For Kids 2 to 8, Nasal Spray Vaccine Brings New Meaning to Flu Shot

Posted on Sep 30, 2014

fluMistYHP_302x238The American Academy of Pediatrics recommends annual seasonal influenza immunization for anyone 6 months and older.

Starting with the 2014-2015 flu season, the Centers for Disease Control recommends use of the nasal spray vaccine (over the flu shot) for children 2 through 8 years of age when it is available and if the child has had no negative reactions to the vaccine.

“The nasal spray vaccine should be given soon after is it available, usually in October,” says Lisa Swearingen, M.D., a pediatrician with the Sutter East Bay Medical Foundation. “However, as long as flu viruses are circulating, it’s not too late to get vaccinated.”

Also called the Live Attenuated Influenza Vaccine, the nasal vaccine protects against four flu viruses: two influenza A viruses (H1N1 and H3N2) and two influenza B viruses. It is approved for children 2 years and older and for adults 49 and younger.

“Infants younger than 6 months of age are not approved to receive any formulations of the flu vaccine,” Swearingen says. “That’s why it’s so important for their caregivers and close contacts to receive the flu vaccine, since young infants are the most susceptible to severe flu illness and its complications.”

The supply of the nasal vaccine does not always meet the demand, so consider making that appointment promptly.

“In my clinical experience, we usually run out of the nasal vaccine before the flu shot,” Swearingen says.

Click here for more information about the flu from the Sutter East Bay Medical Foundation.

Answers from the Centers for Disease Control to commonly asked questions about the nasal spray flu vaccine:

Q: Which children should not receive the nasal spray flu vaccine?

A: Children less than 2 years of age, and those children with history of serious allergic reaction to eggs, history of asthma or with significant wheezing in the past 12 months, and children who are on chronic aspirin therapy or are immunosuppressed.

Q: How often should the nasal spray flu vaccine be given?

A: One dose should be given during each flu season. Children 6-months to 8-years of age who have received one or fewer flu vaccines previously should get two doses spaced at least 28 days apart.

Q: Can the nasal spray flu vaccine be given to children when they are ill?

A: It can be given to children with minor illnesses (such as minor upper respiratory tract infections without fever). However, if significant nasal congestion is present that may limit delivery of the vaccine to the nasal lining.

Q: Does the nasal flu vaccine contain thimerosal or any other preservatives?

A: No.

Q: Can the nasal spray flu vaccine give you the flu?

A: No. Although the nasal spray flu vaccine does contain live viruses (unlike the flu shot), the viruses are weakened and can’t cause flu illness.

Q: What side effects can I expect?

A. Possible reactions include runny nose, nasal congestion, cough, chills, tiredness, sore throat and headache. These side effects are mild and short-lasting, especially when compared to symptoms of influenza infection.

Take Heart: See Your Doctor Before Beginning an Exercise Program

Posted on Sep 2, 2014

heart health 1There’s more to fall than back to school. For many it means beginning or resuming a regular exercise routine or even training for a competitive event.

We asked Vipul Gupta, M.D., a cardiologist with Sutter East Bay Medical Foundation how athletes of all ages can safeguard their heart health before hitting the gym, pool, open road or wherever your energy takes you. Read More

Sutter East Bay Medical Foundation is Expanding!

Posted on Aug 22, 2014

Sutter East Bay Medical Foundation (SEBMF) continues to expand in the East Bay, welcoming several excellent providers who bring a wealth of education, experience and knowledge to the care of our patients.

Dr. Vipul Gupta

Vipul Gupta, M.D., MPH. Dr. Gupta is board eligible in cardiovascular disease and internal medicine. He received his medical degree from Topiwala National Medical College, Mumbai India, and a master’s of public health from the University of North Texas Health Science Center, Fort Worth.  He completed both a residency in internal medicine and a fellowship in cardiovascular disease at the State University of New York, Buffalo. In addition, Dr. Gupta completed a fellowship in interventional cardiology at the University of California-San Francisco. Dr. Gupta is fluent in Hindi. He enjoys music, watching movies, travelling and sports such as cricket and football. Dr. Gupta joined the organization on Aug. 11. He sees patients in Antioch and will also spend time in Oakland/Berkeley.

Dr. Baotram NguyenBaotram Nguyen, M.D. Dr. Nguyen is board eligible in obstetrics and gynecology. She received her medical degree from the University of California, San Francisco. She completed a residency in obstetrics and gynecology at Kaiser Permanente San Francisco. Dr. Nguyen is fluent in Vietnamese. She joined the organization on Aug. 11 and sees patients in Castro Valley.




Dr. Jonathan LynneJonathan Lynne, M.D., MPH.  Dr. Lynne is board eligible in family medicine. He received his medical degree from St. George’s University School of Medicine, Granada, West Indies and a master’s of public health in epidemiology at the University of California, Los Angeles. He completed a residency in family medicine at Arrowhead Regional Medical Center. Dr. Lynne is fluent in Mandarin Chinese and speaks some Spanish. He enjoys staying active and participates in ballroom dance, tennis, volleyball, camping, kayaking, scuba diving, snorkeling, hiking, traveling, and playing piano. Dr. Lynne joined the organization on Aug. 11 and he sees patients in Antioch and Brentwood.



Screen and Your Sleep: The Impact of Nighttime Use

Posted on Aug 1, 2014


We use electronic devices in every room – should we keep our electronics out of the bedroom? Sleep specialist Joanna Cooper, M.D., will discuss the most current findings regarding the effect of electronic devices on our sleep.

According to Dr. Cooper, a neurologist with Sutter East Bay Medical Foundation, the timing of sleep and wakefulness is controlled by two areas in the brain. One is highly sensitive to light and drives wakefulness, while the other (the pineal gland) secretes melatonin when the light dims in the evening. Thus we humans are programmed to fall asleep after dark.

Joanna Cooper

Dr. Joanna Cooper, will discuss the effects of electronic devices on sleep at a free presentation on Tuesday, August 26.

When: Tuesday, August 26, 6:30 to 8 p.m.
To reserve a seat, call (510) 869-6737.
Where: Claremont Hotel, Monterey Room, located at 41 Tunnel Road in Berkeley.



Free Blood Pressure Health Fair

Posted on Jul 17, 2014

????????????????????????????????????????Learn how to manage your blood pressure through healthy
living! Join us for a fun health fair that will include informational
booths and interactive activities that will give you the information
you need to help control your high or low blood pressure.

• Cooking demonstrations
• Recipes
• Blood pressure health information
• Healthy giveaways

This event is FREE!

When: Wednesday, September 10
11 a.m. – 3 p.m.

Where: Albany Care Center
500 San Pablo Ave.
Albany CA 94706

SEBMF Opens Urgent Care Clinic in Castro Valley

Posted on Jul 10, 2014

????????On Monday, June 16, Sutter East Bay Medical Foundation (SEBMF) opened a new urgent care clinic in Castro Valley. Located on the first floor of SEBMF’s medical office building at 20101 Lake Chabot Rd., the clinic offers a convenient service for patients who need non-emergency care after their doctor’s office is closed, or on weekends and holidays.

The clinic provides expert, same-day care for adults and children. Staffed by both emergency physicians and primary care physicians, the urgent care team of doctors and support staff work closely together to provide prompt, quality and convenient care for medical conditions, that while not emergencies, require care within 24 hours. As part of the service, a complete treatment report is provided to the patient’s personal physician for follow up after the visit. In addition, SEBMF’s outpatient imaging and lab services, which are also located in the Castro Valley medical office building, now have extended hours to provide services to urgent care patients.


Jeffrey Leinen, M.D., FACEP, Urgent Care Medical Director.

“Patients will be able to get the outstanding care they have come to expect from Sutter Health in a convenient location,” said Urgent Care Medical Director Jeffrey Leinen, M.D., FACEP. “Plus, we work closely with their regular doctors after they come to us to ensure they continue to get proper care.”

Common conditions that can be treated include:sore throat, cold and flu, vomiting, diarrhea, asthma, headaches, ear infections, urinary tract infections, sprains, strains, bumps and bruises, and back pain, among others. Sutter Urgent Care does not provide emergency services. If a medical problem is life-threatening, you should call 911 or go to the hospital emergency room.

At this time, Sutter Urgent Care in Castro Valley is open from 5 to 9 p.m. Monday – Friday, and 10 a.m. to 2 p.m. Saturday, Sunday and holidays. Hours may be extended in the future. You can check hours and wait times at

Welcome Dr. Avis Logan

Posted on Jul 9, 2014

Dr. Avis LoganSutter East Bay Medical Foundation is pleased to welcome Avis Logan, M.D. Dr. Logan is a family medicine physician who has practiced in Oakland for more than 20 years. She began seeing patients at the Oakland Care Center in early June. Her special medical interests include preventative medicine through lifestyle management; women’s health with family planning; and caring for infants, children and teens.

Dr. Logan received her medical degree at the University of California, Davis School of Medicine. She completed her internship and residency at Santa Rosa Community Hospital, and a fellowship in faculty development at UCSF School of Medicine.

Dr. Logan is board certified in family medicine. She speaks English and conversational Spanish. Outside of work, Dr. Logan enjoys running, hiking and beachcombing.