Lisa J. Wacht, Kendal’s Health Services Administrator, reports that there have been many questions regarding the October flu vaccine clinics being offered in the Resident Care Center and the decision to administer the “Standard Vaccine” instead of the “High Dose Vaccine”. Please see the explanation below as shared by Kendal on Hudson’s Medical Director, Dr. Syna Kandarappallil:
“Many of my own patients have asked me about my preference in regard to the flu shot. Here is my answer:
“The CDC recommends annual influenza vaccination for everyone 6 months and older with any licensed, influenza vaccine that is appropriate for the recipient’s age and health status, with no preference expressed for any one vaccine over another. Getting the flu shot is a very important step in protecting ourselves against the flu. The flu shot coupled with good hand washing can significantly cut down your chance of becoming ill. Specifically, there has been much pharmaceutical advertising for a “senior” or “high dose” flu shot that is available specifically for people aged 65 and older. The Fluzone High dose vaccine contains four times the amount of antigen (the part of the vaccine that prompts the body to make antibody) contained in standard-dose inactivated influenza vaccines. The additional antigen is intended to create a stronger immune response (more antibody or more protection) in the person getting the vaccine. Now with added antibody often comes a greater risk of side effects. For that reason, many doctors have opted to give their patients the standard quadrivalent flu shot (covers four strains rather than three). This is truly a decision to be made by the doctor who cares for you. The risk of adverse side effects and the fact that the CDC is not solely recommending the high dose vaccine for patients 65 and older are only two reasons I have opted to provide the quadrivalent vaccine to residents at Kendal. I will continue to re-evaluate the issue yearly. As you all are aware, we are in an age of evidence-based medicine. If the evidence supports the high dose vaccine, then the CDC will change their recommendation and I will also make changes. As most residents vaccinated are in the independent community, we do not know the details of every individual’s health and have opted for the flu dose that is safest for all.
“Summary: Get a flu shot (regular or high dose as advised by your primary care physician) and practice good hand washing!!! “I hope this helps clarify any questions that you may have. Please feel free to contact me or leave a message for me at the Resident Care Center with any additional questions.”