As the fall and winter months approach, there is increased concern over the spread of the H1N1 influenza virus.  All types of influenza infections increase in winter months.  H1N1 influenza is considered especially problematic since it is a new virus type and we uncertain about mode of transmission or who is most susceptible to infection.  A recent White House newsletter stated that an estimated 60 to 120 million Americans could become infected with the H1N1 virus this winter.  One population at highest risk is pregnant women.  When a woman is pregnant, her immune system is decreased which allows for higher infection rates and higher complication rates.  To decrease this risk, the Center for Disease Control has advised that all pregnant women should receive the H1N1 vaccine starting in mid-October.   The Women’s Health Group will be offering the H1N1 vaccine to our pregnant patients, as well as the standard influenza vaccine this fall once the medication is available.  If you have any concerns or think you may have been exposed the H1N1 virus, contact your physician.