
Flu Vaccine Primer
Flu vaccines offer the best protection against getting the flu. There are two types of vaccines: flu shots (injections) and nasal vaccine.
Flu Shots (Injections)
As recently as the 2009-2010 flu season, it was necessary to get one vaccine for seasonal flu and a separate one for H1N1 (Swine) flu. However, for the 2010-2011 flu season, CDC announced that most people with need just one shot to be protected against both seasonal and H1N1 flu.
- Flu shots are made from dead viruses - making them safe for pregnant women and children from the age of 6 months and up.
- CDC encourages anyone with asthma and anyone over 65 to get a flu shot.
- Children from 6 months to 9 years who have never had a flu vaccine before will need two doses the first year. From then on, they will only need one does.
If you have a severe allergy to chicken eggs, a flu vaccine is not recommended.
Nasal Vaccine
The nasal vaccine is an excellent alternative to an injection - especially for those who shy away from needles.
However, certain people should not receive the nasal vaccine, and should get a tradition flu shot injection instead. This includes:
- Children under the age of 2
- People over the age of 50
- Pregnant women
- Those with certain health conditions like asthma, arthritis, HIV/AIDS. (Consult your healthcare provider if you have underlying health conditions)
Information on Vaccines and Vaccine Safety
For more on which vaccine might be right for you, check out the Vaccine: Flu Shot or Nasal Spray? Chart at flu.gov.
For Common Q&A about flu vaccines, visit CDC's Parents' Guide to Immunizations.
Pneumoccal Vaccine
The pneumococcal vaccine does not prevent the flu. However, many of those who have experienced serious complications from the flu have also become infection by streptococcus pneumonia, which is a major cause of pneumonia.
For this reason, CDC recommends a pneumococcal vaccination for:
- Children under 5
- People over 65
Ask your healthcare provider for more information.
Learn more about Streptococcal Disease in Germs 101.
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Cold and Flu Prevention Tips
Cold
The basic steps for preventing the spread of cold germs are:
- Practice frequent and thorough hand washing. See when to wash and review step-by-step handwashing instructions.
- Clean and disinfect frequently-touched surfaces regularly
- Cover your mouth and nose when coughing and sneezing, and dispose of used tissues in the trash
- Follow basic good health habits to help fight off cold viruses.
Seasonal Flu and H1N1
Prevention tips for H1N1 and seasonal flu are similar. CDC recommends the following steps to help prevent becoming sick with the flu:
- Get vaccinated. According to CDC, vaccination is the best protection we have against flu.
- Cover coughs and sneezes with a tissue. Throw the tissue in the trash after you use it.
- Stay away from people who are sick.
- Wash hands often with soap and water. If soap and water are not available, use an alcohol-based hand rub.
- Avoid touching your eyes, nose and mouth.
- Reduce germs on surfaces like bedside tables, bathroom surfaces, kitchen counters and children's toys clean by using disinfecting wipes, disinfecting all-purpose cleaner or disinfectant spray. Follow label directions to disinfect properly; rinse children's toys after disinfecting them.
- Try to avoid contact with those who are sick. If someone in your home is sick, try to keep the person in a separate room, if possible. Throw tissues and other disposable items used by a sick person into the trash.
Since the disease can be spread via hands and surfaces, proper hygiene is critical to reducing the risk of contracting the flu. And if there is an outbreak in your area, follow public health advice regarding school closures, avoiding crowds and other social distancing measures.
Avian Flu/H5N1
You can't get Avian Flu from eating properly-handled poultry and eggs. Even if the food were contaminated, proper handing would kill it. The food safety methods that FDA and USDA recommend for poultry and eggs are:
- Wash your hands with soap and warm water for at least 20 seconds before and after handling raw poultry and eggs.
- Clean cutting boards and other utensils with soap and hot water to keep raw poultry from contaminating other foods, and disinfect frequently.
- Use a food thermometer to make sure you cook poultry to a temperature of at least 165° F.
- Cook eggs until whites and yolks are firm.
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Cold and Flu Prevention for Children
As a parent, it is important that you talk to your child about the importance of personal hygiene. It matters all year round ... but especially during cold and flu season.
Personal Hygiene + Surface Disinfection = Prevention
You may need to continually remind your child to:
- Cover his or her mouth and nose when coughing and sneezing
- Dispose of used tissues in the trash
- Practice frequent hand washing.
As a parent, you can role model good personal hygiene for your children on an ongoing basis. In addition, remember to clean and disinfect frequently touched surfaces such as faucets, doorknobs, and kitchen appliance handles on a regular basis. This is another important step in helping to prevent the spread of cold and flu germs in your home.
Special Tips to Protect Your Children
Noted pediatrician Dr. Laura Jana recommends the following key behaviors for protecting your children from cold and flu germs.
- Give Kids The Flu Vaccine. Start flu season off by helping kids avoid getting the flu. Contact your pediatrician for more information
- Cover Noses and Mouths Show children how to do the "elbow" cough and sneeze (using their elbows to cover their mouths instead of their hands). Or, show them how to cover their mouths and noses with a tissue, and then immediately throw it away.
- Drink Fluids. Water flushes toxins from your system, so be sure to keep kids hydrated.
- Wash Those Hands. Teach your children about the importance of hand washing before every meal, after using the bathroom and after playing outside.
- Regularly Disinfect Surfaces. Minimize the likelihood of spreading illnesses through contaminated surfaces by disinfecting commonly touched surfaces at the beginning and end of the day with LYSOL®.
- Well-Balanced Diet. Give kids plenty of high protein foods, fruits, vegetables and vitamins to give their bodies the defenses they need.
When Someone at Home is Sick
Call your healthcare provider right away if your child gets sick. If he/she is diagnosed with H1N1, you're your provider may prescribe an antiviral medication, as they often work best when started within the first 2 days (48 hours) of getting sick.
- Check with your healthcare provider about:
- Recommended over-the-counter medications to help relieve symptoms.
- Suggested fever-reducing medicine if your child has a fever (100° F or higher).
- Any special treatment requirements for children at higher risk, such as those with asthma.
- Make sure your child gets plenty of rest and drinks clear fluids (such as water, broth, sports drinks, (or electrolyte beverages for infants) to prevent dehydration.
- If possible, keep your child separated from the rest of the family.
- Keep your child home from school or daycare until at least 24 hours after his/her fever is gone (without the help of fever-reducing medication)
When To Contact Your Healthcare Provider
Get medical attention right away if your child:
- Has difficulty breathing or chest pain
- Has flu symptoms return after having improved
- Has purple or blue discoloration of your lips or skin
- Is vomiting and unable to keep liquids down
- Is not drinking fluids
- Shows signs of dehydration, such as feeling dizzy when standing or being unable to urinate or shed tears
- Is not waking up, interacting, or not wanting to be held
If you are caring for someone with the flu, check out the helpful caregiver information available at flu.gov.
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Following Good Health Habits
In addition to getting a flu vaccine, the following general habits can help protect you from getting sick ... and infecting others if you are ill.
- Avoid close contact.
Stay away from someone who is sick ... and stay home when YOU are sick.
- Follow a strict handwashing routine.
Proper handwashing is important for so many health reasons, protecting you and those around you on a daily bases. But it's particularly critical in the prevention of cold and flu, since these viruses are spread through hand-to-hand contact or by touching a surface that has been contaminated.
See when to wash and review step-by-step handwashing instructions
- Avoid Spreading or Getting Germs
- Take care of yourself to stay healthy and help fight off germs.
CDC recommends that you:
- Get rest
- Get plenty of sleep
- Be physically active
- Manage your stress
- Drink plenty of fluids
- Eat nutritious food
- Don't smoke/quit smoking
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Cold and Flu Prevention On-The-Go
Being away from home shouldn't mean forgetting your hygiene habits. In fact, practices like handwashing might be even more important, given the millions of germs that can be left on surfaces by others every day.
Tips for Public Places
- Wash your hands frequently, especially when you are doing "surface touching" things like shopping.
- If your supermarket offers disinfectant wipes where you pick up your shopping cart, use it to wipe down the cart handle.
- Try to prevent your child from touching surfaces when you are out-and-about together.
- In restrooms, try to avoid touching surfaces like faucets, doorknobs and flush handles. Flush with your foot, and use your paper town to turn water off and open the door to leave; then throw the towel away.
- Always carry hand sanitizer in case soap and water are available. Use it after touching surfaces and before eating.
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Avoiding Germs in Daycare and at School
Whether you are dropping your young child at daycare or sending kids off to school, you can help ensure that they are protected from germs. CDC offers some basic reminders you can provide to children and daycare providers.
Daycare
For your child:
- Encourage your children to wash hands when they look dirty. Teach them wash hands for 15-20 seconds (long enough for children to sing the "Happy Birthday" song twice).
- Show your child how to use alcohol-based hand cleaner by children, and explain when to use it. (Before eating and after touching surfaces, when soap and water are not available.)
- Remind your child to cover his or her cough or sneeze.
For providers:
- Encourage care providers to wash their hands frequently, and whenever possible between contacts with infants and children.
- If soap and water aren't available, encourage them to use a hand sanitizer.
- Ask them to wash the hands of infants and toddlers when the hands become soiled.
- Request that providers to keep alcohol-based hand cleaner out of the reach of children to prevent unsupervised use.
- Remind provider to make sure their sink locations and restrooms are stocked with soap, paper towels or working hand dryers. While hand washing is the method of choice, other non-sink areas should have access to alcohol-based hand cleaner.
- Encourage providers to clean frequently touched surfaces, toys, and commonly shared items at least daily and when visibly soiled with an EPA-registered disinfectant, and to keep the disinfectant out of the reach of children. (Toys being used by children should be rinsed after disinfection.)
- Encourage providers to have everyone "cover their coughs" (and sneezes).
School
- Keep your child home if he or she is sick.
- Remind your child to wash hands before eating, after touching surfaces, and after sneezing/coughing.
- Urge your child to cover his/her coughs and sneezes, and to try to avoid getting close to other children who may be coughing and sneezing at school.
- Make sure to send your child to school with hand sanitizer and tissues.
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