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Flu season

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Get a flu shot now. 

While timing a flu shot can seem like timing the stock market — buying or selling a stock now might mean missing out on gains later — it’s not. A flu shot generally provides immunological coverage against the flu from about four weeks after the shot until six months later.

With a flu season that doesn’t follow a yearly calendar, residents sometimes try to balance between minimizing the possible effect of exposure to the flu in the next few weeks with exposure to the flu in the middle of the spring.

“It makes most health professionals very uncomfortable when people [suggest holding off on protection through the spring] as a reason to delay immunization, as it takes four weeks for protective antibodies to mature,” said Michael Grosso, Chief Medical Officer at Huntington Hospital. Influenza season can begin as early as November and sometimes earlier, so “any time now would be the right time.”

Medical professionals urged people to be even more proactive about getting a flu shot this year, as the pandemic continues to lurk in the shadows, on door knobs, and within six feet of an infected individual.

When people contract the flu along with other respiratory illnesses, the combination, as people might expect, can cause significant sickness.

“The novel coronavirus is just that, it’s novel,” Grosso said. “We don’t know exactly how it will interact with influenza. We do have significant prior experience with concurrent infections with other respiratory viruses. Individuals coinfected with one or more serious respiratory viruses frequently get sicker.”

That’s the case for both children and adults, Grosso added.

Getting an influenza vaccine could also reduce the confusion that will occur if people experience flu-like symptoms, which are also a hallmark of COVID-19 cases.

“Getting as much of the population immunized as possible is even more important than at other times,” Grosso said.

Each year, somewhere between 150,000 to 180,000 people are hospitalized from the flu and the death toll can range between 12,000 to 61,000 people per year in the U.S.

Doctors recommended that people who are 65 and older get a quadrivalent flu shot, which includes an additional influenza B strain.

In a trial of 30,000 people over 65, people who received the quadrivalent shot had 24% fewer illnesses compared to those who got the standard shot, according to the Centers for Disease Control and Prevention.

Susan Donelan, Medical Director of Healthcare Epidemiology at Stony Brook Medicine, said the side effects of the flu shot include an uncomfortable arm for a few days, a low grade fever and fatigue.

“The vast majority of people can easily manage the minor side effects for a day or two with Tylenol or Ibuprofen or a cold pack on their arm,” Dr. Donelan said.

Doctors said practices such as wearing a mask, social distancing and frequent hand washing, which are designed to reduce the spread of COVID-19, are also helpful in cutting down on the transmission of the flu.

Those measures will only help if residents exercise them correctly. Masks that fall below the nose of the wearer, which may make it easier to breathe, are not as effective at reducing the spread of these viruses, Dr. Donelan said.

 

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Along with falling leaves, colder weather and comfy sweaters, autumn also brings the flu, and while the U.S. Centers for Disease Control and Prevention said last year’s season was one of the worst on record, only time will tell how serious this season will be.

Despite the prevalence of the influenza virus and availability of vaccines, the virus still remains deadly on an annual basis. The CDC reported an estimated 80,000 people in the U.S. died from health complications related to influenza during the 2017-18 season, the highest fatality rate compared to any contemporary season on record since first published in 1976.

Of those deaths 183 were children, the most since 171 died in the 2012-13. Approximately 80 percent of those children who died did not receive a flu vaccination, according to the CDC.

The 2017-18 flu season yielded 30,453 influenza-related hospitalizations from October 2017 through April 2018. People 65 years or older accounted for the majority of those hospitalizations, according to the CDC. Overall hospitalization rates were also the highest on record.

Influenza viruses are hard to pin down, as they come in several forms which can require different vaccinations. The influenza A virus was the preeminent strand throughout the 2017-18 season, though influenza B viruses showed up in different parts of the season.

The CDC report for 2017-18 said the flu shot was only 25 percent effective against the H3N2 virus and 65 percent against H1N1, both type A viruses. Meanwhile it was 49 percent effective against B viruses. The report estimated the overall vaccine effectiveness at 40 percent, meaning it reduced a person’s overall risk of having to seek medical care for flu illness at that rate.

The CDC still strongly recommends vaccines as the best way to prevent contracting the virus, but especially for children at least 6 months old, and people aged 50 and older. Children aged 6 months through 8 years who require two doses should receive the first vaccination as soon as possible, and their next dose four weeks later, according to the CDC. For those looking to travel this season the CDC recommends a vaccination two or more weeks before departure.

The new vaccines being rolled out for the 2018-19 flu season will contain agents to specifically target the A(H1N1) and A(H3N2) viruses along with the usual B viruses.

The CDC recommends everyone 6 months or older gets a shot before the end of October. Flu shots are available at most primary care physicians, but also in CVS Pharmacy, Rite Aid and Walgreens stores free with most insurance plans. The shot is also available in pharmacies in local Stop & Shop, Walmart, Target and Kmart stores. Many colleges, such as Stony Brook University, are offering flu shots to its students. Call your doctor or local pharmacy to ask whether they currently supply flu shots.

Flu season is hitting New York and the country as a whole especially hard this year. Stock photo

Flu season is hitting harder than usual across the United States this year, and New York has been no exception.

The New York State Department of Health Weekly Influenza Surveillance Report for the week ending Feb. 3, the most recent week available, said it was the ninth consecutive week that widespread influenza activity was reported. The “widespread” distinction means two or more additional lab-confirmed cases of influenza were reported in greater than 31 of the 62 counties in the state per 100,000 people. Nearly 16,000 lab-confirmed cases were reported for that week in New York, compared to about 5,300 for the same week in 2017.

More than 1,100 cases were reported for the same week in Suffolk County, bringing the season-to-date total to 3,301. The week ending Feb. 3 saw nearly identical numbers for the preceding two weeks in Suffolk combined. Three influenza-associated pediatric deaths have been reported in New York so far this season, and 63 nationwide.

A Feb. 9 update from the Centers for Disease Control and Prevention indicated influenza-like illness reached 7.7 percent, the highest rate since the 2009 H1N1 pandemic, or Swine Flu, which peaked at 7.7 percent. The overall hospitalization rate was higher for the past week than the rate reported for the same week in 2015, a high severity season, according to the CDC. Of the last six flu seasons, the 2017-18 hospitalization rate — 60 hospitalizations per 100,000 people — is the highest at this point in the season. Hospitalization rates have only exceeded 60 per 100,000 people over that span for nine weeks cumulatively — six weeks in 2015 and three weeks in 2017. Influenza-like illness has been at or above the national baseline for 11 weeks. During the last five flu seasons, influenza-like illness remained at or above baseline for 16 weeks on average, meaning the current flu season should be expected to continue for at least the next several weeks.

Flu prevention tips from the CDC:

1. Avoid close contact.

Avoid close contact with people who are sick. When you are sick, keep your distance from others to protect them from getting sick too.

2. Stay home when you are sick.

If possible, stay home from work, school, and errands when you are sick. This will help prevent spreading your illness to others.

3. Cover your mouth and nose.

Cover your mouth and nose with a tissue when coughing or sneezing. It may prevent those around you from getting sick.

4. Clean your hands.

Washing your hands often will help protect you from germs. If soap and water are not available, use an alcohol-based hand rub.

5. Avoid touching your eyes, nose or mouth.

Germs are often spread when a person touches something that is contaminated with germs and then touches his or her eyes, nose, or mouth.

6. Practice other good health habits.

Clean and disinfect frequently touched surfaces at home, work or school, especially when someone is ill. Get plenty of sleep, be physically active, manage your stress, drink plenty of fluids, and eat nutritious food.

“I think something that the public tends to forget from year to year is that influenza is a significant health issue,” said Dr. Michael Grosso, the chief medical officer at Huntington Hospital. “Were this any other kind of infection, we would be rather alarmed as a country. We’re sort of accustomed to the flu.”

Suffolk County Executive Steve Bellone (D) and Health Commissioner Dr. James Tomarken announced last week the county is offering free influenza immunization to residents following Gov. Andrew Cuomo’s (D) declaration of a statewide public health emergency.

“The health and wellness of our residents is of utmost importance,” Bellone said in a statement, also thanking Cuomo for the emergency declaration, which resulted in the release of funding to allow for the free flu shots.

Tomarken and Grosso each stressed it is not too late in the season to obtain a flu shot.

“I think it’s important that leaders not ever send mixed signals about this,” Grosso said.

Cuomo also directed the Suffolk DHS to provide educational information to schools, colleges and other service providers about obtaining flu shots and other preventative measures, according to a letter from Tomarken dated Feb. 9 on the DHS website.

Suffolk County Legislator Kara Hahn (D-Setauket) is sponsoring legislation that would, for the first time, collect data on all deaths resulting from influenza virus, not just deaths of those 18 years and younger. If approved, the statistics would be reported monthly during flu season and would become the basis of an annual report on that year’s flu season due to the Legislature each May.

“Our understanding of annual influenza outbreaks is limited by the limited data being collected by national, state and local health officials,” Hahn said in a statement. “When the statistics used to monitor this epidemic excludes nearly 79 percent of Suffolk County’s population it is difficult to get a clear picture of its impact on public health. I know having complete information will aid county officials who need to make reasonable predictions based upon available datasets.”

Legislator William ‘Doc’ Spencer (D-Centerport) is also supporting the bill.

Northwell Health, a health system that oversees several area hospitals including Huntington Hospital, has instituted a new “biosurveillance” system to track and respond to the volume of influenza cases it’s handling this season. Among other benefits, the system enables Northwell Health to proactively manage the distribution of resources, including supplies needed to treat patients and protect staff, such as antiviral medications, rapid-flu tests, masks and gloves.

Grosso said the implementation of the statistics yielded from the new system is still coming along, and he said he anticipates it will be a useful tool during subsequent flu seasons.

Free flu shots are available for Suffolk residents age 2 and older at local pharmacies and for those at least 6 months old at pediatrician and healthcare provider offices. Additionally, the county is offering free immunizations for residents 6 months old and up Feb. 13 from 1 to 3 p.m. at the Riverhead Free Library and Feb. 15 from 5 to 7 p.m. at the H. Lee Dennison Building in Hauppauge. Residents are asked to call 631-787-2200 Monday through Thursday from 9 a.m. to 5 p.m. to schedule an appointment.