Flu vaccination benefits for elderly called modest

first_imgSep 23, 2005 (CIDRAP News) – Researchers who reviewed 64 studies report that influenza vaccination is only modestly beneficial for elderly people overall, with nursing home residents benefiting more than people living on their own.”Our findings show that, according to reliable evidence, the effectiveness of trivalent inactivated influenza vaccines in elderly individuals is modest, irrespective of setting, outcome, population, and study design,” says the report by Tom Jefferson and four colleagues, of the Cochrane Vaccines Field, based in Alessandria, Italy. The study was published online yesterday by The Lancet.The researchers found that flu vaccines, when well matched to circulating flu strains, reduced the risk of hospitalization for flu or pneumonia by 45% for elderly (65 or older) nursing home residents. For people living at home, flu vaccines were 26% effective in preventing hospitalization for flu or pneumonia. However, vaccination didn’t significantly lower the risk of laboratory-confirmed influenza in either group.The team searched five databases for studies of the effectiveness of flu vaccine in preventing influenza, flu-like illnesses, and related hospital admissions, complications, and death. They found 64 studies from the past four decades, including five randomized trials, 49 cohort studies, and 10 case-control studies, that met their criteria.For elderly residents of nursing homes who received vaccines well matched to circulating flu strains, the vaccines yielded risk reductions of 23% for flu-like illness, 46% for pneumonia, 45% for hospitalization for flu or pneumonia, 42% for death from flu or pneumonia, and 60% for death from any cause. However, vaccination yielded no significant benefit when the match with circulating flu strains was poor or unknown.The benefits were smaller for elderly people living in the community, according to the authors’ analysis of 20 cohort studies. Vaccines didn’t significantly reduce the participants’ risk for flu, flu-like illness, or pneumonia. With well-matched vaccines, risk reductions were 26% for hospitalization for flu or pneumonia and 42% for all-cause mortality. Vaccines did not reduce the risk of hospitalization for heart disease or the risk of death from respiratory disease.However, vaccination looked somewhat more beneficial for community dwellers when the authors adjusted for confounding variables, including sex, age, smoking, and other illnesses. In that analysis, vaccines reduced the risk of all-cause mortality by 47% and lowered the risk of hospitalization by 24% for heart disease and 22% for respiratory diseases.The authors write that no firm conclusions could be drawn from the five randomized controlled trials they analyzed. However, in analyzing the two trials that had “adequate” randomization and blinding, they found that vaccines were 43% effective in preventing flu-like illness and 58% effective against flu in community-dwelling older peopleThe study’s main findings show somewhat smaller benefits than those cited by the Centers for Disease Control and Prevention (CDC). Information on the CDC Web site says that for older people in nursing homes, flu immunization can be 50% to 60% effective in preventing flu-related hospitalization or pneumonia and 80% effective in preventing flu-related death. Also, the CDC says that community dwelling older people who get flu shots can lower their risk of hospitalization for pneumonia or flu by 30% to 70%.In response to the new study, the CDC issued a statement today emphasizing that vaccination remains the best way to protect older people from flu and its complications. The agency acknowledged that flu vaccines are not 100% effective and that older people and those with chronic diseases may develop less immunity than healthy young adults.The CDC said the finding that flu vaccination is more effective for nursing-home residents than for community-dwelling older people “is unexpected and not consistent with other data, including information on immune response to vaccination.”The study authors write that on the basis of their findings, “We believe efforts should be concentrated on achieving high vaccination coverage in long-term care facilities coupled with a systematic assessment of the effect of such a policy. One possible way to improve this strategy might involve the vaccination of carers [caregivers] in an effort to reduce transmission.”The federal government took steps in that direction last month, announcing that nursing homes that serve Medicare recipients would be required to offer flu shots to residents. The government also wants to increase vaccination coverage for nursing home staff members, but there are no plans to require vaccination for them.The new report was published little more than a week after the CDC urged older people and others in high-risk groups to get their flu shots soon. The agency has recommended that flu shots be reserved for the high-risk groups until Oct 24.Jefferson T, Rivetti D, Rivetti A, et al. Efficacy and effectiveness of influenza vaccines in elderly people: a systematic review. Lancet 2005;Sep 22 (early online pubication)See also:CDC information on efficacy and effectiveness of flu vaccinehttp://www.cdc.gov/flu/professionals/vaccination/efficacy.htmlast_img read more

Duterte seeks to create body to oversee Boracay

first_img“If it’s only coconut, white sand and water, wala ‘yan…pero you add the visitors there, then it becomes a very tempting destination,” the chief executive said. Boracay was the first top tourist spot to reopen since lockdowns were enforced due to COVID-19, but only visitors from the Western Visayas are allowed to go there for now. “We have shared remarkable emergence of the island back to its former glory. I want this sustained. I ask Congress to enact a law creating, importante ito, the Boracay Island Development Authority or BIDA,” Duterte said. Western Visayas, which remains under modified general community quarantine, is comprised of the provinces of Aklan, Antique, Capiz, Guimaras, Iloilo, and Negros Occidental./PN In his penultimate State of the Nation Address (SONA) yesterday, Duterte said lawmakers should push for the creation of the Boracay Island Development Authority. For his part, Acting Malay Mayor Frolibar Bautista said: “Very good comment gid kay ti gin-appreciate nya (Duterte) man ang status sang Boracay.” In 2018, Duterte ordered the six-month closure of the top beach destination, saying Boracay has become a “cesspool.” “Ang implementasyon man naton sa existing regulation isa man ina sa nakabulig para ma-back to glory ang island,” the mayor added. MANILA – President Rodrigo Duterte urged Congress to put up a body that would oversee the world-famous Boracay Island in Malay, Aklan. He likewise cited that Boracay is doing well “because of its scenery.” “We enjoin our people to boost the economy by travelling locally,” President Duterte said. This agency, according to the President, would ensure that the effects of the months-long rehabilitation of the island are sustained.  He also said that part of the island will be placed under the government’s land reform program to be distributed to the island’s resident Indigenous Peoples.Earlier in the speech, the President urged Filipinos to boost the economy by traveling locally “once necessary systems are in place.”last_img read more

Tipp footballers draw Armagh for Round 3 B qualifers

first_imgThe other draw sees Monaghan  travel to face Carlow. The exact dates and times are set to confirmed later today. Photo © Tipperary GAA Tipperary’s footballers will have home advantage for their next qualifier game.Liam Kearn’s men have been drawn against Armagh for their Round 3 B clash which will take place at Semple Stadium next weekend.The two sides last met in the League in April when Tipperary secured a 3-08 to 16 point victory over the Orchard and gained promotion to Division 3 football.last_img read more

Europa League Final Preview: Betway odds, tips for Chelsea vs Arsenal

first_imgLondon rivals Chelsea and Arsenal both have a chance to finish the season with silverware when they face off in Baku, Azerbaijan for the Europa League final.For Chelsea manager Maurizio Sarri, winning the trophy will make it his first major trophy in his over 20 years in management.His opposite number, Arsenal’s Unai Emery, on the other hand, has become a bit of an expert in this competition, having won it 3 times already with Spanish side Sevilla.But more importantly for the Gunners, victory over Chelsea will also guarantee their place in next season’s Champions League group stages, having missed out in a place in the top 4.In terms of team news, Henrikh Mkhitaryan won’t be playing for Arsenal due to Armenia’s dispute with Azerbaijan. That’s about the only major absentee for the north London side.As well as Ngolo Kante being a major doubt for the game, Chelsea will also be without Antonio Rudiger, Ruben Loftus-Cheek and Callum Hudson-Odoi, all crucial players for Sarri, who are all injured.But the Blues can count on star man Eden Hazard, perhaps for the last time, as he is heavily linked with a summer move to Real Madrid.Prediction, Tips and OddsWith Alexander Lacazette and Pierre Emerick Aubameyang in such fine form, coupled with Chelsea’s defensive frailties, Arsenal are my favorites to secure the win.Yes, Chelsea are unbeaten in the competition so far this season, but they did show in their semi final win against Frankfurt, as they have all season, that they are very vulnerable against any team with sharp movements in the final third.I’m predicting a 2-0 win for Arsenal. You can back an Arsenal win at 3.52 odds on Betway with a Chelsea win pegged at 2.16 odds.If you’re a fun of goals, Over 2.5 stands at 1.85 odds and Under 2.5 odds are at an enticing 1.93 odds.Chelsea to score first is 1.74 odds while backing an Arsenal first goal is at 2.27 odds (this I’m confident about).Who are you back? Head to Betway.com.gh to place your bets on this game and all the other games with unbeatable odds.Kick off is at 7pm.Chelsea v Arsenal Opta statsArsenal against Chelsea will be the second all-English UEFA Cup/Europa League final in history, after Tottenham against Wolves in the UEFA Cup final in 1972.This is the 198th meeting in all competitions between Arsenal and Chelsea but only the third in European competition – they met in the 2003-04 Champions League quarter-final, with the Blues progressing 3-2 on aggregate.Arsenal vs Chelsea will be the first fixture to played in the FA Cup final, League Cup final and a major European final.This will be both Arsenal and Chelsea’s sixth major European finals – only Man Utd (7) and Liverpool (14 – including 2019 Champions League) have reached more among English clubs.Arsenal have lost four of their five major European finals, with their only victory coming in the 1994 Cup Winners’ Cup against Parma; they’ve lost each of their last three, losing in the 1995 Cup Winners’ Cup, 2000 UEFA Cup and 2006 Champions League finals.In all European competition, Arsenal have faced opponents from 27 different nations and beaten teams from 26 of those countries, with the only exception being against English clubs.Chelsea have won four of their five major European finals (2x Cup Winners’ Cup/1x Champions League/1x Europa League). Among English teams, only Man Utd (5) and Liverpool (8) have won more major European finals.This final will be third time two teams from the same nation have faced in the Europa League final, after Porto v Braga in 2011 and Atletico Madrid v Athletic Club in 2012.Arsenal manager Unai Emery has won the Europa League more often than any other manager, winning it three times in 2014, 2015 and 2016 with Sevilla.Chelsea striker Olivier Giroud has scored 10 Europa League goals this season, the most by a Blues player in a single European season (excl. qualifiers) and the joint-most by a French player in major European competition in a season – Nestor Combin in the 1963-64 Cup Winners’ Cup and Just Fontaine in the 1958-59 European Cup also scored 10.Arsenal’s Unai Emery could become only the fourth manager to win the UEFA/Europa League with two different teams, after Giovanni Trapattoni (Juventus & Inter Milan), Jose Mourinho (Porto & Man Utd) and Rafael Benitez (Valencia & Chelsea).Both Arsenal and Chelsea have won 11 Europa League games this season – only three teams have ever won more major European games in a single season (excluding qualifiers); Real Madrid in 2001-02 (12), Porto in 2010-11 (12) and Atletico Madrid in 2011-12 (13).If Arsenal win this match, only Giovanni Trapattoni (5) will have won more major European finals than Unai Emery (4), while only three other managers would have won as many as four with a 100% record in each final – Nereo Rocco, Bob Paisley and Jose Mourinho.Chelsea’s Maurizio Sarri is the first Italian to manage in a UEFA Cup/Europa League final since Alberto Malesani in 1999, who won the trophy with Parma that year.The two previous Italians to manage an English club in a major European final have managed Chelsea to victory – Gianluca Vialli in the 1998 Cup Winners’ Cup final and Roberto Di Matteo in the 2012 Champions League final.Arsenal’s last eight Europa League goals have been scored by either Pierre-Emerick Aubameyang (4) or Alexandre Lacazette (4).Azerbaijan will be the 24th different country to host a major European final and the third consecutive year a country will host a major final for the first time – Wales for the 2016-17 Champions League final and Ukraine for the 2017-18 Champions League final.last_img read more

Kliff Kingsbury has hilarious reaction to Antonio Brown’s helmet controversy

first_imgThe player can’t practice or play in games with equipment that’s not approved. If he doesn’t play or practice he is in breach of his contract and doesn’t get paid. Nfl policy is that Helmets have to be certified by NOSCAE. They don’t certify equipment that’s old than 10 years.— Brian McCarthy (@NFLprguy) August 12, 2019MORE: Antonio Brown launches Twitter search for helmetBrown’s helmet holdout became a topic of conversation during Kliff Kingsbury’s interview on Monday on the Bickley & Marotta Show.The Cardinals coach was asked if he had ever found a helmet that would force him to consider leaving football behind — and his response was hilarious. For the full enjoyment of your ears, here’s the audio of Kliff Kingsbury talking about his inability to find love outside of football. pic.twitter.com/XCviliYPlT— Eric Kelly (@EricKellyTV) August 13, 2019  Q: “You’re a former player. Have you ever fallen so in love with a helmet that you’re willing to walk away from the game?”A: “I haven’t fallen in love with a woman that I’m willing to walk away from the game for.” While Kingsbury may think the helmet drama is silly, Brown isn’t done with it just yet.On Tuesday, he took drastic measures to try and locate an approved version of the helmet he prefers.”I’m looking for a Schutt Air Advantage Adult Large Helmet that was manufactured in 2010 or after. In exchange I will trade a signed practice worn @Raiders helmet.”— AB (@AB84) August 13, 2019The search comes after the NFL told Brown he could wear the specific model of the helmet he likes, as long as it is less than 10 years old, according to Pro Football Talk. Raiders wide receiver Antonio Brown has not been happy about the NFL’s new helmet rule and even threatened to retire if he couldn’t wear the helmet he used during his first nine seasons in the league.The 31-year-old changed his mind after his grievance against the NFL was rejected by an arbitrator.last_img read more