HIV patients should get the injectable vaccine...not the nasal live one...None of the over the counter things have been shown to give much help...
Thanks for answering questions for us.
10 YEARS AGO AM I IN THE PRIORITY GROUP
FOR THE HINI VACCINE ? I HAD THE FLU SHOTS LAST AND THIS YEAR BUT GOT A CLASS
A FLU IN FEB LAST YEAR, COULD IT HAVE BEEN HIHI. I WAS REALLY ILL AND TREATED
WITH TAMIFLU AND OTHER MEDS.
Autism and epilepsy are not risk factors for flu...They are not more suscepible unless they are on medications which suppress the immune system, such as prednisone..
2. My two year old in constantly getting sick when she is around other children so it's safe to say that she has a low immune system. Is the shot form of the vaccine better for her rather than the nasal version?
3. I am 6 weeks pregnant and am worried that the vaccine might harm my baby. What trimester is the safest to receive the vaccine? Also, is there mercury in the vaccine?
4. As a pregnant women, is tamiflu safe for my baby?
5. Why are there so many deaths when tamiflu gets rid of the virus? I guess my question in how effective is tamiflu?
The H1N1 vaccine is protective...You will not get H1N1 if you receive the vaccine...It does take 7 to 10 days to develop protective antibodies, so there is some risk with early exposure after vaccination.
\The sents do not make your risk for flu increase...You should get the H1N1 vaccine because you have age and cardiac disease. You probably will not get vaccinated before you leave in one month. Our government is in charge of the vaccine, and as you might have sensed, things are slow to start and probably finish. I would suggest that you let you doctor know of your time table and see if he can help... Remember that all the healthcare facilities are responsible for pleading with the government for vaccine...
The Guillain Barre syndrome was seen with the Swine flu vaccine in the 1976 vaccination program...It has not been seen with any influenza vaccine program since. There are none of those old risk factors present in the modern flu vaccines.
All your assumptions are correct except for the fact that H1N1 is a distinctly separate virus, and will not protect against other strains of A, or at least we have no evidence to suggest this. Likewise, the other A viruses will not protect you against the H1N1...so we have to use more than one vaccine...
Thank you so much.
disease. Their physician stated they could not have the nasal vaccine but needed the injection. She also said she
would not get it. What are we to do?
These 2 clearly will be in trouble if
they get the H1N1. We live in Baytown. Thanks
Should I also get my 2yr old and my 5yr old vaccinated. Are there any severe risks for in the vaccine?
Where can I get my 14 month old the regular flu shot? My pediatrician is out and doesn't know when he will be getting any more. Also, why aren't kids younger than 3 getting the H1N1?
Dr. Catherine Troisi: Check the Houston Health Dept website at houstonflu.org for clinics which have the seasonal vaccine. Children younger than 3 years of age can certainly get the flu but they may not be exposed to as many people as school age children are.
I hear ya'll say to check with our regular physician, but what if you don't have one? My kids don't have one nor do they have insurance, where can i get them vaccinated and how much is it?
Dr. Catherine Troisi: The Houston health department serves as a safety net for people who don't have insurance. Check our website at houstonflu.org. The vaccine is free and the health department does not charge an administration fee. Anika Gilmore I need to find out if a fever btween 103-105 is safe. Dr. Kelly Larkin: A fever up to 104 can be OK. 105 is a high fever. before a fever gets to 105 you should have taken tylenol or motrin to prevent the fever. Vanessa If you were breastfed by a parent born before 1957, would you have any immunity to the virus. Thanks (12651) Dr. Kelly Larkin: No, you would not have immunity. Your parent might. ernest frazier I have had the swine flu since last Sat. and I am on tamiflu but it is not working, what else is good to help with the swine flu? Dr. Lane Gentry: Earnest frazier Tamifllu is effective against the H1N1, but has to be given early in the course to be effective in decreasing the symptoms...Also there is a rare case of H1N1 which is resistant to Tamiflu...You may not have started early enough to get the effects...I doubt that the virus is resistant... Nicole My husband and I got the nasal version of the H1N1 vaccine, he has sore throat is fatigued with a sore back. This happened the day after he got the vaccine. He now has congestion. We have a 8 week old baby and I am nursing. Should we be concerned..? Also my three year old has not gotten the vaccine, he is allergic to eggs. Dr. Amalia Guardiola: Wow! This is a hard one. If the 8 wks old baby is not sick and you are not sick you should go ahead and keep nursing. But your husband should not be in close contact with the baby as much as he can (I know this is going to be super hard). Then the whole family needs to be EXTREMELY CAUTIOUS. Everybody needs to be washing their hands, hand sanitizer everywhere, do not "kiss a lot" as much as you can. And if at any point the 8wks old child gets a fever, or any other problems go to the pediatrician as soon as possible. For the 3 yrs old is all about prevention. Anna D. (07:11 CDT): hello, i have a 5 weeks old daugther. hwat can i do to protect her? can she be vaccinated or should i get the vaccination to protect her since i am breastfeeding? i am 33 years old. thank you Dr. John Irwin: Your daughter cannot be vaccinated until she is 6 months old. You should get the vaccination for two reasons. Antibodies are passively transmitted through the breast milk. Your baby benefits. You are also her primary caregiver and do not want to get the flu. Get the vaccine. callmetink I have end stage liver disease and no spleen. My liver transplant doctors want me to get the vaccine... but I don't know where to go to get it. No one has it. Any suggestions? Dr. John Irwin: You should definitely get the H1N1 vaccine. It is just as safe as the seasonal flu vaccine. I suspect that the story you relate is not actually a side effect or related to the vaccine. It is just coincidental. You should feel confident that the vaccine is safe. We have decades of experience with influenza vaccine in pregnancy. Tammy I'm natuarally feeding my 3 month old baby and I was wondering if I get the shot will my immunity to the H1N1 virus be passed on to her through lactation? Or should I wait until my baby is old enough to get the shot herself? Dr. John Irwin: Your baby may indeed receive some antibodies to the virus from breast milk. When your baby is 6 months old, she should be vaccinated. Regina R. What is the probablity of catching Swine Flu twice in the same season? We have already had it, and am wondering if I should risk getting the vaccination. Dr. Shital Patel: If you have had confirmed "swine" H1N1 infection then at this time you should not get infection again. Some very young children could poosibly get reinfected, but for the most part most people will not get reinfected unless the virus changes. Also if you have confirmed infection, then at this time since the virus has not changed you do not need to get the vaccine. W. Farmer I have progressive congested heart failure and COPD. I take a large number of RX's. So far, I have not been able to acquire the swine flue vaccine or the regular flu vaccine thru our clinics. Could there be a severe interaction with the RXs? Also, I am scheduled to take a trip in 10 days. I feel I should have one or both but have not been able to acquire them. Dr. Lane Gentry: The vaccine does not interact with any of the usual medications...The seasonal flu vaccine is still available at pharmacies...H1N1 vaccine will be available in probaly 6 to 8 weeks.. Mary I am a healthcare worker. Everytime in the past that I have gotten the flu shot I have gotten very sick shortly after, so I do not take it any more. Now with this new flu I am scared for me and my family, but do not want to get sick from the shot like I have in the past. What should I do? Dr. Kelly Larkin: Generally illness with the vaccine is limited. It is recommended to get the vaccine to prevent illness, but you can chose not to. Brad I have a trip to China planned for mid November and would like to be vaccinated. My concern is whether the H1N1 vaccine will be available? Also, my job has me in hospitals and cancer centers daily, would that elevate my priority for vaccination? Dr. Catherine Troisi: We should have a steady supply of vaccine by mid-November (but it takes about two weeks after you receive the vaccine for your body to make antibodies to be fully protected against the virus). If you have contact with patients in the hospitals, then yes, you would be in a priority group to receive the H1N1 vaccine. Judy I have Polymyostis, diabetis, and chorsis of the liver. I am 64. Should I get the H1N1 shot? Dr. Amalia Guardiola: With all those risk factors, you are on the very top of the list to get the vaccine.. Bryan (05:43 CDT): We have a three year old and are concerned as to the side effects that may arise from her recieving the H1N1 vaccine, ie Autism. Could you please advise us on the risk involved if she is given the vaccine and if the reward out ways the risk? Kindest Regards, Bryan Dr. Amalia Guardiola: There hasn't been any correlation between the flu vaccine and autism. There are no studies showing this correletion. Also the flu shot has been around a long time and we haven't seen any consequences in the long term. And yes, the benefits outweight the risks. Sarika My Son is 16 month old and we are planning to travel out of country in the next month....I want to give him H1N1 vaccine, but is it safe for him to get available live vaccine? Dr. Amalia Guardiola: The live vaccine, flumist, is recommended for children older than 2 yrs old. Your 16 months old should get the shot. kansas im 10wks pregnant, my doc recomends i wait til im 12wks pregnant to get any type of flu shot. is it safe for me to get either now, or is it safer to wait til 12wks? Dr. John Irwin: You can get both vaccines AT ANY TIME IN PREGNANCY. There is no benefit for anyone to delay getting the vaccine until 12 weeks of pregnancy. Get both as soon as you can. Miles Walker Is there any side effects to the swine flu vaccination and when is the earliest college students can get the shot Dr. Shital Patel: The reactions to "swine" flu shot (H1N1) are expected to be the same as regular flu vaccine. The vaccine is made the same way as regular flu vaccine. The most commone reactions include low grade fever, headache, bodyaches, low energy that is usully mild to moderate and usually does not interfere with your activity. These usually lasts 1-2 days and go away. A college student can get the vaccine as soon it is available to them. deb What are the symptoms as opposed to the regular type a or b flu? Dr. Shital Patel: The symproms in most people are simliar to the regular flu a or b. H1N1 is a type of Influenza A. However, because we do not have preexisting immunity, some individuals may be at higher risk of serious complications from H1N1. Natalie I am breastfeeding my 9 day old newborn should I get the H1N1 shot to protect my son and have my 15 month old daughter vaccinated? Dr. John Irwin: You should indeed get the H1N1 vaccine for two reasons. Getting the vaccine does confer some immunity to your breastfed baby. In addition, you will be protecting yourself--the primary caregiver for both your children. Your 15 month old should be vaccinated. Frank Lomelo (05:40 CDT): Is my 3 year old safe if she get the vaccine? Dr. Amalia Guardiola: If your child gets the vaccine she should be protected pretty good. But rememebr that there are multiple types of the flu virus, so she may still get the flu from a type that is not covered by the vaccine. IF she gets it the disease is much milder, less severe than if she did not get the shot. AnnetteJ My husband and I are in our late fifties and caregivers for our two grandchildren two days a week. The children are 4yrs. and 21 months, respectively. The 4 yr. old attends pre-school. Should we be vaccinated for the H1N1 virus? If so, where can we go to get it if supplies are so limited? (We have already been vaccinated for the seasonal flu this year.) Dr. Lane Gentry: As caregivers for children, it would be a good idea for you to get vaccinated. Unfortunately, the supply of H1N1 vaccine is very slow to arrive here in Houston...Within the next 6 weeks, there should be sufficient vaccine to get most people like you...The largest supplies of H1N1 for patients will be large clinics or your doctor's office...He had to request the supply, and should share with you. Grace I have asthma and diabetes. I hear all the time that people with asthma are dying after contracting the H1N1 flu. What are my chances of "surviving" the H1N1 flu if I contract it because of my underlying conditions? What is the current national survival rate of those with underlying conditions such as I who have survived the flu? Dr. Kelly Larkin: We do not have exact numbers. Your risk is higher if your asthma requires steroids. If you get tamiflu within 48 hours of flu symptoms then your survival rate is very high. Nick How can retail workers help keep from getting sick from all the customers? Dr. Catherine Troisi: Practice good hygiene. Wash your hands with soap and water or an alcohol based sanitzer often. If you see someone coughing, stay away from them or ask them to cover their cough. Staying healthy by eating right and getting enough sleep helps as well. Get the vaccine when it's available. Amanda My two-month-old daughter is breastfed. How much protection from h1n1 is she getting from breastmilk? Dr. John Irwin: Breastfeeding a baby does confer some passive immunity to H1N1. A lot better than nothing. The baby cannot be vaccinated until she is 6 months old. Patty My daughter (8yrs) last week was diagnosed with H1N1 because she had all the symptoms but was given a flu test and it was negative. The pediatrician indicated it was H1N1 because seasonal flu is not even active our area (woodlands). Is this true? Dr. Amalia Guardiola: Yes it is tru. The rapid flu test may be negative, it is not a perfect test, it has a 30% chance to be negative even when you have the flu. And yes, we are seen more H1N1 so far, this is the season for this type of flu instead of the regular season flu. Patty If my child was diagnosed with H1N1 should she still receive the vaccine? Also because she had it I'm on Tamiflu and it gives me really bad nausea. Is that normal? Dr. Amalia Guardiola: If your child was diagnosed with H1N1 he/she doesn't need the vaccine. And Tamiflu may cause nausea, rarely but it can cause it. Amanda Two of three of my chldren had the flu already and doctor said the only flu they have seen was swine flu. Do they still need to be vaccin for the flu. Dr. Amalia Guardiola: Your children should get vaccinate for the regular seasonal flu, which it is a different vaccine from the H1N1 flu vaccine. cassandra Can a person get sick of swine flu even though they are ready got the vaccine? who should get the vaccine?where can you get vaccine? Dr. Lane Gentry: Cassandra If you have received the vaccine, you will not get sick again with this infection...Children ages 2 to 6 are the highest risk group...followed by pregnant women, then older individuals with diabetes heart disease and those taking prednisone... Wanda I am 60 years old. I had breast cancer in 2008. I had radiation a year ago. No chemo. Presently I'm taking arimadex and iron 3X a day. Does this make me higher risk? (Overall good health.) Thanks Dr. Lane Gentry: Wanda Your age and the meds do make you at risk, however, the meds are not as big of a factor as prednisone....You should take the vaccine when it is offered.. ernest frazier I have never had the flu like I have it now, is it a stronger strain? Dr. Lane Gentry: Ernest frazier There is no evidence that this current season has "stronger strains" It may be that you are older! diane what is the best thing I can do do keep from getting the flu, can I get the flu if i have sinus and earaches. have been sick with sinus and earaches for along time, I use saline and have been to the dr. alot can I get the shot with sinus and earache ? Also can not take penicille Dr. Lane Gentry: diane The best thing you can do to not get the flu, is to take the vaccines, both the seasonal and the H1N1. Other precautions, include vigorous hand washing, controlling your sneezes, if you are sick, and avoiding large crowds, during the time we are having large numbers of cases... stephanie My son is 3 yrs old.. He is suppose to get the H1N1 mist vaccine tomorrow. Can he still get it, if he has a runny nose? Does he need both shots? Dr. Kelly Larkin: He needs to get both the seasonal vaccine and the H1N1. He cannot get the vaccine if he is sick or with a fever, but if he has a mild runny nose, he can get the nasal mist vaccine as long as he can breathe in and keep the vaccine in his nose. Otherwise, he will need to get the shot. Crystal Baker My son (14 yrs) had Swine Flu three weeks ago. He can't get it again, can he? Dr. Kelly Larkin: He cannot get it again once he has had it. He could get a different strain next year, but not this year. randi Davisson I am a high risk person (diabetes, thyroid, blood clots, gastroparesis............ My dr has not gotten the vaccine yet, I called my gynecologist to see if she had it, but no. If I am high risk, what am I to do? Dr. Kelly Larkin: Eventually the vaccine will be available at pharmacies and all around. In the meantime, it is just available at clinics or doctors offices. You can ask your doctor if he/she knows someone he can refer you to in order to get the vaccine because you are at high risk. Bennett In the Southwest Houston Locations, where can i find swine flu vaccines for pregnant women? And how much will it cost? Dr. Catherine Troisi: Right now vaccine is available in limited supply. Check with your medical provider first. Eventually (a few weeks, we hope) vaccine will be available in pharmacies and in city of Houston health dept clinics we well as other health department clinics. The vaccine will be free. An administration fee (up to approximately $15) can be charged by the doctor or pharmacy. Vanessa To Dr. Catherine Troisi It was reported on TV that a mask would not provide much protection against H1N1. My question is what is the mode of transmission of this virus? If the virus is airborne, then why wouldn't the same precautions work as any other contagious airborne virus or TB? Dr. Catherine Troisi: The virus is spread in two ways - through the air (a sick person coughs or sneezes out the virus and someone else breathes it in). We still don't have a definitive answer as to protection that masks afford - some studies show they do protect and others show they don't. We do know that it has to be a special mask called an N-95 and the mask has to be specially fit-tested. Regular surgical or dust masks definitely won't protect you because the virus is very very small and can go through these masks. TB is caused by a bacteria, not a virus, and bacteria are much bigger than viruses so can't go through the mask. Don When is this swine flu going stop? (12617) Dr. Catherine Troisi: The one thing we can say about influenza is that the virus continually surprises us. In a regular flu season, we don't see activity until October, it peaks around February, and we don't see many cases after March or April. This year was different as we saw H1N1 in the spring, it continued through the summer, and came back with a vengeance in the fall. Bottom line is that we don't know when the H1N1 virus (swine flu) will stop circulating. Cindy I have Asthma and currently have Pneumonia. How long do I have to wait after I recover from Pneumonia to get the H1N1 injection? How will I know who has it available? Dr. Kelly Larkin: You need to wait 24 hours until you have recovered and have been fever free without tylenol. Then you can get the vaccine. Gina I have a concern with the adjuvants squalene and Thimerosal, which will be added in the manufacturing of the injectable form of the vaccination according to NIP and ISO. My 4 year old son can only receive the injectable version due to his asthma. How might these adjuvants negativly affect him? Will there be any manufacturers who will not include these additives? Dr. Shital Patel: Squalene and thimerosal are not adjuvants that are added in the vaccine. Thimerisal is a perservative. Many studies have soon no association of thimerisol with developmental issues in children. These components are used in other vaccines and regualr flu vaccine. There are single dose syringe shots available that are thimerisol free if you are concerned. Amber My 10-year-old son is on asthma medications(singulair, flovent, veramist, zyntec) and allergy shots once every 3 weeks. Can he get H1N1 flu shots? Which works better, flu mist or shot? I called his doctor's office and they don't have the vaccine yet. Where else can I take him for the vaccine ASAP? The flu is spreading like a wild fire in this school. I'm really concerned. Thanks Dr. Amalia Guardiola: Amber It sounds like your son has pretty bad allergies and asthma. In this case the only recommendation is to receive the shot, NOT the flumist. But you should ask your allergist BEFORE getting the vaccine. This specialist will know "how bad" your son's allergies are and if it is safe to give the shot. At this poitn there is a shortage of the H1N1 vaccine so your only choice right now is to wait until your pediatrician gets it. You can also check this website for availability: www.houstonflu.org Kay My daughter had type A flu last month. She was not tested to see if it was H1N1. Should she still get the vaccine? Dr. Lane Gentry: Kay Your daughter should take the vaccine when it is offered... Remember that A flu consists of many different viruses. H1N1, is one of the very serious ones for your daughter.. Concerned Mother (03:21 CDT): Since this vaccine has never been given, what are the long term side effects on children? Dr. Kelly Larkin: There are no long term studies with the swine flu vaccine. But, the swine flu vaccine is made the same way as the seasonal flu vaccine. So, we assume the same safe profile of side effects that we have seen with seasonal flu vaccine. Peggy Davis: My husband suffered a cardiorespiratory arrest a year ago this past July. He had an anoxic brain injury. I am wondering where to get the flu shot and should he have the flu shot. He is 47 years old. His doctor is still waiting for their supply and the home health agency we are using does not give out flu shots. You all say we need the shot, but they are no where to be found. Dr. Lane Gentry: Peggy Davis Your husband should have both injections...Seasonal flu is available at clinics and thru the large pharmacies here in town...The H1N1 vaccine is being distributed by our government, and is trickling thru the supply chain...It may be several months before we get enough for everybody.. Lawrence D. Harvey (04:42 CDT): I have COPD & emphsyema and would like to know if I am secure the H1N1 shot. I live close to Huntsvlle - will I be eligible? Dr. Lane Gentry: Lawrence D. Harvey You are elgible and should take the H1N1...You should also have had the pneumonia vaccine.. Sue Wukoson I have diabetes and want to get the H1N1 vaccine. I have already gotten the seasonal flu shot, but don't know what course to take to get the H1N1 vaccine. What do you suggest? Dr. Lane Gentry: Sue wukoson With diabetes, you should get the H1N1 vaccine. Diabetics are in the risk group for flu and the subsequent side effects.. Scott M Is it true that people born before 1950 are more immune to H1N1? Yes, it is true that there is a probable immunity for those born before 1950 because of prior exposure. This group is considered lower risk for H1N1. rockell What should you look out for in babies new born to 12 months for the H1N1 virus. Dr. Amalia Guardiola: For children 12 months and younger you should look out for fever, irritability, cough, runny nose, nasal congestion, vomiting, diarrhea, not wanting to eat or drink, breathing fast stacey Where can you get the shot form of h1n1 for children who have chronic asthma and diabetes? Dr. Amalia Guardiola: To my understanding there is no form requiered to get the H1N1 flu vaccine for any children. You should go to your peditrician and obtain the vaccine once it is available Rae So if anyone has another medical condition like psoriasis, or MS, or thyroid problems and if they get the swine flu it becomes fatal because of your other illness. It seems everyone who has passed away from the flu it states they had other medical conditions as well. Not sure what that means. Dr. Lane Gentry: Rae The medical conditions which are related to bad outcomes with flu, are diabetes, heart disease, and the use of cortisone, or Prednisone. Psoriasis without being treated, and thyroid problems will not put people in the high risk groups...The people who die with influenza as one of the problems, usually have underlying diabetes, heart failure, stokes, etc. Donya C. How do you know if you have that virus or not?Are the symptons the same as the flu that we normally see around this time of the year?My nephew was ill last week running temp etc.the sighns of the flu.Taken to the doctor was told he did'nt have it.10/22/09 my 2yr.old neice has the H1N1 but brother don't.What are the chances of our intire household catching this from her?Do you think that' it's possible for the doctor to mistake one for the other? Dr. Kelly Larkin: Swine flu and Influenza A or other common flu do have similar symptoms. Swine flu is a bit different because it also has gastrointestinal symptoms. Up to 48% of swine flu have some vomiting or diarrhea (this is not seen with the seasonal flu). Any infectious disease can be spread among family members. This can be limited by good hand washing, using tissues and limiting shared things like utensils. It can be difficult to sometimes determine between seasonal flu and H1N1 flu. Sunnyside123 Why would you allow people to get this shot and you have'nt tested it you are putting many inncoent lives at risk. So why have'nt you tested it? (12603) Dr. Kelly Larkin: The swine flu vaccine is made the exact same way the seasonal flu vaccine is, so we assume that it will be as safe as the seasonal flu vaccine. MaryRose Husband and I are heart patients and both have asthma. Med Center Heart Group states they will not be getting any vaccines like they thought. Patients are on their own to find the vaccine. 211 is no help. Heard on TV that Texas is the only state that did not order enough for their citizens. We are very scard and don't know where to turn. Should we fly back to our home in Michigan to get the vaccine where family members have already received them and now are protected? Thanks much. Dr. Catherine Troisi: I know that it's frustrating not to be able to get the H1N1 vaccine. I would not recommend flying to Michigan as it's possible to be exposed to influenza during your travels. Wash your hands often, stay away from sick people, and, if you're really worried, stay away from large groups where you might be exposed to a sick person. You didn't mention your age but those who are 60 years and older seem to have some immunity already to H1N1 so if you are in that age group, you may be protected. Be sure you get a seasonal flu vaccination and a pneumoccocal vaccination if you're over age 60. Jessica Is it dangerous for a pregnant woman to be around children who have recieved the live mist vaccine? Is the h1n1 flu able to spread from a person vaccinated with the live virus to other who are succeptible? (12601) Although generally children do not shed virus after the live virus vaccine, they might. Therefore, avoid close contact with anyone who has received the live virus vaccine recently. In the same family, children and pregnant women should get the killed virus vaccine-the shot. Amy I'm allergic to the preservatives (not sure which one). The last shot I got was seasonal allergy shot and I had a heart attack hours after it. So I don't want to take the risk to get the regular flu shot, but where can I go to get a shot without preservatives? Dr. Shital Patel: You should discuss this with your physician. The perservatives in the allergy shot can be compared to what is in the flu shot. There is flu vaccine that is thimerisol free (a perservative) in single dose syringes. You can ask your doctor if they will be getting that type. If not, you can try to find it as more vaccine comes into Houston. Carla When was the research started on the vaccine for the H1N1 virus ? Dr. Shital Patel: The trials with the H1N1 vaccine were started as early as June/July in other parts of the world. In the US, the trials began in August, however the vaccine is made the same way by the same companies that make regular flu vaccine. kimberly j I think th vaccine was made to fast, should effect my decision on getting the vaccine ? Dr. Shital Patel: The vaccine was made with the same processes as regular flu vaccine, by the same companies and in the same facilities that have been regulated for regular flu vaccine. Lori I am pregnant - 36 weeks, and my doctor has not received the H1N1 vaccine. Where in Houston can I get one? I will deliver in 2 weeks. Dr. John Irwin: Your doctor is likely not going to get the vaccine prior to your delivery. There is no where in Houston that you can reliably get the vaccine now. Get the vaccine as soon as you can. Even after you deliver you should get it. If you are breast feeding your baby, your baby will actually get some passive immunity from your milk. Since your baby cannot be vaccinated until 6 months of age, it is important that you, the caregiver do not get the flu. Kathy I've heard about several young children in Houston on heart/lung machines due to H1N1. Is this true? Dr. Amalia Guardiola: Yes, there have been cases of children on these machines. Alyssa Which shot is more effective? The nose spray or injection shot? Dr. Lane Gentry: Alyssa, The nasal spray is more effective in children, probably should not be used in adults...There is risk that the live virus in the nasal vaccine will linger in adults and can be spread...Kids do not shed virus as long as adults will from a nasal dose... jessica Once vaccinated can someone still get the virus....? Dr. Lane Gentry: Jessica If you have received the H1N1 vaccine, it is very very unlikely that you will have any effect from exposure to the virus...The vaccine is a good one and protects.. Cristina Bonilla How much do we really know about the possible side affects this vaccine could have later in the future? Dr. Lane Gentry: Cristina Bonilla The current H1N1 vaccine is prepared in exactly the same process as the seasonal influenza vaccines we have used for 20+ years...The side effects will be extremely low as they have been over the 20 years.S Diane-Pasadena, TX My seventeen year old daughter, who is a Senior in high school has had the Flu since last Thursday. My husband and I thought that her fever would go away but her fever is still there. She has to take the Tamiflu for 10 days. Could this be the H1N1 virus? When will her fever break? Dr. Kelly Larkin: This could be H1N1, but you do not know that since you have to test for that. This may be a bacterial infection that has developed since we would expect your fever to have resolved in less than a week with the flu. I suggest you bring her back to her doctor to check if there is another source of the fever. Brandon: Can H1N1 be transmitted sexually? Dr. Shital Patel: It is not trasmitted sexually, but is transmitted by coughing or sneezing or sharing items that are infected. So, close contact such as sexual would give you an increased risk of developing H1N1 just because of proximity. sylvia i always get the regular flu shot but i have now been told that having the regular flu shot every year can cause dimentia or worse, i refuse to have the new h1n1. is this true what i ask? ty Dr. Shital Patel: The regular flu shot as been given to people for many decades and there is no evidence that the flu shot can cause dementia or other long term issues. The H1N1 shot is made the same way by the same companies as regular flu vaccine. If you want to reduce your risk of getting the flu you should get the flu shot. Sandy Graves My son is 13 and has no underlying health issues - is typically very healthy. Would it still be necessary for him to have the H1N1 antivirus administered anyway? Thank you, Dr. Amalia Guardiola: If your son is 13 yrs old and healthy he should get the H1N1, but he will not have priority for now since the state is low on the supplies. But once the supplies are back to "normal" he can get it. DavidMM Do air filter systems help with H1N1? I have an ultra-violet germicidal filter...will it kill H1N1? Dr. Lane Gentry: David Air filter systems will probably not filter out the virus...The Hepa Filters may get most of the viruses, however, because the influenza virus is in secretions, a filter will help... Ultra violet will kill the virus, however, it has to have a close direct exposure to be effective... Deb Hi, I was wondering if you have Hepatitis C, should you get the vaccine? And if so, should it be shot or nasal mist? Thank you, Deb Dr. Shital Patel: If you want to reduce your risk of getting the flu or serious complications from the flu and you have Chronic Hepatitis C, you should get the vaccine shot Marissa: My child's school website shows the number of children out with the flu. Recently they show 0 absenses due to fl, but lots of the children in the classroom ARE out sick with confirmed swine flu. Parents are not coming forward with information because the school does not require them to. Thus there in inaccurate information being reported. My other child's class had 18 out of 42 out with the flu in a single day. There was no report from the school at all that there was a problem. I do not thing we are getting accurate information on how many out there have the swine flu. Why isn't it being reported more clearly and accurately? Dr. Amalia Guardiola: Marissa It is true, we may not know how many cases are out there of swine flu. And also the school may not know which of those kids have the true swine flu vs the seasonal flu. The only way to confirm a child has swine flu is through a special testing call PCR, and the only way to do that is usually on hospitalized persons. SO if any kid is diagnosed with the flu by their physician it could be the regular flu and not necesssary the swine flu. Right now the Houston Health Department is not reporting the number of cases of flu, that statistic is not available. So it will be very difficult for the school to report these cases. in any case you may want to visit this website: www.houstonflu.org Bryan and Lisa: How does the vaccine preparation today differ from that seen in the vaccine developed for H1N1 in the 1970's that led to many people getting Guillian Barre syndrome? What risk of this condition is there from the current seasonal and/or the H1N1 virus? Dr. Lane Gentry: Bryan and Lisa. The vaccine of today, is prepared exactly as the seasonal flu vaccines have been prepared for 20 years. We know the safety profile is excellent, and consistent. The Swine flu of the 70's was from a different viral source, was prepared in eggs, however, there were different preservatives added, and the processing to remove impurities was nothing like what we have now...The actual cause of the Guillan Barre syndrome related to the 1970's vaccine was never determined. wendy and tony Should i get swine shot if i just was diag with asma at age 47 thanks Wendy and tony League City Tx Dr. Lane Gentry: Wendy and tony You should get a swine flu vaccination because of the asthma...You are in the age group which is at risk, and the asthma makes you even higher risk. Rosie In 1976 I received the swine flu vaccine, I was very sick with complications to the shot. I have asthma and have questions regarding this year's swine flu vaccine. I have already received this year's flu shot but, worry about the side effects. Waiting to hear your comments. Dr. Lane Gentry: Rosie The 1976 vaccine was different, and the current vaccine is safe, and has minimal side effects. I would suggest that you get the vaccine... diana: what is the difference between the flu shot and the nasal spray shot? (12582) Dr. Kelly Larkin: The flu shot is given in the arm with a needle. It is an inactivated vaccine which means it contains a killed virus. This is the same as the seasonal flu. H1N1 is made the same way. The nasal spray flu vaccine is a vaccine made with a live, weakened virus that does not cause the flu. It can be used in healthy people 2 years to 49 years who are not pregnant. Again the nasal spray H1N1 vaccine is being made the same way. (92460) Anonymous (07:30 CDT): Our teenage daughter has a compromised immune system. On 9/4/09 she received the seasonal flu shot. On 9/14/09, she was admitted to the emergency room and diagnosed with "the flu". They said they did not test for a specific strain, but that it probably was the H1N1. Question, is it necessary and safe for her to get the H1N1 vaccination if she actually had the H1N1 virus already? (12581) Dr. Kelly Larkin: It may be that she had H1N1, but that is not for sure. So, in this case, she needs to get the H1N1 vaccine just in case she did not have H1N1. Taking the vaccine will not hurt her. (92768) Ashley Waters (06:16 CDT): As an asthmatic & diabetic, I was strongly advised by my physician to get the H1N1 inoculation. As of YESTERDAY (10/21), my doctor's office insists they have been told they WILL NOT be receiving the vaccine. My insurance carrier (Blue Cross) advised me to call the Kroger Pharmacy in Willis... who ALSO advised that while reported in the Conroe Courier, they WILL NOT be getting the vaccine. I called Congressman Kevin Brady's office, who reports they have "NO INFORMATION" as to where the vaccine may be obtained. The State of Texas web site is totally worthless on the subject. Who can help? Ashley Waters - Huntsville Dr. Catherine Troisi: I know it's frustrating that more vaccine is not available. One place you can go to for information is the Houston Health Dept's website at houstonflu.org. We'll have information about clinics and pharmacies where vaccine is available, when it becomes available. We won't have information about private physicians' offices, though, so you'll need to keep calling to see when vaccine's available. ann : I've had a successful kidney transplant (10 yrs) I'm 55, I teach 4th graders once a week and I can't seem to get a clear answer about whether I need to get the H1N1 shot...I know I shouldn't get the nasal spray, also my area doesn't have the vaccine yet at the Galveston Health dept and they couldn't even tell me if I am eligible. What do you think? Dr. Shital Patel: You definitely should get vaccine if you want to reduce your risk of getting H1N1. Your health condition puts you in the high risk category and thus at increase risk of a serious illness if you get the flu. You are correct that you can not get the nasal spray vaccine. You should get the vaccine that is a shot. You are also around 4th graders that increases your risk of getting flu. So as soon as the health dept can get vaccine -- you are in the priority group and you should get vaccine. I would also add that you should also protect yourself from seasonal flu but getting the regular flu vaccine. Chautel Jackson : I have asthma, and I was wondering, is it true that if an individual has asthma and gets swine flu that they are at a higher risk for death? If so, why? Dr. Shital Patel: A person that has asthma is at higher risk of serious illness and complications from the regular flu and H1N1. The virus can result in pneumonia which can make asthma worse and may result in hospitalization and possibly death. Teresa : I am 7 months pregnant and am frustrated that I can't find the vaccine anywhere. I understand how important it is and just want to protect myself and the baby. Please tell me where and/or when I can expect to gain access to the vaccine. I have spoken to my dr. and she said she hasn't received any information either. This is very frustrating as we keep hearing how bad this is, but we can't seem to do anything to protect ourselves! Dr. John Irwin: I feel your frustration! As an obstetrician who realizes how important this vaccine is for my pregnant patients, I am as frustrated as you are. Texas just seems not be be getting much vaccine. Interestingly, my pregnant daughter resides in Delaware. There seems to be plenty of vaccine there. She got it two weeks ago. We do not get much information from the CDC, the manufacturers, the government, or distributors regarding when or how much vaccine we will get. You obstetrician, if she applied to get the vaccine months ago, will indeed get some doses. There is no telling when. Tell her to notify you when it gets to her office. Christina : I have a 2 year old in daycare and I've had asthma my entire life. I am in my early 30s. I already received my seasonal flu shot (as did my son and husband). Should I go ahead and get a pneumonia vaccination too? Dr. Amalia Guardiola: If you haven't had it yes, get the pneumonia vaccine. Adults with asthma should have the pneumonia vaccine at least once every 10 years, especially if you are taking prednisone. In any case you can ask your physician too. Kim : One of my husband's employees died from swine flu on Saturday, Oct. 17. His last day in the office was October 6. What is the incubation time for the H1N1 virus? If no one else in the office has shown any symptoms as of today, October 22, what is the likelyhood that another person in the office will be diagnosed with H1N1? Dr. Lane Gentry: Kim The incubation for H1N1 is 7 days. The likelihood that anybody else will be infected is slim to none... Chris Tenney : Are Swine Flu masks being mandated? Dr. Kelly Larkin: Swine flu masks are not mandated. If a patient presents to the emergency department with concerning symptoms we put a mask on them and the care givers will also wear a mask until it is determined they are not infective to others. donna (11:27 CDT): Has congress received the H1N1 vaccine? Has President Obama received the H1N1 vaccine? Dr. Catherine Troisi: I'm not sure if Congress or President Obama have received the vaccine. President Obama, as a healthy adult, is not in one of the priority groups to receive vaccine but he may get special consideration. Russell : Why is it that Texas is the ONLY state that did not order the vaccine in time for NOW delvery? My cardiologist was suppose to receive these vaccines by this week. They did not get any of it. Many transplant and other seriously ill heart patients are without. This is sad indeed. Dr. Catherine Troisi: You'd have to check with the Department of State Health Services to see where the breakdown occurred. We are hoping that we'll see larger quantities of vaccine in the next few weeks. A.Maas : If you are in the over 65 age group, I understand that this group is not at risk for swine flu, is this correct? Dr. Kelly Larkin: The over 65 year old group still needs to get seasonal vaccine. It appears that this age group does have some immunity to swine flu so will not be a priority to immunize, but can eventually get the swine flu vaccine. Susan L : I am a 63 year old healthy female. should i get the h1n1 vaccine Dr. Catherine Troisi: Right now seniors are not in a priority group to receive the H1N1 vaccine. This is because many seem to have some immunity from viruses that circulated before 1957 and so we have not seen many cases of H1N1 in this age group. However, you should make sure to get a seasonal flu vaccine. Terri Gray : I have Lupus, Asthma, and dysautonomia, I am 32yrs old and I work as a substitute teacher at an Elementary School, I have enough health issues without complicating any of them or inviting new ones on board, Should I get the swine flu vaccination and should my 7yr old daughter? I am very uneasy about this......We have had a lot of children diagnosed with this in the area in which I live. Looking for answers! Thanks so much, Terri Gray in Alabama Dr. Shital Patel: Terri, You at high risk for getting flu including H1N1. 1. you have a illness that can suppress your immune system -- Lupus; asthma also puts you at higher risk of complications like pneumonia from the flu. You can be exposed at home from your child that could bring it home from school and you can get exposed at work. Both you and your daugther should get the H1N1 vaccine. NanaB. : My kids will not allow my grandchgildren to get the H1N1 vaccine. Why? Because they were told by various school nurses that the vaccine is too new to know its safety in children. I am very concerned. Signed: NanaB. Dr. Amalia Guardiola: The H1N1 flu vaccine has the same safety then the seasonal flu....both are prety safe. The most common side effects are pain, swelling and redness around the injection site. There may be some rare side effects such as nausea and stomachache. But so far no serious side effects have been reported. But if you or your kids have questions please visit the Center for Disease Control website: www.cdc.gov
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