Physician attitudes towards influenza immunization and vaccine mandates

University of Pennsylvania, School of Medicine, Philadelphia, PA 19104, USA.
Vaccine (Impact Factor: 3.49). 03/2010; 28(13):2517-21. DOI: 10.1016/j.vaccine.2010.01.042
Source: PubMed

ABSTRACT We surveyed physicians' opinions and acceptance of influenza immunization.
A web-based survey was sent to all physicians in two academic departments during spring 2009.
227 (40.5%) physicians responded. Physicians who frequently cared for high-risk patients self-reported higher immunization rates than physicians with infrequent contact (P=0.0002). There were no significant differences in immunization rates between emergency medicine (EM) and internal medicine (IM), between those with and without children at home, nor by age group. A majority (84.6%) supported mandatory vaccination. IM physicians were more supportive of mandates than EM physicians (P<0.0001).
Self-reported immunization rates were high among study physicians. Acceptance of mandatory vaccination was substantial, but varied by specialty.

  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: It is well known that among the first motivations for modern control theory were dynamic optimization problems in rocket launching and navigation in aerospace. These problems had become especially important in the 1940s and 1950s due to requirement to minimize various costly resources and design parameters, such as flight time, amount (mass) of fuel, weight of the spacecraft, the drag forces and other items. This had to be done under various restrictions on control capacities and other complicating factors, such for example, as incomplete information on the system. Among the precious techniques of applied mathematics there had long been developed an adequate tool for such problems which is the Calculus of Variations. Problems in flight dynamics had become the earliest serious technical object for its application. A large number of new basic ideas for adapting Calculus of Variations to modern control problems and synthesizing them into modern control theory were elaborated in the course of investigations in flight dynamics. This presentation traces some seminal investigations, which were crucial for related theoretical developments in former Soviet Union and present Russia and had also influenced related research beyond national borders. Such investigations had good historical precursors in the earlier mathematical works of P.L. Chebyshev, A.M. Lyapunov, A.A. Markov, the works in mechanics by N.E. Zhukovski and S.A. Chaplygin and the activities in dynamic systems theory of the 1930s (A.A. Andronov, L.S. Pontryagin, et al.).The present paper is confined only to deterministic problems in trajectory analysis, control and optimization within the framework of mathematical theory of controlled processes. The national community of researchers involved in these topics was enormous, including those in the Academy of Sciences, the Universities and the numerous institutions and plants supervised by related industrial ministries. While giving tribute to all those involved, this paper does not claim to give a full review of available publications, concentrating on what the authors believe to be the seminal issues in the field. This publication will therefore inevitably have a subjective flavor. We sincerely apologize to all those whose contributions may have been missed.
    Annual Reviews in Control 01/2005; DOI:10.1016/j.arcontrol.2005.01.002 · 1.88 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: The emergence of 2009 pandemic H1N1 influenza A (pH1N1) has provided a unique challenge to influenza control in healthcare settings. We provide an overview of the early lessons from the 2009 pandemic. The modes of influenza transmission and their contributions to the development of infections remain unclear. Recent studies in the guinea pig model have demonstrated airborne transmission, but data from human studies and outbreaks are inconclusive. Data on physical interventions to prevent transmission support the use of hand hygiene, gowns, gloves, face shields and respiratory protection. The effectiveness of surgical masks compared to N95 respirators has been investigated, and there is evidence from one trial that surgical masks are noninferior to N95 respirators in preventing infection. Experiences with mandatory vaccination suggest that this is a highly successful approach to increase healthcare personnel vaccination rates. Lessons from pH1N1 have multiple implications for future pandemic preparedness planning. Further research is needed on appropriate respiratory protection for influenza. Mandatory vaccination programs should be considered in all healthcare settings. Pandemic preparedness plans should be revised, focusing on flexibility, communication, stockpiling of essential supplies, and staffing support for infection control.
    Current Opinion in Infectious Diseases 08/2010; 23(4):293-9. DOI:10.1097/QCO.0b013e32833bb804 · 5.03 Impact Factor
  • Source
    Infection Control and Hospital Epidemiology 10/2010; 31(10):987-95. DOI:10.1086/656558 · 3.94 Impact Factor