Uptown Office: 450 West End Avenue • New York, NY 10024 • 212-769-3070 • Fax: 877-451-0227

Downtown Office: 2 Fifth Avenue • New York, NY 10011 • 212-353-0072 • Fax: 877-451-0227

Uptown Office: 450 West End Avenue • New York, NY 10024 • 212-769-3070 • Fax: 877-451-0227

Downtown Office: 2 Fifth Avenue • New York, NY 10011 • 212-353-0072 • Fax: 877-451-0227

News & Updates

In the News:

Are we too clean for our children's good? An interesting article from the New York Times:

Too Clean for our Children's Good?


Be prepared for the 2016-2017 Flu Season 

Updated Recommendation for Flu Mist: Pediatricians Update Guidelines

What should I do to prepare for this flu season?

A yearly flu vaccine is recommended for everyone 6 months of age and older as the first and most important step in protecting against this serious disease. While there are many different flu viruses, the seasonal flu vaccine is designed to protect against the top three or four flu viruses that research indicates will cause the most illness during the flu season. People should begin getting vaccinated soon after flu vaccine becomes available, ideally by October, to ensure that as many people as possible are protected before flu season begins.

In addition to getting vaccinated, you can take everyday preventive steps like staying away from sick people and washing your hands to reduce the spread of germs. If you are sick with flu, stay home from work or school to prevent spreading flu to others.

What should I do to protect my loved ones from flu this season?

Encourage your loved ones to get vaccinated as soon as vaccine becomes available in their communities, preferably by October. Vaccination is especially important for people at high risk for serious flu complications, and their close contacts.

Children between 6 months and 8 years of age may need two doses of flu vaccine to be fully protected from flu.

Children younger than 6 months are at higher risk of serious flu complications, but are too young to get a flu vaccine. Because children younger than 6 months cannot get a vaccine, but are at high risk for serious flu-related complications, safeguarding them from flu is especially important. If you live with or care for an infant younger than 6 months of age, you should get a flu vaccine to help protect them from flu.

In addition to getting vaccinated, you and your loved ones can take everyday preventive steps like staying away from sick people and washing your hands to reduce the spread of germs. If you are sick with flu, stay home from work or school to prevent spreading influenza to others.

When should I get vaccinated?

CDC recommends that people get vaccinated against flu soon after vaccine becomes available, preferably by October.

It takes about two weeks after vaccination for antibodies to develop in the body and provide protection against the flu.

We encourage vaccinating patients soon after vaccine becomes available, preferably by October so as not to miss out on opportunities to vaccinate. Those children aged 6 months through 8 years who need two doses of vaccine should receive the first dose as soon as possible to allow time to get the second dose before the start of flu season. The two doses should be given at least 4 weeks apart.

When will flu vaccine become available?

Shipments may begin as early as late August and continue throughout September and October until all of the vaccine is distributed.

Where can I get a flu vaccine?

Flu vaccines are offered at both our Uptown and Downtown office locations by appointment.

How long does a flu vaccine protect me from getting the flu?

For everyone, getting vaccinated each year provides the best protection against influenza throughout flu season. It’s important to get a flu vaccine every year, even if you got vaccinated the season before and the viruses in the vaccine have not changed for the current season.

Can I get vaccinated and still get the flu?

Yes. It’s possible to get sick with the flu even if you have been vaccinated (although you won’t know for sure unless you get a flu test). This is possible for the following reasons:

  • You may be exposed to a flu virus shortly before getting vaccinated or during the period that it takes the body to gain protection after getting vaccinated. This exposure may result in you becoming ill with flu before the vaccine begins to protect you. (About 2 weeks after vaccination, antibodies that provide protection develop in the body.)
  • You may be exposed to a flu virus that is not included in the seasonal flu vaccine. There are many different flu viruses that circulate every year. The flu vaccine is made to protect against the three or four flu viruses that research suggests will be most common.
  • Unfortunately, some people can become infected with a flu virus the flu vaccine is designed to protect against, despite getting vaccinated. Protection provided by flu vaccination can vary widely, based in part on health and age factors of the person getting vaccinated. In general, the flu vaccine works best among healthy younger adults and older children. Some older people and people with certain chronic illnesses may develop less immunity after vaccination. Flu vaccination is not a perfect tool, but it is the best way to protect against flu infection.

What sort of flu season is expected this ye

It’s not possible to predict what this flu season will be like. Flu seasons are unpredictable in a number of ways. While flu spreads every year, the timing, severity, and length of the season varies from one year to anoth

Will new flu viruses circulate this seas

Flu viruses are constantly changing so it's not unusual for new flu viruses to appear each year. For more information about how flu viruses change, visit How the Flu Virus Can Change

When will flu activity begin and when will it pea

The timing of flu is very unpredictable and can vary from season to season. Flu activity most commonly peaks in the U.S. in January or February. However, seasonal flu activity can begin as early as October and continue to occur as late as Ma

What should I do to prepare for this flu seaso

CDC recommends a yearly flu vaccine for everyone 6 months of age and older as the first and most important step in protecting against this serious disease. While there are many different flu viruses, the seasonal flu vaccine is designed to protect against the top three or four flu viruses that research indicates will cause the most illness during the flu season. People should begin getting vaccinated soon after flu vaccine becomes available, ideally by October, to ensure that as many people as possible are protected before flu season begins.

In addition to getting vaccinated, you can take everyday preventive steps like staying away from sick people and washing your hands to reduce the spread of germs. If you are sick with flu, stay home from work or school to prevent spreading flu to others.

What should I do to protect my loved ones from flu this season?

Encourage your loved ones to get vaccinated as soon as vaccine becomes available in their communities, preferably by October. Vaccination is especially important for people at high risk for serious flu complications, and their close contacts.

Children between 6 months and 8 years of age may need two doses of flu vaccine to be fully protected from flu.

Children younger than 6 months are at higher risk of serious flu complications, but are too young to get a flu vaccine. Because children younger than 6 months cannot get a vaccine, but are at high risk for serious flu-related complications, safeguarding them from flu is especially important. If you live with or care for an infant younger than 6 months of age, you should get a flu vaccine to help protect them from flu.

In addition to getting vaccinated, you and your loved ones can take everyday preventive steps like staying away from sick people and washing your hands to reduce the spread of germs. If you are sick with flu, stay home from work or school to prevent spreading influenza to others.

When should I get vaccinated?

CDC recommends that people get vaccinated against flu soon after vaccine becomes available, preferably by October.

It takes about two weeks after vaccination for antibodies to develop in the body and provide protection against the flu.

We encourage vaccinating patients soon after vaccine becomes available, preferably by October so as not to miss out on opportunities to vaccinate. Those children aged 6 months through 8 years who need two doses of vaccine should receive the first dose as soon as possible to allow time to get the second dose before the start of flu season. The two doses should be given at least 4 weeks apart.

When will flu vaccine become available?

Shipments may begin as early as late August and continue throughout September and October until all of the vaccine is distributed.

Where can I get a flu vaccine?

Flu vaccines are offered at both our Uptown and Downtown office locations.

What kind of vaccines will be available in the United States for 2014-2015?

We use intramuscular (IM) and nasal spray vaccines. The vaccines we use are formulated to protect against four flu viruses (quadrivalent flu vaccines).

Are there new recommendations for the 2014-2015 influenza season?

One possible change to the current recommendations is regarding the preferential use of LAIV in healthy children 2-8 years.

What flu viruses does this season’s vaccine protect against?

Flu vaccines are designed to protect against flu viruses that experts predict will be the most common during the upcoming season. Three kinds of flu viruses commonly circulate among people today: Influenza A (H1N1) viruses, influenza A (H3N2) viruses, and influenza B viruses. Each year, one or two flu viruses of each kind are used to produce the seasonal influenza vaccine.

All of the 2014-2015 influenza vaccine is made to protect against the following three viruses:

Some of the 2014-2015 flu vaccine also protects against an additional B virus (B/Brisbane/60/2008-like virus).

Vaccines that give protection against three viruses are called trivalent vaccines. Vaccines that give protection against four viruses are called quadrivalent vaccines.

How effective is the flu vaccine?

Inactivated influenza vaccine effectiveness (VE) can vary from year to year and among different age and risk groups.

How long does a flu vaccine protect me from getting the flu?

Multiple studies conducted over different seasons and across vaccine types and influenza virus subtypes have shown that the body’s immunity to influenza viruses (acquired either through natural infection or vaccination) declines over time. The decline in antibodies is influenced by several factors, including the antigen used in the vaccine, the age of the person being vaccinated, and the person's general health (for example, certain chronic health conditions may have an impact on immunity). When most healthy people with regular immune systems are vaccinated, their bodies produce antibodies and they are protected throughout the flu season, even as antibody levels decline over time. Older people and those with weakened immune systems may not generate the same amount of antibodies after vaccination; further, their antibody levels may drop more quickly when compared to healthy people.

For everyone, getting vaccinated each year provides the best protection against influenza throughout flu season. It’s important to get a flu vaccine every year, even if you got vaccinated the season before and the viruses in the vaccine have not changed for the current season.

Will this season's vaccine be a good match for circulating viruses?

It's not possible to predict with certainty if the vaccine will be a good match for circulating viruses. The vaccine is made to protect against the flu viruses that research indicates will likely be most common during the season. However, experts must pick which viruses to include in the vaccine many months in advance in order for vaccine to be produced and delivered on time. And flu viruses change constantly (called drift) – they can change from one season to the next or they can even change within the course of one flu season. Because of these factors, there is always the possibility of a less than optimal match between circulating viruses and the viruses in the vaccine.

Over the course of the flu season, CDC studies samples of circulating flu viruses to evaluate how close a match there is between viruses used to make the vaccine and circulating viruses.

One of the ways that helps CDC evaluate the match between vaccine viruses and circulating viruses is with a lab process called ‘antigenic characterization’. The match between the vaccine viruses and the circulating viruses is one factor that impacts how well the vaccine works.

Can the vaccine provide protection even if the vaccine is not a "good" match?

Yes, antibodies made in response to vaccination with one flu virus can sometimes provide protection against different but related viruses. A less than ideal match may result in reduced vaccine effectiveness against the virus that is different from what is in the vaccine, but it can still provide some protection against influenza illness.

In addition, it's important to remember that the flu vaccine contains three or four flu viruses (depending on the type of vaccine you receive) so that even when there is a less than ideal match or lower effectiveness against one virus, the vaccine may protect against the other viruses.

For these reasons, even during seasons when there is a less than ideal match, CDC continues to recommend flu vaccination for everyone six months and older. Vaccination is particularly important for people at high risk for serious flu complications, and their close contacts.

Can I get vaccinated and still get the flu?

Please call our office and a member of our front desk staff will schedule an appointment that works with your calendar. You can reach our uptown office at: 212-769-3070 or our downtown office at: 212-353-0072.