It’s that time of year again when I bring up the topic of seasonal vaccines in most of my office conversations with my primary care patients.
When we talk about the flu shot, we hear enthusiastic thanks for reminding us to get it. Many patients bring it up before I even speak. But when we follow up with, “Remember, there’s a new COVID-19 booster out to protect you from COVID-19,” we’re often met with silence or outright rejection.
This is worrying to me.
The coronavirus disease (COVID-19) pandemic has ushered in one of the most extraordinary medical innovations in history. The award goes to University of Pennsylvania research pioneers Drew Wiseman and Catalin Carrico for developing and distributing a life-saving COVID-19 vaccine in record time using novel mRNA technology. Nobel Prize.
Before vaccination efforts were limited by rampant misinformation, lackluster communication from federal agencies, limited access, and divisive politics, many people were enthusiastic during the peak of the pandemic and its aftermath. I rolled up my sleeve for my first vaccination.
» Read more: Some federal funding for coronavirus vaccines has been cut, but you can still get the vaccine for free in Philadelphia
Although the overall threat of COVID-19 is currently decreasing, negative views about COVID-19 vaccination appear to be solidifying. A 2023 research review looked at characteristics that predict reluctance to receive a booster dose of a coronavirus vaccine. The authors cite several factors, including personal demographics, geography, knowledge, perceived effectiveness, and mistrust. Vaccine acceptance was highest for having a history of chronic disease, believing the vaccine is effective, being over 45 years old, and being male.
When I ask patients why they don’t want more COVID-19 vaccines, they usually say, “I’ve had enough,” “I’m not worried about COVID-19 anymore,” or “the pandemic is over.” I say. Psychologists call this behavior “habituation” or “normalization,” and it can desensitize you to persistent threats. It may start to seem like a normal part of life.
This same numbing can occur with other persistent dangers, such as climate change or violent crime in our neighborhoods. Although these coping mechanisms reduce anxiety, they also increase vulnerability. We are tempted to let our guard down too much.
The flu is not a permanent concern for most of us. Most are seasonal. Flu shots have long been a part of the fall routine, without the political backlash typically associated with coronavirus vaccinations. Getting many patients vaccinated against influenza remains a challenge, but there are fewer obstacles to overcome.
Fortunately, we are now in a situation where the risk of hospitalization or death from coronavirus is much lower for most people, thanks in large part to vaccinations. But don’t get me wrong. The coronavirus is still here and poses a very real risk to the unvaccinated, the elderly, and those with chronic health conditions. And as the virus continues to change and evolve, the initial vaccine you receive will become less effective.
The CDC recommends that most people 6 months and older get an up-to-date COVID-19 vaccine and influenza vaccine (influenza shot). A single dose of respiratory syncytial virus (RSV) vaccine is recommended for all adults age 75 and older and also for adults ages 60 to 74 who are at higher risk for weakened immune systems or chronic conditions.
Don’t take any risks with the coronavirus this fall. Stay safe and get all recommended seasonal vaccines.
Jeffrey Millstein is an internist and regional medical director for Penn Primary Care.
