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 WJV  Vol.4 No.4 , November 2014
Sustained Effectiveness of a Mandatory Employee Influenza Vaccination Policy at a Cancer Center
Abstract: Objectives: Despite the well-known advantages associated with immunization, it has proven difficult to achieve high levels of influenza vaccination among Health Care Professionals (HCPs). This report describes results of an influenza vaccination program implemented within a comprehensive cancer center. Methods: Using records from calendar years 2005-2013, we completed a retrospective analysis of annual influenza vaccination rates at this center. A mandatory influenza vaccination policy was implemented in 2010, while prior to that vaccination was encouraged but not required. Vaccinations are free to employees and distributed at various locations. Annual influenza vaccination rates were examined by calendar year and by occupational group (medical, nursing, administrative, scientific, other support staff). Results: High levels of adherence with the mandatory influenza policy were observed for all employee groups. Prior to influenza vaccine mandates flu vaccination rates ranged from ~30% - 40% and increased to 85% - 89% with the mandate. Conclusions: Robust influenza vaccination rates have been sustained since implementation of a vaccination mandate supporting further expansion of policies requiring influenza vaccination for HCPs.
Cite this paper: Mahoney, M. , Kozakiewicz, J. and Ray, A. (2014) Sustained Effectiveness of a Mandatory Employee Influenza Vaccination Policy at a Cancer Center. World Journal of Vaccines, 4, 157-163. doi: 10.4236/wjv.2014.44018.
References

[1]   Grohskopf, L.A., Shay, D.K., Shimabukuro, T.T., Sokolow, L.Z., Keitel, W.A., et al. (2013) Prevention and Control of Seasonal Influenza with Vaccines. Recommendations of the Advisory Committee on Immunization Practices—United States, 2013-2014. MMWR Recommendations and Reports, 62 (RR07), 1-43.

[2]   Thompson, W.W., Shay, D.K., Weintraub, E., et al. (2003) Mortality Associated with Influenza and Respiratory Syncytial Virus in the United States. JAMA, 289, 179-186.
http://dx.doi.org/10.1001/jama.289.2.179

[3]   Thompson, W.W., Shay, D.K., Weintraub, E., et al. (2004) Influenza-Associated Hospitalizations in the United States. JAMA, 292, 1333-1340.
http://dx.doi.org/10.1001/jama.292.11.1333

[4]   Zhou, H., Thompson, W.W., Viboud, C.G., et al. (2012) Hospitalizations Associated with Influenza and Respiratory Syncytial Virus in the United States, 1993-2008. Clinical Infectious Diseases, 54, 1427-1436.
http://dx.doi.org/10.1093/cid/cis211

[5]   Molinari, N.A., Ortega-Sanchez, I.R., Messonnier, M.L., et al. (2007) The Annual Impact of Seasonal Influenza in the US: Measuring Disease Burden and Costs. Vaccine, 25, 5086-5096.
http://dx.doi.org/10.1016/j.vaccine.2007.03.046

[6]   Ball, S.W., Donahue, S.M.A., Izrael, D., Walker, D.K., DiSogra, C., Martonik, R., et al. (2013) Influenza Vaccination Coverage among Health-Care Personnel—United States, 2012-13 Influenza Season. Morbidity and Mortality Weekly Report (MMWR), 62, 781-786.

[7]   Maltezou, H.C. (2008) Nosocomial Influenza: New Concepts and Practice. Current Opinion in Infectious Diseases, 21, 337-343.
http://dx.doi.org/10.1097/QCO.0b013e3283013945

[8]   Shefer, A., Atkinson, W., Friedman, C., et al. (2011) Immunization of Health-Care Personnel: Recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recommendations and Reports, 60, 1-45.

[9]   Poland, G.A., Tosh, P. and Jacobson, R.M. (2005) Requiring Influenza Vaccination for Health Care Workers: Seven Truths We Must Accept. Vaccine, 23, 2251-2255.
http://dx.doi.org/10.1016/j.vaccine.2005.01.043

[10]   Fiore, A.E., Uyeki, T.M., Broder, K., et al. (2010) Prevention and Control of Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices (ACIP), 2010. MMWR Recommendations and Reports, 59, 1-62.

[11]   Newcombe, R.G. (1998) Two-Sided Confidence Intervals for the Single Proportion: Comparison of Seven Methods. Statistics in Medicine, 17, 857-872.
http://dx.doi.org/10.1002/(SICI)1097-0258(19980430)17:8<857::AID-SIM777>3.0.CO;2-E

[12]   Harris, K.M., Uscher-Pines, L., Black, C.L., Euler, G.L., Singleton, J.A., et al. (2011) Influenza Vaccination Coverage among Health-Care Personnel—United States, 2010-11 Influenza Season. MMWR Morbidity and Mortality Weekly Report, 60, 1073-1077.

[13]   Takayanagi, I.J., Cardoso, M.R., Costa, S.F., Araya, M.E. and Machado, C.M. (2007) Attitudes of Health Care Workers to Influenza Vaccination: Why Are They Not Vaccinated? American Journal of Infection Control, 35, 56-61.
http://dx.doi.org/10.1016/j.ajic.2006.06.002

[14]   Hakim, H., Gaur, A.H. and McCullers, J.A. (2011) Motivating Factors for High Rates of Influenza Vaccination among Healthcare Workers. Vaccine, 29, 5963-5969.
http://dx.doi.org/10.1016/j.vaccine.2011.06.041

[15]   Poland, G.A. (2010) Mandating Influenza Vaccination for Health Care Workers: Putting Patients and Professional Ethics over Personal Preference. Vaccine, 28, 5757-5759.
http://dx.doi.org/10.1016/j.vaccine.2010.07.057

[16]   Caplan, A. (2011) Time to Mandate Influenza Vaccination in Health-Care Workers. The Lancet, 378, 310-311.
http://dx.doi.org/10.1016/S0140-6736(11)61156-2

[17]   Caplan, A. and Shah, N.R. (2013) Managing the Human Toll Caused by Seasonal Influenza: New York State’s Mandate to Vaccinate or Mask. JAMA, 310, 1797-1798.
http://dx.doi.org/10.1001/jama.2013.280633

[18]   Miller, B.L., Ahmed, F., Lindley, M.C. and Wortley, P.M. (2011) Institutional Requirements for Influenza Vaccination of Healthcare Personnel: Results from a Nationally Representative Survey of Acute Care Hospitals—United States, 2011. Clinical Infectious Diseases, 53, 1051-1059.
http://dx.doi.org/10.1093/cid/cir633

[19]   Pearson, M.L., Bridges, C.B. and Harper, S.A. (2006) Influenza Vaccination of Health-Care Personnel: Recommendations of the Healthcare Infection Control Practices Advisory Committee (HICPAC) and the Advisory Committee on Immunization Practices (ACIP). MMWR Recommendations and Reports, 55, 1-16.

[20]   Nowalk, M.P., Lin, C.J., Raymund, M., Bialor, J. and Zimmerman, R.K. (2013) Impact of Hospital Policies on Health Care Workers’ Influenza Vaccination Rates. American Journal of Infection Control, 41, 697-701. http://dx.doi.org/10.1016/j.ajic.2012.11.011

[21]   Zimmerman, R.K., Lin, C.J., Raymund, M., Bialor, J., Sweeney, P.M. and Nowalk, M.P. (2013) Hospital Policies, State Laws, and Healthcare Worker Influenza Vaccination Rates. Infection Control and Hospital Epidemiology, 34, 854-857. http://dx.doi.org/10.1086/671265

[22]   Nichol, K.L., Lind, A., Margolis, K.L., Murdoch, M., McFadden, R., Hauge, M., Magnan, S. and Drake, M. (1995) The Effectiveness of Vaccination against Influenza in Healthy, Working Adults. New England Journal of Medicine, 333, 889-893. http://dx.doi.org/10.1056/NEJM199510053331401

 
 
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