Which Vaccines Do Shed
Its technically possible for any live-attenuated vaccine to shed. But in most instances, documented cases of this are rare.
The oral polio vaccine is responsible for the most harmful infections related to vaccine shedding. The live-attenuated virus used in this vaccine can be shed from the body in feces.
In very rare cases, the virus used in the OPV can mutate and become harmful, potentially leading to paralysis. In countries that still use the OPV, this is estimated to occur in 2 to 4 out of every million live births each year.
Since the year 2000, the OPV is no longer licensed or available in the United States. Now, all polio vaccines given in the United States are inactivated vaccines.
Other live-attenuated vaccines for which shedding has been documented include the:
- Flu nasal spray vaccine: Shedding of the virus used in this vaccine is common, particularly in younger individuals, according to the . While transmission of these viruses can occur, its rare and not typically associated with symptoms.
- Chickenpox vaccine: According to the , there have been reports of only 11 healthy vaccinated individuals worldwide spreading the chickenpox vaccine virus to 13 unvaccinated people.
- Rotavirus vaccine: Rotavirus vaccine virus can be shed in feces for days after vaccination. An older in twins found that the vaccine virus could be transmitted to unvaccinated individuals, but wasnt associated with symptoms.
- MMR vaccine: The rubella part of the MMR vaccine
Types Of Pneumonia Vaccine
The pneumococcal conjugate vaccine also known as Prevenar 13 offers protection against 13 strains of pneumococcal bacteria. This type is given to young children as part of their routine NHS vaccinations. Its also available for adults under 65 through our vaccination service.
The pneumococcal polysaccharide vaccine also known as Pneumovax 23 offers protection against 23 strains of pneumococcal bacteria. This type is given to adults over 65 and anyone with a very high risk of pneumonia.
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What Is A Pneumococcal Vaccine
A pneumococcal vaccine is an injection that can prevent pneumococcal disease. A pneumococcal disease is any illness that is caused by pneumococcal bacteria, including pneumonia. In fact, the most common cause of pneumonia is pneumococcal bacteria. This type of bacteria can also cause ear infections, sinus infections, and meningitis.
Adults age 65 or older are amongst the highest risk groups for getting pneumococcal disease.
To prevent pneumococcal disease, there are two types of pneumococcal vaccines: the pneumococcal polysaccharide vaccine and the pneumococcal conjugate vaccine .
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Influenza And Pneumococcal Immunization
Everyone plays a role in infection preventionpatients, families, and healthcare personnelin and out of healthcare facilities.
So do your part! Wherever you are, there is something you can do to stay safe from infections.
Two things that you can do for yourself and your loved ones are to receive an influenza vaccine annually and a pneumonia immunization at the appropriate time according to your age and health history. By doing so, you not only protect yourself, but you protect others who are vulnerable to severe illness or even death if they get one of these viruses.
Influenza immunization
Flu activity usually peaks in the U.S. in January or February. However, seasonal flu activity can begin as early as October and continue to occur as late as May. Flu is a contagious respiratory illness caused by influenza virus. It can cause mild to severe illness, and at times can lead to death. Some people, such as older people, young children, and people with certain health conditions, are at high risk for serious flu complications. Even healthy people can get sick enough to miss work or school for a significant amount of time or even be hospitalized. Learn the flu basics.
Should You Get A Flu Shot
In general, every person with diabetes needs a flu shot each year. Talk with your doctor about having a flu shot. Flu shots do not give 100% protection, but they do make it less likely for you to catch the flu for about six months.
For extra safety, it’s a good idea for the people you live with or spend a lot of time with to get a flu shot, too. You are less likely to get the flu if the people around you don’t have it.
The best time to get your flu shot is beginning in September. The shot takes about two weeks to take effect.
If youre sick , ask if you should wait until you are healthy again before having your flu shot. And don’t get a flu shot if you are allergic to eggs.
You are advised to continue to take the general precautions of preventing seasonal flu and other communicable illnesses and diseases:
- Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash. If you dont have a tissue, cough or sneeze into your elbow, not your hand.
- Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hand cleaners are also effective.
- Avoid touching your eyes, nose, or mouth. Germs spread that way.
- Try to avoid close contact with sick people.
- If you get sick, stay home from work or school and limit contact with others to keep from infecting them.
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Why Are People With Asthma At Risk
For people with asthma, pneumococcal disease can be very serious. But doctors dont fully understand why. It may be because airways with asthma are different. It may make the lungs more likely to be affected by pneumococcal bacteria and infection. Corticosteroids, a common asthma medicine, may also increase your risk because they suppress your immune system.6-8 This is why health care providers say you should get the vaccine for pneumococcal disease if you have asthma.1
Are There Treatments For Covid
Pneumonia may need treatment in a hospital with oxygen, a ventilator to help you breathe, and intravenous fluids to prevent dehydration.
Clinical trials are looking into whether some drugs and treatments used for other conditions might treat severe COVID-19 or related pneumonia, including dexamethasone, a corticosteroid.
The FDA has approved the antiviral remdesivir for treatment of patients hospitalized with COVID. The drug was origininally developed to treat the Ebola virus.
The agency rescinded an emergency use authorization for the anti-malarials chloroquine and hydroxychloroquine amid serious concerns about their safety and how well they worked against the virus.
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Persons With Chronic Diseases
Refer to Immunization of Persons with Chronic Diseases in Part 3 for additional information about vaccination of people with chronic diseases.
Asplenia or hyposplenia
Hyposplenic or asplenic individuals should receive Pneu-C-13 vaccine and Pneu-P-23 vaccine, followed by a booster dose of Pneu-P-23 vaccine. Refer to Table 3, Table 4 and Booster doses and re-immunization for additional information.
Chronic kidney disease and patients on dialysis
Individuals with chronic kidney disease should receive age appropriate pneumococcal vaccines. Children less than 18 years of age with chronic kidney failure or nephrotic syndrome, should receive Pneu-C-13 vaccine and Pneu-P-23 vaccine. Adults with chronic kidney failure should receive Pneu-P-23 vaccine. Adults with nephrotic syndrome should receive Pneu-C-13 and Pneu-P-23 vaccine. Due to the decreased immunogenicity and efficacy of Pneu-P-23 vaccine in children and adults with chronic kidney failure, 1 booster dose of Pneu-P-23 vaccine is recommended. Refer to Table 3, Table 4 and Booster doses and re-immunization for additional information.
Neurologic disorders
Chronic lung disease, including asthma
Chronic heart disease
Chronic liver disease
Endocrine and metabolic diseases
Non-malignant hematologic disorders
Cochlear implants
Who Shouldnt Have The Pneumonia Vaccine
Theres a long list of people who should have the pneumonia vaccine. Even if youre not on the list you may want to get the vaccine. Speak to a pharmacist in your local store today for more advice.
There are also some people who should avoid it:
- If youve previously had a severe allergic reaction to the pneumonia vaccine or any ingredients it contains, you probably wont be able to get the jab.
- If you have a fever and youre feeling unwell youll probably need to delay your vaccine appointment until youve recovered.
- If youre pregnant, you may want to wait to receive your vaccine until youve had your baby. The vaccine is generally thought to be safe for pregnant women, but there may still be a small risk for you and your baby until youve given birth.
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When To Get The Vaccine
Thereâs no such thing as pneumonia season, like flu season. If you and your doctor decide that you need to have a pneumonia vaccine, you can get it done at any time of the year. If itâs flu season, you can even get a pneumonia vaccine at the same time that you get a flu vaccine, as long as you receive each shot in a different arm.
Everything You Need To Know About The Pneumonia Vaccine
During the winter months, many people think that they have a nasty cold or flu, but it turns out to be pneumonia an illness that can be life threatening in certain people. A vaccine can help lower your chance of contracting pneumonia. While the pneumonia vaccine does not prevent all cases of pneumonia, it reduces the severity of the disease.
That is especially important for older adults and if you have certain medical conditions that put you at greater risk for complications.
Now is the time to talk to your doctor about your risks and if you need a vaccine to protect you against pneumonia.
Niharika Juwarkar, MD, Internal Medicine with Firelands Physician Group, answers your most frequently asked questions about pneumonia and the risks.
What is pneumonia?
Pneumonia is a respiratory lung infection that is often mistaken for the flu. Your lungs become filled with fluid or pus that results in inflammation. Symptoms are very similar to the flu, but pneumonia can last for weeks and result in very serious complications.
While pneumonia can be caused by bacteria, viruses or fungi, most cases are due to a specific bacteria called streptococcus pneumoniae, more commonly known as pneumococcal pneumonia. This form can be treated with antibiotics. Your doctor can test to see what form of pneumonia you have. Treatment depends on the type of pneumonia you have and the severity of your symptoms. But, the best defense is vaccination.
Who is most at risk for pneumonia?
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Adults At High Risk Of Ipd
Adults with immunocompromising conditions resulting in high risk of IPD, except HSCT, should receive 1 dose of Pneu-C-13 vaccine followed at least 8 weeks later by 1 dose of Pneu-P-23 vaccine, if not previously received. The dose of Pneu-C-13 vaccine should be administered at least 1 year after any previous dose of Pneu-P-23 vaccine. Refer to Immunocompromised persons for information about immunization of HSCT recipients.
Immunocompetent adults with conditions or lifestyle factors resulting in high risk of IPD should receive 1 dose of Pneu-P-23 vaccine, if not previously received. One dose of Pneu-P-23 vaccine is also recommended for all adults who are residents of long-term care facilities and should be considered for individuals who use illicit drugs.
Some experts also suggest a dose of Pneu-C-13 vaccine, followed by Pneu-P-23 vaccine, for immunocompetent adults with conditions resulting in high risk of IPD as this may theoretically improve antibody response and immunologic memory. However, Pneu-P-23 vaccine is the vaccine of choice for these individuals, and if only one vaccine can be provided, it should be Pneu-P-23 vaccine, because of the greater number of serotypes included in the vaccine.
Adults at highest risk of IPD should also receive 1 booster dose of Pneu-P-23 vaccine refer to Booster doses and re-immunization.
Table 4 – provides recommended schedules for adult immunization with pneumococcal vaccines.
Side Effects Of The Pneumococcal Vaccine
Like most vaccines, the childhood and adult versions of the pneumococcal vaccine can sometimes cause mild side effects.
These include:
- redness where the injection was given
- hardness or swelling where the injection was given
There are no serious side effects listed for either the childhood or adult versions of the vaccine, apart from an extremely rare risk of a severe allergic reaction .
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How Does The Pneumonia Vaccine Work
There are currently two vaccines administered in the United States:
Do I Need To Pay For Pneumococcal Immunisation
Vaccines covered by the National Immunisation Program are free for people who are eligible. See the NIP Schedule to find out which vaccines you or your family are eligible to receive.
Eligible people get the vaccine for free, but your health care provider may charge a consultation fee for the visit. You can check this when you make your appointment.
If you are not eligible for free vaccine, you may need to pay for it. The cost depends on the type of vaccine, the formula and where you buy it from. Your immunisation provider can give you more information.
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Why Is Pneumonia Dangerous What Are The Possible Complications Of Leaving This Condition Untreated
Pneumonia can usually be treated successfully without leading to complications. However, complications like the ones listed below can develop in some patients, especially those in high-risk groups.
Fluid or pus could get accumulated between the covering of the lungs and the inner lining of the chest wall this is called a pleural effusion . A chest tube may be needed to drain the fluid/pus.
Pus might collect in the lung area infected with pneumonia . Rarely this may require surgery.
Bacteria can spread to the bloodstream and other organs. This is a serious complication since the infection can cause the blood pressure to be dangerously low.
Although most people recover from pneumonia, it can be fatal in some cases. Approximately 5 to 10 percent of patients admitted to a general medical ward, and almost 30 percent of patients with severe infection admitted to an intensive care unit can die.
How The Pneumococcal Vaccine Works
Both types of pneumococcal vaccine encourage your body to produce antibodies against pneumococcal bacteria.
Antibodies are proteins produced by the body to neutralise or destroy disease-carrying organisms and toxins.
They protect you from becoming ill if you’re infected with the bacteria.
More than 90 different strains of the pneumococcal bacterium have been identified, although most of these strains do not cause serious infections.
The childhood vaccine protects against 13 strains of the pneumococcal bacterium, while the adult vaccine protects against 23 strains.
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When Should I See My Healthcare Provider About Aspiration Pneumonia
If you have worrisome symptoms like chest pain, fever and difficulty breathing, call your provider or seek emergency medical help. Pneumonia can get worse more quickly than you realize.
If you often feel like you are choking, or have difficulty swallowing, see your provider. You may need to see a specialist who can help you find out why you are choking or having problems swallowing. You may need to change what and how you eat and drink.
A note from Cleveland Clinic
Pneumonia is an infection in your lungs. One of the ways you can get this infection is by inhaling saliva, food, stomach contents or even foreign objects into your lungs, which is called aspiration pneumonia. This type is more common among certain people, including people with nerve disorders or swallowing issues. Aspiration pneumonia is generally treated with antibiotics. Treatment is successful for most people. Make sure you contact your healthcare provider if you have chest pain, fever and difficulty breathing. As with most conditions, the best outcomes happen when aspiration pneumonia is found early.
Persons With Inadequate Immunization Records
Children and adults lacking adequate documentation of immunization should be considered unimmunized and should be started on an immunization schedule appropriate for their age and risk factors. Pneumococcal vaccines may be given, regardless of possible previous receipt of the vaccines, as adverse events associated with repeated immunization have not been demonstrated. Refer to Immunization of Persons with Inadequate Immunization Records in Part 3 for additional information about vaccination of people with inadequate immunization records.
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Who Needs One Or Two Pneumonia Vaccines
There are two pneumococcal vaccines, each working in a different way to maximize protection. PPSV23 protects against 23 strains of pneumococcal bacteria. Those 23 strains are about 90- to 95-plus percent of the strains that cause pneumonia in humans, Poland explains. PCV13, on the other hand, is a conjugate vaccine that protects against 13 strains of pneumococcal bacteria. PCV13 induces immunologic memory, he says. Your body will remember that it has encountered an antigen 20 years from now and develop antibodies to fight it off.
In order to get the best protection against all strains of bacteria that cause pneumonia, the CDC has long recommended that everyone 65 or older receive both vaccines: PCV13 , followed by the pneumococcal polysaccharide vaccine at a later visit. But the agency is now saying that PCV13 may not be necessary for healthy people 65 and older, suggesting that the decision be left up to patients and their physicians as to whether that extra skin prick is appropriate.
“Anyone who reaches the age of 65 and is in any way immunocompromised or has any of the listed indications for pneumococcal vaccine because they’re in a high-risk group for example, if they have diabetes, heart disease or lung disease, or are a smoker should continue to get both vaccines, says Schaffner.
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