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CDC Director Tom Frieden Talks Flu Vaccines

Tom Frieden, director of the Centers for Disease Control and Prevention, believes in influenza immunization. So he rolled up his sleeve and got his own flu vaccine — in front of fellow physicians and members of the audience at a Thursday conference at the National Press Club in the District of Columbia.

While the CDC has announced a guideline shift for kids’ flu vaccines, as well as for pneumococcal vaccines for seniors, Frieden’s main message is this: Everyone 6 months and older should get a flu shot, every year. He talked about vaccine options — including nasal spray, small-needle injections and “less-small needle injections,” which drew some smiles at the National Foundation for Infectious Diseases-sponsored conference. The reaction was more somber to the news that more than 100 children in the U.S. died from flu-related complications last year.

In a pre-conference talk with U.S. News, Frieden discussed the need to get the vaccine at any age, and how health care providers can make that easier. He’s already taken his 10-year-old son for one, and of his 20-year-old son in college, Frieden noted, “He went to the clinic last year to get Tylenol for a headache — and they told him you can’t get Tylenol until you get a flu shot.”

Here’s more of what Frieden had to say throughout the morning.

[Read: Making the Transition to College Health Care.]

Do you expect to see new flu strains this year?

We can’t predict what this season is going to look like — more severe or less severe. We can’t predict which strains are going to be circulating, but we can predict that the best way you can protect yourself against the flu is to get a flu vaccination this year, and now’s the time to start getting it.

You may remember [2013] was a relatively bad year for flu. There were tens of millions of illnesses. Lots of people went to the hospital. It hit young adults and middle-aged people harder than it usually does, and they accounted for a larger proportion of cases. Last year it was predominantly the H1N1 strain that first emerged in 2009. That strain remains in this year’s flu shot. And you need this year’s flu vaccination to protect you against this year’s flu.

How well do flu vaccines really work?

It’s not a perfect vaccine, but it’s a safe vaccine, and it’s the best way to protect yourself from flu. It protects almost two-thirds of the time. So we’d love it to be 100 percent or 95 percent like many of our vaccines — but it’s a lot better than hope. It’s a lot better than luck. So if you get it, your risk of getting the flu is cut down by more than 60 percent. It’s a safe and effective vaccine. I get it, my family gets it [and] I recommend that pregnant women get it.

Should my child get the nasal spray vaccine or an injection?

New this year: We’re preferentially recommending nasal spray vaccine for healthy children 2 to 8 years old who don’t have any contraindications or precautions, when it’s available immediately. But if it’s not available immediately, by all means get any available form of flu vaccinate — they all work.

[Read: Why You Should Get the Flu Vaccine .]

Of children who died from flu, how many were not vaccinated?

Of those more than 100 kids who died of flu, first off — we know that the actual number’s higher, [but] we’re not able to identify each such tragic event. And we know that about half those kids didn’t have a pre-existing condition. So they didn’t have some health problem that would have identified them as high-risk.

We know that the overwhelming majority, about 90 percent, didn’t get a flu shot. So please, get a flu shot for yourself and your kids this year and every year. There are many more options for flu vaccination.

Doctors can do a lot here. It increases the vaccination rate as doctors make it routine and easy for kids to get vaccinated. [In many of the cases when kids weren’t vaccinated], it wasn’t that the parent didn’t want a vaccine — it’s just that the system didn’t work for them.

[Read: Top Reasons Children End Up in the Hospital .]

How about enterovirus?

It’s very important that kids with asthma get the flu vaccine, because that will protect them from flu — and some of the most severe cases of enterovirus D-68 have been in kids with asthma that hasn’t been well controlled.

[Note: During the conference, pediatrician Paul Offit, director of the Vaccine Education Center at The Children’s Hospital of Philadelphia, emphasized that despite recent clusters of respiratory illness from enterovirus, flu poses a much wider and graver risk.]

Will there be enough flu vaccine?

We’re confident that there will be ample supply this year. We’re told by the manufacturers that they’ll be bringing about 150,000 doses of vaccine to the market.

There is plenty of flu vaccine to go around — we hope everyone will take advantage of it.

[Read: Vaccine Safety: Getting the Message to Parents in Doubt .]

More from U.S. News

What Your Doctors Wish You Knew

How to Disinfect Germ Hotspots

How College Students Can Avoid Getting Sick

CDC Director Tom Frieden Talks Flu Vaccines originally appeared on usnews.com

Don’t Settle for Student Loans to Pay for Online Education

Online college programs are becoming a more popular choice for prospective students, with one study finding that more than 6 million students enrolled in at least one online course in fall 2015. The popularity of these courses can be attributed in part to their flexibility with working adults' schedules, students' ability to progress more quickly through online programs and, oftentimes, cheaper tuition. [See 10 low-cost online bachelor's programs for out-of-state students.]Online degrees can be beneficial to many college students, but some studies have shown online learners complete their programs at lower rates than students at traditional brick-and-mortar campuses. Individuals with student loans but no degree comprise two-thirds of defaulted borrowers. Though these numbers are not encouraging, just like for traditional programs, there are ways to reduce how much you'll need to borrow for an online program to ensure you won't become one of these statistics. Don't just settle on borrowing student loans to cover the whole cost of your program and living expenses. Instead, start thinking about how to cut costs and cover your balance in different ways, such as the following. -- Grants and scholarships: Even though you are taking an online course, you can still apply and receive grants and scholarships. But your first step should be to complete the Free Application for Federal Student Aid, commonly referred to as the FAFSA, which will allow you to receive a Pell Grant if your expected family contribution is low enough. The EFC criteria and award amounts are adjusted annually, but the 2017-2018 academic year awards range from $606 to $5,920, which could significantly lower the amount you borrow annually. Your next step is to apply for scholarships. You can start by checking online scholarship search engines, such as the Salt Scholarship Search, College Board's BigFuture and Peterson's. But don't forget to take advantage of local organizations and your school's financial aid office. Both may offer scholarships that you can't find with a national scholarship search. [Review these 10 sites to kick off your scholarship search.]For instance, organizations like the Elks Club, Knights of Columbus or the Rotary Club typically offer scholarships annually to local students. Just because you're going to school online doesn't mean you're ineligible. Visit your local library for scholarship listings, and ask around town. You might be surprised how many local organizations offer scholarships. While these scholarships typically aren't large, every little bit counts. Each dollar you receive in a scholarship is a dollar you don't have to borrow and pay interest on. -- Work-study: Another option for online students may be work-study awards. Not all students enrolled in online programs are eligible, but students at some schools -- including, for example, SUNY Empire State College and Liberty University -- are. Work-study awards are not given upfront like scholarships and grants. In most cases, they are an offer to earn up to the awarded amount if you secure an eligible work-study job. While there is a misconception that all work-study jobs must be on campus, students can work for off-campus, nonprofit or public employers as long as the work is in the public's interest. You may be able to work for a for-profit employer if the job is relevant to your course of study. No matter who the outside employer is, it will need to have an established agreement with your college for you to receive work-study funds. Remember, to be eligible for federal financial aid, you must be enrolled and pursuing a degree or certificate. If you're not working toward a credential, Pell Grants and work-study won't be option, but you may still be able to take advantage of private scholarships -- just be sure to read the eligibility criteria carefully. [Explore what to know about financial aid in online programs.]-- Pay as you go: One of the great benefits to enrolling online is the flexible schedule, which can allow you to complete your college coursework around your responsibilities. But prospective students often overlook using their part- or full-time job earnings as an option for paying for college. Almost 80 percent of college students in 2015 worked at least part time while attending classes, according to the National Center for Education Statistics. By budgeting and thinking strategically about your college costs, you can likely reduce your dependence on student loans by paying a portion out of pocket. Many -- but not all -- online programs are less expensive than traditional programs and often have shorter payment periods. Six, eight or 10 weeks are common course durations. Because of the frequency of payments in an online setting, you may be well-placed to pay as you go and possibly avoid borrowing altogether. Attending college online and avoiding student loans may be challenging, but if you are willing to put in the effort, you can limit the amount you need to borrow. More from U.S. News Q&A: Understanding Student Loan Discharge Eligibility Student Loan Refinancing Isn't Right for All Borrowers
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