RSV Vaccine - THREE Recommendations!
RSV Vaccine - THREE Recommendations!
Dr. Christy explains the data behind the two new RSV vaccines, Abrysvo and Arexvy. There are pros and cons to getting the vaccine. She has three recommendations for you to consider.
REFERENCES:
https://www.nejm.org/doi/full/10.1056…
https://www.cdc.gov/mmwr/volumes/72/w…
Content
0.359 -> hi and welcome to another edition of
3 -> your health with Dr Christie my name is
5.4 -> Dr Christy Reisinger and today I'm going
7.68 -> to give you all my opinion about the new
9.98 -> RSV vaccines that are currently
12.3 -> available for adults
14.099 -> so I can hear a collective grown across
17.82 -> the United States as we talk about yet
19.859 -> another new vaccine
21.96 -> and I hear you I understand that that
24.539 -> we're also vaccine weary in the United
27.3 -> States the recommendation so far has
29.699 -> been for adults 60 and over to get this
33.12 -> vaccine after a discussion with your
35.399 -> doctor so there are two vaccines
37.68 -> available one from Pfizer called a
39.84 -> breezevo and the next from GSK called
42.3 -> RXV they use tried and true protein unit
45.96 -> technology so this is what we've been
48.36 -> seeing with the vaccines like the
50.16 -> hepatitis B vaccine and the new shingles
52.559 -> vaccine so this technology has been
54.96 -> around for a long time RSV are
57.6 -> respiratory synthesial virus kills
60.239 -> really young
61.62 -> and kills really old so that's why this
65.46 -> vaccine currently is being recommended
67.08 -> for adults 60 and over normally an RSV
70.74 -> infection for a healthy person is
72.96 -> relatively mild sometimes you don't even
75.299 -> have any symptoms at all but if you are
78.479 -> 60 or older and you have
81.299 -> heart disease lung disease if you're
85.22 -> immunocompromised if you're on
86.88 -> chemotherapy
88.32 -> if you're frail and you live in a
90.42 -> nursing home those people should go
93.119 -> ahead and get the new RSV vaccine I want
96.06 -> to be more specific so if you have
97.92 -> congestive heart failure if you have
99.659 -> COPD if you have asthma if you have
103.74 -> something like rheumatoid arthritis or
105.6 -> lupus
106.68 -> and you're on an immunosuppressant
109.439 -> medication even something like
111.479 -> prednisone 20 milligrams or higher for a
114.06 -> long period of time then I would
116.159 -> consider getting the RSV vaccine but for
119.7 -> others that are healthy I would wait and
122.579 -> this is why I would wait so we've
124.56 -> received some data one write-up was in
126.84 -> the New England Journal of Medicine
127.86 -> which is a very reputable journal and
131.039 -> the other one was on the website from
132.959 -> the CDC and I reviewed all of that data
135.5 -> and for both vaccines the effectiveness
139.56 -> was excellent so the effectiveness
142.02 -> against lower respiratory tract
144.599 -> infection like bronchitis and pneumonia
147 -> was 83 percent for the GSK vaccine known
151.379 -> as araxv and the efficacy for pfizers a
154.92 -> breezevo was 89 so that means if you get
158.28 -> this vaccine at least within the first
160.86 -> season of RSV after getting it you'll be
163.86 -> very well protected against lower
166.62 -> respiratory tract infections like
169.2 -> bronchitis and pneumonia that's caused
171.84 -> from from RSV and the data was even
174.72 -> better for preventing hospitalization
177.9 -> and death so that was in the 90s so we
180.78 -> know that it protects really well but my
183.18 -> hesitation is side effects of course
185.099 -> with every vaccine you always have to
187.68 -> consider side effects and complications
190.2 -> of the vaccine and we have a very low
193.08 -> threshold for tolerance of any side
196.739 -> effect from vaccines because we're
198.3 -> giving the vaccine to someone who
200.159 -> doesn't have a disease or possibly is
202.26 -> even completely healthy
203.94 -> so in patients that received the RSV
207.239 -> vaccines we saw a greater incidence of
210.36 -> atrial fibrillation a few weeks after
213.3 -> receiving the vaccine and then also they
216.239 -> they saw a few more cases of rare
219.72 -> neurological disorders like
221.36 -> Guillain-Barre and something called
223.86 -> Encephalitis which is swelling of the
225.9 -> spinal cord in the brain these are very
228.239 -> serious side effects they were very rare
230.58 -> but they did possibly see a connection
233.34 -> between the RSV vaccine and those side
237 -> effects and there is a possibility that
239.4 -> receiving the RSV vaccine and the flu
242.34 -> shot together may increase some of these
245.94 -> side effects especially the neurological
247.739 -> side effects so another recommendation I
250.319 -> have is if you're going to get the RSV
251.819 -> vaccine don't get any other vaccine with
254.34 -> it at the same time we just don't know
256.079 -> how it cross-reacts with other vaccines
258.959 -> at this point also since the data shows
261.6 -> a little bit better efficacy with the
263.16 -> Pfizer vaccine I would try to get that
265.44 -> one although if you go to your doctor's
267.66 -> office or the pharmacy and they only
269.04 -> have the GSK RSV vaccine just go ahead
271.74 -> and get that one I don't think the data
273.12 -> is that much better so far we're hopeful
275.46 -> that this RSV vaccine is a one and done
277.8 -> type thing we'll just have to see
280.5 -> we've often said that about vaccines and
283.139 -> then have realized that efficacy really
285.18 -> wanes with time so I I can't guarantee
287.94 -> that this will be a one and done vaccine
290.28 -> but I think that's what manufacturers
292.38 -> are hoping hoping at this point we'll
294.06 -> just have to see so to summarize if
296.16 -> you're an adult age 60 and over and you
298.8 -> have a heart or lung condition or an
301.919 -> immunocompromising condition or if
303.84 -> you're in a nursing home go ahead and
305.88 -> get the new RSV vaccine and just a
308.759 -> reminder too that I would get the RSV
310.44 -> vaccine without any other vaccines at
312.479 -> the same time if you are healthy I would
315 -> hold off and just wait and see what sort
317.22 -> of side effects we see long term if
319.86 -> you're going to get the RSV vaccine I
321.66 -> would try to get the Pfizer vaccine but
323.58 -> I don't feel that strongly about it the
325.5 -> data is just a little bit better on
327.419 -> efficacy with the Pfizer vaccine
329.699 -> I hope that helps thanks for joining me
Source: https://www.youtube.com/watch?v=wri3v1cxJnQ