Health-Care Worker Vaccination for Influenza: Strategies and Controversies

Eastern Virginia Medical School, 825 Fairfax Avenue, Suite 545, Norfolk, VA, 23507, USA, .
Current Infectious Disease Reports (Impact Factor: 1.68). 09/2012; 14(6). DOI: 10.1007/s11908-012-0291-3
Source: PubMed


Influenza infections cause significant morbidity and mortality throughout the world, and vaccination rates of health-care workers remain well below target goals. Strategies for increasing vaccination rates include mandatory vaccination of health-care workers, mandatory declination, employee incentives, intensive education, increased access to vaccines, and the use of social media to inform employees of the safety and efficacy of vaccination. While these strategies in combination have been shown to be effective in increasing vaccination rates, personal and religious objections, as well as the potential for infringing on individual autonomy, remain challenges in our efforts to bring health-care worker vaccination rates up to target goals.

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    • "In the case of adults, the Advisory Committee on Immunization Practices (ACIP) and a variety of healthcare organizations support mandatory seasonal influenza vaccination for healthcare workers (HCW), particularly given three decades of low compliance with voluntary vaccination (Derber and Shankaran 2012; Ottenberg et al. 2011). Although mandatory vaccination policies have been shown to be the strongest predictor of compliance with seasonal influenza vaccine uptake among both hospital-based and nonhospital-based HCW's (n=3,188; Rebmann et al. 2012), institutional and HCW resistance to such policies persist, with few published studies of HCW's perspectives on such mandates (Derber and Shankaran 2012; Ottenberg et al. 2011). Assessment of attitudes toward compulsory HIV vaccination among populations at elevated risk of HIV exposure, and in settings that might serve as venues for vaccine delivery, may support effective interventions to facilitate future HIV vaccine dissemination. "
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