Start Mandating healthcare

Mandating healthcare

The majority of infected persons will recover in approximately 3-7 days.

It is important to note, however, that Hepatitis B vaccination is not mandated for individual HCWs, but rather institutions are mandated to offer the vaccine to all persons with the potential for blood exposures (Occupational Health and Safety Administration [OSHA], 1991).

Currently HCWs maintain the right to decline Hepatitis B vaccination (OSHA, 2009).

Secondary resources included the Cochrane Database and the Trip Database.

In addition epidemiological and survey data were retrieved from U. regulatory agencies and professional organizations, including the CDC, The Joint Commission (TJC), the U. Department of Health and Human Services (USDHHS), NFID, ANA, the Association of Professionals in Infection Control (APIC), and also the international World Health Organization.

As of October 30, 2009, the WHO (2009a) reported 440, 000 laboratory-confirmed cases of A(n H1N1) in 60 countries, resulting in 5,712 deaths. Final data on morbidity and mortality will be determined once the pandemic subsides.

A second example of a pandemic that had serious global consequences in terms of morbidity and mortality was the great influenza outbreak of 1918-1919, which resulted in the deaths of 30-100 million people worldwide and 675,000 deaths in the US (USDHHS, 2008).

The author searched Medline and CINAHL randomized controlled studies (RCT), case studies, case reports, editorials, and expert opinions, using the keywords: influenza vaccine, healthcare personnel, healthcare workers, patient safety, transmission, communicable disease, mandatory vaccination, and barriers to vaccination in preparing this article.

Initially the time frame for the search was 2001-2009; but due to the limited number of available studies, the search was expanded back to 1990.

While it is clear that increasing influenza vaccination in HCWs is important, it is less clear on how best to achieve this goal.

This article will address the seasonal prevention of influenza by presenting various viewpoints on this controversial issue.

Benefits and challenges of mandating both individual vaccination and institutional vaccination programs will be reviewed.