WWW www.xenemag.net


Dr Oshimi's Healthy Lifestyle : File02 (Dec. 2005)
Influenza Vaccination in Hokkaido

On November 14, the Ministry of Health, Labor and Welfare unveiled a plan to increase the stockpiles of the drug Tamiflu, which has been designed to protect you from flu viruses including the dreaded avian flu. The ministry estimates that if 25% of the population were to contract avian flu, the number of deaths could reach 640,000.
There is no perfect way to prevent the avian flu pandemic that most experts warn is looming. Even with a flu shot, you might still contract avian flu. However, there are some advantages to getting vaccinated, especially this season.
In this month's issue, I'll tell you about some of the benefits the flu shot can offer, and how to get vaccinated in your town.


Why should I get a flu shot each year?

A vaccine against one group of flu viruses may not protect against the newer viruses that are always cropping up. Much like a computer antivirus programs, the influenza vaccine is updated yearly to include current viruses.
Even when the shot doesn't prevent infection, the vaccine can reduce the severity of flu symptoms and the risk of dangerous complications, such as pneumonia.
In addition, a flu vaccination makes it easier to distinguish between avian flu infection and everyday flu infections.


When should I get a flu shot?

I deally, you should be vaccinated sometime between October and mid December. After getting the shot, it takes about two weeks for antibodies to develop and provide you with protection. In the meantime, you are still at risk. That is why it is much better to get vaccinated before the flu season, which generally runs from January through March. Now (early winter) is the best time for you to get a flu shot.

Who should be vaccinated?

In general, anyone who wants to reduce his or her chances of getting the flu could be vaccinated. The Centers for Disease Control (C.D.C.) in the U.S.A. recommends that the following people be among the first to get vaccinated each year, because they are at high risk of serious flu complications:

  1. Those age 65 or older
  2. Those of any age who have had a heart attack. Those who have heart disease, or a lung disease such as asthma, emphysema or chronic bronchitis. Those who have diabetes, H.I.V., a blood disorder, kidney disease, or who a weakened immune system
  3. Children between the ages of 6- and 23 months
  4. Pregnant women
  5. People who live in nursing homes or assisted living facilities
  6. People who have health problems that make it difficult to breathe or swallow
    The C.D.C. also recommends that people who care for or live with anyone listed above get a flu vaccine.
It is recommended that pregnant women carefully consult with a physician about the risks of vaccination. It is safe to get a flu shot if you are breast-feeding, because the shot will not cause the flu in you or your baby.
In every town, people in categories 1 and 2 (especially those age 60- to 64) and who have completed foreign resident registration can get a flu shot for \1,050. For others, the cost varies by health care facility. You can expect to pay between \2,000 and \3,000.

How effective is it?

In scientific studies, the effectiveness of the flu stock to prevent illness has ranged from 70% to 90% in healthy people under age 65 when there is a good match between circulating viruses and those in the vaccine. The vaccine may be less effective in the elderly or in people with weakened immune systems. However, these people still benefit from the vaccine, because it helps to shorten the duration of symptoms, it helps to prevent complications, and it can prevent hospitalization and death from the flu.

How exactly do I get it?

You can get a flu shot at almost any health care facilities in your town. It would be better call beforehand to check stocks and to make an appointment. You don't need any health insurance to get vaccinated.
When you arrive at a clinic, your body temperature is checked. You'll be denied a shot if your temperature exceeds 37.5 degrees Celsius (99.5 degrees Fahrenheit) or if you have an acute infection.
Next, you'll be given a questionnaire that has questions similar to these.
  • Are you allergic to eggs? (The viruses used in the influenza vaccine are grown in chicken egg.
  • Have you ever had a severe reaction to an influenza vaccination?
  • Have you ever developed Guillain-Barre syndrome, which is characterized by fever, nerve damage and muscle weakness, within 6 weeks of having a flu shot?
  • For children, is the child, older than 6 moths of age? (Influenza vaccines are not approved for use in children younger than 6 months.)
  • Do you have a moderate or severe illness with or without a fever? (If so, you should postpone your vaccination until the symptoms subside.)
If a physician deems you fit, you can get a flu shot in your arm. One shot is enough to boost your immune system if you're a healthy adult, but children need a booster shot 1- to 4 weeks after the first shot.

What are the side effects?

Very few people who receive the influenza vaccine show serious side effects. The most common side effects are soreness and redness where the shot was given. These symptoms go away in a few days. Other side effects such as fever or aches are extremely rare. The risk of serious side effects, such as severe allergic reaction or Guillain-Barre syndrome is less than 1 in several million.

If the new avian flu starts to spread across in Japan, the government will likely call for a ban on large gatherings, and will recommend that people skip work and schools cancel classes. That' is sure to cause widespread panic around the country. If the pandemic hits and you have not been vaccinated, you may be forcibly hospitalized, quarantined and treated as an infected person.
Is that reason enough for you? Let's all get moving to our local health care facility for shots today!


OSHIMI Takayuki M.D.
A physician in Asahikawa
Board Member of J.E. (the Japan Association for Health Care Interpreting in Japanese and English)
Medical translating duties, including various publications
Xene Inc.
Oji Fudosan Sapporo Bldg. 1F, Minami 1-jo Nishi 11-chome, Chuo-ku, Sapporo, 060-0061 Japan
Tel: +81-11-272-0757 / Fax: +81-11-272-0758
Website: www.xene.net / www.xenemag.net  / E-mail: web@xene.net

Copyright © 2005-2006 Xene Inc. All rights reserved.
Reproduction in whole or in part without permission is prohibited.