Vaccine-Preventable Diseases
Posted March 23, 2009

Mandatory flu vaccination program achieved almost total compliance

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A mandatory influenza vaccination campaign at BJC HealthCare achieved a 98.4% compliance rate, according to findings presented at The Society for Healthcare Epidemiology of America’s 2009 Annual Scientific Meeting held in San Diego.

Hillary Babcock, MD, MPH, of the Washington University School of Medicine in St. Louis, Mo. presented the results.

In October 2008, influenza vaccination was made a condition of employment for the 25,982 active employees. Medical or religious exemptions were allowed, as were requests for temporary postponement of vaccination.

Eleven employees were either not vaccinated or exempt for other reasons, 90 employees received religious exemptions and 321 employees received medical exemptions, resulting in the vaccination of 25,560 employees.

“Employees who had neither been vaccinated nor received an exemption by Dec. 15, 2008 had their employment suspended for 30 days,” Babcock said. “Those who were not vaccinated by Jan. 15, 2009 were terminated.” Eight employees refused vaccination and were terminated.

“Many of the exemption requests we received were based on misinformation, leading us to conclude that better communication may be helpful in instituting vaccination campaigns,” Babcock said. “We also believe that a standardized medical exemption form could simplify the request and review process.” – by Rob Volansky

For more information:

  • Babcock H. #517. Presented at: Annual Meeting of the Society for Healthcare Epidemiology of America; March 19-22, 2009; San Diego.

 
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Comments

Comment by William Buchta -- 4/6/2009 7:33:00 PM

I would appreciate an estimate of the administrative resources expended to arrive at this end, including the processing of over 400 exemptions. Are these exempted employees magically not a threat to patients simply because they refused vaccination? (meant facetiously, but you get the point.) Also, how many patient lives were saved at the cost of 8 jobs? We will never know, but every nosocomial case of influenza we have tracked at our hospital was linked to a non-hospital employee. Also, do you realize that only 300 million doses of vaccine are available annually for over 6 billion people on Earth? No big surprise that 90% goes to the Americas and W. Europe, 10% of the population, but the rest of the world is catching up proportionately (see WHO website). Roughly, an increase in demand from 5% of the world's population could double the demand for vaccine. Then what happens to the mandatory policy? Non-American colleauges think we are pompous asses to make such demands of our employees. Is the vaccine a good idea, yes! A rational tool for behavioral control, absolutely not.

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