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Sep. 16 2009 - 5:17 pm | 254 views | 2 recommendations | 2 comments

Live virus in the H1N1 vaccine?

A health worker using a jet injector on a child

Image via Wikipedia

A number of hysterical blogs out there are either misinformed, hunting up a conspiracy,  or simply looking for attention.

Will there be live H1N1 in this fall’s swine flu vaccine?  A simple yes or no won’t cut it.

If we’re talking about the injected vaccine, no.

If we’re talking the nasal spray vaccine, yes.

The injectable version will be just like the regular seasonal vaccine available every year, made by the same companies using the same techniques they always use.  It’s an inactivated vaccine containing fragments of killed virus.  No matter what you hear, you CANNOT catch flu from the injectable vaccine.

The nasal spray, Flumist, made by MedImmune, is another story.  Known as a “LAIV” in the trade, it contains the live, attenuated virus and is approved for “healthy” people 2-49 years of age who are not pregnant. By “healthy” they mean no debilitating illness and no immune problems.

A LAIV may confer better immunity, but how much better is unclear.  Personally, I see no reason to use Flumist unless you’ve got a pathological aversion to needles or a severe allergy to something in the injection.

Whichever you choose, remember that no vaccine will prevent infection.  What it does is prime your immune system to recognize the pathogen once you become infected and allow it to mount a swift and appropriately vicious response.

So don’t let them scare you away from getting that swine flu vaccine.  What I tell you three times is true:

THERE WILL BE NO LIVE H1N1 IN THE INJECTION.

THERE WILL BE NO LIVE H1N1 IN THE INJECTION.

THERE WILL BE NO LIVE H1N1 IN THE INJECTION.

Spread that around, okay?  And get that vaccination.  Not just for yourself, but for all those around you as well.  This has the potential of being a wild, wild flu season.  Don’t be part of the problem.


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  1. collapse expand

    OK, I’m getting the shot as soon as Kaiser has it ready. I wanted to add, re several of your earlier posts I was late getting around to, that perhaps the family doc (whom I grew up with, also before the Permian Extinction) will reappear in a new and less sleep-deprived form. T.R. Reid’s recent talk in San Francisco cited the very high ratio of family practitioners to specialists in countries (Britain the highest I think) where universal care is provided. If we ever get to focus on caring for all, we will need family docs to insure that preventive care & wellness are foremost rather than the current system of treating the uninsured in ERs for everything from colds to calamities.

  2. collapse expand

    I wouldn’t let the fact that there is not a live virus in the injectable vaccine scare me away from getting it!

    There are other more important reasons! Like for starters the carcinogenic and mutagenic effects have not been evaluated. Nor has the potential to impair fertility.

    Ever wonder how our human DNA mutates with chicken embryo cells? Hmmm. No one knows because it hasn’t been studied. I’d rather get the flu.

    Read the vaccine labels and then tell me how “safe” they are:

    http://www.fda.gov/BiologicsBloodVaccines/Vaccines/ApprovedProducts/ucm093830.htm

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    I was born in a happier time (when folks were celebrating the end of the Permian Extinction). I've been called the world's most skeptical man, but I doubt that. I've been writing since second grade and practicing family medicine since 1974. I've written 40 or so novels (you stop counting after a while), some of them NY Times bestsellers, most of them not. I attended Xavier high school in Manhattan and then Georgetown University, both Jesuit schools. I revere the Jebbies because they encouraged my questioning nature (and as a result I'm a devout agnostic). I lived through the birth of rock 'n' roll, the sixties, Vietnam, the Carter administration. I played in a garage band, and still noodle drums, guitar, and piano. I'm a blues hound and am currently teaching myself slide guitar (at this point, I suck, but I'm getting better). I live at the Jersey shore on an elevated tract of land I believe will gain an ocean view after the great tsunami. Oh, and for some unfathomable reason I joined Twitter and Facebook.

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