Q: Are there any
special reasons for worrying about flu this year?
A: It’s been
a while since there’s been a big outbreak, nobody knows when the
next outbreak will occur.
Individual protection could be important if there was a flu pandemic (global outbreak).
Q: What strains
does this year’s flu vaccine cover?
A:
The WHO and EU recommendations for northern hemisphere flu vaccines for 2005/2006 are:
- A/New Caledonia/20/99 (H1N1)-like strain (A/New Caledonia/20/99 IVR-116)
- A/California/7/2004 (H3N2) - like strain (A/New York/55/2004 NYMC X-157)
- B/Shanghai/361/2002 - like strain (B/Jiangsu/10/2003)
Q: My employer is offering me a free flu jab - isn't this just a plot?!
A: Flu vaccination does reduce illness during the winter, and the illness can sometimes be very serious. In the UK, attitudes to flu are muddled by the fact that the vaccine is only offered free of charge to elderly or especially vulnerable people. In other countries, the situation is dfferent. In the USA, for example, annual vaccination for healthy working adults is very much a routine: in 2004, many Americans travelled to Canada or the UK to be vaccinated there, because of a serious vaccine shortage in the US. Flu vaccination is widely regarded as an important health benefit.
Key workers, highly paid staff, those working in direct contact with the general public or in public places, staff in large open plan offices (i.e. sharing the same air) and staff who simply have caring employers, are among those generally offered free vaccination in the workplace.
Keep in mind that the flu season begins at Christmas, and ends around the Easter break. Flu vaccination protects your leisure time too, not just your ability to work.
Q: What exactly
is flu anyway?
A:
The commonest symptoms are: rapid onset of fever,
shivering, headache, muscle aches, and a cough.
Flu causes a much more severe illness than the
common cold: a cold doesn’t cause fever or muscle
aches.
People with
flu can feel very ill indeed, often resulting
in several days of being confined to bed. Most
people recover easily, but would have much preferred
to avoid the experience altogether, which is where
flu vaccine comes in.
For
some victims, flu can cause more serious complications,
like bronchitis and pneumonia - potentially life-threatening
in the elderly, asthmatics and those with pre-existing
medical conditions.
Q: Does infection with flu give immunity?
A: Only to the particular strain
of flu that caused the infection. The virus changes
over time, and new strains appear. Protection
from past infection or previous vaccination is
unreliable - the most effective way of increasing
your protection is to be vaccinated every year.
Q: What are the benefits of flu vaccination
- should I bother?
A: The benefits of vaccination to healthy, working adults and their employers are well-established: vaccination cuts the risk of 'flu by approximately 70-80%, and reduces time off work from colds and flu by forty three per cent. Each winter, approximately 33 per cent of British adults are believed to suffer from flu, and one third of sufferers are ill enough to visit their doctor.
For companies and organizations, the potential benefits are even greater than the benefits to the individual: respiratory viruses can spread easily within any large group of people, working together and sharing facilities on the same site. It is to everyone's advantage that as many people as possible within the same organization should be protected.
Q: I’m travelling – should
I be vaccinated against flu?
A: We strongly recommend flu
vaccination for anyone who might be travelling
this winter – on business or for pleasure,
since flu spreads readily on aircraft (and also
on cruise ships) and could seriously spoil your
plans.
Q: How effective is the vaccine? - If
I have a flu jab, can I still get flu?
A: Flu vaccinations are 70-80% effective, provided that there is a good match between the strains used to make the vaccine, and the strains of flu that are going around. There are very sophisticated systems in place for monitoring strains of flu around the world, so it is increasingly possible to predict which strains are most likely to cause trouble.
Protection is excellent against the strains from
which the vaccine is made, and even if you catch
the flu, the illness will almost certainly be
milder than if you had not been vaccinated.
Q: How long does
it take to work?
A: About
2-3 weeks.
Q: When is the best time to be vaccinated?
A: The best time to be vaccinated
is between late September and November, ready
for the winter. If you wait until there is a flu
epidemic in progress, it won’t otherwise be possible
for you to get good protection quickly enough.
Q: How long does the flu jab last for?
A: About 6-12 months. The vaccine protects against different strains, and the protection against some of the strains may last longer than others. Longer lasting flu vaccines are currently at a research stage.
Q: Does flu vaccine have any side effects?
A: Flu vaccines are very safe.
The commonest problem after vaccination is slight
soreness of the arm at the point where the injection
was given; and less often, slight temperature
and aching muscles can occur for a couple of days,
but this responds easily to remedies like paracetamol.
The risk of more serious reactions is extremely
small - of the order of one in a million, or less;
and considerably smaller than the risk of serious
complications from the illness itself.
Q: Can flu vaccine cause flu?
A: Flu vaccine cannot cause infection
because it doesn't contain live virus.
Q: I am allergic to eggs - can I still
have the flu jab?
A: Well-documented, severe allergy means that you should not be vaccinated. If you
are uncertain, talk things over with your doctor,
or with the doctor or nurse giving the vaccine.
Q: Is it OK to have a flu jab if I am
pregnant or trying to have a baby?
A: There is no evidence that the vaccine would cause any harm to the foetus, but the vaccine is not usually given during the first three months of pregnancy unless the mother would be especially vulnerable to the complications of flu - if she suffered from asthma, for example.
The vaccine is not generally given if you think you might be pregnant. If you are considering pregnancy in the coming months, it would be sensible to consider vaccination before you become pregnant. The vaccine can be used routinely after the 12th week of pregnancy.
Q: Is it OK to have a flu jab if I am
breastfeeding?
A: Yes.
Q: Will the vaccine react with any medication?
A: Please tell the doctor or
nurse giving the vaccine about any important aspects
of your medical history, and about any medication
you are taking. Flu vaccine does not interact
with any other vaccine or medication. However,
any treatment that might reduce your immunity
can reduce the effectiveness of the immune response.
Vaccination can briefly affect the results of certain types of blood tests (serology tests), so if you have a blood test within a few days of being vaccinated, please ask the person taking the blood sample to mention your flu jab on the laboratory form.
Q: Can I go to the gym after a flu vaccine?
A: It is generally considered
sensible to avoid strenuous exercise for several
hours after vaccination, but this is not an absolute
rule: if you do go, take it easy.
Q: Can I drink alcohol after the flu vaccine?
A: It is also considered sensible
to avoid alcohol for several hours, but similarly
this is not an absolute rule: if you must drink,
drink moderately.
Q: Can my children have the flu vaccine?
A: There’s no reason not
to vaccinate children, though if they’ve
not been vaccinated before they generally need
a second dose 4 weeks after the first, for full
effect. Children can be vaccinated from the age
of six months.
Q: Do you recommend the flu vaccine if
travelling abroad?
A: Yes. There’s a higher risk
of transmission of airborne infection during flights,
and the vaccine will offer valuable protection.
There have also been well-documented outbreaks
of flu on cruise ships, so flu vaccination is
a precaution that is well worth taking.
Q: I've never had a flu jab before - and
I've never had flu. Why should I be vaccinated
now?
A: Past success in avoiding flu
won't guarantee you'll be protected in future.
It's up to you to choose between playing the odds
and taking a positive step to protect yourself.
Q: I have small children. Is there any
danger of passing infection to them, if I have
a flu jab?
A: No. The flu vaccine does not
contain live virus.
Q: I'm a strict vegetarian, is it OK for
me to have the vaccine?
A: The vaccine production process
includes culture in embryonated hens' eggs. Only
a trace of egg protein remains in the vaccine,
but some strict vegetarians may object to this.
If you have religious reasons for avoiding eggs,
you should take appropriate religious advice.
Q: How can I find
out more about flu and flu vaccination?
A: If you have specific questions
about you own medical history and circumstances,
we'll do our best to help when you book in for
an appointment. For general information, see the
links
page.

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