Influenza   A/B  2009
Immunization (flu shot) recommended for 6 months to 19 years
wellbody
Blue Valley Pediatrics
FLU    ALERT
Treatment includes:
Good hydration- Gatorade, water, non-caffeinated drinks

Anti-pyretics- Tylenol or ibuprofen for fever (not aspirin)

Tamiflu- This medication is only helpful within the first 24-48
hours of illness and can be used for the treatment and even
prevention of the disease. Some doctors require a test to
"prove" influenza is effecting a family before using the
medication.  While not eliminating the symptoms, it can
reduce the days of illness and the chance for spreading the
disease to others. It is FDA approved for people over one
year of age and there are suggested non-FDA doses for
those under one year old. There are suggestions from the
CDC on when health care providers should and should not
think of prescribing the medication.

There are now strains of the flu where Tamiflu will
not help (resistant flu).
Other medications must be
considered depending on each case.

Tamiflu has warnings from the CDC and
FDA-  Click here:  2008 UPDATE
The symptoms of "flu" (Influenza A
and B) and H1N1(swine flu) include:
Fever- usually above 101 and commonly with a
headache
Cough- and other respiratory symptoms such as
runny nose
Abdominal pain- and sometimes nausea and
vomiting
Fatigue- and other signs of viral illness such as
decrease in appetite and muscle aches

The "Clue" is there are multiple symptoms
from multiple places in the body!
Like any virus,
most people get over the flu in 2-4 days without
serious problem. Some people are at "high risk"
though for hospitalization and serious illness.
These people include children under 5, adults over
65, and those with chronic illness such as asthma,
heart problems, and poor immune system function.
The H1N1 virus appears to affect children more
than the typical influenza A or B.
-->INFO FROM CDC: http://www.cdc.gov/flu/symptoms.htm
The best prevention is good hand washing, limiting exposure from ill contacts, and getting the
influenza vaccine.

Dr. Goldstein recommends the injection vaccine for
  • all children 6 months to 18 years old                                                   -all healthcare workers
  • pregnant women                                                                                          -all senior citizens
  • adults who will be in contact with children who can not get the vaccine
  • anyone with a chronic disease such as asthma, COPD, or diabetes

You should not get the vaccine if you are allergic to eggs!

Flu Mist and Nasal Spray for H1N1 for 2 years to 49 years old:
is an alternative to the injection and can be used in patients 2-49 years old that DO NOT have asthma, lung disease, or immune
system disease (such as AIDS, cancer, patients on chemotherapy or steroids).

Flu Mist and nasal H1N1 vaccine are live attenuated vaccines and
can not be used in patients living around someone else with an
altered immune system- such as AIDS or patients on chemotherapy.

Patients under 2 years old, over 49 years old, those allergic to eggs or the flu shot, are pregnant or breastfeeding, or have asthma
or a weakened immune system, or have had another live vaccine within the last 30 days should talk to a health care provider about
the nasal spray before administration.

Some patients will need two immunizations (nasal or injection)
All children 6 months to 9 years old receiving their first flu vaccine (the injection or nasal spray require a second vaccine 30 days
after the first. Those under 10 years old receiving only one vaccine last year also require two vaccines this year as well.  All
children above 9 years old require only one vaccine.
Click here----> INFO FROM CDC: Seasonal flu
Does the flu shot make you ill?
NO, the flu immunization is the inactivated (dead) virus "teaching" your body what the flu looks like so
when the live virus attempts to make you ill- your immune system can recognize it and fight it.
It is always possible to get a different virus at relatively the same time you receive the vaccine and you
could mistake the timing of the shot causing you to become ill- even though it had nothing to do with the
different illness you would have gotten anyway! The flu shot only protects you against Influenza- not the
common "stomach flu" or H1N1. The H1N1 vaccine is a separate vaccine.
Does the nasal spray make you ill?
The nasal spray is weakened influenza (and partially alive). It has precautions to those under 2 years old,
over 49 years old, pregnant women, people with immune system weakness, asthma, and those receiving
other live immunizations within the last 30 days
such as MMR, Varicella, and influenza vaccines, or an allergy to eggs or the seasonal flu vaccine.
While some people complain of muscle aches and headache after administration- the nasal spray should
not make you ill.
(Dr. Goldstein got the H1N1 nasal mist and the seasonal flu shot)
H1N1 (novel swine flu)  2009

The H1N1 (novel swine flu) is a sub-type of influenza A which historically had been
contagious between
pig to pig or less commonly between pig to human and has altered
itself to being contagious between
human to human. This "antigenic shift" is what makes
doctors and scientists nervous about controlling its spread and finding an immunization to
protect people from becoming infected.

Newest information suggests that pandemic H1N1 may be partially swine and partially avian
in make-up.

The "quick test" for influenza A may be positive if a patient is infected with H1N1 or common influenza A -
but the doctor will not be able to identify which virus is causing the illness. A second test specifically for
H1N1 (a PCR test) is available but is done at a lab- not your doctor's office. The PCR test is currently only
performed in patients that are hospitalized.

The quick test is about 50-80% reliable in picking up Influenza A or B but is much less reliable in picking up
H1N1 (30-50% reliable). A reliable quick test for H1N1 has not been developed yet.

Symptoms and treatment for H1N1 are similar to influenza A and B-
the newest reports suggest fever is seen in over 50% but not all cases and younger children are more likley
to have vomiting and diarrhea than older patients.

There are strains of all influenza viruses that appear resistant to Tamiflu (although a small amount) and
therefore the CDC recommends several medications depending on each situation. Do not expect the
same treatment as your friend or neighbor, as you may present with a different situation.
Current
recommendations suggest treating with Tamiflu in patients with H1N1 who are very young or who also have
chronic conditions such as asthma, heart disease, or immune system problems. Just because you are
diagnosed with H1N1- you may NOT be given Tamiflu by your doctor.

The best prevention is vaccination, good hand washing, and avoiding those that have been
diagnosed with the disease.

While the media reports several deaths already from the H1N1 virus (around 600) and suggests thousands
more could die in the US this year- the fact remains that almost 36,000 deaths from seasonal flu (typical
Flu A and Flu B) occur annually in the US- with much less media frenzy.
Immunization is key to reducing illness, epidemics, hospitalizations, and fear.
Click here--> INFO FROM CDC: H1N1 (novel swine flu)
Click here--> INFO FROM CDC:
H1N1 (swine flu)
Click here--> INFO FROM CDC:
Seasonal flu
NEWS:  October 31, 2009
wellbody is recommending Seasonal Flu AND H1N1 immunizations for 6 months-19 years
even those people that have already been ill this season
If your family is able to get the immunizations before wellbody has its supply- we encourage you to do so.  
Risks and side effects of H1N1 vaccine is similar to that of seasonal flu vaccine and is not expected to cause
increased side effects. Children under 10 years of age will need (2) H1N1 vaccines
Both the nasal spray and injections are effective- the nasal vaccine does have slightly more "rules and precautions"
----------------------------------------
While fever is present in most cases of H1N1- some younger children have had no fever with H1N1
wellbody is currently giving SEASONAL INFLUENZA VACCINE to patients 6 months old and up

Nasal Mist H1N1 is IN STOCK NOW for 2 years to 49 years old
Click Here-->>
International Travel Precautions
CDC Recommendations
Click Here-->> Info from CDC
International Travel Precautions