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February 9, 2010
ScienCentral

Annual Flu Shot


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  Flu Shot (10.30.03) - One scientist found out why skipping a flu shot one year can increase your flu risk the next.

Big Bug on Campus (8.08.03) - Some college freshmen might be missing a requirement when they arrive on campus this fall—a vaccination.

  Is it a Cold or Flu?

CDC News Conference Transcript from December 11, 2003

Nasal Flu Vaccine May Offer Better Protection



   12.18.03
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If you got your flu shot this year, remember that you need to get another one next year, and every year after that. As this ScienCentral News video reports, one scientist found out that skipping a flu shot can increase your flu risk that year.

New Flu, New Flu Shot

This year, an unprecedented number of Americans have gotten a flu shot, because of concern about both SARS and the influenza virus' virulent new mutation, known as the Fujian strain. Although this year’s flu vaccine does not include the Fujian strain, it does include a close relation. According to Julie Gerberding, M.D. , director of the federal Centers for Disease Control, that means “our population at large is probably the best protected [from influenza] that we have ever seen."

The CDC targets flu shots to those at greater risk because of age or health, including children under two years, adults over 50, and anyone with a chronic illness. But one bioengineer says that if you got a flu shot last year, and skipped it this year, you’re at greater risk, too. In fact, you may be worse off than if you'd never gotten a flu shot at all.





Michael W. Deem, professor of bioengineering, physics, and astronomy at Rice University in Houston, Texas, has researched a biological phenomenon known as "original antigenic sin," first discovered in people and farm animals in 1953. Original sin is a theological concept that accounts for human flaws, and an antigen is biologists' term for an invading organism, such as the influenza virus. So original antigenic sin describes an apparent failing in the human immune system—it may recognize a certain strain of a disease, such as the current flu virus strain, but then tries to fight an entirely different strain by "remembering" how it fought the first strain it encountered.

getting shot
image: American Lung Association
A flu shot gives the immune system something to "remember" to fight off. But the flu virus mutates very rapidly, and the vaccine is changed every year, so skipping that shot one year can mislead the immune system into thinking it knows how to combat the latest strain. "The immune system may use its memory from last year and try to combat this year's flu with last year's antibodies," says Deem. "The memory in the immune system is actually leading the immune system astray." As a result, Deem says, you may be more likely to get the flu during that year, compared to your chances of illness if you had never gotten a flu shot in previous years.




Deem says an annual flu shot keeps the immune system up to speed. "This allows the immune system to build up its repertoire of antibodies that can control the flu for that particular individual," he says. "For rapidly mutating strains such as the flu, the vaccine needs to contain the most likely strains. And it's not simply that all the strains can be included in the vaccine, because the strains interfere with each other to some extent, so there is a limit to how many strains can be put into the vaccine every year."

If you or your kids didn't get a flu shot this year and you have flu symptoms, the CDC says anti-viral drugs can help if you take them early. See your doctor as soon as you can. And if you did get a shot this year, stay protected by getting one next year, and every year from now on.

Deem's research appeared in the August 8, 2003 issue of the journal Physical Review Letters and was presented on September 8, 2003 at the national meeting of the American Chemical Society. It was funded by the National Science Foundation (NSF), and the Camille and Henry Dreyfus Foundation, Inc.


 
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