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Wednesday October 31 5:29 PM ET

Flu Shots Are for Flu, Not Anthrax, CDC Says

NEW YORK (Reuters Health) - If you're interested in getting a flu shot, you should do so because you want to prevent the flu--not because you're concerned about anthrax, the Centers for Disease Control and Prevention (news - web sites) said Wednesday. Dr. Keiji Fukuda, a CDC spokesman, said, ``every year, there are tens of millions of people who develop flu-like illnesses caused by a variety of different agents. In fact, less than half of all flu-like illnesses are due to influenza viruses themselves.''

``We don't want to sell the idea that vaccinations against influenza will decrease the chances of getting anthrax, or that if people do get vaccinated and develop a flu-like illness, that they should be more worried about anthrax.''

The CDC is maintaining its previous recommendations that those most in need of vaccination are individuals at high risk of severe complications of influenza, such as the elderly or those with compromised immune systems.

Beginning in November, Fukuda said, physicians should begin vaccinating individuals at the next level of risk: healthy people ages 50 to 64 and those in regular close contact with high risk individuals. After that, ``physicians should continue to offer vaccinations as long as vaccine is available.''

``We're not telling people to indiscriminately get vaccinated, although we have not specifically recommended against young, healthy people being immunized,'' Fukuda added.

Fukuda recognizes the difficulty physicians and patients may have in differentiating early inhalational anthrax from another flu-like illness. However, many people will develop colds or the flu, while few would be expected to come down with anthrax.

``Although it's gotten a lot of media attention, anthrax has not been diagnosed in most parts of country,'' he said. He pointed out that among cases of anthrax seen so far, patients have not presented with a runny nose, whereas this is a common symptom of colds. ``So physicians should tell patients, if they are developing what feels like a cold, it's likely to be a cold!''

``We all recognize the high level of concern about anthrax throughout the country,'' he continued. In previous years, Los Angeles hospitals have been inundated with people with respiratory illnesses, a scenario that may be common throughout the country this year. ``The Healthcare Association of Southern California came up with some common sense recommendations that could be useful for other hospitals to consider this year,'' Fukuda said. ``For example, hospitals can consider reducing or eliminating elective surgery. They can consider relaxing their staff-to-patient ratios within the limits of their state licensing agencies, or they can develop ways to identify and bring in extra staff to help with the patients.''

In addition, he said, hospitals can set up walk-in flu clinics to triage the patients and they can take care to immunize their own staff members so they have more staff available during the flu season.

ALL INFORMATION, DATA, AND MATERIAL CONTAINED, PRESENTED, OR PROVIDED HERE IS FOR GENERAL INFORMATION PURPOSES ONLY AND IS NOT TO BE CONSTRUED AS REFLECTING THE KNOWLEDGE OR OPINIONS OF THE PUBLISHER, AND IS NOT TO BE CONSTRUED OR INTENDED AS PROVIDING MEDICAL OR LEGAL ADVICE.  THE DECISION WHETHER OR NOT TO VACCINATE IS AN IMPORTANT AND COMPLEX ISSUE AND SHOULD BE MADE BY YOU, AND YOU ALONE, IN CONSULTATION WITH YOUR HEALTH CARE PROVIDER.