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Post Info TOPIC: Physicians Blamed for Low HPV Vaccination Rates
Have you (or someone you know about) skipped HPV vaccination? [11 vote(s)]

Yes, too expensive
0.0%
Yes, it promotes promiscuity in kids
0.0%
Not applicable, no kids
0.0%
My kids/ relatives have been vaccinated
0.0%
My kids are age 10 or under, will vaccinate at 11 y.o.
18.2%
Too late, kids are grown
18.2%
Other
63.6%


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Physicians Blamed for Low HPV Vaccination Rates
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Physicians Blamed for Low HPV Vaccination Rates

Laird Harrison

July 30, 2015

Physicians must take responsibility for improving the rate of human papillomavirus (HPV) vaccinations among teenagers, according to Anne Schuchat, MD, assistant surgeon general and director of the National Center for Immunization and Respiratory Diseases at the Centers for Disease Control and Prevention.

Overall, US teenagers had more vaccinations in 2014 than in previous years, including against HPV, said Dr Schuchat, when discussing the results of a new survey in a press conference held July 30. But most parts of the country are still lagging, primarily because physicians are not doing enough, she said.

"We think the principle road block is providers not recommending the vaccine," she said.

Researchers from the Centers for Disease Control and Prevention published the findings from a survey of 20,827 teenagers in the July 31 issue of the Morbidity and Mortality Weekly Report.

General trends in the annual National Immunization Survey–Teen are positive. An uptick in HPV vaccination started in 2012 after years in which HPV vaccination rates appeared to be stagnating, Dr Schuchat said.

There are some particular bright spots. For example, the proportion of teenage boys who had gotten at least the first of the three recommended doses of HPV vaccine increased from 33.6% in 2013 to 41.7% in 2014.

However, the proportion among boys is still far below the 60.0% rate of first-dose HPV vaccination seen for girls in 2014.

Moreover, girls are lagging in their HPV vaccinations when compared with vaccination rates for tetanus-diphtheria-acellular pertussis (Tdap) and for meningococcal conjugate (MenACWY). Among boys and girls combined, 87.6% had gotten at least one dose of Tdap and 79.3% got at least one dose of MenACWY in 2014.

This suggests that parents and clinicians are not taking HPV vaccination as seriously as the other vaccinations recommended for teenagers, Dr Schuchat noted.

"Our research shows that a recommendation from a healthcare provider is crucial to parents getting an HPV vaccination for their child," she said. "And the way to give an effective vaccination is to recommend an HPV vaccination in the same way and on the same day that you recommend other routinely recommend teenage vaccines."

Although the rate of HPV vaccination increased among children older than 13 years, it did not increase among younger adolescents, leading Dr Schuchat and colleagues to conclude that physicians and parents are delaying HPV vaccination until children get older.

"I want to stress to clinicians and parents that 11- to 12-year-olds are recommended to get the HPV vaccine," she said. "That's not too early."

Table. Estimated Vaccination Coverage

Vaccine2013, n = 18,9482014, n = 20,827
Tdap ≥ 1 dose84.787.6
MenACWY ≥ 1 dose76.679.3
HPV ≥ 1 dose, boys56.760.0
HPV ≥ 1 dose, girls33.641.7

The annual National Immunization Survey–Teen survey included both telephone interviews and efforts to verify vaccinations by contacting healthcare providers.

The findings reveal a handful of other reasons for optimism. In contrast to other vaccinations, the rate of HPV vaccination among teenagers living in poverty is higher than among wealthier teenagers, the results showed.

"There may be differences in provider behavior where many kids are low income," Dr Schuchat said. "There may be better practices in those areas."

She also pointed out that HPV is more expensive than other vaccinations, and government subsidies are available to cover the cost for low-income children.

However, research shows that the expense of HPV does not explain the difference in coverage for HPV compared with other teenage vaccinations in the population as a whole, she noted.

The researchers point out that successful initiatives in cities and states scattered around the country suggest that the right approach can yield results.

In particular, Dr Schuchat highlighted improvements in vaccination rates in Illinois, Montana, North Carolina, and Utah among states, and in Chicago, Illinois, and Washington, DC, among cities.

The experience of these communities suggests a combination of strategies is needed, including:

  • coordination of cancer prevention and immunization initiatives,

  • clinician-to-clinician education sessions,

  • education of staff within healthcare practices practice,

  • public media campaigns, and

  • use of registries or information systems to send reminders to patients.

"Instead of just patchwork progress, we have the chance to blanket the country with protection from HPV-associated cancers," Dr Schuchat concluded.

Dr Schuchat has disclosed no relevant financial relationships.

Morb Mortal Wkly Rep, 2015;64:784-790. Full text

 

Medscape Medical News © 2015  WebMD, LLC

Send comments and news tips to news@medscape.net.

Cite this article: Physicians Blamed for Low HPV Vaccination Rates. Medscape. Jul 30, 2015.



-- Edited by ed11563 on Saturday 1st of August 2015 05:41:43 PM

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I voted other. I don't believe there has been enough research on the vaccine to have given it to my daughter. Our Dr agrees with us. Many doctors agree with us...

Daughter hasn't gotten it as an adult...

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Wait, isn't the disease a result of unprotected sex? Sure blame the doctors, they can only recommend it not force parents to agree.

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Ohfour wrote:

I voted other. I don't believe there has been enough research on the vaccine to have given it to my daughter. Our Dr agrees with us. Many doctors agree with us...

Daughter hasn't gotten it as an adult...


 I'm on the fence about it.  DD is almost the age for it.  I turned it down at her 10YO check up because of the lack of data on results and issues some may have with the vaccine.  I really need an education on it.



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I voted other as well.

I didn't get it for my daughter either.



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Did not feel there was enough info about it, didnt get it.

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I know what to do_sometimes wrote:

Wait, isn't the disease a result of unprotected sex? Sure blame the doctors, they can only recommend it not force parents to agree.


I believe the Human Papiloma virus can be transferred by kissing, and causes what are usually called "cold sores" in the mouth. So even 11 year olds are at risk.

And once it's in the body, it's too late. (Or is that Herpes? Now I'm confused. Again.)cry



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Votes???

 

One vote for "too late, kids are grown" and

3 votes for "other", BUT

only two votes registered.

Is Sparklit screwing this up?

 



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I, for one, is on the fence about voting. I am sure I am skewing your results. :)

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DD was already past the recommended age when the shot was first introduced.

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ed11563 wrote:
I know what to do_sometimes wrote:

Wait, isn't the disease a result of unprotected sex? Sure blame the doctors, they can only recommend it not force parents to agree.


I believe the Human Papiloma virus can be transferred by kissing, and causes what are usually called "cold sores" in the mouth. So even 11 year olds are at risk.

And once it's in the body, it's too late. (Or is that Herpes? Now I'm confused. Again.)cry


 That's herpes or gonorrhea. 



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I know what to do_sometimes wrote:
Ohfour wrote:

I voted other. I don't believe there has been enough research on the vaccine to have given it to my daughter. Our Dr agrees with us. Many doctors agree with us...

Daughter hasn't gotten it as an adult...


 I'm on the fence about it.  DD is almost the age for it.  I turned it down at her 10YO check up because of the lack of data on results and issues some may have with the vaccine.  I really need an education on it.


 This.  I was all for it, and then did more research, and there really isn't quite enough.  We're probably going to do it - but, I'm waiting until she's 12 or 13.  I do think that emotionally and mentally, parents are not ready to think about this for their 11 year olds. 



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We go to the schools to give the vaccinations.

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You seem proud of that. It's rather disturbing. Kinda like a horror movie. Ve vill do as ve please vith your children, parental choice ve damned.



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Yeah I don't like that either.

But that's exactly where this country is headed if we don't stop giving government control.



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 from fromOhfour wrote:

You seem proud of that. It's rather disturbing. Kinda like a horror movie. Ve vill do as ve please vith your children, parental choice ve damned.


Proud? Where did you get that from? Which particular word? There aren't a whole lot of them. I was stating a fact.

Don't be absurd. Parental consent is required, unless the child is of age to give medical consent.  



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I want the schools to be as little involved as possible in my kids lives.

I don't think there should be any medical care that isn't necessary.

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Meh. Sometimes, it's easier. When I was in school, the health department came to school to give us our tetanus boosters in 10th grade. We all needed them, and it was convenient. Of course, I lived in a really small town where the entire high school was 400 students.

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I voted other. I dont' believe in running out and getting every new vaccine that comes down the Pike. I would rather wait a bit and see how it plays out. Then, I will consider it after it is time tested.

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Ohfour wrote:

You seem proud of that. It's rather disturbing. Kinda like a horror movie. Ve vill do as ve please vith your children, parental choice ve damned.


She's all about Choice, except when she isn't.  wink 



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I also remember the SS administration coming to my middle school to register kids for their numbers. I already had mine, so we didn't do it - but other parents took advantage of it.

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weltschmerz wrote:
 from fromOhfour wrote:

You seem proud of that. It's rather disturbing. Kinda like a horror movie. Ve vill do as ve please vith your children, parental choice ve damned.


Proud? Where did you get that from? Which particular word? There aren't a whole lot of them. I was stating a fact.

Don't be absurd. Parental consent is required, unless the child is of age to give medical consent.  


 Then state that next time.  Your post came across as if you were proud of the fact that the Gov't/school takes care of all that, and you indicated no reference to parental consent.  



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The Salk vaccine (injection for Polio) was given at the County Health Department. I don't remember what year.

It was injected in the upper arm using an air gun of some sort.

 

Soon after, the Sabin oral vaccine was given out to anyone who showed up at the High School on a Saturday.

Parental consent was clear because the parents took the kids, and got vaccinated at the same time.

One sugar cube per person.



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Lawyerlady wrote:

Meh. Sometimes, it's easier. When I was in school, the health department came to school to give us our tetanus boosters in 10th grade. We all needed them, and it was convenient. Of course, I lived in a really small town where the entire high school was 400 students.


One of my jobs is in Community Health, for the CLSC (centre local de services communautaires) It's much easier to go to the schools to give Twinrix, DpT, MMR boosters and Gardasil that way. Some parents put off getting boosters, or forget, or misplace the paperwork or don't know because we have a lot of immigrants or whatever. This way, we send info sheet, and consent forms home, and then do all the vaccinations for the whole school in a day or two. I live in a really big city, though.

Just for the record I'm not being proud, horrified, guilty, disgusted, flummoxed, elated, or joyous, etc. I'm stating a fact, in case some are easily confused.



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In schools with huge numbers of recent immigrants, we also do tuberculin skin testing. Just giving you a fact.

(Again, not being haughty or proud or arrogant or judgemental or critical or disparaging, so don't get your knickers in a knot.)

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Around where I live there is a new surge of anti vaxxers taking place. UGH.

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weltschmerz wrote:
Lawyerlady wrote:

Meh. Sometimes, it's easier. When I was in school, the health department came to school to give us our tetanus boosters in 10th grade. We all needed them, and it was convenient. Of course, I lived in a really small town where the entire high school was 400 students.


One of my jobs is in Community Health, for the CLSC (centre local de services communautaires) It's much easier to go to the schools to give Twinrix, DpT, MMR boosters and Gardasil that way. Some parents put off getting boosters, or forget, or misplace the paperwork or don't know because we have a lot of immigrants or whatever. This way, we send info sheet, and consent forms home, and then do all the vaccinations for the whole school in a day or two. I live in a really big city, though.

Just for the record I'm not being proud, horrified, guilty, disgusted, flummoxed, elated, or joyous, etc. I'm stating a fact, in case some are easily confused.


 I do not think the Gardisil vaccine should be given at school.  That's a personal decision that parents need to make for their girls. 



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Lawyerlady wrote:

 I do not think the Gardisil vaccine should be given at school.  That's a personal decision that parents need to make for their girls. 


HPV effects over 50% of the population. It might be a personal decision that parents need to make NOW, but if we as a society want to wipe out this disease,

we're going to have to treat it like Polio (and smallpox when I was little), and vaccinate ALL the children.

 



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ed11563 wrote:
Lawyerlady wrote:

 I do not think the Gardisil vaccine should be given at school.  That's a personal decision that parents need to make for their girls. 


HPV effects over 50% of the population. It might be a personal decision that parents need to make NOW, but if we as a society want to wipe out this disease,

we're going to have to treat it like Polio (and smallpox when I was little), and vaccinate ALL the children.

 


 It's not going to wipe it out even if everyone gets it.  The vaccine only covers some of the strains, when HPV is like the flu - it has tons of different strains and it mutates. And it's new - it is not yet proven enough for some people, and that is their decision to make.



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ed11563 wrote:
Lawyerlady wrote:

 I do not think the Gardisil vaccine should be given at school.  That's a personal decision that parents need to make for their girls. 


HPV effects over 50% of the population. It might be a personal decision that parents need to make NOW, but if we as a society want to wipe out this disease,

we're going to have to treat it like Polio (and smallpox when I was little), and vaccinate ALL the children.

 


TOTALLY different circumstance.  This is not airborne.  This is transmitted a certain way.  Through sexual intercourse.  



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I'm torn on this one.

It's not in the same class of disease as, say, measles or pertussis which are much more easily communicable.

At the same time, many parents are stunningly naive. They say things like, well, I don't have to worry about it for my daughter because she would "never" have premarital sex--and then she does.

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While I do not have daughters to worry about it, I am on the fence about this issue. I know four people, one of which died from cervical cancer, the other three agonize each time they get a pap/vag exam because they have the HPV. Each one of these women "caught" HPV from their husbands. My MIL caught it from FIL, and sMIL has it as well. If...and because there is not enough information on this vaccine it's a big if.....it safely prevents contraction of HPV without any side effects, then I'm all for it. But like others have said, not enough information is known about the long term ramifications of vaccination.

Women are going to have sex. Probably some unprotected sex as well, so why not arm them?

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PLENTY is known about long term effects of vaccination. They work nearly EVERY time at preventing the disease they are supposed to. They are effective and safe.

To say this one is different than that one just isn't an argument. They all work basically the same way.

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huskerbb wrote:

PLENTY is known about long term effects of vaccination. They work nearly EVERY time at preventing the disease they are supposed to. They are effective and safe.

To say this one is different than that one just isn't an argument. They all work basically the same way.


Most vaccines have been around for decades, if not a century.  The Human Services Vaccine Registry acknowledges 88 injuries and 8 deaths related to recieving the Gardisil vaccine and as of only 2010, more than 18,000 complaints were recieved about side effects.  I was ALL for this vaccine until adverse reactions started occurring.  More research is needed.  And Gardisil, btw, only covers 4 strains.  There is another vaccination that covers another 2 strains.  But there are 100 types of HPV.  And the body, in most cases, will clear HPV on its own within 2 years. 

So, yes, asking if the risks outweigh the benefits is something that parents should do.  There is no reason a parent cannot question things and make a decision themselves.



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I'm hoping more info will be available by the time Bunny is old enough for this vaccine. Some estimates put HPV infection rates as high as 80% of the population, but as LL says most infections clear on their own and the vaccine certainly does not protect against all strains.
I understand it was designed to protect against the most likely to cause cancer strains, though and I do think that is important.

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Lawyerlady wrote:
huskerbb wrote:

PLENTY is known about long term effects of vaccination. They work nearly EVERY time at preventing the disease they are supposed to. They are effective and safe.

To say this one is different than that one just isn't an argument. They all work basically the same way.


Most vaccines have been around for decades, if not a century.  The Human Services Vaccine Registry acknowledges 88 injuries and 8 deaths related to recieving the Gardisil vaccine and as of only 2010, more than 18,000 complaints were recieved about side effects.  I was ALL for this vaccine until adverse reactions started occurring.  More research is needed.  And Gardisil, btw, only covers 4 strains.  There is another vaccination that covers another 2 strains.  But there are 100 types of HPV.  And the body, in most cases, will clear HPV on its own within 2 years. 

So, yes, asking if the risks outweigh the benefits is something that parents should do.  There is no reason a parent cannot question things and make a decision themselves.


 But they are by far the most common strains, covering approximately 96% of all HPV cases.



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So? Most cases clear up by themselves. 10 years worth of data is NOT enough to mandate a vaccine. You have no idea the long term side effects. No thank you. DD will not be getting it for her daughter either...

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huskerbb wrote:
Lawyerlady wrote:
huskerbb wrote:

PLENTY is known about long term effects of vaccination. They work nearly EVERY time at preventing the disease they are supposed to. They are effective and safe.

To say this one is different than that one just isn't an argument. They all work basically the same way.


Most vaccines have been around for decades, if not a century.  The Human Services Vaccine Registry acknowledges 88 injuries and 8 deaths related to recieving the Gardisil vaccine and as of only 2010, more than 18,000 complaints were recieved about side effects.  I was ALL for this vaccine until adverse reactions started occurring.  More research is needed.  And Gardisil, btw, only covers 4 strains.  There is another vaccination that covers another 2 strains.  But there are 100 types of HPV.  And the body, in most cases, will clear HPV on its own within 2 years. 

So, yes, asking if the risks outweigh the benefits is something that parents should do.  There is no reason a parent cannot question things and make a decision themselves.


 But they are by far the most common strains, covering approximately 96% of all HPV cases.


 Where are you getting that number?



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I don't feel it is necessary.

Had one doctor try to tell me it was mandatory.

Uh. No. None of the vaccines are mandatory.

Look, the diseases that are transmitted through social and nondirect contact, I have no problem getting vaccinations.

And isn't HPV a form of cancer?


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Lawyerlady wrote:
huskerbb wrote:
Lawyerlady wrote:
huskerbb wrote:

PLENTY is known about long term effects of vaccination. They work nearly EVERY time at preventing the disease they are supposed to. They are effective and safe.

To say this one is different than that one just isn't an argument. They all work basically the same way.


Most vaccines have been around for decades, if not a century.  The Human Services Vaccine Registry acknowledges 88 injuries and 8 deaths related to recieving the Gardisil vaccine and as of only 2010, more than 18,000 complaints were recieved about side effects.  I was ALL for this vaccine until adverse reactions started occurring.  More research is needed.  And Gardisil, btw, only covers 4 strains.  There is another vaccination that covers another 2 strains.  But there are 100 types of HPV.  And the body, in most cases, will clear HPV on its own within 2 years. 

So, yes, asking if the risks outweigh the benefits is something that parents should do.  There is no reason a parent cannot question things and make a decision themselves.


 But they are by far the most common strains, covering approximately 96% of all HPV cases.


 Where are you getting that number?


 From information I read about HPV.

 

Plus, not all forms of HPV not accounted for would cause health issues.



-- Edited by huskerbb on Monday 3rd of August 2015 11:50:45 AM

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So you pulled it out of your ass? Cause the CDC says at most 70%....

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Ohfour wrote:

So you pulled it out of your ass? Cause the CDC says at most 70%....


 Web MD says 90%.  I'm looking for the place I saw the other one.



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Two HPV vaccines are licensed by the Food and Drug Administration (FDA). The bivalent HPV vaccine (Cervarix) prevents the two HPV types, 16 and 18, which cause 70% of cervical cancers.

www.cdc.gov/std/hpv/stdfact-hpv-vaccine-hcp.htm



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You have to understand the % is the few strains that vaccine is for.

Not all strains.

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My spirit animal is a pink flamingo.

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So it may have a 70% success rate for strains A,B, & C. But a 100% failure for the other 23 strains.

Or 97 strains.



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On the bright side...... Christmas is coming! (Mod)

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huskerbb wrote:
Ohfour wrote:

So you pulled it out of your ass? Cause the CDC says at most 70%....


 Web MD says 90%.  I'm looking for the place I saw the other one.


 That's 90% for only the two most common causing genital warts.  The two most prevelant strains over all - it's only 70%



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On the bright side...... Christmas is coming! (Mod)

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No matter what, though, the number 96% shows up NOWHERE.

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lilyofcourse wrote:

You have to understand the % is the few strains that vaccine is for.

Not all strains.


 But not all strains even cause health issues.



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And not everyone who gets a flu shot is 100% immune to the flu.



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On the bright side...... Christmas is coming! (Mod)

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huskerbb wrote:
lilyofcourse wrote:

You have to understand the % is the few strains that vaccine is for.

Not all strains.


 But not all strains even cause health issues.


 Not any of the strains cause health issues all the time.  That's part of the weighing pros and cons.  There are side effects reported, even deaths, and it is not always a huge problem even when you get it.  That's why is it a personal decision. 



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