Why Health Care Workers Decline Influenza Vaccination
ABSTRACT Influenza vaccine is essential to preventing influenza among health care workers and their patients. Therefore, the staff of the employee health clinic worked diligently to provide an opportunity for all employees to receive influenza vaccinations. Despite these efforts, a significant percentage of employees declined the vaccine. During the 2007-2008 influenza season, employees were instructed to either receive the influenza vaccine or decline in writing. The vaccination rate for all staff members and direct caregivers, during the 2007-2008 vaccination season, was 52%, with 35% declining and 13% not participating. In response to the 35% declining, data were analyzed to develop an effective educational tool focused on reasons for declination. This article presents an overview of the study, the reasons employees declined influenza vaccine, and strategies for improving vaccination rates.
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ABSTRACT: Culicoides spp. act as vectors for a number of viral diseases of animals including bluetongue in sheep. The aims of this study were to determine: (1) which Culicoides spp. are associated with sheep in The Netherlands; (2) the time of the day when they are most active; and (3) the effect of treatment of animals with a permethrin insecticide. Two pairs of sheep were each housed within mosquito tents of either one or two layers of netting and all trapped Culicoides spp. were identified microscopically. For the permethrin insecticide study, one of two pairs of sheep was treated with 3.6% permethrin and all animals were housed in tents of similar design. Of the 6210 midges captured, 54.1% were identified as C. chiopterus and 42.7% as C. obsoletus. C. imicola was not identified. The average insect feeding rate was 35-40% and midge activity was greatest around sunset. Permethrin treatment reduced the number of midges captured by 50% and also resulted in a decrease in the percentage of midges that had fed. The findings provide useful information on the behaviour and distribution of Culicoides spp. that will facilitate the development of appropriate control strategies to minimise the risk of insect-vector borne virus diseases such as bluetongue.The Veterinary Journal 12/2010; 190(2):230-5. DOI:10.1016/j.tvjl.2010.10.016 · 2.17 Impact Factor
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ABSTRACT: In this study examining public health workers' 2009 H1N1 and seasonal influenza vaccination uptake, a survey was conducted to assess flu vaccine acceptance, as well as behaviors and beliefs regarding acceptance, among public health workers in southeastern Tennessee. Factors found to be significantly associated with acceptance of the 2009 H1N1 vaccine were direct patient care, previous flu vaccination, vaccine safety concerns, and receipt of seasonal flu vaccine.American journal of infection control 08/2011; 40(3):267-9. DOI:10.1016/j.ajic.2011.05.010 · 2.33 Impact Factor
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ABSTRACT: A well targeted flu vaccine strategy can ensure that vaccines go to those who are at the highest risk of getting infected if unvaccinated. However, prior research has not explicitly examined the association between the risk of flu infection and vaccination rates. This study examines the relationship between the risk of flu infection and the probability of getting vaccinated. Nationally representative data from the US and multivariate regression models were used to estimate what individual characteristics are associated with (1) the risk of flu infection when unvaccinated and (2) flu vaccination rates. These results were used to estimate the correlation between the probability of infection and the probability of getting vaccinated. Separate analyses were performed for the general population and the high priority population that is at increased risk of flu related complications. We find that the high priority population was more likely to get vaccinated compared to the general population. However, within both the high priority and general populations the risk of flu infection when unvaccinated was negatively correlated with vaccination rates (r = -0.067, p<0.01). This negative association between the risk of infection when unvaccinated and the probability of vaccination was stronger for the high priority population (r = -0.361, p<0.01). There is a poor match between those who get flu vaccines and those who have a high risk of flu infection within both the high priority and general populations. Targeting vaccination to people with low socioeconomic status, people who are engaged in unhealthy behaviors, working people, and families with kids will likely improve effectiveness of flu vaccine policy.PLoS ONE 12/2011; 6(12):e26347. DOI:10.1371/journal.pone.0026347 · 3.53 Impact Factor