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Dr. Casey

One of the Most Serious Threats to Health: Misinformation

We face health risks every single day in countless areas of life. From germs to improperly prepared food to pollution and countless other exposures, we face countless possible hazards every day. However, one of the most dangerous but underestimated threats to our health and well-being is actually misinformation about health. The U.S. Department of Health and Human Services defines misinformation as “false, inaccurate, or misleading information according to the best available evidence at the time.” And health misinformation, specifically, has been identified by countless professionals and health organizations as one of the leading threats to individuals’ health and safety. Dr. Vivek H. Murthy, U.S. Surgeon General, has said, “Health misinformation is a serious threat to public health. It can cause confusion, sow mistrust, harm people’s health, and undermine public health efforts.” Unfortunately, health misinformation, and particularly misinformation regarding vaccinations, has become an issue of epidemic proportions. Today, I will talk more about the issues surrounding health misinformation, including some of the causes, effects, and ways to stop it.

Why is health misinformation harmful?

People might make decisions about their health based on this untrue or incorrect information. Basing decisions on false information could be dangerous for one’s health. This includes misinformation about diseases, treatments, vaccines, procedures, and healthy lifestyle choices, and more.

How can you know if health information is accurate?

Check with credible sources. Check public health department websites and the Centers for Disease Control and Prevention at https://www.cdc.gov/ to fact-check information. Talk to a doctor, nurse, or other healthcare professional/expert to request any additional information they might have. You can also search online to see if a credible source, such as a governmental agency or peer-reviewed medical journals have verified claims.

**Do not seek factual information from social media. Unfortunately, social media is one of the most common ways to spread misinformation.

**If you aren’t sure if the information is credible, don’t share it.

Another great resource is the “Health Misinformation Checklist” from the Office of the U.S. Surgeon General which you can find here: https://www.hhs.gov/sites/default/files/health-misinformation-checklist-english.pdf

It is also important to be mindful of our inherent and (often unintentional) biases. Sometimes we may think we are doing our due diligence by looking for facts about an issue, but people naturally tend to hunt and/or be drawn to facts and opinions that support their beliefs and values. It can be difficult for anyone to be objective because we all have at least some kind of inherent opinion, however small or subconscious. So, beware of unintentionally seeking information that reinforces your innate ideas.

Despite several studies finding no association between vaccines and autism, the myth of a link continues to be spread by anti-vaccine activists.

Limiting the spread of health misinformation is a moral and civic imperative that will require a whole-of-society effort,” he said.

Experts say misinformation contributes to vaccine hesitancy

Health misinformation leaves a legacy

One of the most significant areas of medicine that has been affected by health misinformation is vaccines. In January 2019, the World Health Organization (WHO) named vaccine hesitancy as one of the top 10 threats to global health, and this was long before the COVID-19 pandemic and vaccinations sparked widespread controversy. At the time, the WHO estimated that 1.5 million lives could be saved worldwide if vaccines were more widely accepted. In 2021, some of the top health officials in the U.S. admitted that they had underestimated the vaccine hesitancy issue, thinking people would become increasingly willing to be vaccinated as the benefits of the vaccine became clear. This was not the case, though, and vaccine hesitancy spread beyond the COVID-19 vaccine and on to vaccines that had long been established and accepted as safe and important, particularly for children. Experts have said that the vast amount of health misinformation has significantly contributed to vaccine hesitancy and refusal.

Unfortunately, once these ideas are let loose, regardless of how true (or not) they are, very little can be done to undo the damage of the original claims. For example, despite numerous studies showing no association between vaccines and autism (and the original study making that claim was found to be incredibly fraudulent, the publication withdrawn, and the physician-scientist having lost his license to practice medicine), the myth of a link between vaccines and autism persists and is spread by anti-vaccination activists. Despite being fraudulent, fabricated, disproven, and criminally pursued, the damage done by that first study cannot be undone. From situations like this, countless health professionals and the U.S. Surgeon General insist that “Limiting the spread of health misinformation is a moral and civic imperative that will require a whole-of-society effort.” It is up to all of us to combat these falsehoods to protect the greater good of the people.

Other Questions?

I am frequently asked about misinformation, particularly regarding vaccines, so I thought many readers might have questions about it, too. I wanted to emphasize this topic because we are in the time of year when germs are rampant and the need to protect ourselves is greatest. Also, I have seen an uptick in vaccine misinformation in recent weeks, and I want to emphasize how important it is for people to look at the facts and to fact-check the “facts.” My second cousin’s best friend who is completely unrelated to the medical field is not my go-to for health advice or the latest data. Remember who you are trusting with your health and safety, and that of your family and community. We have an obligation to be mindful for each other. Please continue sending in questions and comments; I love to hear your feedback and answer anything I can! Stay healthy as we enter this chilly season!

Be Well; Be Kind,

Dr. Casey

Want to Learn More?

For a quick overview of the U.S. Surgeon General’s Advisory on Confronting Health Misinformation, this one page summary is fantastic: https://www.hhs.gov/sites/default/files/health-misinfo-printable-summary.pdf

If you want to take a deeper dive into this topic, you can also read the full advisory from the U.S. Surgeon General on Confronting Health Misinformation, found here: https://www.hhs.gov/sites/default/files/surgeon-general-misinformation-advisory.pdf

The Office of the U.S. Surgeon General has also developed “A Community Toolkit for Addressing Health Misinformation” that provides great resources on understanding health misinformation, how to recognize it, how to talk about it with others, and other resources. You can access this toolkit here: https://www.hhs.gov/sites/default/files/health-misinformation-toolkit-english.pdf

If this subject really interests you, I suggest this documentary from PBS called Vaccination from the Misinformation Virus. It discusses overcoming personal bias to understand the role vaccines play in community health and saving lives. You can stream it here: https://www.pbs.org/show/vaccination-misinformation-virus/

Flu Season Is Here: Why Vaccination Is More Important Than Ever

As we enter the peak of flu season, health officials are urging people to prioritize vaccination, particularly for children. With the holiday getting closer, it’s possible the United States could see a rise in children staying in bed, not just recovering from indulging in the festive season, but battling seasonal illness. According to the Centers for Disease Control and Prevention (CDC), influenza cases are gradually increasing nationwide. While the overall number of flu cases remains relatively low, Tennessee is reporting moderately high rates, with certain regions seeing noticeable activity.

Nationally, children aged 0–4 account for more than 10% of outpatient flu-related visits. While Tennessee’s 2024 flu cases (3.8% of the population) are down from the 5% reported during the same week in 2023, this is encouraging. It is also important to remember that the peak of flu season is still ahead. Health experts caution against complacency, as flu activity usually reaches its highest levels between December and February.

Why You Should Get Vaccinated

The bottom line is that no one wants to get sick. The body can only handle so much before it becomes vulnerable to infection. With the influenza virus constantly evolving, we must also update the tools we use to fight it.

Each year, the influenza vaccine is designed to protect against the most prevalent strains of the virus predicted for the upcoming flu season. Researchers worldwide monitor circulating strains and use models to forecast which ones are most likely to spread. The vaccine typically targets three or four strains, covering both influenza A and B viruses.

The influenza vaccine introduces inactivated viruses, weakened live viruses, or specific viral proteins into the body. Getting vaccinated helps your immune system prepare for a potential encounter with the influenza virus. Children’s immune systems are still developing, making them more vulnerable to severe symptoms and complications like pneumonia, sinus infections, or ear infections. These complications cause discomfort and can lead to time off school and activities they enjoy, as well as missed workdays for parents or caregivers.

Getting the vaccine helps children build that barrier that helps avoid high fevers, muscle aches, and fatigue associated with influenza, which can leave kids feeling miserable for days or weeks. As parents, there’s nothing worse than seeing your child sick and feeling like you could have done something to prevent it but now can’t.

Addressing Low Vaccination Rates

Despite all the data available, vaccination rates remain low. In Tennessee and across the U.S., only 37% of children have received the flu shot this season. This is concerning, given how deadly the flu season can be, especially for children.

Thousands of children end up in the hospital due to flu-related complications, and tragically, flu-associated pediatric deaths occur annually. During the 2023–2024 flu season, 200 pediatric flu-related deaths were reported, surpassing the previous high of 199 deaths in the 2019–2020 season. Of these deaths, approximately 80% of children were not fully vaccinated against influenza.

This data paints a clear picture. Low vaccination rates and high transmissibility of influenza can have deadly consequences. It’s important to vaccinate children because they often act as vectors, spreading the virus to other children, who then spread it to families, and it can eventually reach vulnerable populations, including the elderly.

Increasing flu vaccination rates among children is a critical public health priority. Vaccination protects individual children from severe illness and death and contributes to community-wide immunity, reducing the overall burden of influenza and safeguarding those who cannot be vaccinated.

What to Remember This Holiday

As we prepare to gather with loved ones this holiday season, it’s important to understand the risks of the flu. During this busy time — shopping, traveling, and celebrating. The flu doesn’t respect borders or boundaries.

Vaccination is a simple step that can drastically reduce flu transmission and protect everyone around you.

Remember, vaccination isn’t just a personal choice — it’s a shared responsibility.

Sources

Tennessee Department of Health: Weekly Flu Reports

CDC: Fluview

CDC: New Grim Milestone for Flu Pediatric Deaths Set

CDC: Flu Deaths in Children Last Season Reach 199, Matching Record

Ensuring a Healthy Holiday: Why Your Children Should Be Vaccinated Before Christmas Travel

The holiday season countdown is on — a time for family gatherings, festive traditions, and many long-awaited travel plans. Whether you’re heading to a snowy wonderland, visiting relatives across the country, or maybe escaping the cold to a warmer destination abroad, one thing is certain: travel during the holidays can significantly increase exposure to infectious diseases. Before you head out, there are a few things you should consider attaching to your packing list.

The Reality of Holiday Travel and Disease Spread

Christmas travel is one of the busiest times of the year. Airports, train stations, and buses are packed with travelers from all walks of life, often from different regions or countries. Crowded spaces like these create ideal conditions for transmitting viruses and bacteria.

Typical scenarios where infections spread during travel include:

● Airports and Airplanes: High-contact surfaces like security bins, handrails, and airplane seats can harbor germs for hours.

● Enclosed Spaces: From packed terminals to crowded holiday parties, close contact with others increases the risk of airborne infections like flu or COVID-19.

● Seasonal Illness Spikes: Winter is prime time for respiratory viruses, including RSV, influenza, and the common cold.

● International Travel Risks: Visiting regions with different disease prevalence can expose your family to illnesses like measles, whooping cough, or meningitis.

What Vaccinations Should Your Child Get Before Holiday Travel?

Vaccinations are the best gifts during the holiday season. They give you the defense you need to ensure your body is ready to fight against preventable diseases. For children with developing immune systems, staying current on vaccines is crucial to reduce the risk of serious illness. There are many vaccines to consider getting before taking flight:

● Flu Vaccine
Flu season peaks during winter, coinciding with the holiday travel rush. Flu vaccination can help prevent infection or, at the very least, reduce the severity of symptoms if your child does catch the virus. To maximize protection, getting vaccinated at least two weeks before traveling is best.

● COVID-19 Vaccine
If your child is eligible, staying up to date with COVID-19 vaccinations is just as important as the flu vaccine. This becomes even more important when visiting crowded destinations or traveling internationally, where the chances of exposure to the virus may be higher.

● Routine Childhood Immunizations
While preventable, diseases like measles, mumps, and rubella continue to pose risks in some regions, particularly during international travel or large holiday gatherings. Ensuring your child is current on routine vaccinations like the MMR (measles, mumps, rubella) vaccine is essential. Take a moment to review your child’s immunization records to confirm they’re fully protected against these common illnesses.

Planning Ahead: How to Make Vaccination Easy

Getting your child vaccinated before holiday travel doesn’t have to be stressful. There are only a few things to consider:

  1. Check Their Vaccine Record: Consult your child’s pediatrician or local health clinic to ensure their immunizations are current.
  2. Schedule Early: Aim to complete vaccinations at least two weeks before travel, as some vaccines take time to provide complete immunity.

A Healthy Holiday Season Starts With Prevention

The joy of Christmas travel shouldn’t come at the cost of your family’s health. Vaccinating your children allows you to focus on creating memories instead of worrying about fevers or doctor visits. This season, give your family the protection and peace of mind they need to enjoy the holidays.

Sources

CDC: Travelers’ Health

CDC: Holiday Travel Tips

Building a Healthier Future: Boosting Kindergarten Immunization Rates

School is a crucial time for every child’s development. It’s a place where they learn new things, form friendships, and explore the world with like-minded peers. Behind the scenes of this growth, one essential factor ensures their well-being and ability to thrive: vaccination.

In Tennessee, the 2022–2023 school year marked a significant achievement, with an impressive 95.4% immunization rate among kindergartners — well above the national average of approximately 93%. While not overtly visible throughout the year, this success is an achievement to strive for every year to ensure that children can enjoy their time at school. However, while we wait to see what trend Tennessee has this year, the Centre for Disease Control and Prevention (CDC) has already indicated that the 2023–2024 school year continued declines in vaccination coverage.

The Challenge of Declining Rates

While Tennessee’s rates have been commendable for that specific year, the broader national picture presents a cause for concern. According to the CDC, vaccination coverage among U.S. kindergartners decreased across all reported vaccines during the 2023–2024 school year. Coverage for diphtheria, tetanus, and acellular pertussis vaccine (DTaP) dropped to 92.3%, and measles, mumps, and rubella (MMR) vaccination rates declined to 92.7%. Exemptions also increased from 3.0% to 3.3%.

When vaccination rates drop, multiple diseases can spread simultaneously, making diagnosis more challenging, straining healthcare systems, disrupting schools, and increasing severe illness rates. Measles, a highly contagious but preventable disease, can rapidly spread in areas with low vaccine coverage. Seasonal influenza poses a significant yearly threat while emerging COVID-19 variants remind us of the need for ongoing vaccination efforts. Respiratory Syncytial Virus (RSV) has also surged recently, causing severe illness in young children and older adults. This overlap of illnesses can overwhelm hospitals, increase school absenteeism, and potentially lead to complex health challenges beyond the reach of existing vaccines.

Why Vaccination Matters

Vaccines are among the most effective tools for preventing disease. While measures like washing hands, covering your mouth when coughing, and staying home when sick can help reduce the spread of infection, none are as effective as vaccination. With vaccination rates declining, exemptions on the rise, and increased global travel just around the corner, the threat of vaccine-preventable diseases spreading in our communities is real.

In Tennessee, maintaining and improving immunization rates is especially critical. In 2024, the state reported its first measles case since 2019. Although the case was isolated, it serves as a stark reminder of how easily a disease like measles can be contracted and potentially spread.

A Shared Responsibility

Tennessee’s immunization success in 2022–2023 is an achievement worth celebrating — one that reflects the collective effort and serious commitment to combating disease. However, with national immunization trends for 2023–2024 showing a decline, gaps in the system could leave communities vulnerable as 2025 begins.

The best way to address this is to review your child’s vaccination schedule and book an appointment. Ensuring Tennessee meets national immunization goals contributes to the state’s health and the well-being of communities across the U.S.

Sources:

CDC: Coverage with Selected Vaccines and Exemption Rates Among Children in Kindergarten — United States, 2023–24 School Year

CDC: Coverage with Selected Vaccines and Exemption from School Vaccine Requirements Among Children in Kindergarten — United States, 2022–23 School Year

Tennessee Department of Health: Tennessee Department of Health Confirms First Positive Measles Case in the State Since 2019

Demystifying RSV: How Your Immune System Battles Viral Invaders

While it can happen at almost any time of year, Respiratory Syncytial Virus (RSV) is starting to be detected more frequently as we move into the colder months. RSV is a common virus that can severely impact young children if the proper steps aren’t taken. While it can be mistaken for the common cold, RSV can escalate into more serious conditions, such as bronchiolitis or pneumonia. Recognizing the symptoms and understanding how our immune system combats viruses like RSV is crucial for prevention and care, especially if you have young children.

What is RSV, and Why is it Significant?

RSV primarily affects the respiratory system, causing symptoms such as a runny nose, decreased appetite, coughing, sneezing, fever, and wheezing. In most cases, RSV resolves without significant complications. However, for infants — especially those born prematurely or with underlying conditions — it can lead to severe illnesses that may require hospitalization.

Strengthening Immunity Against RSV

While the immune system can fight off RSV, there are certain ways to strengthen it and enhance its ability to fight infections:

● Vaccination: Staying up-to-date with available vaccines, such as those for influenza and COVID-19, indirectly reduces the burden on the immune system during viral season. RSV vaccines are currently in development and show promising results.

● Hygiene Practices: Regular handwashing, disinfecting surfaces, and wearing masks in crowded or high-risk areas can prevent virus transmission.

● Healthy Lifestyle: Proper nutrition, sufficient sleep, and regular exercise bolster overall immunity.

● Management of Chronic Conditions: Children with asthma or other respiratory illnesses should follow a plan to reduce the risk of severe RSV outcomes.

When to Seek Medical Attention

If an RSV infection progresses to symptoms like difficulty breathing, dehydration, or significant lethargy, immediate medical care is necessary. Parents of young children should watch for signs such as persistent wheezing, bluish lips, or grunting during breathing.

Essential Vaccines for Children

This time of year, it’s essential to prioritize vaccines that protect children from serious illnesses, helping strengthen their immunity, especially as the risk of disease increases. Key immunizations include the measles, mumps, and rubella (MMR) vaccine, which protects against three highly contagious diseases. Without vaccination, these illnesses can lead to complications such as pneumonia, brain damage, or even death. Thanks to the widespread use of the MMR vaccine, measles — a former leading cause of childhood mortality — has been significantly reduced globally.

While vaccines have eliminated measles in many parts of the world, cases have recently resurfaced in the U.S. Similarly, whooping cough (pertussis) vaccine protects against a dangerous bacterial infection that can cause severe coughing, respiratory distress, and life-threatening complications, particularly in infants.

The Importance of Staying on Schedule

Maintaining vaccination schedules is another important step in ensuring children’s immune systems are up-to-date. Vaccines are administered strategically to maximize effectiveness, and delaying or skipping doses can leave children exposed to preventable diseases during critical developmental periods. Timely vaccination has led to some of the greatest public health achievements, including the global eradication of smallpox and the near-eradication of polio. Maintaining high vaccination rates ensures we can continue combating other dangerous diseases and limit the risk of children becoming ill or needing hospitalization.

As we approach cooler temperatures and the season when illnesses become more common, it’s important to stay informed about circulating viruses and how to prevent them. This knowledge can help keep children and families safe throughout the coming months and during the holiday season.

Sources:

CDC — Respiratory Syncytial Virus (RSV)

WHO — Immunization

American Academy of Pediatrics — RSV

Holiday Health Checklist: Protect Your Child with Vaccinations This Season

It’s that time of year again — when you’re making your list, checking it twice, and braving crowded shopping malls as everyone hunts for the perfect gifts for their loved ones this holiday season. With chilly temperatures driving people indoors and crowded malls filled with holiday shoppers, the conditions are perfect for spreading illnesses. Close contact with others, combined with shared surfaces and seasonal viruses like the flu and colds, makes this time of year a peak period for getting sick. Amidst planning, decorating, and celebrating, one essential task to put on your list is ensuring your child is vaccinated.

The Gift of Protection

Winter is the peak season for illnesses like the flu, the common cold, RSV (Respiratory Syncytial Virus), and COVID-19, especially with family gatherings, travel, and crowded festivities. While some may dismiss their symptoms as minor illnesses that will pass on their own, it’s important to remember that influenza alone is responsible for an estimated 290,000 to 650,000 respiratory-related deaths globally each year.

This is why ensuring children are up-to-date on their vaccines is important. Vaccination provides peace of mind by helping to prevent serious illnesses, reducing the stress of dealing with sick days, and ensuring the virus doesn’t spread to others. To make vaccination part of your holiday routine, it’s important to:

  1. Plan ahead: Book your child’s appointment at a local clinic or pharmacy early.
  2. Integrate it into your schedule: Combine vaccination appointments with other errands.
  3. Create a positive experience: Offer small rewards, explain the importance of vaccines, and bring distractions like a favorite toy.

Addressing Coughs, Colds, and Common Concerns

Vaccines are the best defense against illness but don’t guarantee 100% protection. Even with immunity, there’s a small chance of getting sick, especially if the vaccine’s effectiveness is lower for certain strains or if your immune system doesn’t respond strongly.

While most colds in children are mild, they can still add to the holiday stress. It’s natural to want quick fixes like cough or cold medicines, but most children recover independently, and medications rarely speed up recovery.

Some over-the-counter cough and cold medicines can have serious side effects, especially in infants and young children. However, there are safer options to consider:

● Non-drug treatments work well: Encourage plenty of fluids, use saline nasal drops or sprays, and try a cool-mist humidifier to ease congestion.

● Use medications cautiously: Acetaminophen or ibuprofen can help with fever or discomfort, but always follow dosage instructions. Avoid over-the-counter cold medicines for children under 4 years old.

When to Seek Medical Advice

While most sniffles and coughs don’t require a trip to the doctor, some symptoms may indicate a more serious condition. Call a healthcare provider if your child experiences:

● A fever of 100.4°F or higher in infants 2 months or younger or 102°F in older children.

● Labored breathing, including wheezing or visible ribs with each breath.

● Severe headache, ear pain, or signs of dehydration.

● Worsening symptoms or unusual lethargy.

A Holiday Free of Worry

It’s a busy time of year, and the last thing you want added to your list is a sick child. Prioritizing your child’s health will help ensure they can participate in all the celebrations without worrying about getting sick. Whether through timely vaccinations or managing colds effectively, your efforts will keep the holidays merry and bright for the whole family.

So, as you check your list twice, don’t forget to add health to the top.

Sources

Who: Influenza (Seasonal)

U.S. Food and Drug Administration: Should You Give Kids Medicine for Coughs and Colds?

CDC: Immunization Schedules

Cooking Up Immunity for Thanksgiving Weekend

Parades, football, and full bellies — families are eagerly counting down the days until Thanksgiving. But if you’re traveling, you might experience more than just food comas this holiday. This season often brings illnesses due to increased respiratory illnesses, including the flu, COVID-19, and RSV (respiratory syncytial virus). These viruses are often spread more easily in crowded indoor spaces, making it especially important for families to protect themselves and their loved ones. One of the best ways to do that is by getting vaccinated.

Vaccination Timing

Time is important, whether cooking a turkey or scheduling vaccinations. If you missed the early fall push for flu and COVID-19 vaccines, don’t worry; it’s not too late. Health experts recommend getting vaccinated ahead of the holidays, as respiratory viruses tend to spread more rapidly with increased travel and indoor gatherings. The CDC emphasizes that the two-week period leading up to Thanksgiving is ideal for getting your flu and COVID-19 shots. This is because the body needs time to build immunity, which takes about two weeks.

COVID-19 cases tend to rise in the winter, starting around Thanksgiving and peaking in January. This winter surge often coincides with the start of flu season, which typically begins in November or December and peaks in January or February. As both viruses spread simultaneously, it can become confusing because they share similar symptoms. If not treated, this could result in severe illness, especially for those who are unvaccinated.

Why Vaccination Matters

Both COVID-19 and the flu can be serious, particularly for young children and pregnant women. The CDC urges everyone aged six months and older to get an updated COVID-19 vaccine and a flu shot. These vaccines can offer protection against severe illness, hospitalization, and death. While they may not prevent every illness, they have been proven to reduce the severity of infections.

According to the CDC, only 45% of adults received a flu vaccination last year, and just 23% received a COVID-19 shot. Given that COVID-19 still claimed more lives than the flu last year, it’s clear that this vaccination should be part of your routine immunization schedule.

The Importance of RSV Vaccination

It’s not only the flu and COVID-19 that impact the holidays. Another virus to be aware of is RSV, which can be particularly dangerous for young children. RSV is known for causing severe respiratory illnesses and hospitalizations each winter. The CDC recommends an RSV vaccine for those 75 and older and those aged 60–74 at increased risk. Pregnant women are also encouraged to get vaccinated to protect their newborns during the fall and winter months. Data shows that only 24% of seniors received the RSV vaccine last year, highlighting the need for more people to seek this protective measure.

Vaccine Options:

Flu Vaccines: This year’s flu vaccine targets two Type A strains and one Type B strain. For people 65 and older, high-dose shots and special immune-boosted options are available.

COVID-19 Vaccines: The updated COVID-19 shots offer enhanced protection as this strain continues to evolve and are available to everyone aged six months and older.

RSV Vaccines: The RSV vaccine is recommended for older adults, pregnant women, and those at increased risk. It’s a one-time shot that protects for the season.

Put Your Family First This Holiday Season

Thanksgiving is a special time that marks the beginning of the holiday season and the start of cooler weather. As you prepare the turkey, take a moment to prepare your body for the illnesses that circulate during winter. Getting vaccinated is quick and easy, and it only takes a little time to help reduce the risk of severe illness and hospitalizations this season. This holiday, focus on making memories, not dealing with illness.

Sources:

CDC: Influenza, Updated COVID-19, and Respiratory Syncytial Virus Vaccination Coverage Among Adults — United States, Fall 2023

CDC: Immunizations for Respiratory Viruses Prevention

John Hopkins Medical: COVID-19 Vaccine: What You Need to Know

Flu Trends, Vaccines, and Prevention

You might be noticing people around you are getting sick, especially children. The cause is the flu, with the CDC reporting a slight increase in cases among kids and confirming the first pediatric flu-related death of the 2024–25 season. It’s still early in the season, so parents need to stay informed about the risk the flu poses to children and the steps they can take to keep their families safe. While national flu activity remains relatively low, some early trends are worth noting.

Pediatric Flu Trends and Vaccination Gaps

It’s a tragic milestone for the CDC to report this season’s first influenza death. This comes after a record-breaking 200 pediatric deaths in the previous season, many of which occurred in children who were not fully vaccinated.

Flu vaccination rates among children have declined, with only 53.9% vaccinated last season. This is a drop compared to pre-pandemic years. This decline is concerning because the flu vaccines have been shown to reduce the risk of medical visits by two-thirds and cut the risk of hospitalization in children in half.

How Parents Can Take Action

It’s recommended that everyone aged six months and older receive their annual flu shot by the end of October. According to the CDC it’s important for:

● Young children: Kids up to 8 years old receiving their first flu shot may need two doses for full protection.

● Older adults: Those over 65 should consider a higher-dose flu vaccine for better protection.

How the Flu Vaccine Works

The flu vaccine is administered in the arm. Once it enters the body, it stimulates the immune system to produce antibodies, proteins that help the body recognize and fight the flu viruses. These antibodies take up to two weeks to take effect and protect against the specific strains of flu viruses included in the vaccine.

The flu vaccine is designed annually to target the influenza viruses that research indicates will be most common during the upcoming flu season. There are different types of flu vaccines, such as inactivated vaccines (made from killed viruses), live attenuated vaccines (containing weakened viruses), and recombinant vaccines (made without using the flu virus itself).

This vaccine undergoes several tests before it’s given to the public. Its yearly effectiveness can range from 40% to 60% when matched to the circulating strains. While the vaccine may not always prevent infection, it significantly reduces the severity of illness, the risk of complications like hospitalization, and the likelihood of flu-related deaths.

The Bigger Picture

Flu activity tends to rise during fall and winter, peaking between December and February. However, the virus circulates year-round, and its impact varies seasonally. Over the past decade, the flu has caused up to 41 million illnesses, 710,000 hospitalizations, and 51,000 deaths annually.

Parents should note that the flu is not the only respiratory virus circulating. Several other viruses, such as RSV and COVID-19 get thrown into the mix at this time of year.

Tips to Keep Your Family Healthy

● Get vaccinated: Flu shots are widely available at doctor’s offices, pharmacies, and clinics.

● Stay vigilant: Encourage good hand hygiene and keep children home if they’re unwell.

● Know the signs: Watch for flu symptoms like fever, chills, cough, sore throat, muscle aches, and fatigue.

The flu can be unpredictable, but recognizing the signs early and taking preventive measures can help you manage the risks and avoid complications. Vaccinating your children, whether it reduces their risk by 40% or 60%, can make a significant difference as they participate in more indoor activities and interact with other children. With the flu season in full swing, we all must take responsibility for preventing the spread of illness, especially as we prepare to gather with family and friends during the upcoming holidays.

Sources:

CDC: Flu and Children

CDC: New Grim Milestone for Flu Pediatric Deaths Set

CDC: Flu Burden

CDC: Flu Deaths in Children Last Season Reach 199, Matching Record

Tuberculosis Cases Surged in 2023: What Parents Need to Know About the World’s Leading Infectious Disease

In 2023, tuberculosis (TB) cases saw a significant rise, with new diagnoses reaching an estimated 8.2 million, up from 7.5 million cases the previous year, according to a recent report by the World Health Organization (WHO). This marks the highest number of TB cases since monitoring began in 1995. This rise has now put TB, once again, as the leading cause of death from infectious diseases, surpassing COVID-19 in 2023.

TB Trends in the U.S.: Case Rise Following COVID-19 Disruptions

The United States has experienced a resurgence in TB cases, with a 16% increase in 2023, marking the third consecutive year of rising diagnoses. The Centers for Disease Control and Prevention (CDC) reported 9,615 cases, the highest since 2012. Previously, TB had been on the decline for nearly three decades, reaching a low of 7,171 cases in 2020. A majority of cases found in the U.S. cases come from latent TB reactivation rather than recent transmission, with foreign-born individuals making up 76% of new diagnoses in 2023.

Impact on Children: The Growing Threat of TB in Youth

As TB cases rise, children become more at risk of both latent and active TB infection. When a child is exposed to TB, there are two possible outcomes: inactive TB (latent TB infection), which can reactivate later in life, or active TB disease, which can cause serious health complications if untreated.

Inactive TB

In some cases, TB germs can live in a child’s body without causing illness. This is known as inactive TB or latent TB infection. Children with inactive TB aren’t sick, don’t show symptoms, and can’t spread TB to others. However, they risk developing active TB if the infection isn’t treated.

Active TB

Active TB disease occurs when the immune system can’t prevent TB germs from growing. Children with active TB often feel unwell, showing symptoms like coughing, weakness, fever, and weight loss. Active TB is contagious and can spread to others through the air when an infected person coughs, speaks, or even sings.

Young children are particularly vulnerable to more severe forms of TB, such as TB meningitis (TB affecting the brain) and miliary TB (TB spread throughout the body). Without treatment, active TB disease can be fatal, making early diagnosis and treatment essential.

Symptoms of Active TB Disease in Children

TB symptoms vary depending on which part of the body is affected. When TB affects the lungs, children may experience:

● Persistent cough

● General fatigue or weakness

● Weight loss or growth issues

● Fever

● Night sweats

How TB Spreads

TB is an airborne infection that spreads when a person with active TB of the lungs or throat releases the bacteria by coughing or speaking. These germs can stick around for hours, especially in areas with poor ventilation. However, children are less likely to spread TB to others due to lower lung bacteria levels.

Vaccination and the Importance of Protecting Children Against Tuberculosis

The Bacille Calmette-Guérin (BCG) vaccine is widely used to protect children against severe forms of TB. However, it’s rarely used in the U.S. because rates are usually low. In areas where TB is more common, administering the BCG vaccine at birth or in infancy significantly lowers a child’s risk of developing serious TB complications.

The BCG vaccine is typically given as a single injection in the upper arm. Mild side effects are common, like redness or a small sore at the injection site. In rare cases, children may develop a small abscess or experience swollen lymph nodes near the injection area. However, these side effects are usually mild and temporary.

Future Challenges and The Need to Stay Informed

The resurgence of (TB) as a global health threat, despite the availability of preventive and treatment tools, highlights the urgency of addressing potential future challenges. Combating TB requires a sustained commitment to early diagnosis. By staying informed, parents can strengthen efforts to control and ultimately eradicate TB, ensuring children won’t need to deal with this disease in the future.

Sources:

World Health Organization: Tuberculosis resurges as top infectious disease killer

CDC: Bacille Calmette-Guérin (BCG) Vaccine for Tuberculosis

CDC: Tuberculosis in Children

What Families Should Know About Flu, COVID-19, and RSV Vaccines

With temperatures beginning to dip and the holidays fast approaching, it’s the best time to consider vaccinations against viruses that circulate when we’re gathering indoors and traveling.

Why Get Vaccinated Now?

Around this time of year, cases of flu and COVID-19 start to rise around Thanksgiving, with peak season hitting in January. Getting vaccinated sooner helps your body build immunity before these viruses spread; immunity typically takes about two weeks after each shot. With the holiday season approaching, getting vaccinated ahead of any potential travel is especially important, as viruses can spread quickly in these settings.

Who Should Get Vaccinated?

The Centers for Disease Control and Prevention (CDC) recommends getting an annual flu shot and COVID-19 vaccine starting at six months of age and older. Pregnant individuals should also get vaccinated, as it protects them and provides some immunity to newborns. It’s particularly important to ensure your children are vaccinated, as the CDC recorded nearly 200 child deaths from the flu last year.

The Flu Vaccine

Flu shots are recommended for everyone aged six months and older, with special high-dose or immune-boosted options available for people aged 65 and older. If you or your children are uncomfortable with needles or have specific health concerns, talk to your healthcare provider about finding the right flu vaccine option.

The RSV Vaccine

RSV, or respiratory syncytial virus, can be severe for young children. While RSV usually feels like a cold for most, it can result in hospitalization each winter. The CDC recommends the RSV vaccine for infants younger than 8 months born during or are entering their first RSV season. High-risk individuals aged 60 to 74 and those aged 75 and older are also encouraged to get vaccinated. Pregnant individuals are advised to get the RSV vaccine to protect babies born in the fall and winter.

Can You Get All Three Vaccines at Once?

If you’re eligible, it’s safe to get your RSV, flu, and COVID-19 shots in one visit. Although you might experience a sore arm or mild side effects, the convenience and protection outweigh the temporary discomfort.

Additional Ways to Protect Yourself

In addition to getting vaccinated, there are other steps you can take to protect yourself from respiratory illnesses:

● Stay home when sick

● Practice good hygiene, like frequent handwashing

● Consider wearing a mask and maintaining physical distance in crowded settings

These simple steps can reduce your chances of contracting a respiratory virus during the season’s peak.

Making the Choice for Your Family

Getting vaccinated offers an unmatched layer of defense against severe illness. Last year, fewer than half of adults received a flu vaccine, and only 23% got a COVID-19 shot, allowing these viruses to continue causing hospitalizations and deaths through winter. With Thanksgiving and the holidays approaching, it’s a good time to make a plan to get your vaccines. Doing so can lower your risk of severe illness and help reduce the spread of these viruses this season.

Sources:

CDC: Getting Your Immunizations for the 2024–2025 Fall and Winter Virus Season

CDC: RSV Immunization Guidance for Infants and Young Children

CDC: Staying Up to Date with COVID-19 Vaccines

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