It’s almost that time of year again. The leaves are changing, Halloween is just around the corner and you’re starting to agonize over whether you should take the kids in for flu shots. To help make your life a little easier, I thought we could review the latest flu vaccine recommendations.

New recommendations for 2004-2005

Recent studies show that more healthy children under the age of 2 are hospitalized for influenza-related complications, such as pneumonia, than healthy adults between the ages of 50 to 64. As a result, the American Academy of Pediatrics is recommending that all children between the ages of 6 months and 23 months receive a flu vaccine this year. For those children receiving a flu vaccine for the first time, a booster dose is recommended at least 4 weeks after the initial dose.

Who else should get a flu shot this year?

Those at highest risk from influenza-related complications include people with asthma and other chronic diseases of the lungs, heart or kidneys, people over 65, children between 6 and 23 months, pregnant women, and people who may come in contact with one of these high-risk individuals. This recommendation would extend to the parents, siblings and caregivers of young or susceptible people.

Is the flu vaccine safe?

The flu vaccine will prevent 75 out of every 100 people who receive it from acquiring a moderate to severe case of influenza. Some individuals who receive the flu vaccine may experience a slight fever and muscle aches, but since the vaccine is made from a "killed" influenza virus, it cannot cause an influenza infection.

The flu vaccine is made in eggs and may contain small quantities of egg protein. Some people allergic to eggs might have serious allergic reactions. If you are allergic to eggs, you should consult with your physician before receiving the vaccine.

When should you get the flu vaccine?

It is best to get the vaccine before the flu season starts. In most communities, the flu vaccine is available in late October or early November. Infants can safely receive the flu vaccine as soon as they are 6 months old.

It appears that we may have a shortage of the flu vaccine this year. The good news for children is that the pediatric flu vaccine should not be affected. It may take your doctor a few weeks to determine how many doses of vaccine may be available to his or her office. Knowing who is at risk can help you be a stronger advocate for your child. I recommend that you keep in close contact with your doctor or medical group and don’t be afraid to be persistent. Shortage or no shortage, if you’re under two, be wary of the flu.

Daniel R. Brennan, M.D., C.L.C., F.A.A.P., is a board-certified general pediatrician and Santa Barbara native. Contact him at 563-1995.