COVID-19, flu and RSV: A guide to this fall’s vaccine options

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COVID-19, flu and RSV: A guide to this fall’s vaccine options
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This is the first time we’ll have vaccines for three deadly infectious diseases: COVID, flu and RSV.

We all feel vaccine fatigue.

Soon after the CDC’s Advisory Committee on Immunization Practices meeting on Sept. 12, a new and improved shot will be unveiled. It’s a better match for what’s out there. It comes in the nick of time, as the amount of virus present in California’s wastewater is climbing to its highest level since January, causing a worrisome uptick in hospitalizations. The seven-day average positivity rate for COVID tests in California reached 14% as of Friday, among the highest recorded throughout the pandemic.

This is how Swartzberg, age 78, is planning his vaccinations: RSV in September; COVID-19, late September to early October; and flu, late October to early November. That schedule takes advantage of their optimal effectiveness, and covers him throughout the season, he reasons. If it does become established, the new shot won’t be as helpful, because it is more distantly related. Antivirals like Paxlovid would still work. While there’s no reason for alarm, “It’s something to be watching,” said Swartzberg.The CDC will almost certainly recommend its use in people who are at greatest risk of illness or death from infection: those over age 65 or immunocompromised.

For elders, there’s no blanket recommendation. Rather, the FDA says that people age 60 and older “may” get them based on “shared clinical decision-making.” That means you need to ask your doctor.

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