The H1N1 flu, commonly called swine flu, is expected to make many people
sick this flu season. And if you're one of them, you're in for some serious
at-home time, recovering and sparing other people from your germs. To make that
time a little easier on yourself, consider taking these 10 steps now, before
you come down with swine flu.
1. Make a backup plan. Let's say you get sick, or you need to take
care of someone with swine flu. What's your plan for missing
work, college, or
Isn't the 2009 H1N1 swine flu vaccine too new to trust?
Why should I believe what government scientists say about swine
Does the H1N1 swine flu vaccine contain thimerosal?
The 1976 swine flu vaccine wasn't safe. Why should I trust this
Do we really know what drugmakers are putting in the swine flu
Is the 2009 H1N1 swine flu vaccine safe?
No vaccine is 100% safe for everyone. People with allergies to eggs, for example, can't take flu vaccines
because eggs are involved in the manufacturing process.
And flu vaccines cause mild but common reactions. About one in three people
get a sore arm from the shot, some with a little redness or even swelling. Some
10% to 15% of people feel tired or get a headache; some may even run a low fever.
And vaccines can trigger rare but serious reactions, even among people with
no apparent allergies or sensitivities.
So if vaccines aren't 100% safe, why risk them?
Approved vaccines -- including the 2009 H1N1 swine flu vaccine -- are
calculated to be much, much less risky than the diseases they prevent. For
example, out of every million people who get a flu shot, one or two will get a
serious neurological reaction called Guillain-Barre syndrome (GBS).
But flu itself causes serious problems, including GBS, in far more than two
in a million cases. And since a large proportion of the population will get
swine flu, the vaccine risk is far smaller than the disease risk.
In clinical trials, 10,000 to 15,000 children and adults have received
various manufacturers' brands of H1N1 swine flu vaccine. Nothing serious
happened to any of them, including this reporter, who received a double dose of
the Sanofi-Pasteur swine flu vaccine.
That's still not proof that no harm will come from the vaccine. Clinical
trials cannot detect something bad that happens to one or two out of every
100,000 people vaccinated.
"There could be unknown side effects. Something could happen. But we think
that is highly unlikely," says infectious disease and vaccine expert Mark
Mulligan, MD, executive director of the Hope Clinic of the Emory Vaccine Center
"The CDC, FDA, HHS [Health and Human Services Department], the Department of
Defense, and several large HMOs with great medical records are all
collaborating in enhanced surveillance for this national 2009 H1N1 vaccine
campaign," Mulligan tells WebMD. "If there is a signal for a rare or late
adverse event, we will identify it as early and as quickly as we can."