Impact of Mandatory Vaccination of Healthcare Personnel on Rates of Influenza and Other Viral Respiratory Pathogens

Details

• Personal Author:
  Bessesen M ; Brown A ; Cummings DAT ; Gaydos CA ; Gibert CL ; Gorse GJ ; Nyquist A-C ; Perl TM ; Price CS ; Radonovich LJ Jr. ; Rattigan SM ; Reich N ; Rodriguez-Barradas MC ; Simberkoff MS
• Description:
  Objective: The implementation of mandatory influenza vaccination policies among healthcare personnel (HCP) is controversial. Thus, we examined the affect of mandatory influenza vaccination policies among HCP working in outpatient settings. Setting: Four Veterans' Affairs (VA) health systems and three non-VA medical centers. Methods: We analyzed rates of influenza and other viral causes of respiratory infections among HCP working in outpatient sites at 4 VA health systems without mandatory influenza vaccination policies and 3 non-VA health systems with mandatory influenza vaccination policies. Results: Influenza vaccination was associated with a decreased risk of influenza (odds ratio, 0.17; 95% confidence interval [CI], 0.13-0.22) but an increased risk of other respiratory viral infections (incidence rate ratio, 1.26; 95% CI, 1.02-1.57). Conclusions: Our fitted regression models suggest that if influenza vaccination rates in clinics where vaccination was not mandated had equalled those where vaccine was mandated, HCP influenza infections would have been reduced by 52.1% (95% CI, 51.3%-53.0%). These observations, their possible causes, and additional strategies to reduce influenza and other viral respiratory illnesses among HCP working in ambulatory clinics warrant further investigation. [Description provided by NIOSH]
• Subjects:
  Communicable Diseases Health Personnel Influenza, Human Occupational Health Respiratory System Respiratory Tract Diseases Safety
• Keywords:
  Health Care Personnel Infection Prevention Infectious Diseases Influenza Respiratory Infections Vaccines
• ISSN:
  0899-823X
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  Colorado ; District of Columbia ; Florida ; Maryland ; Massachusetts ; Missouri ; New York ; OSHA Region 1 ; OSHA Region 2 ; OSHA Region 3 ; OSHA Region 4 ; OSHA Region 6 ; OSHA Region 7 ; OSHA Region 8 ; Pennsylvania ; Texas
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  RHD - Respiratory Health Division
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  43
• Issue:
  9
• NIOSHTIC Number:
  nn:20063291
• Citation:
  Infect Control Hosp Epidemiol 2022 Sep; 43(9):1216-1220
• Contact Point Address:
  Michael S. Simberkoff MD., Veterans' Affairs (VA) New York Harbor Healthcare System and NYU Grossman School of Medicine, New York, New York
• Email:
  mike.simberkoffmd@va.gov
• Federal Fiscal Year:
  2022
• Peer Reviewed:
  True
• Source Full Name:
  Infection Control and Hospital Epidemiology
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:ae0b36321a292f968685941b297c73a4d85b03b24b3655ce4cd4a6ba3b18a4cfc1f26994d76ce0c9d8687d7efd5b75119425123d6ece6132a611467e4495f3de
• Download URL:
  https://stacks.cdc.gov/view/cdc/226379/cdc_226379_DS1.pdf
• File Type:
  [PDF - 277.45 KB ]