[HEALTH.MIL] More On Flu Shots: Quadrivalent Flu Vaccines Promise More Protection By Guarding Against 4 Strains

  • From: HEALTH.MIL@xxxxxxxxxxxxx
  • To: <HEALTH.MIL@xxxxxxxxxxxxx>, <TFL@xxxxxxxxxxxxx>
  • Date: Fri, 27 Sep 2013 15:11:01 -0500

Quadrivalent Flu Vaccines Promise More Protection By Guarding Against 4 Strains 

By Lauran Neergaard  



WASHINGTON -- Flu vaccination is no longer merely a choice between a jab in the
arm or a squirt in the nose. This fall, some brands promise a little extra


For the first time, certain vaccines will guard against four strains of flu
rather than the usual three. Called quadrivalent vaccines, these brands may
prove more popular for children than their parents. That's because kids tend to
catch the newly added strain more often.


These four-in-one vaccines are so new that they'll make up only a fraction of
the nation's supply of flu vaccine, so if you want a dose, better start looking


But that's only one of an unprecedented number of flu vaccine options available
this year.


Allergic to eggs? Egg-free shots are hitting the market, too.


Plus there's growing interest in shots brewed just for the 65-and-older crowd,
and a brand that targets the needle-phobic with just a skin-deep prick.


"We're moving away from the one-size-fits-all to choosing the best possible
vaccine for an individual's age and condition," said Dr. Gregory Poland, an
infectious disease specialist at the Mayo Clinic.


"The flip side of that," he said, is that "this will be a confusing year" as
doctors and consumers alike try to choose.


Federal health officials recommend a yearly flu vaccine for nearly everyone,
starting at 6 months of age. On average, about 24,000 Americans die each flu
season, according to the Centers for Disease Control and Prevention.



Some questions and answers about the different vaccine varieties to choose from:


Q: What's the difference between those new four-strain vaccines and the regular


A: For more than 30 years, the vaccine has offered protection against three
influenza strains - two common Type A strains called H1N1 and H3N2, and one
strain of Type B. Flu strains continually evolve, and the recipe for each year's
vaccine includes the subtypes of those strains that experts consider most likely
to cause illness that winter.


Type A flu causes more serious disease and deaths, especially the H3N2 form that
made last year such a nasty flu season. But the milder Type B flu does sicken
people every year as well, and can kill. Two distinct Type B families circulate
the globe, making it difficult to know which to include in each year's vaccine.
Adding both solves the guesswork, and a CDC model estimates it could prevent as
many as 485 deaths a year depending on how much Type B flu is spreading.


Q: How can I tell if I'm getting the four-strain vaccine?


A: All of the nasal spray version sold in the U.S. this year will be this new
variety, called FluMist Quadrivalent. The catch is that the nasal vaccine is
only for healthy people ages 2 to 49 who aren't pregnant.


If you prefer a flu shot, ask the doctor or pharmacist if the four-strain kind
is available. Younger children, older adults, pregnant women and people with
chronic health conditions all can use flu shots. Four-strain versions are sold
under the names Fluzone Quadrivalent, Fluarix Quadrivalent and FluLaval


Manufacturers anticipate producing between 135 million and 139 million doses of
flu vaccine this year. Only about 30 million doses will offer the four-strain


Q: Who should seek it?


A: Type B flu tends to strike children more than the middle-aged, Poland noted.
And he said it's not a bad idea for seniors, who are more vulnerable to
influenza in general. But the CDC doesn't recommend one vaccine variety over
another, and the American Academy of Pediatrics said either kind is fine - just
get vaccinated.


Q: How are these new vaccines different from the high-dose flu shot for seniors?


A: Fluzone High-Dose protects against the traditional three strains of flu, but
it quadruples the standard vaccine dose in an effort to rev up age-weakened
immune systems don't respond as actively to regular flu shots.


The government calls the high-dose shot an option for seniors, not one that's
proved better. Last week, Sanofi Pasteur said initial results from a study of
30,000 seniors vaccinated over the past two flu seasons suggest the high-dose
shot is about 24 percent more effective. Federal health officials will have to
review the full study results to see if they agree.


Q: What if I'm allergic to eggs?


A: Traditional flu vaccine is made from viruses grown in eggs, and specialists
say it's usually not a problem unless someone has a serious egg allergy. But the
new FluBlok vaccine eliminates that concern because it is made with cell
technology, like many other nonflu vaccines. So far, it's only for use in people
ages 18 to 49.


Q: What if I'm scared of needles?


A: If you don't qualify for the ouchless nasal spray vaccine, there is one shot
made with a teeny-tiny needle that pricks the skin instead of muscle. Called
Fluzone Intradermal, it's available for 18- to 64-year-olds, and protects
against the usual three strains.


Q: How soon should I be vaccinated?


A: Early fall is ideal, as it's impossible to predict when flu will start
spreading and it takes about two weeks for protection to kick in. But later
isn't too late; flu season typically peaks in January or February.


Q: How much does flu vaccine cost?


A: The vaccine is covered by insurance, and Medicare and some plans don't
require a copay. Drugstore vaccination programs tend to charge about $30; expect
the quadrivalent versions to be slightly more expensive.



NOTE:  TRICARE covers both the flu shot and flu mist. Beneficiaries may be able
get their flu vaccine, at no cost, from a military treatment facility, hospital
or from a pharmacist at one of the 45,000 network pharmacies that administer
vaccines to TRICARE beneficiaries.



SOURCE:  Huffington Post article at





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