Some thoughts on influenza vaccine and regular influenza vaccination for healthcare workers
YAO Kai-Hu
National Center for Children's Health/Beijing Children's Hospital, Capital Medical University/Laboratory of Microbiology, Beijing Pediatric Research Institute/National Key Discipline of Pediatrics(Capital Medical University)/Key Laboratory of Major Diseases in Children, Ministry of Education, National Clinical Research Center for Respiratory Diseases/Beijing Key Laboratory of Pediatric Respiratory Infection Diseases, Beijing 100045, China
Abstract It has been 100 years since the 1918 influenza pandemic but influenza is still an uncontrolled infectious disease. In some developed countries, the coverage rate of influenza vaccine can reach as high as 60%-70%, and even up to 90% or higher in some specific population, such as the elderly and healthcare workers. The coverage rate of influenza vaccination in Chinese people, however, is very low, only about 2%-3% per year. The limitations of influenza vaccine, and the purpose and significance of influenza vaccination, the imbalance of vaccine information and the importance of inoculation for healthcare workers are discussed in this paper. The resistance to popularize influenza vaccination is explored from different perspectives. It is hoped that more people will recognize the objective epidemiological data, and get rid of misunderstandings based on their experiences. Healthcare workers in particular, and the general population, should be encouraged to have an influenza vaccination.
Jorgensen P, Mereckiene J, Cotter S, et al. How 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 programmers, 2008/2009 to 2014/2015[J]. Vaccine, 2018, 36(4):442-452.
[4]
Centers for Disease Control and Prevention. Flu vaccination coverage, United States, 2016-17 influenza season[EB/OL].[2018-07-28]. https://www.cdc.gov/flu/fluvaxview/coverage-1617estimates.htm.
[5]
Yang J, Atkins KE, Feng L, et al. Seasonal influenza vaccination in China:Landscape of diverse regional reimbursement policy, and budget impact analysis[J]. Vaccine, 2016, 34(47):5724-5735.
National Center for Immunization and Respiratory Diseases, CDC; Centers for Disease Control and Prevention (CDC). Use of influenza A (H1N1) 2009 monovalent vaccine:recommendations of the Advisory Committee on Immunization Practices (ACIP), 2009[J]. MMWR Recomm Rep, 2009, 58(RR-10):1-8.
[17]
Song Y, Zhang T, Chen L, et al. Increasing seasonal influenza vaccination among high risk groups in China:Do community healthcare workers have a role to play?[J]. Vaccine, 2017, 35(33):4060-4063.
Zhou L, Su Q, Xu Z, et al. Seasonal influenza vaccination coverage rate of target groups in selected cities and provinces in China by season (2009/10 to 2011/12)[J]. PLoS One, 2013, 8(9):e73724.
Blanco N, Eisenberg MC, Stillwell T, et al. What transmission precautions best control influenza spread in a hospital?[J]. Am J Epidemiol, 2016, 183(11):1045-1054.
[23]
Amodio E, Restivo V, Firenze A, et al. Can influenza vaccination coverage among healthcare workers influence the risk of nosocomial influenza-like illness in hospitalized patients?[J]. J Hosp Infect, 2014, 86(3):182-187.
[24]
Hayward AC. Influenza vaccination of healthcare workers is an important approach for reducing transmission of influenza from staff to vulnerable patients[J]. PLoS One, 2017, 12(1):e0169023.
[25]
Kuster SP, Shah PS, Coleman BL, et al. Incidence of influenza in healthy adults and healthcare workers:a systematic review and meta-analysis[J]. PLoS One, 2011, 6(10):e26239.
Pereira M, Williams S, Restrick L, et al. Healthcare worker influenza vaccination and sickness absence-an ecological study[J]. Clin Med (Lond), 2017, 17(6):484-489.
[29]
Office of Disease Prevention and Health Promotion. Immunization and infectious diseases[EB/OL].[2018-07-30]. https://www.healthypeople.gov/2020/topics-objectives/topic/immunization-and-infectious-diseases/objectives.
Di Pietro ML, Poscia A, Teleman AA, et al. Vaccine hesitancy:parental, professional and public responsibility[J]. Ann Ist Super Sanita, 2017, 53(2):157-162.