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Mandatory influenza vaccination for all healthcare personnel: a review on justification, implementation and effectiveness.
Curr Opin Pediatr. 2017 10; 29(5):606-615.CO

Abstract

PURPOSE OF REVIEW

As healthcare-associated influenza is a serious public health concern, this review examines legal and ethical arguments supporting mandatory influenza vaccination policies for healthcare personnel, implementation issues and evidence of effectiveness.

RECENT FINDINGS

Spread of influenza from healthcare personnel to patients can result in severe harm or death. Although most healthcare personnel believe that they should be vaccinated against seasonal influenza, the Centers for Disease Control and Prevention (CDC) report that only 79% of personnel were vaccinated during the 2015-2016 season. Vaccination rates were as low as 44.9% in institutions that did not promote or offer the vaccine, compared with rates of more than 90% in institutions with mandatory vaccination policies. Policies that mandate influenza vaccination for healthcare personnel have legal and ethical justifications. Implementing such policies require multipronged approaches that include education efforts, easy access to vaccines, vaccine promotion, leadership support and consistent communication emphasizing patient safety.

SUMMARY

Mandatory influenza vaccination for healthcare personnel is a necessary step in protecting patients. Patients who interact with healthcare personnel are often at an elevated risk of complications from influenza. Vaccination is the best available strategy for protecting against influenza and evidence shows that institutional policies and state laws can effectively increase healthcare personnel vaccination rates, decreasing the risk of transmission in healthcare settings. There are legal and ethical precedents for institutional mandatory influenza policies and state laws, although successful implementation requires addressing both administrative and attitudinal barriers.

Authors+Show Affiliations

aDivision of General Pediatrics, Cohen Children's Medical Center, Northwell Health System, New Hyde Park, New York bDepartment of Pediatrics, Louisiana State University Health Sciences Center, Shreveport, Louisiana, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

28700416

Citation

Wang, Tiffany L., et al. "Mandatory Influenza Vaccination for All Healthcare Personnel: a Review On Justification, Implementation and Effectiveness." Current Opinion in Pediatrics, vol. 29, no. 5, 2017, pp. 606-615.
Wang TL, Jing L, Bocchini JA. Mandatory influenza vaccination for all healthcare personnel: a review on justification, implementation and effectiveness. Curr Opin Pediatr. 2017;29(5):606-615.
Wang, T. L., Jing, L., & Bocchini, J. A. (2017). Mandatory influenza vaccination for all healthcare personnel: a review on justification, implementation and effectiveness. Current Opinion in Pediatrics, 29(5), 606-615. https://doi.org/10.1097/MOP.0000000000000527
Wang TL, Jing L, Bocchini JA. Mandatory Influenza Vaccination for All Healthcare Personnel: a Review On Justification, Implementation and Effectiveness. Curr Opin Pediatr. 2017;29(5):606-615. PubMed PMID: 28700416.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Mandatory influenza vaccination for all healthcare personnel: a review on justification, implementation and effectiveness. AU - Wang,Tiffany L, AU - Jing,Ling, AU - Bocchini,Joseph A,Jr PY - 2017/7/13/pubmed PY - 2018/4/25/medline PY - 2017/7/13/entrez SP - 606 EP - 615 JF - Current opinion in pediatrics JO - Curr. Opin. Pediatr. VL - 29 IS - 5 N2 - PURPOSE OF REVIEW: As healthcare-associated influenza is a serious public health concern, this review examines legal and ethical arguments supporting mandatory influenza vaccination policies for healthcare personnel, implementation issues and evidence of effectiveness. RECENT FINDINGS: Spread of influenza from healthcare personnel to patients can result in severe harm or death. Although most healthcare personnel believe that they should be vaccinated against seasonal influenza, the Centers for Disease Control and Prevention (CDC) report that only 79% of personnel were vaccinated during the 2015-2016 season. Vaccination rates were as low as 44.9% in institutions that did not promote or offer the vaccine, compared with rates of more than 90% in institutions with mandatory vaccination policies. Policies that mandate influenza vaccination for healthcare personnel have legal and ethical justifications. Implementing such policies require multipronged approaches that include education efforts, easy access to vaccines, vaccine promotion, leadership support and consistent communication emphasizing patient safety. SUMMARY: Mandatory influenza vaccination for healthcare personnel is a necessary step in protecting patients. Patients who interact with healthcare personnel are often at an elevated risk of complications from influenza. Vaccination is the best available strategy for protecting against influenza and evidence shows that institutional policies and state laws can effectively increase healthcare personnel vaccination rates, decreasing the risk of transmission in healthcare settings. There are legal and ethical precedents for institutional mandatory influenza policies and state laws, although successful implementation requires addressing both administrative and attitudinal barriers. SN - 1531-698X UR - https://www.unboundmedicine.com/medline/citation/28700416/Mandatory_influenza_vaccination_for_all_healthcare_personnel:_a_review_on_justification_implementation_and_effectiveness_ L2 - http://dx.doi.org/10.1097/MOP.0000000000000527 DB - PRIME DP - Unbound Medicine ER -