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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 specialists 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 simplest method to shield your self from the worst of this season’s viruses is to get vaccinated. Everybody above 6 months previous ought to get their flu shot and up to date COVID vaccine; pregnant ladies and adults over 60 ought to get vaccinated towards RSV. For all of those viruses, the month of October is the most effective time to get your photographs to stop 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 Heart for Immunization and Respiratory Ailments (NCIRD). “And it is necessary to recollect that there is a good quantity of overlap between the situations that will enhance danger for influenza and COVID and people who could enhance danger for extreme RSV illness as effectively.” 

Going over the CDC’s up to date suggestion checklist for all three vaccinations, Daskalakis stated in the event you’ve already had a dose of the earlier COVID vaccine, it’s best to wait about 2 months earlier than getting the up to date one. For those who’ve just lately had COVID, the CDC tips say, you could contemplate ready 3 months to get the brand new COVID shot.

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

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

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

Because the rollout of the up to date COVID vaccine, there have been many experiences 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 quite a bit completely different than business distribution of vaccine,” stated Daskalakis, who stated it took a 12 months of planning to organize for the change. Regardless of experiences, he stated that each 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 on the market,” stated Shah. “And please test again in together with your supplier, together with your pharmacist as a result of it is seemingly 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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