2Components for flu vaccine 2012- 2013 On February 23, 2012 the WHO recommended that the Northern Hemisphere's seasonal influenza vaccine be made from the following three vaccine viruses:an A/California/7/2009 (H1N1)pdm09-like virus;an A/Victoria/361/2011 (H3N2)-like virus;a B/Wisconsin/1/2010-like virus (from the B/Yamagata lineage of viruses).While the H1N1 virus used to make the flu vaccine is the same virus that was included in the vaccine, the recommended influenza H3N2 and B vaccine viruses are different from those in the influenza vaccine for the Northern Hemisphere.
3TYPES OF FLU VACCINE1. The "flu shot"— an inactivated vaccine (containing killed virus) that is given with a needle, usually in the arm. The flu shot is approved for use in people older than 6 months, including healthy people and people with chronic medical conditions. There are 3 different flu shots available: -- a regular flu shot approved for people ages 6 months and older, -- a high-dose flu shot approved for people 65 and older, and -- an intradermal flu shot approved for people 18 to 65 years of age. 2. The nasal-spray flu vaccine — a vaccine made with live, weakened flu viruses that is given as a nasal spray (sometimes called LAIV for “Live Attenuated Influenza Vaccine”). The viruses in the nasal spray vaccine do not cause the flu. LAIV is approved for use in healthy* people 2 through 49 years of age who are not pregnant.
4Who should NOT receive the flu shot The following groups should not receive the flu shot (TIV):People who have ever had a severe allergic reaction to eggs. People who have had a mild reaction to egg—that is, one which only involved hives—may receive TIV with additional precautions. Make sure your healthcare provider knows about any allergic reactions.People who have ever had a severe allergic reaction to influenza vaccine. People with a history of Guillain–Barré Syndrome (a severe paralytic illness, also called GBS) that occurred after receiving influenza vaccine and who are not at risk for severe illness from influenza should generally not receive vaccine. Tell your doctor if you ever had Guillain-Barré Syndrome. Your doctor will help you decide whether the vaccine is recommended for you.People under 65 years of age should not receive the high-dose flu shot.People who are under 18 years old or over 64 years old should not receive the intradermal flu shot.If you are sick with a fever when you go to get your flu shot, you should talk to your doctor or nurse about getting your shot at a later date. However, you can get a flu shot at the same time you have a respiratory illness without fever or if you have another mild illness.
5Special instructions for children age 6 months to 8 years Special Instructions for Children 6 months through 8 years of AgeChildren 6 months through 8 years of age who did not receive at least one dose of the vaccine, or whom it is not certain whether the was received, should receive 2 doses of the seasonal vaccine.The first dose should be given as soon as vaccine becomes available, and the second dose should be given 28 more days after the first dose. The first dose “primes” the immune system; the second dose provides immune protection. Children who only get one dose but need two doses can have reduced or no protection from a single dose of flu vaccine. Two doses are necessary to protect these children. If your child needs the two doses, begin the process early, so that children are protected before influenza starts circulating in your community. Be sure to follow up to get your child a second dose if they need one. It usually takes about two weeks after the second dose for protection to begin.
6Instructions continued The previous recommedations for children aged 6 months to 8 years remain unchanged for this year
7Flu-Zone Hi Dose What is Fluzone High-Dose influenza vaccine? Fluzone High-Dose is a influenza vaccine, manufactured by Sanofi Pasteur Inc., designed specifically for people 65 years and older.What is the difference between Fluzone, Fluzone High-Dose, and Fluzone Intradmermal?Fluzone, Fluzone High-Dose, and Fluzone Intradermal are all injectable influenza vaccines, made up of the 3 flu strains most likely to cause illness for that particular flu season, to protect people from influenza. Fluzone High-Dose vaccines contain 4 times the amount of antigen (the part of the vaccine that prompts the body to make antibody) contained in regular flu shots. The additional antigen is intended to create a stronger immune response (more antibody) in the person getting the vaccine.The intradermal flu vaccine is a shot that is injected into the skin instead of the muscle. The intradermal shot uses a much smaller needle than the regular flu shot, and it requires less antigen to be as effective as the regular flu shot. It is recommended for adults years of age.Why is a higher dose vaccine available for adults 65 and older?Human immune defenses become weaker with age, which places older people at greater risk of severe illness from influenza. Also, ageing decreases the body's ability to have a good immune response after getting influenza vaccine. A higher dose of antigen in the vaccine is supposed to give older people a better immune response and therefore better protection against flu.
8Further questionsFor any questions not answered in the presentation you can visit the CDC website atOr contact Connie Spalding,Nursing Program Specialist, at the Lee County Department of HealthPhone