Dr P's 2006 Flu Shot Update

Every year about this time I post a flu update for the members of my WebMD Message Board.   I'm glad to share it here on my blog this year -- I hope it helps!


Influenza season is fast approaching.  Should you immunize your children?  How about yourself?

The Center for Disease Control (CDC) recommends the following groups be immunized:
-  All children aged 6-23 months.
-  Anyone 6 months of age who has chronic difficulties with breathing (including asthma) or the cardiovascular system.
-  Anyone 6 months of age who requires regular medical follow-up because of a weakened immune system,  chronic metabolic disease (including diabetes mellitus), chronic kidney disease, or a  blood disorder.  
-  Anyone 6 months to 18 years of age who is receiving long-term aspirin therapy ( and  therefore might be at risk for developing Reye syndrome after influenza).
-  Women who will be pregnant during the influenza season.
-  Health-care workers and others (including household members) in close contact with persons at high risk for developing influenza-related complications.
-  Anyone 50 years of age.
-  Residents of nursing homes and other chronic-care facilities that house people of any age who have chronic medical conditions.


But what about immunizing your otherwise healthy kids who do not meet any of these criteria?  That's a parent decision; there is no right or wrong answer.

On the plus side:  36,000 people in the U.S. die from the flu each year, why take the risk?  The vaccine is quite safe and it works pretty well to prevent severe flu symptoms.   It's no fun to have the flu if you can avoid it.

On the negative side: Depending on the strain of flu going around, the vaccine may not be very effective.   Even if they should get the flu, the vast majority of healthy kids handle it fine (albeit after a few days of misery).   Severe side effects, while quite rare, are no unheard of.  Sometimes shortages mandate only at-risk people receive the vaccine (a problem last year but not this year).

Bottom line:  It's your call.

FYI:  All things being equal,  Dr. P advises to immunize the family.  See if your  pediatric provider agrees.  Stay well!

Related Topics:
Kids' Colds and Flu Survival Guide, 12 Tips to Prevent Colds and Flu Naturally