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Illness as vaccination and questions about re-infection

by: magdelaine

Fri Aug 28, 2009 at 18:41:36 PM EDT


I've got a question that has been percolating for the last week or so. In my town, the swine flu is going around. Just about all of my friends have had a "flu" this summer. I have had it myself. Most of the cases have been very mild, although some of them have been more like seasonal flu. Often in one family one person will have diarrhea, a fever, and runny nose, another will have no fever, a deep cough, and crushing tiredness, so it sure seems to be different in various individuals.

I'm wondering, does having the illness grant the same kind of immunity as vaccination? How often can you get this or any flu if the flu virus remains stable? Once a month? Once a wave?

FWIW, not one of my friends is going to get the H1N1 vaccine; they don't trust it.

magdelaine :: Illness as vaccination and questions about re-infection
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1918 experience
I am not in this field, but recall reading that in 1918 those who got the "mild" spring flu and recovered (almost all did) were unlikely to die but not immune to falling ill in the deadly fall version. You are right that either a vaccination or disease is useful for preventing future disease only to the extent that the flu has not drifted so far that the previous antibodies are useless. My sense is that up to now, H1N1 is not drifting so much that vaccination or prior sickness would be useless. Outside of flu (e.g. cowpox and smallpox), there is evidence of similar "mild" diseases being effective in preventing or lessening much worse ones. But smallpox does not mutate as flu does.  

IIRC, having the illness grants a better kind of immunity than vaccination,
because being ill is a "whole body" experience.  (Sorry, that's all I remember.)

"The truth does not change according to our ability to stomach it."  Flannery O'Connor

it's the other way round
Conceptually, the idea of vaccination is to simulate an infection - give someone a sub-clinical immune challenge so that they can produce immune responses and immunological memory for the next time when they are exposed.  

So, illness confers immunity, and in general, the immunity is superior to that from vaccination.



All 'safety concerns' are hypothetical.  If not, they'd be called side effects...


there have beem lots of flu cases
but if you have not been documented to have it, get the shot. if you had the real deal, you'll have some immunity.

Thanks!
These responses help a lot. What about re-infection? Can someone get it again within 2 weeks or 2 months? Have animal studies been done on this question? Does the virus have to mutate for someone to be susceptible to it again, or can a person (or animal) be re-infected with the exact same virus?


not likely, yes and no ;-)
if you really had it, it'd take a mutation to get it again. guaranteed? no.

[ Parent ]
LOL!
Great answer ;-)

[ Parent ]
interesting
This was a interesting topic!

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