Experts prescribe flu shots for kids under two amid high risk 

KARACHI: Health experts warn of a heightened risk of flu-related illnesses for children under the age of two in Pakistan, including severe cases that may lead to complications or death, prescribing vaccinations for them as well as pregnant women.

Addressing a seminar titled "Influenza in Children and Pregnant Women" held recently at Aga Khan University (AKU), Dr. Fyezah Jehan, AKU Chair of Paediatrics said: “We must recommend the influenza vaccine for all pregnant women and children under two.”

She stressed the importance of vaccinating preterm infants and those with underlying conditions like cardiovascular disease and asthma.

Other speakers at the event included Dr. Samina Junejo from The Indus Hospital, as well as AKU’s Dr. Qalab Abbas, Dr. Ali Faisal Saleem, and Dr. Imran Nisar. A panel discussion moderated by Prof. Fatima Mir followed the presentations.

Dr. Waseem Jamalvi, President (Elect) of the Pakistan Pediatric Association (PPA) of Sindh, emphasized the need for early detection. “Influenza can be deadly in young children and often goes unrecognized due to limited access to testing,” he said.

Prof. Mir added that while influenza is preventable, not all viral pneumonias are caused by the flu. She cautioned against overprescribing antiviral drugs like Oseltamivir, pointing out that proper diagnosis is critical for effective treatment.

She said testing for influenza remains a challenge, with costs as high as Rs7,500 and many labs are ill-equipped to handle tests for infants. The lack of affordable testing contributes to inadequate data on the incidence of flu in Pakistan, she added.

A major hurdle in combating the flu is the virus’s constant mutation, which necessitates a new vaccine each year.

Dr. Fyezah advised that the best time for vaccination is in September, when the updated vaccine is released. Although vaccines are available year-round, she explained that their effectiveness diminishes if given out of season.

The flu vaccine, an inactivated one, triggers a lower immune response in babies under six months, which is why vaccination during pregnancy and for children older than six months is recommended. However, young children under one year need two doses for full protection.

Addressing concerns about vaccinating children with minor viral illnesses, Dr. Ali Faisal Saleem clarified that vaccinations can proceed as long as the child is not allergic or experiencing a high fever.