It's That Time of Year Again: Preparing for Influenza Season

The CDC has issued their latest data about the flu vaccine. As the country gets ready to prepare, how are you feeling about being told you have to get a flu shot by your employer? Read the article, take our poll, and tell what you think! Nurses Headlines News

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Ah....fall! That time of year where we start to prepare for Winter. Autumn brings leaves, pumpkins, and warm sweaters. Everyone heads outside for bonfires, football games, and trick-or-treating. Yet, lingering right around the corner is flu season. This isn't a season that brings joy and happiness. The flu is a dangerous and even deadly virus that is preventable. Here are the essentials you need to know about the Influenza vaccination recommendations from the CDC.

What is the Flu?

Influenza, commonly called the flu, is a respiratory infection. The flu can cause serious complications in those who are compromised for any reason, such as older adults, young children, or individuals living with conditions that decrease their ability to fight off infection. Vaccines are not 100% effective. However, they are the best way to prevent the flu and possible complications.

How are flu vaccines created?

Flu viruses are constantly changing. Each year, researchers across the country, study the current strains, and review the composition of vaccines. Updates to the vaccines are needed to match the viruses that are seen the most. There was a delay in selecting the viruses for the 2019-2020 season due to frequent changes in some of the common viruses.

Flu shots protect individuals against three or four viruses that are expected to be most common during the season. Four vaccines will be available to the public this year.

Medication Rights: Right Patient, Right Time

Annual flu vaccination is recommended for everyone over the age of six months unless contraindications exist. Getting vaccinated is of utmost importance for a few specific populations, including women who are pregnant, young children, and older adults. Young children may need up to two doses of the vaccine to be fully protected. Other populations that are at high risk of complications from the flu include individuals living with obesity, liver or kidney disease, diabetes, HIV/AIDS, asthma, cancer, COPD, or cystic fibrosis.

Will there be Enough Vaccine this Year?

The amount of vaccine available each year depends on manufacturers. The projection for the 2019-2020 season is between 162 million and 169 million doses for the U.S. alone. These numbers may change depending on how the season progresses.

Arguing for Mandatory Flu Shots

If you work around people with the flu, your chances of contracting the virus are increased. Getting the vaccine not only protects you, but can also help to protect your family, friends, and patients. Individual's with the flu are contagious one day before symptoms show up and up to seven days after becoming sick, which means that many people can pass the flu on to others without even knowing it.

The CDC recommends that all U.S Healthcare workers get vaccinated against the viral infection. More than 78% of all healthcare workers received the vaccine during the 2017-2018 season. Doctors and pharmacists were the most vaccinated at 96.1% and 92.2% respectively. Nurses came in at 90.5% and nurse practitioners at 87.8%. Healthcare workers in long-term care settings were the least likely to get the vaccine, and those in hospitals were the highest. Some healthcare settings mandate flu vaccines for all clinical and non-clinical staff. These clinical setting had the highest rate of coverage at 94.8%.

Arguing Against Mandatory Flu Shots

While the CDC recommends getting vaccinated, not everyone wants to get a flu shot. Hospitals report that making flu vaccines mandatory is to protect patients. However, what about the rights of the healthcare worker?

Researchers report that vaccinating healthcare providers will help with patient safety, increase the effectiveness of the vaccine, and protect those staff who are at an increased risk of complications from the virus. Those who oppose the vaccine report factors like side effects of the drug, setting a precedent to require healthcare professionals to comply with other medical treatments, or just feeling like a shot isn't needed as their reasoning for opposing the requirement. Many nurses feel that following standard and transmission-based precautions such as hand washing, wearing masks, and even keeping people in isolation should be enough to minimize the spread of the infection.

How Do You Feel?

Vaccines can elicit much debate these days. And, requiring professionals to take a medication that they don't want could cause some tempers to flare. So, where do you stand on the issue? Take our poll so that we get an idea of how many of you only take the vaccine because it's required at work. And, comment below to let us know how you really feel about the topic.

Specializes in LTC, assisted living, med-surg, psych.

I'm religious about getting a flu shot every year. The last time I didn't get one was 1992, and I spent the entire winter and spring in and out of the ER with bronchitis and pneumonia. It was a miserable time, and dangerous too because I have serious asthma exacerbations when I get sick. The only time I've had the flu in the past two and a half decades was around 2006, but it was a mild case because I'd had the flu shot. So I'm definitely a believer in the vaccine, even if it's not perfect.

By the way, I got my flu shot last week. ?

6 hours ago, Spidey's mom said:

Your mild case of flu is most likely due to getting the flu shot as it can lessen the severity or keep you from getting the flu.

Yep, but I have to wonder, given what happened, if there was something wrong with that particular batch. Regardless, I'm getting jabbed on Thursday so we'll see what happens.

Got my shot today instead of Thursday. Fingers crossed.

6 minutes ago, Wuzzie said:

Got my shot today instead of Thursday. Fingers crossed.

Good vibes transmitted your way.

33 minutes ago, Wuzzie said:

Got my shot today instead of Thursday. Fingers crossed.

Thinking of you and sending positive vibes as well!

Still breathing!?

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

So many mention their low effectiveness. Here is my take: Even ONE percent is better than nothing. And one builds up immunity to many strains of flu over the years, taking an annual flu shot.

Specializes in Hemodialysis.

I am in the process of vaccinating my patients 65 and older..Hurricane Dorian delayed the rest. I will get mine too. Herd immunity is the way to go so we can protect those whom it is contraindicated for.

9 hours ago, Wuzzie said:

Still breathing!?

I was thinking about you a bit ago! Thanks for the update.

50 minutes ago, Adri0418 said:

I am in the process of vaccinating my patients 65 and older..Hurricane Dorian delayed the rest. I will get mine too. Herd immunity is the way to go so we can protect those whom it is contraindicated for.

Yes and thank you.

My employer offers it to us for free each year but does not mandate it. I was at my PCPs office two weeks earlier and they had the vaccine available. Got my daughter vaccinated, husband had his through a minute clinic as his employer mandates his because he’s a vendor for hospitals, etc. I declined since my employer was supposed to have ours in a week or two...well darn it anyway because the day we would have the vaccine available I wake up with....the flu....I’m asthmatic....now I have it complicated with bronchitis and earned a home nebulizer, steroids, and an antibiotic because it’s most likely needed at this point with the bronchitis but there’s also this lovely UTI that came along last minute too! (Probably because I wasn’t drinking enough fluids, etc). Yeah, I’ll just take the vaccine as soon as it’s available in the future. This year, I’ll still get it for the other strands it protects against (once I’m cleared of what I’m currently infected with). Now I’m sick as a dog and confined to my home for 7 days.

Preconceived thoughts on the vaccine seem to be the number one reason why most healthcare workers who choose to decline do so. Unless the flu vaccine is contraindicated for that individual, such as a prior allergic reaction to the vaccine (rare)-then get the stupid thing because it DOES NOT cause the flu! The most common excuse-“I still got the flu” or “it gave me the flu”(no-it did not). It’s not 100% effective and it takes a little bit of time for the body to develop antibodies so infection shortly after, well, they were going to get sick anyway. I’m the sickest I’ve been in 9 years.

Last year it was spreading through my daughters class like wildfire. She was one of the few who did not get it and come to find out (of course this is not confirmed but 3rd graders talk to each other) the ones who did did not get the shot because their parents didn’t believe in vaccines. They also had a varicella outbreak in her class room too, in a public school-but that a topic for another time.

Specializes in kids.
On 9/21/2019 at 8:13 AM, OUxPhys said:

Eh, Im torn. I could go either way honestly. It doesn't help though when you read that the year's vaccine is effective 38% of the time. It doesn't even cover all the strains. The flu is such a rapidly changing virus that you could get the vaccine and still get a strain of the flu not covered.

But if it mitigates what you do get...

Specializes in Critical Care.
On 9/29/2019 at 7:30 PM, Wuzzie said:

“I'm curious about what your reaction was . . . ?”

About 45 minutes after getting it I started flushing to the point of being beet red from head to toe. I got dizzy and all 4 extremities started going numb. My reflexes were noticeably decreased. BP dropped. I was a little SOB. No itching or hives. It was the strangest thing. I’ve had the shot before, I’m not particularly scared of needles and am not prone to hysteria. I generally feel kind of yucky for a few days after but this time the following 4 days I had my typical symptoms just ramped up astonishingly. I was told I was “not myself”. There were 6 other staff members from different floors with similar symptoms (none of us knew each other). It was investigated and the only correlation they found was the same lot# of the vaccine so they pulled them to be safe. All of us recovered with no long term affect. I did, however, get a mild case of the flu (Influenza A) a little later which was odd as the vaccine is usually affective for me. They are nervous to vaccinate me this year so I may have to get it in employee health so I can be observed but I’m more scared of getting the flu since I have terrible asthma.

It's certainly not fun, but on the bright side a strong immune response to the shot is what makes it work. No immune response = likely ineffective vaccination. Since vaccine doesn't confer immunity, but instead triggers your own immune system build a defense to the particular virus strains, feeling like crap after getting the shot is proof it's working.