Flu Activity at Its Local Height. Flu Shot Effectiveness Set at 48%.

The most recent epidemiologic data from the Center for Disease Control states that this year’s flu shots reduced a patients chance of catching the flu by 48% compared to no vaccine at all. The party line is that those individuals who were vaccinated and still contract Influenza A or B get a milder version. In this week’s Morbidity and Mortality Weekly Report, Brandon Flannery, PhD, of the CDC and associates believe the flu vaccine is about 43% effective against influenza A and 73% versus Influenza B. Most flu infections this season have been caused by Influenza A (H3N2). This particular virus has the ability to change its genetic composition frequently thus making updates to vaccines necessary more frequently than current manufacturing methods can accommodate.

We are heading into the peak weeks of Influenza A infection in Palm Beach County, Florida. Individuals with flu and upper respiratory tract infection type symptoms should see their doctor. An Influenza Nasal swab test can determine if you have the flu. It takes about fifteen minutes to learn the test result after obtaining a nasal swab. If you have the flu we can place you on a dose of Tamiflu to cut the duration and symptom spectrum of the infection. We can also recommend a ten day course for family members and intimate partners as an effective prevention against the disease. Call the office if you have any questions.

Influenza Vaccine 2015- 2016 Season

The Center for Disease Control and Prevention (CDC) has recommended that all adult s receive the flu shot vaccination this coming fall. Our supply of flu vaccine is expected to arrive by September 1, 2015 and we will begin administering the vaccine shortly thereafter. This season there will be three types of intramuscular injectable flu vaccines available. All will contain a non-live attenuated version of the flu viruses. The Senior High Dose vaccine is recommended for all adults 65 years of age or older. The Trivalent or Quadrivalent vaccine is suggested for younger adults. The vaccine will contain 3 antigens including: an A/California/7/2009 H1N1 pdm09- like virus, an A/Switzerland/9715293/2013 H3N2 like virus and a B/Phuket/3073/2013 like virus. It is called a trivalent vaccine because it contains three virus types. The Quadrivalent Vaccine will contain a fourth antigen B/Brisbane/60/2008 like virus.

Please call the office to set up an appointment for your vaccination. Once you have received the vaccine it takes about ten to fourteen days for your body to develop antibodies against the flu. Influenza begins to appear in the northern United States in late October. The season can run through February into March. In South Florida we see little flu prior to Thanksgiving with the disease peaking in late January early February. Immunity in younger healthier patients will last throughout the flu season. Older and sicker individuals see their immunity decrease over time lasting as short a period as 3-4 months in some. The shortened immunity in seniors is the reason we usually suggest they receive the vaccine between Halloween and Thanksgiving. If you have any questions please call the office.

Flu Vaccine will be available at most commercial pharmacies as well as our office and at many workplaces. Please let us know if and when you obtain the vaccine elsewhere and tell us which of the vaccines you received.

I am often asked about adverse reactions and side effects of the vaccine. It is a dead virus. It cannot give you influenza. A successful vaccine will produce some redness, warmth and swelling at the injection site. That means that your immune system is working and reacting appropriately to the injected material. If this occurs put some ice on it and take two acetaminophen. Feel free to call us or set up an appointment to be seen that day so we can evaluate the injection site.

It’s Only a Cold …

As a concierge medical practice we pride ourselves on being available to help our patients with access to the doctor by phone and same day appointments. At this time of year we are faced with daily phone calls regarding cold or flu like symptoms.  Thus, I thought it appropriate to share some topical information which should be useful in helping anyone decide whether they should “ride out the storm” or give their doctor a call.

There are at least 1,500 different known viruses that lead to a viral upper respiratory tract infection sometimes known as “the common cold”.   With these, a high sustained fever of 101 degrees Fahrenheit is rare.  Aches and pains, nasal discharge with runny nose and post nasal drip are common. Dry cough advancing to a barking cough productive of clear, yellow and often greenish phlegm is common as well.  You’ll most likely feel miserable. Your sinus and head congestion make you feel like you are in a tunnel, a sound chamber, or wearing a deep sea diving helmet. Your appetite waxes and wanes. You are exhausted with the activities of daily living.  Getting out of bed to wash your face and groom yourself may seem as challenging as a 26.5 mile race up a hill.

Currently, there is no cure for the common cold. Antibiotics do not work.  A “Z Pack “does not speed up the process. An injection of antibiotic does not make it go away faster. The infection could care less if you have a high school reunion to go to in Philadelphia, a grandchild’s bar mitzvah or baptism, or a flight to Paris for a combined work/pleasure excursion. Frankly, once you have this type of viral infection you will most likely have to ride out the storm.

Furthermore, going to the ER and sitting and waiting to be seen doesn’t make the infection go away quicker. Paying for a visit at a walk in center or urgent care center where you are more likely to negotiate successfully for an unwarranted or needed antibiotic will not help either.

In most instances, your recovery from the virus will take 7-14 days providing you drink plenty of warm fluids, rest when you are tired and use common sense. Cough medicine may ease the cough. Saline nasal solution may clear the nasal congestion. Judicious use of a nasal decongestant under your physician’s supervision may help as well.  It will take time. You are contagious. No you should not go to the gym if you are feeling poorly. Chicken soup, tincture of time, hot tea with honey, plenty of rest and common sense are recommended remedies.

If at any point you still feel you have the plague, dengue fever, the bird flu or the Ebola virus come on in. We will take a look, evaluate your symptoms and likely tell you, “It’s a cold.”

Cold and Flu Season: Prevention / Treatment

Cold (upper respiratory viral infection) and flu season is upon us again   What can you do to prevent a cold?

Studies have shown that increasing your vitamin C intake before developing cold symptoms greatly helps. In the American College of Physicians Guide to Alternative and Complimentary Medicine they cite a series of studies that looked at highly stressed athletic and military personnel residing in cramped quarters in extremely challenging and cold environments. Those who made sure to ingest extra vitamin C by various routes including increasing their fresh fruits and vegetables had fewer colds which were less intense.

Recent studies published in the British Medical Journal and performed at Appalachian State University showed that brisk exercise for thirty minutes a day at least five days a week prevented colds. By mobilizing your immune cells during exercise you tend to stay healthier longer.  Previous studies in pregnant women and older adults confirm the cold fighting benefits of regular exercise.

The flu shot works to prevent influenza.  It is safe, inexpensive and readily available this year.  This year’s seasonal influenza vaccine contains protection against traditional influenza strains and the H1N1 virus. It is recommended in all adults.

If you catch a cold we suggest you try common sense, rest when fatigued, consume extra fluids especially warm fluids such as chicken soup and give thought to trying zinc lozenges.  Zinc lozenges taken every two hours may prevent viral particles from attaching to cell surfaces in mouth, throat and nose and cut the intensity and duration of your infection.  Taking the zinc tablet every two hours for the first twenty four hours is apparently the key.