Vaccination of healthcare workers: is mandatory vaccination needed?

Helena C. Maltezou · Kalliopi Theodoridou · Caterina Ledda · Venerando Rapisarda · Maria N. Theodoridou

122 citations0/0 files storedExpert Review of Vaccines

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Vaccine Coverage and Hesitancy Infection Control in Healthcare Immune responses and vaccinations

Abstract

INTRODUCTION: Vaccinations of healthcare workers (HCWs) aim to directly protect them from occupational acquisition of vaccine-preventable diseases (VPDs) and to indirectly protect their patients and the essential healthcare infrastructure. However, outbreaks due to VPDs continue to challenge healthcare facilities and HCWs are frequently traced as sources of VPDs to vulnerable patients. In addition, HCWs were disproportionately affected during the current measles outbreak in Europe. Areas covered: We reviewed the recent published information about HCWs vaccinations with a focus on mandatory vaccination policies. Expert commentary: Although many countries have vaccination programs specifically for HCWs, their vaccination coverage remains suboptimal and a significant proportion of them remains susceptible to VPDs. The increasing vaccination hesitancy among HCWs is of concern, given their role as trusted sources of information about vaccines. Mandatory vaccinations for HCWs are implemented for specific VPDs in few countries. Mandatory influenza vaccination of HCWs was introduced in the United States a decade ago with excellent results. Mandatory vaccinations for VPDs that may cause significant morbidity and mortality should be considered. Issues of mistrust and misconceptions about vaccinations should also be addressed.

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References

2016Vaccine hesitancy and healthcare providers 2017Influenza vaccination in healthcare workers: A comprehensive critical appraisal of the literature 2018Parental vaccine hesitancy in Italy – Results from a national survey 2017How close are countries of the WHO European Region to achieving the goal of vaccinating 75% of key risk groups against influenza? Results from national surveys on seasonal influenza vaccination programmes, 2008/2009 to 2014/2015 2010Revised SHEA Position Paper: Influenza Vaccination of Healthcare Personnel 2011Vaccination policies for health-care workers in acute health-care facilities in Europe 2016Addressing vaccine hesitancy: the crucial role of healthcare providers

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