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Flu Season’s Here: You Still Can Get Your Flu Shot for Protection

Image of Flu Week Infographic. There’s still time to get yourself protected against the flu and COVID-19, too. Most importantly, get vaccinated. Photo courtesy of Defense Health Agency.

If you haven't gotten your annual flu shot yet, is it too late? Absolutely not, experts say.

And while last week was the annual National Influenza Vaccine Week, there is plenty of flu vaccine available.

You can still be well protected with just one shot.

Flu shots are available at your local military hospital or clinic, through TRICARE, at participating pharmacies, and even at temporary flu clinics. The shots are mandated each year for all those in the armed services to help maintain readiness. The mandated deadline for 90% of service members to get their annual flu shots is Jan. 15 each year with some services as early as Dec. 15.

As of Dec. 2, "we are 72% compliant overall," said U.S. Army Lt. Col. Katie Martinez, deputy director of operations for the Defense Health Agency Health Care Division. That compares to 68% last year, "so overall we are doing better this year than we have in the previous flu seasons," she said, adding: "I anticipate we will hit 90% compliance by the established deadlines."

The influenza vaccine is recommended by the Centers for Disease Control and Prevention for every one 6 months of age and older. For people 65 years and older, who are at a higher risk of developing flu-related complications, the CDC recommends a higher dose or adjuvanted flu vaccine. If a higher dose or adjuvanted flu vaccine are not available, please consult with your provider about which flu vaccine is right for you.

The young, those with compromised immune systems or chronic diseases, and the elderly are at risk of serious complications from the flu, so getting them immunized is important.

"Hospitalization rates are higher at this point in the flu season compared to last year," Martinez said, citing figures from the CDC. This is for both those 65 and older and for children up to 4 years old.

So far, there have been 14 pediatric deaths from flu nationwide, which is more at this time than during last year's flu season, she added.

Don't Forget Your COVID-19 Shots

While you're getting your flu shot, you also can get your COVID-19 booster or series at the same time.

While COVID-19 infection rates appear to be trending downward for the moment, it is still important to get your booster, especially the bivalent boosters, which came out earlier this fall. They have been shown to protect against the Omicron variant and its subvariants as well as the original form of COVID-19 and the subsequent Delta variant. Omicron and its mutations remain the dominant variants that cause COVID-19.

"Both respiratory diseases are circulating worldwide, and "hospitalization rates are trending higher for the flu this year than the rate observed in week 46 during every previous season since 2010-2011," Martinez said, citing CDC data.

"Flu seasons are unpredictable in a number of ways, including when they begin, how severe they are, how long they last, which viruses will spread, and whether the viruses in the vaccine match flu viruses that are circulating," the CDC said. All flu vaccines available this year protect against four different circulating flu viruses.

"National Influenza Vaccine Week highlights the need for every eligible person to get their annual flu shot, but also this year, their latest COVID-19 booster or series," said U.S. Public Health Service Commissioned Corps Rear Adm. Brandon Taylor, director of Defense Health Agency Public Health.

"It's a reminder to all that flu and COVID-19 are major national public health issues that can affect the youngest to the oldest and the healthiest to those whose immune systems are weakened. He added, "This holiday season, think of others you may be joining for gatherings, and be protected from flu and COVID-19, not only for yourself, but also for all your family, colleagues, and friends."

Could It Be RSV?

This year, it can also be hard to determine if you have the seasonal flu, COVID-19 or respiratory syncytial virus, since all three are respiratory infections, and RSV numbers are well up from last year in children. All three have similar symptoms, with fever being the most common. If you want to know for sure, you can check with your health care provider. These viruses could become severe in a short span of time, so starting on the right treatment can be important.

Prevention, Prevention, Prevention

Just as with the COVID-19 pandemic, there are some simple ways to better protect yourself from getting sick and from spreading your flu or COVID-19:

  • Get vaccinated. Vaccines save lives.
  • Wash your hands regularly with soap and water or use alcohol-based hand sanitizer.
  • Cover your nose and mouth with tissue or the inside of your elbow when you cough or sneeze.
  • Clean and disinfect surfaces regularly that may be contaminated with these viruses.
  • Stay home when you are not feeling well; don't send your kids to school or daycare if they feel ill.
  • Talk to your health care provider if you begin to feel ill. There are treatments for both flu and COVID-19 that are available if caught quickly enough through testing.
  • Limit contact with others when you are sick and avoid close contact with people who are sick.
  • When possible, do more activities outdoors where the droplets that spread these diseases are lessened by the large amount of fresh air.

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DODI 6205.02 DOD Immunization Program

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Establishes policy, assigns responsibilities, and provides procedures to establish a uniform DoD immunization program, in accordance with the authority in DoDD 6200.04 and DoD Instruction (DoDI) 1010.10.

Consolidated Department of Defense Coronavirus Disease 2019 Force Health Protection Guidance

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Consolidates and updates the Department’s guidance regarding vaccination verification, vaccination status, COVID-19 testing, surveillance and screening testing, personnel protection on-site mask requirements, (e.g., DHA military medical treatment facilities, meetings, travel), and the protection of personally identifiable information.

  • Identification #: 22-006
  • Date: 8/18/2022
  • Type: Memorandums
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DHA-IPM 20-004: Department of Defense (DOD) Coronavirus Disease 2019 (COVID-19) Vaccination Program Implementation

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Establishes the Defense Health Agency’s procedures to implement instructions, assign responsibilities, and prescribe procedures for the DHA’s implementation of the DOD’s COVID-19 Vaccination Program.

  • Identification #: DHA-IPM 20-004
  • Date: 6/16/2022
  • Type: DHA Interim Procedures Memorandum
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Coronavirus Disease 2019 Vaccination Attestation, Screening Testing, and Vaccination Verification

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This memorandum provides guidance on the implementation of vaccination, attestation, and testing requirements in accordance with the References listed in Attachment 1 to reduce the transmission of the virus that causes COVID-19.

  • Identification #: 21-004
  • Date: 11/3/2021
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Medical Logistics Guidance for the DoD Coronavirus Disease 2019 (COVID-19) Vaccination Program

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Establishes the DHA's procedures for ordering, receiving, and managing COVID-19 Vaccines inventory and ancillary kits for enduring COVID-19 support.

  • Identification #: 6025.01
  • Date: 5/10/2021
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TAB A MEO COVID19 Medical Coding Policy

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Memorandum for DHA Staff - Military Medical Treatment Facilities to Implement Updated DHA COVID-19 Medical Coding Policy

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DHA COVID19 Medical Coding PolicyV5 1v

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Establishes the DHA procedures to standardize the coding for Coronavirus 2019 (COVID-19) within military medical treatment facilities (MTFs). This memorandum replaces DHA-Policy Memorandum 20-003 of July 1, 2020. Attachment 1 was updated to include the 2021 procedure and diagnosis codes for COVID-19, including the new vaccination and treatment codes.

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Supplemental Guidance for Providing DOD Coronavirus Disease 2019 Vaccines to DOD Contractor Employees and Select Foreign Nationals

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This memorandum provides supplemental guidance on the provision of coronavirus disease 2019 (COVID-19) vaccines, in accordance with reference (a). The Defense Health Agency (DHA) is the lead coordinating DOD Component for executing this guidance, in coordination with the Military Departments and other DOD Components as appropriate.

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This memorandum provides guidance for a COVID-19 laboratory pre-testing questionnaire that will be mandatory for all Active Duty Service members and encouraged for all other DOD beneficiaries treated at military medical treatment facilities.

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Executive Order on Ensuring Access to United States Government COVID-19 Vaccines

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This EO outlines who should receive priority access to COVID-19 vaccines developed in the United States or procured by the United States Government (“United States Government COVID-19 Vaccines”).

  • Identification #: N/A
  • Date: 12/8/2020
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Coronavirus Disease 2019 Vaccine Guidance

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Return to the Workplace Staffing Plan in the Coronavirus Disease 2019 Environment

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Establishes the DHA's plan to return to full operations and support the whole-of-government response, during the Coronavirus Disease 2019 (COVID-19) pandemic

  • Identification #: 3020.01
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Implements instructions, assigns responsibilities, and prescribes procedures for the DOD Northern Hemisphere (NH) and Southern Hemisphere (SH) Seasonal influenza vaccination program.

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The Defense Health Agency (DHA) Memorandum, based on the authority of References (a) and (b), and in accordance with the guidance of References (c) and (d), establishes the DHA’s procedures to standardize the coding for Coronavirus 2019 (COVID-19) Military Medical Treatment Facilities (MTFs). This memorandum cancels and replaces DHA- Policy Memorandum 20-003 of (13 April 2020). A change was issued since the cancelled Memorandum 20-003 of (13 April 2020), the Attachment titles were updated to reflect that Attachments 1, 2, and 4 are considered Policies as opposed to Guidance.

  • Identification #: 20-003
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Immunizations and Chemoprophylaxis for the Prevention of Infectious Diseases

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  • Identification #: Army Regulation 40–562 BUMEDINST 6230.15B AFI 48–110_IP CG COMDTINST M6230.4G
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Last Updated: May 04, 2023
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