Doctors newspaper online, 17.04.2018
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With consistent flu vaccine in Germany could prevent each year several thousand deaths. To do this, physicians would have to better communicate protection, according to the DGIM Congress.
By Wolfgang Geissel
Actually just a bit: Because of the only moderate effectiveness of the flu vaccine doctors have apparently offered the vaccine only a little. © Digitalpress / stock.adobe.com
MANNHEIM. in view of the worst flu epidemic During the last ten years, vaccination experts advocated better flu vaccine communication during the Internist Congress.
Doctors are crucial for the risk groups to be vaccinated. It is also unacceptable that, for example, only every third over 60-year-old is vaccinated against influenza.
With better vaccination rates, the epidemic could have been significantly alleviated, stressed the STIKO chairman Professor Thomas Mertens at a panel discussion organized by the “Ärzteblatt”.
Nationwide in the current season reported 1287 deaths in patients with laboratory-confirmed influenza
(see graphic below) are just the tip of the iceberg. “The true numbers are at least ten times higher,” said the virologist from Ulm.
Inoculation too rarely offered
Flu season 2017/18
» Highest sick leave the past ten years with 6.2 percent of employees in February.
» Records: 56,914 inpatients and 1,287 laboratory-confirmed influenza deaths were reported.
» Inaccurate picture: Most illnesses and deaths due to flu are not recorded. STIKO boss Professor Thomas Mertens assumes at least 12,000 deaths from influenza.
Many doctors would offer the vaccine too rarely. “Assuming 12,000 flu deaths last winter, even a vaccine with an efficacy of only 40 percent can still prevent 4800 deaths,” said Mertens at the event.
In order to improve the situation, better vaccination rates are needed and no discussion about alleged two-class medicine in the choice of a three or four-valent vaccine, said RKI President Professor Lothar H. Wieler at the event.
Influenza is underestimated and many people still consider it a kind of cold. It should therefore also be emphasized more strongly that pneumonia, sepsis or a heart attack could be the result of severe influenza.
Dangerous picking by medical staff
The infectiologist is especially concerned with improving vaccination protection among medical personnel.
According to study data of the RKI, there are particularly questionable vaccines: Only about 30 percent of nurses and only 60 percent of doctors have influenza protection, according to Wieler.
Many doctors said in the study: “The effectiveness is not that great, because I do not have to get vaccinated,” said the RKI president.
That also the entrusted patients should be protected, will be disregarded. The Community protection achieved through vaccination must be better communicated.
“If a doctor is not vaccinated, then he can not convince patients,” Mertens said.
An unconventional idea had in the discussion of the cabaret artist and doctor. Eckhart von Hirschhausen: Like an Aids-loop doctors should wear a button on the doctor’s coat with the inscription: “I’m vaccinated, talk to me on your vaccinations!”
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[17.04.2018, 15:02:21] Dr. Thomas Georg Schätzler
But that sounds a lot like: “Had, bike chain …”
Because any appreciation by a factor of 10 in nationwide to last week reported 1,287 deaths in patients with laboratory-confirmed influenza in this flu season infection infection epidemiological Kaffesatz-reading: “The true numbers are at least ten times higher,” said the virologist and STIKO chairman Professor Thomas Mertens from Ulm. Should this distract from the fact that the WHO had already recommended on 21.2.2013 in addition to the triple vaccine, among other things, a 4-fold vaccine: “Recommended composition of influenza virus vaccines for use in the 2013-14 northern hemisphere influenza season 21 February 2013 It is recommended that the trivalent vaccines for use in the 2013-14 influenza season (northern hemisphere winter) contain the following: to A / California / 7/2009 (H1N1) pdm09-like virusa; to A (H3N2) virus antigenically like the cell-propagated prototype virus A / Victoria / 361 / 2011b *; a B / Massachusetts / 2/2012-like virus. It is recommended that quadrivalent vaccines containing two influenza B viruses contain the above three viruses and a B / Brisbane / 60/2008-like virusc. a A / Christchurch / 16/2010 is an A / California / 7/2009-like virus; b A / Texas / 50/2012 is an A (H3N2) virus antigenically like the cell-propagated prototype virus A / Victoria / 361/2011; c B / Brisbane / 33/2008 is a B / Brisbane / 60/2008-like virus. ” http://www.who.int/influenza/vaccines/virus/recommendations/2013_14_north/en/ Corresponding recommendations were made for the 2014/2015 influenza season http://www.who.int/influenza/vaccines/virus/recommendations/2014_15_north/en/ and for 2015/2016 http://www.who.int/influenza/vaccines/virus/recommendations/2015_16_north/en/ or for 2016/2017: “Recommended composition of influenza virus vaccines for use in the 2016-2017 northern hemisphere influenza season 25 February 2016 It is recommended that trivalent vaccines for use in the 2016-2017 influenza season (northern hemisphere winter) contain the following: to A / California / 7/2009 (H1N1) pdm09-like virus; to A / Hong Kong / 4801/2014 (H3N2) -like virus; a B / Brisbane / 60/2008-like virus. It is recommended that quadrivalent vaccines containing two influenza B viruses contain the above three viruses and a B / Phuket / 3073/2013-like virus. ” http://www.who.int/influenza/vaccines/virus/recommendations/2016_17_north/en/ See also https://www.aerzteblatt.de/nachrichten/92262/Influenza-Krankenkassen-bezahlen-ab-Herbst-Vierfachimpfstoff And from an influenza vaccine with 40 percent efficacy, we were miles away in this flu season. Mf + kG, dr. med. Thomas G. Schätzler, FAfAM Dortmund to the article »