According to the Centers for Disease Control and Prevention, this year's vaccine is thought to be about 32 percent effective, just like last year's.
A tough sell?
"Many people feel that all of the available vaccines for influenza in the United States can actually cause the flu," he said. "And these are killed vaccines; they can't cause anything other than pain and local inflammation. Or you can be allergic to the components. None of these vaccines can actually cause the flu."
Dominguez is an infectious disease specialist at Methodist Dallas Medical Center. He says people are also turned off to getting the vaccine when they hear it's only 32 percent effective.
Believe it or not, he says, that's not unusual.
"It turns out that that's about as good the flu vaccine has always been," he said. "Somewhere between 30-to-50 percent effective."
32 percent... and dropping?
Dominguez says by the time the season's over, we may discover the vaccine wasn't even 32 percent effective. That's because one of the strains of flu the shot protects against might be mutating. That means what's in the vaccine is a little different than the virus actually going around.
"And it doesn't take much of a mutation for that particular virus to become more aggressive, if you will, and for the vaccine to become less effective, even though it's very closely related to last year's strain," said Dominguez.
Dallas County reports this season, about 30 percent of flu tests from hospital labs were coming back positive in late December. At the same time last season, only about 6 percent of flu tests were positive.
"We won't know exactly how effective this vaccine was until we're past this flu season," Dominguez said. "I think if you talk to enough physicians, they're going to tell you that it's probably less than 30 percent."
And this season, Dominguez can speak from experience. He got the vaccine like he does every year and still got the flu-- then ended up in the emergency room with pneumonia.