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Speaker 1: Going to be an American idiot.

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Speaker 2: Kick it off the holiday season this week seven hundred

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Speaker 2: W Scott's Loan Show, And of course with that is

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Speaker 2: seeing friends and associates, coworkers, family, and others, and that

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Speaker 2: means to come in close contact. And it is also

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Speaker 2: the start of the Hey, I'm going to get six seasons,

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Speaker 2: and some of us already had a had start on

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Speaker 2: this one. Hamlin County is seeing a rise in pediatric

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Speaker 2: RSV hospitalizations and usually early in the season. The other

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Speaker 2: thing you need to know is that for the second

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Speaker 2: consecutive year, it looks like this flu season is going

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Speaker 2: to be pretty bad. That's because of a new mutation.

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Speaker 2: On the show on seven hundred WW is the medical

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Speaker 2: director of Hamlin County Public Health, doctor Stephen Vegans. Good morning,

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Speaker 2: how are you?

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Speaker 1: Thanks got good morning? How are you?

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Speaker 2: I'm well today tomorrow? Yeah, I'm well today tomorrow.

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Speaker 3: I don't know.

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Speaker 2: We'll find out here. Good to have you back, and

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Speaker 2: I know you're really busy. Thanks for taking time out.

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Speaker 2: So first of all, let's start with the RSV thing.

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Speaker 2: We're seeing a rise number of hospitalizations unusually early this year.

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Speaker 1: What's driving that, well, RC is one of the Big

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Speaker 1: three restaurants and social bars, COVID and influenza. Uh, and

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Speaker 1: it just proportionately impacts kids, basically very young. And so

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Speaker 1: you know, we've last year we saw a pretty significant

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Speaker 1: RC season in children. This year we actually start a

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Speaker 1: little bit earlier. So typically all this season starts, you know,

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Speaker 1: after October one towards Thanksgiving. We started seeing cases in September.

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Speaker 1: Why is that. It's probably just a combination of a

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Speaker 1: bunch of stuff. Kids being out and about as well

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Speaker 1: as adults. So and there's a there's some now now

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Speaker 1: some vaccines for mothers so that the kid doesn't get

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Speaker 1: r C as well as older adults. But yeah, it's

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Speaker 1: just a part of the respiratory season, and we're saying

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Speaker 1: it and especially especially as we go into the holidays.

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Speaker 2: Okay, it hits our elderly people just as likely to

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Speaker 2: get r SCV as a child.

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Speaker 1: Yeah, And so in fact it impacts the very young

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Speaker 1: in the very old. And that's why these are these

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Speaker 1: vaccines are now out for you know, eight seventy five

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Speaker 1: and upright, it's fifty enough and so all the stuff

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Speaker 1: that you find yourself in the hospital for, even to

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Speaker 1: some extent fluence restorts and citial virus, and so you've

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Speaker 1: got the young that may be impacted by the old

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Speaker 1: and the old that may be impacted by the young.

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Speaker 1: And so the important thing is to wash your hands,

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Speaker 1: do all that stuff. You're gonna let have told you.

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Speaker 1: But also if you are eligible, there's some vaccinations now

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Speaker 1: in the last two years.

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Speaker 3: Yeah, how does that present?

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Speaker 2: By the way, it's art because you know, I don't

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Speaker 2: know what we called it back in the day, but

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Speaker 2: it seems like a it's another one of those no

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Speaker 2: illnesses you guys in Hamlin County Health made up.

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Speaker 1: No, we didn't make it up. You know the key,

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Speaker 1: it's all about markets.

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Speaker 3: It's all about marketing.

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Speaker 1: Yeah, well we just report the data. But it's it's

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Speaker 1: like a lower respiratory track, so you know the cold. Uh,

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Speaker 1: the typical coronavirus is upper restory cogs that.

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Speaker 2: We're losing your cell. You're there, doctor Stephen Fagin's into

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Speaker 2: the lungs. Yes, Oh, we're losing your We'll lost you

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Speaker 2: there for a minute.

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Speaker 1: Oh try about that. Yeah, So barses that can kind

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Speaker 1: of get down in the lungs are the ones you

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Speaker 1: got to kind of worry about. And so that's when

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Speaker 1: you you know, the.

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Speaker 2: Kind of cutting. Now you're cutting your cat. I'll pause

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Speaker 2: for a second. Maybe you can get another bar on

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Speaker 2: your phone.

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Speaker 1: There.

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Speaker 2: It's doctor Stephen Fagan's medical director Hamlet County Public Health.

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Speaker 2: With the cold weather now here, the wet weather and

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Speaker 2: of course being around family and friends and big crowds

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Speaker 2: as we like to do during the holidays, and then

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Speaker 2: being inside of course as an element of this thing

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Speaker 2: too or see an RSV cases hospitalizations spiking already. We

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Speaker 2: know that it is deadly and children, especially if it's

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Speaker 2: left untreated. And uh, we're talking about the warning signs.

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Speaker 2: So are you saying, is it is it cough? Is

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Speaker 2: it fever? Is both of those?

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Speaker 1: Yeah, it's most a favor as well as cough. And

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Speaker 1: so you know, if you're very young, and they always

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Speaker 1: tell you if you have a feed you need to

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Speaker 1: go to hospital, especially if you're in that first month

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Speaker 1: of life, and so those first six months are very

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Speaker 1: susceptible and that that's the kind of problem that you'll see.

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Speaker 1: And you also that's why you have those bulbs to

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Speaker 1: clear out the nose from all the congestion as well,

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Speaker 1: so you can kind of reade that. Yeah, fever and

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Speaker 1: cought is what the first start can be.

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Speaker 2: Gotcha. Yeah, I'm a big fan of the upper respiratory.

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Speaker 2: Having one of those nasal rinses, the netty pot things

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Speaker 2: work pretty much kind of gross, but especially in an

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Speaker 2: allergy season. I use it not often, but pretty much

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Speaker 2: you're around if I'm a little bit stuffy, just to

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Speaker 2: kind of clean the pipes out a little bit. So

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Speaker 2: we have RSV, but we also have the flu too,

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Speaker 2: so let's talk about that. I think that's the one

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Speaker 2: that's going to affect a lot more people. It's a

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Speaker 2: so explain how the flu vaccine works. People go, well,

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Speaker 2: let's why I don't get the vaccines because it doesn't work.

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Speaker 2: It's not worked last year, it's not going to work

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Speaker 2: this year. Why can't they get this right? It'd be

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Speaker 2: the typical question that gets asked, how do you answer that?

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Speaker 1: Yeah, so the flu vaccine for then from having bad flu,

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Speaker 1: finding yourself in the hospital or find yourself in the

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Speaker 1: emergency department. The reason employers like you to get the

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Speaker 1: flu vaccine. It also keeps you able to work, and

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Speaker 1: so it doesn't decrease transmission, although it can some, but

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Speaker 1: it does it really decreases just how bad the flu

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Speaker 1: is when you get it.

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Speaker 2: Yeah, And also we look at what is happening in

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Speaker 2: half the world away right whereas now summer, you know,

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Speaker 2: on the other half Australia, for example, we look and

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Speaker 2: see what diseases they get in the winter and go, okay,

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Speaker 2: that's going to be part of our annual vaccine here

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Speaker 2: in America. And sometimes now two years in a row

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Speaker 2: we missed the mutation. In this case, it's called the

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Speaker 2: H three N two What is that?

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Speaker 1: Yeah, So we characterized by H or ema gluten or

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Speaker 1: in neuromenidase, and so it's the hema gluten that helps

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Speaker 1: the virus get into the cell, and that's what you

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Speaker 1: vaccinate against. The neuromenidase is what the canna flu and

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Speaker 1: the anti viarls work against. And so we're always looking

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Speaker 1: to see if the H part changes and arch of

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Speaker 1: the typical year when they have to decide what's the

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Speaker 1: vaccine is going to have in it because it takes

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Speaker 1: six months to produce, you look at the southern hemisphere

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Speaker 1: like Australia to see what it's going to be like

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Speaker 1: for up here, and so between summer and going into fall,

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Speaker 1: it looks like yes, there was not just a small

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Speaker 1: but a pretty significant change actually changing from one subclaim

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Speaker 1: to another. As you mentioned previously, United Kingdom is seeing

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Speaker 1: a significant flu season. Japan of the places saw a

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Speaker 1: significant flu season, and we did have a big ah

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Speaker 1: three in two flu season last year, one of the

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Speaker 1: biggest months they had in five years here, both locally

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Speaker 1: and nationally. So who knows what's coming up?

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Speaker 2: We'll see right right are you what's the scoreboard saying

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Speaker 2: right now? I know you have the tracker the gateway

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Speaker 2: on your website, but does it look like it's going

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Speaker 2: to be a particularly bad flu season again?

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Speaker 1: Well, and actually what we're showing is a lower hostilization

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Speaker 1: rate for influenza than the five year average would show.

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Speaker 1: But the reason for that is that the High Department

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Speaker 1: of Health change their data to something called Clinton Sinc

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Speaker 1: October one, and so we're not sure. We think it's

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Speaker 1: reporting lower than actual because if you go to actual hospital,

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Speaker 1: we're higher than what we typically were over the five

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Speaker 1: year average. So we have a little bit of data

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Speaker 1: reporting issue. Subjectively, it looks like we're higher, but we

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Speaker 1: are reporting slightly lower. Right now.

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Speaker 3: The vaccine better for kids or adults.

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Speaker 1: It's best for both six months and up. Go get one.

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Speaker 1: It's about fifty percent effective, which doesn't sound like much,

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Speaker 1: but it does a lot. If you're feeling bad against

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Speaker 1: hospitalization and er visits and having bad flu, well.

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Speaker 2: We see at some point a combined combined vaccination. Doctor

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Speaker 2: Stephen Fagin's you get the flu and an RSV in

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Speaker 2: the same one.

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Speaker 1: Now, probably not that there's a potential combined COVID and

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Speaker 1: flu vaccine, but I will tell you if you're an

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Speaker 1: adult and you qualify, you can get RSC vaccine, influenza vaccine,

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Speaker 1: and COVID vaccine all at the same time. It'd be

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Speaker 1: a good thing to do before the holiday.

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Speaker 2: How we do it on covid By the way, we've

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Speaker 2: talked about RSV and the flu. I mean, obviously COVID

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Speaker 2: was major headlines five years ago, but diminishing ever since.

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Speaker 2: Is that like a false sense of security?

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Speaker 1: Well still here still puts feature in the hospital, not

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Speaker 1: as much as as it did. It's almost something that

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Speaker 1: we kind of we kind of deal with. We do

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Speaker 1: have some antivirals, just like flu. If you do have

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Speaker 1: a positive COVID test, it's good to start the anti

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Speaker 1: viral within two days of the first symptoms. But it's

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Speaker 1: it's still here. It's one of the big three that

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Speaker 1: we that we monitor.

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Speaker 2: Uh, but it's not we're not seeing the fatality rights

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Speaker 2: because we've done a lot they heard immunity.

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Speaker 4: We got some kind of community less combination combination vaccine

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Speaker 4: and prior prior vaccine and stuff, and it's mutating less

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Speaker 4: fast than it used to, and so that's also well.

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Speaker 1: And so we do have the experience and it's just

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Speaker 1: one of the virus is now. We definitely definitely don't

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Speaker 1: see the fatalities that we saw with this when it

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Speaker 1: first started.

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Speaker 2: Which we kind of do, but five years ago much different.

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Speaker 2: We're in a much different spot at that time. How

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Speaker 2: much of that immunity has to do with the vaccine

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Speaker 2: versus natural resistance and the heard immunities I.

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Speaker 1: Mentioned, Yeah, probably a combination of both. You know, the

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Speaker 1: vaccine probably has its effectiveness like flu for the first

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Speaker 1: three to six months and then it gradually comes off.

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Speaker 1: And so it's probably more previous affection immunity right now

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Speaker 1: than vaccine immunity. But there is a good combination of both,

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Speaker 1: and if you're a certain age or have a lot

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Speaker 1: of comorbidities. You know, it's a good idea to go

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Speaker 1: ahead and get that COVID vaccine to boost that.

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Speaker 2: Is it like RSV in a way that the young

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Speaker 2: and very old are the ones that really need to

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Speaker 2: get vaccine.

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Speaker 1: Innocence. Yeah, you probably can drop that age range around

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Speaker 1: fifty or so for COVID, But nonetheless that's exactly right.

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Speaker 3: Yeah, I get a lot American.

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Speaker 1: Tem pediatrics will say that from six months to two

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Speaker 1: years they're recommending the COVID vaccine for kids.

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Speaker 2: I know that Texas is dealing with a very severe

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Speaker 2: whooping cough upbrates its like I think four times higher

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Speaker 2: than the national average or something like that. Why Texas,

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Speaker 2: And are you seeing any of those upticks and protesters

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Speaker 2: here in the Tri State?

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Speaker 1: Yeah, we are and we continue to see that. And

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Speaker 1: protests is a bacteria and it's a vaccination. That's what

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Speaker 1: Ted app tetness dipteria, a cellular protesters is vaccinated for.

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Speaker 1: But the vaccine kind of wanes over time, and you

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Speaker 1: do treat it with zpac exist from end and if

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Speaker 1: it's a reportable condition. So if we see a kid

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Speaker 1: with protessis, we will actually treat other members of the family,

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Speaker 1: their home.

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Speaker 2: Yeah, because as a child you might get this if

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Speaker 2: you're not vaccinated or not on the schedule yet. But

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Speaker 2: of course as you get older, you don't get vaccinated

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Speaker 2: this often, and so that makes older people where the

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Speaker 2: vaccine has worn off, it affects them.

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Speaker 1: Yeah, it does. And you won't get the big whoop

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Speaker 1: of a cough that you do when you're older. You know,

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Speaker 1: you characteristically know that barking cost if you've ever heard it.

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Speaker 1: But you do get pretty, you know, pretty sort of

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Speaker 1: breath if you got enthazem or asthma or something that

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Speaker 1: can it can pass it even more. And so it's

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Speaker 1: not about idea. Sometimes you get the t DOW. It

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Speaker 1: is recommended if you go travel. That's a travel vaccine.

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Speaker 3: Okay.

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Speaker 2: Yeah, there's a lot of things I get. I mean

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Speaker 2: nice for when I travel abroad, that's for sure, because

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Speaker 2: a lot of nafty things out the world. Doctor Stephen

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Speaker 2: Fagin's medical director Hamilt County Public Health. We're seeing spike

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Speaker 2: and RSV cases here among the young and older people,

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Speaker 2: but it's going to be a rough season for that

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Speaker 2: as well as the flu because we have a mutuated

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Speaker 2: strain that came out since the vaccine was developed six

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Speaker 2: months ago. It's it's causing hospitalization rates to spike in

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Speaker 2: the UK, Canada, Japan, Australia and the other half of

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Speaker 2: the world. And so expect a bad flu season, not

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Speaker 2: too late to get that flu vax or the RSV.

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Speaker 1: By the way, right, absolutely get it now. You can

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Speaker 1: get them together and you know, the shared decision making,

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Speaker 1: it's discussed about talking with your pharmacists. While five the

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Speaker 1: attestation of a you know, comorbidity to get one or

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Speaker 1: more of the vaccines is a self attestation. And so

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Speaker 1: if you feel like you really would benefit from that,

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Speaker 1: go to your local pharmacy and talk with them.

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Speaker 2: Yeah, and that makes make sense, and it really you know,

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Speaker 2: you can get right in these days too, because are

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Speaker 2: we seeing a decrease in number of people people getting vaccinations?

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Speaker 3: What do you attribute that to?

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Speaker 1: Well, all kinds of stuff and that the various hesitancy

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Speaker 1: and things like that. But we still feel a fair

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Speaker 1: bit of confidence in the vaccine. And you talk to

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Speaker 1: people and like do you want to get this vaccine?

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Speaker 1: They may not want to, but they think other people should.

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Speaker 1: And so you know, there's still a high confidence and

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Speaker 1: there are lower rates for a lot of reasons, and

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Speaker 1: you've probably talked about most of them.

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Speaker 2: Yeah, And it seems to me, like all vacs. It's

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Speaker 2: weird because we had COVID, and granted it was controversial.

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Speaker 2: We developed a fast tressed and thing and people went

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Speaker 2: and I get it. You know, I'm not going to

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Speaker 2: put that in my body. You know, I read, I

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Speaker 2: read what was about and how you developed and said, Okay,

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Speaker 2: I'm gonna I'd rather take my risk with the vaccine

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Speaker 2: than take up my risk with COVID because I knew

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Speaker 2: people actually got sick and died from COVID who were

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Speaker 2: normally healthy people. You just don't know how your body

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Speaker 2: is going to react. I had it a couple of

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Speaker 2: times and I'm fine, but someone else may get us

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Speaker 2: perfectly healthy and wind up passing. And this was in

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Speaker 2: you know, twenty twenty, twenty twenty one. Since then, we've

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Speaker 2: learned a lot about this. But it seems like because

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Speaker 2: of that vaccine hesitating with COVID that's now spread to

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Speaker 2: other vaccines. Is that what you're saying?

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Speaker 1: You know, it adds and we're actually last year we

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Speaker 1: dropped a low fifty percent for pediatric influenza vaccination forty

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Speaker 1: nine percent pediatric kids got vaccine against influenza. In addition

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Speaker 1: to the biggest influenza season we had last year, there

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Speaker 1: were two hundred and eighty seven pediatric deaths two hundred

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Speaker 1: and eighty seven, that's the highest in two thousand and four,

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Speaker 1: and half of those kids were totally healthy, had nothing

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Speaker 1: else going on. I ended up dying from the flu.

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Speaker 1: So it's still it's still there and it's still important

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Speaker 1: to get the vaccine.

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Speaker 3: Yeah, gotcha.

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Speaker 2: When you guys mind, do you put all this stuff

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Speaker 2: on your dashboard or the Hamlet County Public Health website?

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Speaker 2: What the data is? It's interesting how you collect that.

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Speaker 2: Could you take us through where those numbers come from

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Speaker 2: and how you get your accuracy.

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Speaker 1: With Yeah, so for rest of ours is it's hospitalization.

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Speaker 1: So that's the one thing you clearly know if you're

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Speaker 1: in the hospital and you have a positive test, you

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Speaker 1: definitely know you have it. And so it's the one

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Speaker 1: So it's for rc COVID influenza that data Hall hospitals

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Speaker 1: are required to report. They report up electronically through the

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Speaker 1: old High Department of Health and we get that data

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Speaker 1: from the High Department of Health and that's how we

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Speaker 1: get that. We report it locally, report Hamleton County, southest

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Speaker 1: Ohio as you see on the website, but it does

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Speaker 1: come through ODH, which is anytime there's a glitch or

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Speaker 1: anything in that reporting, there's a delay or possibly an

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Speaker 1: underreporting of the numbers. We think that's happening now for

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Speaker 1: this month, and we're working to reconcile that.

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Speaker 3: Yeah, I got you.

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Speaker 2: The other thing too is you guys look at wastewater

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Speaker 2: treatment plans.

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Speaker 1: Right, yeah, you did, and so here locally there's three

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Speaker 1: wayte water plants that are monitoring mostly for COVID nationally

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Speaker 1: to monitor flu polio as well as RSV. The thing

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Speaker 1: about RSV he's got is, for the most part, it's

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Speaker 1: the kids that shed who are putting it in a diaper,

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Speaker 1: who doesn't go to the wastewater. A little bit of underreporting,

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Speaker 1: but you could, you know, get some trend from adult RSC.

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Speaker 1: We don't measure RSC locally though.

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Speaker 2: That's incredible how granular you can get in to the

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Speaker 2: details what's in our wastewater right.

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Speaker 1: Well, and there is one case of polio not here

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Speaker 1: but in New York and it picks it up in

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Speaker 1: the wastewater. It is absolutely amazing technology.

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Speaker 3: How do you know it's uh, how do you pick

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Speaker 3: out one case out of some water?

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Speaker 1: Well, there had to be more than one case, and

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Speaker 1: so you pick up the little figment of DNA. Not

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Speaker 1: only did they know it was polio, they know it

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Speaker 1: was wild type meaning not vaccine associated polio, which is amazing.

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Speaker 2: That is incredible. How much there's just got to be

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Speaker 2: so much information out there that's noise. On top of

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Speaker 2: if you're getting down the world a couple of cases

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Speaker 2: of polio and a sample of wastewater, there's gonna be

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Speaker 2: a ton of other interesting data you pull out of there.

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Speaker 1: Well yeah, I mean, but all those very unique DNA

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Speaker 1: and it's like CSI, you know, in terms of DNA testing,

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Speaker 1: And it's amazing. The guys that do this are super

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Speaker 1: geeks and they really can go on and on about it.

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Speaker 3: I bet. Yeah.

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Speaker 2: It's always a fascinating dinner discussion when the when the

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Speaker 2: guys who look through wastewater and the cowboy, it makes

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Speaker 2: me want to order a second round.

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Speaker 3: Uh.

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Speaker 2: Doctor Stephen Fagin's is here. He is a medical director

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Speaker 2: Hamlin County Public Health. Expect a bigger RSV season, a

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Speaker 2: bigger flu season, as well. COVID numbers should be about

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Speaker 2: the same. We expect her more.

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Speaker 1: Yeah, so far, so good, Probably a little uptick you know,

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Speaker 1: around Christmas or so. That's why we started basically looking

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Speaker 1: at the big three altogether respiratory virus season and what

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Speaker 1: is the impact, mostly around hospitalizations and mostly so we

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Speaker 1: can know how many beds do we need for how

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Speaker 1: much capacity do we need? As a regent?

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Speaker 2: Gotcha, what what's going to keep you awake at night

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Speaker 2: here for the next few months?

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Speaker 3: This uh, this season?

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Speaker 1: You know everything? God, but I do. I am concerned

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Speaker 1: about this shift in subclade for a three into for

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Speaker 1: influenza and just what that might mean because you know

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Speaker 1: that's they call it vaccine evasion, which means that our

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Speaker 1: immune invasion, so previous immunity or vaccine immunity, you know,

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Speaker 1: is it doesn't work nearly as well. When that human

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Speaker 1: glutin thing really changes, that could make a big difference,

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Speaker 1: and we could see an even more significant flu season

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Speaker 1: this year than than we did last year. And the

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Speaker 1: vaccine still works. Vaccine still helps. It may not be

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Speaker 1: you know, as much as as it typically might, but

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Speaker 1: it definitely does still help as well as covery calls

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Speaker 1: wash your hands and do what your grandmother told you

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Speaker 1: to do.

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Speaker 2: And advice is stilter. Wash your damn hands and cover

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Speaker 2: your mouth when you see it. Yeah, it's it's I

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Speaker 2: mentioned before you came on and I got the flew

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Speaker 2: last year. I have to get the vaccine every season.

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Speaker 2: And I hit me and somebody said, hey, you know'slon,

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Speaker 2: why are you getting the vaccine?

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Speaker 3: It doesn't work. I'm like, I'm thinking, but if.

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Speaker 2: I was, if I've got that crappy for three days

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Speaker 2: I could have, I'd probably be in the hospital if

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Speaker 2: I didn't have the vaccine to at least help my

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Speaker 2: body deal with us. So you even get you do

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Speaker 2: get some protection and some of those proteins in your body.

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Speaker 2: Even if you they wind up misguessing and we have

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Speaker 2: some sort of mutation like we have this year, right.

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Speaker 1: Oh my gosh. Yeah. And then you know, the flu

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Speaker 1: vaccine really kind of only works for about five to

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Speaker 1: six months. That's why you get one every year. That's

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Speaker 1: why you kind of time it so that you sort

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Speaker 1: of you know, certainly two weeks before the holiday. He's

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Speaker 1: got two weeks to have the impact and it definitely works,

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Speaker 1: and get one every year. There's a medicine called tamusues

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Speaker 1: that also work, but you have to take it within

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Speaker 1: forty hours of the start of symptoms. But you always

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Speaker 1: know when flu starts. It is a sudden fever, feeling bad.

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Speaker 1: You know, time that that occurred. So it's a little

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Speaker 1: bit easier to time the medication.

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Speaker 3: Gotcha.

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Speaker 2: Yeah, you know people go, oh, yeah, the stomach flu

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Speaker 2: for a day. Well, that's not the flu. That's something

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Speaker 2: entirely gasting to rise, something entirely different. You have the flu,

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Speaker 2: you know you had the flu. It's a good, solid

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Speaker 2: week of being a feeling like you've been over by

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Speaker 2: a school bus.

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Speaker 1: Well, there is a VARs called neuro barsin vomiting signing,

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Speaker 1: and so that's another bars you see in the in

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Speaker 1: the winter, and we had a pretty significant neuro bars

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Speaker 1: season last year as well. But that's upper gi just

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Speaker 1: like up rest ory upper GIF. You're vomiting, you know

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Speaker 1: it's irritating the stomach. You haven diary, you know it's

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Speaker 1: irritating the colon.

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Speaker 2: Right right, all right, useful information. And this is why

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Speaker 2: we do it at a ten ten thirty because it's

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Speaker 2: far enough between breakfast and lunch just to not nausey.

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Speaker 2: Your further doctor Stephen Vegan's medical director, Hamlin County Public Health.

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Speaker 2: Always appreciate you coming on. Thanks for the time.

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Speaker 1: Thank you, Scott tak care Right.

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Speaker 3: Well, there you go.

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Speaker 2: You got your information for Warner's Forarmed Scott's Loan Show

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Speaker 2: with News and three on seven hundred WW