1 00:00:02,300 --> 00:00:06,500 ADVICE ON NAVIGATING THE FLU 2 00:00:04,766 --> 00:00:09,366 SEASON. 3 00:00:05,100 --> 00:00:11,733 >> SOME DOCTORS ARE CALLING THE 4 00:00:06,500 --> 00:00:13,033 UPCOMING FLU SEASON A TWINDEMIC 5 00:00:09,366 --> 00:00:14,300 AND AS FLU SEASON STARTS THE 6 00:00:11,733 --> 00:00:16,400 COUNTRY IS GRAPPLING WITH THE 7 00:00:13,033 --> 00:00:18,166 SPIKE IN COVID-19 CASES DRIVE 8 00:00:14,300 --> 00:00:21,466 ESPECIALLY BY THE DELTA VARIANT. 9 00:00:16,400 --> 00:00:23,466 JOINING US TO TALK ABOUT HOW TO 10 00:00:18,166 --> 00:00:25,800 PROTECT YOURSELF AGAINST THE FLU 11 00:00:21,466 --> 00:00:27,233 IS Dr. LISA RAVINDRA PRIMARY 12 00:00:23,466 --> 00:00:27,866 CARE PHYSICIAN WITH RUSH 13 00:00:25,800 --> 00:00:29,266 UNIVERSITY MEDICAL CENTER. 14 00:00:27,233 --> 00:00:31,100 THANK YOU FOR JOINING US. 15 00:00:27,866 --> 00:00:33,833 >> THANK YOU FOR HAVING ME ON. 16 00:00:29,266 --> 00:00:34,800 >> THERE WERE CONCERNS LAST YEAR 17 00:00:31,100 --> 00:00:37,333 ABOUT A TWINDEMIC AND IT DID NOT 18 00:00:33,833 --> 00:00:39,300 MATERIALIZE WITH THE FLU. 19 00:00:34,800 --> 00:00:42,600 WHY NOT? 20 00:00:37,333 --> 00:00:43,866 >> THAT IS WE FIRST STARTED 21 00:00:39,300 --> 00:00:46,533 HEARING ABOUT THE CONCEPT OF A 22 00:00:42,600 --> 00:00:48,233 TWINDEMIC LAST FALL AND THE 23 00:00:43,866 --> 00:00:50,100 CONCERN THAT ON TOP OF THE 24 00:00:46,533 --> 00:00:52,533 BURDEN THAT COVID WAS PUTTING ON 25 00:00:48,233 --> 00:00:54,600 OUR MEDICAL SYSTEM THAT WE WERE 26 00:00:50,100 --> 00:00:55,833 WORRIED ABOUT FLU ALSO BURDENING 27 00:00:52,533 --> 00:00:57,500 FURTHER THE HOSPITALS. 28 00:00:54,600 --> 00:00:58,933 IT DIDN'T PAN OUT. 29 00:00:55,833 --> 00:01:01,533 WHICH IS A GOOD THING BUT I 30 00:00:57,500 --> 00:01:01,833 THINK THERE IS A LOT OF REASONS 31 00:00:58,933 --> 00:01:04,233 WHY THAT DIDN'T HAPPEN LAST 32 00:01:01,533 --> 00:01:07,333 YEAR. 33 00:01:01,833 --> 00:01:08,766 WE WERE UNDER STRICTER COVID 34 00:01:04,233 --> 00:01:10,400 MEASURES TO MITIGATE COVID. 35 00:01:07,333 --> 00:01:12,233 PEOPLE WERE MASKING. 36 00:01:08,766 --> 00:01:14,933 PEOPLE WERE NOT GOING TO SCHOOL 37 00:01:10,400 --> 00:01:17,300 AND WORK LIKE THEY ARE NOW. 38 00:01:12,233 --> 00:01:19,233 AND A LOT OF PEOPLE GOT THE FLU 39 00:01:14,933 --> 00:01:21,000 VACCINE MORE PEOPLE THAN USUAL 40 00:01:17,300 --> 00:01:23,033 GOT THE FLU VACCINE LAST YEAR. 41 00:01:19,233 --> 00:01:25,166 A LOT OF MY PATIENTS ARE EAGER 42 00:01:21,000 --> 00:01:28,866 IN GETTING THE VACCINE BEFORE I 43 00:01:23,033 --> 00:01:30,633 WOULD BRING IT UP KNOWING THAT 44 00:01:25,166 --> 00:01:30,966 THEY DIDN'T WANT TO HAVE BOTH 45 00:01:28,866 --> 00:01:32,566 ILLNESSES BE AN ISSUE IN THE 46 00:01:30,633 --> 00:01:35,266 WINTER. 47 00:01:30,966 --> 00:01:37,566 >> A LOT OF FACTORS. 48 00:01:32,566 --> 00:01:39,000 WHAT ARE DOCTORS PREDICTING FOR 49 00:01:35,266 --> 00:01:39,800 THIS UP COMING FLU SEASON NOTING 50 00:01:37,566 --> 00:01:42,600 THAT KIDS BY AND LARGE ARE BACK 51 00:01:39,000 --> 00:01:45,100 IN SCHOOL? 52 00:01:39,800 --> 00:01:46,800 >> THE FLU SEASON IS NOTORIOUSLY 53 00:01:42,600 --> 00:01:49,366 HARD TO PREDICT. 54 00:01:45,100 --> 00:01:50,433 WE HAVE TO FIND OUT. 55 00:01:46,800 --> 00:01:52,100 I'M HOPING OUR WARNINGS LAST 56 00:01:49,366 --> 00:01:54,033 YEAR WERE ABLE TO CONVINCE 57 00:01:50,433 --> 00:01:56,166 PEOPLE TO GET THE FLU SHOT AND 58 00:01:52,100 --> 00:01:58,266 THIS YEAR WE'LL DO THE SAME. 59 00:01:54,033 --> 00:02:00,466 BUT IT LOOKS LIKE THERE'S 60 00:01:56,166 --> 00:02:02,033 SEVERAL MODELS PREDICTING A 61 00:01:58,266 --> 00:02:04,400 SEVERE FLU SEASON AND THAT IS 62 00:02:00,466 --> 00:02:06,433 BECAUSE KIDS ARE BACK IN SCHOOL. 63 00:02:02,033 --> 00:02:08,466 PEOPLE ARE NOT MASKS AS MUCH ARE 64 00:02:04,400 --> 00:02:09,000 NOT DOING THE SAME MEASURES. 65 00:02:06,433 --> 00:02:12,566 BUT ALSO FOR A FEW DIFFERENT 66 00:02:08,466 --> 00:02:13,966 REASONS. 67 00:02:09,000 --> 00:02:16,766 USUALLY EVEN IF PEOPLE AREN'T -- 68 00:02:12,566 --> 00:02:18,633 DON'T GET SYMPTOMS FROM THE FLU 69 00:02:13,966 --> 00:02:20,766 THEY ARE EXPOSED TO THE FLU AT 70 00:02:16,766 --> 00:02:23,166 SOME POINT DURING THE FLU SEASON 71 00:02:18,633 --> 00:02:25,433 AND DEVELOP SOME ANTIBODIES THAT 72 00:02:20,766 --> 00:02:27,000 CARRY OVER INTO THE NEXT SEASON. 73 00:02:23,166 --> 00:02:29,500 BUT SINCE THERE WAS NO FLU 74 00:02:25,433 --> 00:02:31,166 CIRCULATING LAST YEAR MOST 75 00:02:27,000 --> 00:02:35,466 PEOPLE DID NOT GET EXPOSED THEIR 76 00:02:29,500 --> 00:02:36,833 IMMUNITY LEVEL ANTIBODY LEVEL IS 77 00:02:31,166 --> 00:02:37,566 GOING TO BE LOWER AND HAVE OLDER 78 00:02:35,466 --> 00:02:39,500 ANTIBODIES THAT MAY NOT BE ABLE 79 00:02:36,833 --> 00:02:42,566 TO FIGHT IT. 80 00:02:37,566 --> 00:02:43,566 >> THE DOWNSIDES OF NOT HAVING A 81 00:02:39,500 --> 00:02:45,300 ROBUST FLU SEASON AND KIDS ARE 82 00:02:42,566 --> 00:02:47,866 VECTORS OF THE FLU. 83 00:02:43,566 --> 00:02:49,433 DOES IT STAND TO REASON IF THEY 84 00:02:45,300 --> 00:02:52,366 ARE BACK IN SCHOOL AND IN TIGHT 85 00:02:47,866 --> 00:02:53,233 QUARTERS, THEY MIGHT SPREAD THE 86 00:02:49,433 --> 00:02:55,533 FLU TO THE GENERAL POPULATION? 87 00:02:52,366 --> 00:02:57,600 >> YES, ABSOLUTELY. 88 00:02:53,233 --> 00:02:59,100 AND IT'S SUPER IMPORTANT FOR 89 00:02:55,533 --> 00:03:00,266 ANYBODY OVER THE AIMING OF SIX 90 00:02:57,600 --> 00:03:02,400 MONTHS, CHILDREN INCLUDED TO GET 91 00:02:59,100 --> 00:03:05,333 THE FLU VACCINE. 92 00:03:00,266 --> 00:03:07,633 AND I SAY START GET TO GO NOW. 93 00:03:02,400 --> 00:03:09,800 WE GOT FLU VACCINE TO MY OFFICE 94 00:03:05,333 --> 00:03:10,166 AND I'M ADVISING MY PATIENTS TO 95 00:03:07,633 --> 00:03:11,633 GET VACCINATED AS SOON AS 96 00:03:09,800 --> 00:03:13,133 POSSIBLE. 97 00:03:10,166 --> 00:03:15,166 THERE IS NO REASON TO WAIT. 98 00:03:11,633 --> 00:03:17,000 SO DO IT NOW. 99 00:03:13,133 --> 00:03:19,033 >> WHAT ABOUT CONCERNS FROM 100 00:03:15,166 --> 00:03:22,466 PEOPLE THAT TOOK THE COVID-19 101 00:03:17,000 --> 00:03:23,700 VACCINE AND WONDER IS IT SAFE TO 102 00:03:19,033 --> 00:03:24,100 TAKE THE FLU VACCINE IN CLOSE 103 00:03:22,466 --> 00:03:25,733 PROXIMITY? 104 00:03:23,700 --> 00:03:27,733 >> YES. 105 00:03:24,100 --> 00:03:30,466 SO INITIALLY WHEN THE COVID 106 00:03:25,733 --> 00:03:32,033 VACCINE CAME OUT LAST WINTER WE 107 00:03:27,733 --> 00:03:33,400 WERE ADVISING PATIENTS TO WAIT 108 00:03:30,466 --> 00:03:35,966 14-DAYS BETWEEN GETTING ANY 109 00:03:32,033 --> 00:03:38,200 OTHER IMMUNIZATIONS. 110 00:03:33,400 --> 00:03:40,000 BUT THAT RECOMMENDATION IS NOT 111 00:03:35,966 --> 00:03:43,100 ON NOW. 112 00:03:38,200 --> 00:03:43,966 IT'S SAFE TO GET THE FLU SHOT 113 00:03:40,000 --> 00:03:44,466 AND THE COVID-19 VACCINE 114 00:03:43,100 --> 00:03:47,100 ALTOGETHER AT THE SAME TIME. 115 00:03:43,966 --> 00:03:47,900 SAME DAY. 116 00:03:44,466 --> 00:03:49,700 THERE IS NO REASON TO SPACE THEM 117 00:03:47,100 --> 00:03:52,900 OUT. 118 00:03:47,900 --> 00:03:54,566 SO IF SOMEBODY IS ELIGIBLE FOR 119 00:03:49,700 --> 00:03:56,500 THE BOOSTER SHOT, OR THE THIRD 120 00:03:52,900 --> 00:03:58,100 SHOT, I RECOMMEND GETTING 121 00:03:54,566 --> 00:04:00,666 EVERYTHING AS SOON AS POSSIBLE. 122 00:03:56,500 --> 00:04:03,033 >> GOING BACK TO YOU'RE SAYING 123 00:03:58,100 --> 00:04:04,333 MODELS ARE PREDICTING A HEAVY 124 00:04:00,666 --> 00:04:06,100 FLU SEASON BEYOND KIDS BEING IN 125 00:04:03,033 --> 00:04:08,033 SCHOOL, NOT SOCIAL DISTANCING AS 126 00:04:04,333 --> 00:04:10,533 MUCH WHAT ARE THE OTHER FACTORS 127 00:04:06,100 --> 00:04:12,200 THAT GO INTO THAT MODELING? 128 00:04:08,033 --> 00:04:14,433 >> IN YEARS PAST WE'VE LOOKED AT 129 00:04:10,533 --> 00:04:19,466 THE SOUTHERN HEMISPHERE 130 00:04:12,200 --> 00:04:20,966 COUNTRIES LIKE AUSTRALIA TO SEE 131 00:04:14,433 --> 00:04:22,533 HOW THEIR FLU SEASON WENT. 132 00:04:19,466 --> 00:04:23,700 THEIR'S IS JUST ENDING NOW. 133 00:04:20,966 --> 00:04:25,900 THEY HAD A LIGHT SEASON AGAIN 134 00:04:22,533 --> 00:04:28,500 THIS YEAR. 135 00:04:23,700 --> 00:04:30,333 BUT THEY ARE ALSO MUCH MORE 136 00:04:25,900 --> 00:04:30,666 STRICT ABOUT COVID MEASURES AND 137 00:04:28,500 --> 00:04:33,133 NOT THEIR BORDERS ARE MOSTLY 138 00:04:30,333 --> 00:04:35,900 CLOSED. 139 00:04:30,666 --> 00:04:38,433 I DON'T THINK WE CAN BASE IT ON 140 00:04:33,133 --> 00:04:38,800 THEIR MODEL BECAUSE WE'RE 141 00:04:35,900 --> 00:04:40,600 FUNCTIONING DIFFERENTLY IN OUR 142 00:04:38,433 --> 00:04:41,333 COUNTRY. 143 00:04:38,800 --> 00:04:43,133 THERE IS A LOT OF FACTORS THAT 144 00:04:40,600 --> 00:04:45,900 GO INTO IT. 145 00:04:41,333 --> 00:04:47,400 A LOT OF TIMES WE USE THE 146 00:04:43,133 --> 00:04:49,300 STRAINS FROM PREVIOUS SEASONS TO 147 00:04:45,900 --> 00:04:51,033 PREDICT STRAINS OF THE FLU THIS 148 00:04:47,400 --> 00:04:53,100 YEAR BUT IT'S HARDER WHEN THE 149 00:04:49,300 --> 00:04:55,400 FLU WAS SO LIGHT LAST YEAR. 150 00:04:51,033 --> 00:04:58,000 >> A LOT OF THINGS FOR PARENTS