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Why there are conflicting numbers on the flu shot efficacy

Every year, thousands of people across Canada take the time to get their flu shot, but there is a lot of confusion around how effective it is. An infections disease expert explains.

Loeb said it's challenging to pinpoint how effective the flu shot is because it depends on the type of flu

Early estimates of effectiveness for this year's strain of influenza A suggests it sits around 10 to 20 per cent and 55 per cent for influenza B. (AFP/Getty Images)

The death of two children from the flu in Guelph has left friends and family devastated and many more wondering: How effective is the flu shot?

Dr. Mark Loeb, an infectious disease expert with the department of medicine at McMaster University, told CBC's The Morning Edition components of influenza A an B are in every flu vaccine. 

Some vaccines have two types of influenza A and one type of influenza B, and a newer quadravalent vaccine has two types of each.

He said ideally there needs to be a match between the flu strains, the vaccine and the flu that will eventually circulate among people for the vaccine to be fully effective. But that process is not always perfect.

"The challenge however, is that the vaccine needs to be produced months before the flu season," Loeb explained. "So scientists will make the best prediction as to which strains to put in that vaccine."

So how effective is it?

Some reports suggest this year's vaccine is only 10 or 20 per cent effective against this year's flu strain.

Loeb said it's challenging to pinpoint how effective the flu shot is in preventing the flu because it depends on what strain is being discussed.

"The match this year between what's in the vaccine and what's circulating is pretty good on paper, but sometimes in the manufacturing process, there's changes that occur even in to the strain that is made in the vaccine and that can cause a difference," he said.

Not all of this year's flu data has been collected, he said, but early estimates of effectiveness for this year's strain of influenza A suggests it sits around 10 to 20 per cent and 55 per cent for influenza B.

He said it's important for children vaccinated against the flu, but stopped short of recommending making the flu shot mandatory, like measles mumps and rubella.

"Even when it's not perfect, the flu vaccine still offers a level of protection," Loeb said. 

More flu clinics

Wellington Dufferin Guelph Public Health has added new flu clinics for the rest of this week following the widespread concern after two children from the same school in Guelph died from influenza B.  

Public health has told CBC News it tracks the number of schools with greater than 10 per cent of students absent on a weekly basis.

That number peaked two weeks ago with nine of 12 reporting schools said to have had over 10 per cent student absence.