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AJPH First Look, published online ahead of print Nov 13, 2008
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January 2009, Vol 99, No. 1 | American Journal of Public Health 24-29
© 2009 American Public Health Association
DOI: 10.2105/AJPH.2008.136440

HEALTH POLICY AND ETHICS

Requiring Influenza Vaccination for Health Care Workers

Olga Anikeeva, BHealthSci, Annette Braunack-Mayer, PhD and Wendy Rogers, PhD, DipObs, MRCGP, FRACGP

Olga Anikeeva and Annette Braunack-Mayer are with the Discipline of Public Health, School of Population Health and Clinical Practice, University of Adelaide, Adelaide, Australia. Wendy Rogers is with the Department of Medical Education, Flinders University, Adelaide.

Correspondence: Requests for reprints should be sent to Annette Braunack-Mayer, Discipline of Public Health, School of Population Health and Clinical Practice, Mail Drop 207, The University of Adelaide, Adelaide SA 5005, Australia (e-mail: annette.braunackmayer{at}adelaide.edu.au).

Annual influenza vaccination for health care workers has the potential to benefit health care professionals, their patients, and their families by reducing the transmission of influenza in the health care setting. Furthermore, staff vaccination programs are cost-effective for health care institutions because of reduced staff illness and absenteeism.

Despite international recommendations and strong ethical arguments for annual influenza immunization for health care professionals, staff utilization of vaccination remains low. We have analyzed the ethical implications of a variety of efforts to increase vaccination rates, including mandatory influenza vaccination.

A program of incentives and sanctions may increase health care worker compliance with fewer ethical impediments than mandatory vaccination.




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Influenza Vaccination and Health Care Workers: What About the Patients?
Christian T. K.-H. Stadtländer, PhD, MPH, MBA
AJPH Online, 16 Jan 2009 [Full text]

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