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An Ounce of Prevention - QVHD Newsletter
Our weekly news column bringing the most current, non-biased health information to the consumer.


October 7, 2008

A Publication of QVHD

Shots for Big “Kids”

By: V. Deborah Culligan, RN, MPH,
Deputy Director QVHD

We tend to think of shots (immunizations) as only being for little kids. But there are several shots for “big” kids, some of which are for all and some that should especially be considered for those who travel or work in a field where they are exposed to blood and body fluids.

For example, every year a small number of older Americans die due to a totally preventable disease: Tetanus. Many people forget that as they age, their immunity to certain diseases may wane. This can be particularly true with tetanus. The tetanus germ is always in the environment, hiding in soil and dirt. During everyday activities such as gardening or outside recreation, the tetanus bacteria can enter a cut or wound in the skin. All persons should have a tetanus booster every 10 years. For very serious cuts or wounds, a booster may be readministered within 5 years. The next time you visit a doctor, why not ask for a booster shot? If you are getting a booster, be sure to ask for the tetanus shot that has the diphtheria and pertussis booster if you have not had one within the last two years. (The pertussis part is new.)

An annual flu shot is recommended for all adults over the age of 50, but also a vaccine that everyone should consider receiving if they wish to decrease their chance of getting the flu. It may not be a 100% guarantee that you won't get the flu, but generally is pretty effective against flu if the composition of the shot matches the germs that are circulating. It is also believed that if you have had the shot and do get the flu, your illness will be less severe than if you hadn't had the flu shot.

Pneumonia shots are recommended for all adults over age 65 and for adults with chronic illness or compromised immune systems. This shot is currently a once or twice in a life-time immunization, depending on the age at which you receive it. It protects against 23 of the most common strains of pneumonia. If you have had one pneumonia shot, check with your health care provider about the need for a booster. There is no recommendation for a third shot at this time.

A shingles shot is recommended for persons age 60 and over. It is about 50% effective in preventing shingles. The shingles shot (known as Zoster) is not covered by most insurance companies, so you should be aware that it is a fairly expensive shot ($150-200.) Another drawback to private physicians carrying this shot is that it has to be kept frozen and many doctor's offices do not have a freezer. If you want to get this immunization, check with your local walk-in health clinics. Many of them carry this immunization. (Note: at the time of this writing, there is a shortage in the availability of this vaccine. It is expected to be only temporary.)

Hepatitis B shots are essential for any adult who has continued exposure to blood and/or body fluids on the job or in doing volunteer work. This is a series of three immunizations. The first two give you most of your immunity. The third acts like a booster. Currently, additional boosters are not recommended. Hepatitis A should also be considered, especially for those who travel a lot.

Speaking of travel, many countries require additional immunizations. If you are planning a trip, DO NOT WAIT until the week or two before you are leaving to get your shots. Many times, travel immunizations require two or three immunizations at least a month apart. It also takes time for the immunity from the injection to kick in. Not all doctors can give you the immunizations you require and you may have to go to a travel clinic. There may be a waiting period to get an appointment. If you are traveling and have access to a computer, go to www.cdc.gov, “travel” to find out what you will need for travel to that country. It is an excellent resource and will provide you with any current outbreaks or conditions that you should know about.

Most of the adult shots can be given together on the same day. For written information on any of these immunizations, District residents can call 248-4528 or request on line, www.qvhd.org, “contact us.” Specify topics please.   

 

An Ounce of Prevention is a publication of the Quinnipiack Valley Health District, located at 1151 Hartford Turnpike, North Haven, CT 06473. Telephone: 248-4528. An Ounce of Prevention is written by V. Deborah Culligan. The articles are published in the following local newspapers, The Advisor & Beth-Wood News.

The content is provided as health education and information to help you make health decisions. It is not intended to be legal or medical advice, or substitute for recommendations made by your health care provider. Address all comments to the district office.

 


Quinnipiack Valley Health District
1151 Hartford Turnpike
North Haven, CT 06473

Phone. (203) 248-4528
Fax. (203) 248-6671
E-Mail. info@qvhd.org


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