{"id":2633,"date":"2019-09-10T15:27:10","date_gmt":"2019-09-11T01:27:10","guid":{"rendered":"https:\/\/uhphawaii.org\/?p=2633"},"modified":"2024-05-29T10:43:11","modified_gmt":"2024-05-29T20:43:11","slug":"fight-against-the-flu","status":"publish","type":"post","link":"https:\/\/uhphawaii.org\/index.php\/fight-against-the-flu\/","title":{"rendered":"WELLNESS WATCH: Fight Against the Flu!"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"2633\" class=\"elementor elementor-2633\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3e830bd0 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3e830bd0\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8a85e4a\" data-id=\"8a85e4a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8bb9982 elementor-widget elementor-widget-heading\" data-id=\"8bb9982\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-large\">WELLNESS WATCH: Fight Against the Flu!<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7fb97467 elementor-align-center elementor-widget elementor-widget-post-info\" data-id=\"7fb97467\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"post-info.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-inline-items elementor-icon-list-items elementor-post-info\">\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-repeater-item-46f67bb elementor-inline-item\" itemprop=\"author\">\n\t\t\t\t\t\t<a href=\"https:\/\/uhphawaii.org\/author\/hi-vizibility-marketing\/\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-user-circle\"><\/i>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text elementor-post-info__item elementor-post-info__item--type-author\">\n\t\t\t\t\t\t\t\t\t\tUniversity Health Partners of Hawaii\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t<\/li>\n\t\t\t\t<li class=\"elementor-icon-list-item elementor-repeater-item-a474e5f elementor-inline-item\" itemprop=\"datePublished\">\n\t\t\t\t\t\t<a href=\"https:\/\/uhphawaii.org\/index.php\/2019\/09\/10\/\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-calendar\"><\/i>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text elementor-post-info__item elementor-post-info__item--type-date\">\n\t\t\t\t\t\t\t\t\t\t<time>September 10, 2019<\/time>\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t<\/li>\n\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7ff38496 elementor-widget elementor-widget-image\" data-id=\"7ff38496\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"640\" height=\"427\" src=\"https:\/\/i0.wp.com\/uhphawaii.org\/wp-content\/uploads\/2018\/08\/28089150667_64b1fb0819_z.jpg?fit=640%2C427&amp;ssl=1\" class=\"attachment-large size-large wp-image-2631\" alt=\"\" srcset=\"https:\/\/i0.wp.com\/uhphawaii.org\/wp-content\/uploads\/2018\/08\/28089150667_64b1fb0819_z.jpg?w=640&amp;ssl=1 640w, https:\/\/i0.wp.com\/uhphawaii.org\/wp-content\/uploads\/2018\/08\/28089150667_64b1fb0819_z.jpg?resize=150%2C100&amp;ssl=1 150w, https:\/\/i0.wp.com\/uhphawaii.org\/wp-content\/uploads\/2018\/08\/28089150667_64b1fb0819_z.jpg?resize=300%2C200&amp;ssl=1 300w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3fb0ee47 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3fb0ee47\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3aa6de11\" data-id=\"3aa6de11\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3b0b1f4b elementor-widget elementor-widget-spacer\" data-id=\"3b0b1f4b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3630ca70 elementor-widget elementor-widget-text-editor\" data-id=\"3630ca70\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Updated September 10, 2019 &#8212;<\/strong><br \/>(*Originally posted August 30, 2018)<\/p><p><strong>Submitted by Dr. Patricia L. Blanchette, MD, MPH<\/strong><br \/><strong>Chief Medical Officer, UHP Hawaii and Associate Dean, John A. Burns School of Medicine<\/strong><\/p><p><em>Pictured above: Third-year JABSOM students inject vaccines as part of their annual Transition to Clerkship training. Deborah Dimaya photo.\u00a0<\/em><\/p><p><b>IT IS TIME FOR YOUR FLU SHOT!<\/b><\/p><p><span style=\"font-weight: 400;\">The flu season in Hawaii has already started.\u00a0 There have been well-documented cases of Influenza Type A already circulating in the community.\u00a0 Influenza (flu) is highly contagious and every year some people die from the flu. As healthcare workers, it is our responsibility to protect ourselves to reduce the risk of passing on the flu to our patients and families.\u00a0\u00a0<\/span><\/p><p><span style=\"font-weight: 400;\">There are three types of influenza, A, B, and C, arranged in order of the likelihood of spread and causing epidemics.\u00a0 Type A is the most likely to spread widely and tends to occur early in the typical flu season. Type B is more prevalent later in the season. \u00a0 Type C usually only causes minor illness in most people. There are several strains of influenza in each type. While the flu season is generally recognized as occurring in the fall and winter, it is now apparent that the flu occurs year round.\u00a0\u00a0<\/span><\/p><p><span style=\"font-weight: 400;\">There are several flu vaccines.\u00a0 Most adults should consider getting an injection (a \u201cflu shot\u201d) of the quadrivalent vaccine, such as Fluzone\u2122, which protects against two strains of Type A and two strains of Type B.\u00a0 The injection type vaccines are produced using killed virus and cannot cause the flu.\u00a0\u00a0<\/span><\/p><p><span style=\"font-weight: 400;\">For people over age 65, the high dose trivalent vaccine, Fluzone-High Dose\u2122, should be used.\u00a0 The Fluzone-High Dose\u2122 contains four times the amount of antigen than the regular Fluzone and is more likely to result in a good immune response in older people.\u00a0\u00a0<\/span><\/p><p><span style=\"font-weight: 400;\">The intranasal (sprayed into the nose) vaccine called FluMist\u2122, is made with weakened (not killed) virus antigen and was not recommended for the 2016-2017 nor the 2017-2018 season because of weaker protection against the H1N1 strain.\u00a0 Some experts still question its effectiveness, but it is now available for people who are so afraid of needles that they will not get a shot. However, because people who get the intranasal vaccine can shed the weakened flu virus into the environment for up to a week, there are special precautions for its use in health care workers and others who could shed the weakened live virus to people with very weak immune systems.\u00a0\u00a0<\/span><\/p><p><span style=\"font-weight: 400;\">Although severe allergic reactions to vaccines are extremely rare, vaccines should be administered by health care workers who are trained to recognize and respond to severe allergic reactions.\u00a0 Vaccines that are not produced using egg products are available. See the CDC.gov website for recommendations for individuals with egg allergies.\u00a0\u00a0<\/span><\/p><p><span style=\"font-weight: 400;\">Most hospitals and nursing homes now require that employees receive their flu shot as a condition of employment.\u00a0 Hospital and nursing home employees who cannot or refuse to get the flu shot must wear a mask whenever they are in patient care areas, including nursing stations. \u00a0 A regular surgical mask is acceptable. In testing, N95 masks did not offer better protection against flu.\u00a0\u00a0<\/span><\/p><p><span style=\"font-weight: 400;\">UHP has decided to implement the \u201cmask up\u201d policy as well.\u00a0 So from October 1, 2019 to May 1, 2020 UHP employees who have not been vaccinated against the flu must wear a mask whenever they are in UHP clinics or other patient care areas.\u00a0\u00a0<\/span><\/p><p><b>For More Information:<\/b><\/p><p><strong>CDC<\/strong><span style=\"font-weight: 400;\"><strong>:<\/strong><br \/><\/span><span style=\"font-weight: 400;\">https:\/\/www.cdc.gov\/vaccines\/hcp\/acip-recs\/vacc-specific\/flu.html<\/span><\/p><p><strong>Information\/Poster for Patients: <\/strong><br \/><a href=\"https:\/\/www.cdc.gov\/vaccines\/hcp\/adults\/downloads\/fs-influenza-hcp.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">https:\/\/www.cdc.gov\/vaccines\/hcp\/adults\/downloads\/fs-influenza-hcp.pdf<\/span><\/a><\/p><p><strong>High Dose Vaccine for people age 65+:<br \/><\/strong><a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa1315727?query=featured_home\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa1315727?query=featured_home<\/span><\/a><\/p><p><a href=\"https:\/\/www.thelancet.com\/journals\/lanres\/article\/PIIS2213-2600%2817%2930235-7\/fulltext\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">https:\/\/www.thelancet.com\/journals\/lanres\/article\/PIIS2213-2600%2817%2930235-7\/fulltext<\/span><\/a><\/p><p><span style=\"font-weight: 400;\"><strong>FluMist\u2122 Intranasal quadrivalent vaccine:<\/strong><br \/><\/span><span style=\"font-weight: 400;\">https:\/\/www.flumistquadrivalent.com\/hcp\/eligibility-criteria\/healthcare-worker.html<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-31366604 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"31366604\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-29366e89\" data-id=\"29366e89\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3c3c6c68 elementor-widget elementor-widget-button\" data-id=\"3c3c6c68\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/uhphawaii.org\/index.php\/news-all\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">&lt;&lt; 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