Wednesday, January 20, 2010

fight diseases!

You have to search very hard to find it on the CDC website, first going to the link for "Healthcare Providers", then buried deep within an article (nearly at the end of it) for healthcare providers entitled: "2009 H1N1 Influenza Vaccine and Pregnant Women:Information for Healthcare Providers" is the sentence:

"Persons who have previously had GBS should not receive influenza vaccine."

This is the end sentence to a section entitled: "Is the 2009 H1N1 flu vaccine expected to be associated with Guillain-Barre Syndrome (GBS)?"

Here is the link to the article: http://www.cdc.gov/h1n1flu/vaccination/providers_qa.htm


Very surprised that the foundation is not up on this info, although it is difficult to find on the CDC website. Checking under info for healthcare providers and then finding the info that GBS survivors should NOT receive influenza vaccine (doesn't even make the distinction between H1N1 vaccine and "regular" influenza vaccine) buried in an article regarding pregnant women and the vaccine......not exactly the route most of us would take to find this very pertinent information.......

The title on the website itself says: CDC:Centers for Disease Control and Prevention:"Your online source for Credible Health Information".

best wishes for good health to all,
This is from the MMWR report which is the official recommendation of the Advisory Committee on Immunization Practices (ACIP) regarding seasonal influenza. The report is 52 pages long and earlier in it, it says that the risk of getting GBS from the flu is about 4-7 times greater than getting it from the flu vaccine. It is also worth noting that almost everywhere on the CDC, it states that if you got GBS within 6 weeks of a flu vaccine, you should discuss with your doctor whether to get the flu vaccine again.

"Use of TIV Among Patients with a History of GBS

The incidence of GBS among the general population is low, but persons with a history of GBS have a substantially greater likelihood of subsequently experiencing GBS than persons without such a history (ref. 232). Thus, the likelihood of coincidentally experiencing GBS after influenza vaccination is expected to be greater among persons with a history of GBS than among persons with no history of this syndrome. Whether influenza vaccination specifically might increase the risk for recurrence of GBS is unknown. Among 311 patients with GBS who responded to a survey, 11 (4%) reported some worsening of symptoms after influenza vaccination; however, some of these patients had received other vaccines at the same time, and recurring symptoms were generally mild (ref 247). However, as a precaution, persons who are not at high risk for severe influenza complications and who are known to have experienced GBS within 6 weeks generally should not be vaccinated. As an alternative, physicians might consider using influenza antiviral chemoprophylaxis for these persons. Although data are limited, the established benefits of influenza vaccination might outweigh the risks for many persons who have a history of GBS and who also are at high risk for severe complications from influenza.

MMWR (July 24, 2009) vol 58: 1-52. Prevention and Control of Seasonal Influenza with Vaccination: Recommendations of the Advisory Committee on Immunization Practices (ACIP)"

TIV is the inactivated (dead) influenza shot. Chemoprophylaxis means to use antiviral drugs to reduce the chance of getting influenza or to lessen the severity of the illness. In English, the main point is that if one if not at a high risk of complications from the flu (such as pregnant people, people with serious heart or lung diseases, etc) AND if you got GBS within 6 weeks of getting a flu vaccine, it is generally recommended by this committee that you not get the flu vaccine. People with a higher risk of getting very ill after the flu (such a serious chronic lung disease, etc) probably should get the vaccine to help keep them safe from the serious illnesses associated with the flu, although each person is different.

WithHope for a cure of these diseases.
 

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