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The flu vaccine has dramatic impacts on public health.

Flu Shot: It's That Time Again

By Dr. Everett LammPrint Story | Email Story

With flu season around the corner, your health care providers, employers, pharmacists and others are sounding the annual reminder: "Get your annual flu shot." We encourage this for you — and for the people around you, too. We see evidence every year of the benefits of the flu vaccine, and we also see the risks of skipping it.

The flu vaccine has dramatic impacts on public health. However, since strains of the flu may vary from year to year, the vaccine must be received annually. Although the vaccine doesn't guarantee a flu-free winter and perfect health, medical research has convincingly shown that the flu shot reduces flu severity and reduces sick visits, hospitalizations and intensive care admissions. For infants and the elderly and those with compromised immune systems, the flu shot is essential protection against serious illness.

Although Massachusetts has historically ranked high in its overall immunization rates —  50 percent of all residents received vaccines in 2015-16 flu season — that percentage dropped from 55 percent the year before. The lowest rates of vaccination are in residents 18-49 — 40 percent for the 2015-16 season, but vaccine rates for all age groups (except young children) dropped slightly as well.

Some people have medical reasons for being unable to have the shot, but others go without by choice. Why? They may feel confident in their own good health and their body's ability to ward off illness. They may be skeptical about vaccines in general. However, skipping the flu vaccine means taking an unnecessary risk – for yourself and others whom you care for or work with, or who may be more vulnerable than you to illness.

Here's what we know about the flu vaccine from the Centers for Disease Control (CDC):

* During flu seasons when the vaccine is well-matched with flu strains that are circulating, the vaccine is shown to reduce the need for flu-related medical visits by 30 to 60 percent.

* During the 2016-17 flu season, the vaccine prevented an estimated 5.3 million flu illnesses, 2.6 million medical visits for the flu and 85,000 flu-related hospitalizations.

* The vaccine reduces the severity of flu symptoms for those who may get sick, and reduces hospital-based Intensive Care Unit admissions related to the flu.

* The flu vaccine is a preventive measure for people with other chronic illnesses, such as cardiac, diabetes and lung diseases.

* Children and pregnant women are especially susceptible to complications from the flu. The vaccine has repeatedly reduced the risk of flu-related deaths among children by 50 percent.

In addition, if you are exposed to someone else who has the flu virus, you may not get sick, but you can pass on the virus to others. Do you have a young child? Do you care for an elderly relative or a chronically sick friend? Are you a teacher or a health care provider?

It is true that flu vaccines are not foolproof. Flu strains may differ from year to year and efforts to keep up with its changing characteristics are not 100 percent effective.

Some myths and misinformation are "out there" — even one claiming that the flu shot causes the flu. This is unequivocally false. In fact, flu vaccines are "inactivated," which means they contain no actual influenza (flu) virus at all. If someone falls ill after getting a flu shot, there are several explanations:

* The flu shot takes about two weeks to take full protective effect. A person can get the flu during this period.

* If someone was exposed to the flu just prior to getting the flu shot, he or she might coincidentally get sick around the time of a vaccine.

* Just because someone gets sick, does not mean that influenza ("the flu") is the culprit. There are many other non-flu illnesses that can be contracted. This is the time of year for increased respiratory illnesses and pneumonia.

* There are some outlying strains of the flu not covered by the typical flu shot. Unfortunately it is possible to contract one of these non-vaccine containing flu strains.

To protect your health and those around you – loved ones, friends, co-workers – please take the preventive step of getting your flu shot this season. You could save a life by doing so – and reduce your own risk of contracting the miserable and dangerous flu virus.

Dr. Everett Lamm is the chief medical officer of Community Health Programs.

 





Tags: CHP,   flu,   


BRTA Looks to Another Year of Fare Free

By Breanna SteeleiBerkshires Staff

PITTSFIELD, Mass. — The BRTA is expecting another year of fare free rides.

Berkshire Regional Transit Authority Administrator Kathleen Lambert told the advisory board recently that she expects to receive $1.3 million in state funding to remain fare free. She said RTAs may be given up to $40 million this year statewide, which is $5 million up from last year.

While the state budget is not formally approved yet, the effect will take place on July 1.

The news came at the same time the board approved the BRTA's budget of $13.6 million, which is an increase of 11 percent since last fiscal year.

Some of the increases were in the fixed route area which jumped from $9 million to $12 million. Lambert said this is due to the contractual agreement between the union where they have a five percent raise for all of the drivers and other union members, as well as a seven percent raise for paratransit fleet operators.

Lambert said much of the costs raised were fuel costs because of the ongoing war in Iran. The authority uses about 8,000 gallons of fuel a month and has planned for $5.75 per gallon.

The customer service desk, which currently staffs two employees, will be shut down, she said. The two employees were given notice months in advance and one showed interest in becoming a bus driver and will plan to interview for that. Lambert said two new drivers have started and that the new transit company Keolis, which is taking over for Transdev, will continue to hold recruiting events. The new manager is Mark Moujabber, taking over for Bobby Quintos. 

Lambert told the board she believed there are discrepancies in ridership data. Deputy Administrator Benjamin Hansen, who was in operations before his current role, said the authority has been seeing low ridership because of route cancellations, however, this past month, the numbers did not make sense as demand has stayed the same but ridership seemed exponentially low.

To get the figures, bus drivers must manually push a button on the farebox to record passengers, wheelchairs, and bikes, which might have errors. There are automatic passenger counters (APCs) installed, but they are not certified, so are only used as a rough comparison tool as they are not accurate.

Board member Stuart Lawrence asked if there has been any investigation on if this might be deliberate. Hansen said there is not as he does not know how they could watch for that to happen.

Lambert said she has been working with professor Paula Consolini at Williams College, who will have a group of samplers who will ride the bus and gather a week's worth of data.

In the last meeting, the board spoke about anonymous emails from drivers, and a letter iBerkshires received spoke of unhappy drivers who were considering quitting because of decisions being made without "input from frontline staff," frustration and falling morale, and the removal of the former general manager shortly after Lambert came in.  

Multiple employees had also signed on to a vote of no confidence letter in the BRTA administration spearheaded by Raymond Killeen who is a bus driver and represents Cheshire on the advisory board. Killeen said losing Quintos was hard, stating he was an excellent general manager and not having him there led to hardships on accomplishing many things.

"Once the removal was there, it was difficult to accomplish certain things, because we had lost the general manager. So, the letter was an attempt to get things moving a little bit quicker, so we could provide a better service for the residents of Berkshire County. I don't know if it accomplished that. We were able to do some things, though, but the concern amongst rank and file here is that we're not providing the best service we possibly could, and we're hoping that when the new management team comes in, that can be accomplished," Killeen said.

Killeen said he was unhappy with the progress to a revised driver schedule. The day after the meeting, Lambert and the team had a meeting to discuss and negotiate run schedules, Lambert said it was a very good and productive meeting.

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