Tag Archives: vaccines

Here Is When You Should Get Your Flu Shot

Mother Jones

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As flu season draws nearer, you may have noticed ads in your local pharmacy urging you to get your annual flu shot. On Thursday, the US Centers for Disease Control and Prevention (CDC) doubled down on that message, urging Americans to get their vaccine as soon as they can. But last week, Americans got some conflicting advice. Some vaccine experts have suggested that it may be better to wait to get your flu shot. So which is it: Get your shot now or wait until the end of the month?

The conundrum is rooted in evidence that the immunity you get from your flu shot may wane over time, especially if you’re over the age of 65. Two weeks after you get your shot, your body develops antibodies—like little soldiers in your bloodstream that protect you from an influenza infection. The CDC recommends that everyone over the age of six months get a flu shot, and the immunity boost is especially important for children and the elderly, who are more vulnerable to complications. But some studies show that those antibodies may start to decline before the end of the flu season.

That’s why Laura Haynes, an immunology expert at the University of Connecticut Center on Aging, told Kaiser Health News that the ideal time to get your flu shot is sometime between Halloween and Thanksgiving.

“If you’re over 65, don’t get the flu vaccine in September. Or August,” she said. Last year, the flu season peaked in December.

According to Kaiser Health News, the push to get people to vaccinate early is partly driven by economics. As more and more pharmacies offer flu shots, it makes sense for them to offer their vaccines as soon as they’re available in order to bring in more customers—even if it’s well before the flu season has begun.

However, waiting to get your vaccine carries its own risks. First and foremost, some people who delay getting their flu shot may simply forget to get one. An early vaccine is better than no vaccine at all.

“The problem is that a vaccination deferred is often a vaccination forgotten,” warned Tom Frieden, director of the CDC. At the annual National Foundation for Infectious Diseases press conference on flu vaccines, Frieden noted that even a small uptick of 5 percent in vaccination coverage could prevent nearly 10,000 hospitalizations.

In fact, last year saw a slight decline in the number of people who got vaccinated. About 45 percent of people got their vaccination last year, down about 1.5 percentage points compared with the previous year. And the largest decrease was among folks over the age of 50. According to Arthur Reingold, an epidemiology expert at the University of California-Berkeley and a member of the CDC’s immunization advisory committee, last week’s push to get people vaccinated is partly about keeping those numbers up.

“Each year, we have the challenge of getting people out the door—to their providers, to their drug store, to their work site—to do this,” Reingold told me. “So I would imagine that this suggestion that people get their flu shot now is partly to try to ensure that we don’t see a further decline in how many people actually do that.”

It’s also not entirely clear when your flu vaccine starts to wear off. Some studies show that you may still carry protection from your vaccination the previous year if the flu strains didn’t change. And there’s another reason you might not want to delay too long: You never know when the flu will arrive in your neighborhood. According to the CDC, the flu season can begin as early as October.

Overall, Reingold says, waiting a couple of weeks probably won’t make that much of a difference.

“My advice would be to get the flu shot whenever it’s convenient and not worry so much about trying to time it perfectly,” he said.

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Here Is When You Should Get Your Flu Shot

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Farm animals are about to get a lot more shots

worth a shot

Farm animals are about to get a lot more shots

By on Aug 10, 2016Share

Instead of feeding antibiotics to farm animals, what if we kept them from getting sick in the first place? Pharmaceutical corporations are trying to get cows off drugs by creating new animal vaccines.

A Bloomberg snapshot of the industry shows that companies are spending a lot of money on vaccine development. We don’t know how much they are investing, but they are building new labs and buying up vaccine startup companies. The effort is already yielding results: There are new vaccines for animal pneumonia, circovirus in pigs, pancreas disease in salmon, and intestinal infections in pigs and chickens. Companies say they will unveil several more this year.

Vaccines aren’t a silver bullet. It can be expensive and time-consuming to inoculate every chick, piglet, and salmon fry. And some diseases defy attempts to craft vaccines. But these new preventive technologies will help in the effort to wean farms off antibiotics without causing more animals pain or increasing greenhouse gas emissions from meat.

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Farm animals are about to get a lot more shots

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More States Are Letting Parents Refuse to Vaccinate Their Kids

Mother Jones

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In 2000, the Centers for Disease Control and Prevention declared that measles had been eliminated in the United States. Now it’s making a comeback, in large part due to parents who refuse to vaccinate their children.

This year’s outbreak—more than 100 cases reported across 14 states—follows a dramatic rise in measles cases in 2014—644 cases across 27 states. In light of the the potentially deadly disease’s return, public health officials are expressing concern about rising vaccine exemption rates. Citing the risks of not vaccinating, Anne Schuchat, an assistant surgeon general and the director of the CDC’s National Center for Immunization and Respiratory Diseases, stressed that measles could get “a foothold in the United States and become endemic again.”

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Every state requires children to get the measles, mumps, and rubella (MMR) vaccine before they enter kindergarten. (The vaccine is usually administered in two doses after a child’s first birthday.) All states offer medical exemptions for kids with allergies, cancer, or compromised immune systems. Most offer religious exemptions as well. And now a growing number of states—20 as of this year—permit personal belief exemptions (PBEs) that allow parents to not to vaccinate for reasons of philosophy or conscience.

Nonmedical vaccine exemptions—the rules that allow parents to opt their kids out of required vaccines based on beliefs—are on the rise. Over the past four school years, there’s been a 37 percent increase in exemptions filed. Between the the 2010-2011 and 2011-2012 school years, the rate of of exemptions for incoming kindergartners jumped 30 percent. The CDC reports that 85 percent of people who go unvaccinated do so for personal or religious beliefs.

According to a 2012 study led by Saad Omer, a professor of global health and epidemiology at Emory University, allowing PBEs leads to fewer kids getting vaccinated. Opt-out rates in states with PBEs are more than double those in states with religious exemptions alone. These vaccination gaps result in higher rates of diseases like measles and whooping cough, especially in states where PBEs are easily obtained.

“We do know that states that have philosophical exemptions tend to have not only high rates of exemption but also high rates of disease,” Omer says. But some states grant exemptions more readily than others. In states such as Colorado, a parent’s signature is all that is required. But in states like Arkansas, parents must first establish why they are seeking an exemption or receive counseling from a health care provider. “We have found that the more difficult the requirements are, the lower the rate of exemption and the lower the rate of disease,” Omer says.

Looking at data from 1991 to 2005, Omer’s team found that states with easy exemption procedures had whooping cough rates up to 90 percent higher than states that made it more difficult to get exemptions.

Last year, nationwide vaccination coverage was at about 95 percent, and the median national rate of children with PBEs was 1.7 percent. That might not seem so bad. Yet because unvaccinated kids are often clustered together, one transmission of a highly contagious disease like measles can put many people at risk and set off a series of outbreaks like those happening now.

These “clusters of vaccine refusal” put two groups at risk, Omer explains. First are people who are not vaccinated, which may include infants and children with compromised immune systems. The other is people who have gotten their shots but did not get immunity—something that affects about 1 in 10 vaccine recipients, even with the most effective vaccines. “Even when it is a good vaccine and someone has done the right thing and gotten their kid vaccinated there is still a chance that they will be unprotected. So, their risk not only depends on their own vaccination status—but also what is happening around them.”

As Schuchat noted earlier this week, “The national estimates hide what’s going on state to state. The state estimates hide what’s going on community to community. And within communities there may be pockets. It’s one thing if you have a year where a number of people are not vaccinating, but year after year in terms of the kids that are exempting, you do start to accumulate.”

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More States Are Letting Parents Refuse to Vaccinate Their Kids

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