As someone without a spleen and thus with compromised immunity which vaccine would be best to get first Flu or COVID?
COVID is more deadly but Flu is more prevalent presumably.
I'm not very comfortable answering that question specifically. And Im not sure there is much in the way of official advice along these lines.
I can only say that there has certainly been another covid wave recently, and whether that particular wave has peaked yet depends on what region you are in as far as I can tell from the official data. But the offical data on covid is also much weaker these days, and I have to make use of anecdotal indicators too, which also show that another wave has been underway in the last month or so. Whether levels of covid now go on to collapse before they eventually rise for the next wave I cannot say, that is the usual pattern but there is always the possibility that there wont be a huge decrease before the next increase I suppose.
Flu surveillance is yet another kettle of fish, which relies on sentinel surveillance rather than what we ended up with for surveillance in the covid pandemic. Signals from this system indicate that flu has started its typical uptick for this time of year, but this form of surveillance is nowhere near showing any sort of big seasonal flu outbreak yet, no looming epidemic indicators yet, and not comparable to the steeper upwards trend that was seen two years ago at this stage of the year, when we were rising towards what eventually became quite a nasty flu season that year. But flu levels are measuring higher than this time last year. This doesnt tell me much yet, it doesnt offer clues about whether flu will be bad this winter, only that it hasnt exploded yet. Which is fairly normal, the timing of any flu epidemics are quite variable but are usually quite some weeks later than now.
If it were me, I'd be trying to factor in more of a sense of any differences in my own personal risk from the two diseases in my thinking, as well as my own history of either catching the diseases or last being vaccinated against them, especially when it came to covid. If I were desperate to avoid covid then the last month or so would already have been a period where I was being a fair bit more cautious. I would have no great sense of if or when a flu epidemic might arrive this year beyond what I already said, and I certainly wouldnt want to be without a flu vaccine well before we get much further towards the end of the year. Try to get them both before too many more weeks pass.
Oh and there is no way I would presume that flu is currently more prevalent than Covid, the amounts of Covid that have been around since we removed restrictions has tended to be rather high in the grand scheme of things, whenever a covid wave has been in effect, which has been many times (I havent counted recently but we have had way more than 10 covid waves already as far as I recall). Flu might only rival covid for prevalence during the height of nasty flu epidemics, and even then I havent dont a proper formal comparison of estimated incidence rates on those occasions so Id need to do a lot more work to make that claim safely.