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Ethics of mandatory vaccination for healthcare workers.
Euro Surveill. 2013 Nov 07; 18(45):20627.ES

Abstract

Healthcare workers (HCWs) are at increased risk of contracting infections at work and further transmitting them to colleagues and patients. Immune HCWs would be protected themselves and act as a barrier against the spread of infections and maintain healthcare delivery during outbreaks, but vaccine uptake rates in HCWs have often been low. In order to achieve adequate immunisation rates in HCWs, mandatory vaccination policies are occasionally implemented by healthcare authorities, but such policies have raised considerable controversy. Here we review the background of this debate, analyse arguments for and against mandatory vaccination policies, and consider the principles and virtues of clinical, professional, institutional and public health ethics. We conclude that there is a moral imperative for HCWs to be immune and for healthcare institutions to ensure HCW vaccination, in particular for those working in settings with high-risk groups of patients. If voluntary uptake of vaccination by HCWs is not optimal, patients’ welfare, public health and also the HCW’s own health interests should outweigh concerns about individual autonomy: fair mandatory vaccination policies for HCWs might be acceptable. Differences in diseases, patient and HCW groups at risk and available vaccines should be taken into consideration when adopting the optimal policy.

Authors+Show Affiliations

Department of Paediatrics and Joint Graduate Programme in Bioethics, University of Crete, Heraklion, Greece.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

24229791

Citation

Galanakis, E, et al. "Ethics of Mandatory Vaccination for Healthcare Workers." Euro Surveillance : Bulletin Europeen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin, vol. 18, no. 45, 2013, p. 20627.
Galanakis E, Jansen A, Lopalco PL, et al. Ethics of mandatory vaccination for healthcare workers. Euro Surveill. 2013;18(45):20627.
Galanakis, E., Jansen, A., Lopalco, P. L., & Giesecke, J. (2013). Ethics of mandatory vaccination for healthcare workers. Euro Surveillance : Bulletin Europeen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin, 18(45), 20627.
Galanakis E, et al. Ethics of Mandatory Vaccination for Healthcare Workers. Euro Surveill. 2013 Nov 7;18(45):20627. PubMed PMID: 24229791.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ethics of mandatory vaccination for healthcare workers. AU - Galanakis,E, AU - Jansen,A, AU - Lopalco,P L, AU - Giesecke,J, Y1 - 2013/11/07/ PY - 2013/11/16/entrez PY - 2013/11/16/pubmed PY - 2014/2/5/medline SP - 20627 EP - 20627 JF - Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin JO - Euro Surveill. VL - 18 IS - 45 N2 - Healthcare workers (HCWs) are at increased risk of contracting infections at work and further transmitting them to colleagues and patients. Immune HCWs would be protected themselves and act as a barrier against the spread of infections and maintain healthcare delivery during outbreaks, but vaccine uptake rates in HCWs have often been low. In order to achieve adequate immunisation rates in HCWs, mandatory vaccination policies are occasionally implemented by healthcare authorities, but such policies have raised considerable controversy. Here we review the background of this debate, analyse arguments for and against mandatory vaccination policies, and consider the principles and virtues of clinical, professional, institutional and public health ethics. We conclude that there is a moral imperative for HCWs to be immune and for healthcare institutions to ensure HCW vaccination, in particular for those working in settings with high-risk groups of patients. If voluntary uptake of vaccination by HCWs is not optimal, patients’ welfare, public health and also the HCW’s own health interests should outweigh concerns about individual autonomy: fair mandatory vaccination policies for HCWs might be acceptable. Differences in diseases, patient and HCW groups at risk and available vaccines should be taken into consideration when adopting the optimal policy. SN - 1560-7917 UR - https://www.unboundmedicine.com/medline/citation/24229791/Ethics_of_mandatory_vaccination_for_healthcare_workers_ L2 - http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=20627 DB - PRIME DP - Unbound Medicine ER -