Flu Shots and Immunizations
The U.S. Centers for Disease Control and Prevention (CDC) recommends seasonal influenza (flu) shots for cancer patients and survivors and anyone who has contact with a cancer patient. However, check with your doctor first before getting any flu shots or other vaccinations.
Cancer patients and survivors should get the flu shot - not the nasal mist form of the flu vaccine. Shots are safe for people with compromised immune systems because they're made from inactivated virus; the flu mist is made from a live virus.
The 2010-2011 flu vaccine combines protection against three flu viruses: influenza B, H1N1 and H3N2. The ideal time to be vaccinated for seasonal flu is in the fall as soon as the flu shot becomes available. It takes about two weeks for the shot to begin providing protection. Before you get the shot, let your doctor know about any allergies you have and any previous reactions to a flu shot.
For Stem Cell Transplant Patients
For cancer patients who have had a stem cell transplant, guidelines established by the CDC and the American Society for Blood & Marrow Transplantation (ASBMT) recommend flu shots for all bone marrow, stem cell and cord blood transplant survivors beginning one-year post-transplant and continuing every year thereafter. The flu shot is also recommended for others living or working in the household. Although most transplant centers follow the current CDC guidelines regarding flu shots, some recommend flu shots even earlier than one year after the transplant.
For more information about the flu and special considerations for people who have cancer, visit the CDC's Cancer and Flu page.
Who Else Needs a Flu Shot?
The CDC recommends that everyone 6 months and older receive a flu shot, especially those at high risk for developing complications from the flu, which include:
- adults 65 years of age and older
- children younger than 5 years old, but especially younger than 2 years old
- pregnant women
- American Indians and Alaskan natives, two groups who had a high rate of complications during the 2009-2010 flu season
- people who have an underlying medical condition or chronic health problem
Medical conditions that increase risk for flu-related complications include:
- blood disorders
- breathing disorders such as asthma and chronic obstructive pulmonary disorder (COPD)
- endocrine disorders such as diabetes
- kidney disorders
- liver disorders
- a weakened immune system caused by medications such as steroids or diseases such as HIV/AIDS
- heart disease, such as congestive heart failure, congenital heart disease and coronary artery disease
- neurological (brain and nervous system) or developmental disorders
- metabolic disorders
- morbid obesity
You also need a flu shot if you live with or care for an infant younger than 6 months old or you're a healthcare or emergency medical services worker.
Other Ways to Help Prevent Flu
Take the following precautions to help prevent the flu both for yourself and the people around you:
- Contact your primary care doctor and oncologist to see if an antiviral drug is recommended for you.
- Avoid contact with people who have the flu, which is spread mainly by person-to-person contact. The CDC recommends that people who are coughing and sneezing stay home from work or school and limit contact with others to keep from infecting them.
- Follow general public health advice about avoiding crowds.
- Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue away right after you use it.
- Wash your hands often with soap and water, especially after you cough or sneeze. If you don't have access to soap and water, use alcohol-based hand cleaners.
- Reduce the spread of germs by avoiding touching your eyes, nose or mouth.
- As a precaution, store a supply of food, medicines, alcohol-based hand rubs and other essential supplies.
Pneumococcal Pneumonia Vaccine
Ask your doctor about other vaccinations you may need, such as immunization for pneumococcal pneumonia. There are two types of pneumococcal vaccines available for adults: a pneumococcal polysaccharide vaccine (PPSV23) and a pneumococcal conjugate vaccine (PCV13). Adults who have a blood cancer diagnosis generally need to receive both vaccines. Talk to your doctor for more information.
Your immunization schedule depends on several factors, including the treatment you're receiving and whether you're in remission. For example, people with blood cancer who are undergoing chemotherapy or radiation therapy should avoid getting a Zoster vaccine to prevent shingles. Once you're in remission, your doctor may recommend the shot.