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Clinics gearing up for annual flu season

Health experts say that some people may not feel the effects of the influenza virus, but they can pass it on to those at risk, like young children or elderly people

With the recent spate of good weather, it's hard to believe, but true: flu season is right around the corner.

An estimated 10 to 25 per cent of people are infected with the flu each year, most of them during "flu season" - roughly running from the start of November till the end of April.

Dr. Elizabeth Brodkin, medical health officer with the Fraser Health Authority, says they are once again encouraging everyone to get a flu shot - and that includes those who claim they "never get sick" and therefore don't need it, she says.

"We'd really like to see everybody over the age of six months get a flu shot ... but there are people who are at particular risk, and those are the very young, the very old, pregnant women and those with underlying medication conditions, and those who care for anyone in those categories," she said. "There are people who say 'I never get influenza' - what they really mean is that they have never felt the effects of it (but) they still transmit it to people who are vulnerable."

Brodkin notes some people won't even realize they have the flu virus because their symptoms are so mild - but they can still pass that virus on to someone they interact with like a small child or elderly parent, who will potentially be much more significantly impacted.

It's estimated that it costs the health care system $1,000 per day for those who end up in the hospital as a result of the flu.

Brodkin notes that many people qualify for free vaccine (see sidebar for more inforatmion.) Last year more than 285,000 flu shots were provided to B.C. residents who qualified for them.

"Not everyone is eligible for publicly funded (flu vaccine) but most people can find themselves on that list," she notes.

Alternatively, many doctors offer vaccines for a small fee. Additionally, she notes, there are a growing number of pharmacists who have been trained and certified to deliver the flu vaccine in B.C. pharmacies.

"The flu season really gets going in November and December ... so get the vaccine as soon as it's available. It takes 10 days to two weeks for it to be (effective.)"

The World Health Organizations determines which flu strains will be included in each year's shots.

"At the moment, there is nothing to suggest that this flu season is unusual or challenging the way the H1N1 was," says Brodkin. "But there are many strains of flu virus and each year the WHO takes a look at the strains that are causing the most disease worldwide and ... they decide on the composition of the next year's flu vaccines."

The vaccine itself is then manufactured in Canada and sent out across the country.

"We have already started to deliver to health care facilities and doctors," notes Brodkin.

She notes that the health authority will send nurses to large public facilities to run clinics for people who live and work in those places, but they don't run such clinics in private businesses.

However, many companies - especially those with large numbers of staff - will bring in a private nurse and the health authority can supply them with vaccine for those who qualify for publicly funded shots; the remainder can be purchased.

For more on flu clinics and the vaccine itself, see www.fraserhealth.ca or go to www.immunizebc.ca.

Flu facts

- The virus changes (mutates) every year so that a new vaccine must be administered annually

- People who may be at increased risk include: seniors, people with chronic health conditions (especially heart or lung conditions), aboriginal people, or those with compromised immune systems. You should also get a flu shot if you are a caregiver or close contact of someone who is at increased risk of complications from flu.

- Those eligible for a free flu shot includue: people 65 and older and their caregivers, children and adults with chronic health conditions and their household contacts, health care workers, emergency responders, healthy children aged six to 23 months; household contacts and caregivers of children aged 0-23 months, pregnant women who will be in their 3rd trimester during the influenza season, residents of nursing homes and other chronic care facilities, owners and operators of poultry farms, aboriginal peoples, people who are very obese (those with a body mass index of 40 or greater), corrections officers and inmates in provincial correctional institutions, and those who provide care or service in potential outbreak settings housing high risk persons (e.g. crew on ships.

- Influenza symptoms can include fever, headache, muscle pain, runny nose, sore throat, extreme tiredness, and coughm, but you can spread the influenza virus to others before you even show any symptoms.

U Each year in B.C., hundreds of people die from influenza or complications from influenza, such as pneumonia

- To find the nearest flu shot clinic, visit the B.C. Flu Clinic Locator at www.health.gov.bc.ca/flu/ or call HealthLink BC at 8-1-1. There are currently 14 scheduled public health clinics in New Westminster, starting in early November, at Royal City Centre Mall. For a full list of clinics and times in both New Westminster and Burnaby, see Christina Myers' blog at http://blogs.canada.com/author/cmyersburnaby/

*flu facts from www.immunizebc.ca and Fraser Health Authority

cmyers@burnabynow.com

www.twitter.com/ChristinaMyersA