How Nao Medical’s Comprehensive DOT Services Are Helping Top Transportation and Logistics Companies Streamline Onboarding and Save Costs

At Nao Medical, we’ve built a reputation for simplifying compliance and improving efficiency for top transportation companies across NYC and the nation. By leveraging our comprehensive DOT services, these industry leaders are reducing onboarding times, cutting costs, and maintaining compliance with federal regulations—all while keeping their operations running smoothly.

The Challenge: Navigating Compliance and Operational Efficiency

Transportation and Logistics companies face significant challenges in ensuring compliance with Department of Transportation (DOT) regulations. New drivers and employees must complete DOT physicals, drug and alcohol testing, and other screenings to meet federal requirements before they can begin work.

For these organizations, the key challenges include:

  1. Delays in onboarding: Lengthy screening processes slow down hiring and productivity.
  2. Compliance risks: Failing to meet federal standards can lead to penalties and operational disruptions.
  3. Rising costs: Managing testing and physicals while maintaining compliance can be expensive.

Our Solution: Streamlining DOT Compliance

Nao Medical’s comprehensive DOT services are designed to address these challenges head-on. We provide:

  1. DOT CDL Physicals: Ensuring all employees meet health and safety standards.
  2. Drug and Alcohol Testing: Fast, accurate results with a 24-hour turnaround.
  3. Mobile and On-Site Testing: Reducing downtime by bringing services directly to employers.
  4. Employer Portals: Simplifying scheduling, tracking, and reporting for HR teams.
 

For top transportation companies in NYC and across the nation, as well as leading logistics organizations, this approach delivers:

  • Shorter onboarding times: Employees complete required tests and physicals faster, allowing them to start work sooner.
  • Cost savings: Streamlined services reduce administrative burdens and unnecessary expenses.
  • Operational efficiency: Flexible scheduling, multiple locations, and mobile options minimize disruptions.

Key Results Achieved

1. Faster Onboarding for Transportation Companies

With Nao Medical’s streamlined testing and scheduling, transportation leaders have reported:

  • A 30% reduction in onboarding times, thanks to same-day scheduling and fast result turnarounds.
  • Increased driver satisfaction due to the convenience of our 14 locations open 365 days a year.
  • Simplified compliance management through our employer portal, allowing teams to focus on operations instead of paperwork.
 

2. Cost Savings for Logistics Services Providers

Leading logistics organizations using our services have achieved:

  • 20% savings in compliance costs by consolidating physicals, drug testing, and other occupational health needs under one provider.
  • Enhanced compliance confidence with a 98% success rate in meeting DOT and OSHA standards.
  • Improved operational flow with our mobile testing units, which reduce employee downtime and eliminate logistical headaches.

Why Nao Medical?

What sets Nao Medical apart is our ability to combine convenience, speed, and cost-effectiveness into one comprehensive package. Clients trust us because:

  • Accessibility: 14 locations across NYC, open every day, including weekends and holidays.
  • Speed: 24-hour turnaround on drug testing results and seamless scheduling via our employer portal.</li style=”list-style: disc!important;”>
  • Customization: Tailored solutions to fit each client’s unique compliance protocols.
  • Cost-Effectiveness: Affordable services without sacrificing quality or reliability.
 
Whether you’re a transportation company managing a fleet or a logistics services provider with a large workforce, we’re here to make compliance stress-free.

Partner with Nao Medical Today

Join the ranks of NYC’s top transportation companies and national logistics organizations who trust Nao Medical for their DOT compliance needs. Our comprehensive services are designed to keep your operations running smoothly while saving you time and money.

Let’s Get Started!
Contact us today at occhealth@naomedical.com or visit naomedical.com to learn more about how we can help your business thrive.


Disclaimer: The information presented in this article is intended for general informational purposes only and should not be considered, construed or interpreted as legal or professional advice, guidance or opinion.

Be aware that insurance plans and coverage can differ based on location, employer, and the specific policy purchased. As a healthcare consumer, it is crucial to recognize that your health insurance plan's coverage and benefits may vary from those of other plans. To gain a comprehensive understanding of the services covered and the extent of that coverage, we recommend contacting your health insurance provider directly.

The information in this article may not be relevant to your unique situation. Consumers should thoroughly review their specific health insurance plans and policies to comprehend their coverage, limitations, and responsibilities under their plan.

At our medical office, our commitment is to offer our patients the highest quality of care. We make every effort to help our patients understand their health insurance coverage, the ultimate responsibility for comprehending their coverage and any related costs lies with the patient. If you have any questions or concerns regarding your health insurance coverage, please do not hesitate to contact our office.

  • Posted by Dr. Nao

Shingles Vaccine: Zoster Vaccine Benefits and Side Effects

Shingles is a painful rash caused by the varicella-zoster virus, the same virus that causes chickenpox. After a person recovers from chickenpox, the virus can remain dormant in the body for years. In some people, the virus reactivates and causes shingles. The varicella-zoster virus is responsible for both chickenpox and shingles. After a chickenpox infection, the virus doesn’t leave the body. Instead, it goes dormant, often hiding in the nervous system. Factors like stress, age, and certain medical conditions can reactivate the virus, leading to a shingles outbreak. A shingles vaccine or zoster vaccine can help prevent this.

Symptoms of Shingles

The first signs of shingles usually include burning, numbness, tingling, or itching on one part of the body or face. This is soon followed by a red rash that typically starts as small, red spots and progresses to clusters of fluid-filled blisters. Over time, these blisters pop and form crusty scabs.

Duration and Stages of Shingles

A shingles outbreak generally passes through several stages, starting with tingling or localized pain and followed by a red rash and then fluid-filled blisters. These blisters will then crust over. The entire process can take 3-5 weeks.

Transmission of Shingles

While shingles cannot be passed from person to person, someone who hasn’t had chickenpox can get that disease if they are exposed to open shingles sores. Therefore, it’s crucial for individuals with shingles to avoid pregnant women, newborns, and those with weakened immune systems.

Zoster Vaccine Cost, Insurance, and Manufacturers

As of November 18, 2020, Zostavax is no longer available for use in the United States, having been replaced by the newer vaccine, Shingrix, which has been shown to be more effective.

Shingrix (RZV): This is the newer and more widely recommended vaccine. It is a non-live, recombinant subunit vaccine and is recommended for healthy adults aged 50 and older. Shingrix is currently the preferred vaccine for the prevention of shingles in the U.S. due to its higher efficacy rate and longer-lasting protection.

The cost of the shingles vaccine can vary based on location and insurance coverage. Many health insurance plans, including Medicare Part D, cover the vaccine. Several pharmaceutical companies manufacture the vaccine. Each may have slightly different formulations or recommendations. It’s essential to check with your insurance provider and healthcare professional regarding the costs and coverage. It’s a good idea to discuss the options with a healthcare provider.

Zoster Vaccine Efficacy

The shingles vaccine is a safe and effective way to prevent shingles. The vaccine is recommended for people over 60 years of age and those with weakened immune systems. 

Varicella Zoster Vaccine Dose, Route &  Administration:

The vaccine is given in two doses, 2-6 months apart, by injection into the upper arm. It is administered intramuscularly, meaning it is given as an injection into the muscle, usually in the upper arm. The shingles vaccine is about 90% effective at preventing shingles in people over 60 years of age. It is also effective at preventing serious complications of shingles, such as postherpetic neuralgia (PHN), a chronic pain condition that can last for months or even years after the shingles rash goes away.

Side Effects

The shingles vaccine is generally safe. The most common side effects are mild and go away on their own within a few days. These side effects may include:

  • Pain, redness, and swelling at the injection site.
  • Fatigue.
  • Headache.
  • Muscle aches.
  • Chills.
  • Fever.

Serious side effects from the shingles vaccine are very rare.

Natural Immunity Vs. Vaccination

Having had chickenpox or shingles in the past doesn’t provide complete immunity. The body’s natural immune response might wane over time, making reinfection possible. Vaccination, on the other hand, offers a more robust and lasting defense against the virus.

Follow-up, Booster Shots, and Interactions

Currently, the CDC recommends two doses of the shingles vaccine for maximum protection. Some individuals, especially those with compromised immune systems, may require additional booster shots. 

Regular check-ups with a healthcare professional can help determine the need for further vaccination. While the shingles vaccine is safe for most, certain medications and conditions might interact with the vaccine or make it less effective. It’s essential to discuss any current medications or health conditions with a healthcare provider before getting vaccinated.

Population Statistics On Shingles

Approximately one in three people in the U.S. will develop shingles in their lifetime. The risk significantly increases with age, with about half of all cases occurring in those aged 60 and above.

Benefits of Shingles Vaccine Over Time

The protective benefits of the shingles vaccine remain high for the first few years after vaccination. However, its effectiveness might decrease over time. Ongoing research aims to determine how long the vaccine provides protection and when, or if, booster shots might be necessary.

Additional Information

The shingles vaccine is not a live vaccine, so it cannot give you shingles. The shingles vaccine is not 100% effective, so it is still possible to get shingles even if you have been vaccinated. However, the vaccine will make it less likely that you will get shingles and less likely that you will have a severe case of shingles if you do get it. The vaccine is safe for most people. However, it is not recommended for people who have a severe allergy to any of the ingredients in the vaccine.

Key Takeaways

  • Shingles is a painful rash caused by the varicella-zoster virus.
  • The shingles vaccine is a safe and effective way to prevent shingles.
  • The vaccine is about 90% effective at preventing shingles in people over 60 years of age.
  • The vaccine is generally safe. The most common side effects are mild and go away on their own within a few days.

If you have any questions or concerns about the shingles vaccine, talk to your doctor. They can help you decide if the vaccine is right for you.

Frequently Asked Questions

What is shingles?

Shingles is a viral infection that causes a painful rash. It is caused by the varicella-zoster virus, the same virus that causes chickenpox.

How are shingles spread?

Shingles are not spread from person to person. It is caused by the varicella-zoster virus that lies dormant in the body after a person has chickenpox. The virus can reactivate years later and cause shingles.

Who is at risk for shingles?

Anyone who has had chickenpox is at risk for shingles. However, some people are at higher risk, such as:

  • People over the age of 50.
  • People with a weakened immune system.
  • People who have had cancer.
  • People who are taking certain medications, such as steroids.

What are the symptoms of shingles?

The symptoms of shingles usually start with pain, tingling, or numbness in one area of the body. This is followed by a rash that appears in the same area. The rash can be painful and itchy.

How are shingles diagnosed?

Shingles is usually diagnosed based on the symptoms and medical history. A doctor may also do a physical exam to look for the rash.

How are shingles treated?

There is no cure for shingles, but there are treatments that can help relieve the symptoms. Treatment may include:

  • Antiviral medication, such as acyclovir or valacyclovir.
  • Pain medication, such as ibuprofen or acetaminophen.
  • Antihistamine, such as diphenhydramine.

Is there a vaccine for shingles?

Yes, there is a vaccine for shingles. The vaccine is called Shingrix. It is about 90% effective at preventing shingles.

How effective is the shingles vaccine?

The vaccine is about 90% effective at preventing shingles. It is also effective at reducing the severity of the shingles rash and pain.

Is the shingles vaccine safe?

The vaccine is generally safe. The most common side effects are mild and go away on their own within a few days. These side effects may include:

  • Pain, redness, and swelling at the injection site.
  • Fatigue.
  • Headache.

Serious side effects are very rare.

What are the risks of not getting the shingles vaccine?

The risks of not getting the shingles vaccine are:

  • You are more likely to get shingles.
  • You are more likely to have a severe case of shingles.

Is the shingles vaccine recommended for all people?

The vaccine is recommended for people over the age of 50. It is also recommended for people who are over the age of 19 and have a weakened immune system.

When should I get the shingles vaccine?

The shingles vaccine can be given starting at age 50. It is best to get the vaccine before you are 60 years old.

Where can I get the shingles vaccine?

The vaccine is available at most doctor’s offices and clinics. You can also get the vaccine at some pharmacies.

What are the different types of shingles vaccines?

There are two types of shingles vaccines available in the United States:

  • Shingrix: This vaccine is given in two doses, 2-6 months apart.
  • Zostavax: This vaccine is given in one dose.

Shingrix is more effective than Zostavax at preventing shingles and reducing the severity of the shingles rash and pain.

Which shingles vaccine is better?

Shingrix is the better vaccine. It is more effective at preventing shingles and reducing the severity of the shingles rash and pain.

Can I get the shingles vaccine if I have had a reaction to a previous dose?

Yes, you can still get the shingles vaccine if you have had a reaction to a previous dose. However, your doctor will need to weigh the risks and benefits of getting the vaccine.

What should I do if I have a reaction to the shingles vaccine?

If you have a reaction to the vaccine, call your doctor right away. The most common reactions are mild and go away on their own within a few days. However, some people may have more serious reactions.

Your doctor will be able to tell you what to do if you have a reaction to the shingles vaccine.

How long does the shingles vaccine last?

The shingles vaccine provides immunity for at least 4 years. However, it is not yet known how long the protection will last.

Is there anything else I can do to protect myself from shingles?

In addition to getting the vaccine, there are other things you can do to protect yourself from shingles:

  • Avoid contact with people who have shingles.
  • Take care of your skin, such as by using sunscreen and avoiding scratching.
  • Eat a healthy diet and get enough sleep.

What are the risks of getting shingles?

The risks of getting shingles include:

  • Painful rash
  • Shingles can also cause complications, such as:
  • Postherpetic neuralgia (PHN): This is a long-lasting pain that can occur after shingles.
  • Stroke
  • Vision loss
  • Hearing loss

If you are concerned about shingles, talk to your doctor.


Disclaimer: The information presented in this article is intended for general informational purposes only and should not be considered, construed or interpreted as legal or professional advice, guidance or opinion.

Be aware that insurance plans and coverage can differ based on location, employer, and the specific policy purchased. As a healthcare consumer, it is crucial to recognize that your health insurance plan's coverage and benefits may vary from those of other plans. To gain a comprehensive understanding of the services covered and the extent of that coverage, we recommend contacting your health insurance provider directly.

The information in this article may not be relevant to your unique situation. Consumers should thoroughly review their specific health insurance plans and policies to comprehend their coverage, limitations, and responsibilities under their plan.

At our medical office, our commitment is to offer our patients the highest quality of care. We make every effort to help our patients understand their health insurance coverage, the ultimate responsibility for comprehending their coverage and any related costs lies with the patient. If you have any questions or concerns regarding your health insurance coverage, please do not hesitate to contact our office.

  • Posted by Dr. Nao

Meningitis Vaccine: Prevention, Vaccine, and Risks

Meningitis is a serious infection of the meninges, the membranes that surround the brain and spinal cord. Many bacteria, viruses, and fungi infect humans and cause this infectious disease. Bacterial meningitis is the most common type and can be life-threatening. These can be prevented with the meningitis vaccine.

How Effective is the Meningitis Vaccine?

Meningitis vaccines are very effective at preventing meningitis. The MenACWY vaccine is about 90% effective at preventing disease caused by the four serotypes it protects against. The MenB vaccine is about 70% effective at preventing disease caused by serogroup B meningococci.

There are two main types of FDA-approved meningitis vaccinations for children and adults available in the US:

  • Meningococcal conjugate vaccine (MenACWY): This vaccine’s immune response protects against four strains of meningococcal bacteria (A, C, W, and Y). It is the most common type of meningitis vaccine given in the US. It is recommended for all children starting at age 11 or 12 years old and for some adults.
  • Meningococcal B vaccine: This vaccine protects against one serogroup B meningococcal bacteria, which is the most common cause of meningitis in young children.

Immunization programs recommend it for infants starting at age 2 months old and for some older children and adults. It is not as common as the MenACWY vaccine, but it is recommended for people who are at high risk of getting meningococcal B disease, such as college students and people with certain medical conditions.

College students are at increased risk of getting meningitis, so they should get the MenACWY vaccine at least two weeks before moving into a dorm or other shared living space. The MenACWY vaccine is given as a single shot, but some people may need two doses. Serious side effects from the MenACWY vaccine are very rare.

College students who have certain medical conditions, such as sickle cell disease or HIV/AIDS, may need to get the MenB vaccine in addition to the MenACWY vaccine.

Here is a table summarizing the differences between the two types of meningitis vaccines:

Feature Meningococcal conjugate vaccine (MenACWY) Meningococcal B vaccine
Strains of bacteria protected against A, C, W, and Y B
Recommended for Most people People at high risk of getting meningococcal B disease
Side effects Mild, such as pain, redness, and swelling at the injection site Similar to MenACWY, but may also cause fever and headache
Price Varies depending on the brand and location Varies depending on the brand and location

It is important to talk to your doctor about which meningitis vaccine is right for you. They will consider your age, medical history, and risk factors to make a recommendation.

Here are some additional things to keep in mind about meningitis vaccines:

  • Meningitis vaccines are not 100% effective, but they can help protect you from getting the disease.
  • You may need to get more than one dose of the vaccine, depending on the type of vaccine you get.
  • Clinical trials show meningitis vaccines are safe for most people, but there are some rare side effects.
  • If you have any questions or concerns about meningitis vaccines, talk to your doctor.

The most common side effects of meningitis vaccines are mild and go away on their own within a few days. These side effects are not long-term and may include:

  • Pain, redness, or swelling at the injection site
  • Fever
  • Fatigue
  • Headache
  • Muscle aches

Can I Get Meningitis Even If I’m Vaccinated?

Yes, it is possible to get meningitis even if you are vaccinated. However, the vaccine will greatly reduce your chances of getting sick.

If I Get Meningitis, What Should I Do?

The immunization schedule for vaccination includes this vaccine. If you think you or your child may have meningitis, seek medical attention immediately. Meningitis is a medical emergency and can be fatal if not treated promptly in a healthcare facility.

The Bottom Line

Meningitis vaccines are an important way to protect yourself and your loved ones from this serious disease. Talk to your doctor about wanting to get your college kid vaccinated to prevent this disease in college.

This is not a Moderna COVID-19 vaccine and neither is it like the Pfizer-biontech COVID-19 vaccines made from mRNA. The FDA allowed those under an “Emergency Use Authorizations” for the pandemic. However, mRNA vaccines for meningitis may very well become available in the near future.

Additional Information About the Meningitis Vaccine

In addition to the meningitis vaccines mentioned above, there are also vaccines that protect against specific types of meningococcal bacteria. These vaccines may be recommended for people who are at increased risk of getting meningitis caused by a particular serogroup.

If you have any questions about meningitis vaccines, talk to your doctor. They can help you determine if you or your child are at risk for meningitis and recommend the best vaccination schedule for you.

It is important to talk to your doctor about which meningitis vaccine is right for you. They will consider your age, medical history, and risk factors to make a recommendation.

Frequently Asked Questions about Meningitis and Meningitis Vaccine:

What is meningitis?

Meningitis is an inflammation of the meninges, the membranes that surround the brain and spinal cord. It can be caused by bacteria, viruses, or fungi. Bacterial meningitis is the most common type and can be life-threatening.

What are the symptoms of meningitis?

The symptoms of meningitis can vary depending on the cause, but they often include:

  • High fever
  • Headache
  • Neck stiffness
  • Sensitivity to light
  • Nausea and vomiting
  • Seizures
  • Confusion
  • Drowsiness
  • Petechiae (small, red spots on the skin)

What causes meningitis?

Meningitis can be caused by bacteria, viruses, or fungi. The most common cause of bacterial meningitis in the United States is Neisseria meningitidis, a bacterium that is spread through respiratory secretions. Other bacteria that can cause meningitis include Streptococcus pneumoniae, Haemophilus influenzae type b, and Listeria monocytogenes.

How is meningitis spread?

Meningitis is spread through respiratory secretions, such as saliva, mucus, and droplets produced when an infected person coughs or sneezes. The bacteria can also be spread through contact with contaminated surfaces.

Who is at risk for meningitis?

Anyone can get meningitis, but some people are at higher risk than others. These include:

  • Children under the age of 5
  • College students
  • People who live in crowded or close quarters, such as college dormitories or military barracks
  • People who travel to areas where meningitis is common
  • People with certain medical conditions, such as sickle cell disease or HIV/AIDS

Is there a vaccine for meningitis?

Yes, there are vaccines available to protect against some of the bacteria that cause meningitis. The most common vaccines are:

  • MenACWY vaccine: This vaccine protects against four types of meningococcal bacteria (A, C, W, and Y). It is recommended for all children starting at age 11 or 12 years old, and for some adults.
  • MenB vaccine: This vaccine protects against serogroup B meningococcal bacteria, which is the most common cause of meningitis in young children. It is recommended for infants starting at age 2 months old and for some older children and adults.

Which meningitis vaccine is best for college students?

The MenACWY vaccine is the best meningitis vaccine for college students. It protects against four types of meningococcal bacteria that are common in the United States. College students should get the MenACWY vaccine at least two weeks before moving into a dorm or other shared living space.

When should college students get the meningitis vaccine?

College students should get the MenACWY vaccine at least two weeks before moving into a dorm or other shared living space. If they have not already been vaccinated, they should get the vaccine as soon as possible.

How many doses of the meningitis vaccine do college students need?

Most college students will need one dose of the MenACWY vaccine. However, some people may need two doses. Your doctor can tell you how many doses you need.

What are the side effects of the meningitis vaccine?

The most common side effects of the MenACWY vaccine are mild and go away on their own within a few days. These side effects may include:

  • Pain, redness, or swelling at the injection site
  • Fever
  • Fatigue
  • Headache
  • Muscle aches

Serious side effects from the MenACWY vaccine are very rare.

Are there any serious side effects of the meningitis vaccine?

Serious side effects from the MenACWY vaccine are very rare. The most serious side effect is anaphylaxis, which is a life-threatening allergic reaction. However, the risk of anaphylaxis is very low.

Can I get meningitis even if I’m vaccinated?

Yes, it is possible to get meningitis even if you are vaccinated. However, the vaccine will greatly reduce your chances of getting sick.

What should I do if I think I have meningitis?

If you think you have meningitis, seek medical attention immediately. Meningitis is a medical emergency and can be fatal if not treated promptly.

How can I prevent meningitis?

The best way to prevent meningitis is to get vaccinated. Other ways to prevent meningitis include:

  • Avoiding close contact with people who are sick. This means staying away from people who have symptoms of meningitis, such as fever, headache, stiff neck, and sensitivity to light.
  • Washing your hands frequently. This helps to remove germs from your hands that could cause meningitis.
  • Not sharing personal items, such as drinking glasses and straws. This helps to prevent the spread of germs.
  • Covering your mouth and nose when you cough or sneeze. This helps to prevent the spread of germs through respiratory droplets.
  • Eating a healthy diet and getting enough sleep. This helps to keep your immune system strong, which can help to fight off infection.

If you think you or someone you know may have meningitis, it is important to seek medical attention immediately. Meningitis is a serious disease that can be fatal if not treated promptly.

What are the costs of the meningitis vaccine?

The cost of the meningitis vaccine varies depending on the type of vaccine and the location where it is administered. The MenACWY vaccine typically costs $30-50 per dose. The MenB vaccine typically costs $100-150 per dose.

Where can I get the meningitis vaccine?

The meningitis vaccine is available at most doctor’s offices, clinics, and pharmacies. You can also get the vaccine at some travel clinics.

What are the laws and regulations about the meningitis vaccine for college students?

The laws and regulations about the meningitis vaccine for college students vary from state to state. Some states require all college students to get the vaccine, while others only require students who live in certain types of housing, such as dormitories.

What are the resources available to help college students get the meningitis vaccine?

There are a number of resources available to help college students get the meningitis vaccine. Many colleges and universities offer free or low-cost vaccination programs for students. There are also a number of private organizations that offer vaccination assistance.

What are the myths and misconceptions about the meningitis vaccine?

There are a number of myths and misconceptions about the meningitis vaccine. Some people believe that the vaccine is not safe or effective. Others believe that the vaccine is only necessary for children. These myths are not true. The meningitis vaccine is safe and effective, and it is recommended for all college students.

How can I learn more about the meningitis vaccine?

There are a number of ways to learn more about the meningitis vaccine. You can talk to your doctor, visit the Centers for Disease Control and Prevention (CDC) website, or read the vaccine information statement (VIS) for the meningitis vaccine.


Disclaimer: The information presented in this article is intended for general informational purposes only and should not be considered, construed or interpreted as legal or professional advice, guidance or opinion.

Be aware that insurance plans and coverage can differ based on location, employer, and the specific policy purchased. As a healthcare consumer, it is crucial to recognize that your health insurance plan's coverage and benefits may vary from those of other plans. To gain a comprehensive understanding of the services covered and the extent of that coverage, we recommend contacting your health insurance provider directly.

The information in this article may not be relevant to your unique situation. Consumers should thoroughly review their specific health insurance plans and policies to comprehend their coverage, limitations, and responsibilities under their plan.

At our medical office, our commitment is to offer our patients the highest quality of care. We make every effort to help our patients understand their health insurance coverage, the ultimate responsibility for comprehending their coverage and any related costs lies with the patient. If you have any questions or concerns regarding your health insurance coverage, please do not hesitate to contact our office.

  • Posted by Dr. Nao

Japanese Encephalitis Vaccine, Prevention, and Risks

Japanese encephalitis (JE) is a severe mosquito-borne disease that results in brain inflammation. It is induced by a virus that spreads to humans via the bite of a mosquito that has previously bitten infected animals like pigs and horses but is preventable with the Japanese Encephalitis vaccine.

JE is primarily found in regions like Southeast Asia and the Western Pacific. JE is seen in, China, Korea, and the Indian subcontinent, especially within rural regions. Although it’s rare in countries like the United States, some travel-associated cases are seen. 

Prevalence and Risk

Anyone can be vulnerable to JE. The primary risk factors that increase susceptibility for JE:

  • Residing in or traveling to areas where JE is endemic.
  • Individuals, especially Children under 15 years.
  • Individuals with weakened immune systems.
  • Veterinarians and animal handlers the animals they handle may potentially be infected with JE.

Symptoms and their onset post-exposure

The clinical manifestations of JE generally surface between 5 to 15 days post-mosquito bite. 

Symptoms include:

  • Fever
  • Headache
  • Nausea and vomiting
  • Stiff neck
  • Confusion
  • Seizures
  • In rare cases, coma

Diagnosis of JE

JE’s diagnosis is based on clinical manifestations, symptoms, the individual’s travel history. blood tests help confirm the illness 

Treatment

Although there isn’t a specific treatment for JE, the therapeutic approach is supportive. This may involve fever and pain medication, fluid therapy to avert dehydration, and intensive care.

Japanese Encephalitis Vaccine

There is no cure for JE. So, the focus remains on prevention. A vaccine for JE is available, offering protection against the disease. The primary vaccines available in the United States include IXIARO (JE-VAX) and JESPECT. Both vaccines are highly effective against JE, showcasing an effectiveness rate of around 90-98%

Japanese Encephalitis Vaccine Recommendation

The JE vaccine is recommended for people who are traveling to or living in rural areas of countries where JE is endemic. No vaccine is 100% foolproof, however, vaccinated individuals are less prone to severe outcomes if infected.

Japanese Encephalitis Vaccine Availability

The vaccine is available in many healthcare facilities including doctor’s offices, travel clinics, and select pharmacies.

Japanese Encephalitis Vaccine Schedule & Booster Doses

IXIARO is administered from 2 months of age in three doses, whereas JESPECT starts at 9 months with two doses.

The immunity span post-vaccination extends to at least 3 years, with booster shots every 3 years recommended.

Japanese Encephalitis Vaccine Side Effects

Side effects: Generally mild, encompassing pain or swelling at the injection site, fever, headache, muscle aches, and fatigue. Serious adverse reactions are rare.

It’s not a live vaccine, hence cannot trigger JE.

Individuals with severe allergies to any vaccine component should approach with caution.

Protection Beyond Vaccination

If you’re traveling to or residing in an endemic region, ensure you’re equipped with the right protective measures. In conjunction with the vaccine, certain precautions can further safeguard against JE:

  • Dodge mosquito bites, particularly during dusk and dawn.
  • Adorn long-sleeved attire outdoors.
  • Resort to DEET-infused insect repellents.
  • Opt for mosquito nets in endemic areas during sleep.

Frequently Asked Questions About JE

What is Japanese encephalitis (JE)?

Japanese encephalitis is a serious viral infection of the brain that can be fatal. It is caused by a virus that is transmitted to humans through the bite of an infected mosquito.

Where is Japanese encephalitis found?

Japanese encephalitis is found in many parts of Asia and the Western Pacific, particularly in rural areas.

Who is at risk for Japanese encephalitis?

Anyone can get Japanese encephalitis, but some people are at higher risk, such as:

  • People who live or travel to areas where Japanese encephalitis is common.
  • Children under the age of 15.
  • People with a weakened immune system.

What are the symptoms of Japanese encephalitis?

The symptoms of Japanese encephalitis usually start 5-15 days after the mosquito bite. They can include:

  • Fever
  • Headache
  • Nausea and vomiting
  • Stiff neck
  • Confusion
  • Seizures
  • Coma

How is Japanese encephalitis diagnosed?

Japanese encephalitis is diagnosed based on the symptoms and the patient’s travel history. A blood test can be done to confirm the diagnosis.

How is Japanese encephalitis treated?

There is no specific treatment for Japanese encephalitis. Treatment is supportive and may include:

  • Medication to control fever and pain
  • Fluid therapy to prevent dehydration
  • Supportive care in an intensive care unit

Is there a vaccine for Japanese encephalitis?

Yes, there is a vaccine for Japanese encephalitis. The vaccine is given in two or three doses, starting at 2 months of age. The vaccine is very effective at preventing Japanese encephalitis.

How effective is the Japanese encephalitis vaccine?

The vaccine is very effective at preventing Japanese encephalitis. The vaccine is about 90% effective at preventing severe disease.

Is the Japanese encephalitis vaccine safe?

The vaccine is generally safe. The most common side effects are mild and go away on their own within a few days. These side effects may include:

  • Fever
  • Pain, redness, and swelling at the injection site.
  • Rash

Serious side effects are very rare.

What are the risks of not getting the Japanese encephalitis vaccine?

The risks of not getting the Japanese encephalitis vaccine are:

  • You are more likely to get Japanese encephalitis.
  • You are more likely to develop severe disease from Japanese encephalitis.
  • You are more likely to die from Japanese encephalitis.

Is the Japanese encephalitis vaccine recommended for all travelers?

The vaccine is not recommended for all travelers. However, it is recommended for travelers who are going to areas where Japanese encephalitis is common, especially if they are staying in rural areas.

When should I get the Japanese encephalitis vaccine?

You should get the vaccine at least 2 weeks before traveling to an area where Japanese encephalitis is common.

Where can I get the Japanese encephalitis vaccine?

The vaccine is available at most doctor’s offices and travel clinics. You can also get the vaccine at some pharmacies.

What are the different types of Japanese encephalitis vaccines?

There are two types of vaccines available in the United States:

  • IXIARO (JE-VAX): This vaccine is given in three doses, starting at 2 months of age.
  • JESPECT: This vaccine is given in two doses, starting at 9 months of age.

Both vaccines are very effective at preventing Japanese encephalitis.

Which Japanese encephalitis vaccine is better?

Both IXIARO and JESPECT are very effective at preventing Japanese encephalitis. There is no clear evidence that one vaccine is better than the other.

The best way to decide which vaccine is right for you is to talk to your doctor.

Can I get the Japanese encephalitis vaccine if I have had a reaction to a previous dose?

Yes, you can still get the vaccine if you have had a reaction to a previous dose. However, your doctor will need to weigh the risks and benefits of getting the vaccine.

What should I do if I have a reaction to the Japanese encephalitis vaccine?

If you have a reaction to the vaccine, call your doctor right away. The most common reactions are mild and go away on their own within a few days. However, some people may have more serious reactions.

Your doctor will be able to tell you what to do if you have a reaction to the vaccine.

How long does the Japanese encephalitis vaccine last?

The vaccine provides immunity for at least 3 years. However, it is recommended to get a booster shot every 3 years to maintain immunity.

Is there anything else I can do to protect myself from Japanese encephalitis?

In addition to getting the vaccine, there are other things you can do to protect yourself from Japanese encephalitis:

  • Avoid mosquito bites.
  • Wear long sleeves and pants when you are outdoors.
  • Use insect repellent that contains DEET.
  • Sleep under a mosquito net if you are staying in an area where Japanese encephalitis is common.

What are the signs and symptoms of Japanese encephalitis?

The symptoms of Japanese encephalitis usually start 5-15 days after the mosquito bite. They can include:

  • Fever
  • Headache
  • Nausea and vomiting
  • Stiff neck
  • Confusion
  • Seizures
  • Coma

If you have any of these symptoms, it is important to see a doctor right away. Japanese encephalitis can be a serious illness, but it is treatable if it is caught early.


Disclaimer: The information presented in this article is intended for general informational purposes only and should not be considered, construed or interpreted as legal or professional advice, guidance or opinion.

Be aware that insurance plans and coverage can differ based on location, employer, and the specific policy purchased. As a healthcare consumer, it is crucial to recognize that your health insurance plan's coverage and benefits may vary from those of other plans. To gain a comprehensive understanding of the services covered and the extent of that coverage, we recommend contacting your health insurance provider directly.

The information in this article may not be relevant to your unique situation. Consumers should thoroughly review their specific health insurance plans and policies to comprehend their coverage, limitations, and responsibilities under their plan.

At our medical office, our commitment is to offer our patients the highest quality of care. We make every effort to help our patients understand their health insurance coverage, the ultimate responsibility for comprehending their coverage and any related costs lies with the patient. If you have any questions or concerns regarding your health insurance coverage, please do not hesitate to contact our office.

  • Posted by Dr. Nao

MMR Vaccine Near Me: Protection from Measles, Mumps, & Rubella

Are you looking for an MMR vaccine near you to protect your family from measles, mumps, and rubella? This vaccine protects against three diseases that affect children and unprotected adults.

Here we will discuss the importance of the vaccine. We will go over how to find an MMR vaccination center near you. We will also answer some frequently asked questions about this immunization.

MMR vaccineWhy is the MMR Vaccine Important?

The MMR vaccine prevents the spread of measles, mumps, and rubella—three serious and highly contagious diseases. Here’s why the vaccine is crucial:

  • Measles: Measles is a severe respiratory infection that can lead to pneumonia, brain inflammation, and even death. Vaccination is the most effective way to prevent this dangerous disease.
  • Mumps: Mumps is a viral infection that primarily affects the salivary glands, causing painful swelling, fever, and headache. It can lead to severe complications such as meningitis and infertility. The vaccine provides effective protection against mumps.
  • Rubella: Also known as German measles, rubella is a viral infection that can cause severe birth defects in pregnant women. The vaccine can help prevent the spread of rubella and its associated complications.

How to Find an MMR Vaccine Near You

Locating an MMR vaccine provider near you is simple with Nao Medical. If you need to find vaccination centers and pharmacies offering the vaccine in your area, check out these websites:

Always consult your healthcare provider about getting the MMR vaccine. We encourage you to do this especially if you suffer from pre-existing medical conditions or have concerns about potential side effects.

Frequently Asked Questions About MMR Vaccination

What is the MMR vaccine, and what does it protect against?

The vaccine is a combination vaccine that protects against measles, mumps, and rubella. A single injection helps insert the weakened viruses into fatty tissue. The subcutaneous injection (SQ) allows for the body to interact with the proteins and learn to recognize them in subsequent exposures.

When should children receive the MMR vaccine?

Children should receive two doses of the vaccine for optimal protection. The first MMR shot is given between 12 and 15 months of age. The second dose is given between 4 and 6 years of age. However, the vaccination schedule may vary based on your child’s specific needs and your healthcare provider’s recommendations.

Can adults receive the MMR vaccine?

Yes, adults not previously vaccinated can get this childhood vaccine. An antibody test on a blood specimen can help guide the decision to vaccinate.

If MMR antibody levels show a lack of immunity to either measles, mumps, or rubella then you can get the MMR vaccine. In some cases, adults may need one or two doses, depending on their age and risk factors. Consult your healthcare provider for specific recommendations based on your medical history and vaccination status.

Are there any side effects associated with the MMR vaccine?

Like any vaccine, the vaccine may cause side effects. However, most side effects are mild and short-lived. Common side effects include pain or swelling at the injection site, mild fever, and rash. Serious side effects are rare, but if you experience difficulty breathing, severe weakness, or an allergic reaction, seek medical attention immediately.

Is the MMR vaccine safe for pregnant women in the last trimester?

We do not give pregnant women the MMR vaccine. This vaccine contains live, weakened viruses that could pose a risk to the fetus.

If you are not sure you could be pregnant or are planning to become pregnant, let NaoMedical staff know right away. There are blood tests that can help check your immunity to measles, mumps and rubella before conception.

Women who are not immune to rubella should receive the vaccine at least one month before becoming pregnant.

Is the MMR vaccine covered by insurance?

Most insurance plans cover the MMR vaccine as a preventive service, often with no out-of-pocket cost. However, coverage may vary depending on your specific insurance plan. Contact your insurance provider to confirm coverage before scheduling your vaccination appointment.

Conclusion

Protecting yourself and your loved ones from measles, mumps, and rubella is an essential aspect of maintaining good health. By searching “MMR vaccine near me” and scheduling your vaccination appointment with Nao Medical, you can get your vaccine today.

At NaoMedical you don’t need an appointment, so you can come and get your booster MMR shot now! The herd immunity against Measles, Mumps and Rubella helps create a safer environment for your family and loved ones.

If you’re out of state, don’t wait any longer – search and find a Measles vaccine provider near you. Get the vaccine to protect yourself and your family from highly contagious diseases like measles, mumps and rubella (German measles)

Additional Resources for MMR Vaccination

Nao Medical blogs have more information on the MMR vaccine and how it can help protect your family. Our staff can help you make informed decisions about other vaccinations as well.

Nao Medical keeps all FDA-approved COVID-19 vaccines, Moderna, Pfizer and Biontech mRNA vaccines as well as meningitis and pneumococcal vaccines. We also offer travel vaccinations for Typhoid and yellow fever.


Disclaimer: The information presented in this article is intended for general informational purposes only and should not be considered, construed or interpreted as legal or professional advice, guidance or opinion.

Be aware that insurance plans and coverage can differ based on location, employer, and the specific policy purchased. As a healthcare consumer, it is crucial to recognize that your health insurance plan's coverage and benefits may vary from those of other plans. To gain a comprehensive understanding of the services covered and the extent of that coverage, we recommend contacting your health insurance provider directly.

The information in this article may not be relevant to your unique situation. Consumers should thoroughly review their specific health insurance plans and policies to comprehend their coverage, limitations, and responsibilities under their plan.

At our medical office, our commitment is to offer our patients the highest quality of care. We make every effort to help our patients understand their health insurance coverage, the ultimate responsibility for comprehending their coverage and any related costs lies with the patient. If you have any questions or concerns regarding your health insurance coverage, please do not hesitate to contact our office.

  • Posted by Dr. Nao

Not Your Regular Flu: A Guide to Hib Infection and Hib Vaccine

H. influenzae type b (Also called H. Flu or HiB)

Haemophilus influenzae type b (Hib) is a bacterium that can cause a variety of infections, including pneumonia, meningitis, and epiglottitis. Hib is most common in children under the age of 5, hence the mandatory Hib vaccine, but it can also affect older adults and people with weakened immune systems. 

How does Hib infection spread?

Hib is spread through respiratory droplets produced when an infected person coughs or sneezes. These droplets can land in the mouths or noses of people who are nearby. Hib can also be spread through contact with contaminated objects, such as toys or utensils. 

What are the symptoms of Hib infection?

The symptoms of Hib infection can vary depending on the type of infection. In general, Hib infection can cause the following symptoms:

  • Fever
  • Cough
  • Sore throat
  • Stiff neck
  • Difficulty breathing
  • Drowsiness
  • Vomiting
  • Seizures

The complications arising from Hib infections are severe. Meningitis, an inflammation of the membranes surrounding the brain and spinal cord, can lead to lasting disabilities or death. Pneumonia affects the lungs, leading to breathing difficulties, while epiglottitis, a life-threatening condition, causes swelling that can block the windpipe. Additionally, sepsis, a body-wide inflammatory response, can rapidly lead to organ failure.

How is Hib infection diagnosed?

Hib infection is diagnosed by a doctor who will take a sample of your child’s blood, mucus, or spinal fluid and send it to a lab for testing. It’s also essential to be aware of co-infections or diseases often associated with Hib. Sometimes, an individual might suffer from multiple infections, making diagnosis and treatment more complex

How is Hib infection treated?

Hib infection is treated with antibiotics. The antibiotic of choice is usually ceftriaxone. In some cases, other antibiotics may be used.

How can Hib infection be prevented?

The best way to prevent Hib infection is to get vaccinated. The Hib vaccine is a safe and effective vaccine that can protect your child from Hib infection. While the primary vaccine has shown immense success, it’s essential to recognize that there might be variations or newer versions available in the market, each with its specific characteristics and efficacy rates.

The Hib vaccine

Hib infection can be prevented by getting vaccinated. According to the Centers for Disease Control and Prevention (CDC), the Hib vaccine is a safe and effective vaccine that can protect your child from Hib infection. 

The vaccine is a combination vaccine that protects against Hib infection and other infections caused by Streptococcus pneumoniae. The vaccine is given as a series of shots, usually at 2, 4, and 6 months of age. A booster shot is given at 12-15 months of age.

For healthcare providers, understanding the vaccine’s storage and handling is vital. Like many vaccines, the Hib vaccine needs to be stored at specific temperatures to maintain its efficacy.

The Hib vaccine is very effective. It is estimated that the vaccine has prevented millions of cases of Hib infection and thousands of deaths.

For most individuals, the childhood Hib vaccination series provides lifelong protection. However, certain adults, especially those at increased risk, might benefit from booster doses.

The vaccine’s cost might vary by region and availability, but many insurance plans cover it, making it accessible to a broader population. Always consult with local healthcare providers or health departments for the most accurate information on pricing and availability.

The side effects of the Hib vaccine

The Hib vaccine is generally safe. Vaccination is generally safe, but there are certain contraindications. For instance, individuals with severe allergies to any vaccine component should discuss risks with their healthcare provider. Additionally, if a child is ill, it might be advised to postpone vaccination.

Once vaccinated, it’s crucial to monitor for any side effects, especially in the first 48 hours. While most side effects are mild, such as redness at the injection site or slight fever, any severe or persistent reactions should be reported to a healthcare professional immediately.

The most common side effects are mild and go away on their own. These side effects can include:

  • Pain, redness, and swelling at the injection site
  • Fever
  • Fussiness
  • Drowsiness

Serious side effects from the Hib vaccine are very rare.

Is the Hib vaccine necessary?

The Hib vaccine is recommended for all children under the age of 5. It is also recommended for adults who are at high risk of Hib infection, such as people with weakened immune systems.

The vaccine is a safe and effective way to protect your child from Hib infection. If you have any questions about the vaccine, talk to your doctor.

By understanding the breadth of information surrounding Hib and its vaccine, individuals can make informed choices for themselves and their communities, ensuring a healthier future for all.


Disclaimer: The information presented in this article is intended for general informational purposes only and should not be considered, construed or interpreted as legal or professional advice, guidance or opinion.

Be aware that insurance plans and coverage can differ based on location, employer, and the specific policy purchased. As a healthcare consumer, it is crucial to recognize that your health insurance plan's coverage and benefits may vary from those of other plans. To gain a comprehensive understanding of the services covered and the extent of that coverage, we recommend contacting your health insurance provider directly.

The information in this article may not be relevant to your unique situation. Consumers should thoroughly review their specific health insurance plans and policies to comprehend their coverage, limitations, and responsibilities under their plan.

At our medical office, our commitment is to offer our patients the highest quality of care. We make every effort to help our patients understand their health insurance coverage, the ultimate responsibility for comprehending their coverage and any related costs lies with the patient. If you have any questions or concerns regarding your health insurance coverage, please do not hesitate to contact our office.

  • Posted by Dr. Nao

Varicella Vaccine Near Me: Protection from Chickenpox

Are you searching for a varicella vaccine near you to protect your family from chickenpox? Ensuring your loved ones are vaccinated against this highly contagious disease is vital for their overall health and well-being. Various health centers, pediatric clinics, and pharmacies are ideal places where you can get the chickenpox vaccine.

In this article, we’ll discuss the importance of the vaccine, how to find a varicella vaccination location near you, and answer some frequently asked questions about this crucial immunization. 

Why is the Varicella Vaccine Important?

Varicella Vaccine

The varicella vaccine is a critical tool in preventing the spread of chickenpox, a highly contagious viral infection that causes an itchy, blister-like rash, fever, and fatigue. Recognizing chickenpox symptoms, such as the itchy rash and fever, can help in seeking timely treatment.

The chickenpox vaccine is an important shot to prevent this once-common childhood disease. With over 90% effectiveness, the vaccine is a reliable shield against chickenpox.

Vaccination safety is a top priority, with rigorous testing ensuring the well-being of recipients. So chicken pox vaccine has been extensively studied in all age groups.

Here’s why the varicella vaccine is essential:

  • Prevents Chickenpox: Recognizing chickenpox symptoms, such as the itchy rash and fever, can help in seeking timely treatment. The vaccine is over 90% effective in preventing chickenpox, significantly reducing the risk of your child contracting this uncomfortable and potentially severe infection.
  • Reduces Complications: Vaccinated individuals who do contract chickenpox usually experience milder symptoms and have a lower risk of complications such as skin infections, pneumonia, and encephalitis.
  • Herpes Zoster (Shingles) Prevention: Chickenpox and shingles are caused by the same virus. While chickenpox is commonly a childhood ailment, shingles can affect adults of any age.
  • The varicella-zoster virus vaccination provides immunity against both chickenpox and shingles. It’s never too late; the vaccine for adults is available for those who missed it in childhood. 

By preventing chickenpox through vaccination, you can also reduce the risk of your child developing shingles later in life.

How to Find a Varicella Vaccine Near You

You can find a varicella vaccine provider near you by searching online or calling your doctor’s office. Here are some websites that can help you find a vaccine provider:

When you are searching for a varicella vaccine provider, be sure to ask about the following:

  • The cost of the vaccine
  • The availability of appointments
  • The side effects of the vaccine
  • The risks and benefits of the vaccine

It is important to get the varicella vaccine from a reputable provider. Be sure to check the provider’s credentials and make sure they are licensed to give vaccines.

Remember to consult your healthcare provider before getting the vaccine, especially if you have any pre-existing medical conditions or concerns about potential side effects. Like all vaccines, the varicella vaccine has potential side effects, most of which are mild and temporary. The benefits of the chickenpox vaccine extend beyond preventing the disease, reducing potential complications and long-term effects.

Frequently Asked Questions About Varicella Vaccination

What is the varicella vaccine, and what does it protect against?

The varicella vaccine is a vaccine that protects against chickenpox, a highly contagious viral infection caused by the varicella-zoster virus. The vaccine is administered as a single injection and helps build immunity against the virus, preventing or reducing the severity of the infection.

When should children receive the varicella vaccine?

The recommended vaccine schedule ensures timely protection against chickenpox.

Children should receive two doses of the varicella vaccine for optimal protection. The recommended age for the vaccine starts as early as 12 months, with a booster in later childhood. While primary doses offer protection, a varicella booster shot ensures lasting immunity.

The first dose is typically given between 12 and 15 months of age, while the second dose is administered between 4 and 6 years of age. 

However, the vaccination schedule may vary based on your child’s specific needs and your healthcare provider’s recommendations. Consult the childhood immunization schedule to keep your child protected against various diseases on time. 

Can adults receive the varicella vaccine?

Yes, adults who have not had chickenpox or received this vaccine should consider getting vaccinated. In some cases, adults may need two doses, administered four to eight weeks apart, depending on their age and risk factors. Consult your healthcare provider for specific recommendations based on your medical history and vaccination status.

Are there any side effects associated with the varicella vaccine?

Like any vaccine, the varicella vaccine may cause side effects. However, most side effects are mild and short-lived. Common side effects include pain or swelling at the injection site, mild fever, and rash. Serious side effects are rare, but if you experience difficulty breathing, severe weakness, or an allergic reaction, seek medical attention immediately. Understanding the vaccine ingredients can ease concerns and promote informed decision-making.

Is the varicella vaccine safe for pregnant women?

It’s essential to know the varicella vaccine contraindications to ensure safe and effective vaccination

  • Pregnant women should not receive the vaccine, as it contains live, weakened viruses that could pose a risk to the fetus. 
  • Due to potential risks, the vaccine and pregnancy don’t mix; it’s best to plan vaccination around pregnancy
  • If you are planning to become pregnant and are not immune to chickenpox, consult your healthcare provider to ensure you receive the vaccine before conception.
  • Women who are not immune to chickenpox should wait at least one month after receiving the vaccine before becoming pregnant.

Is the varicella vaccine covered by insurance?

The cost of the vaccine varies and most insurance plans cover the vaccine as a preventive service. You may or may not have an out-of-pocket cost. However, coverage may vary depending on your specific insurance plan. Contact your insurance provider to confirm coverage before scheduling your vaccination appointment.

Conclusion

Protecting yourself and your loved ones from chickenpox is an essential aspect of maintaining good health. By searching “varicella vaccine near me” and scheduling your vaccination appointment with Nao Medical, you can play a crucial role in preventing the spread of this highly contagious disease and promoting the well-being of your family and community. Don’t wait any longer – find a vaccine provider near you today and take the first step toward safeguarding your family’s health against the risks of chickenpox.


Disclaimer: The information presented in this article is intended for general informational purposes only and should not be considered, construed or interpreted as legal or professional advice, guidance or opinion.

Be aware that insurance plans and coverage can differ based on location, employer, and the specific policy purchased. As a healthcare consumer, it is crucial to recognize that your health insurance plan's coverage and benefits may vary from those of other plans. To gain a comprehensive understanding of the services covered and the extent of that coverage, we recommend contacting your health insurance provider directly.

The information in this article may not be relevant to your unique situation. Consumers should thoroughly review their specific health insurance plans and policies to comprehend their coverage, limitations, and responsibilities under their plan.

At our medical office, our commitment is to offer our patients the highest quality of care. We make every effort to help our patients understand their health insurance coverage, the ultimate responsibility for comprehending their coverage and any related costs lies with the patient. If you have any questions or concerns regarding your health insurance coverage, please do not hesitate to contact our office.

  • Posted by Dr. Nao

Vaccines Guide: Routes, Administration, Doses, and More

There are many different routes of administration for vaccines, including:

  • Intramuscular (IM): This is the most common route of administration for vaccines. The vaccine is injected into the muscle, usually in the arm.
  • Intradermal (ID): This route of administration is used for some vaccines, such as the measles, mumps, and rubella (MMR) vaccine. The vaccine is injected into the skin.
  • Subcutaneous (SC): This route of administration is used for some vaccines, such as the hepatitis B vaccine. The vaccine is injected just under the skin.
  • Intranasal (IN): This route of administration is used for some vaccines, such as the live attenuated influenza vaccine (LAIV). The vaccine is sprayed into the nose.
  • Oral (PO): This route of administration is used for some vaccines, such as the rotavirus vaccine. The vaccine is given as a liquid that is swallowed.

Here is a table of all vaccines and their routes of administration and doses:

Vaccine Route of administration Doses
DTaP (diphtheria, tetanus, pertussis) Intramuscular (IM) 5 doses: at 2, 4, 6, 15-18 months, and 4-6 years of age
Hib (Haemophilus influenzae type b) Intramuscular (IM) 3 doses: at 2, 4, and 6 months of age
Hepatitis B Intramuscular (IM) or subcutaneous (subQ) 3 doses: at birth, 1-2 months, and 6-18 months of age
MMR (measles, mumps, rubella) Subcutaneous (subQ) 2 doses: at 12-15 months of age and 4-6 years of age
Polio (inactivated) Oral (PO) or intramuscular (IM) 4 doses: at 2, 4, 6-18 months, and 4-6 years of age
Rotavirus Oral (PO) 3 doses: at 2, 4, and 6 months of age
Varicella (chickenpox) Subcutaneous (subQ) 2 doses: at 12-15 months of age and 4-6 years of age
Influenza (flu) Intramuscular (IM), intranasal (IN), or intradermal (ID) Annually
Pneumococcal conjugate (PCV13) Intramuscular (IM) 4 doses: at 2, 4, 6-12 months, and 15-18 months of age
Shingles (zoster) Subcutaneous (subQ) 2 doses: at 60 years of age and older
Meningococcal (ACWY) Intramuscular (IM) 1 dose: at 11-12 years of age and 16-18 years of age
Human papillomavirus (HPV) Intramuscular (IM) 3 doses: at 11-12 years of age or 9-14 years of age
Japanese encephalitis Intramuscular (IM) 3 doses: at 0, 7, and 30 days
Rabies Intramuscular (IM) or intradermal (ID) 5 doses: on days 0, 3, 7, 14, and 28

Please note that this table is not exhaustive, and there may be other vaccines in use that are not listed here. It is always best to talk to your doctor about which vaccines are right for you.

Doses of Vaccines Guide

The doses of vaccines may vary depending on the age of the person being vaccinated, their medical history, and the specific vaccine being given. It is important to follow the recommended doses of vaccines as directed by your doctor.

Here is an overview of single-dose versus multi-dose vials and the Joint Commission and UCA vaccines guide on handling them:

Single-dose vials

  • A single-dose vial is a vial that contains one dose of medication. The entire vial must be used at once, and any unused medication must be discarded.
  • Single-dose vials are often used for vaccines and other medications that are sensitive to contamination.
  • Single-dose vials are considered to be the safest way to administer medication because they minimize the risk of contamination.

Multi-dose vials

  • A multi-dose vial is a vial that contains multiple doses of medication. The vial can be used to administer multiple doses of medication to different patients.
  • Multi-dose vials are often used for medications that are less sensitive to contamination, such as antibiotics.
  • Multi-dose vials must be handled carefully to prevent contamination.

Joint Commission and UCA guidelines on handling single-dose and multi-dose vials of vaccines guide

The Joint Commission and the United States Pharmacopeia (USP) have a vaccine guide on the safe handling of single-dose and multi-dose vials. These guidelines include:

  • Single-dose vials must be used one time only. Any unused medication must be discarded.
  • Multi-dose vials must be labeled with the date and time that they were first opened.
  • Multi-dose vials must be stored in a cool, dry place.
  • Multi-dose vials must be visually inspected before each use for any signs of contamination.
  • If a multi-dose vial becomes contaminated, it must be discarded.

By following these guidelines, you can help to ensure the safe handling of single-dose and multi-dose vials.

Some additional things to keep in mind when handling single-dose and multi-dose vials:

  • Always wash your hands before and after handling any medication.
  • Use an aseptic technique when handling single-dose vials.
  • Do not reuse needles or syringes.
  • Dispose of needles and syringes in a sharps container.

By following these simple guidelines, you can help prevent the spread of infection and ensure the safe handling of vaccines and other medications.

Frequently Asked Questions

How many doses of a vaccine do I need?

The number of doses of a vaccine you need depends on the vaccine. Some vaccines only need one dose, while others need multiple doses. The number of doses is also based on your age and health status.

What are the side effects of vaccines?

The most common side effects of vaccines are mild and go away on their own within a few days. These side effects may include:

  • Pain, redness, and swelling at the injection site
  • Fever
  • Fatigue
  • Headache
  • Serious side effects from vaccines are very rare.

Are vaccines safe?

Vaccines are very safe. The benefits of vaccines far outweigh the risks. Vaccines have been proven to be effective at preventing diseases, and they are an important part of public health.

How long does the protection from a vaccine last?

The protection from a vaccine can last for different lengths of time, depending on the vaccine. Some vaccines, such as the measles, mumps, and rubella (MMR) vaccine, provide lifelong protection. Other vaccines, such as the influenza vaccine, need to be given every year.

Can I get a vaccine if I am allergic to something?

Yes, you can still get a vaccine if you are allergic to something. However, you should talk to your doctor before getting the vaccine. Your doctor can help you determine if the vaccine is safe for you.

What are the risks of not getting vaccinated?

The risks of not getting vaccinated include:

  • Getting sick
  • Developing serious complications from the disease
  • Spreading the disease to others

Disclaimer: The information presented in this article is intended for general informational purposes only and should not be considered, construed or interpreted as legal or professional advice, guidance or opinion.

Be aware that insurance plans and coverage can differ based on location, employer, and the specific policy purchased. As a healthcare consumer, it is crucial to recognize that your health insurance plan's coverage and benefits may vary from those of other plans. To gain a comprehensive understanding of the services covered and the extent of that coverage, we recommend contacting your health insurance provider directly.

The information in this article may not be relevant to your unique situation. Consumers should thoroughly review their specific health insurance plans and policies to comprehend their coverage, limitations, and responsibilities under their plan.

At our medical office, our commitment is to offer our patients the highest quality of care. We make every effort to help our patients understand their health insurance coverage, the ultimate responsibility for comprehending their coverage and any related costs lies with the patient. If you have any questions or concerns regarding your health insurance coverage, please do not hesitate to contact our office.

  • Posted by Dr. Nao

COVID-19 Booster For Variants: A Comprehensive Guide

Background

Historically, vaccines undergo extended development timelines. Yet, due to technological advancements like mRNA, vector vaccines, and protein subunit vaccines, COVID-19 boosters were quickly formulated once an understanding of the virus’s genetic sequence and mutations deepened.

Steps in COVID-19 Booster Shot Development in the United States

  1. Preclinical Testing: Potential booster formulations were tested on cells and animals. This helped evaluate efficacy and safety against variants of this infectious disease.
  2. Phase I Trials: A limited number of individuals were given the COVID-19 booster dose to determine its safety and appropriate dosage.
  3. Phase II Trials: The booster dose was tested on a more diverse group, including those of different ages and health conditions. This helped experts understand its safety and immune system stimulation capacity.
  4. Phase III Trials: Widespread testing with thousands to observe the booster’s capacity to augment immunity against the disease long-term.
  5. Approval: Regulatory bodies, such as the FDA, EMA, and WHO assess results, deciding on emergency use or full approval. This helped guide a strategy where people could be vaccinated to prevent COVID-19 variant infections.

For COVID-19 booster shots, the regulatory process was swift, as it built on the foundational knowledge of the original vaccines. The FDA granted Early Use Authorization (EUA) for these boosters, and the CDC assisted in ongoing monitoring and coordination of the data.

Vaccine Manufacturer Brand Name Booster Dose Development Booster Dose Approval
Pfizer-BioNTech Pfizer Comirnaty August 23, 2021 September 24, 2021
Moderna Moderna Spikevax August 13, 2021 September 24, 2021
Johnson & Johnson Johnson & Johnson Janssen November 29, 2021 January 19, 2022
Novavax Novavax Nuvaxovid March 28, 2022 June 28, 2022

Here are some additional details about the development and approval of COVID-19 vaccine booster doses: 

The Pfizer-BioNTech and Moderna booster doses were developed using the same mRNA vaccine technology as the original vaccines. The booster doses contain a higher dose of the same vaccine. 

The Johnson & Johnson booster dose is a different vaccine than the original vaccine. It is a single-dose vaccine that is made with a different technology. 

The Novavax booster dose is also a different vaccine than the original vaccine. It is a two-dose vaccine that is made with a different technology.

Here is a list of COVID-19 variants that the booster shots are known to be effective against as of September 12, 2023:

Vaccine Brand Name COVID-19 Variants
Pfizer-BioNTech Comirnaty Alpha, Beta, Gamma, Delta, Omicron (BA.1), Omicron (BA.2), Omicron (BA.4), Omicron (BA.5)
Moderna Spikevax Alpha, Beta, Gamma, Delta, Omicron (BA.1), Omicron (BA.2), Omicron (BA.4), Omicron (BA.5)
Johnson & Johnson Janssen Alpha, Beta, Gamma, Delta
Novavax Nuvaxovid Alpha, Beta, Gamma, Delta

Please note that this table is not exhaustive and may not include all available COVID-19 vaccine booster doses or COVID-19 variants.

Role of COVID-19 Booster Shots

COVID-19 booster shots amplify the immunity offered by the primary vaccine series. They prime the immune system further against evolving variants of the SARS-CoV-2 virus, especially when initial immunity might wane.

Types of COVID-19 Booster Shots Available in the US

mRNA Boosters: Direct cells to make a piece of the virus’s spike protein, enhancing the immune system’s recognition, especially against variants.

Viral Vector Boosters: Use a different virus to carry the spike protein gene into our cells, promoting a heightened immune response.

Protein Subunit Boosters: Introduce a lab-made piece of the spike protein into the body to stimulate an amplified immune response.

All types of COVID-19 booster shots underwent rigorous clinical trials, proving their efficacy and safety for diverse age groups.

For those contemplating a booster shot, consider factors like the time elapsed since your initial vaccination, your age, and potential exposure risks. Consult with your healthcare provider for guidance.

Effectiveness And Efficacy of COVID-19 Boosters By Type of Booster

Efficacy of COVID-19 vaccines was measured in clinical trials, comparing a vaccine group to a placebo group. 

Effectiveness is measured in real-world studies, where participants are not randomly assigned to groups. The effectiveness rate is calculated by comparing the number of people who get sick in the vaccinated group to the number of people who get sick in the unvaccinated group.

Here is a table summarizing the efficacy by vaccine and brand name:

Vaccine Manufacturer Brand Name Efficacy against symptomatic infection Efficacy against hospitalization Efficacy against death
Pfizer-BioNTech Pfizer Comirnaty 69% (6 months after second dose) 91% (6 months after second dose) 95% (6 months after second dose)
Moderna Moderna Spikevax 76% (6 months after second dose) 93% (6 months after second dose) 97% (6 months after second dose)
Johnson & Johnson Johnson & Johnson Janssen 57% (2 months after single dose) 78% (2 months after single dose) 88% (2 months after single dose)
Novavax Novavax Nuvaxovid 50% (2 months after second dose) 80% (2 months after second dose) 90% (2 months after second dose)

It should be noted that:

The efficacy and effectiveness rates of vaccines can change over time, as the virus mutates and the immune system’s response to the vaccine wanes.

 Other factors, such as age, underlying health conditions, and the timing of vaccination, can also affect the efficacy and effectiveness of vaccines.

The efficacy and effectiveness of COVID-19 vaccine booster doses can vary depending on the vaccine, the time since the initial vaccination series, and the variant of the virus.

The efficacy and effectiveness of COVID-19 vaccine booster doses are generally higher against symptomatic infection than against hospitalization or death.

The efficacy and effectiveness of COVID-19 vaccine booster doses also tend to decline over time.

Side Effects of Booster Doses

Like the initial shots, boosters can cause mild side effects such as soreness at the injection site, fatigue, and mild fever. They are short-lived and indicate the body’s immune system is responding.

Access to COVID-19 Booster Shots

Booster doses are available at various locations, such as:

– Doctor’s offices

– Pharmacies

– Community health centers

– Vaccination clinics

Check the Centers for Disease Control and Prevention (CDC) website for the latest guidelines and to find a nearby booster shot location. The FDA approves Booster Doses under the EUA process for all new and potentially serious COVID-19 variants.

All COVID-19 immunization schedules have been updated by the CDC to make sure that the vaccination includes booster doses for coronavirus vaccines. This is true for vaccination for children and for adults.

The development and approval of COVID-19 booster shots underscore the global scientific community’s commitment to combating this pandemic. They enhance immunity against emerging variants.

As of September 12, 2023, the following are the variants of COVID-19 that are circulating:

  • BA.2.75 (Pirola): This is a subvariant of BA.2, which was the dominant variant in the spring of 2022. BA.2.75 is more transmissible than BA.2 and has been shown to evade the immune system more easily.
  • BA.4 and BA.5: These are subvariants of BA.2 that are also more transmissible than BA.2. BA.4 and BA.5 have been shown to cause more severe disease than BA.2.
  • XE: This is a recombinant variant that is a combination of BA.1 and BA.2. XE is more transmissible than BA.2 but does not appear to cause more severe disease.
  • XD: This is a recombinant variant that is a combination of BA.1 and BA.2.12.1. XD is more transmissible than BA.2 but does not appear to cause more severe disease.

The World Health Organization (WHO) is monitoring these variants and will continue to update its recommendations on vaccination and other measures to protect against COVID-19.

FAQs

How long after my initial vaccination series should I get a booster shot?

The CDC recommends that everyone ages 6 months and older get a booster shot at least 5 months after their primary vaccination series. People who are moderately or severely immunocompromised may need to get a booster shot sooner.

Which COVID-19 booster shot should I get?

The CDC recommends that everyone ages 18 and older get an updated (bivalent) COVID-19 booster shot. The bivalent booster shots target the original COVID-19 virus strain as well as the Omicron variant.

Children ages 6 months to 4 years can get either a bivalent or monovalent (original strain only) COVID-19 booster shot. Children ages 5 to 11 can get a bivalent COVID-19 booster shot.

Can I mix and match COVID-19 booster shots?

Yes, it is safe and effective to mix and match COVID-19 booster shots. You can get any of the available COVID-19 booster shots, regardless of which vaccine you received for your primary vaccination series.

What are the side effects of COVID-19 booster shots?

The most common side effects of COVID-19 booster shots are mild and go away on their own within a few days. Side effects can include:

  • Pain, redness, and swelling at the injection site
  • Fatigue
  • Headache
  • Muscle pain
  • Chills
  • Fever
  • Nausea
  • Vomiting

Rare side effects, such as myocarditis (inflammation of the heart muscle) and pericarditis (inflammation of the lining around the heart), have also been reported. However, these side effects are extremely rare, and the benefits of the vaccine far outweigh the risks.

If I have already had COVID-19, do I still need a booster shot?

Yes, even if you have already had COVID-19, you still need a booster shot. Booster shots provide additional protection against the virus, especially against new variants.

If I am pregnant or breastfeeding, can I get a COVID-19 booster shot?

Yes, COVID-19 booster shots are safe and effective for pregnant and breastfeeding women. The CDC recommends that all pregnant and breastfeeding women get a booster shot.

What should I do if I have questions or concerns about COVID-19 booster shots?

If you have any questions or concerns about COVID-19 booster shots, talk to your doctor. They can help you decide if getting a booster shot is right for you.


Disclaimer: The information presented in this article is intended for general informational purposes only and should not be considered, construed or interpreted as legal or professional advice, guidance or opinion.

Be aware that insurance plans and coverage can differ based on location, employer, and the specific policy purchased. As a healthcare consumer, it is crucial to recognize that your health insurance plan's coverage and benefits may vary from those of other plans. To gain a comprehensive understanding of the services covered and the extent of that coverage, we recommend contacting your health insurance provider directly.

The information in this article may not be relevant to your unique situation. Consumers should thoroughly review their specific health insurance plans and policies to comprehend their coverage, limitations, and responsibilities under their plan.

At our medical office, our commitment is to offer our patients the highest quality of care. We make every effort to help our patients understand their health insurance coverage, the ultimate responsibility for comprehending their coverage and any related costs lies with the patient. If you have any questions or concerns regarding your health insurance coverage, please do not hesitate to contact our office.

  • Posted by Dr. Nao

Preservatives in Vaccines: A Comprehensive Overview

Vaccines are made from weakened or killed germs grown in cultures. These cultures can sometimes harbor bacteria and other microorganisms that can degrade the vaccine. To counteract this, preservatives are substances added to vaccines to prevent them from spoiling. They achieve this by killing or slowing the growth of these unwanted bacteria and microorganisms.

Vaccination is one of the most impactful public health measures, significantly reducing the incidence of various infectious diseases. Beyond their active components that prime the immune system to recognize and fight harmful pathogens, vaccines may also contain secondary ingredients, like preservatives. These ingredients are vital in ensuring the vaccine’s safety and efficacy.

Today’s Vaccine Production

Apart from the disease-causing agent (either virus or bacteria) used in vaccines, they often contain carriers and preservatives. The latter is added to thwart the growth of potential contaminants during storage and transport, especially in multi-dose vials exposed to the environment more than once. 

Without these preservatives, vaccines could be contaminated by harmful microorganisms, rendering them unsafe. While the quantity of preservatives in any vaccine is minimal and generally safe, those allergic to ingredients like thimerosal, formaldehyde, sodium benzoate, or phenol should be cautious.

Modern vaccines, particularly those administered to infants and young children in the United States, often come in single-dose vials without preservatives. Many such vaccines either lack thimerosal or are available in thimerosal-free versions. It’s essential to note that removing thimerosal was a precaution, not an indication of its harmfulness.

Vaccines, both in their development and post-market phases, are subjected to rigorous safety tests. The undeniable success of vaccines in disease prevention, along with abundant safety data on preservatives, emphasizes the paramount importance and safety of vaccination.

Here is a list of vaccines and their possible preservatives:

Vaccine Preservative
 DTaP (Diphtheria, tetanus, pertussis) None
Hib (Haemophilus influenzae type b) None
Hepatitis B None
MMR (measles, mumps, rubella) Thimerosal
Polio (inactivated) Thimerosal
Rotavirus None
Varicella (chickenpox) None
Influenza (flu) Thimerosal or aluminum
Pneumococcal conjugate (PCV13) None
Shingles (zoster) None
Meningococcal (ACWY) None
Human papillomavirus (HPV) None
Japanese encephalitis Thimerosal
Rabies Thimerosal

Preservatives used in vaccines

  • Thimerosal: Thimerosal, an ethyl mercury-based compound, has been a staple in vaccine preservation for over 70 years. It effectively combats bacteria and fungi. It’s crucial to distinguish between ethyl mercury (found in thimerosal) and methyl mercury, found in certain fish, as they have different safety profiles. 

    Despite concerns due to its mercury content, extensive studies affirm that the mercury type in thimerosal isn’t comparable in risk to methyl mercury. The ethyl mercury dosage from vaccines is minimal and rapidly leaves the body. Renowned organizations, including the Food and Drug Administration (FDA) and the U.S. Centers for Disease Control and Prevention (CDC), have confirmed the safety of thimerosal in vaccines, finding no harm in its low doses. 

  • 2-Phenoxyethanol: This organic compound, commonly found in cosmetics and pharmaceuticals, is also a preservative in certain vaccines. 
  • Formaldehyde: Used in vaccine production, formaldehyde’s role is twofold: to inactivate bacterial products for toxoid vaccines and to eliminate potential contaminants. The amounts present in vaccines are significantly smaller than those naturally found in the human body. Incorporated in the early production stages, it gets diluted, and the trace amounts in the final vaccine product aren’t linked to adverse health effects. 
  • Sodium benzoate: This food preservative also finds use in some vaccines, efficiently halting bacterial growth. However, a subset of individuals might experience allergic reactions to it. 
  • Phenol: As a disinfectant, phenol is part of the formulation of some vaccines. While it can effectively kill microorganisms, excessive doses can be detrimental to the nervous system. The amount of phenolic compounds used as preservatives in some vaccines is very small and is not considered to be harmful. However, some people may be allergic to phenol, and they should avoid vaccines that contain it.

Disclaimer: The information presented in this article is intended for general informational purposes only and should not be considered, construed or interpreted as legal or professional advice, guidance or opinion.

Be aware that insurance plans and coverage can differ based on location, employer, and the specific policy purchased. As a healthcare consumer, it is crucial to recognize that your health insurance plan's coverage and benefits may vary from those of other plans. To gain a comprehensive understanding of the services covered and the extent of that coverage, we recommend contacting your health insurance provider directly.

The information in this article may not be relevant to your unique situation. Consumers should thoroughly review their specific health insurance plans and policies to comprehend their coverage, limitations, and responsibilities under their plan.

At our medical office, our commitment is to offer our patients the highest quality of care. We make every effort to help our patients understand their health insurance coverage, the ultimate responsibility for comprehending their coverage and any related costs lies with the patient. If you have any questions or concerns regarding your health insurance coverage, please do not hesitate to contact our office.