What, where and why on getting flu shots

Hmmmm ... is that fever, headache, joint and muscle pain, flushed skin, red and watery eyes, dry cough, sore throat, watery mucus and general weakness the dreaded influenza — or is it something else?It might be the flu. Even medical experts have a hard time knowing for sure. The one thing everyone knows about the flu, though, is that no one wants to get it. At its best, it’s miserable. At its worst, it kills.Flu season has officially begun, and millions of Americans are heading for their doctor’s office, clinics, flu shot “events” and drug stores for vaccinations. The U. S. Centers for Disease Control (CDC) recommends everyone over the age of 6 months get vaccinated, except for those allergic to chicken eggs, anyone who has had a reaction to the shot in the past or anyone running a fever.The national health organization has a mission of preventing widespread outbreaks of any contagious illnesses. But not even the experts agree that mass immunizations are the answer to stopping the spread of a virus that changes constantly — potentially as often as with each body that hosts it. This year’s vaccine is the same as last year’s, which is unusual. The annual vaccine (effectiveness is estimated at as little as six months) is formulated based on past data and predictions for what might come. The current formula is aimed at H1N1, or the “swine flu” that caused the 2009 pandemic; Influenza A (H3N2); and Influenza B.It seems that everyone has a story about why they do or do not get vaccinated. One local 54-year-old woman gets a shot at the private school where she works. As an allergy and asthma sufferer, she feels it helps protect her. She still seems to get the flu every year but she believes the vaccine reduces the length and severity.A woman in her 20s, with some medical training, said she does not get an annual shot because she is not in a high-risk category, and because of the risk inherent in the vaccine.She says the virus can activate in your system after you get the shot, so you end up getting the flu anyway. Also, she said, the vaccine given each year only protects against limited strains of virus. It’s still possible, even with the shot, to catch a different version of the flu.Dr. James Steckleberg, on the staff at the Mayo Clinic, writes on the center’s website that many strains mutate in their host. But mutations that begin with a strain formulated into the vaccine may remain similar enough so that an inoculated immune system will attack it.Can you get sick from the vaccine? The CDC says it’s possible, since it’s made from a “killed” virus that is not dormant. That means it can activate in the body.However, the Mayo Clinic says what actually happens is an immune system response that produces flu-like symptoms, most often in young adults. Some would ask, does it matter? Symptoms are symptoms, and sick is sick.One of the biggest current factors in weighing the options is cost. Some Medicare and health insurance plans cover some or all of it.But some don’t, and many families have lost benefits to unemployment or cost-saving measures by employers.Shots average around $30. It can quickly add up to more than a family can afford. Children younger than 9 should get two doses if it’s the first time they have been vaccinated for influenza. There is also the potential need for a second shot during the flu season, if a particularly virulent new strain prompts the development of a new vaccine. The flu season can also last into May — beyond the estimated optimum protection duration for the vaccine.If you do get the flu, chances are you will be advised to tough it out, and most importantly, stay home and try to avoid spreading it to others. It is impossible for medical professionals to know for sure if a patient has the flu based on symptoms alone. Laboratory tests are now available, but doctors typically use them only on high-risk patients. Antiviral drugs can be given, and are most effective when taken soon after symptoms begin.Antibiotics are effective against bacteria, not the flu, which is a virus. They may be prescribed for those at risk, or who develop conditions such as bacterial pneumonia while fighting the flu.For others, taking antibiotics with a virus can do more harm than good, according to the CDC, as they can trigger an antibiotic resistance when needed most.Getting a flu shotMILLBROOK — The Dutchess County Department of Health (DCDH) will hold a flu shot clinic on Friday, Dec. 2, from 10 a.m. to noon at the Millbrook Cornell Cooperative Extension, 2715 Route 44.Interested individuals may register and find more information about flu immunization online at www.dutchessny.gov and clicking the “What to Do About Flu” button, or visit bit.ly/DCFlushots. For those without Internet access, call the Department of Health’s Flu information line at 845-486-3435 or call to register at 845-486-3419.The fee for inactivated flu vaccine will be $32; FluMist will be $40. The fee for the pneumonia vaccine is $75. Influenza and pneumococcal vaccines are covered by Medicare Part B; individuals must bring their card to the clinic. Adults enrolled in Medicare HMOs may be required to pay the fee.The adult flu clinics will offer vaccine to anyone 18 and older wishing to protect themselves against influenza. Individuals under 19 years of age may attend one of the department’s children’s immunization clinics to receive flu vaccination and other important immunizations at low-cost or no cost. Individuals younger than 18 years of age must be accompanied by a parent or guardian. Go online to www.findaflushot.com to find other locations where the clinics will be held.