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He joined the KQED News team in April of 2016. Prior to that, he worked as a Reporter for KPCC in Los Angeles and a producer at \u003cem>Marketplace.\u003c/em>\r\n\r\nDuring eight years at KPCC, Brian covered business and economics, and his work won several awards. In 2008, he won the Los Angeles Press Club’s first-place award for Business and Financial Reporting, Broadcast. He’s also received honorable mention and been first runner up for the Press Club’s Radio Journalist of the Year. He won two Golden Mike awards from the Radio and TV News Association of Southern California.\r\n\r\nBrian holds degrees in theater from Yale University and the Sorbonne, and has worked as an actor in France, Italy, Brazil, Hungary and . . . Hollywood. He appeared in a few television shows, including \u003cem>The West Wing, Judging Amy\u003c/em> and \u003cem>The District.\u003c/em>\r\n\r\nEmail: bwatt@KQED.org Twitter: @RadioBWatt","avatar":"https://secure.gravatar.com/avatar/55393ff57ed34e2be773ba4789dd6a19?s=600&d=blank&r=g","twitter":"@RadioBWatt","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"arts","roles":["contributor"]},{"site":"news","roles":["editor"]}],"headData":{"title":"Brian Watt | KQED","description":"Morning News Anchor","ogImgSrc":"https://secure.gravatar.com/avatar/55393ff57ed34e2be773ba4789dd6a19?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/55393ff57ed34e2be773ba4789dd6a19?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/bwatt"},"agonzalez":{"type":"authors","id":"11724","meta":{"index":"authors_1591205172","id":"11724","found":true},"name":"Alexander Gonzalez","firstName":"Alexander","lastName":"Gonzalez","slug":"agonzalez","email":"AlexanderGonzalez@KQED.org","display_author_email":false,"staff_mastheads":[],"title":"KQED Contributor","bio":null,"avatar":"https://secure.gravatar.com/avatar/63d43593dd7ebcafcd638e851a9bce5a?s=600&d=blank&r=g","twitter":null,"facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"arts","roles":["editor"]},{"site":"news","roles":["editor"]}],"headData":{"title":"Alexander Gonzalez | KQED","description":"KQED Contributor","ogImgSrc":"https://secure.gravatar.com/avatar/63d43593dd7ebcafcd638e851a9bce5a?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/63d43593dd7ebcafcd638e851a9bce5a?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/agonzalez"}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"firebase":{"requesting":{},"requested":{},"timestamps":{},"data":{},"ordered":{},"auth":{"isLoaded":false,"isEmpty":true},"authError":null,"profile":{"isLoaded":false,"isEmpty":true},"listeners":{"byId":{},"allIds":[]},"isInitializing":false,"errors":[]},"navBarReducer":{"navBarId":"news","fullView":true,"showPlayer":false},"navMenuReducer":{"menus":[{"key":"menu1","items":[{"name":"News","link":"/","type":"title"},{"name":"Politics","link":"/politics"},{"name":"Science","link":"/science"},{"name":"Education","link":"/educationnews"},{"name":"Housing","link":"/housing"},{"name":"Immigration","link":"/immigration"},{"name":"Criminal Justice","link":"/criminaljustice"},{"name":"Silicon Valley","link":"/siliconvalley"},{"name":"Forum","link":"/forum"},{"name":"The California Report","link":"/californiareport"}]},{"key":"menu2","items":[{"name":"Arts & Culture","link":"/arts","type":"title"},{"name":"Critics’ Picks","link":"/thedolist"},{"name":"Cultural Commentary","link":"/artscommentary"},{"name":"Food & Drink","link":"/food"},{"name":"Bay Area Hip-Hop","link":"/bayareahiphop"},{"name":"Rebel Girls","link":"/rebelgirls"},{"name":"Arts Video","link":"/artsvideos"}]},{"key":"menu3","items":[{"name":"Podcasts","link":"/podcasts","type":"title"},{"name":"Bay Curious","link":"/podcasts/baycurious"},{"name":"Rightnowish","link":"/podcasts/rightnowish"},{"name":"The Bay","link":"/podcasts/thebay"},{"name":"On Our Watch","link":"/podcasts/onourwatch"},{"name":"Mindshift","link":"/podcasts/mindshift"},{"name":"Consider This","link":"/podcasts/considerthis"},{"name":"Political Breakdown","link":"/podcasts/politicalbreakdown"}]},{"key":"menu4","items":[{"name":"Live Radio","link":"/radio","type":"title"},{"name":"TV","link":"/tv","type":"title"},{"name":"Events","link":"/events","type":"title"},{"name":"For Educators","link":"/education","type":"title"},{"name":"Support KQED","link":"/support","type":"title"},{"name":"About","link":"/about","type":"title"},{"name":"Help Center","link":"https://kqed-helpcenter.kqed.org/s","type":"title"}]}]},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"news_11968709":{"type":"posts","id":"news_11968709","meta":{"index":"posts_1591205157","site":"news","id":"11968709","score":null,"sort":[1701460819000]},"guestAuthors":[],"slug":"cold-flu-or-rsv-how-to-tell-which-virus-you-might-have-from-testing-to-symptoms","title":"Cold, Flu or RSV? How to Tell Which Virus You Might Have, From Testing to Symptoms","publishDate":1701460819,"format":"link","headTitle":"Cold, Flu or RSV? How to Tell Which Virus You Might Have, From Testing to Symptoms | KQED","labelTerm":{"site":"news"},"content":"\u003cp>\u003cem>Updated 11:15 a.m., December 13\u003c/em>\u003c/p>\n\u003cp>The 2023-2024 winter respiratory virus season is here. And alongside \u003ca href=\"https://www.kqed.org/news/11957790/the-new-covid-eris-variant-and-rising-cases-what-you-need-to-know\">the latest COVID-19 variant \u003c/a>and\u003ca href=\"https://www.kqed.org/news/11961649/when-should-i-get-2023-flu-shot-safe-with-new-covid-vaccine-rsv\"> the return of flu season\u003c/a>, RSV is once again on the rise around the Bay Area.\u003c/p>\n\u003cp>RSV — which stands for Respiratory Syncytial (\u003ca href=\"https://www.cdc.gov/rsv/index.html\">pronounced “sin-SISH-uhl”\u003c/a>) Virus — usually causes “mild, cold-like symptoms,” according to the U.S. Centers for Disease Control and Prevention. But in infants, young children and adults over 60, this respiratory virus can attack a weakened immune system to cause severe sickness, leading to hospitalization and even — in serious cases — death.\u003c/p>\n\u003cp>People in these age groups and the people who care for them are often warned by their health care providers about the dangers of RSV transmission and offered vaccination against the virus. However, there are a lot of people who may not even know RSV exists, let alone how dangerous it can be to spread it to others accidentally — even if getting infected themselves only means mild symptoms.\u003c/p>\n\u003cp>Keep reading for what to know about RSV testing, how to spot an RSV infection, incubation periods, and who’s eligible for the new RSV vaccine.\u003c/p>\n\u003cp>\u003cstrong>Jump straight to:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#anchor1\">How bad is RSV in the Bay Area now?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#anchor2\">Can I get tested?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#anchor3\">How do I know if my “cold” is actually RSV?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#anchor4\">If I get infected but I’m not high risk, what should I do?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#anchor5\">Why are younger and older people more at risk, and when is it time to seek medical attention?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#anchor6\">Who can get the RSV vaccine?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>\u003ca id=\"anchor1\">\u003c/a>How bad is RSV around the Bay Area right now?\u003c/h2>\n\u003cp>In its weekly report, on Dec. 8, the CDC said that \u003ca href=\"https://www.cdc.gov/respiratory-viruses/data-research/dashboard/snapshot.html\">the U.S. is “experiencing elevated RSV activity, particularly among young children\u003c/a>” — and that there is currently \u003ca href=\"https://www.cdc.gov/respiratory-viruses/index.html\">“high overall respiratory illness activity” in California.\u003c/a>\u003c/p>\n\u003cp>The impacts on the state’s hospital capacity are already being felt, and \u003ca href=\"https://www.kqed.org/science/1985786/bay-area-covid-flu-cases-on-the-rise-but-not-surging-like-last-year\">three-quarters of intensive care beds around California are full\u003c/a>, according to the CDC.\u003c/p>\n\u003cp>\u003ca href=\"https://www.wastewaterscan.org/en/about\">The WastewaterSCAN project\u003c/a> monitors the presence of viruses — including RSV, COVID-19 and the flu — in wastewater across the U.S. Alexandria Boehm, a Stanford professor of civil and environmental engineering, who helps lead the project, provided KQED with the latest snapshot data on Nov. 30, that found RSV “levels are trending up and high,” and that “all sites in the Bay Area are categorized as in the high wastewater category” for the virus. This upward trend indicates that the Bay Area is “headed towards \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9844019/\">the levels we saw last year”\u003c/a>. \u003ca href=\"https://www.kqed.org/science/1985786/bay-area-covid-flu-cases-on-the-rise-but-not-surging-like-last-year\">Levels of flu and COVID are also increasing in local wastewater, said Boehm\u003c/a>. [pullquote align=\"right\" size=\"medium\" citation=\"Dr.Peter Chin-Hong, UCSF infectious disease specialist\"]‘If you don’t feel like your whole body is on fire, and it feels like a cold — these days, chances are that it’s going to be RSV.’[/pullquote]\u003c/p>\n\u003cp>In Santa Clara County, health officials recently warned of a dramatic increase in winter viruses in the county’s wastewater — and an especially sharp rise in RSV levels, which the county’s Deputy Health Officer Dr. Sarah Rudman said had doubled in the month leading up to Thanksgiving.\u003c/p>\n\u003cp>“That worries me,” Rudman told KQED on Monday, “that especially after this holiday weekend with everyone’s travel and gathering there, we’re going to see even higher levels [afterward].”\u003c/p>\n\u003cp>Dr. Peter Chin-Hong, an infectious disease specialist at UCSF, said that when it comes to lab testing at his hospital right now, more tests are coming back positive for RSV than for the flu or COVID-19.\u003c/p>\n\u003ch2>\u003ca id=\"anchor2\">\u003c/a>What about testing for RSV?\u003c/h2>\n\u003cp>At-home testing for RSV isn’t available in the way it is for COVID-19. The only places you’d typically have access to a formal RSV test are at an urgent care center, the emergency room, or elsewhere in a hospital, Chin-Hong said.\u003c/p>\n\u003cp>“I think in the future it’d be great to have a home test for COVID, flu and RSV,” he said. “But right now, we just have COVID [testing] at home.”\u003c/p>\n\u003cp>Chin-Hong acknowledges the downsides of being unable to access an RSV test outside of these clinical settings. “It’s good to know so that you don’t infect the very young and very old, who can have more serious consequences,” he said.\u003c/p>\n\u003cp>And on that note …\u003c/p>\n\u003ch2>\u003ca id=\"anchor3\">\u003c/a>So, what are RSV symptoms? How are they different from COVID-19 or the flu?\u003c/h2>\n\u003cp>RSV, Chin-Hong said, “seems like a cold for most people. But that ‘cold’ infecting somebody under two, or older than 60, can land them in the hospital.”\u003c/p>\n\u003cp>According to the CDC,\u003ca href=\"https://www.cdc.gov/rsv/about/symptoms.html\"> the symptoms of RSV infection\u003c/a> “usually appear in stages and not all at once,” and can include:\u003c/p>\n\u003cul>\n\u003cli>Runny nose\u003c/li>\n\u003cli>Decrease in appetite\u003c/li>\n\u003cli>Coughing\u003c/li>\n\u003cli>Sneezing\u003c/li>\n\u003cli>Fever\u003c/li>\n\u003cli>Wheezing\u003c/li>\n\u003c/ul>\n\u003cp>One big exception to this list: In some very young infants with RSV, the CDC said that “the only symptoms may be irritability, decreased activity, and breathing difficulties.”\u003c/p>\n\u003cp>Wheezing could be the particular symptom that might indicate you’ve got RSV rather than another respiratory virus, Chin-Hong said — although wheezing can still be a symptom of those other viruses, too.\u003c/p>\n\u003cp>So, if you’re unlikely to get access to an RSV test, how can you tell if what feels like a bad cold is actually RSV — or the flu? Chin-Hong said there are a few things that might help you tell the difference:\u003c/p>\n\u003cp>\u003cb>The speed and severity of symptoms\u003c/b>\u003c/p>\n\u003cp>Chin-Hong said the onset of symptoms for the flu will be sudden and severe, with fever and muscle pain. “You feel like a garbage truck hits you very suddenly,” he said.\u003c/p>\n\u003cp>Influenza, which, like RSV (and COVID-19), is already spreading throughout the Bay Area this winter, can cause serious problems even in healthy people of any age. \u003ca href=\"https://www.kqed.org/news/11961649/when-should-i-get-2023-flu-shot-safe-with-new-covid-vaccine-rsv\">Some people are also at higher risk of developing serious flu-related complications if they get sick\u003c/a>, including those aged 65 years and older, people of any age with certain chronic medical conditions (such as asthma, diabetes, or heart disease), pregnant people and children younger than 5 years.\u003c/p>\n\u003cp>The CDC estimates that\u003ca href=\"https://www.cdc.gov/flu/about/burden/preliminary-in-season-estimates.htm\"> last year’s flu season resulted in as many as 58,000 deaths from flu\u003c/a> and up to 650,000 flu hospitalizations. WastewaterSCAN’s Boehm noted, in her team’s latest snapshot, that wastewater levels for influenza are “starting to trend up, which suggests influenza infections are starting to rise in our region,” and that based on last year’s records, “we fully expect the levels to keep increasing.”\u003c/p>\n\u003cp>If you haven’t already, \u003ca href=\"https://www.kqed.org/news/11961649/when-should-i-get-2023-flu-shot-safe-with-new-covid-vaccine-rsv\">consider getting your flu shot as soon as possible\u003c/a>. \u003ca href=\"https://www.cdc.gov/flu/treatment/treatment.htm\">Read more from the CDC about what to do if you get the flu.\u003c/a>\u003c/p>\n\u003cp>If your cold symptoms are more progressive, but you’re repeatedly testing negative for COVID-19, seriously consider the possibility that you have RSV.\u003c/p>\n\u003cp>Or, as Chin-Hong puts it: “If you don’t feel like your whole body is on fire, and it feels like a cold — these days, chances are that it’s going to be RSV.”\u003c/p>\n\u003cp>\u003cb>The incubation period\u003c/b>\u003c/p>\n\u003cp>RSV has a longer incubation period than COVID-19 or a cold — the amount of time between exposure to the virus and getting sick.\u003c/p>\n\u003cp>Right now, the latest COVID-19 subvariants have an incubation period of three to five days, and a cold will take 24 to 72 hours to incubate after exposure. But RSV has a longer incubation period of “four to six days,” Chin-Hong said. So, if you know you’ve been exposed to RSV but haven’t gotten sick after a few days, unfortunately, it’s unwise to presume you’ve escaped infection.\u003cbr>\n[ad fullwidth]\u003cbr>\nWhile people infected with RSV are usually contagious for “3 to 8 days,” according to the CDC, \u003ca href=\"https://www.cdc.gov/rsv/about/transmission.html\">they can also “become contagious a day or two before they start showing signs of illness”\u003c/a> — similar to those infected with COVID-19.\u003c/p>\n\u003ch2>\u003ca id=\"anchor4\">\u003c/a>What should I do if I have RSV but I’m not at higher risk?\u003c/h2>\n\u003cp>If you’re not at higher risk for severe RSV but you’re pretty sure you’ve got it, what now?\u003c/p>\n\u003cp>\u003cb>Manage your symptoms\u003c/b>\u003c/p>\n\u003cp>The CDC said that antiviral medication is “not routinely recommended” to fight an RSV infection — in contrast to COVID-19, for which \u003ca href=\"https://www.kqed.org/news/11966797/paxlovid-free-eligibility-california-2023\">the antiviral drug Paxlovid is often prescribed\u003c/a>, or for the flu, for which \u003ca href=\"https://www.cdc.gov/flu/treatment/whatyoushould.htm\">antiviral drugs like Tamiflu can be taken\u003c/a>.[aside label=\"more virus-related coverage\" tag=\"coronavirus-resources-and-explainers\"]Most RSV infections, the agency said, “go away on their own in a week or two.”\u003c/p>\n\u003cp>So, if you’re an adult who’s not at higher risk for severe RSV, \u003ca href=\"https://www.cdc.gov/rsv/about/symptoms.html\">the CDC recommends managing fever and pain symptoms \u003c/a>with over-the-counter fever reducers and pain relievers, such as acetaminophen or ibuprofen. It’s also important to drink fluids to prevent getting dehydrated.\u003c/p>\n\u003cp>\u003cb>Stay home as much as you can\u003c/b>\u003c/p>\n\u003cp>Remember, the big difference between having “just” a cold and having RSV is that if you spread RSV, you’re potentially endangering infants and older people who are at much higher risk from it. The best thing to do is keep away from others as much as possible while you’re sick — especially infants and people aged 60 and older. And “definitely don’t go out if you have a fever,” Chin-Hong said — “that’s probably the highest risk.”\u003c/p>\n\u003cp>What if you really can’t stay indoors away from others? Then it’s time to wear a well-fitted face covering like an N95 or KN95 mask, Chin-Hong said. By masking, you’ll reduce the risks of spreading the virus to those around you.\u003c/p>\n\u003ch2>\u003ca id=\"anchor5\">\u003c/a>Why are younger and older people more at risk from RSV?\u003c/h2>\n\u003cp>There are two age groups at the highest risk for severe disease, hospitalization and death from RSV:\u003c/p>\n\u003cp>\u003cb>Infants and young children\u003c/b>\u003c/p>\n\u003cp>Every year, as many as \u003ca href=\"https://www.cdc.gov/rsv/high-risk/infants-young-children.html\">80,000 children under 5 years old are hospitalized in the U.S. because of RSV\u003c/a>, according to an estimate from the CDC. Children at the greatest risk from RSV include:\u003c/p>\n\u003cul>\n\u003cli>Premature infants\u003c/li>\n\u003cli>Infants up to 12 months, especially (6 months and younger)\u003c/li>\n\u003cli>Children younger than 2 years with chronic lung disease or congenital (present from birth) heart disease\u003c/li>\n\u003cli>Children with weakened immune systems\u003c/li>\n\u003cli>Children with neuromuscular disorders.\u003c/li>\n\u003c/ul>\n\u003cp>Part of the danger of RSV is how it can bring on more severe infections, including:\u003c/p>\n\u003cul>\n\u003cli>Bronchiolitis: when the small airways in the lungs are inflamed\u003c/li>\n\u003cli>Pneumonia: when the lungs are infected.\u003c/li>\n\u003c/ul>\n\u003cp>The CDC said that RSV is “the most common cause of bronchiolitis and pneumonia in children younger than 1 year of age.”\u003c/p>\n\u003cp>These statistics can seem scary — and RSV does undoubtedly pose a threat to many younger children. But for context, the CDC notes that\u003ca href=\"https://www.cdc.gov/rsv/high-risk/infants-young-children.html\"> “almost all children will have had an RSV infection by their second birthday.”\u003c/a>\u003c/p>\n\u003cp>If an infant or young child gets infected with RSV, parents and caregivers can always call their provider’s advice line, added Chin-Hong, who said to watch for red flags, including when a young child is having difficulty feeding or breathing, or is wheezing and lethargic. “Infants with quote-unquote ‘colds’ who have any of those [symptoms] should be brought into the hospital or urgent care or the emergency room for advice,” he said.\u003c/p>\n\u003cp>\u003cb>People age 60 and older\u003c/b>\u003c/p>\n\u003cp>RSV poses a particular risk to older people because of how our immune systems weaken with age. Every year, between \u003ca href=\"https://www.cdc.gov/rsv/high-risk/older-adults.html\">60,000 and 160,000 older adults in the U.S. are hospitalized with RSV, \u003c/a>and as many as 10,000 die from it, The CDC estimates.\u003c/p>\n\u003cp>In addition to causing more severe infections like bronchiolitis and pneumonia, the virus can also exacerbate existing health conditions — including asthma, chronic obstructive pulmonary disease and congestive heart failure.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/rsv/high-risk/older-adults.html\">Some younger adults are also at higher risk from RSV\u003c/a>. These groups include folks with chronic heart or lung disease, weakened immune systems or certain other underlying medical conditions.\u003c/p>\n\u003cp>When should older adults — or their caregivers — seek medical attention due to a potential RSV infection? Chin-Hong said that one of the main concerns for this age group is developing pneumonia, of which a new shortness of breath can be a symptom. Oxygen levels can also be monitored with an at-home pulse oximeter — if a person’s levels drop below 93%, Chin-Hong said that’s a sign to head to the emergency room.\u003c/p>\n\u003ch2>\u003cb>When RSV means being hospitalized\u003c/b>\u003c/h2>\n\u003cp>What does hospitalization actually mean for infants and older adults with severe RSV?\u003c/p>\n\u003cp>Hospitalization often occurs if the patient is having trouble breathing or has become dehydrated — and once in the hospital, they may require extra oxygen or fluids given through an IV if they can’t eat or drink enough on their own.\u003c/p>\n\u003cp>A patient might also need to be intubated with a breathing tube inserted through the mouth, and be given mechanical ventilation to help them breathe again. While this sounds scary, hospitalization usually lasts for only a few days “in most of these cases,” according to the CDC.\u003c/p>\n\u003ch2>\u003ca id=\"anchor6\">\u003c/a>Who can get the RSV vaccine?\u003c/h2>\n\u003cp>In addition to the general benefits of vaccination against the virus, Chin-Hong notes that “there isn’t any good therapy for RSV” currently — making a preventative vaccine even more important.\u003c/p>\n\u003cp>In May, the U.S. Food and Drug Administration \u003ca href=\"https://www.fda.gov/news-events/press-announcements/fda-approves-first-respiratory-syncytial-virus-rsv-vaccine\">approved the first RSV vaccine for older adults\u003c/a>, and, several months later, \u003ca href=\"https://www.fda.gov/news-events/press-announcements/fda-approves-first-vaccine-pregnant-individuals-prevent-rsv-infants\">approved another one for pregnant people\u003c/a>, as well as a separate preventative antibody treatment for infants.\u003c/p>\n\u003cp>RSV vaccines for these groups are available through health care providers and pharmacies, with the shots covered partly or fully by most health insurance plans.\u003c/p>\n\u003cp>\u003cb>Adults age 60 and older\u003c/b>\u003c/p>\n\u003cp>The CDC recommends this group “should talk with their health care provider about whether RSV vaccination is right for them.” There is no upper age limit for getting an RSV vaccination, which is given as a single shot. \u003ca href=\"https://www.cdc.gov/vaccines/vpd/rsv/public/older-adults.html\">Read more about older adults and the RSV vaccine\u003c/a>, and about \u003ca href=\"https://www.cdc.gov/respiratory-viruses/whats-new/how-to-get-your-vaccines.html\">health insurance coverage for this vaccine.\u003c/a>\u003c/p>\n\u003cp>\u003cb>People between 32 and 36 weeks of pregnancy\u003c/b>\u003c/p>\n\u003cp>Vaccinations for pregnant people are one of two ways that infants can be immunized against RSV — in this case, to pass on the benefits to the fetus. The CDC said that a baby born to a mother who got the RSV vaccine “at least two weeks before delivery” will have protection — and “in most cases,” that baby then won’t require a later RSV immunization. \u003ca href=\"https://www.cdc.gov/vaccines/vpd/rsv/public/pregnancy.html\">Read more about pregnant people and the RSV vaccine\u003c/a>, and about\u003ca href=\"https://www.cdc.gov/vaccines/vpd/rsv/public/pregnancy.html\"> health insurance coverage for this maternal vaccine\u003c/a>.\u003c/p>\n\u003cp>\u003cb>Infants\u003c/b>\u003c/p>\n\u003cp>A preventive antibody — not a vaccine — can also be given directly to a baby after birth if a maternal vaccine isn’t an option. This form of immunization is recommended for children younger than 8 months of age during their first RSV season. In some cases, this immunization is extended to children under 24 months of age “with certain conditions that place them at increased risk for severe RSV disease,” the CDC said. \u003ca href=\"https://www.cdc.gov/vaccines/vpd/rsv/public/child.html\">Read more about RSV immunization for infants and young children\u003c/a> and about \u003ca href=\"https://www.cdc.gov/respiratory-viruses/whats-new/how-to-get-your-vaccines.html\">health insurance coverage for this immunization.\u003c/a>\u003c/p>\n\u003cp>\u003ci>KQED’s Sara Hossaini and Lesley McClurg contributed reporting to this story.\u003c/i>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"What to know about RSV testing, distinguishing RSV from the flu or COVID-19, incubation periods, and who’s eligible for an RSV vaccine.","status":"publish","parent":0,"modified":1702494719,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":64,"wordCount":2683},"headData":{"title":"Cold, Flu or RSV? How to Tell Which Virus You Might Have, From Testing to Symptoms | KQED","description":"What to know about RSV testing, distinguishing RSV from the flu or COVID-19, incubation periods, and who’s eligible for an RSV vaccine.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Cold, Flu or RSV? How to Tell Which Virus You Might Have, From Testing to Symptoms","datePublished":"2023-12-01T20:00:19.000Z","dateModified":"2023-12-13T19:11:59.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11968709/cold-flu-or-rsv-how-to-tell-which-virus-you-might-have-from-testing-to-symptoms","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated 11:15 a.m., December 13\u003c/em>\u003c/p>\n\u003cp>The 2023-2024 winter respiratory virus season is here. And alongside \u003ca href=\"https://www.kqed.org/news/11957790/the-new-covid-eris-variant-and-rising-cases-what-you-need-to-know\">the latest COVID-19 variant \u003c/a>and\u003ca href=\"https://www.kqed.org/news/11961649/when-should-i-get-2023-flu-shot-safe-with-new-covid-vaccine-rsv\"> the return of flu season\u003c/a>, RSV is once again on the rise around the Bay Area.\u003c/p>\n\u003cp>RSV — which stands for Respiratory Syncytial (\u003ca href=\"https://www.cdc.gov/rsv/index.html\">pronounced “sin-SISH-uhl”\u003c/a>) Virus — usually causes “mild, cold-like symptoms,” according to the U.S. Centers for Disease Control and Prevention. But in infants, young children and adults over 60, this respiratory virus can attack a weakened immune system to cause severe sickness, leading to hospitalization and even — in serious cases — death.\u003c/p>\n\u003cp>People in these age groups and the people who care for them are often warned by their health care providers about the dangers of RSV transmission and offered vaccination against the virus. However, there are a lot of people who may not even know RSV exists, let alone how dangerous it can be to spread it to others accidentally — even if getting infected themselves only means mild symptoms.\u003c/p>\n\u003cp>Keep reading for what to know about RSV testing, how to spot an RSV infection, incubation periods, and who’s eligible for the new RSV vaccine.\u003c/p>\n\u003cp>\u003cstrong>Jump straight to:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#anchor1\">How bad is RSV in the Bay Area now?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#anchor2\">Can I get tested?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#anchor3\">How do I know if my “cold” is actually RSV?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#anchor4\">If I get infected but I’m not high risk, what should I do?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#anchor5\">Why are younger and older people more at risk, and when is it time to seek medical attention?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#anchor6\">Who can get the RSV vaccine?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>\u003ca id=\"anchor1\">\u003c/a>How bad is RSV around the Bay Area right now?\u003c/h2>\n\u003cp>In its weekly report, on Dec. 8, the CDC said that \u003ca href=\"https://www.cdc.gov/respiratory-viruses/data-research/dashboard/snapshot.html\">the U.S. is “experiencing elevated RSV activity, particularly among young children\u003c/a>” — and that there is currently \u003ca href=\"https://www.cdc.gov/respiratory-viruses/index.html\">“high overall respiratory illness activity” in California.\u003c/a>\u003c/p>\n\u003cp>The impacts on the state’s hospital capacity are already being felt, and \u003ca href=\"https://www.kqed.org/science/1985786/bay-area-covid-flu-cases-on-the-rise-but-not-surging-like-last-year\">three-quarters of intensive care beds around California are full\u003c/a>, according to the CDC.\u003c/p>\n\u003cp>\u003ca href=\"https://www.wastewaterscan.org/en/about\">The WastewaterSCAN project\u003c/a> monitors the presence of viruses — including RSV, COVID-19 and the flu — in wastewater across the U.S. Alexandria Boehm, a Stanford professor of civil and environmental engineering, who helps lead the project, provided KQED with the latest snapshot data on Nov. 30, that found RSV “levels are trending up and high,” and that “all sites in the Bay Area are categorized as in the high wastewater category” for the virus. This upward trend indicates that the Bay Area is “headed towards \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9844019/\">the levels we saw last year”\u003c/a>. \u003ca href=\"https://www.kqed.org/science/1985786/bay-area-covid-flu-cases-on-the-rise-but-not-surging-like-last-year\">Levels of flu and COVID are also increasing in local wastewater, said Boehm\u003c/a>. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘If you don’t feel like your whole body is on fire, and it feels like a cold — these days, chances are that it’s going to be RSV.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Dr.Peter Chin-Hong, UCSF infectious disease specialist","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In Santa Clara County, health officials recently warned of a dramatic increase in winter viruses in the county’s wastewater — and an especially sharp rise in RSV levels, which the county’s Deputy Health Officer Dr. Sarah Rudman said had doubled in the month leading up to Thanksgiving.\u003c/p>\n\u003cp>“That worries me,” Rudman told KQED on Monday, “that especially after this holiday weekend with everyone’s travel and gathering there, we’re going to see even higher levels [afterward].”\u003c/p>\n\u003cp>Dr. Peter Chin-Hong, an infectious disease specialist at UCSF, said that when it comes to lab testing at his hospital right now, more tests are coming back positive for RSV than for the flu or COVID-19.\u003c/p>\n\u003ch2>\u003ca id=\"anchor2\">\u003c/a>What about testing for RSV?\u003c/h2>\n\u003cp>At-home testing for RSV isn’t available in the way it is for COVID-19. The only places you’d typically have access to a formal RSV test are at an urgent care center, the emergency room, or elsewhere in a hospital, Chin-Hong said.\u003c/p>\n\u003cp>“I think in the future it’d be great to have a home test for COVID, flu and RSV,” he said. “But right now, we just have COVID [testing] at home.”\u003c/p>\n\u003cp>Chin-Hong acknowledges the downsides of being unable to access an RSV test outside of these clinical settings. “It’s good to know so that you don’t infect the very young and very old, who can have more serious consequences,” he said.\u003c/p>\n\u003cp>And on that note …\u003c/p>\n\u003ch2>\u003ca id=\"anchor3\">\u003c/a>So, what are RSV symptoms? How are they different from COVID-19 or the flu?\u003c/h2>\n\u003cp>RSV, Chin-Hong said, “seems like a cold for most people. But that ‘cold’ infecting somebody under two, or older than 60, can land them in the hospital.”\u003c/p>\n\u003cp>According to the CDC,\u003ca href=\"https://www.cdc.gov/rsv/about/symptoms.html\"> the symptoms of RSV infection\u003c/a> “usually appear in stages and not all at once,” and can include:\u003c/p>\n\u003cul>\n\u003cli>Runny nose\u003c/li>\n\u003cli>Decrease in appetite\u003c/li>\n\u003cli>Coughing\u003c/li>\n\u003cli>Sneezing\u003c/li>\n\u003cli>Fever\u003c/li>\n\u003cli>Wheezing\u003c/li>\n\u003c/ul>\n\u003cp>One big exception to this list: In some very young infants with RSV, the CDC said that “the only symptoms may be irritability, decreased activity, and breathing difficulties.”\u003c/p>\n\u003cp>Wheezing could be the particular symptom that might indicate you’ve got RSV rather than another respiratory virus, Chin-Hong said — although wheezing can still be a symptom of those other viruses, too.\u003c/p>\n\u003cp>So, if you’re unlikely to get access to an RSV test, how can you tell if what feels like a bad cold is actually RSV — or the flu? Chin-Hong said there are a few things that might help you tell the difference:\u003c/p>\n\u003cp>\u003cb>The speed and severity of symptoms\u003c/b>\u003c/p>\n\u003cp>Chin-Hong said the onset of symptoms for the flu will be sudden and severe, with fever and muscle pain. “You feel like a garbage truck hits you very suddenly,” he said.\u003c/p>\n\u003cp>Influenza, which, like RSV (and COVID-19), is already spreading throughout the Bay Area this winter, can cause serious problems even in healthy people of any age. \u003ca href=\"https://www.kqed.org/news/11961649/when-should-i-get-2023-flu-shot-safe-with-new-covid-vaccine-rsv\">Some people are also at higher risk of developing serious flu-related complications if they get sick\u003c/a>, including those aged 65 years and older, people of any age with certain chronic medical conditions (such as asthma, diabetes, or heart disease), pregnant people and children younger than 5 years.\u003c/p>\n\u003cp>The CDC estimates that\u003ca href=\"https://www.cdc.gov/flu/about/burden/preliminary-in-season-estimates.htm\"> last year’s flu season resulted in as many as 58,000 deaths from flu\u003c/a> and up to 650,000 flu hospitalizations. WastewaterSCAN’s Boehm noted, in her team’s latest snapshot, that wastewater levels for influenza are “starting to trend up, which suggests influenza infections are starting to rise in our region,” and that based on last year’s records, “we fully expect the levels to keep increasing.”\u003c/p>\n\u003cp>If you haven’t already, \u003ca href=\"https://www.kqed.org/news/11961649/when-should-i-get-2023-flu-shot-safe-with-new-covid-vaccine-rsv\">consider getting your flu shot as soon as possible\u003c/a>. \u003ca href=\"https://www.cdc.gov/flu/treatment/treatment.htm\">Read more from the CDC about what to do if you get the flu.\u003c/a>\u003c/p>\n\u003cp>If your cold symptoms are more progressive, but you’re repeatedly testing negative for COVID-19, seriously consider the possibility that you have RSV.\u003c/p>\n\u003cp>Or, as Chin-Hong puts it: “If you don’t feel like your whole body is on fire, and it feels like a cold — these days, chances are that it’s going to be RSV.”\u003c/p>\n\u003cp>\u003cb>The incubation period\u003c/b>\u003c/p>\n\u003cp>RSV has a longer incubation period than COVID-19 or a cold — the amount of time between exposure to the virus and getting sick.\u003c/p>\n\u003cp>Right now, the latest COVID-19 subvariants have an incubation period of three to five days, and a cold will take 24 to 72 hours to incubate after exposure. But RSV has a longer incubation period of “four to six days,” Chin-Hong said. So, if you know you’ve been exposed to RSV but haven’t gotten sick after a few days, unfortunately, it’s unwise to presume you’ve escaped infection.\u003cbr>\n\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cbr>\nWhile people infected with RSV are usually contagious for “3 to 8 days,” according to the CDC, \u003ca href=\"https://www.cdc.gov/rsv/about/transmission.html\">they can also “become contagious a day or two before they start showing signs of illness”\u003c/a> — similar to those infected with COVID-19.\u003c/p>\n\u003ch2>\u003ca id=\"anchor4\">\u003c/a>What should I do if I have RSV but I’m not at higher risk?\u003c/h2>\n\u003cp>If you’re not at higher risk for severe RSV but you’re pretty sure you’ve got it, what now?\u003c/p>\n\u003cp>\u003cb>Manage your symptoms\u003c/b>\u003c/p>\n\u003cp>The CDC said that antiviral medication is “not routinely recommended” to fight an RSV infection — in contrast to COVID-19, for which \u003ca href=\"https://www.kqed.org/news/11966797/paxlovid-free-eligibility-california-2023\">the antiviral drug Paxlovid is often prescribed\u003c/a>, or for the flu, for which \u003ca href=\"https://www.cdc.gov/flu/treatment/whatyoushould.htm\">antiviral drugs like Tamiflu can be taken\u003c/a>.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"more virus-related coverage ","tag":"coronavirus-resources-and-explainers"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Most RSV infections, the agency said, “go away on their own in a week or two.”\u003c/p>\n\u003cp>So, if you’re an adult who’s not at higher risk for severe RSV, \u003ca href=\"https://www.cdc.gov/rsv/about/symptoms.html\">the CDC recommends managing fever and pain symptoms \u003c/a>with over-the-counter fever reducers and pain relievers, such as acetaminophen or ibuprofen. It’s also important to drink fluids to prevent getting dehydrated.\u003c/p>\n\u003cp>\u003cb>Stay home as much as you can\u003c/b>\u003c/p>\n\u003cp>Remember, the big difference between having “just” a cold and having RSV is that if you spread RSV, you’re potentially endangering infants and older people who are at much higher risk from it. The best thing to do is keep away from others as much as possible while you’re sick — especially infants and people aged 60 and older. And “definitely don’t go out if you have a fever,” Chin-Hong said — “that’s probably the highest risk.”\u003c/p>\n\u003cp>What if you really can’t stay indoors away from others? Then it’s time to wear a well-fitted face covering like an N95 or KN95 mask, Chin-Hong said. By masking, you’ll reduce the risks of spreading the virus to those around you.\u003c/p>\n\u003ch2>\u003ca id=\"anchor5\">\u003c/a>Why are younger and older people more at risk from RSV?\u003c/h2>\n\u003cp>There are two age groups at the highest risk for severe disease, hospitalization and death from RSV:\u003c/p>\n\u003cp>\u003cb>Infants and young children\u003c/b>\u003c/p>\n\u003cp>Every year, as many as \u003ca href=\"https://www.cdc.gov/rsv/high-risk/infants-young-children.html\">80,000 children under 5 years old are hospitalized in the U.S. because of RSV\u003c/a>, according to an estimate from the CDC. Children at the greatest risk from RSV include:\u003c/p>\n\u003cul>\n\u003cli>Premature infants\u003c/li>\n\u003cli>Infants up to 12 months, especially (6 months and younger)\u003c/li>\n\u003cli>Children younger than 2 years with chronic lung disease or congenital (present from birth) heart disease\u003c/li>\n\u003cli>Children with weakened immune systems\u003c/li>\n\u003cli>Children with neuromuscular disorders.\u003c/li>\n\u003c/ul>\n\u003cp>Part of the danger of RSV is how it can bring on more severe infections, including:\u003c/p>\n\u003cul>\n\u003cli>Bronchiolitis: when the small airways in the lungs are inflamed\u003c/li>\n\u003cli>Pneumonia: when the lungs are infected.\u003c/li>\n\u003c/ul>\n\u003cp>The CDC said that RSV is “the most common cause of bronchiolitis and pneumonia in children younger than 1 year of age.”\u003c/p>\n\u003cp>These statistics can seem scary — and RSV does undoubtedly pose a threat to many younger children. But for context, the CDC notes that\u003ca href=\"https://www.cdc.gov/rsv/high-risk/infants-young-children.html\"> “almost all children will have had an RSV infection by their second birthday.”\u003c/a>\u003c/p>\n\u003cp>If an infant or young child gets infected with RSV, parents and caregivers can always call their provider’s advice line, added Chin-Hong, who said to watch for red flags, including when a young child is having difficulty feeding or breathing, or is wheezing and lethargic. “Infants with quote-unquote ‘colds’ who have any of those [symptoms] should be brought into the hospital or urgent care or the emergency room for advice,” he said.\u003c/p>\n\u003cp>\u003cb>People age 60 and older\u003c/b>\u003c/p>\n\u003cp>RSV poses a particular risk to older people because of how our immune systems weaken with age. Every year, between \u003ca href=\"https://www.cdc.gov/rsv/high-risk/older-adults.html\">60,000 and 160,000 older adults in the U.S. are hospitalized with RSV, \u003c/a>and as many as 10,000 die from it, The CDC estimates.\u003c/p>\n\u003cp>In addition to causing more severe infections like bronchiolitis and pneumonia, the virus can also exacerbate existing health conditions — including asthma, chronic obstructive pulmonary disease and congestive heart failure.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/rsv/high-risk/older-adults.html\">Some younger adults are also at higher risk from RSV\u003c/a>. These groups include folks with chronic heart or lung disease, weakened immune systems or certain other underlying medical conditions.\u003c/p>\n\u003cp>When should older adults — or their caregivers — seek medical attention due to a potential RSV infection? Chin-Hong said that one of the main concerns for this age group is developing pneumonia, of which a new shortness of breath can be a symptom. Oxygen levels can also be monitored with an at-home pulse oximeter — if a person’s levels drop below 93%, Chin-Hong said that’s a sign to head to the emergency room.\u003c/p>\n\u003ch2>\u003cb>When RSV means being hospitalized\u003c/b>\u003c/h2>\n\u003cp>What does hospitalization actually mean for infants and older adults with severe RSV?\u003c/p>\n\u003cp>Hospitalization often occurs if the patient is having trouble breathing or has become dehydrated — and once in the hospital, they may require extra oxygen or fluids given through an IV if they can’t eat or drink enough on their own.\u003c/p>\n\u003cp>A patient might also need to be intubated with a breathing tube inserted through the mouth, and be given mechanical ventilation to help them breathe again. While this sounds scary, hospitalization usually lasts for only a few days “in most of these cases,” according to the CDC.\u003c/p>\n\u003ch2>\u003ca id=\"anchor6\">\u003c/a>Who can get the RSV vaccine?\u003c/h2>\n\u003cp>In addition to the general benefits of vaccination against the virus, Chin-Hong notes that “there isn’t any good therapy for RSV” currently — making a preventative vaccine even more important.\u003c/p>\n\u003cp>In May, the U.S. Food and Drug Administration \u003ca href=\"https://www.fda.gov/news-events/press-announcements/fda-approves-first-respiratory-syncytial-virus-rsv-vaccine\">approved the first RSV vaccine for older adults\u003c/a>, and, several months later, \u003ca href=\"https://www.fda.gov/news-events/press-announcements/fda-approves-first-vaccine-pregnant-individuals-prevent-rsv-infants\">approved another one for pregnant people\u003c/a>, as well as a separate preventative antibody treatment for infants.\u003c/p>\n\u003cp>RSV vaccines for these groups are available through health care providers and pharmacies, with the shots covered partly or fully by most health insurance plans.\u003c/p>\n\u003cp>\u003cb>Adults age 60 and older\u003c/b>\u003c/p>\n\u003cp>The CDC recommends this group “should talk with their health care provider about whether RSV vaccination is right for them.” There is no upper age limit for getting an RSV vaccination, which is given as a single shot. \u003ca href=\"https://www.cdc.gov/vaccines/vpd/rsv/public/older-adults.html\">Read more about older adults and the RSV vaccine\u003c/a>, and about \u003ca href=\"https://www.cdc.gov/respiratory-viruses/whats-new/how-to-get-your-vaccines.html\">health insurance coverage for this vaccine.\u003c/a>\u003c/p>\n\u003cp>\u003cb>People between 32 and 36 weeks of pregnancy\u003c/b>\u003c/p>\n\u003cp>Vaccinations for pregnant people are one of two ways that infants can be immunized against RSV — in this case, to pass on the benefits to the fetus. The CDC said that a baby born to a mother who got the RSV vaccine “at least two weeks before delivery” will have protection — and “in most cases,” that baby then won’t require a later RSV immunization. \u003ca href=\"https://www.cdc.gov/vaccines/vpd/rsv/public/pregnancy.html\">Read more about pregnant people and the RSV vaccine\u003c/a>, and about\u003ca href=\"https://www.cdc.gov/vaccines/vpd/rsv/public/pregnancy.html\"> health insurance coverage for this maternal vaccine\u003c/a>.\u003c/p>\n\u003cp>\u003cb>Infants\u003c/b>\u003c/p>\n\u003cp>A preventive antibody — not a vaccine — can also be given directly to a baby after birth if a maternal vaccine isn’t an option. This form of immunization is recommended for children younger than 8 months of age during their first RSV season. In some cases, this immunization is extended to children under 24 months of age “with certain conditions that place them at increased risk for severe RSV disease,” the CDC said. \u003ca href=\"https://www.cdc.gov/vaccines/vpd/rsv/public/child.html\">Read more about RSV immunization for infants and young children\u003c/a> and about \u003ca href=\"https://www.cdc.gov/respiratory-viruses/whats-new/how-to-get-your-vaccines.html\">health insurance coverage for this immunization.\u003c/a>\u003c/p>\n\u003cp>\u003ci>KQED’s Sara Hossaini and Lesley McClurg contributed reporting to this story.\u003c/i>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11968709/cold-flu-or-rsv-how-to-tell-which-virus-you-might-have-from-testing-to-symptoms","authors":["3243"],"categories":["news_457","news_8"],"tags":["news_32707","news_33205","news_29029","news_27504","news_27626","news_22326","news_18543","news_22327","news_31893"],"featImg":"news_11968752","label":"news"},"news_11961649":{"type":"posts","id":"news_11961649","meta":{"index":"posts_1591205157","site":"news","id":"11961649","score":null,"sort":[1695407414000]},"guestAuthors":[],"slug":"when-should-i-get-2023-flu-shot-safe-with-new-covid-vaccine-rsv","title":"When Should You Get Your 2023 Flu Shot?","publishDate":1695407414,"format":"image","headTitle":"When Should You Get Your 2023 Flu Shot? | KQED","labelTerm":{"site":"news"},"content":"\u003cp>We’re over three years into the COVID pandemic. And \u003ca href=\"https://www.kqed.org/news/11957790/the-new-covid-eris-variant-and-rising-cases-what-you-need-to-know\">as we’ve seen this summer, with the new Eris variant\u003c/a>, COVID continues to infect folks of all ages and still results in severe disease and hospitalization for some.\u003c/p>\n\u003cp>But please don’t forget: The flu remains a potentially serious threat to your health too.\u003c/p>\n\u003cp>Jump straight to:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#whenflushot\">When should I get my flu shot?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#boosterflushot\">Can I get my new COVID vaccine and my flu shot at the same time? What about the RSV vaccine?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#flushotnearme\">Where can I get a flu shot, with or without insurance?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>Why is the flu so serious?\u003c/h2>\n\u003cp>Back in \u003ca href=\"https://www.cdc.gov/flu/season/faq-flu-season-2020-2021.htm\">2020, the U.S. saw a record-low number of flu cases\u003c/a> — most likely due to widespread mask-wearing, increased hygiene, social distancing and remote work and school. And \u003ca href=\"https://www.cdc.gov/flu/about/burden/preliminary-in-season-estimates.htm\">the Centers for Disease Control and Prevention says that flu activity has overall “been lower\u003c/a> than observed before the pandemic.”\u003c/p>\n\u003cp>Nonetheless, the CDC estimates that\u003ca href=\"https://www.cdc.gov/flu/about/burden/preliminary-in-season-estimates.htm\"> last year’s flu season resulted in 19,000–58,000 deaths from flu\u003c/a> and 300,000–650,000 flu hospitalizations. The agency says that the 2022–2023 flu season caused up to 54 million illnesses.\u003c/p>\n\u003cp>But the organization says that \u003ca href=\"https://www.cdc.gov/flu/fluvaxview/coverage-2022estimates.htm\">in the 2021–2022 flu season, just under half of adults got a flu shot\u003c/a> — a slight decrease from the previous season.\u003c/p>\n\u003ch2>Why should I get a flu shot?\u003c/h2>\n\u003cp>Getting a flu vaccine can prevent you from getting sick with the flu, which is a draining, unpleasant experience even if your symptoms are not severe. And if you \u003cem>do\u003c/em> get the flu, having a flu shot can also stop you from getting sick enough to have to visit the hospital (and be exposed to all the COVID risks hospital settings can still bring).\u003c/p>\n\u003cp>The CDC says the flu vaccine also offers other potential health impacts, such as being associated with \u003ca class=\"tp-link-policy\" href=\"https://pubmed.ncbi.nlm.nih.gov/24150467/\" data-domain-ext=\"gov\">lower rates of certain cardiac events\u003c/a> for people who have heart disease. It’s also the best, safest way not only to protect \u003cem>yourself\u003c/em> against the influenza virus, but also to minimize the chance you will spread it to others — folks who could be at far higher risk for serious complications or even death if they were to become infected. \u003ca href=\"https://www.cdc.gov/flu/vaccines-work/vaccineeffect.htm\">Read more from the CDC about what the flu shot can do for you.\u003c/a>\u003c/p>\n\u003cp>Keep reading to find out whether you should be getting your flu shot right now, and where to find free or low-cost flu shot options near you.\u003c/p>\n\u003ch2>\u003ca id=\"whenflushot\">\u003c/a>Should I get a flu shot now, or wait?\u003c/h2>\n\u003cp>The recommendations medical professionals make about when to get a flu shot are based on the fact that it takes about two weeks after you get vaccinated for antibodies to develop and provide protection against the flu.\u003c/p>\n\u003cp>This 2023–2024 season, as with previous seasons, \u003ca href=\"https://www.cdc.gov/flu/spotlights/2022-2023/flu-vaccination-recommendations-adopted.htm\">the CDC says that September and October are “the best times for most people to get vaccinated.”\u003c/a> These recommendations are based on traditional predictions of flu season starting in November and peaking around January or February.\u003c/p>\n\u003cfigure id=\"attachment_11838737\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11838737\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2.png\" alt=\"\" width=\"1900\" height=\"1267\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2.png 1900w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2-800x533.png 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2-1020x680.png 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2-160x107.png 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2-1536x1024.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">It takes 2 weeks after your flu shot for your body to develop the antibodies it needs to protect you from the flu virus. \u003ccite>(Queen's University/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Dr. Peter Chin-Hong, an infectious disease expert at UCSF says that yes, there’s evidence that \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/28039340/\">your risk of getting the flu increases every month after your flu shot, due to the antibodies waning over time\u003c/a>.\u003c/p>\n\u003cp>But when medical professionals talk about strategically “waiting” to get a flu shot, they’re aiming that advice at those who are at particularly high risk for more serious complications related to the flu. That includes:\u003c/p>\n\u003cul>\n\u003cli>People over 65.\u003c/li>\n\u003cli>Folks with chronic medical conditions.\u003c/li>\n\u003cli>Pregnant people (or those who are planning to become pregnant).\u003c/li>\n\u003cli>Kids under 5.\u003c/li>\n\u003c/ul>\n\u003cp>Delaying inoculations for these populations is based on the idea of getting the shot at a time Chin-Hong calls “the sweet spot,” around mid-to-late October. Two weeks later, right around early November, the antibodies should have developed, just as flu season is (usually) getting serious. Think of it as getting the “biggest bang for your buck,” he said.\u003c/p>\n\u003cp>So, if you’re in one of those vulnerable categories, yes, you can think about waiting, says Chin-Hong. People over 65 might also consider requesting special flu vaccines for this age group — read more about this below. As with all health matters, if you’re looking for advice, it’s best to consult your health care provider or someone you see regularly for your medical needs.\u003c/p>\n\u003cp>And what if you’re under 65, not pregnant and don’t have other risk factors for severe flu? If you can truly trust yourself to plan ahead and not forget to make the appointment, getting it by Halloween (i.e., before October is up) is best, Chin-Hong said. But remember: Not only are you human, and it might slip your mind, but predictions about how the flu season might behave are just that — predictions.\u003c/p>\n\u003cp>Flu cases might start to rise earlier than anticipated, throwing previous notions of a “best time” to get the vaccine into disarray. So, take that “October rule” with “a grain of salt,” Chin-Hong advised, and “get [your flu shot] when you get it.”\u003c/p>\n\u003cp>What if you plan to get your flu shot in October with the best of intentions, but you still forget? If Nov. 1 comes and goes, and you realize you haven’t been vaccinated, all is not lost — since the CDC says that “vaccination after October can still provide protection during the peak of flu season,” which is usually February.\u003c/p>\n\u003cp>In other words, just go get the shot already — whenever that may be.\u003c/p>\n\u003cp>\u003cimg decoding=\"async\" loading=\"lazy\" class=\"alignnone size-full wp-image-11838740\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3.png\" alt=\"\" width=\"1900\" height=\"1267\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3.png 1900w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3-800x533.png 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3-1020x680.png 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3-160x107.png 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3-1536x1024.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003c/p>\n\u003ch2>\u003ca id=\"boosterflushot\">\u003c/a>Can I get my new COVID vaccine and my flu shot at the same time?\u003c/h2>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11960630/free-new-covid-vaccine-near-me-2023#shouldigetfluandcovidvaccine\">It’s totally fine, and safe, to get your flu shot at the same time\u003c/a> as your new COVID vaccine, and you’ll find that COVID vaccine appointments will often prompt you to “add on” a flu shot at the same session — especially at pharmacies. Although, if you’re trying to schedule your kid’s vaccinations, \u003ca href=\"https://www.npr.org/sections/health-shots/2023/09/13/1198803134/covid-boosters-updated-vaccines-fda-cdc\">the CDC advises that you first talk to your pediatrician\u003c/a> about the best schedule for the COVID and flu vaccines (and now the RSV — respiratory syncytial virus — preventive treatment too).\u003c/p>\n\u003cp>But if that optimal time to get your flu shot is “sometime before Halloween” according to Chin-Hong — as long as flu season behaves as expected and doesn’t start in earnest before November — should you get your new COVID shot \u003cem>first\u003c/em>, and follow up with a flu shot later?\u003c/p>\n\u003cp>If you can trust yourself to remember to seek out your flu shot by the end of October (or schedule an appointment for October in advance), yes: You might consider getting your new COVID vaccine earlier, separately from your flu shot. And if not — or if life is getting hectic, and a two-for-one vaccination appointment ensures that you actually \u003ci>will \u003c/i>get your shots rather than forgetting — just go ahead and get your COVID and flu shots at the same time, when you can.\u003c/p>\n\u003cp>There’s also the fact that \u003ca href=\"https://www.kqed.org/news/11960630/free-new-covid-vaccine-near-me-2023\">you might \u003cem>have\u003c/em> to wait a little longer for your COVID shot anyway\u003c/a>. Public health officials are urging people to first seek out the new vaccine via their health care provider, but supplies haven’t yet reached many providers. Kaiser Permanente, for example, is telling patients that \u003ca href=\"https://mydoctor.kaiserpermanente.org/covid-19/covid-19-vaccine\">shots of the new COVID vaccine won’t become available through Kaiser until early October\u003c/a>. All this to say: You might not have a choice about waiting to get your new COVID shot — by which time, you might be approaching that optimal October flu shot time anyway, and can choose a double vaccination appointment at that time.\u003c/p>\n\u003cp>Chin-Hong reiterated that “if you really wanted to optimize” the timing of your flu shot, yes, “sometime in October \u003cem>is\u003c/em> probably the best.” But ultimately, he says that just \u003cem>getting\u003c/em> the shots is better than not getting them at all.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11960630/free-new-covid-vaccine-near-me-2023\">Read more about where to find the new COVID vaccine near you.\u003c/a>\u003c/p>\n\u003ch2>What about the RSV vaccine?\u003c/h2>\n\u003cp>The CDC says that the respiratory syncytial virus — RSV — is “a common cause of respiratory illness in infants and young children, as well as older adults.” The disease results in up to 160,000 hospitalizations and \u003ca href=\"https://www.cdc.gov/vaccines/vpd/rsv/hcp/older-adults-faqs.html\">up to 10,000 deaths annually among adults ages 65 years and older\u003c/a>, says the agency.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/vaccines/vpd/rsv/index.html\">The vaccine against the respiratory syncytial virus — RSV — is accordingly recommended by the CDC\u003c/a> for infants, young children and adults ages 60 and older.\u003c/p>\n\u003cp>Most \u003ca href=\"https://www.npr.org/sections/health-shots/2023/09/13/1198803134/covid-boosters-updated-vaccines-fda-cdc\">experts NPR talked to for their fall booster guide\u003c/a> recommended getting the RSV vaccine separately from the COVID and flu vaccines.\u003c/p>\n\u003cp>“I think the recommendation would be if you’re going in, get your flu and COVID shot. If you’re eligible for RSV, maybe space that out by a week or two,” Dr. \u003ca href=\"https://www.bcm.edu/people-search/peter-hotez-23229\">Peter Hotez\u003c/a>, who leads the National School of Tropical Medicine at Baylor College of Medicine, told NPR.\u003c/p>\n\u003cp>Again, if you’re trying to schedule your kid’s vaccinations, \u003ca href=\"https://www.npr.org/sections/health-shots/2023/09/13/1198803134/covid-boosters-updated-vaccines-fda-cdc\">the CDC advises that you first talk to your pediatrician\u003c/a> about the best schedule for the COVID, flu and RSV vaccines.\u003c/p>\n\u003ch2>\u003ca id=\"highrisk\">\u003c/a>If I have risk factors for severe flu, what kind of flu shot should I get?\u003c/h2>\n\u003cp>If you’re age 65 or older, there are now three types of flu vaccines it’s recommended you get — because they’ll be even more effective for you than a regular flu shot.\u003c/p>\n\u003cp>Chin-Hong said folks in this age group should seek out these three types of vaccines because you’ll be getting “essentially a high-dose shot” or a vaccine that contains an “adjuvant” — which, in simple terms, “makes the flu shot more powerful in terms of waking up the immune system,” he said. \u003ca href=\"https://www.cdc.gov/flu/prevent/keyfacts.htm\">Read more about the three kinds of flu shots available to people ages 65 and older.\u003c/a>\u003c/p>\n\u003cp>Pregnant people can get a regular flu shot, although some types of flu vaccines are off-limits to pregnant people. The CDC says that getting vaccinated when you’re pregnant will not only help protect you from the flu, but also — if your baby is born during the immunity period — protect your infant in the first few months of their life when they’re too young to get vaccinated themselves.\u003c/p>\n\u003cp>This benefit to the baby is also the reason that pregnant people are one of the few groups who might want to consider getting a flu shot \u003cem>early\u003c/em>, instead of waiting — to ensure their baby isn’t left completely unprotected for those first six months after birth when they can’t get a vaccine. \u003ca href=\"https://www.cdc.gov/flu/prevent/keyfacts.htm\">Read more about the benefits of getting a flu shot if you’re pregnant.\u003c/a>\u003c/p>\n\u003cp>Children ages 6 months and older can get a regular dose of the flu shot. \u003ca href=\"https://www.cdc.gov/flu/highrisk/children-high-risk.htm\">Flu can be particularly dangerous for kids\u003c/a>, and the CDC says that a 2022 study showed that flu vaccination reduced children’s risk of severe, life-threatening influenza by 75%.\u003c/p>\n\u003ch2>\u003ca id=\"flushotnearme\">\u003c/a>Where can I get a flu shot if I have insurance?\u003c/h2>\n\u003cp>If you have health insurance, a flu shot is available without extra cost as a preventive service from your usual health care provider, or at most pharmacies (see below).\u003c/p>\n\u003cp>It’s a good idea to wear a mask, maintain social distancing wherever possible while waiting for your shot, and dress in a top with sleeves you can easily pull up to your shoulder, to make receiving the injection even easier (and quicker).\u003c/p>\n\u003cp>\u003cstrong>Common places to find a flu shot appointment, walk-in site or drive-thru flu shot:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.vaccines.gov/find-vaccines/\">CDC’s Find Flu Vaccines tool.\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://mydoctor.kaiserpermanente.org/ncal/cold-and-flu/prevention#/prevention\">Kaiser Permanente flu shots (Northern California)\u003c/a>.\u003c/li>\n\u003cli>\u003ca href=\"https://www.cvs.com/immunizations/flu\">CVS flu shots.\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.walgreens.com/topic/pharmacy/seasonal-flu.jsp?ban=flu_fy21_influenzapage\">Walgreens flu shots.\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.riteaid.com/pharmacy/scheduler\">Rite Aid flu shots.\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.costco.com/Pharmacy/adult-immunization-program.html\">Costco Pharmacy flu shots.\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.albertsons.com/pharmacy/pharmacy-services/immunizations.html\">Albertsons (Safeway) flu shots.\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch2>Where can I get a flu shot if I \u003cem>don’t\u003c/em> have health insurance?\u003c/h2>\n\u003cp>If you want a flu shot but don’t have health insurance, you can get the vaccine free of charge from several providers and community clinics around the Bay Area. (You can also technically use these free services even if you do have insurance, but you may consider choosing to free up these particular resources for those who are not covered.)\u003c/p>\n\u003cp>Your county’s public health department may also be offering flu shots.\u003c/p>\n\u003cp>\u003cstrong>Places to get a free or low-cost flu shot in the Bay Area include:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.sfcdcp.org/aitc/aitc-regular-prices-low-cost-or-free-vaccines/\">San Francisco Department of Public Health’s AITC clinic\u003c/a> (offers a pay-what-you-can option).\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/immunization/clinics.php#Uninsured\">Contra Costa Public Health Immunization Clinic\u003c/a> (flu shots are $15 for adults over 19, but fees may be waived if you’re unable to pay).\u003c/li>\n\u003cli>\u003ca href=\"https://acphd.org/clinics/\">Alameda County Immunization Clinics.\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cspan style=\"font-weight: 400\">[ad fullwidth]\u003c/span>\u003c/p>\n\u003ch2>And a reminder … the flu vaccine can’t give you the flu\u003c/h2>\n\u003cp>The virus that the flu shot contains has been inactivated or severely weakened, so \u003ca href=\"https://www.cdc.gov/flu/prevent/misconceptions.htm#:~:text=Can%20a%20flu%20vaccine%20give,protein%20from%20the%20flu%20virus.\">you just aren’t physically able to get the flu from your flu shot\u003c/a>, confirms the CDC.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/flu/prevent/general.htm#side-effects\">The flu vaccine can cause side effects\u003c/a> like any medical product, but they’re “\u003ca href=\"https://www.cdc.gov/flu/prevent/general.htm\">generally mild and go away on their own within a few days\u003c/a>,” the agency says.\u003c/p>\n\u003cp>Common flu shot side effects can include soreness or swelling at the injection site, headache, fever, nausea and muscle aches. (But not the flu.)\u003c/p>\n\u003cp>\u003cem>This story contains reporting by KQED’s Alexander Gonzalez.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"Should you be getting your 2023 flu shot right now? Plus: Where to find free and low-cost flu shots near you.","status":"publish","parent":0,"modified":1695411793,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":48,"wordCount":2333},"headData":{"title":"When Should You Get Your 2023 Flu Shot? | KQED","description":"Should you be getting your flu shot right now? Plus: where to find free and low-cost flu shots near you in the Bay Area, without an apppointment.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","socialDescription":"Should you be getting your flu shot right now? Plus: where to find free and low-cost flu shots near you in the Bay Area, without an apppointment.","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"When Should You Get Your 2023 Flu Shot?","datePublished":"2023-09-22T18:30:14.000Z","dateModified":"2023-09-22T19:43:13.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11961649/when-should-i-get-2023-flu-shot-safe-with-new-covid-vaccine-rsv","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>We’re over three years into the COVID pandemic. And \u003ca href=\"https://www.kqed.org/news/11957790/the-new-covid-eris-variant-and-rising-cases-what-you-need-to-know\">as we’ve seen this summer, with the new Eris variant\u003c/a>, COVID continues to infect folks of all ages and still results in severe disease and hospitalization for some.\u003c/p>\n\u003cp>But please don’t forget: The flu remains a potentially serious threat to your health too.\u003c/p>\n\u003cp>Jump straight to:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#whenflushot\">When should I get my flu shot?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#boosterflushot\">Can I get my new COVID vaccine and my flu shot at the same time? What about the RSV vaccine?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#flushotnearme\">Where can I get a flu shot, with or without insurance?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003ch2>Why is the flu so serious?\u003c/h2>\n\u003cp>Back in \u003ca href=\"https://www.cdc.gov/flu/season/faq-flu-season-2020-2021.htm\">2020, the U.S. saw a record-low number of flu cases\u003c/a> — most likely due to widespread mask-wearing, increased hygiene, social distancing and remote work and school. And \u003ca href=\"https://www.cdc.gov/flu/about/burden/preliminary-in-season-estimates.htm\">the Centers for Disease Control and Prevention says that flu activity has overall “been lower\u003c/a> than observed before the pandemic.”\u003c/p>\n\u003cp>Nonetheless, the CDC estimates that\u003ca href=\"https://www.cdc.gov/flu/about/burden/preliminary-in-season-estimates.htm\"> last year’s flu season resulted in 19,000–58,000 deaths from flu\u003c/a> and 300,000–650,000 flu hospitalizations. The agency says that the 2022–2023 flu season caused up to 54 million illnesses.\u003c/p>\n\u003cp>But the organization says that \u003ca href=\"https://www.cdc.gov/flu/fluvaxview/coverage-2022estimates.htm\">in the 2021–2022 flu season, just under half of adults got a flu shot\u003c/a> — a slight decrease from the previous season.\u003c/p>\n\u003ch2>Why should I get a flu shot?\u003c/h2>\n\u003cp>Getting a flu vaccine can prevent you from getting sick with the flu, which is a draining, unpleasant experience even if your symptoms are not severe. And if you \u003cem>do\u003c/em> get the flu, having a flu shot can also stop you from getting sick enough to have to visit the hospital (and be exposed to all the COVID risks hospital settings can still bring).\u003c/p>\n\u003cp>The CDC says the flu vaccine also offers other potential health impacts, such as being associated with \u003ca class=\"tp-link-policy\" href=\"https://pubmed.ncbi.nlm.nih.gov/24150467/\" data-domain-ext=\"gov\">lower rates of certain cardiac events\u003c/a> for people who have heart disease. It’s also the best, safest way not only to protect \u003cem>yourself\u003c/em> against the influenza virus, but also to minimize the chance you will spread it to others — folks who could be at far higher risk for serious complications or even death if they were to become infected. \u003ca href=\"https://www.cdc.gov/flu/vaccines-work/vaccineeffect.htm\">Read more from the CDC about what the flu shot can do for you.\u003c/a>\u003c/p>\n\u003cp>Keep reading to find out whether you should be getting your flu shot right now, and where to find free or low-cost flu shot options near you.\u003c/p>\n\u003ch2>\u003ca id=\"whenflushot\">\u003c/a>Should I get a flu shot now, or wait?\u003c/h2>\n\u003cp>The recommendations medical professionals make about when to get a flu shot are based on the fact that it takes about two weeks after you get vaccinated for antibodies to develop and provide protection against the flu.\u003c/p>\n\u003cp>This 2023–2024 season, as with previous seasons, \u003ca href=\"https://www.cdc.gov/flu/spotlights/2022-2023/flu-vaccination-recommendations-adopted.htm\">the CDC says that September and October are “the best times for most people to get vaccinated.”\u003c/a> These recommendations are based on traditional predictions of flu season starting in November and peaking around January or February.\u003c/p>\n\u003cfigure id=\"attachment_11838737\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11838737\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2.png\" alt=\"\" width=\"1900\" height=\"1267\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2.png 1900w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2-800x533.png 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2-1020x680.png 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2-160x107.png 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2-1536x1024.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">It takes 2 weeks after your flu shot for your body to develop the antibodies it needs to protect you from the flu virus. \u003ccite>(Queen's University/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Dr. Peter Chin-Hong, an infectious disease expert at UCSF says that yes, there’s evidence that \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/28039340/\">your risk of getting the flu increases every month after your flu shot, due to the antibodies waning over time\u003c/a>.\u003c/p>\n\u003cp>But when medical professionals talk about strategically “waiting” to get a flu shot, they’re aiming that advice at those who are at particularly high risk for more serious complications related to the flu. That includes:\u003c/p>\n\u003cul>\n\u003cli>People over 65.\u003c/li>\n\u003cli>Folks with chronic medical conditions.\u003c/li>\n\u003cli>Pregnant people (or those who are planning to become pregnant).\u003c/li>\n\u003cli>Kids under 5.\u003c/li>\n\u003c/ul>\n\u003cp>Delaying inoculations for these populations is based on the idea of getting the shot at a time Chin-Hong calls “the sweet spot,” around mid-to-late October. Two weeks later, right around early November, the antibodies should have developed, just as flu season is (usually) getting serious. Think of it as getting the “biggest bang for your buck,” he said.\u003c/p>\n\u003cp>So, if you’re in one of those vulnerable categories, yes, you can think about waiting, says Chin-Hong. People over 65 might also consider requesting special flu vaccines for this age group — read more about this below. As with all health matters, if you’re looking for advice, it’s best to consult your health care provider or someone you see regularly for your medical needs.\u003c/p>\n\u003cp>And what if you’re under 65, not pregnant and don’t have other risk factors for severe flu? If you can truly trust yourself to plan ahead and not forget to make the appointment, getting it by Halloween (i.e., before October is up) is best, Chin-Hong said. But remember: Not only are you human, and it might slip your mind, but predictions about how the flu season might behave are just that — predictions.\u003c/p>\n\u003cp>Flu cases might start to rise earlier than anticipated, throwing previous notions of a “best time” to get the vaccine into disarray. So, take that “October rule” with “a grain of salt,” Chin-Hong advised, and “get [your flu shot] when you get it.”\u003c/p>\n\u003cp>What if you plan to get your flu shot in October with the best of intentions, but you still forget? If Nov. 1 comes and goes, and you realize you haven’t been vaccinated, all is not lost — since the CDC says that “vaccination after October can still provide protection during the peak of flu season,” which is usually February.\u003c/p>\n\u003cp>In other words, just go get the shot already — whenever that may be.\u003c/p>\n\u003cp>\u003cimg decoding=\"async\" loading=\"lazy\" class=\"alignnone size-full wp-image-11838740\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3.png\" alt=\"\" width=\"1900\" height=\"1267\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3.png 1900w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3-800x533.png 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3-1020x680.png 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3-160x107.png 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3-1536x1024.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003c/p>\n\u003ch2>\u003ca id=\"boosterflushot\">\u003c/a>Can I get my new COVID vaccine and my flu shot at the same time?\u003c/h2>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11960630/free-new-covid-vaccine-near-me-2023#shouldigetfluandcovidvaccine\">It’s totally fine, and safe, to get your flu shot at the same time\u003c/a> as your new COVID vaccine, and you’ll find that COVID vaccine appointments will often prompt you to “add on” a flu shot at the same session — especially at pharmacies. Although, if you’re trying to schedule your kid’s vaccinations, \u003ca href=\"https://www.npr.org/sections/health-shots/2023/09/13/1198803134/covid-boosters-updated-vaccines-fda-cdc\">the CDC advises that you first talk to your pediatrician\u003c/a> about the best schedule for the COVID and flu vaccines (and now the RSV — respiratory syncytial virus — preventive treatment too).\u003c/p>\n\u003cp>But if that optimal time to get your flu shot is “sometime before Halloween” according to Chin-Hong — as long as flu season behaves as expected and doesn’t start in earnest before November — should you get your new COVID shot \u003cem>first\u003c/em>, and follow up with a flu shot later?\u003c/p>\n\u003cp>If you can trust yourself to remember to seek out your flu shot by the end of October (or schedule an appointment for October in advance), yes: You might consider getting your new COVID vaccine earlier, separately from your flu shot. And if not — or if life is getting hectic, and a two-for-one vaccination appointment ensures that you actually \u003ci>will \u003c/i>get your shots rather than forgetting — just go ahead and get your COVID and flu shots at the same time, when you can.\u003c/p>\n\u003cp>There’s also the fact that \u003ca href=\"https://www.kqed.org/news/11960630/free-new-covid-vaccine-near-me-2023\">you might \u003cem>have\u003c/em> to wait a little longer for your COVID shot anyway\u003c/a>. Public health officials are urging people to first seek out the new vaccine via their health care provider, but supplies haven’t yet reached many providers. Kaiser Permanente, for example, is telling patients that \u003ca href=\"https://mydoctor.kaiserpermanente.org/covid-19/covid-19-vaccine\">shots of the new COVID vaccine won’t become available through Kaiser until early October\u003c/a>. All this to say: You might not have a choice about waiting to get your new COVID shot — by which time, you might be approaching that optimal October flu shot time anyway, and can choose a double vaccination appointment at that time.\u003c/p>\n\u003cp>Chin-Hong reiterated that “if you really wanted to optimize” the timing of your flu shot, yes, “sometime in October \u003cem>is\u003c/em> probably the best.” But ultimately, he says that just \u003cem>getting\u003c/em> the shots is better than not getting them at all.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11960630/free-new-covid-vaccine-near-me-2023\">Read more about where to find the new COVID vaccine near you.\u003c/a>\u003c/p>\n\u003ch2>What about the RSV vaccine?\u003c/h2>\n\u003cp>The CDC says that the respiratory syncytial virus — RSV — is “a common cause of respiratory illness in infants and young children, as well as older adults.” The disease results in up to 160,000 hospitalizations and \u003ca href=\"https://www.cdc.gov/vaccines/vpd/rsv/hcp/older-adults-faqs.html\">up to 10,000 deaths annually among adults ages 65 years and older\u003c/a>, says the agency.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/vaccines/vpd/rsv/index.html\">The vaccine against the respiratory syncytial virus — RSV — is accordingly recommended by the CDC\u003c/a> for infants, young children and adults ages 60 and older.\u003c/p>\n\u003cp>Most \u003ca href=\"https://www.npr.org/sections/health-shots/2023/09/13/1198803134/covid-boosters-updated-vaccines-fda-cdc\">experts NPR talked to for their fall booster guide\u003c/a> recommended getting the RSV vaccine separately from the COVID and flu vaccines.\u003c/p>\n\u003cp>“I think the recommendation would be if you’re going in, get your flu and COVID shot. If you’re eligible for RSV, maybe space that out by a week or two,” Dr. \u003ca href=\"https://www.bcm.edu/people-search/peter-hotez-23229\">Peter Hotez\u003c/a>, who leads the National School of Tropical Medicine at Baylor College of Medicine, told NPR.\u003c/p>\n\u003cp>Again, if you’re trying to schedule your kid’s vaccinations, \u003ca href=\"https://www.npr.org/sections/health-shots/2023/09/13/1198803134/covid-boosters-updated-vaccines-fda-cdc\">the CDC advises that you first talk to your pediatrician\u003c/a> about the best schedule for the COVID, flu and RSV vaccines.\u003c/p>\n\u003ch2>\u003ca id=\"highrisk\">\u003c/a>If I have risk factors for severe flu, what kind of flu shot should I get?\u003c/h2>\n\u003cp>If you’re age 65 or older, there are now three types of flu vaccines it’s recommended you get — because they’ll be even more effective for you than a regular flu shot.\u003c/p>\n\u003cp>Chin-Hong said folks in this age group should seek out these three types of vaccines because you’ll be getting “essentially a high-dose shot” or a vaccine that contains an “adjuvant” — which, in simple terms, “makes the flu shot more powerful in terms of waking up the immune system,” he said. \u003ca href=\"https://www.cdc.gov/flu/prevent/keyfacts.htm\">Read more about the three kinds of flu shots available to people ages 65 and older.\u003c/a>\u003c/p>\n\u003cp>Pregnant people can get a regular flu shot, although some types of flu vaccines are off-limits to pregnant people. The CDC says that getting vaccinated when you’re pregnant will not only help protect you from the flu, but also — if your baby is born during the immunity period — protect your infant in the first few months of their life when they’re too young to get vaccinated themselves.\u003c/p>\n\u003cp>This benefit to the baby is also the reason that pregnant people are one of the few groups who might want to consider getting a flu shot \u003cem>early\u003c/em>, instead of waiting — to ensure their baby isn’t left completely unprotected for those first six months after birth when they can’t get a vaccine. \u003ca href=\"https://www.cdc.gov/flu/prevent/keyfacts.htm\">Read more about the benefits of getting a flu shot if you’re pregnant.\u003c/a>\u003c/p>\n\u003cp>Children ages 6 months and older can get a regular dose of the flu shot. \u003ca href=\"https://www.cdc.gov/flu/highrisk/children-high-risk.htm\">Flu can be particularly dangerous for kids\u003c/a>, and the CDC says that a 2022 study showed that flu vaccination reduced children’s risk of severe, life-threatening influenza by 75%.\u003c/p>\n\u003ch2>\u003ca id=\"flushotnearme\">\u003c/a>Where can I get a flu shot if I have insurance?\u003c/h2>\n\u003cp>If you have health insurance, a flu shot is available without extra cost as a preventive service from your usual health care provider, or at most pharmacies (see below).\u003c/p>\n\u003cp>It’s a good idea to wear a mask, maintain social distancing wherever possible while waiting for your shot, and dress in a top with sleeves you can easily pull up to your shoulder, to make receiving the injection even easier (and quicker).\u003c/p>\n\u003cp>\u003cstrong>Common places to find a flu shot appointment, walk-in site or drive-thru flu shot:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.vaccines.gov/find-vaccines/\">CDC’s Find Flu Vaccines tool.\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://mydoctor.kaiserpermanente.org/ncal/cold-and-flu/prevention#/prevention\">Kaiser Permanente flu shots (Northern California)\u003c/a>.\u003c/li>\n\u003cli>\u003ca href=\"https://www.cvs.com/immunizations/flu\">CVS flu shots.\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.walgreens.com/topic/pharmacy/seasonal-flu.jsp?ban=flu_fy21_influenzapage\">Walgreens flu shots.\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.riteaid.com/pharmacy/scheduler\">Rite Aid flu shots.\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.costco.com/Pharmacy/adult-immunization-program.html\">Costco Pharmacy flu shots.\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.albertsons.com/pharmacy/pharmacy-services/immunizations.html\">Albertsons (Safeway) flu shots.\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch2>Where can I get a flu shot if I \u003cem>don’t\u003c/em> have health insurance?\u003c/h2>\n\u003cp>If you want a flu shot but don’t have health insurance, you can get the vaccine free of charge from several providers and community clinics around the Bay Area. (You can also technically use these free services even if you do have insurance, but you may consider choosing to free up these particular resources for those who are not covered.)\u003c/p>\n\u003cp>Your county’s public health department may also be offering flu shots.\u003c/p>\n\u003cp>\u003cstrong>Places to get a free or low-cost flu shot in the Bay Area include:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.sfcdcp.org/aitc/aitc-regular-prices-low-cost-or-free-vaccines/\">San Francisco Department of Public Health’s AITC clinic\u003c/a> (offers a pay-what-you-can option).\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/immunization/clinics.php#Uninsured\">Contra Costa Public Health Immunization Clinic\u003c/a> (flu shots are $15 for adults over 19, but fees may be waived if you’re unable to pay).\u003c/li>\n\u003cli>\u003ca href=\"https://acphd.org/clinics/\">Alameda County Immunization Clinics.\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003ch2>And a reminder … the flu vaccine can’t give you the flu\u003c/h2>\n\u003cp>The virus that the flu shot contains has been inactivated or severely weakened, so \u003ca href=\"https://www.cdc.gov/flu/prevent/misconceptions.htm#:~:text=Can%20a%20flu%20vaccine%20give,protein%20from%20the%20flu%20virus.\">you just aren’t physically able to get the flu from your flu shot\u003c/a>, confirms the CDC.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/flu/prevent/general.htm#side-effects\">The flu vaccine can cause side effects\u003c/a> like any medical product, but they’re “\u003ca href=\"https://www.cdc.gov/flu/prevent/general.htm\">generally mild and go away on their own within a few days\u003c/a>,” the agency says.\u003c/p>\n\u003cp>Common flu shot side effects can include soreness or swelling at the injection site, headache, fever, nausea and muscle aches. (But not the flu.)\u003c/p>\n\u003cp>\u003cem>This story contains reporting by KQED’s Alexander Gonzalez.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11961649/when-should-i-get-2023-flu-shot-safe-with-new-covid-vaccine-rsv","authors":["3243"],"categories":["news_457","news_8"],"tags":["news_32707","news_29029","news_27504","news_22326","news_28567","news_18543","news_20277","news_22327","news_981"],"featImg":"news_11962138","label":"news"},"news_11961481":{"type":"posts","id":"news_11961481","meta":{"index":"posts_1591205157","site":"news","id":"11961481","score":null,"sort":[1694863850000]},"guestAuthors":[],"slug":"after-panel-finds-no-evidence-for-leading-drug-in-cold-meds-doctors-warn-other-remedies-also-lack-proven-effectiveness","title":"After Leading Decongestant Found Ineffective, Many Doctors Say 'Not Much' Works for Treating Common Cold","publishDate":1694863850,"format":"audio","headTitle":"After Leading Decongestant Found Ineffective, Many Doctors Say ‘Not Much’ Works for Treating Common Cold | KQED","labelTerm":{"site":"news"},"content":"\u003cp>When you stroll down the cold and flu aisle in a drugstore it’s easy to get lost in the dizzying array of products promising to clear sinus pressure, dry up sniffles and stop plaguing coughs. Some concoctions even offer it all in one magical pill. However, a government panel has found the evidence behind some of these claims is lackluster — and doctors say that could extend all the way down the aisle.\u003c/p>\n\u003cp>“There’s just not much that’s very effective for treating the common cold,” said Dr. Lauren Eggert, clinical assistant professor in the Pulmonary Allergy and Critical Care Division at Stanford University. “Most of the things out there — antihistamines, decongestants, cough medicines — none of them have a lot of evidence that they’re super effective at improving cough or common cold symptoms.”\u003c/p>\n\u003cp>[aside postID=science_1936021 hero='https://cdn.kqed.org/wp-content/uploads/sites/35/2018/12/iStock-912854994-1180x787.jpg']This week the Food and Drug administration determined the country’s leading decongestant is really no better than a sugar pill. \u003ca href=\"https://www.fda.gov/drugs/drug-safety-and-availability/fda-clarifies-results-recent-advisory-committee-meeting-oral-phenylephrine\">In a unanimous vote Tuesday\u003c/a>, advisers to the agency said the key drug, phenylephrine, found in Sudafed P.E., Mucinex Sinus Max, Dayquil and other oral medications is simply not effective. The review was prompted by \u003ca href=\"https://www.usatoday.com/story/money/business/2014/02/21/fda-overhauling-over-the-counter-regulations/5704165/\">inquiries dating back nearly a decade\u003c/a>. And experts warn the ineffectiveness is not limited to just that one drug. More reviews of over-the-counter drugs are expected.\u003c/p>\n\u003cp>Eggert pointed to the database \u003ca href=\"https://www.wolterskluwer.com/en/solutions/uptodate\">UpToDate\u003c/a>. Physicians use the resource when they want to see the summary of evidence for a group of medications. The conclusions for cold and flu remedies are disconcerting:\u003c/p>\n\u003cul>\n\u003cli>Antihistamines, vitamins and herbal remedies are deemed \u003cem>ineffective\u003c/em>.\u003c/li>\n\u003cli>Cough syrups, decongestants, expectorants, and zinc may have \u003cem>minimal or uncertain benefits\u003c/em>.\u003c/li>\n\u003cli>Nasal sprays and analgesics like Tylenol and ibuprofen \u003cem>may be effective\u003c/em>.\u003c/li>\n\u003c/ul>\n\u003cp>So, why are there so many cold and flu products on store shelves making big promises with little evidence to back them up?\u003c/p>\n\u003cp>The FDA’s \u003ca href=\"https://www.fda.gov/drugs/otc-drug-review-process-otc-drug-monographs#:~:text=An%20OTC%20drug%20monograph%20establishes,GRASE)%20for%20its%20intended%20use.\">over-the-counter drug list\u003c/a> has not been updated since 1995. And many of the drugs sold today were grandfathered during the ’60s and ’70s when scientific studies were much less rigorous.[pullquote align=\"right\" size=\"medium\" citation=\"Dr. Shalini Lynch, health sciences clinical professor, UCSF School of Pharmacy\"]‘You want to feel better instantly. But the reality is most cough and cold, viral types of upper respiratory infections, they just take time to go away.’[/pullquote]“Back in those days, statistics were not very developed,” said \u003ca href=\"https://pharmacy.ufl.edu/profile/hendeles-leslie/\">Dr. Leslie Hendeles\u003c/a>, PharmD, professor emeritus at the University of Florida in Gainesville, who was one of the petitioners who prompted this week’s FDA review. “The whole concept of clinical trials and study design was in its infancy.”\u003c/p>\n\u003cp>And since then the system for updating the drug list has traditionally taken many years or even decades, requiring multiple rounds of review and public comments.\u003c/p>\n\u003cp>The passage of \u003ca href=\"https://www.fda.gov/news-events/fda-voices/exciting-new-chapter-otc-drug-history-otc-monograph-reform-cares-act#:~:text=The%20beginning%20of%20an%20exciting,regulated%20in%20the%20United%20States.\">the 2020 CARES Act\u003c/a> should improve what’s available by streamlining the laborious process that may have allowed unchecked medications on the market. This week’s vote on phenylephrine, which was based on the latest scientific evidence, is the first test case for the law. But the FDA has not yet issued a final decision on whether the product will be removed from store shelves.\u003c/p>\n\u003cp>“The message here is that there are a lot of products on the market that fall into the same category as phenylephrine,” said Hendeles. “They’re not for diseases where people die or have to go to an emergency room. So they have not gotten the attention — even from the FDA — until now.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Hendeles believes regulators are likely to ultimately find that many other over-the-counter drugs are futile, too. “I know for sure that the cough suppressants and the expectorants are next in line.”\u003c/p>\n\u003cp>He points to a compilation of data he presented in \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/29669663/\">a 2018 paper\u003c/a> published in the journal Allergy and Asthma Proceedings, where he concluded the marketing claims on products designed for respiratory symptoms are overblown. And the evidence for decongestants, expectorants and cough suppressants does not “justify their use.”\u003c/p>\n\u003cp>Industry groups like the Consumer Healthcare Products Association maintain that phenylephrine has provided the public with clear health benefits for years. They asked the FDA not to remove it from a list of safe and effective over-the-counter drugs, arguing it provides the public with accessible treatment.\u003c/p>\n\u003cp>“Simply put, the burdens created from decreased choice and availability of these products would be placed directly onto consumers and an already-strained U.S. healthcare system, which is why CHPA encourages the panel to consider the real-world experience and needs of consumers when making decisions that will have such broad implications,” said Marcia Howard, the association’s vice president of regulatory and scientific affairs, \u003ca href=\"https://www.chpa.org/news/2023/09/statement-sept-11-12-2023-meeting-fda-ndac-evaluate-efficacy-oral-pe\">in a statement\u003c/a>.\u003c/p>\n\u003ch2>So, what can help your runny nose?\u003c/h2>\n\u003cp>Hendeles recommends steroidal nasal sprays for people suffering from allergies. Look for fluticasone (Flonase) or triamcinolone (Nascort). One squirt in each nostril. Evidence suggests Oxymetazoline Hydrochloride (Afrin or Sinex) is the best nasal spray for people who are sick with a respiratory illness.\u003c/p>\n\u003ch2>What about the rest of the meds lining your medicine cabinet?\u003c/h2>\n\u003cp>“If you’ve used something and you felt like it was helpful, I don’t think there’s a problem with that,” said Eggbert. “There’s little harm for people who are looking for relief. And I do believe in the placebo effect.”\u003c/p>\n\u003cp>But don’t look for a magical concoction. Single-ingredient products will help lower the possibility for side effects, according to Dr. Shalini Lynch, PharmD, health sciences clinical professor at UCSF’s School of Pharmacy. She says it should be obvious in a day or two if the product is relieving a desired symptom.\u003c/p>\n\u003cp>Science also supports some natural remedies. Saline nasal rinses may help clear your sinuses and \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/22869830/\">honey can quell your cough\u003c/a>. Additionally, it may be worth standing in a steamy shower or filling your humidifier to open your nasal passages. However, Lynch’s best advice is simply to lay low and hydrate.\u003c/p>\n\u003cp>“The common cold is something that pretty much needs to run its course,” she said. “You want to feel better instantly. But the reality is most cough and cold, viral types of upper respiratory infections, they just take time to go away.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"A government panel this week announced that a leading decongestant, phenylephrine, was no more effective than a sugar pill. Doctors say it is not the only cold remedy that lacks evidence of effectiveness.","status":"publish","parent":0,"modified":1695326445,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":20,"wordCount":1109},"headData":{"title":"After Leading Decongestant Found Ineffective, Many Doctors Say 'Not Much' Works for Treating Common Cold | KQED","description":"A government panel this week announced that a leading decongestant, phenylephrine, was no more effective than a sugar pill. Doctors say it is not the only cold remedy that lacks evidence of effectiveness.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"After Leading Decongestant Found Ineffective, Many Doctors Say 'Not Much' Works for Treating Common Cold","datePublished":"2023-09-16T11:30:50.000Z","dateModified":"2023-09-21T20:00:45.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"audioUrl":"https://traffic.omny.fm/d/clips/0af137ef-751e-4b19-a055-aaef00d2d578/ffca7e9f-6831-4[…]f-aaef00f5a073/b5bb1deb-7528-4969-936c-b08301176d65/audio.mp3","excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11961481/after-panel-finds-no-evidence-for-leading-drug-in-cold-meds-doctors-warn-other-remedies-also-lack-proven-effectiveness","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>When you stroll down the cold and flu aisle in a drugstore it’s easy to get lost in the dizzying array of products promising to clear sinus pressure, dry up sniffles and stop plaguing coughs. Some concoctions even offer it all in one magical pill. However, a government panel has found the evidence behind some of these claims is lackluster — and doctors say that could extend all the way down the aisle.\u003c/p>\n\u003cp>“There’s just not much that’s very effective for treating the common cold,” said Dr. Lauren Eggert, clinical assistant professor in the Pulmonary Allergy and Critical Care Division at Stanford University. “Most of the things out there — antihistamines, decongestants, cough medicines — none of them have a lot of evidence that they’re super effective at improving cough or common cold symptoms.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"science_1936021","hero":"https://cdn.kqed.org/wp-content/uploads/sites/35/2018/12/iStock-912854994-1180x787.jpg","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>This week the Food and Drug administration determined the country’s leading decongestant is really no better than a sugar pill. \u003ca href=\"https://www.fda.gov/drugs/drug-safety-and-availability/fda-clarifies-results-recent-advisory-committee-meeting-oral-phenylephrine\">In a unanimous vote Tuesday\u003c/a>, advisers to the agency said the key drug, phenylephrine, found in Sudafed P.E., Mucinex Sinus Max, Dayquil and other oral medications is simply not effective. The review was prompted by \u003ca href=\"https://www.usatoday.com/story/money/business/2014/02/21/fda-overhauling-over-the-counter-regulations/5704165/\">inquiries dating back nearly a decade\u003c/a>. And experts warn the ineffectiveness is not limited to just that one drug. More reviews of over-the-counter drugs are expected.\u003c/p>\n\u003cp>Eggert pointed to the database \u003ca href=\"https://www.wolterskluwer.com/en/solutions/uptodate\">UpToDate\u003c/a>. Physicians use the resource when they want to see the summary of evidence for a group of medications. The conclusions for cold and flu remedies are disconcerting:\u003c/p>\n\u003cul>\n\u003cli>Antihistamines, vitamins and herbal remedies are deemed \u003cem>ineffective\u003c/em>.\u003c/li>\n\u003cli>Cough syrups, decongestants, expectorants, and zinc may have \u003cem>minimal or uncertain benefits\u003c/em>.\u003c/li>\n\u003cli>Nasal sprays and analgesics like Tylenol and ibuprofen \u003cem>may be effective\u003c/em>.\u003c/li>\n\u003c/ul>\n\u003cp>So, why are there so many cold and flu products on store shelves making big promises with little evidence to back them up?\u003c/p>\n\u003cp>The FDA’s \u003ca href=\"https://www.fda.gov/drugs/otc-drug-review-process-otc-drug-monographs#:~:text=An%20OTC%20drug%20monograph%20establishes,GRASE)%20for%20its%20intended%20use.\">over-the-counter drug list\u003c/a> has not been updated since 1995. And many of the drugs sold today were grandfathered during the ’60s and ’70s when scientific studies were much less rigorous.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘You want to feel better instantly. But the reality is most cough and cold, viral types of upper respiratory infections, they just take time to go away.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Dr. Shalini Lynch, health sciences clinical professor, UCSF School of Pharmacy","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“Back in those days, statistics were not very developed,” said \u003ca href=\"https://pharmacy.ufl.edu/profile/hendeles-leslie/\">Dr. Leslie Hendeles\u003c/a>, PharmD, professor emeritus at the University of Florida in Gainesville, who was one of the petitioners who prompted this week’s FDA review. “The whole concept of clinical trials and study design was in its infancy.”\u003c/p>\n\u003cp>And since then the system for updating the drug list has traditionally taken many years or even decades, requiring multiple rounds of review and public comments.\u003c/p>\n\u003cp>The passage of \u003ca href=\"https://www.fda.gov/news-events/fda-voices/exciting-new-chapter-otc-drug-history-otc-monograph-reform-cares-act#:~:text=The%20beginning%20of%20an%20exciting,regulated%20in%20the%20United%20States.\">the 2020 CARES Act\u003c/a> should improve what’s available by streamlining the laborious process that may have allowed unchecked medications on the market. This week’s vote on phenylephrine, which was based on the latest scientific evidence, is the first test case for the law. But the FDA has not yet issued a final decision on whether the product will be removed from store shelves.\u003c/p>\n\u003cp>“The message here is that there are a lot of products on the market that fall into the same category as phenylephrine,” said Hendeles. “They’re not for diseases where people die or have to go to an emergency room. So they have not gotten the attention — even from the FDA — until now.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Hendeles believes regulators are likely to ultimately find that many other over-the-counter drugs are futile, too. “I know for sure that the cough suppressants and the expectorants are next in line.”\u003c/p>\n\u003cp>He points to a compilation of data he presented in \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/29669663/\">a 2018 paper\u003c/a> published in the journal Allergy and Asthma Proceedings, where he concluded the marketing claims on products designed for respiratory symptoms are overblown. And the evidence for decongestants, expectorants and cough suppressants does not “justify their use.”\u003c/p>\n\u003cp>Industry groups like the Consumer Healthcare Products Association maintain that phenylephrine has provided the public with clear health benefits for years. They asked the FDA not to remove it from a list of safe and effective over-the-counter drugs, arguing it provides the public with accessible treatment.\u003c/p>\n\u003cp>“Simply put, the burdens created from decreased choice and availability of these products would be placed directly onto consumers and an already-strained U.S. healthcare system, which is why CHPA encourages the panel to consider the real-world experience and needs of consumers when making decisions that will have such broad implications,” said Marcia Howard, the association’s vice president of regulatory and scientific affairs, \u003ca href=\"https://www.chpa.org/news/2023/09/statement-sept-11-12-2023-meeting-fda-ndac-evaluate-efficacy-oral-pe\">in a statement\u003c/a>.\u003c/p>\n\u003ch2>So, what can help your runny nose?\u003c/h2>\n\u003cp>Hendeles recommends steroidal nasal sprays for people suffering from allergies. Look for fluticasone (Flonase) or triamcinolone (Nascort). One squirt in each nostril. Evidence suggests Oxymetazoline Hydrochloride (Afrin or Sinex) is the best nasal spray for people who are sick with a respiratory illness.\u003c/p>\n\u003ch2>What about the rest of the meds lining your medicine cabinet?\u003c/h2>\n\u003cp>“If you’ve used something and you felt like it was helpful, I don’t think there’s a problem with that,” said Eggbert. “There’s little harm for people who are looking for relief. And I do believe in the placebo effect.”\u003c/p>\n\u003cp>But don’t look for a magical concoction. Single-ingredient products will help lower the possibility for side effects, according to Dr. Shalini Lynch, PharmD, health sciences clinical professor at UCSF’s School of Pharmacy. She says it should be obvious in a day or two if the product is relieving a desired symptom.\u003c/p>\n\u003cp>Science also supports some natural remedies. Saline nasal rinses may help clear your sinuses and \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/22869830/\">honey can quell your cough\u003c/a>. Additionally, it may be worth standing in a steamy shower or filling your humidifier to open your nasal passages. However, Lynch’s best advice is simply to lay low and hydrate.\u003c/p>\n\u003cp>“The common cold is something that pretty much needs to run its course,” she said. “You want to feel better instantly. But the reality is most cough and cold, viral types of upper respiratory infections, they just take time to go away.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11961481/after-panel-finds-no-evidence-for-leading-drug-in-cold-meds-doctors-warn-other-remedies-also-lack-proven-effectiveness","authors":["11229"],"categories":["news_8","news_356"],"tags":["news_33205","news_20402","news_22326","news_683","news_32295"],"featImg":"news_11961486","label":"news"},"news_11932956":{"type":"posts","id":"news_11932956","meta":{"index":"posts_1591205157","site":"news","id":"11932956","score":null,"sort":[1669133126000]},"guestAuthors":[],"slug":"covid-19-flu-and-rsv-why-families-need-a-plan-for-thanksgiving-and-beyond","title":"COVID-19, Flu and RSV: Why Families Need a Plan for Thanksgiving and Beyond","publishDate":1669133126,"format":"standard","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>As Thanksgiving fast approaches and the holiday season gets underway, California public health leaders are urging folks to bolster protections against a triple threat of respiratory viruses: RSV (respiratory syncytial virus), flu and COVID-19.\u003c/p>\n\u003cp>\"In every category that we track — whether it's test positivity, case rate numbers, wastewater surveillance, hospitalizations — we're seeing increases for RSV, flu and COVID,\" said Dr. Mark Ghaly, secretary of California Health and Human Services, during a news conference last week.\u003c/p>\n\u003cp>According to Ghaly, COVID transmission — both in test positivity and case rates — was up by 25% over the past one to two weeks.\u003c/p>\n\u003cp>This is further compounded by an alarming uptick in cases of flu and RSV, \u003ca href=\"https://www.kqed.org/science/1980524/bay-area-childrens-hospitals-strained-as-rsv-surge-arrives\">a respiratory virus that primarily affects infants and has been straining hospitals across the region\u003c/a>.\u003c/p>\n\u003cp>Another concerning statewide trend? The vaccine uptake for the bivalent booster is low. \u003ca href=\"https://covid19.ca.gov/vaccination-progress-data/#overview\">Only around 16% of eligible Californians have gotten a second booster.\u003c/a>\u003cspan style=\"font-weight: 400;\">[aside postID='news_11924327,news_11914514' label='Resources for staying safe this holiday season']\u003c/span>\u003c/p>\n\u003cp>\"I think people are kind of tired of talking about getting boosted, and this is another reason why we need to talk about this,\" said Dr. Kavita Trivedi, communicable disease controller for Alameda County’s public health department. \"We know that these boosters are still really good at preventing severe disease and hospitalization.\"\u003c/p>\n\u003cp>Along with rapid testing and the expansion of treatment options like Paxlovid, boosters can help lower the risk of gathering together, said Dr. Mychi Nguyen, chief medical officer at Asian Health Services, a community health provider with sites across Oakland.\u003c/p>\n\u003cp>\"I would tell folks, 'Have a plan,'\" for gathering over the holidays, she said. \"It's very important to make one before, during and after.\"\u003c/p>\n\u003cp>Nguyen talked with KQED’s Brian Watt about how to reduce the health risks of gathering this Thanksgiving — for yourself and your loved ones. Keep reading for the highlights of their conversation, which have been edited for length and clarity.\u003c/p>\n\u003cp>\u003cstrong>BRIAN WATT: Are you concerned hospitals and clinics will be overwhelmed in the coming weeks?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>DR. MYCHI NGUYEN:\u003c/strong> As we're approaching the holiday season, we do expect respiratory viruses to increase as people gather with their loved ones and celebrate more.\u003c/p>\n\u003cp>We know that both flu and RSV are circulating earlier this year, with right now not a lot of folks getting boosters or their flu shots. And with the workforce shortage, we're seeing that hospitals are getting overwhelmed with the number of cases.\u003cspan style=\"font-weight: 400;\">[pullquote size='medium' align='right' citation=\"Dr. Mychi Nguyen, chief medical officer, Asian Health Services\"]'I would say 'yes' to celebrating — with some precautions.'[/pullquote]\u003c/span>\u003cstrong>Given all this, is it a good idea for folks to be getting together for Thanksgiving — in the way we're used to doing that?\u003c/strong>\u003c/p>\n\u003cp>I would say \"yes\" to celebrating — with some precautions.\u003c/p>\n\u003cp>I would recommend that folks get tested the morning of, if you're going to have a holiday dinner. And limit your interactions with folks the weeks and days coming up for the holidays. Something that you may consider is limiting your interactions in crowds.\u003c/p>\n\u003cp>We know that in California — in the Bay Area in particular — if you can have good weather, dine outdoors if possible. Or if it is indoors, have really good ventilation.\u003c/p>\n\u003cp>And even despite your best efforts, if someone does get ill or if you have symptoms, then make sure that you \u003ca href=\"https://www.kqed.org/news/11914514/if-you-get-covid-should-you-try-to-get-paxlovid-heres-how-with-or-without-health-insurance\">get tested right away and seek treatment\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Is COVID testing something you should factor into a plan?\u003c/strong>\u003c/p>\n\u003cp>Yes, you don't want to be the dreaded spreader, especially to a vulnerable loved one. So I would recommend testing the day of or the morning of, if you're going to gather later that day.\u003c/p>\n\u003cp>It will allow for folks who do test positive to know right away — even if you don't have symptoms — to know to stay home, and probably join in via Zoom, or other ways. And if you're \u003cem>having\u003c/em> symptoms, if you're feeling ill, definitely stay home and don't gather and find other ways to celebrate.\u003c/p>\n\u003cp>\u003cstrong>If you do get infected with COVID, tell us more about the treatment options.\u003c/strong>\u003c/p>\n\u003cp>As soon as you have symptoms, it is important to test right away, and \u003ca href=\"https://www.kqed.org/news/11914514/if-you-get-covid-should-you-try-to-get-paxlovid-heres-how-with-or-without-health-insurance\">if you are positive, it’s important to seek treatment\u003c/a>. Most adults and some children 12 years and above are eligible. And a lot of folks do not know that they're eligible for treatment.\u003cspan style=\"font-weight: 400;\">[pullquote size='medium' align='right' citation=\"Dr. Mychi Nguyen, chief medical officer, Asian Health Services\"]'You don't want to be the dreaded spreader, especially to a vulnerable loved one. So I would recommend testing the day of or the morning of, if you're going to gather later that day.'[/pullquote]\u003c/span>Treatment and the medications can prevent risk of hospitalizations and death up to 88%. You must act quickly for the effectiveness to take. It's usually within the first five to seven days of symptom onset. Treatment is free.\u003c/p>\n\u003cp>\u003cstrong>How useful is it to get boosted right before the holidays? Are we talking about some immediate protection if someone goes and gets boosted right away?\u003c/strong>\u003c/p>\n\u003cp>Full immunity will occur in about two weeks. So really, as we're approaching the holidays, \u003ca href=\"https://www.kqed.org/news/11924327/where-can-i-find-a-new-omicron-covid-booster-shot-near-me\">getting vaccinated as soon as possible is very important\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>You mentioned not a lot of folks have gotten their booster. Do you get this sense as well that there is vaccine fatigue?\u003c/strong>\u003c/p>\n\u003cp>There is a sense of vaccine fatigue that I'm seeing in the clinic. One of the things that I do [with patients] is exploring \u003cem>why\u003c/em>.\u003c/p>\n\u003cp>Some of the concerns are perhaps side effects. And so I would ask them what happened at their previous vaccination, and we would talk about making a plan if there's some pain or a fever.\u003c/p>\n\u003cp>Usually those symptoms last for a couple days. We tell folks that getting COVID creates potentially more illness and [they] also [could] develop long COVID. And so the short-term benefits outweigh a lot of getting sick from COVID long-term.\u003c/p>\n\u003cp>\u003cstrong>Is it concerning that you're still hearing some of this hesitation as we enter the third year of this pandemic?\u003c/strong>\u003c/p>\n\u003cp>It is concerning. One thing that we know is that COVID is still with us. It is something that we are learning to live with, and it is very different from before.\u003c/p>\n\u003cp>We are in a much better place with vaccines, with testing, with treatment and really getting that information out there. Those strategies should continue to be strategies that help to fight against COVID.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>How do you get the word out at this moment about the importance of getting the bivalent booster? What is this outreach looking like on the ground?\u003c/strong>\u003c/p>\n\u003cp>At Asian Health Services, we serve patients in English and 14 Asian languages. And we know that if folks do not have access in language, it is very, very difficult to even get testing, or vaccinations, or treatment or to learn how to prevent or take care of themselves if they do get sick. So we really provide that cultural competency, that language outreach in different ethnic media. We send patient newsletters. We go and do outreach into the community, and make sure that websites are translated into the different languages.\u003c/p>\n\u003cp>One thing we also know is that in addition to the language barrier, there is a digital divide. Anyone who has helped a family member navigate online accounts or get to a website knows that if you are not tech-savvy, you can get left behind in terms of accessing a lot of these resources.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"As the holidays approach, California public health leaders are urging folks to bolster protections against the triple threat of RSV, flu and COVID-19.","status":"publish","parent":0,"modified":1669161994,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":35,"wordCount":1287},"headData":{"title":"COVID-19, Flu and RSV: Why Families Need a Plan for Thanksgiving and Beyond | KQED","description":"As the holidays approach, California public health leaders are urging folks to bolster protections against the triple threat of RSV, flu and COVID-19.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"COVID-19, Flu and RSV: Why Families Need a Plan for Thanksgiving and Beyond","datePublished":"2022-11-22T16:05:26.000Z","dateModified":"2022-11-23T00:06:34.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11932956 https://ww2.kqed.org/news/?p=11932956","disqusUrl":"https://ww2.kqed.org/news/2022/11/22/covid-19-flu-and-rsv-why-families-need-a-plan-for-thanksgiving-and-beyond/","disqusTitle":"COVID-19, Flu and RSV: Why Families Need a Plan for Thanksgiving and Beyond","audioUrl":"https://traffic.omny.fm/d/clips/0af137ef-751e-4b19-a055-aaef00d2d578/ffca7e9f-6831-41c5-bcaf-aaef00f5a073/53a1d1df-7614-4a2c-8c03-af5501411b43/audio.mp3","excludeFromSiteSearch":"Include","path":"/news/11932956/covid-19-flu-and-rsv-why-families-need-a-plan-for-thanksgiving-and-beyond","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>As Thanksgiving fast approaches and the holiday season gets underway, California public health leaders are urging folks to bolster protections against a triple threat of respiratory viruses: RSV (respiratory syncytial virus), flu and COVID-19.\u003c/p>\n\u003cp>\"In every category that we track — whether it's test positivity, case rate numbers, wastewater surveillance, hospitalizations — we're seeing increases for RSV, flu and COVID,\" said Dr. Mark Ghaly, secretary of California Health and Human Services, during a news conference last week.\u003c/p>\n\u003cp>According to Ghaly, COVID transmission — both in test positivity and case rates — was up by 25% over the past one to two weeks.\u003c/p>\n\u003cp>This is further compounded by an alarming uptick in cases of flu and RSV, \u003ca href=\"https://www.kqed.org/science/1980524/bay-area-childrens-hospitals-strained-as-rsv-surge-arrives\">a respiratory virus that primarily affects infants and has been straining hospitals across the region\u003c/a>.\u003c/p>\n\u003cp>Another concerning statewide trend? The vaccine uptake for the bivalent booster is low. \u003ca href=\"https://covid19.ca.gov/vaccination-progress-data/#overview\">Only around 16% of eligible Californians have gotten a second booster.\u003c/a>\u003cspan style=\"font-weight: 400;\">\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11924327,news_11914514","label":"Resources for staying safe this holiday season "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003cp>\"I think people are kind of tired of talking about getting boosted, and this is another reason why we need to talk about this,\" said Dr. Kavita Trivedi, communicable disease controller for Alameda County’s public health department. \"We know that these boosters are still really good at preventing severe disease and hospitalization.\"\u003c/p>\n\u003cp>Along with rapid testing and the expansion of treatment options like Paxlovid, boosters can help lower the risk of gathering together, said Dr. Mychi Nguyen, chief medical officer at Asian Health Services, a community health provider with sites across Oakland.\u003c/p>\n\u003cp>\"I would tell folks, 'Have a plan,'\" for gathering over the holidays, she said. \"It's very important to make one before, during and after.\"\u003c/p>\n\u003cp>Nguyen talked with KQED’s Brian Watt about how to reduce the health risks of gathering this Thanksgiving — for yourself and your loved ones. Keep reading for the highlights of their conversation, which have been edited for length and clarity.\u003c/p>\n\u003cp>\u003cstrong>BRIAN WATT: Are you concerned hospitals and clinics will be overwhelmed in the coming weeks?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>DR. MYCHI NGUYEN:\u003c/strong> As we're approaching the holiday season, we do expect respiratory viruses to increase as people gather with their loved ones and celebrate more.\u003c/p>\n\u003cp>We know that both flu and RSV are circulating earlier this year, with right now not a lot of folks getting boosters or their flu shots. And with the workforce shortage, we're seeing that hospitals are getting overwhelmed with the number of cases.\u003cspan style=\"font-weight: 400;\">\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'I would say 'yes' to celebrating — with some precautions.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Dr. Mychi Nguyen, chief medical officer, Asian Health Services","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003cstrong>Given all this, is it a good idea for folks to be getting together for Thanksgiving — in the way we're used to doing that?\u003c/strong>\u003c/p>\n\u003cp>I would say \"yes\" to celebrating — with some precautions.\u003c/p>\n\u003cp>I would recommend that folks get tested the morning of, if you're going to have a holiday dinner. And limit your interactions with folks the weeks and days coming up for the holidays. Something that you may consider is limiting your interactions in crowds.\u003c/p>\n\u003cp>We know that in California — in the Bay Area in particular — if you can have good weather, dine outdoors if possible. Or if it is indoors, have really good ventilation.\u003c/p>\n\u003cp>And even despite your best efforts, if someone does get ill or if you have symptoms, then make sure that you \u003ca href=\"https://www.kqed.org/news/11914514/if-you-get-covid-should-you-try-to-get-paxlovid-heres-how-with-or-without-health-insurance\">get tested right away and seek treatment\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Is COVID testing something you should factor into a plan?\u003c/strong>\u003c/p>\n\u003cp>Yes, you don't want to be the dreaded spreader, especially to a vulnerable loved one. So I would recommend testing the day of or the morning of, if you're going to gather later that day.\u003c/p>\n\u003cp>It will allow for folks who do test positive to know right away — even if you don't have symptoms — to know to stay home, and probably join in via Zoom, or other ways. And if you're \u003cem>having\u003c/em> symptoms, if you're feeling ill, definitely stay home and don't gather and find other ways to celebrate.\u003c/p>\n\u003cp>\u003cstrong>If you do get infected with COVID, tell us more about the treatment options.\u003c/strong>\u003c/p>\n\u003cp>As soon as you have symptoms, it is important to test right away, and \u003ca href=\"https://www.kqed.org/news/11914514/if-you-get-covid-should-you-try-to-get-paxlovid-heres-how-with-or-without-health-insurance\">if you are positive, it’s important to seek treatment\u003c/a>. Most adults and some children 12 years and above are eligible. And a lot of folks do not know that they're eligible for treatment.\u003cspan style=\"font-weight: 400;\">\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'You don't want to be the dreaded spreader, especially to a vulnerable loved one. So I would recommend testing the day of or the morning of, if you're going to gather later that day.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Dr. Mychi Nguyen, chief medical officer, Asian Health Services","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/span>Treatment and the medications can prevent risk of hospitalizations and death up to 88%. You must act quickly for the effectiveness to take. It's usually within the first five to seven days of symptom onset. Treatment is free.\u003c/p>\n\u003cp>\u003cstrong>How useful is it to get boosted right before the holidays? Are we talking about some immediate protection if someone goes and gets boosted right away?\u003c/strong>\u003c/p>\n\u003cp>Full immunity will occur in about two weeks. So really, as we're approaching the holidays, \u003ca href=\"https://www.kqed.org/news/11924327/where-can-i-find-a-new-omicron-covid-booster-shot-near-me\">getting vaccinated as soon as possible is very important\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>You mentioned not a lot of folks have gotten their booster. Do you get this sense as well that there is vaccine fatigue?\u003c/strong>\u003c/p>\n\u003cp>There is a sense of vaccine fatigue that I'm seeing in the clinic. One of the things that I do [with patients] is exploring \u003cem>why\u003c/em>.\u003c/p>\n\u003cp>Some of the concerns are perhaps side effects. And so I would ask them what happened at their previous vaccination, and we would talk about making a plan if there's some pain or a fever.\u003c/p>\n\u003cp>Usually those symptoms last for a couple days. We tell folks that getting COVID creates potentially more illness and [they] also [could] develop long COVID. And so the short-term benefits outweigh a lot of getting sick from COVID long-term.\u003c/p>\n\u003cp>\u003cstrong>Is it concerning that you're still hearing some of this hesitation as we enter the third year of this pandemic?\u003c/strong>\u003c/p>\n\u003cp>It is concerning. One thing that we know is that COVID is still with us. It is something that we are learning to live with, and it is very different from before.\u003c/p>\n\u003cp>We are in a much better place with vaccines, with testing, with treatment and really getting that information out there. Those strategies should continue to be strategies that help to fight against COVID.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>How do you get the word out at this moment about the importance of getting the bivalent booster? What is this outreach looking like on the ground?\u003c/strong>\u003c/p>\n\u003cp>At Asian Health Services, we serve patients in English and 14 Asian languages. And we know that if folks do not have access in language, it is very, very difficult to even get testing, or vaccinations, or treatment or to learn how to prevent or take care of themselves if they do get sick. So we really provide that cultural competency, that language outreach in different ethnic media. We send patient newsletters. We go and do outreach into the community, and make sure that websites are translated into the different languages.\u003c/p>\n\u003cp>One thing we also know is that in addition to the language barrier, there is a digital divide. Anyone who has helped a family member navigate online accounts or get to a website knows that if you are not tech-savvy, you can get left behind in terms of accessing a lot of these resources.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11932956/covid-19-flu-and-rsv-why-families-need-a-plan-for-thanksgiving-and-beyond","authors":["11724","11238"],"categories":["news_457","news_8"],"tags":["news_30445","news_29029","news_27989","news_27626","news_22326","news_19960","news_31893","news_981"],"featImg":"news_11932984","label":"news"},"news_11925585":{"type":"posts","id":"news_11925585","meta":{"index":"posts_1591205157","site":"news","id":"11925585","score":null,"sort":[1663285046000]},"guestAuthors":[],"slug":"when-should-you-get-your-2022-flu-shot","title":"When Should You Get Your 2022 Flu Shot?","publishDate":1663285046,"format":"image","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>\u003cem>Updated 11 a.m. Wednesday, September 21\u003c/em>\u003c/p>\n\u003cp>Even as the COVID-19 pandemic continues to claim lives across the country, the flu remains a potentially serious threat to your health.\u003c/p>\n\u003cp>Jump straight to:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#whenflushot\">When should I get my flu shot?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#boosterflushot\">Can I get a COVID booster and my flu shot at the same time?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#highrisk\">Which flu shot should I get if I'm 65 and older, I'm pregnant, or I need a shot for my kids?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#flushotnearme\">Where can I get a flu shot, with or without insurance?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>The Centers for Disease Control and Prevention estimates that, annually, the flu caused 140,000-710,000 hospitalizations and 12,000-52,000 deaths between 2010 and 2020. But the organization says that \u003ca href=\"https://www.cdc.gov/flu/fluvaxview/coverage-2021estimates.htm\">in the 2020-2021 flu season, only around half of adults got a flu shot\u003c/a>.\u003c/p>\n\u003cp>Getting a flu vaccine can prevent you from getting sick with the flu, which is a draining, unpleasant experience even if your symptoms are not severe. And if you \u003cem>do\u003c/em> get the flu, having a flu shot can also stop you from getting sick enough to have to go to the hospital (and be exposed to all the COVID risks hospital settings can bring).\u003c/p>\n\u003cp>The CDC says the flu vaccine also offers other potential health impacts, such as being associated with \u003ca class=\"tp-link-policy\" href=\"https://pubmed.ncbi.nlm.nih.gov/24150467/\" data-domain-ext=\"gov\">lower rates of certain cardiac events\u003c/a> for people who have heart disease. It's also the best, safest way not only to protect \u003cem>yourself\u003c/em> against the influenza virus, but also to minimize the chance you will spread it to others — folks who could be at far higher risk for serious complications or even death if they were to become infected. \u003ca href=\"https://www.cdc.gov/flu/vaccines-work/vaccineeffect.htm\">Read more from the CDC about what the flu shot can do for you.\u003c/a>\u003c/p>\n\u003cp>And read on to find out whether you should be getting your flu shot right now, and where to find free or low-cost flu shot options near you.\u003c/p>\n\u003ch2>Will this flu season be bad?\u003c/h2>\n\u003cp>It's true that \u003ca href=\"https://www.cdc.gov/flu/season/faq-flu-season-2020-2021.htm\">2020 saw a record-low number of flu cases\u003c/a> — most likely due to widespread mask-wearing, increased hygiene, social distancing and remote work and school.\u003c/p>\n\u003cp>Last year's flu season also \"didn't surge in the numbers that people expected,\" said UCSF professor of medicine Dr. Peter Chin-Hong — but \"it did drag on for much longer.\" Whereas a typical flu season peaks in February, Chin-Hong said that last year's \"went from October of 2021 to June of 2022 — so, a much longer tail than usually we would expect.\"\u003c/p>\n\u003cp>So what about this winter's flu risks? Chin-Hong said he and other medical professionals are \"worried for several reasons.\"\u003c/p>\n\u003cp>Along with the lifting of COVID restrictions, there's the fact that \u003ca href=\"https://www.nbcnews.com/health/health-news/australia-flu-season-warning-sign-us-this-year-rcna40123\">Australia has just had its worst flu season in five years\u003c/a>. Because the continent's winter happens during the United States' summer, Australia's flu season is traditionally an indicator of how bad ours might be — and, of concern, it was as \"robust as any of the pre-pandemic flu seasons,\" said Chin-Hong.\u003c/p>\n\u003cp>Dr. Michael Kim, vice president of medical affairs for MarinHealth, echoes these particular worries in the context of the lifting of COVID safety measures.\u003c/p>\n\u003cp>\"I think we're all concerned that flu season this year might be particularly severe, especially since people are not masking as much, as well as people haven't been exposed to flu as much in the last couple of years,” said Kim.\u003c/p>\n\u003ch2>\u003ca id=\"whenflushot\">\u003c/a>Should I get a flu shot now, or wait?\u003c/h2>\n\u003cp>The recommendations medical professionals make about when to get a flu shot are based on the fact that it takes about two weeks after you get vaccinated for antibodies to develop and provide protection against the flu.\u003c/p>\n\u003cp>This flu season, the CDC says that September and October are \"generally good times to be vaccinated against flu,\" and that \"\u003ca href=\"https://www.cdc.gov/flu/season/faq-flu-season-2022-2023.htm\">ideally, everyone should be vaccinated by the end of October\u003c/a>.\"\u003c/p>\n\u003cfigure id=\"attachment_11838737\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg class=\"size-full wp-image-11838737\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2.png\" alt=\"\" width=\"1900\" height=\"1267\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2.png 1900w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2-800x533.png 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2-1020x680.png 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2-160x107.png 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2-1536x1024.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">It takes two weeks after your flu shot for your body to develop the antibodies it needs to protect you from the flu virus. \u003ccite>(Queen's University/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Yes, there's evidence, says Chin-Hong, that \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/28039340/\">your risk of getting the flu increases every month after your flu shot, due to the antibodies waning over time\u003c/a>.\u003c/p>\n\u003cp>But when medical professionals talk about strategically \"waiting\" to get a flu shot, they're aiming that advice at those who are at particularly high risk for more serious complications related to the flu. That includes people over 65, those with chronic medical conditions, people who are pregnant or planning a pregnancy, and kids under 5.\u003c/p>\n\u003cp>Delaying inoculations for these populations is based on the idea of getting the shot at a time Chin-Hong calls \"the sweet spot,\" around mid-to-late October. Two weeks later, right around early November, the antibodies should have developed, just as flu season is getting serious. Think of it as getting the \"biggest bang for your buck,\" he said.\u003c/p>\n\u003cp>So if you're in one of those vulnerable categories? Yes, you can think about waiting, says Chin-Hong. People over 65 might also consider requesting the special flu vaccines for this age group — read more about this below. As with all health matters, if you're looking for advice, it's best to consult your health care provider or someone you see regularly for your medical needs.\u003c/p>\n\u003cp>And what if you're under 65, not pregnant and don't have other risk factors for severe flu? If you can truly trust yourself to plan ahead and not forget to make the appointment, \"getting it before the end of October is probably the best,\" said Chin-Hong. But remember: Not only are you human and it might slip your mind, but predictions about how the flu season might behave are just that — predictions. The timing of this year's flu season might surprise us, and throw previous notions of a \"best time\" to get the vaccine into disarray.\u003c/p>\n\u003cp>\"Just like we can't predict the next COVID surge, we don't know if influenza will have a different pattern this year,\" said Chin-Hong, noting how Australia's particularly bad flu season started earlier than expected. So take that \"October rule\" with \"a grain of salt,\" he advised, and \"get it [your flu shot] when you get it.\"\u003c/p>\n\u003cp>What if you plan to get your flu shot in October with the best of intentions, but you still forget? If November 1 comes and goes and you realize you haven't been vaccinated, all is not lost — since the CDC says that \"vaccination after October can still provide protection during the peak of flu season,\" which is usually February.\u003c/p>\n\u003cp>In other words, just go get the shot already — whenever that may be.\u003c/p>\n\u003cp>\u003cimg class=\"alignnone size-full wp-image-11838740\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3.png\" alt=\"\" width=\"1900\" height=\"1267\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3.png 1900w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3-800x533.png 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3-1020x680.png 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3-160x107.png 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3-1536x1024.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003c/p>\n\u003ch2>\u003ca id=\"boosterflushot\">\u003c/a>Can I get my COVID booster and my flu shot at the same time?\u003c/h2>\n\u003cp>Yes, you can. Ashish Jha, White House COVID response coordinator, went so far in a September 6 briefing as to tell the audience \"\u003ca href=\"https://www.whitehouse.gov/briefing-room/press-briefings/2022/09/06/press-briefing-by-white-house-covid-19-response-team-and-public-health-officials-88/\">I really believe this is why God gave us two arms\u003c/a> — one for the flu shot and the other one for the COVID shot.\"\u003c/p>\n\u003cp>That \"COVID shot\" is the newly available COVID booster — that is, the \u003ca href=\"https://www.cdc.gov/media/releases/2022/s0901-covid-19-booster.html\">new Moderna and Pfizer booster shots of the reformulated COVID-19 vaccine\u003c/a>. The updated shots, called bivalent vaccines, target both the original strain of the coronavirus and the widespread BA.4/BA.5 omicron subvariants that have largely evaded previous boosters.\u003c/p>\n\u003cp>Anyone age 12 and up who got their last COVID vaccine shot at least two months ago — whether that was their primary vaccination series or their last booster shot — can now get an updated COVID booster. \u003ca href=\"https://www.kqed.org/news/11924327/where-can-i-find-a-new-omicron-covid-booster-shot-near-me\">Read more about how to find an updated COVID booster near you.\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/flu/season/faq-flu-season-2022-2023.htm#Flu-Vaccine-and-COVID-19-Vaccine-Coadministration\">The CDC confirms that it's safe to get both the flu shot and the bivalent COVID booster at the same time\u003c/a> \"if you are eligible and the timing coincides.\" Several pharmacy chains are prompting those making an online appointment for a bivalent COVID booster to also \"add on\" a flu shot at the same time.\u003c/p>\n\u003cp>Getting both shots simultaneously certainly offers you convenience, said Chin-Hong: \"It's one-stop shopping and again: out of sight, out of mind.\"\u003c/p>\n\u003cp>The only thing that might give you pause about getting your COVID bivalent booster and your flu shot: If you want to get your booster ASAP, some experts believe that \u003ca href=\"https://www.statnews.com/2022/09/09/doubling-up-on-covid-booster-flu-shot-may-have-downside/\">it might be slightly too early right now to get your flu shot\u003c/a>, considering how immunity from the vaccine wanes. That said, other medical professionals say that \u003ca href=\"https://www.statnews.com/2022/09/09/doubling-up-on-covid-booster-flu-shot-may-have-downside/\">the benefits of folks remembering to actually \u003cem>get\u003c/em> both their booster and their flu shot probably outweigh the downsides\u003c/a>, even if it means the timing of their flu vaccine is a little early.\u003c/p>\n\u003cp>Chin-Hong reiterated that \"if you really wanted to optimize\" the timing of your flu shot, yes, \"sometime in October \u003cem>is\u003c/em> probably the best.\" But ultimately, he says that just \u003cem>getting\u003c/em> the shots is better than not getting them at all.\u003c/p>\n\u003ch2>\u003ca id=\"highrisk\">\u003c/a>If I have risk factors for severe flu, what kind of flu shot should I get?\u003c/h2>\n\u003cp>If you're age 65 or older, there's something new for you to know this flu season: There are now three types of flu vaccines it's recommended you get, because they'll be even more effective for you than a regular flu shot.\u003c/p>\n\u003cp>Chin-Hong said folks in this age group should seek out these three types of vaccines because you'll be getting \"essentially a high-dose shot\" or a vaccine that contains an \"adjuvant\" — which, in simple terms, \"makes the flu shot more powerful in terms of waking up the immune system,\" he said. \u003ca href=\"https://www.cdc.gov/flu/prevent/keyfacts.htm\">Read more about the three kinds of flu shots available to people age 65 and older.\u003c/a>\u003c/p>\n\u003cp>Pregnant people can get a regular flu shot, although there are some types of flu vaccine that are off-limits to pregnant people. The CDC says that getting vaccinated when you're pregnant will not only help protect you from the flu, but also — if your baby is born during the immunity period — protect your infant in the first few months of their life, when they're too young to get vaccinated themselves.\u003c/p>\n\u003cp>This benefit to the baby is also the reason that pregnant people are one of the few groups who might want to consider getting a flu shot \u003cem>early\u003c/em>, instead of waiting — to ensure their baby isn't left completely unprotected for those first six months after birth, when they can't get a vaccine. \u003ca href=\"https://www.cdc.gov/flu/prevent/keyfacts.htm\">Read more about the benefits of getting a flu shot if you're pregnant.\u003c/a>\u003c/p>\n\u003cp>Children age 6 months and older can get a regular dose of the flu shot. \u003ca href=\"https://www.cdc.gov/flu/highrisk/children-high-risk.htm\">Flu can be particularly dangerous for kids\u003c/a>, and the CDC says that a 2022 study showed that flu vaccination reduced children’s risk of severe, life-threatening influenza by 75%.\u003c/p>\n\u003ch2>\u003ca id=\"flushotnearme\">\u003c/a>Where can I get a flu shot if I have insurance?\u003c/h2>\n\u003cp>If you have health insurance, a flu shot is available without extra cost as a preventive service from your usual health care provider, or at most pharmacies (see below).\u003c/p>\n\u003cp>It's a good idea to wear a mask, maintain social distancing wherever possible while waiting for your shot, and dress in a top with sleeves you can easily pull up to your shoulder, to make receiving the injection even easier (and quicker).\u003c/p>\n\u003cp>\u003cstrong>Common places to find a flu shot appointment, walk-in site or drive-thru flu shot:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.vaccines.gov/find-vaccines/\">CDC's Find Flu Vaccines tool\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://mydoctor.kaiserpermanente.org/ncal/cold-and-flu/prevention#/prevention\">Kaiser Permanente flu shots (Northern California) \u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.cvs.com/immunizations/flu\">CVS flu shots\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.walgreens.com/topic/pharmacy/seasonal-flu.jsp?ban=flu_fy21_influenzapage\">Walgreens flu shots \u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.riteaid.com/pharmacy/scheduler\">Rite Aid flu shots\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.costco.com/Pharmacy/adult-immunization-program.html\">Costco Pharmacy flu shots\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.albertsons.com/pharmacy/pharmacy-services/immunizations.html\">Albertsons (Safeway) flu shots\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch2>Where can I get a flu shot if I \u003cem>don't\u003c/em> have health insurance?\u003c/h2>\n\u003cp>If you want a flu shot but don't have health insurance, you can get the vaccine free of charge from several providers and community clinics around the Bay Area. (You can also technically use these free services even if you do have insurance, but you may consider choosing to free up these particular resources for those who are not covered.)\u003c/p>\n\u003cp>Your county's own public health department may also be offering flu shots.\u003c/p>\n\u003cp>\u003cstrong>Places to get a free or low-cost flu shot in the Bay Area include:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.sfcdcp.org/aitc/aitc-regular-prices-low-cost-or-free-vaccines/\">San Francisco Department of Public Health's AITC clinic\u003c/a> (offers a pay-what-you-can option, and says nobody will be refused for inability to pay)\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/immunization/clinics.php#Uninsured\">Contra Costa Public Health Immunization Clinic\u003c/a> (flu shots are $15 for adults over 19, but fees may be waived if you're unable to pay)\u003c/li>\n\u003cli>\u003ca href=\"https://acphd.org/clinics/\">Alameda County Immunization Clinics\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cspan style=\"font-weight: 400\">[ad fullwidth]\u003c/span>\u003c/p>\n\u003ch2>And a reminder ... the flu vaccine can't give you the flu\u003c/h2>\n\u003cp>The virus that the flu shot contains has been inactivated or severely weakened, so \u003ca href=\"https://www.cdc.gov/flu/prevent/misconceptions.htm#:~:text=Can%20a%20flu%20vaccine%20give,protein%20from%20the%20flu%20virus.\">you just aren't physically able to get the flu from your flu shot\u003c/a>, confirms the CDC.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/flu/prevent/general.htm#side-effects\">The flu vaccine can cause side effects\u003c/a> like any medical product, but they're \"\u003ca href=\"https://www.cdc.gov/flu/prevent/general.htm\">generally mild and go away on their own within a few days\u003c/a>,\" the agency says.\u003c/p>\n\u003cp>Common flu shot side effects can include soreness or swelling at the injection site, headache, fever, nausea and muscle aches. (But not the flu.)\u003c/p>\n\u003cp>\u003cem>This story contains reporting by KQED's Alexander Gonzalez.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"Should you be getting your 2022 flu shot right now? Plus: Where to find free and low-cost flu shots near you.","status":"publish","parent":0,"modified":1663784365,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":48,"wordCount":2231},"headData":{"title":"When Should You Get Your 2022 Flu Shot? | KQED","description":"Should you be getting your flu shot right now? Plus: where to find free and low-cost flu shots near you in the Bay Area, without an apppointment.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"When Should You Get Your 2022 Flu Shot?","datePublished":"2022-09-15T23:37:26.000Z","dateModified":"2022-09-21T18:19:25.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11925585 https://ww2.kqed.org/news/?p=11925585","disqusUrl":"https://ww2.kqed.org/news/2022/09/15/when-should-you-get-your-2022-flu-shot/","disqusTitle":"When Should You Get Your 2022 Flu Shot?","excludeFromSiteSearch":"Include","path":"/news/11925585/when-should-you-get-your-2022-flu-shot","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated 11 a.m. Wednesday, September 21\u003c/em>\u003c/p>\n\u003cp>Even as the COVID-19 pandemic continues to claim lives across the country, the flu remains a potentially serious threat to your health.\u003c/p>\n\u003cp>Jump straight to:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#whenflushot\">When should I get my flu shot?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#boosterflushot\">Can I get a COVID booster and my flu shot at the same time?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#highrisk\">Which flu shot should I get if I'm 65 and older, I'm pregnant, or I need a shot for my kids?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#flushotnearme\">Where can I get a flu shot, with or without insurance?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>The Centers for Disease Control and Prevention estimates that, annually, the flu caused 140,000-710,000 hospitalizations and 12,000-52,000 deaths between 2010 and 2020. But the organization says that \u003ca href=\"https://www.cdc.gov/flu/fluvaxview/coverage-2021estimates.htm\">in the 2020-2021 flu season, only around half of adults got a flu shot\u003c/a>.\u003c/p>\n\u003cp>Getting a flu vaccine can prevent you from getting sick with the flu, which is a draining, unpleasant experience even if your symptoms are not severe. And if you \u003cem>do\u003c/em> get the flu, having a flu shot can also stop you from getting sick enough to have to go to the hospital (and be exposed to all the COVID risks hospital settings can bring).\u003c/p>\n\u003cp>The CDC says the flu vaccine also offers other potential health impacts, such as being associated with \u003ca class=\"tp-link-policy\" href=\"https://pubmed.ncbi.nlm.nih.gov/24150467/\" data-domain-ext=\"gov\">lower rates of certain cardiac events\u003c/a> for people who have heart disease. It's also the best, safest way not only to protect \u003cem>yourself\u003c/em> against the influenza virus, but also to minimize the chance you will spread it to others — folks who could be at far higher risk for serious complications or even death if they were to become infected. \u003ca href=\"https://www.cdc.gov/flu/vaccines-work/vaccineeffect.htm\">Read more from the CDC about what the flu shot can do for you.\u003c/a>\u003c/p>\n\u003cp>And read on to find out whether you should be getting your flu shot right now, and where to find free or low-cost flu shot options near you.\u003c/p>\n\u003ch2>Will this flu season be bad?\u003c/h2>\n\u003cp>It's true that \u003ca href=\"https://www.cdc.gov/flu/season/faq-flu-season-2020-2021.htm\">2020 saw a record-low number of flu cases\u003c/a> — most likely due to widespread mask-wearing, increased hygiene, social distancing and remote work and school.\u003c/p>\n\u003cp>Last year's flu season also \"didn't surge in the numbers that people expected,\" said UCSF professor of medicine Dr. Peter Chin-Hong — but \"it did drag on for much longer.\" Whereas a typical flu season peaks in February, Chin-Hong said that last year's \"went from October of 2021 to June of 2022 — so, a much longer tail than usually we would expect.\"\u003c/p>\n\u003cp>So what about this winter's flu risks? Chin-Hong said he and other medical professionals are \"worried for several reasons.\"\u003c/p>\n\u003cp>Along with the lifting of COVID restrictions, there's the fact that \u003ca href=\"https://www.nbcnews.com/health/health-news/australia-flu-season-warning-sign-us-this-year-rcna40123\">Australia has just had its worst flu season in five years\u003c/a>. Because the continent's winter happens during the United States' summer, Australia's flu season is traditionally an indicator of how bad ours might be — and, of concern, it was as \"robust as any of the pre-pandemic flu seasons,\" said Chin-Hong.\u003c/p>\n\u003cp>Dr. Michael Kim, vice president of medical affairs for MarinHealth, echoes these particular worries in the context of the lifting of COVID safety measures.\u003c/p>\n\u003cp>\"I think we're all concerned that flu season this year might be particularly severe, especially since people are not masking as much, as well as people haven't been exposed to flu as much in the last couple of years,” said Kim.\u003c/p>\n\u003ch2>\u003ca id=\"whenflushot\">\u003c/a>Should I get a flu shot now, or wait?\u003c/h2>\n\u003cp>The recommendations medical professionals make about when to get a flu shot are based on the fact that it takes about two weeks after you get vaccinated for antibodies to develop and provide protection against the flu.\u003c/p>\n\u003cp>This flu season, the CDC says that September and October are \"generally good times to be vaccinated against flu,\" and that \"\u003ca href=\"https://www.cdc.gov/flu/season/faq-flu-season-2022-2023.htm\">ideally, everyone should be vaccinated by the end of October\u003c/a>.\"\u003c/p>\n\u003cfigure id=\"attachment_11838737\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg class=\"size-full wp-image-11838737\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2.png\" alt=\"\" width=\"1900\" height=\"1267\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2.png 1900w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2-800x533.png 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2-1020x680.png 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2-160x107.png 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2-1536x1024.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">It takes two weeks after your flu shot for your body to develop the antibodies it needs to protect you from the flu virus. \u003ccite>(Queen's University/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Yes, there's evidence, says Chin-Hong, that \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/28039340/\">your risk of getting the flu increases every month after your flu shot, due to the antibodies waning over time\u003c/a>.\u003c/p>\n\u003cp>But when medical professionals talk about strategically \"waiting\" to get a flu shot, they're aiming that advice at those who are at particularly high risk for more serious complications related to the flu. That includes people over 65, those with chronic medical conditions, people who are pregnant or planning a pregnancy, and kids under 5.\u003c/p>\n\u003cp>Delaying inoculations for these populations is based on the idea of getting the shot at a time Chin-Hong calls \"the sweet spot,\" around mid-to-late October. Two weeks later, right around early November, the antibodies should have developed, just as flu season is getting serious. Think of it as getting the \"biggest bang for your buck,\" he said.\u003c/p>\n\u003cp>So if you're in one of those vulnerable categories? Yes, you can think about waiting, says Chin-Hong. People over 65 might also consider requesting the special flu vaccines for this age group — read more about this below. As with all health matters, if you're looking for advice, it's best to consult your health care provider or someone you see regularly for your medical needs.\u003c/p>\n\u003cp>And what if you're under 65, not pregnant and don't have other risk factors for severe flu? If you can truly trust yourself to plan ahead and not forget to make the appointment, \"getting it before the end of October is probably the best,\" said Chin-Hong. But remember: Not only are you human and it might slip your mind, but predictions about how the flu season might behave are just that — predictions. The timing of this year's flu season might surprise us, and throw previous notions of a \"best time\" to get the vaccine into disarray.\u003c/p>\n\u003cp>\"Just like we can't predict the next COVID surge, we don't know if influenza will have a different pattern this year,\" said Chin-Hong, noting how Australia's particularly bad flu season started earlier than expected. So take that \"October rule\" with \"a grain of salt,\" he advised, and \"get it [your flu shot] when you get it.\"\u003c/p>\n\u003cp>What if you plan to get your flu shot in October with the best of intentions, but you still forget? If November 1 comes and goes and you realize you haven't been vaccinated, all is not lost — since the CDC says that \"vaccination after October can still provide protection during the peak of flu season,\" which is usually February.\u003c/p>\n\u003cp>In other words, just go get the shot already — whenever that may be.\u003c/p>\n\u003cp>\u003cimg class=\"alignnone size-full wp-image-11838740\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3.png\" alt=\"\" width=\"1900\" height=\"1267\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3.png 1900w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3-800x533.png 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3-1020x680.png 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3-160x107.png 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3-1536x1024.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003c/p>\n\u003ch2>\u003ca id=\"boosterflushot\">\u003c/a>Can I get my COVID booster and my flu shot at the same time?\u003c/h2>\n\u003cp>Yes, you can. Ashish Jha, White House COVID response coordinator, went so far in a September 6 briefing as to tell the audience \"\u003ca href=\"https://www.whitehouse.gov/briefing-room/press-briefings/2022/09/06/press-briefing-by-white-house-covid-19-response-team-and-public-health-officials-88/\">I really believe this is why God gave us two arms\u003c/a> — one for the flu shot and the other one for the COVID shot.\"\u003c/p>\n\u003cp>That \"COVID shot\" is the newly available COVID booster — that is, the \u003ca href=\"https://www.cdc.gov/media/releases/2022/s0901-covid-19-booster.html\">new Moderna and Pfizer booster shots of the reformulated COVID-19 vaccine\u003c/a>. The updated shots, called bivalent vaccines, target both the original strain of the coronavirus and the widespread BA.4/BA.5 omicron subvariants that have largely evaded previous boosters.\u003c/p>\n\u003cp>Anyone age 12 and up who got their last COVID vaccine shot at least two months ago — whether that was their primary vaccination series or their last booster shot — can now get an updated COVID booster. \u003ca href=\"https://www.kqed.org/news/11924327/where-can-i-find-a-new-omicron-covid-booster-shot-near-me\">Read more about how to find an updated COVID booster near you.\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/flu/season/faq-flu-season-2022-2023.htm#Flu-Vaccine-and-COVID-19-Vaccine-Coadministration\">The CDC confirms that it's safe to get both the flu shot and the bivalent COVID booster at the same time\u003c/a> \"if you are eligible and the timing coincides.\" Several pharmacy chains are prompting those making an online appointment for a bivalent COVID booster to also \"add on\" a flu shot at the same time.\u003c/p>\n\u003cp>Getting both shots simultaneously certainly offers you convenience, said Chin-Hong: \"It's one-stop shopping and again: out of sight, out of mind.\"\u003c/p>\n\u003cp>The only thing that might give you pause about getting your COVID bivalent booster and your flu shot: If you want to get your booster ASAP, some experts believe that \u003ca href=\"https://www.statnews.com/2022/09/09/doubling-up-on-covid-booster-flu-shot-may-have-downside/\">it might be slightly too early right now to get your flu shot\u003c/a>, considering how immunity from the vaccine wanes. That said, other medical professionals say that \u003ca href=\"https://www.statnews.com/2022/09/09/doubling-up-on-covid-booster-flu-shot-may-have-downside/\">the benefits of folks remembering to actually \u003cem>get\u003c/em> both their booster and their flu shot probably outweigh the downsides\u003c/a>, even if it means the timing of their flu vaccine is a little early.\u003c/p>\n\u003cp>Chin-Hong reiterated that \"if you really wanted to optimize\" the timing of your flu shot, yes, \"sometime in October \u003cem>is\u003c/em> probably the best.\" But ultimately, he says that just \u003cem>getting\u003c/em> the shots is better than not getting them at all.\u003c/p>\n\u003ch2>\u003ca id=\"highrisk\">\u003c/a>If I have risk factors for severe flu, what kind of flu shot should I get?\u003c/h2>\n\u003cp>If you're age 65 or older, there's something new for you to know this flu season: There are now three types of flu vaccines it's recommended you get, because they'll be even more effective for you than a regular flu shot.\u003c/p>\n\u003cp>Chin-Hong said folks in this age group should seek out these three types of vaccines because you'll be getting \"essentially a high-dose shot\" or a vaccine that contains an \"adjuvant\" — which, in simple terms, \"makes the flu shot more powerful in terms of waking up the immune system,\" he said. \u003ca href=\"https://www.cdc.gov/flu/prevent/keyfacts.htm\">Read more about the three kinds of flu shots available to people age 65 and older.\u003c/a>\u003c/p>\n\u003cp>Pregnant people can get a regular flu shot, although there are some types of flu vaccine that are off-limits to pregnant people. The CDC says that getting vaccinated when you're pregnant will not only help protect you from the flu, but also — if your baby is born during the immunity period — protect your infant in the first few months of their life, when they're too young to get vaccinated themselves.\u003c/p>\n\u003cp>This benefit to the baby is also the reason that pregnant people are one of the few groups who might want to consider getting a flu shot \u003cem>early\u003c/em>, instead of waiting — to ensure their baby isn't left completely unprotected for those first six months after birth, when they can't get a vaccine. \u003ca href=\"https://www.cdc.gov/flu/prevent/keyfacts.htm\">Read more about the benefits of getting a flu shot if you're pregnant.\u003c/a>\u003c/p>\n\u003cp>Children age 6 months and older can get a regular dose of the flu shot. \u003ca href=\"https://www.cdc.gov/flu/highrisk/children-high-risk.htm\">Flu can be particularly dangerous for kids\u003c/a>, and the CDC says that a 2022 study showed that flu vaccination reduced children’s risk of severe, life-threatening influenza by 75%.\u003c/p>\n\u003ch2>\u003ca id=\"flushotnearme\">\u003c/a>Where can I get a flu shot if I have insurance?\u003c/h2>\n\u003cp>If you have health insurance, a flu shot is available without extra cost as a preventive service from your usual health care provider, or at most pharmacies (see below).\u003c/p>\n\u003cp>It's a good idea to wear a mask, maintain social distancing wherever possible while waiting for your shot, and dress in a top with sleeves you can easily pull up to your shoulder, to make receiving the injection even easier (and quicker).\u003c/p>\n\u003cp>\u003cstrong>Common places to find a flu shot appointment, walk-in site or drive-thru flu shot:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.vaccines.gov/find-vaccines/\">CDC's Find Flu Vaccines tool\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://mydoctor.kaiserpermanente.org/ncal/cold-and-flu/prevention#/prevention\">Kaiser Permanente flu shots (Northern California) \u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.cvs.com/immunizations/flu\">CVS flu shots\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.walgreens.com/topic/pharmacy/seasonal-flu.jsp?ban=flu_fy21_influenzapage\">Walgreens flu shots \u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.riteaid.com/pharmacy/scheduler\">Rite Aid flu shots\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.costco.com/Pharmacy/adult-immunization-program.html\">Costco Pharmacy flu shots\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.albertsons.com/pharmacy/pharmacy-services/immunizations.html\">Albertsons (Safeway) flu shots\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch2>Where can I get a flu shot if I \u003cem>don't\u003c/em> have health insurance?\u003c/h2>\n\u003cp>If you want a flu shot but don't have health insurance, you can get the vaccine free of charge from several providers and community clinics around the Bay Area. (You can also technically use these free services even if you do have insurance, but you may consider choosing to free up these particular resources for those who are not covered.)\u003c/p>\n\u003cp>Your county's own public health department may also be offering flu shots.\u003c/p>\n\u003cp>\u003cstrong>Places to get a free or low-cost flu shot in the Bay Area include:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.sfcdcp.org/aitc/aitc-regular-prices-low-cost-or-free-vaccines/\">San Francisco Department of Public Health's AITC clinic\u003c/a> (offers a pay-what-you-can option, and says nobody will be refused for inability to pay)\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/immunization/clinics.php#Uninsured\">Contra Costa Public Health Immunization Clinic\u003c/a> (flu shots are $15 for adults over 19, but fees may be waived if you're unable to pay)\u003c/li>\n\u003cli>\u003ca href=\"https://acphd.org/clinics/\">Alameda County Immunization Clinics\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003ch2>And a reminder ... the flu vaccine can't give you the flu\u003c/h2>\n\u003cp>The virus that the flu shot contains has been inactivated or severely weakened, so \u003ca href=\"https://www.cdc.gov/flu/prevent/misconceptions.htm#:~:text=Can%20a%20flu%20vaccine%20give,protein%20from%20the%20flu%20virus.\">you just aren't physically able to get the flu from your flu shot\u003c/a>, confirms the CDC.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/flu/prevent/general.htm#side-effects\">The flu vaccine can cause side effects\u003c/a> like any medical product, but they're \"\u003ca href=\"https://www.cdc.gov/flu/prevent/general.htm\">generally mild and go away on their own within a few days\u003c/a>,\" the agency says.\u003c/p>\n\u003cp>Common flu shot side effects can include soreness or swelling at the injection site, headache, fever, nausea and muscle aches. (But not the flu.)\u003c/p>\n\u003cp>\u003cem>This story contains reporting by KQED's Alexander Gonzalez.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11925585/when-should-you-get-your-2022-flu-shot","authors":["3243"],"categories":["news_8"],"tags":["news_27504","news_22326","news_28567","news_18543","news_20277","news_22327","news_981"],"featImg":"news_11925828","label":"news"},"news_11887909":{"type":"posts","id":"news_11887909","meta":{"index":"posts_1591205157","site":"news","id":"11887909","score":null,"sort":[1631214681000]},"guestAuthors":[],"slug":"when-to-get-your-2021-flu-shot-and-how-it-works-with-covid-vaccines","title":"When to Get Your 2021 Flu Shot (And How It Works With COVID Vaccines)","publishDate":1631214681,"format":"standard","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>\u003cstrong>Go straight to:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#time\">When's the best time to get a flu shot?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#covid\">How does the flu shot work with the COVID vaccine?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#pregnancy\">What if I'm pregnant or have allergies?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#where\">Where can I get a flu shot near me in the Bay Area — with or without insurance?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>With all the talk about \u003ca href=\"https://www.kqed.org/news/11885531/covid-booster-shots-to-roll-out-in-september-in-the-u-s-health-officials-say\">COVID-19 vaccines and boosters\u003c/a>, it's easy to forget that there's another respiratory virus poised to strike.\u003c/p>\n\u003cp>Yes, it's that familiar winter nemesis, the flu. And there are vaccines to help ward it off — but also misinformation and fears circulating. \"We've been concerned about vaccine fatigue and that people will be confused about whether or when they need the flu shot, and not very eager to once again roll up their sleeve,\" says \u003ca href=\"https://www.nfid.org/about-nfid/board-of-directors/william-schaffner-md/\">Dr. William Schaffner\u003c/a>, medical director of the National Foundation of Infectious Diseases. \"Flu is a nasty virus and worth protecting against.\"\u003c/p>\n\u003cp>\"Two reasons make getting vaccinated against the flu the wise choice,\" he says. \"First, it's been proven year after year that you're in better shape to fight off the flu if you get the vaccine. Second, by getting vaccinated against the flu, you help protect the people around you.\"\u003c/p>\n\u003cp>Here's a guide to getting yourself vaccinated against another potentially fatal virus.\u003c/p>\n\u003ch3>\u003cstrong>I heard the flu essentially disappeared last year. Do I really need a flu shot this year?\u003c/strong>\u003c/h3>\n\u003cp>Yes. Last year saw a record-low number of flu cases, likely thanks to widespread mask wearing, remote work and school, and physical distancing. But this year, experts fear that the reopening of schools, decreased adherence to pandemic precautions and surging delta variant infections could create a double whammy: a very serious flu and COVID-19-season. Already, \u003ca href=\"https://www.cdc.gov/rsv/index.html\">cases of RSV, a serious respiratory virus in children, are spiking.\u003c/a> \"This suggests that flu will be back [too],\" says\u003ca href=\"https://www.immunize.org/aboutus/litjen_tan_bio.asp\"> LJ Tan,\u003c/a> executive director of the\u003ca href=\"https://www.immunize.org/\"> Immunization Action Coalition\u003c/a>.\u003c/p>\n\u003ch3>\u003cstrong>Who should get a flu shot?\u003c/strong>\u003c/h3>\n\u003cp>Anyone 6 months and older, unless your doctor has specifically recommended that you not get a flu shot because of a prior, rare, severe reaction, says Dr. Lisa Grohskopf, a medical officer in the influenza division at the Centers for Disease Control and Prevention.\u003c/p>\n\u003ch3>\u003ca id=\"time\">\u003c/a>When's the best time to get the flu shot?\u003c/h3>\n\u003cp>Why not now?\u003c/p>\n\u003cp>Flu season starts in October in the U.S. While there's some concern that immunity might wane before the end of flu season in May if you get the vaccine too early, there's not enough data to know the optimal time to get the shot, Grohskopf says.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/flu/season/faq-flu-season-2021-2022.htm\">The CDC says aim to get your flu vaccine by the end of October\u003c/a>. By then, cases will have started to mount, and many people will be just a few weeks away from travel for Thanksgiving and Christmas. That said, \"getting vaccinated at any time during the flu season [can] still be beneficial,\" says \u003ca href=\"https://healthcare.utah.edu/fad/mddetail.php?physicianID=u0028338&name=andrew-t-pavia\">Dr. Andrew Pavia, chief of the pediatric infectious diseases division at the University of Utah Health\u003c/a>.\u003c/p>\n\u003ch3>Why do I hear folks talking about 'waiting' to get their flu shot?\u003c/h3>\n\u003cp>As Dr. Peter Chin-Hong, UCSF professor of medicine, told KQED last year, the recommendations medical professionals make about when to get a flu shot are based on the fact that it takes about two weeks after you get vaccinated for antibodies to develop and provide protection against the flu.\u003c/p>\n\u003cp>There is evidence, Chin-Hong said, that \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/28039340/\">your risk of getting the flu increases every month after your flu shot\u003c/a>, due to the antibodies waning over time. But when medical professionals talk about strategically \"waiting\" to get a flu shot, they're aiming that advice at those who are at particularly high risk for more serious complications related to the flu. That includes people over 65, those with chronic medical conditions, people who are pregnant or planning a pregnancy and kids under 5. \u003cstrong>\u003ca href=\"#pregnancy\">Read more about pregnancy and the flu shot. \u003c/a>\u003c/strong>\u003c/p>\n\u003cp>Delaying inoculations for these populations is based on the idea of getting the shot at a time Chin-Hong called \"the sweet spot,\" around mid-to-late October. Two weeks later, right around early November, the antibodies should have developed, just as flu season is getting serious.\u003c/p>\n\u003cp>Think of it as getting the \"biggest bang for your buck,\" Chin-Hong said. But ultimately, he added, \"Don't hem and haw about when to get it,\" — because there’s a risk you may wind up forgetting to get it at all. \u003ca href=\"https://www.kqed.org/news/11838604/when-should-you-get-your-flu-shot\">Read more about who might consider delaying their flu shot.\u003c/a>\u003c/p>\n\u003ch3>\u003cstrong>Will the flu vaccine definitely keep me from getting the flu? \u003c/strong>\u003c/h3>\n\u003cp>No. No vaccine is 100% effective. But if you do get the flu, the vaccine is likely to reduce your chance of getting very sick, being hospitalized or dying, Pavia says.\u003c/p>\n\u003cp>Before last year,\u003ca href=\"https://www.cdc.gov/flu/about/burden/index.html\"> tens of thousands of people\u003c/a> were hospitalized or died from the flu each year, usually people who weren't vaccinated.\u003c/p>\n\u003ch3>\u003ca id=\"covid\">\u003c/a>Can I get the flu and COVID-19 vaccines at the same time?\u003c/h3>\n\u003cp>Absolutely. The CDC had previously recommended spacing out the timing of the COVID-19 vaccine and other immunizations because the vaccines were so new, but \"that guidance has changed,\" says Grohskopf. The CDC now says it's safe to get both vaccines at once, she says. \"The body's immune response and side effects are generally the same as when getting one vaccine alone.\"\u003c/p>\n\u003cp>If you do get two shots on the same day, expect to get each vaccine in a different arm, which may reduce any pain and swelling that might occur.\u003c/p>\n\u003ch3>\u003cstrong>What about my COVID-19 booster shot — can I get that at the same time as my flu shot?\u003c/strong>\u003c/h3>\n\u003cp>Right now, third doses of COVID-19 vaccine are authorized only for people with certain immunocompromised conditions. If you qualify, you can get that extra dose and the flu shot on the same day. Once boosters are more broadly authorized, \"we'll be able to co-administer those shots with flu shots as well,\" said Lisa Kalajian, a district manager for CVS Health.\u003c/p>\n\u003cfigure id=\"attachment_11838735\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg class=\"size-full wp-image-11838735\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots.png\" alt=\"A person is seated receiving their flu shot from a medical professional\" width=\"1900\" height=\"1267\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots.png 1900w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots-800x533.png 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots-1020x680.png 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots-160x107.png 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots-1536x1024.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">Where can you get a free flu shot near you? And when should you get it? \u003ccite>(Homeless Coalition Flu Shot Clinic/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003cstrong>The delta variant is making me anxious about going to the doctor's office or pharmacy for a flu shot this year. Are there other choices?\u003c/strong>\u003c/h3>\n\u003cp>If you're concerned, aim for an off hour and call to make sure the provider (as well as you) will be masked.\u003c/p>\n\u003cp>If you're still worried, check with local clinics to see if there are any outdoor flu shot clinics in your area.\u003c/p>\n\u003ch3>\u003cstrong>How do I make sure I get the right flu shot for me and my family?\u003c/strong>\u003c/h3>\n\u003cp>\"While the most important thing is to get any flu shot, there are some specialized flu shots for specific groups,\" says Pavia. The key is usually age.\u003c/p>\n\u003cp>Kids 8 and younger who are getting the flu shot for the first time need two doses, given a month apart, says \u003ca href=\"https://www.bcm.edu/people-search/flor-munoz-rivas-27227\">Dr. Flor Munoz-Rivas,\u003c/a> a pediatric infectious disease specialist at Baylor College of Medicine. Strong immunity doesn't kick in until two weeks after the second shot, \"so parents should be scheduling these shots now,\" she says.\u003c/p>\n\u003cp>Immune systems weaken with age. That's why the CDC recommends that adults 65 and older get vaccinated with one of two souped-up flu shots: either the Fluzone High-Dose Quadrivalent vaccine or the FLUAD Quadrivalent vaccine. Both are designed to elicit a more robust immune response. If neither is available, then any flu shot is a good choice.\u003c/p>\n\u003ch3>\u003ca id=\"pregnancy\">\u003c/a>I'm pregnant. Should I get a flu shot?\u003c/h3>\n\u003cp>Yes. And if you're in your third trimester, the CDC advises you get a flu shot ASAP so you can pass on the protection to your newborn from day 1. \"Babies can't get the flu shot until they are 6 months old but are protected by their mother's antibodies from a flu shot — if she gets the shot — until 6 months, when they can get their own flu vaccine,\" says Grohskopf. Just be sure to get the shot, not the nasal spray.\u003c/p>\n\u003ch3>\u003cstrong>I have an allergy to eggs and heard I can't get a flu shot. Is that true?\u003c/strong>\u003c/h3>\n\u003cp>Not really, says the CDC's Grohskopf.\u003c/p>\n\u003cp>It's true that most flu shots and one nasal spray flu vaccine approved by the Food and Drug Administration are manufactured using egg-based technology, so they contain a small amount of egg proteins. But studies of both the nasal spray and the shots found that allergic reactions are very rare.\u003c/p>\n\u003cp>Two egg-free vaccines are available: Flublok Quadrivalent (for people 18 and older) and Flucelvax Quadrivalent (which is approved for ages 2 and up this season). But the CDC says people with a history of egg allergy can get any licensed, age-appropriate flu vaccine. If you have a history of severe allergic reaction to eggs, the CDC recommends you get your shot at a location where the staff can treat you if a rare allergic reaction does occur.\u003c/p>\n\u003ch3>\u003cstrong>I'm willing to take my chances, so why should I get the flu vaccine?\u003c/strong>\u003c/h3>\n\u003cp>With the pandemic still raging, skipping the flu shot is a much riskier proposition, says Dr. \u003ca href=\"https://www.mountsinai.org/profiles/bernard-camins\">Bernard Camins, \u003c/a>an infectious disease physician at the Mount Sinai Health System in New York City. \"You could get the flu and need care but find hospitals overwhelmed because of COVID, or get the flu and get COVID. And especially if you are not vaccinated against the coronavirus, [you] run the risk of your immune system being overwhelmed by two viruses at the same time.\" Getting back-to-back infections could result in more serious illness, since the first infection may have already weakened your lungs, says \u003ca href=\"https://einsteinmed.org/faculty/13966/priya-nori/#:~:text=Nori%20is%20associate%20professor%20of,surgery%20at%20Einstein%20and%20Montefiore.&text=Nori%20is%20associate%20professor%20of%20medicine%20and%20of%20orthopaedics%20at,antimicrobial%20stewardship%20program%20at%20Montefiore.\">Dr. Priya Nori\u003c/a>, an infectious disease specialist at the Albert Einstein College of Medicine.\u003c/p>\n\u003ch3>\u003cstrong>If I'm already vaccinated against COVID-19, does getting the flu shot mean I'm doubly protected and no longer have to wear a mask?\u003c/strong>\u003c/h3>\n\u003cp>Not at all. \"Don't stop the public health measures,\" says Pavia. Distancing, wearing a mask and washing your hands, especially after coughs and sneezes, can improve the chances that you and others will not get the flu — or COVID-19.\u003c/p>\n\u003ch3>\u003ca id=\"where\">\u003c/a>Where can I get a flu shot if I have insurance?\u003c/h3>\n\u003cp>If you have health insurance, a flu shot is available free without cost as a preventive service from your usual doctor or most pharmacies. (See below.)\u003c/p>\n\u003cp>Make sure you're wearing your mask, maintain social distancing wherever possible while waiting for your shot and dress in a top with sleeves you can easily pull up to your shoulder to make receiving the injection even easier (and quicker.)\u003c/p>\n\u003cp>\u003cstrong>Common places to find a flu shot appointment, walk-in site or drive-thru flu shot:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://vaccinefinder.org/find-vaccine\">CDC's Vaccine Finder tool\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://mydoctor.kaiserpermanente.org/ncal/cold-and-flu/prevention#/prevention\">Kaiser Permanente flu shots (Northern California) \u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.cvs.com/immunizations/flu\">CVS flu shots\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.walgreens.com/topic/pharmacy/seasonal-flu.jsp?ban=flu_fy21_influenzapage\">Walgreens flu shots \u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.costco.com/Pharmacy/adult-immunization-program.html\">Costco Pharmacy flu shots\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch3>Where can I get a flu shot if I \u003cem>don't\u003c/em> have health insurance?\u003c/h3>\n\u003cp>If you want a flu shot but don't have health insurance, you can get the vaccine free of charge from several providers and community clinics around the Bay Area. (You can also technically use these free services even if you do have insurance, but you may consider choosing to free up these particular resources for those who are not covered.)\u003c/p>\n\u003cp>For a start, your county's own public health department might offer them. For example, Santa Clara County is once again offering \u003ca href=\"https://publichealth.sccgov.org/disease-information/influenza-flu\">free flu shots at the County Fairgrounds in San Jose this year\u003c/a>.\u003c/p>\n\u003cp>Anyone can walk or bike up to the fairgrounds (parking is also available for those with disabilities) without an appointment and get vaccinated, regardless of insurance or immigration status. The county says that \u003ca href=\"https://publichealth.sccgov.org/disease-information/influenza-flu\">free flu shots will also soon become available at the Santa Clara Valley Medical Centers.\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Places to get a free or low-cost flu shot in the Bay Area include:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.sfcdcp.org/aitc/aitc-regular-prices-low-cost-or-free-vaccines/low-cost-or-free-vaccines-at-aitc/#stategf\">San Francisco Public Health's AITC Immunization & Travel Clinic\u003c/a> (offers a pay-what-you-can option, and says that nobody will be refused for inability to pay)\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/immunization/clinics.php#Uninsured\">Contra Costa Public Health Immunization Clinics\u003c/a> (flu shots are $15 for adults over 19, but fees may be waived if you're unable to pay)\u003c/li>\n\u003cli>\u003ca href=\"https://acphd.org/clinics/\">Alameda County Immunization Clinics\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cspan style=\"font-weight: 400;\">[ad fullwidth]\u003c/span>\u003c/p>\n\u003ch3>And a reminder ... the flu vaccine can't 'give you the flu'\u003c/h3>\n\u003cp>The virus that the flu shot contains has been inactivated or severely weakened, so \u003ca href=\"https://www.cdc.gov/flu/prevent/misconceptions.htm#:~:text=Can%20a%20flu%20vaccine%20give,protein%20from%20the%20flu%20virus.\">you just aren't physically able to \"get the flu\" from your flu shot, says the CDC\u003c/a>. The \u003ca href=\"https://www.cdc.gov/flu/prevent/general.htm\">flu vaccine can cause side effects like any medical product\u003c/a>, but they're \"generally mild and go away on their own within a few days,\" the agency says.\u003c/p>\n\u003cp>Common flu shot side effects can include soreness or swelling at the injection site, headache, fever, nausea and muscle aches. But not flu.\u003c/p>\n\u003cp>\u003cem>KQED's Carly Severn contributed to this story.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=It%27s+Time+For+A+Flu+Shot.+Here%27s+What+You+Need+To+Know&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"Answers to your questions about flu shots, from how it works with the COVID-19 vaccines and boosters to where to find a free or low-cost flu shot near you.","status":"publish","parent":0,"modified":1631303282,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":42,"wordCount":2186},"headData":{"title":"When to Get Your 2021 Flu Shot (And How It Works With COVID Vaccines) | KQED","description":"Answers to your questions about flu shots, from how it works with the COVID-19 vaccines and boosters to where to find a free or low-cost flu shot near you.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"When to Get Your 2021 Flu Shot (And How It Works With COVID Vaccines)","datePublished":"2021-09-09T19:11:21.000Z","dateModified":"2021-09-10T19:48:02.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11887909 https://ww2.kqed.org/news/?p=11887909","disqusUrl":"https://ww2.kqed.org/news/2021/09/09/when-to-get-your-2021-flu-shot-and-how-it-works-with-covid-vaccines/","disqusTitle":"When to Get Your 2021 Flu Shot (And How It Works With COVID Vaccines)","nprByline":"Fran Kritz","nprImageAgency":"Cristina Spanò for NPR","nprStoryId":"1033756464","nprApiLink":"http://api.npr.org/query?id=1033756464&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2021/09/07/1033756464/flu-shot-covid-booster?ft=nprml&f=1033756464","nprRetrievedStory":"1","nprPubDate":"Tue, 07 Sep 2021 12:22:00 -0400","nprStoryDate":"Tue, 07 Sep 2021 05:00:00 -0400","nprLastModifiedDate":"Tue, 07 Sep 2021 12:22:54 -0400","path":"/news/11887909/when-to-get-your-2021-flu-shot-and-how-it-works-with-covid-vaccines","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Go straight to:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#time\">When's the best time to get a flu shot?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#covid\">How does the flu shot work with the COVID vaccine?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#pregnancy\">What if I'm pregnant or have allergies?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#where\">Where can I get a flu shot near me in the Bay Area — with or without insurance?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>With all the talk about \u003ca href=\"https://www.kqed.org/news/11885531/covid-booster-shots-to-roll-out-in-september-in-the-u-s-health-officials-say\">COVID-19 vaccines and boosters\u003c/a>, it's easy to forget that there's another respiratory virus poised to strike.\u003c/p>\n\u003cp>Yes, it's that familiar winter nemesis, the flu. And there are vaccines to help ward it off — but also misinformation and fears circulating. \"We've been concerned about vaccine fatigue and that people will be confused about whether or when they need the flu shot, and not very eager to once again roll up their sleeve,\" says \u003ca href=\"https://www.nfid.org/about-nfid/board-of-directors/william-schaffner-md/\">Dr. William Schaffner\u003c/a>, medical director of the National Foundation of Infectious Diseases. \"Flu is a nasty virus and worth protecting against.\"\u003c/p>\n\u003cp>\"Two reasons make getting vaccinated against the flu the wise choice,\" he says. \"First, it's been proven year after year that you're in better shape to fight off the flu if you get the vaccine. Second, by getting vaccinated against the flu, you help protect the people around you.\"\u003c/p>\n\u003cp>Here's a guide to getting yourself vaccinated against another potentially fatal virus.\u003c/p>\n\u003ch3>\u003cstrong>I heard the flu essentially disappeared last year. Do I really need a flu shot this year?\u003c/strong>\u003c/h3>\n\u003cp>Yes. Last year saw a record-low number of flu cases, likely thanks to widespread mask wearing, remote work and school, and physical distancing. But this year, experts fear that the reopening of schools, decreased adherence to pandemic precautions and surging delta variant infections could create a double whammy: a very serious flu and COVID-19-season. Already, \u003ca href=\"https://www.cdc.gov/rsv/index.html\">cases of RSV, a serious respiratory virus in children, are spiking.\u003c/a> \"This suggests that flu will be back [too],\" says\u003ca href=\"https://www.immunize.org/aboutus/litjen_tan_bio.asp\"> LJ Tan,\u003c/a> executive director of the\u003ca href=\"https://www.immunize.org/\"> Immunization Action Coalition\u003c/a>.\u003c/p>\n\u003ch3>\u003cstrong>Who should get a flu shot?\u003c/strong>\u003c/h3>\n\u003cp>Anyone 6 months and older, unless your doctor has specifically recommended that you not get a flu shot because of a prior, rare, severe reaction, says Dr. Lisa Grohskopf, a medical officer in the influenza division at the Centers for Disease Control and Prevention.\u003c/p>\n\u003ch3>\u003ca id=\"time\">\u003c/a>When's the best time to get the flu shot?\u003c/h3>\n\u003cp>Why not now?\u003c/p>\n\u003cp>Flu season starts in October in the U.S. While there's some concern that immunity might wane before the end of flu season in May if you get the vaccine too early, there's not enough data to know the optimal time to get the shot, Grohskopf says.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/flu/season/faq-flu-season-2021-2022.htm\">The CDC says aim to get your flu vaccine by the end of October\u003c/a>. By then, cases will have started to mount, and many people will be just a few weeks away from travel for Thanksgiving and Christmas. That said, \"getting vaccinated at any time during the flu season [can] still be beneficial,\" says \u003ca href=\"https://healthcare.utah.edu/fad/mddetail.php?physicianID=u0028338&name=andrew-t-pavia\">Dr. Andrew Pavia, chief of the pediatric infectious diseases division at the University of Utah Health\u003c/a>.\u003c/p>\n\u003ch3>Why do I hear folks talking about 'waiting' to get their flu shot?\u003c/h3>\n\u003cp>As Dr. Peter Chin-Hong, UCSF professor of medicine, told KQED last year, the recommendations medical professionals make about when to get a flu shot are based on the fact that it takes about two weeks after you get vaccinated for antibodies to develop and provide protection against the flu.\u003c/p>\n\u003cp>There is evidence, Chin-Hong said, that \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/28039340/\">your risk of getting the flu increases every month after your flu shot\u003c/a>, due to the antibodies waning over time. But when medical professionals talk about strategically \"waiting\" to get a flu shot, they're aiming that advice at those who are at particularly high risk for more serious complications related to the flu. That includes people over 65, those with chronic medical conditions, people who are pregnant or planning a pregnancy and kids under 5. \u003cstrong>\u003ca href=\"#pregnancy\">Read more about pregnancy and the flu shot. \u003c/a>\u003c/strong>\u003c/p>\n\u003cp>Delaying inoculations for these populations is based on the idea of getting the shot at a time Chin-Hong called \"the sweet spot,\" around mid-to-late October. Two weeks later, right around early November, the antibodies should have developed, just as flu season is getting serious.\u003c/p>\n\u003cp>Think of it as getting the \"biggest bang for your buck,\" Chin-Hong said. But ultimately, he added, \"Don't hem and haw about when to get it,\" — because there’s a risk you may wind up forgetting to get it at all. \u003ca href=\"https://www.kqed.org/news/11838604/when-should-you-get-your-flu-shot\">Read more about who might consider delaying their flu shot.\u003c/a>\u003c/p>\n\u003ch3>\u003cstrong>Will the flu vaccine definitely keep me from getting the flu? \u003c/strong>\u003c/h3>\n\u003cp>No. No vaccine is 100% effective. But if you do get the flu, the vaccine is likely to reduce your chance of getting very sick, being hospitalized or dying, Pavia says.\u003c/p>\n\u003cp>Before last year,\u003ca href=\"https://www.cdc.gov/flu/about/burden/index.html\"> tens of thousands of people\u003c/a> were hospitalized or died from the flu each year, usually people who weren't vaccinated.\u003c/p>\n\u003ch3>\u003ca id=\"covid\">\u003c/a>Can I get the flu and COVID-19 vaccines at the same time?\u003c/h3>\n\u003cp>Absolutely. The CDC had previously recommended spacing out the timing of the COVID-19 vaccine and other immunizations because the vaccines were so new, but \"that guidance has changed,\" says Grohskopf. The CDC now says it's safe to get both vaccines at once, she says. \"The body's immune response and side effects are generally the same as when getting one vaccine alone.\"\u003c/p>\n\u003cp>If you do get two shots on the same day, expect to get each vaccine in a different arm, which may reduce any pain and swelling that might occur.\u003c/p>\n\u003ch3>\u003cstrong>What about my COVID-19 booster shot — can I get that at the same time as my flu shot?\u003c/strong>\u003c/h3>\n\u003cp>Right now, third doses of COVID-19 vaccine are authorized only for people with certain immunocompromised conditions. If you qualify, you can get that extra dose and the flu shot on the same day. Once boosters are more broadly authorized, \"we'll be able to co-administer those shots with flu shots as well,\" said Lisa Kalajian, a district manager for CVS Health.\u003c/p>\n\u003cfigure id=\"attachment_11838735\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg class=\"size-full wp-image-11838735\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots.png\" alt=\"A person is seated receiving their flu shot from a medical professional\" width=\"1900\" height=\"1267\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots.png 1900w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots-800x533.png 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots-1020x680.png 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots-160x107.png 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots-1536x1024.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">Where can you get a free flu shot near you? And when should you get it? \u003ccite>(Homeless Coalition Flu Shot Clinic/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003cstrong>The delta variant is making me anxious about going to the doctor's office or pharmacy for a flu shot this year. Are there other choices?\u003c/strong>\u003c/h3>\n\u003cp>If you're concerned, aim for an off hour and call to make sure the provider (as well as you) will be masked.\u003c/p>\n\u003cp>If you're still worried, check with local clinics to see if there are any outdoor flu shot clinics in your area.\u003c/p>\n\u003ch3>\u003cstrong>How do I make sure I get the right flu shot for me and my family?\u003c/strong>\u003c/h3>\n\u003cp>\"While the most important thing is to get any flu shot, there are some specialized flu shots for specific groups,\" says Pavia. The key is usually age.\u003c/p>\n\u003cp>Kids 8 and younger who are getting the flu shot for the first time need two doses, given a month apart, says \u003ca href=\"https://www.bcm.edu/people-search/flor-munoz-rivas-27227\">Dr. Flor Munoz-Rivas,\u003c/a> a pediatric infectious disease specialist at Baylor College of Medicine. Strong immunity doesn't kick in until two weeks after the second shot, \"so parents should be scheduling these shots now,\" she says.\u003c/p>\n\u003cp>Immune systems weaken with age. That's why the CDC recommends that adults 65 and older get vaccinated with one of two souped-up flu shots: either the Fluzone High-Dose Quadrivalent vaccine or the FLUAD Quadrivalent vaccine. Both are designed to elicit a more robust immune response. If neither is available, then any flu shot is a good choice.\u003c/p>\n\u003ch3>\u003ca id=\"pregnancy\">\u003c/a>I'm pregnant. Should I get a flu shot?\u003c/h3>\n\u003cp>Yes. And if you're in your third trimester, the CDC advises you get a flu shot ASAP so you can pass on the protection to your newborn from day 1. \"Babies can't get the flu shot until they are 6 months old but are protected by their mother's antibodies from a flu shot — if she gets the shot — until 6 months, when they can get their own flu vaccine,\" says Grohskopf. Just be sure to get the shot, not the nasal spray.\u003c/p>\n\u003ch3>\u003cstrong>I have an allergy to eggs and heard I can't get a flu shot. Is that true?\u003c/strong>\u003c/h3>\n\u003cp>Not really, says the CDC's Grohskopf.\u003c/p>\n\u003cp>It's true that most flu shots and one nasal spray flu vaccine approved by the Food and Drug Administration are manufactured using egg-based technology, so they contain a small amount of egg proteins. But studies of both the nasal spray and the shots found that allergic reactions are very rare.\u003c/p>\n\u003cp>Two egg-free vaccines are available: Flublok Quadrivalent (for people 18 and older) and Flucelvax Quadrivalent (which is approved for ages 2 and up this season). But the CDC says people with a history of egg allergy can get any licensed, age-appropriate flu vaccine. If you have a history of severe allergic reaction to eggs, the CDC recommends you get your shot at a location where the staff can treat you if a rare allergic reaction does occur.\u003c/p>\n\u003ch3>\u003cstrong>I'm willing to take my chances, so why should I get the flu vaccine?\u003c/strong>\u003c/h3>\n\u003cp>With the pandemic still raging, skipping the flu shot is a much riskier proposition, says Dr. \u003ca href=\"https://www.mountsinai.org/profiles/bernard-camins\">Bernard Camins, \u003c/a>an infectious disease physician at the Mount Sinai Health System in New York City. \"You could get the flu and need care but find hospitals overwhelmed because of COVID, or get the flu and get COVID. And especially if you are not vaccinated against the coronavirus, [you] run the risk of your immune system being overwhelmed by two viruses at the same time.\" Getting back-to-back infections could result in more serious illness, since the first infection may have already weakened your lungs, says \u003ca href=\"https://einsteinmed.org/faculty/13966/priya-nori/#:~:text=Nori%20is%20associate%20professor%20of,surgery%20at%20Einstein%20and%20Montefiore.&text=Nori%20is%20associate%20professor%20of%20medicine%20and%20of%20orthopaedics%20at,antimicrobial%20stewardship%20program%20at%20Montefiore.\">Dr. Priya Nori\u003c/a>, an infectious disease specialist at the Albert Einstein College of Medicine.\u003c/p>\n\u003ch3>\u003cstrong>If I'm already vaccinated against COVID-19, does getting the flu shot mean I'm doubly protected and no longer have to wear a mask?\u003c/strong>\u003c/h3>\n\u003cp>Not at all. \"Don't stop the public health measures,\" says Pavia. Distancing, wearing a mask and washing your hands, especially after coughs and sneezes, can improve the chances that you and others will not get the flu — or COVID-19.\u003c/p>\n\u003ch3>\u003ca id=\"where\">\u003c/a>Where can I get a flu shot if I have insurance?\u003c/h3>\n\u003cp>If you have health insurance, a flu shot is available free without cost as a preventive service from your usual doctor or most pharmacies. (See below.)\u003c/p>\n\u003cp>Make sure you're wearing your mask, maintain social distancing wherever possible while waiting for your shot and dress in a top with sleeves you can easily pull up to your shoulder to make receiving the injection even easier (and quicker.)\u003c/p>\n\u003cp>\u003cstrong>Common places to find a flu shot appointment, walk-in site or drive-thru flu shot:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://vaccinefinder.org/find-vaccine\">CDC's Vaccine Finder tool\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://mydoctor.kaiserpermanente.org/ncal/cold-and-flu/prevention#/prevention\">Kaiser Permanente flu shots (Northern California) \u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.cvs.com/immunizations/flu\">CVS flu shots\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.walgreens.com/topic/pharmacy/seasonal-flu.jsp?ban=flu_fy21_influenzapage\">Walgreens flu shots \u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.costco.com/Pharmacy/adult-immunization-program.html\">Costco Pharmacy flu shots\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch3>Where can I get a flu shot if I \u003cem>don't\u003c/em> have health insurance?\u003c/h3>\n\u003cp>If you want a flu shot but don't have health insurance, you can get the vaccine free of charge from several providers and community clinics around the Bay Area. (You can also technically use these free services even if you do have insurance, but you may consider choosing to free up these particular resources for those who are not covered.)\u003c/p>\n\u003cp>For a start, your county's own public health department might offer them. For example, Santa Clara County is once again offering \u003ca href=\"https://publichealth.sccgov.org/disease-information/influenza-flu\">free flu shots at the County Fairgrounds in San Jose this year\u003c/a>.\u003c/p>\n\u003cp>Anyone can walk or bike up to the fairgrounds (parking is also available for those with disabilities) without an appointment and get vaccinated, regardless of insurance or immigration status. The county says that \u003ca href=\"https://publichealth.sccgov.org/disease-information/influenza-flu\">free flu shots will also soon become available at the Santa Clara Valley Medical Centers.\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Places to get a free or low-cost flu shot in the Bay Area include:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.sfcdcp.org/aitc/aitc-regular-prices-low-cost-or-free-vaccines/low-cost-or-free-vaccines-at-aitc/#stategf\">San Francisco Public Health's AITC Immunization & Travel Clinic\u003c/a> (offers a pay-what-you-can option, and says that nobody will be refused for inability to pay)\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/immunization/clinics.php#Uninsured\">Contra Costa Public Health Immunization Clinics\u003c/a> (flu shots are $15 for adults over 19, but fees may be waived if you're unable to pay)\u003c/li>\n\u003cli>\u003ca href=\"https://acphd.org/clinics/\">Alameda County Immunization Clinics\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cspan style=\"font-weight: 400;\">\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003ch3>And a reminder ... the flu vaccine can't 'give you the flu'\u003c/h3>\n\u003cp>The virus that the flu shot contains has been inactivated or severely weakened, so \u003ca href=\"https://www.cdc.gov/flu/prevent/misconceptions.htm#:~:text=Can%20a%20flu%20vaccine%20give,protein%20from%20the%20flu%20virus.\">you just aren't physically able to \"get the flu\" from your flu shot, says the CDC\u003c/a>. The \u003ca href=\"https://www.cdc.gov/flu/prevent/general.htm\">flu vaccine can cause side effects like any medical product\u003c/a>, but they're \"generally mild and go away on their own within a few days,\" the agency says.\u003c/p>\n\u003cp>Common flu shot side effects can include soreness or swelling at the injection site, headache, fever, nausea and muscle aches. But not flu.\u003c/p>\n\u003cp>\u003cem>KQED's Carly Severn contributed to this story.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=It%27s+Time+For+A+Flu+Shot.+Here%27s+What+You+Need+To+Know&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11887909/when-to-get-your-2021-flu-shot-and-how-it-works-with-covid-vaccines","authors":["byline_news_11887909"],"categories":["news_8"],"tags":["news_27350","news_28801","news_27504","news_22326","news_28567","news_18543"],"featImg":"news_11887910","label":"news"},"news_11838604":{"type":"posts","id":"news_11838604","meta":{"index":"posts_1591205157","site":"news","id":"11838604","score":null,"sort":[1600474680000]},"guestAuthors":[],"slug":"when-should-you-get-your-flu-shot","title":"When Should You Get Your Flu Shot?","publishDate":1600474680,"format":"image","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>The Centers for Disease Control and Prevention estimates that the flu has caused between \u003ca href=\"https://www.cdc.gov/flu/about/burden/\">12,000 and 61,000 deaths\u003c/a> annually since 2010. So it's always serious business.\u003c/p>\n\u003cp>But this year, amid the coronavirus pandemic, it's especially crucial to do everything you can to stay flu-free. Especially as \u003ca href=\"https://www.kqed.org/coronavirusliveupdates/news/11839496/california-officials-warn-the-flu-covid-19-could-overwhelm-hospitals\">officials are already warning\u003c/a> that a severe flu season could overwhelm California hospitals that are preparing for an uptick in COVID-19 cases as the economy further reopens.\u003c/p>\n\u003cp>Getting your flu shot is the best, safest way to not only protect yourself against the influenza virus, but also to minimize the chance you will spread it to others — folks who could be at far higher risk for serious complications or even death if they were to become infected.\u003c/p>\n\u003cp>In a recent press conference announcing the availability of free flu shots in Santa Clara County, county Executive Officer Dr. Jeff Smith issued a reminder that the flu vaccine will not protect against the coronavirus that causes COVID-19. But what the flu vaccine \u003cem>will\u003c/em> do, he said, \"is prevent you from ending up in the hospital,” which will help ensure that beds are available for COVID-19 patients.\u003c/p>\n\u003cp>Read on to find out if you should be getting your flu shot right now, and where to find free or low-cost flu shot options near you.\u003c/p>\n\u003ch3>Should you get a flu shot now, or wait?\u003c/h3>\n\u003cp>The recommendations medical professionals make about when to get a flu shot are based on the fact that it takes about two weeks after you get vaccinated for antibodies to develop and provide protection against the flu, says UCSF professor of medicine Dr. Peter Chin-Hong.\u003c/p>\n\u003cp>The CDC \u003ca href=\"https://www.cdc.gov/flu/about/season/flu-season-2018-2019.htm#:~:text=It%20takes%20about%20two%20weeks,by%20the%20end%20of%20October.\">recommends\u003c/a> that you plan to get your flu shot \"early in fall, before flu season begins,\" and definitely by the end of October.\u003c/p>\n\u003cfigure id=\"attachment_11838737\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg class=\"size-full wp-image-11838737\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2.png\" alt=\"\" width=\"1900\" height=\"1267\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2.png 1900w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2-800x533.png 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2-1020x680.png 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2-160x107.png 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2-1536x1024.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">It takes two weeks after your flu shot for your body to develop the antibodies it needs to protect you from the flu virus. \u003ccite>(Queen's University/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>There is \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/28039340/\" target=\"_blank\" rel=\"noopener noreferrer\">evidence\u003c/a>, Chin-Hong says, that your risk of getting the flu increases every month after your flu shot, due to the antibodies waning over time. (Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, recently said he \u003ca href=\"https://www.cnbc.com/2020/09/16/when-dr-anthony-fauci-gets-his-flu-shot-and-why.html\">gets his shot\u003c/a> \"towards the middle and end of October\" because of this diminishing immunity.)\u003c/p>\n\u003cp>But when medical professionals talk about strategically \"waiting\" to get a flu shot, says Chin-Hong, they're aiming that advice at those who are at particularly high risk for more serious complications related to the flu. That includes people over 65, those with chronic medical conditions, women who are pregnant or planning a pregnancy, and kids under 5.\u003c/p>\n\u003cp>Delaying inoculations for these populations is based on the idea of getting the shot at a time Chin-Hong calls \"the sweet spot,\" around mid-to-late October. Two weeks later, right around early November, the antibodies should have developed, just as flu season is getting serious. Think of it as getting the \"biggest bang for your buck,\" he said.\u003c/p>\n\u003cp>So if you're in one of those vulnerable categories? Yes, you can think about waiting, says Chin-Hong. People over 65 might also consider requesting the special flu vaccines for this age group, which contain four times the dosage of antigens that trigger the production of antibodies. But ultimately, he says, \"Don't hem and haw about when to get it,\" — because there’s a risk you may wind up forgetting to get it at all. \"\u003c/p>\n\u003cp>And if you do delay and change your mind, or just forget, that shouldn't stop you from getting the shot at a later date in the flu season, he says. Chin-Hong references\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7453691/\"> a recent UCSF study\u003c/a> that found just one-third of 437,000 Americans interviewed in an annual survey reported getting a flu shot from 2017-19. So, anytime is better than no time.\u003c/p>\n\u003cp>Santa Clara’s Dr. Jeff Smith also pointed out in his press conference that the longer you wait to get your flu shot, the more unprotected exposure to the virus you’ll put yourself through. So get your flu shot \"as early as you possibly can,\" he said, because \"waiting only means that you have a higher likelihood of getting the flu.\"\u003c/p>\n\u003cp>\u003cimg class=\"alignnone size-full wp-image-11838740\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3.png\" alt=\"\" width=\"1900\" height=\"1267\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3.png 1900w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3-800x533.png 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3-1020x680.png 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3-160x107.png 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3-1536x1024.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003c/p>\n\u003ch3>Where can I get a flu shot if I have insurance?\u003c/h3>\n\u003cp>If you have health insurance, a flu shot is available free without cost as a preventive service from your usual doctor, or most pharmacies. (See below.)\u003c/p>\n\u003cp>Make sure you're wearing your mask, maintain social distancing wherever possible while waiting for your shot, and dress in a top with sleeves you can easily pull up to your shoulder, to make receiving the injection even easier (and quicker.)\u003c/p>\n\u003cp>\u003cstrong>Common places to find a flu shot appointment, walk-in site or drive-thru flu shot:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://vaccinefinder.org/find-vaccine\">CDC's Vaccine Finder tool\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://mydoctor.kaiserpermanente.org/ncal/cold-and-flu/prevention#/prevention\">Kaiser Permanente flu shots (Northern California) \u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.cvs.com/immunizations/flu\">CVS flu shots\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.walgreens.com/topic/pharmacy/seasonal-flu.jsp?ban=flu_fy21_influenzapage\">Walgreens flu shots \u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.costco.com/Pharmacy/adult-immunization-program.html\">Costco Pharmacy flu shots\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch3>Where can I get a flu shot if I \u003cem>don't\u003c/em> have health insurance?\u003c/h3>\n\u003cp>If you want a flu shot but don't have health insurance, you can get the vaccine free of charge from several providers and community clinics around the Bay Area. (You can also technically use these free services even if you do have insurance, but you may consider choosing to free up these particular resources for those who are not covered.)\u003c/p>\n\u003cp>For a start, your county's own public health department might offer them. For example, Santa Clara County is now offering free flu shots at the County Fairgrounds in San Jose, every Saturday until mid-December.\u003c/p>\n\u003cp>Anyone can walk or bike up to the fairgrounds (parking is also available for those with disabilities) without an appointment and get vaccinated, regardless of insurance or immigration status; you only need to wear a mask. Free flu shots are also available from the county at the Valley Health Centers in San Jose and Sunnyvale.\u003c/p>\n\u003cp>More info \u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/press-release-09-17-20-free-flu-shots.aspx\">here\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Places to get a free or low-cost flu shot in the Bay Area include:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.sfcdcp.org/aitc/aitc-regular-prices-low-cost-or-free-vaccines/\">San Francisco Public Health's AITC Clinic\u003c/a> (offers a pay-what-you-can option, and says that nobody will be refused for inability to pay)\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/immunization/clinics.php#Uninsured\">Contra Costa Public Health Immunization Clinic\u003c/a> (flu shots are $15 for adults over 19, but fees may be waived if you're unable to pay)\u003c/li>\n\u003cli>\u003ca href=\"http://www.acphd.org/media/394923/general-vaccinations-clinics-20200913-eng.pdf\">Alameda County Immunization Clinics\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cspan style=\"font-weight: 400;\">[ad fullwidth]\u003c/span>\u003c/p>\n\u003ch3>And a reminder ... the flu vaccine can't 'give you the flu'\u003c/h3>\n\u003cp>The virus that the flu shot contains has been inactivated or severely weakened, so you just aren't physically able to \"get the flu\" from your flu shot, according to the \u003ca href=\"https://www.cdc.gov/flu/prevent/misconceptions.htm#:~:text=Can%20a%20flu%20vaccine%20give,protein%20from%20the%20flu%20virus.\" target=\"_blank\" rel=\"noopener noreferrer\">CDC\u003c/a>. The flu vaccine can cause side effects like any medical product, but they're \"generally mild and go away on their own within a few days,\" the agency \u003ca href=\"https://www.cdc.gov/flu/prevent/general.htm\" target=\"_blank\" rel=\"noopener noreferrer\">says\u003c/a>.\u003c/p>\n\u003cp>Common flu shot side effects can include soreness or swelling at the injection site, headache, fever, nausea and muscle aches. But not flu.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"Should you be getting your flu shot right now? Plus: Where to find free and low-cost flu shots near you.","status":"publish","parent":0,"modified":1600984719,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":26,"wordCount":1179},"headData":{"title":"When Should You Get Your Flu Shot? | KQED","description":"Should you be getting your flu shot right now? Plus: where to find free and low-cost flu shots near you in the Bay Area, without an apppointment.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"When Should You Get Your Flu Shot?","datePublished":"2020-09-19T00:18:00.000Z","dateModified":"2020-09-24T21:58:39.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11838604 https://ww2.kqed.org/news/?p=11838604","disqusUrl":"https://ww2.kqed.org/news/2020/09/18/when-should-you-get-your-flu-shot/","disqusTitle":"When Should You Get Your Flu Shot?","path":"/news/11838604/when-should-you-get-your-flu-shot","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Centers for Disease Control and Prevention estimates that the flu has caused between \u003ca href=\"https://www.cdc.gov/flu/about/burden/\">12,000 and 61,000 deaths\u003c/a> annually since 2010. So it's always serious business.\u003c/p>\n\u003cp>But this year, amid the coronavirus pandemic, it's especially crucial to do everything you can to stay flu-free. Especially as \u003ca href=\"https://www.kqed.org/coronavirusliveupdates/news/11839496/california-officials-warn-the-flu-covid-19-could-overwhelm-hospitals\">officials are already warning\u003c/a> that a severe flu season could overwhelm California hospitals that are preparing for an uptick in COVID-19 cases as the economy further reopens.\u003c/p>\n\u003cp>Getting your flu shot is the best, safest way to not only protect yourself against the influenza virus, but also to minimize the chance you will spread it to others — folks who could be at far higher risk for serious complications or even death if they were to become infected.\u003c/p>\n\u003cp>In a recent press conference announcing the availability of free flu shots in Santa Clara County, county Executive Officer Dr. Jeff Smith issued a reminder that the flu vaccine will not protect against the coronavirus that causes COVID-19. But what the flu vaccine \u003cem>will\u003c/em> do, he said, \"is prevent you from ending up in the hospital,” which will help ensure that beds are available for COVID-19 patients.\u003c/p>\n\u003cp>Read on to find out if you should be getting your flu shot right now, and where to find free or low-cost flu shot options near you.\u003c/p>\n\u003ch3>Should you get a flu shot now, or wait?\u003c/h3>\n\u003cp>The recommendations medical professionals make about when to get a flu shot are based on the fact that it takes about two weeks after you get vaccinated for antibodies to develop and provide protection against the flu, says UCSF professor of medicine Dr. Peter Chin-Hong.\u003c/p>\n\u003cp>The CDC \u003ca href=\"https://www.cdc.gov/flu/about/season/flu-season-2018-2019.htm#:~:text=It%20takes%20about%20two%20weeks,by%20the%20end%20of%20October.\">recommends\u003c/a> that you plan to get your flu shot \"early in fall, before flu season begins,\" and definitely by the end of October.\u003c/p>\n\u003cfigure id=\"attachment_11838737\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg class=\"size-full wp-image-11838737\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2.png\" alt=\"\" width=\"1900\" height=\"1267\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2.png 1900w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2-800x533.png 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2-1020x680.png 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2-160x107.png 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2-1536x1024.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">It takes two weeks after your flu shot for your body to develop the antibodies it needs to protect you from the flu virus. \u003ccite>(Queen's University/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>There is \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/28039340/\" target=\"_blank\" rel=\"noopener noreferrer\">evidence\u003c/a>, Chin-Hong says, that your risk of getting the flu increases every month after your flu shot, due to the antibodies waning over time. (Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, recently said he \u003ca href=\"https://www.cnbc.com/2020/09/16/when-dr-anthony-fauci-gets-his-flu-shot-and-why.html\">gets his shot\u003c/a> \"towards the middle and end of October\" because of this diminishing immunity.)\u003c/p>\n\u003cp>But when medical professionals talk about strategically \"waiting\" to get a flu shot, says Chin-Hong, they're aiming that advice at those who are at particularly high risk for more serious complications related to the flu. That includes people over 65, those with chronic medical conditions, women who are pregnant or planning a pregnancy, and kids under 5.\u003c/p>\n\u003cp>Delaying inoculations for these populations is based on the idea of getting the shot at a time Chin-Hong calls \"the sweet spot,\" around mid-to-late October. Two weeks later, right around early November, the antibodies should have developed, just as flu season is getting serious. Think of it as getting the \"biggest bang for your buck,\" he said.\u003c/p>\n\u003cp>So if you're in one of those vulnerable categories? Yes, you can think about waiting, says Chin-Hong. People over 65 might also consider requesting the special flu vaccines for this age group, which contain four times the dosage of antigens that trigger the production of antibodies. But ultimately, he says, \"Don't hem and haw about when to get it,\" — because there’s a risk you may wind up forgetting to get it at all. \"\u003c/p>\n\u003cp>And if you do delay and change your mind, or just forget, that shouldn't stop you from getting the shot at a later date in the flu season, he says. Chin-Hong references\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7453691/\"> a recent UCSF study\u003c/a> that found just one-third of 437,000 Americans interviewed in an annual survey reported getting a flu shot from 2017-19. So, anytime is better than no time.\u003c/p>\n\u003cp>Santa Clara’s Dr. Jeff Smith also pointed out in his press conference that the longer you wait to get your flu shot, the more unprotected exposure to the virus you’ll put yourself through. So get your flu shot \"as early as you possibly can,\" he said, because \"waiting only means that you have a higher likelihood of getting the flu.\"\u003c/p>\n\u003cp>\u003cimg class=\"alignnone size-full wp-image-11838740\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3.png\" alt=\"\" width=\"1900\" height=\"1267\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3.png 1900w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3-800x533.png 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3-1020x680.png 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3-160x107.png 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3-1536x1024.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003c/p>\n\u003ch3>Where can I get a flu shot if I have insurance?\u003c/h3>\n\u003cp>If you have health insurance, a flu shot is available free without cost as a preventive service from your usual doctor, or most pharmacies. (See below.)\u003c/p>\n\u003cp>Make sure you're wearing your mask, maintain social distancing wherever possible while waiting for your shot, and dress in a top with sleeves you can easily pull up to your shoulder, to make receiving the injection even easier (and quicker.)\u003c/p>\n\u003cp>\u003cstrong>Common places to find a flu shot appointment, walk-in site or drive-thru flu shot:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://vaccinefinder.org/find-vaccine\">CDC's Vaccine Finder tool\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://mydoctor.kaiserpermanente.org/ncal/cold-and-flu/prevention#/prevention\">Kaiser Permanente flu shots (Northern California) \u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.cvs.com/immunizations/flu\">CVS flu shots\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.walgreens.com/topic/pharmacy/seasonal-flu.jsp?ban=flu_fy21_influenzapage\">Walgreens flu shots \u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.costco.com/Pharmacy/adult-immunization-program.html\">Costco Pharmacy flu shots\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch3>Where can I get a flu shot if I \u003cem>don't\u003c/em> have health insurance?\u003c/h3>\n\u003cp>If you want a flu shot but don't have health insurance, you can get the vaccine free of charge from several providers and community clinics around the Bay Area. (You can also technically use these free services even if you do have insurance, but you may consider choosing to free up these particular resources for those who are not covered.)\u003c/p>\n\u003cp>For a start, your county's own public health department might offer them. For example, Santa Clara County is now offering free flu shots at the County Fairgrounds in San Jose, every Saturday until mid-December.\u003c/p>\n\u003cp>Anyone can walk or bike up to the fairgrounds (parking is also available for those with disabilities) without an appointment and get vaccinated, regardless of insurance or immigration status; you only need to wear a mask. Free flu shots are also available from the county at the Valley Health Centers in San Jose and Sunnyvale.\u003c/p>\n\u003cp>More info \u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/press-release-09-17-20-free-flu-shots.aspx\">here\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Places to get a free or low-cost flu shot in the Bay Area include:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.sfcdcp.org/aitc/aitc-regular-prices-low-cost-or-free-vaccines/\">San Francisco Public Health's AITC Clinic\u003c/a> (offers a pay-what-you-can option, and says that nobody will be refused for inability to pay)\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/immunization/clinics.php#Uninsured\">Contra Costa Public Health Immunization Clinic\u003c/a> (flu shots are $15 for adults over 19, but fees may be waived if you're unable to pay)\u003c/li>\n\u003cli>\u003ca href=\"http://www.acphd.org/media/394923/general-vaccinations-clinics-20200913-eng.pdf\">Alameda County Immunization Clinics\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cspan style=\"font-weight: 400;\">\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003ch3>And a reminder ... the flu vaccine can't 'give you the flu'\u003c/h3>\n\u003cp>The virus that the flu shot contains has been inactivated or severely weakened, so you just aren't physically able to \"get the flu\" from your flu shot, according to the \u003ca href=\"https://www.cdc.gov/flu/prevent/misconceptions.htm#:~:text=Can%20a%20flu%20vaccine%20give,protein%20from%20the%20flu%20virus.\" target=\"_blank\" rel=\"noopener noreferrer\">CDC\u003c/a>. The flu vaccine can cause side effects like any medical product, but they're \"generally mild and go away on their own within a few days,\" the agency \u003ca href=\"https://www.cdc.gov/flu/prevent/general.htm\" target=\"_blank\" rel=\"noopener noreferrer\">says\u003c/a>.\u003c/p>\n\u003cp>Common flu shot side effects can include soreness or swelling at the injection site, headache, fever, nausea and muscle aches. But not flu.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11838604/when-should-you-get-your-flu-shot","authors":["3243"],"categories":["news_8"],"tags":["news_27504","news_22326","news_28567","news_18543","news_20277","news_22327","news_981"],"featImg":"news_11838735","label":"news"},"news_11776173":{"type":"posts","id":"news_11776173","meta":{"index":"posts_1591205157","site":"news","id":"11776173","score":null,"sort":[1569361261000]},"guestAuthors":[],"slug":"2-flu-deaths-reported-in-santa-clara-county","title":"2 Flu Deaths Reported in Santa Clara County","publishDate":1569361261,"format":"standard","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>Two Santa Clara County residents, including a child, have died from influenza, county health department officials said Tuesday. The dates of their deaths were not released.\u003c/p>\n\u003cp>The child was previously healthy and had recently returned from traveling overseas. The adult, who was under 65, had an underlying chronic illness that put the individual at increased risk from the flu, said Dr. Sara Cody, county health officer and director of the Public Health Department.\u003c/p>\n\u003cp>\"From what we know, the adult would have gotten the infection here in Santa Clara County. They had an underlying chronic illness that would have put them at increased risk,\" Cody said during a Tuesday press conference. \"The child most likely acquired influenza while traveling abroad, and then got sick and died once returning to the county.”\u003c/p>\n\u003cp>Officials are investigating the deaths and haven't determined if the two individuals were vaccinated. Cody clarified that the two individuals were not related.\u003c/p>\n\u003cp>Due to medical privacy requirements, further details about the individuals will not be released, according to a county health department statement.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Flu season doesn't really obey a calendar. What we can say about flu season is that it's always unpredictable,\" Cody said. \"So I think that since we've had two flu deaths, we can certainly say that flu is here.\"\u003c/p>\n\u003cp>Cody said that it was very unusual to be reporting deaths so early in the flu season, before any significant uptick in reports of symptoms or infections requiring hospitalization.\u003c/p>\n\u003cp>But Cody also said that the California Department of Public Health has a robust influenza surveillance system with data from many health care systems, and that \"they're not seeing any increase in activity in Northern California above the usual.\"\u003c/p>\n\u003cp>In the 2018-2019 flu season, eight flu-related deaths were reported in Santa Clara County in people under 65.\u003c/p>\n\u003cp>While the flu vaccine is recommended for everyone 6 months and older, it is especially important for pregnant women, children younger than 5, adults 65 and older, and those with chronic medical conditions, such as heart disease, asthma and diabetes, county officials said. Cody also stressed it was important for travelers to get flu shots because influenza circulates throughout the world at all times — something underscored by the child’s death.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Santa Clara County's Public Health Department encourages individuals to obtain more information about the flu at their \u003ca href=\"https://www.sccgov.org/sites/phd/DiseaseInformation/Influenza/Pages/flu-home.aspx?mc_cid=3149c9b059&mc_eid=845a173e65\" target=\"_blank\" rel=\"noopener\">flu web page\u003c/a>.\u003c/p>\n\n","blocks":[],"excerpt":"Officials are investigating the death of one adult and one child and have not yet determined if they were vaccinated.","status":"publish","parent":0,"modified":1569361261,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":13,"wordCount":403},"headData":{"title":"2 Flu Deaths Reported in Santa Clara County | KQED","description":"Officials are investigating the death of one adult and one child and have not yet determined if they were vaccinated.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"2 Flu Deaths Reported in Santa Clara County","datePublished":"2019-09-24T21:41:01.000Z","dateModified":"2019-09-24T21:41:01.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11776173 https://ww2.kqed.org/news/?p=11776173","disqusUrl":"https://ww2.kqed.org/news/2019/09/24/2-flu-deaths-reported-in-santa-clara-county/","disqusTitle":"2 Flu Deaths Reported in Santa Clara County","path":"/news/11776173/2-flu-deaths-reported-in-santa-clara-county","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Two Santa Clara County residents, including a child, have died from influenza, county health department officials said Tuesday. The dates of their deaths were not released.\u003c/p>\n\u003cp>The child was previously healthy and had recently returned from traveling overseas. The adult, who was under 65, had an underlying chronic illness that put the individual at increased risk from the flu, said Dr. Sara Cody, county health officer and director of the Public Health Department.\u003c/p>\n\u003cp>\"From what we know, the adult would have gotten the infection here in Santa Clara County. They had an underlying chronic illness that would have put them at increased risk,\" Cody said during a Tuesday press conference. \"The child most likely acquired influenza while traveling abroad, and then got sick and died once returning to the county.”\u003c/p>\n\u003cp>Officials are investigating the deaths and haven't determined if the two individuals were vaccinated. Cody clarified that the two individuals were not related.\u003c/p>\n\u003cp>Due to medical privacy requirements, further details about the individuals will not be released, according to a county health department statement.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Flu season doesn't really obey a calendar. What we can say about flu season is that it's always unpredictable,\" Cody said. \"So I think that since we've had two flu deaths, we can certainly say that flu is here.\"\u003c/p>\n\u003cp>Cody said that it was very unusual to be reporting deaths so early in the flu season, before any significant uptick in reports of symptoms or infections requiring hospitalization.\u003c/p>\n\u003cp>But Cody also said that the California Department of Public Health has a robust influenza surveillance system with data from many health care systems, and that \"they're not seeing any increase in activity in Northern California above the usual.\"\u003c/p>\n\u003cp>In the 2018-2019 flu season, eight flu-related deaths were reported in Santa Clara County in people under 65.\u003c/p>\n\u003cp>While the flu vaccine is recommended for everyone 6 months and older, it is especially important for pregnant women, children younger than 5, adults 65 and older, and those with chronic medical conditions, such as heart disease, asthma and diabetes, county officials said. Cody also stressed it was important for travelers to get flu shots because influenza circulates throughout the world at all times — something underscored by the child’s death.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Santa Clara County's Public Health Department encourages individuals to obtain more information about the flu at their \u003ca href=\"https://www.sccgov.org/sites/phd/DiseaseInformation/Influenza/Pages/flu-home.aspx?mc_cid=3149c9b059&mc_eid=845a173e65\" target=\"_blank\" rel=\"noopener\">flu web page\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11776173/2-flu-deaths-reported-in-santa-clara-county","authors":["104","248"],"categories":["news_457","news_8"],"tags":["news_22326","news_22327","news_18188"],"featImg":"news_11697631","label":"news"},"futureofyou_444918":{"type":"posts","id":"futureofyou_444918","meta":{"index":"posts_1591205157","site":"futureofyou","id":"444918","score":null,"sort":[1539100803000]},"guestAuthors":[],"slug":"how-city-size-impacts-the-severity-of-flu-season","title":"How City Size Impacts the Severity of Flu Season","publishDate":1539100803,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>The length of the \u003ca href=\"https://www.statnews.com/2018/09/26/cdc-us-flu-deaths-winter/\" target=\"_blank\" rel=\"noopener\">flu season\u003c/a> may vary depending on where you live, with large cities enduring longer periods of transmission and smaller cities experiencing shorter, but more explosive, spread, a new study suggests.[contextly_sidebar id=\"x5n5Lo7fgVHdWAKOVx3fr6K7JZjGLMsB\"]\u003c/p>\n\u003cp>The \u003ca href=\"https://www.statnews.com/2018/10/04/flu-season-may-stretch-longer-in-big-cities/\" target=\"_blank\" rel=\"noopener\">study \u003c/a>doesn’t assert that one’s risk of contracting influenza varies depending on the size of any given community. Rather, it argues that in less populous places, flu needs the right atmospheric conditions to spread effectively.\u003c/p>\n\u003cp>In large cities, those conditions don’t matter quite as much.\u003c/p>\n\u003cp>“If there’s lots of people and transportation patterns frequently bring them together, it helps the virus find new hosts even when climate conditions aren’t at their most favorable,” explained lead author Benjamin Dalziel, an assistant professor in the department of integrative biology at Oregon State University in Corvallis.\u003c/p>\n\u003cp>The finding suggests a one-size-fits-all approach to flu season preparedness won’t work. If the study is correct, small centers should work on surge capacity — their ability to handle a lot of sick people over a short period of time — while larger cities should find ways to reduce transmission, said Jacco Wallinga, an expert on infectious diseases modeling at the National Institute for Public Health and the Environment in the Netherlands.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“This is important for policymakers because it indicates that metropolitan areas should focus on reducing influenza spread, whereas small towns should focus on reducing harm,” Wallinga wrote in a \u003ca href=\"http://science.sciencemag.org/content/362/6410/29\" target=\"_blank\" rel=\"noopener\">commentary \u003c/a>on the paper, which was published alongside it Thursday in the journal Science.[contextly_sidebar id=\"Gn9g9r2BXGVHmmbiJ9A2DrWrh8ktrDcE\"]\u003c/p>\n\u003cp>Influenza is famously unpredictable. It’s not uncommon to hear people who have studied it for decades describe the virus as “humbling.”\u003c/p>\n\u003cp>Experts know there will be a surge of influenza infections at some point in the year; in the Northern Hemisphere that period typically falls in the stretch from late autumn through late winter or early spring. But some years the peak of infections will occur over Christmas and other times the sickest point in the season will come in late February or even March.\u003c/p>\n\u003cp>It’s not fully understood why flu behaves this way. Time spent indoors during the winter, when their immune systems may not be as robust, is thought to be a factor.\u003c/p>\n\u003cp>Dalziel and his co-authors set out to look at the role specific humidity levels — how much moisture there is in the air — play in flu transmission. They used a large amount of data: weekly health insurance claims from people who sought care for influenza-like illness. The researchers had data by ZIP code for six years, from 2002 to 2008, for roughly 603 cities in the United States.\u003c/p>\n\u003cp>What they saw was that in small cities, the curve of a flu season was sharp. Regardless of whether a lot of people got sick in a flu season or whether fewer were struck in a particular year, most of the infections occurred over a short period of time, making for a “spiky” epidemic curve.\u003c/p>\n\u003cp>But the pattern in large cities was different. The curve was lower and longer — more diffuse. It didn’t mean that fewer people got sick, but that infections were spread out over a longer period of time.\u003c/p>\n\u003cp>It meant that flu viruses were still able to spread from person to person in large cities even when climatic conditions weren’t ideal.\u003c/p>\n\u003cp>Dalziel, who admitted the big-city pattern wasn’t what he and his colleagues were expecting, said the small city outbreaks were “explosive” while the big city epidemics “smoldered.”\u003c/p>\n\u003cp>Their conclusion was that specific humidity didn’t matter as much in places where large numbers of people live.\u003c/p>\n\u003cp>“The flu is able to spread under a wider envelop of climatic conditions in the metropolises, because of highly organized movement patterns that put people into such close proximity that the specific humidity starts to matter less,” Dalziel said. “In metropolises, flu is able to eke out a living because there’s more highly organized close contact.”\u003c/p>\n\u003cp>Seema Lakdawala, who studies influenza transmission, described the finding as fascinating.\u003c/p>\n\u003cp>“What they’re showing is that the transmission dynamics within intense urban areas is more perpetual,” said Lakdawala, an assistant professor in the department of microbiology and molecular genetics at the University of Pittsburgh School of Medicine.\u003c/p>\n\u003cp>Lakdawala studies how the flu virus is transmitted — through droplets of saliva or mucus that can only travel short distances, or through aerosols, which can hang in the air longer. Her read of this study suggested to her that in smaller places, aerosolized viruses may play more of a role in transmission, and those may be more dependent on climatic conditions. But in large centers where people are more densely packed, transmission over short distances — which is less climate-dependent — can get the job done.[contextly_sidebar id=\"eYd72fXTu5jD6vzseb6AQMPC5fhHGdol\"]\u003c/p>\n\u003cp>“Since I’ve been thinking about the importance and the contribution of short-range versus long-range transmission for so long, to me it really fits,” said Lakdawala, who was not involved in the research.\u003c/p>\n\u003cp>“In intense urban areas, we’re indoors more often. So this idea that there is transmission occurring universally, constantly, in these environments that isn’t necessarily driven by seasonality of humidity is really fascinating,” she said. “And it really fits with what we think is happening — that these long-range transmission events may be more sensitive to humidity conditions, and they may be happening more in less populated areas.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ci>\u003cspan style=\"font-weight: 400\">This \u003c/span>\u003c/i>\u003ca href=\"https://www.statnews.com/2018/10/04/flu-season-may-stretch-longer-in-big-cities/\" target=\"_blank\" rel=\"noopener\">\u003ci>\u003cspan style=\"font-weight: 400\">story\u003c/span>\u003c/i>\u003c/a>\u003ci>\u003cspan style=\"font-weight: 400\"> was originally published by STAT, an online publication of Boston Globe Media that covers health, medicine, and scientific discovery.\u003c/span>\u003c/i>\u003c/p>\n\n","blocks":[],"excerpt":"A new study says large cities endure longer periods of flu transmission while smaller cities experience shorter, but more explosive, spread.","status":"publish","parent":0,"modified":1539039229,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":24,"wordCount":982},"headData":{"title":"How City Size Impacts the Severity of Flu Season | KQED","description":"A new study says large cities endure longer periods of flu transmission while smaller cities experience shorter, but more explosive, spread.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"How City Size Impacts the Severity of Flu Season","datePublished":"2018-10-09T16:00:03.000Z","dateModified":"2018-10-08T22:53:49.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"444918 https://ww2.kqed.org/futureofyou/?p=444918","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/10/09/how-city-size-impacts-the-severity-of-flu-season/","disqusTitle":"How City Size Impacts the Severity of Flu Season","source":"DIY Health","nprByline":"Helen Branswell\u003cbr />STAT","path":"/futureofyou/444918/how-city-size-impacts-the-severity-of-flu-season","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The length of the \u003ca href=\"https://www.statnews.com/2018/09/26/cdc-us-flu-deaths-winter/\" target=\"_blank\" rel=\"noopener\">flu season\u003c/a> may vary depending on where you live, with large cities enduring longer periods of transmission and smaller cities experiencing shorter, but more explosive, spread, a new study suggests.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The \u003ca href=\"https://www.statnews.com/2018/10/04/flu-season-may-stretch-longer-in-big-cities/\" target=\"_blank\" rel=\"noopener\">study \u003c/a>doesn’t assert that one’s risk of contracting influenza varies depending on the size of any given community. Rather, it argues that in less populous places, flu needs the right atmospheric conditions to spread effectively.\u003c/p>\n\u003cp>In large cities, those conditions don’t matter quite as much.\u003c/p>\n\u003cp>“If there’s lots of people and transportation patterns frequently bring them together, it helps the virus find new hosts even when climate conditions aren’t at their most favorable,” explained lead author Benjamin Dalziel, an assistant professor in the department of integrative biology at Oregon State University in Corvallis.\u003c/p>\n\u003cp>The finding suggests a one-size-fits-all approach to flu season preparedness won’t work. If the study is correct, small centers should work on surge capacity — their ability to handle a lot of sick people over a short period of time — while larger cities should find ways to reduce transmission, said Jacco Wallinga, an expert on infectious diseases modeling at the National Institute for Public Health and the Environment in the Netherlands.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“This is important for policymakers because it indicates that metropolitan areas should focus on reducing influenza spread, whereas small towns should focus on reducing harm,” Wallinga wrote in a \u003ca href=\"http://science.sciencemag.org/content/362/6410/29\" target=\"_blank\" rel=\"noopener\">commentary \u003c/a>on the paper, which was published alongside it Thursday in the journal Science.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Influenza is famously unpredictable. It’s not uncommon to hear people who have studied it for decades describe the virus as “humbling.”\u003c/p>\n\u003cp>Experts know there will be a surge of influenza infections at some point in the year; in the Northern Hemisphere that period typically falls in the stretch from late autumn through late winter or early spring. But some years the peak of infections will occur over Christmas and other times the sickest point in the season will come in late February or even March.\u003c/p>\n\u003cp>It’s not fully understood why flu behaves this way. Time spent indoors during the winter, when their immune systems may not be as robust, is thought to be a factor.\u003c/p>\n\u003cp>Dalziel and his co-authors set out to look at the role specific humidity levels — how much moisture there is in the air — play in flu transmission. They used a large amount of data: weekly health insurance claims from people who sought care for influenza-like illness. The researchers had data by ZIP code for six years, from 2002 to 2008, for roughly 603 cities in the United States.\u003c/p>\n\u003cp>What they saw was that in small cities, the curve of a flu season was sharp. Regardless of whether a lot of people got sick in a flu season or whether fewer were struck in a particular year, most of the infections occurred over a short period of time, making for a “spiky” epidemic curve.\u003c/p>\n\u003cp>But the pattern in large cities was different. The curve was lower and longer — more diffuse. It didn’t mean that fewer people got sick, but that infections were spread out over a longer period of time.\u003c/p>\n\u003cp>It meant that flu viruses were still able to spread from person to person in large cities even when climatic conditions weren’t ideal.\u003c/p>\n\u003cp>Dalziel, who admitted the big-city pattern wasn’t what he and his colleagues were expecting, said the small city outbreaks were “explosive” while the big city epidemics “smoldered.”\u003c/p>\n\u003cp>Their conclusion was that specific humidity didn’t matter as much in places where large numbers of people live.\u003c/p>\n\u003cp>“The flu is able to spread under a wider envelop of climatic conditions in the metropolises, because of highly organized movement patterns that put people into such close proximity that the specific humidity starts to matter less,” Dalziel said. “In metropolises, flu is able to eke out a living because there’s more highly organized close contact.”\u003c/p>\n\u003cp>Seema Lakdawala, who studies influenza transmission, described the finding as fascinating.\u003c/p>\n\u003cp>“What they’re showing is that the transmission dynamics within intense urban areas is more perpetual,” said Lakdawala, an assistant professor in the department of microbiology and molecular genetics at the University of Pittsburgh School of Medicine.\u003c/p>\n\u003cp>Lakdawala studies how the flu virus is transmitted — through droplets of saliva or mucus that can only travel short distances, or through aerosols, which can hang in the air longer. Her read of this study suggested to her that in smaller places, aerosolized viruses may play more of a role in transmission, and those may be more dependent on climatic conditions. But in large centers where people are more densely packed, transmission over short distances — which is less climate-dependent — can get the job done.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>“Since I’ve been thinking about the importance and the contribution of short-range versus long-range transmission for so long, to me it really fits,” said Lakdawala, who was not involved in the research.\u003c/p>\n\u003cp>“In intense urban areas, we’re indoors more often. So this idea that there is transmission occurring universally, constantly, in these environments that isn’t necessarily driven by seasonality of humidity is really fascinating,” she said. “And it really fits with what we think is happening — that these long-range transmission events may be more sensitive to humidity conditions, and they may be happening more in less populated areas.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ci>\u003cspan style=\"font-weight: 400\">This \u003c/span>\u003c/i>\u003ca href=\"https://www.statnews.com/2018/10/04/flu-season-may-stretch-longer-in-big-cities/\" target=\"_blank\" rel=\"noopener\">\u003ci>\u003cspan style=\"font-weight: 400\">story\u003c/span>\u003c/i>\u003c/a>\u003ci>\u003cspan style=\"font-weight: 400\"> was originally published by STAT, an online publication of Boston Globe Media that covers health, medicine, and scientific discovery.\u003c/span>\u003c/i>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/444918/how-city-size-impacts-the-severity-of-flu-season","authors":["byline_futureofyou_444918"],"categories":["futureofyou_1060","futureofyou_73"],"tags":["futureofyou_1622","futureofyou_662","futureofyou_1455","futureofyou_652"],"collections":["futureofyou_1093"],"featImg":"futureofyou_444920","label":"source_futureofyou_444918"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.","airtime":"MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/All-Things-Considered-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/all-things-considered/","meta":{"site":"news","source":"npr"},"link":"/radio/program/all-things-considered"},"american-suburb-podcast":{"id":"american-suburb-podcast","title":"American Suburb: The Podcast","tagline":"The flip side of gentrification, told through one town","info":"Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. 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You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"2"},"link":"/podcasts/mindshift","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5","npr":"https://www.npr.org/podcasts/464615685/mind-shift-podcast","stitcher":"https://www.stitcher.com/podcast/kqed/stories-teachers-share","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"morning-edition":{"id":"morning-edition","title":"Morning Edition","info":"\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. 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On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. 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