This page was updated January, 20, 2010.

H1N1 Vaccine Status-Vaccine is available in room 340 for all patients age 15 and older, from 9-12am and 1-4:30pm.

We have received many questions regarding the outbreak of H1N1 influenza (otherwise known as "swine flu"). The most common questions are answered below, and we will update this page as needed during the flu season. As always, further information from the CDC can be obtained at http://www.cdc.gov/flu.

 

Can I get a flu vaccine at Foxhall Internists?

For this flu season, there are two separate vaccines, one for the usual "seasonal" influenza, and the other for H1N1 flu. Seasonal flu usually is present in the Washington, DC area between December and March. Flu shots are available on a walk in basis in room 340 between 9-12am and 1-5pm. They are also available in our lab with an order from your doctor.

For further information on the H1N1 vaccine, please click here

For further information from the DC Public Health Department,please click here

Influenza, commonly known as "the flu", is a viral infection that generally begins with high fever (typically between 100.5º and 103º F), marked fatigue, and muscle aching. The onset of symptoms is often abrupt, causing people to realize that something is wrong. This is usually followed by a sore throat, sinus congestion, and cough. Stomach symptoms, such as nausea and diarrhea, may accompany the illness.

It is important to distinguish influenza from "common cold" viruses. Common colds typically consist of a sore throat, nasal congestion and cough, but do not cause the abrupt onset of high fever and intense weakness and aching. People often use the term "stomach flu" to describe a viral infection that causes nausea, vomiting, and diarrhea, but this is unrelated to the influenza virus.

Identifying influenza symptoms is important, because there is effective treatment if the treatment is begun quickly – anti-influenza medicines are effective only if taken within 48 hours of the onset of symptoms.

If you have symptoms typical for influenza as noted above, it is important to call our office. Our secretaries have been trained to ask you a series of questions to help your doctor distinguish possible influenza and pneumonia from common colds.

If your doctor determines that you should be seen in the office, we will attempt to see you as soon as possible. When you arrive in the office, you may be taken directly to your doctor’s exam room. Alternately, you may be asked to wear a mask while you are in the waiting room, or to wait in a separate area specifically equipped to reduce the spread of infections.

In addition to an office examination, your doctor may determine that additional testing is needed. This may include a "rapid influenza" test performed in our laboratory, that can confirm the presence of influenza virus and the need for appropriate treatment.

There are only two drugs available in the U.S. for treatment of both influenza A and B – oseltamivir (Tamiflu), and zanamivir (Relenza). Two older drugs, amantadine and rimantadine, are effective only for treatment of influenza A. If any of these drugs is taken within 48 hours of the onset of symptoms due to influenza infection, and the virus is not resistant to the medication, it can reduce the severity of these symptoms, and may shorten the total duration of illness by 1-2 days. These drugs are only effective against influenza, and will not have any effect against other respiratory cold viruses.

The CDC maintains a website with reliable information on human influenza as well as avian flu. The directory for this information can be found at http://www.cdc.gov/flu.