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Seasonal vaccination of health care workers

Seasonal vaccination of health care workers. Ted van Essen, general practitioner Julius Center for Health Sciences and Primary Care University Medical Center Utrecht,The Netherlands Vilamoura, September 15th, 2008. Julius Center.nl Health Sciences and Primary Care.

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Seasonal vaccination of health care workers

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  1. Seasonal vaccination of health care workers Ted van Essen, general practitioner Julius Center for Health Sciences and Primary Care University Medical Center Utrecht,The Netherlands Vilamoura, September 15th, 2008 Julius Center.nlHealth Sciences and Primary Care

  2. Influenza vaccination in 71 countries, 2002-2005 MIVSG 2007

  3. Vaccination rate (%) at-risk groups by agein the Netherlands, 2006 % Tacken MAJB et al. 2006

  4. Vaccination rate (%) at-risk groups by agein the Netherlands, 2006 ; HCW 2007 %

  5. Vaccination rate Dutch GPs 2007 (N=698) • Response questionnaire 96% • Vaccination rate 36% • Adj RR for not being vaccinated: • <40 year : 1,2 (95%CI 1,05-1,37) • female : 1,2 (95%CI 1,07-1,34)

  6. Vaccination rate (%) HCWs in different studies %

  7. F. Hofmann et al , Infection 2006 F. Hofmann et al , Infection 2006

  8. Motives for Dutch GPs to be vaccinated or not 2007 • Not vaccinated - I do not belong to an at-risk group 52% • I am protected by contacts with my patients 28% • I doubt the effectiveness 16% • I just forgot 14% • I fear the side effects 6% • Vaccinated • It reduces my risk for influenza 74% • It reduces the risk of transmission 36% • I belong to an at-risk group 17% • There were left-overs 7%

  9. Seasonal Influenza vaccination for HCWs Rachel Jordan, UK • What is the evidence on effectiveness of HCWs vaccination? • What is the evidence in implementation programs? Hans van Delden, The Netherlands • What are the ethical considerations? • Should influenza vaccination be mandatory for HCW? Dietmar Walter, Germany • Was the German program successful? • Do we need more evidence on implementation programs? Discussion based on position statements

  10. Discussion 1 HCWs attitudes are blocking progress towards higher vaccination rates.

  11. Discussion 2 HCWs indifference towards the benefits of vaccination is a threat to public health.

  12. Discussion 3 The annual vaccination of healthcare professionals reduces morbidity of their patients.

  13. Discussion 4 Better implementation programs are needed to increase HCWs vaccination.

  14. Discussion 5 Voluntary vaccination of HCWs will not work.

  15. Discussion 6 Mandatory influenza vaccination of HCWs is an ethically acceptable means to increase vaccination rates.

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