13 votes

Despite new Respiratory Syncytial Virus shots, most older US adults remain unvaccinated

16 comments

  1. [2]
    babypuncher
    Link
    I didn't know this was something severe enough to warrant a vaccine, or that one was even available. When I signed up for my seasonal flu and covid shots at costco, this wasn't even mentioned...

    I didn't know this was something severe enough to warrant a vaccine, or that one was even available. When I signed up for my seasonal flu and covid shots at costco, this wasn't even mentioned anywhere.

    11 votes
    1. DefinitelyNotAFae
      Link Parent
      Seems like it's targeted at 60+ and particularly vulnerable people. I've seen marketing now but it's only recently

      Seems like it's targeted at 60+ and particularly vulnerable people. I've seen marketing now but it's only recently

      9 votes
  2. [12]
    mild_takes
    Link
    Is RSV the common cold?

    Is RSV the common cold?

    2 votes
    1. [9]
      cfabbro
      Link Parent
      According to Wikipedia no one thing is the cause for what people refer to as the "common cold", but RSV is listed amongst them. https://en.wikipedia.org/wiki/Common_cold#Causes

      According to Wikipedia no one thing is the cause for what people refer to as the "common cold", but RSV is listed amongst them.

      Viruses

      The common cold is an infection of the upper respiratory tract which can be caused by many different viruses. The most commonly implicated is a rhinovirus (30–80%), a type of picornavirus with 99 known serotypes. Other commonly implicated viruses include human coronaviruses (≈ 15%), influenza viruses (10–15%), adenoviruses (5%), human respiratory syncytial virus (RSV), enteroviruses other than rhinoviruses, human parainfluenza viruses, and human metapneumovirus. Frequently more than one virus is present. In total, more than 200 viral types are associated with colds.

      https://en.wikipedia.org/wiki/Common_cold#Causes

      10 votes
      1. [8]
        mild_takes
        Link Parent
        Thanks. I guess I'll have a look at that later. I would instantly get a vaccine for THE common cold but I'm not sure if I care enough to go get a vaccine for A common cold.

        Thanks. I guess I'll have a look at that later.

        I would instantly get a vaccine for THE common cold but I'm not sure if I care enough to go get a vaccine for A common cold.

        2 votes
        1. [3]
          VoidSage
          Link Parent
          The thing about RSV is that it's particularly dangerous for infants/very young children. I think ot would be cool if more people got the vaccine, if only to help stop babies from getting sick.

          The thing about RSV is that it's particularly dangerous for infants/very young children. I think ot would be cool if more people got the vaccine, if only to help stop babies from getting sick.

          7 votes
          1. [2]
            mild_takes
            Link Parent
            I'll get whatever vaccine they want me to get; the issue is my time. Package it in the same visit as a flu shot and covid booster and I'm in.

            I'll get whatever vaccine they want me to get; the issue is my time.

            Package it in the same visit as a flu shot and covid booster and I'm in.

            4 votes
            1. VoidSage
              Link Parent
              Totally agree, I'm not going to go out of my way to get extra vaccines

              Totally agree, I'm not going to go out of my way to get extra vaccines

              1 vote
        2. cfabbro
          Link Parent
          From the same Wikipedia article's Prevention section: :(

          From the same Wikipedia article's Prevention section:

          There is no vaccine to protect against the common cold. Vaccination has proven difficult as there are many viruses involved and they mutate rapidly. Creation of a broadly effective vaccine is, therefore, highly improbable.

          :(

          3 votes
        3. [3]
          DefinitelyNotAFae
          Link Parent
          I think it's possible we could see a vaccine for the "most common cold viruses of 2025" or something as we get better at and broaden the mRNA vaccines it'd be like the flu strains.

          I think it's possible we could see a vaccine for the "most common cold viruses of 2025" or something as we get better at and broaden the mRNA vaccines it'd be like the flu strains.

          2 votes
          1. [2]
            mild_takes
            Link Parent
            Ya, I would get that alongside a flu shot for sure.

            Ya, I would get that alongside a flu shot for sure.

            2 votes
            1. DefinitelyNotAFae
              Link Parent
              A bad cold leaves me miserable for weeks, the congestion up front and the coughing lingers forever. So yeah I'll be there too. I'll take all the vaxs

              A bad cold leaves me miserable for weeks, the congestion up front and the coughing lingers forever. So yeah I'll be there too. I'll take all the vaxs

              3 votes
    2. PeeingRedAgain
      Link Parent
      Unfortunately, colds are more of a syndrome than a specific viral infection. Many common species of viruses cause a spectrum of illness, from respiratory failure to "flu-like symptoms" or a cold...

      Unfortunately, colds are more of a syndrome than a specific viral infection. Many common species of viruses cause a spectrum of illness, from respiratory failure to "flu-like symptoms" or a cold (or something mistakable for seasonal allergies). Some of the common species to cause cold symptoms are rhinovirus, coronavirus, enterovirus, adenovirus, influenza and parainfluenza viruses.

      COVID-19 is actually a pretty good example: some people experienced acute respiratory failure, some had "a bad flu" and others were minimally symptomatic (or completely asymptomatic). For COVID-19, vaccination generally reduced the severity of symptoms (i.e., risk of severe illness reduced ~>90-95%). The reduction in symptoms and heightened immunity also helped to reduce transmission.

      For RSV, it can cause the same spectrum of illness, but those at highest risk of life-threatening illness are (1) the elderly, (2) the immunocompromised, and most importantly (3) infants and other young children.

      Here's some information from the American Lung Association.

      The group most likely to benefit from vaccination are infants, but it doesn't look like the vaccine is approved in that group yet. Ideally people around these children would also get vaccinated to help reduce the chain of transmission (e.g., mom and dad get vaccinated to help reduce the chance they acquire and transmit RSV to their child).

      It's currently approved for adults > 60 currently, who is a group who could benefit. However, the article does point out a couple areas of valid concern, which in addition to general vaccine hesitancy may be reducing demand.

      They reference some safety concerns due to a couple of unexpected cases of ADEM and GBS for which the FDA is requiring post-marketing surveillance to see if this is from the vaccine or not. Both of these neurologic diseases have been associated with trigger by both viral infection and vaccination in people who are susceptible.

      Insurance companies also aren't all uniformly reimbursing for the vaccine. The article mentioned someone getting a $300 bill. It's also relatively new (approved May2023), which means there hasn't been time for primary doctors to (1) learn about the vaccine, and (2) discuss it with their patients.

      Add all this to the background of misinformation and general insanity surrounding the COVID-19 vaccines, and and it's not overly surprisingly vaccination rates are lower than expected.

      8 votes
    3. DefinitelyNotAFae
      Link Parent
      I've been seeing it talked about more post-covid, but I also have two 2-year-old niblings that catch literally everything and give it to their parents so I'm not sure if it's my awareness of RSV...

      I've been seeing it talked about more post-covid, but I also have two 2-year-old niblings that catch literally everything and give it to their parents so I'm not sure if it's my awareness of RSV that's changed or public messaging.

      It seems like it spreads easily and frequently among young kids, but then can really get to people that have complicating factors. (My partner has paralysis that can make pneumonia a much greater risk since he has less diaphragm control, for example)

      4 votes
  3. [2]
    skybrian
    Link
    From the article: …

    From the article:

    This year, the Food and Drug Administration approved the first two vaccines that can protect older adults from respiratory syncytial virus, which leads to at least 6,000 deaths and 60,000 hospitalizations among adults 65 and older each year.

    This winter marks the first opportunity to see how the R.S.V. vaccines work for older adults in the real world — provided those at highest risk go get vaccinated.

    But while cases have been climbing across the country over the past few months, only 14.8 percent of adults 60 and over have been vaccinated against the virus, the Centers for Disease Control and Prevention said this month.

    Many older adults may also not be aware of how severe a threat R.S.V. poses to them, said Dr. Peter Chin-Hong, an infectious disease specialist at the University of California, San Francisco. “People have this idea that R.S.V. is a kid disease,” he said. While the virus usually causes cold-like symptoms for most people, it can lead to serious lung issues like pneumonia and even death in older adults, babies and people who are immunocompromised.

    1 vote