What You Need to Know About Ineffective Flu ShotFriday, 22 Feb 2013
This season's flu shot seemed to do little to protect people
over 65 from the worst and most dominant flu strain spreading
around, a small government study found. Vaccinated people in
that age group had only a 9 percent lower chance of going to the
doctor with flu symptoms from the main virus than people who
didn't get the shot.
The vaccine was much better at protecting younger people.
Q: If the flu shot did such a poor job for older folks,
why should they get it?
A: Government doctors and other health experts say it's better
than nothing. And some scientists at the Centers for Disease
Control and Prevention think it's possible that even this less
effective vaccine may have lessened symptoms. But they don't
know that for sure.
Q: How well did the vaccine work for younger age groups?
A: It offered "moderate" protection, the CDC says. For all ages
who were vaccinated, there was a 56 percent chance of avoiding
getting sick with the flu from any of the three strains in
circulation. Generally a flu vaccine is considered pretty good
if it's more than 60 percent effective.
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Q: Why didn't the vaccine do a better job this year?
A: Scientists don't know. But it is much harder to make an
effective vaccine against ever-shifting flu viruses than for
diseases like measles, polio, and diphtheria. Vaccines are
generally 90 to 95 percent effective for those other diseases.
Q: Why was the shot especially weak at protecting older
people?
A: Older, worn-out immune systems have a harder time responding
to flu vaccines. Protection for those over 65 is considered good
if they have a 30 or 40 percent lower chance of getting sick
enough to see the doctor. This year, the vaccine provided about
27 percent protection against all three strains - but again, for
the most dominant virus it was only 9 percent effective. On the
upside, for people in their 50s and early 60s, protection
against the worst virus was actually 50 percent.
Q: Can't we make a better vaccine?
A: Researchers are working on it. There is a higher-dose version
for older people, but it's not clear how widely available it was
and the study of vaccine effectiveness was too small to show
whether it made a difference.
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