The report on “Healthcare Worker Influenza Vaccination in Nursing Homes”
1
is very interesting. Campbell et al
1
reported that “Given that [nursing homes] generally have low employee influenza vaccination
rates, it may be necessary to target low-performing facilities to achieve substantial
improvements.” In fact, the problem of prevention for influenza among paramedical personnel
and students is an important issue that is usually forgotten.
2
,
3
To increase influenza vaccination is the aim of present infection control. Winston
et al
4
proposed an effective method to increase influenza vaccination rate among health
care workers: the “mandated H1N vaccination.” Winston et al
4
noted that “the mandate helped to increase [health care worker] influenza vaccination
rates dramatically.” Naleway et al
5
also noted that health care workers “said they would have been vaccinated if required
by their employer.” To increase the vaccination rate in nursing homes, the mandatory
vaccination policy should be applied for all centers and targeting “low-performing
facilities,” as suggested by Campbell et al,
1
might not give much advantage.To read this article in full you will need to make a payment
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References
Campbell LJ, Li Q, Li Y. Healthcare worker influenza vaccination in Oregon nursing homes: Correlates of facility characteristics [published online ahead of print. J Am Med Dir Assoc July 20, 2014]. http://dx.doi.org/10.1016/j.jamda.2014.06.005.
- Swine flu infection among medical students: an issue of concern.Am J Infect Control. 2009; 37: 868
- Hospital maid: A worker at risk of contracting swine flu.Int J Occup Environ Med. 2010; 1: 144-145
- Healthcare workers under a mandated H1N1 vaccination policy with employment termination penalty: A survey to assess employee perception.Vaccine. 2014; 32: 4786-4790
- Barriers and facilitators to influenza vaccination and vaccine coverage in a cohort of health care personnel.Am J Infect Control. 2014; 42: 371-375
Article info
Publication history
Published online: September 25, 2014
Identification
Copyright
© 2014 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.
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- Health Care Worker Influenza Vaccination in Oregon Nursing Homes: Correlates of Facility CharacteristicsJournal of the American Medical Directors AssociationVol. 15Issue 11
- PreviewWe appreciate the comments by Dr Sim and Dr Wiwanitkit on our article,1 where they raised some important issues regarding mandatory health care worker influenza vaccination programs. Although evidence suggests that mandatory vaccination policies increase health care worker vaccination rates in acute care settings,2–5 we note that there is a lack of evidence regarding the effectiveness of mandatory policies in long-term care settings and that there are legal and ethical challenges to mandatory vaccination.
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