Influenza   A/B  2010
New for 2010: Immunization (flu shot) recommended for 6 months and above
Treatment includes:
Good hydration- Gatorade, water, non-caffeinated drinks

Anti-pyretics- Tylenol or ibuprofen for fever (not aspirin)

Tamiflu- This medication is only helpful within the first
24-48 hours of illness and can be used for the treatment
and even prevention of the disease. Some doctors require a
test to "prove" influenza is effecting a family before using the
medication.  While not eliminating the symptoms, it can
reduce the days of illness and the chance for spreading the
disease to others. It is FDA approved for people over one
year of age and there are suggested non-FDA doses for
those under one year old. There are suggestions from the
CDC on when health care providers should and should not
think of prescribing the medication.

There are now strains of the flu where Tamiflu will
not help (resistant flu).
Other medications must be
considered depending on each case.

Tamiflu has warnings from the CDC and
FDA-  Click here:  2008 UPDATE
The symptoms of "flu" (Influenza A
and B) and H1N1(swine flu) include:
Fever- usually above 101 and commonly with a
headache
Cough- and other respiratory symptoms such as runny
nose
Abdominal pain- and sometimes nausea and vomiting
Fatigue- and other signs of viral illness such as
decrease in appetite and muscle aches

The "Clue" is there are multiple symptoms from
multiple places in the body!
Like any virus, most
people get over the flu in 2-4 days without serious
problem. Some people are at "high risk" though for
hospitalization and serious illness. These people
include children under 5, adults over 65, and those
with chronic illness such as asthma, heart problems,
and poor immune system function. The H1N1 virus
appears to affect children more than the typical
influenza A or B.
The best prevention is good hand washing, limiting exposure from ill contacts, and getting the
influenza vaccine.
                          
You should not get the vaccine if you are allergic to eggs!

Flu Mist and Nasal Spray for H1N1 and Flu A/B for 2 years to 49 years old:
is an alternative to the injection and can be used in patients 2-49 years old that DO NOT have asthma, lung disease, or immune system
disease (such as AIDS, cancer, patients on chemotherapy or steroids).

Flu Mist and nasal H1N1 vaccine are live attenuated vaccines and
can not be used in patients living around someone else with an
altered immune system- such as AIDS or patients on chemotherapy.

Patients under 2 years old, over 49 years old, those allergic to eggs or the flu shot, are pregnant or breastfeeding, or have asthma or a
weakened immune system, or have had another live vaccine within the last 30 days should talk to a health care provider about the
nasal spray before administration.

Some patients will need two immunizations (nasal or injection)
  • All children 6 months to 9 years old receiving their first flu vaccine (the injection or nasal spray require a second vaccine 30
    days after the first.
  • Those under 9 years old receiving only one vaccine last year also require two vaccines this year as well.  
  • All children above 9 years old require only one vaccine.
Does the flu shot make you ill?
NO, the flu immunization is the inactivated
(dead) virus "teaching" your body what the flu
looks like so when the live virus attempts to
make you ill- your immune system can recognize
it and fight it.
It is always possible to get a different virus at
relatively the same time you receive the vaccine
and you could mistake the timing of the shot
causing you to become ill- even though it had
nothing to do with the different illness you
would have gotten anyway! The flu shot only
protects you against Influenza- not the common
"stomach flu".

Does the nasal spray make you ill?
The nasal spray is weakened influenza (and
partially alive). It has precautions to those under
2 years old, over 49 years old, pregnant women,
people with immune system weakness, asthma,
and those receiving other live immunizations
within the last 30 days
such as MMR, Varicella, and influenza vaccines,
or an allergy to eggs or the seasonal flu vaccine.
While some people complain of muscle aches
and headache after administration- the nasal
spray should not make you ill.
(Dr. Goldstein got
the H1N1 nasal mist and the seasonal flu shot in
2009- and he did fine!)
H1N1 (novel swine flu)  2010
The H1N1 (novel swine flu) is a sub-type of influenza A which historically had been contagious
between
pig to pig or less commonly between pig to human and has altered itself in 2009 to
being contagious between
human to human. This "antigenic shift" is what makes doctors and
scientists nervous about controlling its spread.

The "quick test" for influenza A may be positive if a patient is infected with H1N1 or common influenza A - but
the doctor will not be able to identify which virus is causing the illness. A second test specifically for H1N1 (a
PCR test) is available but is done at a lab- not your doctor's office. The PCR test is typically only performed in
patients that are hospitalized.

The quick test is about 50-80% reliable in picking up Influenza A or B but is much less reliable in picking up
H1N1 (30-50% reliable). A reliable quick test for H1N1 has been FDA approved in June, 2010

Symptoms and treatment for H1N1 are similar to influenza A and B- see below...

There are strains of all influenza viruses that appear resistant to Tamiflu and therefore the CDC recommends
several medications depending on each situation. Do not expect the same treatment as your friend or
neighbor, as you may present with a different situation.
Current recommendations suggest treating with Tamiflu
in patients with H1N1 who are very young or who also have chronic conditions such as asthma, heart disease,
or immune system problems. Just because you are diagnosed with H1N1- you may NOT be given Tamiflu by
your doctor.

The best prevention is vaccination, good hand washing, and avoiding those that have been
diagnosed with the disease.

While the media reports several deaths from the H1N1 virus in 2009, the fact remains that almost 36,000
deaths from seasonal flu (typical Flu A and Flu B) occur annually in the US- with much less media frenzy.
Immunization is key to reducing illness, epidemics, hospitalizations, and fear.
NEWS:  August 31, 2010

The FDA has approved one injection for
H1N1, Flu A and Flu B which wellbody is using

The CDC 2010 Guidelines for Getting the Flu Vaccine
  • Anyone 6 months or older

  • Protection from 2010 H1N1, Flu A, and Flu B

  • Two series (injections or mist) required if
    under under 9 years old and have never
    received or received only one injection of a flu
    type in the past. The series should be one
    month apart.


2010 Flu Clinics $25 (CVS and Walgreens is $30)
wellbody is giving flu vaccine NOW at
Blue Valley Pediatrics
and

Diamond Gymnastics and Dance

Thursday, September 23 from 6-7:30
FLU ALERT-    LOOK HERE FOR NEWS and STATUS OF VACCINE!

Flu Vaccine is IN STOCK NOW !     $25
It covers Flu A, Flu B, and H1N1 (swine flu) for 2010-2011