-- Robert Preidt
WEDNESDAY, Sept. 8 (HealthDay News) -- A group representing
America's pediatricians is urging that flu shots be mandatory for
all U.S. health-care workers in order to protect patients.
While many organizations have used voluntary programs in an
effort to improve coverage, flu vaccination rates among health-care
workers remain unacceptably low, said the members of the Committee
on Infectious Diseases at the American Academy of Pediatrics.
"Mandatory influenza immunization for all health-care personnel is ethically justified, necessary, and long overdue to ensure patient safety," they wrote in the AAP policy statement, which will appear in the October issue of the journal Pediatrics.
Immunization rates of 80 percent or higher are needed to achieve
the "herd immunity" required to have a major impact of flu
transmission by health-care workers, but current rates of flu
vaccination for this group remain near 40 percent, the authors
They noted that mandatory immunization for health-care workers
is not unusual. For example, many medical facilities require
specific vaccines and a tuberculin skin test as conditions of
employment or to be allowed to work in specific areas of an
Medical and religious exemptions to mandatory flu vaccination
can be granted on an individual basis, the statement authors
They offered a number of examples of the effectiveness of
mandatory flu vaccination policies. The Virginia Mason Medical
Center in Seattle achieved a 99 percent compliance rate after it
made influenza vaccination mandatory in 2005. The compliance rate
was 100 percent after the U.S. National Institutes of Health
Clinical Center made flu vaccination mandatory for employees who
had contact with patients.
Flu outbreaks are a common and serious public health problem.
Each year in the United States, influenza causes more than 36,000
deaths and 200,000 hospitalizations and costs the country $87
billion, according to the AAP statement.
The U.S. Centers for Disease Control and Prevention has more
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