You May Want to Hold Off on Getting Your Flu Shot, Doctors Say
What Offers Better Immunity: The Flu Vaccine or the Flu Itself?
Why You Can't Get the Flu from the Flu Shot (Video)
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So are incentives: CVS offers a 20-percent-off shopping pass for everyone who gets a shot, while Walgreens donates toward international vaccination efforts.\u003c/p>\n\u003cp>The start of flu season is still weeks — if not months — away. Yet marketing of the vaccine has become an almost year-round effort, beginning when the shots become available in August and hyped as long as the supply lasts, often into April or May.\u003c/p>\n\u003cp>Not that long ago, most flu-shot campaigns started as the leaves began to turn in October. But the rise of retail medical clinics inside drug stores over the past decade — and state laws allowing pharmacists to give vaccinations — has stretched the flu-shot season.\u003c/p>\n\u003cp>The stores have figured out how “to deliver medical services in an on-demand way” which appeals to customers, particularly millennials, said Tom Charland, founder and CEO of Merchant Medicine, which tracks the walk-in clinic industry. “It’s a way to get people into the store to buy other things.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But some experts say the marketing may be overtaking medical wisdom since it’s unclear how long the immunity imparted by the vaccine lasts, particularly in older people.\u003c/p>\n\u003cp>Federal health officials say it’s better to get the shot whenever you can. An early flu shot is better than no flu shot at all. But the science is mixed when it comes to how long a flu shot promoted and given during the waning days of summer will provide optimal protection, especially because flu season generally peaks in mid-winter or beyond. Experts are divided on how patients should respond to such offers.\u003c/p>\n\u003cp>“If you’re over 65, don’t get the flu vaccine in September. Or August. It’s a marketing scheme,” said Laura Haynes, an immunologist at the University of Connecticut Center on Aging.\u003c/p>\n\u003cp>That’s because a combination of factors makes it more difficult for the immune systems of people older than age 65 to respond to the vaccination in the first place. And its protective effects may wear off faster for this age group than it does for young people.\u003c/p>\n\u003cp>When is the best time to vaccinate? It’s a question even doctors have.\u003c/p>\n\u003cp>“Should I wait until October or November to vaccinate my elderly or medically frail patients?” That’s one of the queries on the website of the board that advises the Centers for Disease Control and Prevention on immunizations. The answer is that it is safe to make the shots available to all age groups when the vaccine becomes available, although it does include a caution.\u003c/p>\n\u003cp>The board says antibodies created by the vaccine decline in the months following vaccination “primarily affecting persons age 65 and older,” citing a study done during the 2011-2012 flu season. Still, while “delaying vaccination might permit greater immunity later in the season,” the CDC notes that “deferral could result in missed opportunities to vaccinate.”\u003c/p>\n\u003cp>How long will the immunity last?\u003c/p>\n\u003cp>“The data are very mixed,” said. John J. Treanor, a vaccine expert at the University of Rochester medical school. Some studies suggest vaccines lose some protectiveness during the course of a single flu season. Flu activity generally starts in the fall, but peaks in January or February and can run into the spring.\u003c/p>\n\u003cp>“So some might worry that if [they] got vaccinated very early and flu didn’t show up until very late, it might not work as well,” he said.\u003c/p>\n\u003cp>But other studies “show you still have protection from the shot you got last year if it’s a year when the strains didn’t change, Treanor said.\u003c/p>\n\u003cp>In any given flu season, vaccine effectiveness varies. One factor is how well the vaccines match the virus that is actually prevalent. Other factors influencing effectiveness include the age and general health of the recipient. In the overall population, the CDC says studies show vaccines can reduce the risk of flu by about 50 to 60 percent when the vaccines are well matched.\u003c/p>\n\u003cp>Health officials say it’s especially important to vaccinate children because they often spread the disease, are better able to develop antibodies from the vaccines and, if they don’t get sick, they won’t expose grandma and grandpa. While most people who get the flu recover, it is a serious disease responsible for many deaths each year, particularly among older adults and young children. Influenza’s intensity varies annually, with the CDC saying deaths associated with the flu have ranged from about 3,300 a year to 49,000 during the past 31 seasons.\u003c/p>\n\u003cp>To develop vaccines, manufacturers and scientists study what’s circulating in the Southern Hemisphere during its winter, which is our summer. Then — based on that evidence — forecast what flu strains might circulate here to make vaccines that are generally delivered in late July.\u003c/p>\n\u003cp>For the upcoming season, the vaccines will include three or four strains, including two A strains, an H1N1 and an H3N2, as well as one or two B strains, according to the CDC. It recommends that everyone older than 6 months get vaccinated, unless they have health conditions that would prevent it.\u003c/p>\n\u003cp>The vaccines can’t give a person the flu because the virus is killed before it’s included in the shot. This year, the nasal vaccine is not recommended for use, as studies showed it was not effective during several of the past flu seasons.\u003c/p>\n\u003cp>But when to go?\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“The ideal time is between Halloween and Thanksgiving,” said Haynes at UConn. “If you can’t wait and the only chance is to get it in September, then go ahead and get it. It’s best to get it early rather than not at all.”\u003c/p>\n\n","blocks":[],"excerpt":"Ads say, \"Get your flu shot today.\" But it’s unclear how long the vaccine's effects last, particularly in older people.","status":"publish","parent":0,"modified":1473961370,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":25,"wordCount":1014},"headData":{"title":"You May Want to Hold Off on Getting Your Flu Shot, Doctors Say | KQED","description":"Ads say, "Get your flu shot today." But it’s unclear how long the vaccine's effects last, particularly in older people.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"You May Want to Hold Off on Getting Your Flu Shot, Doctors Say","datePublished":"2016-09-15T17:31:32.000Z","dateModified":"2016-09-15T17:42:50.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"237477 http://ww2.kqed.org/stateofhealth/?p=237477","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/09/15/you-may-want-to-hold-off-on-getting-your-flu-shot-doctors-say/","disqusTitle":"You May Want to Hold Off on Getting Your Flu Shot, Doctors Say","nprByline":"Julie Appleby \u003c/a>\u003cbr>\u003ca href=\"http://khn.org/\">Kaiser Health News\u003c/a>\u003c/strong>","path":"/stateofhealth/237477/you-may-want-to-hold-off-on-getting-your-flu-shot-doctors-say","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The pharmacy chain pitches started in August: Come in and get your flu shot.\u003c/p>\n\u003cp>Convenience is touted. So are incentives: CVS offers a 20-percent-off shopping pass for everyone who gets a shot, while Walgreens donates toward international vaccination efforts.\u003c/p>\n\u003cp>The start of flu season is still weeks — if not months — away. Yet marketing of the vaccine has become an almost year-round effort, beginning when the shots become available in August and hyped as long as the supply lasts, often into April or May.\u003c/p>\n\u003cp>Not that long ago, most flu-shot campaigns started as the leaves began to turn in October. But the rise of retail medical clinics inside drug stores over the past decade — and state laws allowing pharmacists to give vaccinations — has stretched the flu-shot season.\u003c/p>\n\u003cp>The stores have figured out how “to deliver medical services in an on-demand way” which appeals to customers, particularly millennials, said Tom Charland, founder and CEO of Merchant Medicine, which tracks the walk-in clinic industry. “It’s a way to get people into the store to buy other things.”\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>But some experts say the marketing may be overtaking medical wisdom since it’s unclear how long the immunity imparted by the vaccine lasts, particularly in older people.\u003c/p>\n\u003cp>Federal health officials say it’s better to get the shot whenever you can. An early flu shot is better than no flu shot at all. But the science is mixed when it comes to how long a flu shot promoted and given during the waning days of summer will provide optimal protection, especially because flu season generally peaks in mid-winter or beyond. Experts are divided on how patients should respond to such offers.\u003c/p>\n\u003cp>“If you’re over 65, don’t get the flu vaccine in September. Or August. It’s a marketing scheme,” said Laura Haynes, an immunologist at the University of Connecticut Center on Aging.\u003c/p>\n\u003cp>That’s because a combination of factors makes it more difficult for the immune systems of people older than age 65 to respond to the vaccination in the first place. And its protective effects may wear off faster for this age group than it does for young people.\u003c/p>\n\u003cp>When is the best time to vaccinate? It’s a question even doctors have.\u003c/p>\n\u003cp>“Should I wait until October or November to vaccinate my elderly or medically frail patients?” That’s one of the queries on the website of the board that advises the Centers for Disease Control and Prevention on immunizations. The answer is that it is safe to make the shots available to all age groups when the vaccine becomes available, although it does include a caution.\u003c/p>\n\u003cp>The board says antibodies created by the vaccine decline in the months following vaccination “primarily affecting persons age 65 and older,” citing a study done during the 2011-2012 flu season. Still, while “delaying vaccination might permit greater immunity later in the season,” the CDC notes that “deferral could result in missed opportunities to vaccinate.”\u003c/p>\n\u003cp>How long will the immunity last?\u003c/p>\n\u003cp>“The data are very mixed,” said. John J. Treanor, a vaccine expert at the University of Rochester medical school. Some studies suggest vaccines lose some protectiveness during the course of a single flu season. Flu activity generally starts in the fall, but peaks in January or February and can run into the spring.\u003c/p>\n\u003cp>“So some might worry that if [they] got vaccinated very early and flu didn’t show up until very late, it might not work as well,” he said.\u003c/p>\n\u003cp>But other studies “show you still have protection from the shot you got last year if it’s a year when the strains didn’t change, Treanor said.\u003c/p>\n\u003cp>In any given flu season, vaccine effectiveness varies. One factor is how well the vaccines match the virus that is actually prevalent. Other factors influencing effectiveness include the age and general health of the recipient. In the overall population, the CDC says studies show vaccines can reduce the risk of flu by about 50 to 60 percent when the vaccines are well matched.\u003c/p>\n\u003cp>Health officials say it’s especially important to vaccinate children because they often spread the disease, are better able to develop antibodies from the vaccines and, if they don’t get sick, they won’t expose grandma and grandpa. While most people who get the flu recover, it is a serious disease responsible for many deaths each year, particularly among older adults and young children. Influenza’s intensity varies annually, with the CDC saying deaths associated with the flu have ranged from about 3,300 a year to 49,000 during the past 31 seasons.\u003c/p>\n\u003cp>To develop vaccines, manufacturers and scientists study what’s circulating in the Southern Hemisphere during its winter, which is our summer. Then — based on that evidence — forecast what flu strains might circulate here to make vaccines that are generally delivered in late July.\u003c/p>\n\u003cp>For the upcoming season, the vaccines will include three or four strains, including two A strains, an H1N1 and an H3N2, as well as one or two B strains, according to the CDC. It recommends that everyone older than 6 months get vaccinated, unless they have health conditions that would prevent it.\u003c/p>\n\u003cp>The vaccines can’t give a person the flu because the virus is killed before it’s included in the shot. This year, the nasal vaccine is not recommended for use, as studies showed it was not effective during several of the past flu seasons.\u003c/p>\n\u003cp>But when to go?\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“The ideal time is between Halloween and Thanksgiving,” said Haynes at UConn. “If you can’t wait and the only chance is to get it in September, then go ahead and get it. It’s best to get it early rather than not at all.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/237477/you-may-want-to-hold-off-on-getting-your-flu-shot-doctors-say","authors":["byline_stateofhealth_237477"],"categories":["stateofhealth_2746"],"tags":["stateofhealth_2808","stateofhealth_403","stateofhealth_2583","stateofhealth_385","stateofhealth_2519"],"featImg":"stateofhealth_237493","label":"stateofhealth"},"stateofhealth_152601":{"type":"posts","id":"stateofhealth_152601","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"152601","score":null,"sort":[1456337361000]},"guestAuthors":[],"slug":"better-immunity-from-flu-vaccine-or-flu-itself","title":"What Offers Better Immunity: The Flu Vaccine or the Flu Itself?","publishDate":1456337361,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>This year’s flu season has been \u003ca href=\"http://www.latimes.com/local/lanow/la-me-ln-february-flu-20160211-story.html\" target=\"_blank\">fairly mild\u003c/a> so far, as predicted. But also as \u003ca href=\"http://fortune.com/2015/12/17/flu-season-february/\">predicted\u003c/a>, flu cases have been picking up, in line with the expected February peak this year. The most \u003ca href=\"http://www.cdc.gov/flu/weekly/summary.htm\">recent report\u003c/a> from the Centers for Disease Control and Prevention shows an increase in influenza-like illnesses and notes that it’s never too late to get vaccinated.\u003c/p>\n\u003caside class=\"pullquote alignright\">The big problem with immunity you might get from having the flu ... is that you have to actually get the flu. It can be a serious illness.\u003c/aside>\n\u003cp>But the flu vaccines varies widely in its effectiveness from year to year. So, how worthwhile is it, really? You could instead take your chances with the flu, and if you get it, you’ll have even better immunity to the flu in the future anyway, right?\u003c/p>\n\u003cp>Unfortunately, it’s not that simple.\u003c/p>\n\u003cp>There are two things to unpack here: how effective the flu vaccine is and whether getting the flu might protect someone more than the vaccine from future illness. Both of these start with understanding the virus itself.\u003c/p>\n\u003cp>“What makes the flu virus so confusing and tricky is it mutates,” explained Dr. Kawsar R. Talaat with the Center For Immunization Research at Johns Hopkins Bloomberg School of Public Health. “When it makes copies of itself, it does so sloppily, and there are mistakes made,” Talaat said. “Some of those mistakes don’t work — the virus doesn’t leave the cell or dies — but occasionally in the copying process, it allows the virus to be a little bit better at infecting the next person.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The influenza virus also mutates very rapidly, explained Litjen Tan, Ph.D., chief strategy officer for the \u003ca href=\"http://www.immunize.org/\">Immunization Action Coalition\u003c/a>.\u003c/p>\n\u003cp>“With flu, we’re dealing with a very cool virus,” Tan said. “It’s got these great ways of switching around its genes so it can look different, and it wants to look different so it can better evade the immune system.”\u003c/p>\n\u003cp>These rapid mutations account for the different strains among the \u003ca href=\"http://www.cdc.gov/flu/about/viruses/types.htm\" target=\"_blank\">four basic types\u003c/a> of flu viruses that infect humans. That variety of strains partly explains the variation in the flu vaccine’s effectiveness. To make an effective vaccine, public health officials must predict which strains will be circulating almost a year ahead of time, all while the virus is a moving target.\u003c/p>\n\u003cp>The vaccine’s effectiveness falls short for other reasons too, Talaat said.\u003c/p>\n\u003cp>A person's \"immune response to flu vaccine is not perfect, so effectiveness will never be 100 percent even if the strains perfectly match,” Talaat said.\u003c/p>\n\u003cp>Further, even if strains or antibodies match well, each new vaccine’s ability to induce an immune response varies.\u003c/p>\n\u003cp>Finally, individuals respond differently to the vaccine. Older adults do not mount as strong a defense because their immune systems are older. Infants don’t mount a strong response because their immune systems aren’t fully developed yet. And if you're in the middle -- being sick, tired, sleep-deprived or otherwise run down in some way may affect how well your own body responds.\u003c/p>\n\u003cp>Then there’s the evidence suggesting \u003ca href=\"http://www.statnews.com/2015/11/11/flu-shots-reduce-effectiveness/\" target=\"_blank\">annual flu shots are less effective\u003c/a> when you’ve had one the previous year. One possible explanation for this is that the body’s response to a previous year’s vaccine blunts the response the following year, Tan said, but scientists are still trying to understand it. A blunted immune response from the vaccine, however, still offers more protection than not getting the vaccine at all.\u003c/p>\n\u003cp>“Until we get a true handle on what the mechanism could be, the current recommendation is the best one we have,” Tan said.\u003c/p>\n\u003cp>At this point you might be thinking -- maybe I'll just take the immunity I would get from contracting the flu itself.\u003c/p>\n\u003cfigure id=\"attachment_152607\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003cimg class=\"wp-image-152607 size-thumbnail\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/02/RS12665_20141017_vaccines_jt_002-400x267.jpg\" alt='A student gets a \"flu mist\" vaccine at a campaign at hi Oakland elementary school. The Centers for Disease Control says people ages 2-49 can get this nasal spray vaccine.' width=\"400\" height=\"267\">\u003cfigcaption class=\"wp-caption-text\">A student gets a \"flu mist\" vaccine during a clinic at his Oakland elementary school. The Centers for Disease Control says people ages 2-49 can get this nasal spray vaccine. \u003ccite>(James Tensuan/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>That might make some sense — except it requires actually getting sick, and the flu is not a mild illness.\u003c/p>\n\u003cp>“The first problem with this idea is that you can get really, really sick and die from the flu,” Talaat said. “If you get the flu vaccine, even if it doesn’t protect you from getting sick, hopefully it protects you from severe disease and from death. It tends to mitigate the illness somewhat.”\u003c/p>\n\u003cp>It is true that a flu infection will stimulate the immune system more strongly than the vaccine will, said Tan, but that comes with a price.\u003c/p>\n\u003cp>“As a country, we don’t think flu is a big deal, but it is deceivingly serious,” Tan said. Deaths from flu each year \u003ca href=\"http://www.cdc.gov/flu/about/disease/us_flu-related_deaths.htm\" target=\"_blank\">vary widely\u003c/a>, but they’re always in the thousands, \u003ca href=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5933a1.htm\" target=\"_blank\">ranging from 3,000 to 49,000\u003c/a> people a year in the U.S. “It makes absolutely no sense when we have proven safe and effective vaccine against flu -- and all these other diseases -- that we don’t use them,” Tan said. “It’s like throwing the dice with your child’s, your own or your grandparent’s life.”\u003c/p>\n\u003cp>Even aside from that gamble, however, the immunity gained from a bout of the flu only protects against that particular subtype and won’t last long because of those rapid mutations described above.\u003c/p>\n\u003cp>“Getting the flu and surviving is the best immunity against that particular strain of flu, but that’s just one of the four lineages, and it drifts. That one may be circulating for only three or four years,” Talaat said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Are you willing to get the flu every three or four years to maintain immunity to it? That doesn’t make a lot of sense.”\u003c/p>\n\n","blocks":[],"excerpt":"You may have wondered this yourself: won't getting the flu give me better immunity? One big problem with this idea. You have to get the flu. ","status":"publish","parent":0,"modified":1456499155,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":24,"wordCount":1010},"headData":{"title":"What Offers Better Immunity: The Flu Vaccine or the Flu Itself? | KQED","description":"You may have wondered this yourself: won't getting the flu give me better immunity? One big problem with this idea. You have to get the flu. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"What Offers Better Immunity: The Flu Vaccine or the Flu Itself?","datePublished":"2016-02-24T18:09:21.000Z","dateModified":"2016-02-26T15:05:55.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"152601 http://ww2.kqed.org/stateofhealth/?p=152601","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/02/24/better-immunity-from-flu-vaccine-or-flu-itself/","disqusTitle":"What Offers Better Immunity: The Flu Vaccine or the Flu Itself?","nprByline":"Tara Haelle","path":"/stateofhealth/152601/better-immunity-from-flu-vaccine-or-flu-itself","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>This year’s flu season has been \u003ca href=\"http://www.latimes.com/local/lanow/la-me-ln-february-flu-20160211-story.html\" target=\"_blank\">fairly mild\u003c/a> so far, as predicted. But also as \u003ca href=\"http://fortune.com/2015/12/17/flu-season-february/\">predicted\u003c/a>, flu cases have been picking up, in line with the expected February peak this year. The most \u003ca href=\"http://www.cdc.gov/flu/weekly/summary.htm\">recent report\u003c/a> from the Centers for Disease Control and Prevention shows an increase in influenza-like illnesses and notes that it’s never too late to get vaccinated.\u003c/p>\n\u003caside class=\"pullquote alignright\">The big problem with immunity you might get from having the flu ... is that you have to actually get the flu. It can be a serious illness.\u003c/aside>\n\u003cp>But the flu vaccines varies widely in its effectiveness from year to year. So, how worthwhile is it, really? You could instead take your chances with the flu, and if you get it, you’ll have even better immunity to the flu in the future anyway, right?\u003c/p>\n\u003cp>Unfortunately, it’s not that simple.\u003c/p>\n\u003cp>There are two things to unpack here: how effective the flu vaccine is and whether getting the flu might protect someone more than the vaccine from future illness. Both of these start with understanding the virus itself.\u003c/p>\n\u003cp>“What makes the flu virus so confusing and tricky is it mutates,” explained Dr. Kawsar R. Talaat with the Center For Immunization Research at Johns Hopkins Bloomberg School of Public Health. “When it makes copies of itself, it does so sloppily, and there are mistakes made,” Talaat said. “Some of those mistakes don’t work — the virus doesn’t leave the cell or dies — but occasionally in the copying process, it allows the virus to be a little bit better at infecting the next person.”\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>The influenza virus also mutates very rapidly, explained Litjen Tan, Ph.D., chief strategy officer for the \u003ca href=\"http://www.immunize.org/\">Immunization Action Coalition\u003c/a>.\u003c/p>\n\u003cp>“With flu, we’re dealing with a very cool virus,” Tan said. “It’s got these great ways of switching around its genes so it can look different, and it wants to look different so it can better evade the immune system.”\u003c/p>\n\u003cp>These rapid mutations account for the different strains among the \u003ca href=\"http://www.cdc.gov/flu/about/viruses/types.htm\" target=\"_blank\">four basic types\u003c/a> of flu viruses that infect humans. That variety of strains partly explains the variation in the flu vaccine’s effectiveness. To make an effective vaccine, public health officials must predict which strains will be circulating almost a year ahead of time, all while the virus is a moving target.\u003c/p>\n\u003cp>The vaccine’s effectiveness falls short for other reasons too, Talaat said.\u003c/p>\n\u003cp>A person's \"immune response to flu vaccine is not perfect, so effectiveness will never be 100 percent even if the strains perfectly match,” Talaat said.\u003c/p>\n\u003cp>Further, even if strains or antibodies match well, each new vaccine’s ability to induce an immune response varies.\u003c/p>\n\u003cp>Finally, individuals respond differently to the vaccine. Older adults do not mount as strong a defense because their immune systems are older. Infants don’t mount a strong response because their immune systems aren’t fully developed yet. And if you're in the middle -- being sick, tired, sleep-deprived or otherwise run down in some way may affect how well your own body responds.\u003c/p>\n\u003cp>Then there’s the evidence suggesting \u003ca href=\"http://www.statnews.com/2015/11/11/flu-shots-reduce-effectiveness/\" target=\"_blank\">annual flu shots are less effective\u003c/a> when you’ve had one the previous year. One possible explanation for this is that the body’s response to a previous year’s vaccine blunts the response the following year, Tan said, but scientists are still trying to understand it. A blunted immune response from the vaccine, however, still offers more protection than not getting the vaccine at all.\u003c/p>\n\u003cp>“Until we get a true handle on what the mechanism could be, the current recommendation is the best one we have,” Tan said.\u003c/p>\n\u003cp>At this point you might be thinking -- maybe I'll just take the immunity I would get from contracting the flu itself.\u003c/p>\n\u003cfigure id=\"attachment_152607\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003cimg class=\"wp-image-152607 size-thumbnail\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/02/RS12665_20141017_vaccines_jt_002-400x267.jpg\" alt='A student gets a \"flu mist\" vaccine at a campaign at hi Oakland elementary school. The Centers for Disease Control says people ages 2-49 can get this nasal spray vaccine.' width=\"400\" height=\"267\">\u003cfigcaption class=\"wp-caption-text\">A student gets a \"flu mist\" vaccine during a clinic at his Oakland elementary school. The Centers for Disease Control says people ages 2-49 can get this nasal spray vaccine. \u003ccite>(James Tensuan/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>That might make some sense — except it requires actually getting sick, and the flu is not a mild illness.\u003c/p>\n\u003cp>“The first problem with this idea is that you can get really, really sick and die from the flu,” Talaat said. “If you get the flu vaccine, even if it doesn’t protect you from getting sick, hopefully it protects you from severe disease and from death. It tends to mitigate the illness somewhat.”\u003c/p>\n\u003cp>It is true that a flu infection will stimulate the immune system more strongly than the vaccine will, said Tan, but that comes with a price.\u003c/p>\n\u003cp>“As a country, we don’t think flu is a big deal, but it is deceivingly serious,” Tan said. Deaths from flu each year \u003ca href=\"http://www.cdc.gov/flu/about/disease/us_flu-related_deaths.htm\" target=\"_blank\">vary widely\u003c/a>, but they’re always in the thousands, \u003ca href=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5933a1.htm\" target=\"_blank\">ranging from 3,000 to 49,000\u003c/a> people a year in the U.S. “It makes absolutely no sense when we have proven safe and effective vaccine against flu -- and all these other diseases -- that we don’t use them,” Tan said. “It’s like throwing the dice with your child’s, your own or your grandparent’s life.”\u003c/p>\n\u003cp>Even aside from that gamble, however, the immunity gained from a bout of the flu only protects against that particular subtype and won’t last long because of those rapid mutations described above.\u003c/p>\n\u003cp>“Getting the flu and surviving is the best immunity against that particular strain of flu, but that’s just one of the four lineages, and it drifts. That one may be circulating for only three or four years,” Talaat said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Are you willing to get the flu every three or four years to maintain immunity to it? That doesn’t make a lot of sense.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/152601/better-immunity-from-flu-vaccine-or-flu-itself","authors":["byline_stateofhealth_152601"],"categories":["stateofhealth_12"],"tags":["stateofhealth_403","stateofhealth_2583","stateofhealth_461","stateofhealth_725"],"featImg":"stateofhealth_152605","label":"stateofhealth"},"stateofhealth_109229":{"type":"posts","id":"stateofhealth_109229","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"109229","score":null,"sort":[1447699711000]},"guestAuthors":[],"slug":"why-you-cant-get-the-flu-from-the-flu-shot-video","title":"Why You Can't Get the Flu from the Flu Shot (Video)","publishDate":1447699711,"format":"video","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>It's the time of year when the flu starts circulating more widely and with it -- the myths about the flu shot start circulating, too.\u003c/p>\n\u003cp>In just over 2 minutes, \u003ca href=\"http://www.slate.com/articles/health_and_science/science/2014/12/flu_from_a_flu_shot_why_it_s_impossible_to_get_sick_from_the_vaccination.html\" target=\"_blank\">The Slate\u003c/a> does a highly entertaining job of debunking one of the most tenacious myths of all -- that you can get the flu from the flu shot. You can't.\u003c/p>\n\u003cp>[contextly_sidebar id=\"9y0bGYul6YOWIysqD0LulPn3VJ178Iqg\"]The Centers for Disease Control recommends that \u003ca href=\"http://www.cdc.gov/flu/consumer/vaccinations.htm\" target=\"_blank\">everyone over 6 months \u003c/a>get the flu shot. While effectiveness varies from year to year, this year's version is expected to be a good match against the specific strains of influenza that are circulating this season.\u003c/p>\n\u003cp>It is impossible to predict if this year's flu season will be particularly bad or not, but the California Department of Public Health reports that two people have already died of complications from the flu, \u003ca href=\"https://www.cdph.ca.gov/Pages/NR15-083.aspx\" target=\"_blank\">an adult in Santa Clara County \u003c/a>and a \u003ca href=\"https://www.cdph.ca.gov/Pages/NR15-085.aspx\" target=\"_blank\">Stanislaus County infant. \u003c/a>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n","blocks":[],"excerpt":"In the flu shot, the flu virus has been inactivated, in other words: killed.","status":"publish","parent":0,"modified":1447721419,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":6,"wordCount":160},"headData":{"title":"Why You Can't Get the Flu from the Flu Shot (Video) | KQED","description":"In the flu shot, the flu virus has been inactivated, in other words: killed.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Why You Can't Get the Flu from the Flu Shot (Video)","datePublished":"2015-11-16T18:48:31.000Z","dateModified":"2015-11-17T00:50:19.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"109229 http://ww2.kqed.org/stateofhealth/?p=109229","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/11/16/why-you-cant-get-the-flu-from-the-flu-shot-video/","disqusTitle":"Why You Can't Get the Flu from the Flu Shot (Video)","videoEmbed":"https://www.youtube.com/watch?v=_HGFGMLOMEI","path":"/stateofhealth/109229/why-you-cant-get-the-flu-from-the-flu-shot-video","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>It's the time of year when the flu starts circulating more widely and with it -- the myths about the flu shot start circulating, too.\u003c/p>\n\u003cp>In just over 2 minutes, \u003ca href=\"http://www.slate.com/articles/health_and_science/science/2014/12/flu_from_a_flu_shot_why_it_s_impossible_to_get_sick_from_the_vaccination.html\" target=\"_blank\">The Slate\u003c/a> does a highly entertaining job of debunking one of the most tenacious myths of all -- that you can get the flu from the flu shot. You can't.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>The Centers for Disease Control recommends that \u003ca href=\"http://www.cdc.gov/flu/consumer/vaccinations.htm\" target=\"_blank\">everyone over 6 months \u003c/a>get the flu shot. While effectiveness varies from year to year, this year's version is expected to be a good match against the specific strains of influenza that are circulating this season.\u003c/p>\n\u003cp>It is impossible to predict if this year's flu season will be particularly bad or not, but the California Department of Public Health reports that two people have already died of complications from the flu, \u003ca href=\"https://www.cdph.ca.gov/Pages/NR15-083.aspx\" target=\"_blank\">an adult in Santa Clara County \u003c/a>and a \u003ca href=\"https://www.cdph.ca.gov/Pages/NR15-085.aspx\" target=\"_blank\">Stanislaus County infant. \u003c/a>\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>\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/109229/why-you-cant-get-the-flu-from-the-flu-shot-video","authors":["240"],"categories":["stateofhealth_12","stateofhealth_13"],"tags":["stateofhealth_2583","stateofhealth_488","stateofhealth_461","stateofhealth_31"],"featImg":"stateofhealth_109258","label":"stateofhealth"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. 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