americans with health insurance can get it with no co-pay.

Q: I already got a COVID-19 vaccine. Do I really need a flu too?

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A: COVID-19 vaccines prevent the coronaviru­s and flu vaccines prevent influenza. They don’t overlap. But you can catch both viruses at the same time, or one after the other.

Q: Can I get a flu vaccine and a COVID-19 vaccine at the same visit?

A: Yes, the CDC says it’s fine to pair a flu vaccine with either a primary COVID-19 shot or a booster dose.

Q: What’s the best flu vaccine to get?

A: Flu constantly evolves, and each year’s vaccine is made to fight the strains that internatio­nal experts deem most likely to circulate. This year all the flu vaccines offered in the U.S. offer protection against all four of those strains. Options include traditiona­l shots or a nasal spray vaccine. There also are shots specifical­ly designed to rev up seniors’ age-weakened immune systems, either with a higher dose or an added immune booster. There are also options for people allergic to eggs, which are used to make some flu shots.

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