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Tripledemic? What CDC Recommends for COVID, Flu, and RSV


Oct. 5, 2023 – As we forge forward into fall and winter, the specter of a “tripledemic” – when instances of COVID-19, flu, and RSV surge on the identical time – looms over our heads. 

Main consultants from the CDC on Wednesday met and addressed the three viruses that we’re confronted with and the way greatest to guard ourselves and others. 

Within the assembly, CDC Director Mandy Cohen, MD, MPH, stated that clear, easy messaging is of the utmost significance proper now: The best solution to shield your self from the worst of this season’s viruses is to get vaccinated. Everybody above 6 months outdated ought to get their flu shot and up to date COVID vaccine; pregnant ladies and adults over 60 ought to get vaccinated in opposition to RSV. For all of those viruses, the month of October is the perfect time to get your pictures to forestall an infection down the road. 

“Coadministration of this vaccine together with influenza and COVID vaccines is totally acceptable,” stated Demetre Daskalakis, MD, MPH, the appearing director of the Nationwide Middle for Immunization and Respiratory Ailments (NCIRD). “And it is essential to recollect that there is a good quantity of overlap between the circumstances that will improve danger for influenza and COVID and people who might improve danger for extreme RSV illness as effectively.” 

Going over the CDC’s up to date advice checklist for all three vaccinations, Daskalakis stated if you happen to’ve already had a dose of the earlier COVID vaccine, you need to wait about 2 months earlier than getting the up to date one. In case you’ve lately had COVID, the CDC pointers say, you might take into account ready 3 months to get the brand new COVID shot.

Along with the unique vaccination sequence and a dose of the up to date shot, Daskalakis stated, those that are immunocompromised might obtain extra doses now relying on what their well being care supplier advises. 

Relating to RSV in infants, Daskalakis identified that each one infants qualify for nirsevimab, the monoclonal antibody therapy to guard in opposition to RSV. One other solution to goal newborns and infants is by getting pregnant folks vaccinated 32-36 weeks into their being pregnant. 

With all of those viruses, consultants agreed that velocity is the important thing for therapy. Getting examined as quickly as you may, getting antivirals like Paxlovid for COVID-19 or people who goal influenza, and masking if you happen to’ve been uncovered to a virus are all important methods to guard others from an infection.

Because the rollout of the up to date COVID vaccine, there have been many studies of individuals struggling to get an appointment or having their appointments canceled on the final minute. Daskalakis and Nirav Shah, MD, JD, principal deputy director of the CDC, addressed these points. 

“Public well being distribution of vaccine is rather a lot totally different than industrial distribution of vaccine,” stated Daskalakis, who stated it took a yr of planning to arrange for the swap. Regardless of studies, he stated that every single day the CDC is seeing a rise of vaccine provide are available in for all suppliers, whether or not that be pharmacies or medical doctors’ places of work. 

“Please do not quit on the vaccine, please know that the vaccine is accessible,” stated Shah. “And please verify again in together with your supplier, together with your pharmacist as a result of it is possible that in the event that they did not have the vaccine 2 weeks in the past, they may have it now.” 

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