Skip to main content

Military Health System

Test of Sitewide Banner

This is a test of the sitewide banner capability. In the case of an emergency, site visitors would be able to visit the news page for addition information.

COVID-19, Influenza provide twice the challenge to healthcare workers

Image of COVID-19, Influenza provide twice the challenge to healthcare workers . COVID-19, Influenza provide twice the challenge to healthcare workers

It’s a double whammy that public health experts across the country had indicated could happen.

The ongoing pandemic outbreak has overlapped with the annual Northern Hemisphere influenza season.

Military medical treatment facilities like Naval Hospital Bremerton/Navy Medicine Readiness and Training Command (NMRTC) Bremerton in Washington are at the fore to help eradicate the pandemic as well as prevent and protect patients from the flu.

Defense Health Agency officials had indicated in early December 2020, that Influenza-Like-Illness (ILI) does tend to peak during the winter months, which has been the case in the Pacific Northwest the last few years.

The Director of the Centers for Disease Control and Prevention (CDC) recommended in October, 2020, that 65% of adults and children be vaccinated against the flu because of the potential simultaneous demand on healthcare systems due to COVID-19 and the flu. In recognition of that goal, DHA established a goal to meet or exceed the 65% flu vaccination rate toward the end of December2020.

Towards that goal, NMRTC Bremerton continues to provide flu vaccinations to all eligible beneficiaries, along with following the Department of Defense distribution plan for administering the COVID-19 vaccine to all active duty and reserve components, TRICARE Prime and TRICARE SelectTRICARE Select is a self-managed, preferred provider network plan. TRICARE Select is a fee-for-service option in the United States that allows you to get care from any TRICARE-authorized provider.  Enrollment is required to participate.TRICARE Select beneficiaries, and select DOD civilians and contract personnel authorized to receive immunizations from DOD.

During NMRTC Bremerton’s 2020-2021 seasonal influenza campaign, over 2,250 flu shots were administered, including a staff pandemic influenza drill that immunized approximately 750 staff members in less than 72 hours. A weeklong clinic inoculated more than 2,000 patients, and preventive medicine personnel conducted workplace flu clinics for several tenant shore commands in the region.

Yet there are still those who have not received their flu shot, as well as those who have not voluntarily been administered the COVID-19 vaccine.

According to NMRTC Bremerton public health experts, even if someone has neglected to get their flu shot, they still have the opportunity to get the COVID-19 vaccine.

“There is not a contraindication to receiving a COVID and Influenza vaccine at the same time per DHA guidance. However, we recommend at least three days of separation between the two to ensure side effects of flu vaccine are not confused with side effects of the COVID vaccine, or vice versa,” explained Dr. Dan Frederick, NHB/NMRTC Bremerton population health officer and public health emergency officer.

Frederick noted that healthcare workers in any hospital setting are considered to be at high risk of becoming infected with influenza and passing the infection to others, a similar concern with the COVID-19 virus.

“We strongly encourage everyone to get the flu vaccine. It’s now more important than ever due to the ongoing pandemic,” said Frederick, echoing CDC concerns.

According to the CDC, COVID-19 and influenza are both contagious respiratory illnesses, albeit each caused by infection from a different virus.

Influenza viruses cause mild to severe illness, whereas COVID-19 has caused serious illness in many, resulting in more than 500,000 deaths in the U.S. alone. It can also take longer for someone to show they actually have symptoms of COVID-19.

Similar symptoms between the two include fever and/or chills, shortness of breath or difficult breathing, fatigue, sore throat, runny/stuffy nose, muscle pain/body ache, headache, and even vomiting/diarrhea.

It also can take at least one or more days after someone is infected by either virus to begin to experience any illness symptoms mentioned above. While it usually takes longer for COVID-19 symptoms to develop.

There’s similarities in even unintentionally sharing either viruses. For both, it’s possible to spread the virus during a 24-hour period before experiencing any symptoms, even longer for someone with COVID-19.

Military health personnel wearing a face mask and shield while holding a needle
NHB/NMRTC Bremerton’s Immunization Clinic staff, like Navy Hospitalman Justmin Lambatin, routinely provide patient-centered support with the administration of vaccines – from influenza to COVID-19. (Photo by Douglas Stutz.)

Both viruses can be spread and shared from person to person, especially between those in close contact – six feet or less - with each other. Both are shared by droplets that occur when someone with the illness coughs, sneezes, or talks. The droplets spray out and land on someone else and get inhaled into their lungs. A person can also get physically infected by shaking hands, touching a handrail or door knob that has the virus on it and then touching their own nose, eyes or mouth.

Both are hidden. They can be spread by someone not knowing they have either due to no symptoms apparent, or having mild symptoms, and even by those who never develop symptoms – asymptomatic.

Those who are at high risk - such as older adults, people with underlying medical conditions and those who are pregnant - can become severely sick by both viruses and possibly deal with a host of complications such as pneumonia, respiratory failure, and the worsening of chronic medical conditions.

Frederick, attests that immunization is a primary method of reducing seasonal influenza illness, along with helping to eliminate the pandemic.

There are also multiple steps for everyone to follow that can be done daily to mitigate the potential spread of both viruses. One of the most effective is hand washing; avoid touching your eyes, nose and mouth with unwashed hands; avoid close contact with sick people and maintain social distancing of at least six feet; cover cough/sneezes and discard used tissues and wash hands immediately afterwards; cover your nose and mouth with a face mask when around others; and clean/disinfect frequently touched surfaces at least daily.

Using a football analogy, Frederick stressed that with the COVID-19 vaccine being administered, “for ten months we’ve been playing defense against this virus. Now it feels like we’re finally on the offense.”

You also may be interested in...

The Military Health System Celebrates Labor Day

Video
9/4/2020
The Military Health System Celebrates Labor Day

Labor Day pays tribute to the American workforce. This year, we pay tribute to the Military Health System Workforce.

MHS Minute: A Call to Action for Convalescent Plasma Donation

Video
8/24/2020
MHS Minute: A Call to Action for Convalescent Plasma Donation

Have you recovered from COVID-19, or tested positive for antibodies? Consider donating convalescent plasma. For eligibility requirements, and to find a donor center near you, go to https://www.militaryblood.dod.mil/Donors/COVID-19andBloodDonation.aspx

MHS Minute: DOD Focused on COVID-19 Testing and Treatment

Video
6/25/2020
MHS Minute: DOD Focused on COVID-19 Testing and Treatment

Have you recovered from COVID-19, or tested positive for antibodies? Consider donating convalescent plasma. To learn how, go to https://www.militaryblood.dod.mil/

MHS Minute: Military Leading the Charge on COVID-19 Research

Video
5/28/2020
MHS Minute: Military Leading the Charge on COVID-19 Research

The military continues to serve on the front lines of research and treatment in response to the COVID-19 pandemic. Tune in to the MHS Minute to learn more.

ICU Nursing Series: Assembling Pressure Tubing (March 31, 2020)

Video
5/11/2020
ICU Nursing Series: Assembling Pressure Tubing (March 31, 2020)

This video will review how to assemble pressure tubing to transduce pressures and waveforms from arterial lines and central lines. Connection to an ICU monitor with zeroing is also reviewed.

Multi-Dimensional Approach To Intubation In The Setting Of COVID-19 (April 1, 2020)

Video
5/11/2020
Multi-Dimensional Approach To Intubation In The Setting Of COVID-19 (April 1, 2020)

In this video, a doctor and nurse will talk you through preparing to intubate a patient. At the end of the video we highlight some special considerations for intubation in the context of COVID.

Airway Pressure Release Ventilation (APRV) (April 17, 2020)

Video
5/11/2020
Airway Pressure Release Ventilation (APRV) (April 17, 2020)

This video will explain the basics of Airway Pressure Release Ventilation, an option for mechanical ventilation, that is helpful as an oxygen salvage therapy for patients with Acute Respiratory Distress Syndrome (ARDS).

Acute Respiratory Distress Syndrome Lecture (April 10, 2020)

Video
5/11/2020
Acute Respiratory Distress Syndrome Lecture (April 10, 2020)

In this lecture, the topic or Acute Respiratory Distress Syndrome is reviewed. Specific discussion on diagnosis and treatment including lung protective strategies are discussed.

Ventilator Basics (ACVC) (March 19, 2020)

Video
5/11/2020
Ventilator Basics (ACVC) (March 19, 2020)

Ventilator basics (one mode) for non-intensivists

Ventilator Tutorial V500/PB840 Drager (April 10, 2020)

Video
5/11/2020
Ventilator Tutorial V500/PB840 Drager (April 10, 2020)

Ventilator assembly and input of settings for two common ICU ventilators.

Acid Base for the Non-intensivist (March 21, 2020)

Video
5/11/2020
Acid Base for the Non-intensivist (March 21, 2020)

This video will teach you the etiologies for the various acid-base disorders as well as teach you how to interpret an ABG with a focus on metabolic acidosis and mixed disorders. This will teach you little to nothing about buffering, organic chemistry, biochemistry, etc. This is for practical application at the bedside.

Transport Vent Tutorial (ParaPAC) (March 25, 2020)

Video
5/11/2020
Transport Vent Tutorial (ParaPAC) (March 25, 2020)

Transport Vent Tutorial - ParaPAC

Shock Basics for the Non-Intensivist (March 19, 2020)

Video
5/11/2020
Shock Basics for the Non-Intensivist (March 19, 2020)

Shock Basics for the Non-Intensivist...in the age of COVID-19.

Sepsis In The Age of COVID-19 (April 10, 2020)

Video
5/11/2020
Sepsis In The Age of COVID-19 (April 10, 2020)

This video will review diagnosis and management of sepsis with some clarifications/alterations that apply during the COVID pandemic. This video is not all inclusive. It is meant as a refresher for non-intensivists.

Sedation and Analgesia in the ICU during COVID-19 (March 31, 2020)

Video
5/11/2020
Sedation and Analgesia in the ICU during COVID-19 (March 31, 2020)

This video is intended to assist healthcare providers with the care of critically ill patients only. It is to be used as a guide ONLY for patients who have breathing tubes and are mechanically ventilated (on breathing machines). It will introduce you to sedative and analgesic medications that are used in the intensive care unit setting only. It will provide recommendations for use of sedation and analgesia in standard settings, but it will also provide recommendations for use in resource limited

Page 3 of 4 , showing items 31 - 45
First < 1 2 3 4 > Last 
Refine your search
Last Updated: May 04, 2023
Follow us on Instagram Follow us on LinkedIn Follow us on Facebook Follow us on Twitter Follow us on YouTube Sign up on GovDelivery