Should the H1N1 Vaccine be mandatory for Healthcare Professionals? - page 4
by brian 39,213 Views | 190 Comments Admin
This is a hot topic, so I thought I'd ask all your opinion of allnurses.com community. According a survey linked below, 87% of the public think we should? What do you as a healthcare provider think? Please take a second and... Read More
- 0Oct 5, '09 by jrw03282009Wasn't Typhoid Mary a cook? So if that were the case, not only nurses should be required to get vx'd, so should everyone that works at McDonalds, Luby's, Wal-Mart, etc be required to get vaccinated? (I know flu is not transmitted like typhoid, just trying to make a point). Just my thoughts...
- 8Oct 5, '09 by 300gQuote from jrw03282009...and, typhoid is caused by bacteria, not a virus. Despite both of those points,... a completely uneducated response by lamazeteacher.Wasn't Typhoid Mary a cook? So if that were the case, not only nurses should be required to get vx'd, so should everyone that works at McDonalds, Luby's, Wal-Mart, etc be required to get vaccinated? (I know flu is not transmitted like typhoid, just trying to make a point). Just my thoughts...
It infuriates me when people, especially medical professionals, compare influenza to any other vaccine. They're simply not the same. Our current medical approach will never eradicate the flu. Current medicine isn't preventing the spread from animal species (pig, bird) to humans or the combination of genes from human strains with animal strains... The influenza virus evolves rapidly and replaces a previous strain. Each season's flu vaccine is formulated from a previous influenza strain. A current vaccination may or may not produce immunity to a current strain. This is why people who always get the vaccine get sick one year when they didn't in previous years.
There is a very interesting (and scary) book about the flu, "Flu - The Story of the Great Influenza Pandemic of 1918 and the Search for the Virus That Caused It" by Gina Kolata. It includes information on the evolution of H1N1 ("swine flu") and H5N1 ("avian flu"). IMO, a must read.
Do not tell me what to put in my body. If I got sick with H1N1, I'd stay home, just like with any other strain of influenza. Don't wear a mask, stay home! You're full of crap if you think you can productively work an 8 or 12 hour shift without removing your mask.
As professionals, we should not be proliferating the media propaganda. Oh, this topic makes me angry.
- 1Oct 6, '09 by happydrunkcatNo, I do not trust the vaccine. Do you know, that Baxter had patented a flu vaccine covering these now infamous strains on August 28, 2008.
Baxter’s patent # US20090060950A1 includes “more than one antigen… such as influenza A and influenza B in particular selected from of one or more of the human H1N1, H2N2, H3N2, H5N1, H7N7, H1N2, H9N2, H7N2, H7N3, H10N7 subtypes, of the pig flu H1N1, H1N2, H3N1 and H3N2 subtypes, of the dog or horse flu H7N7, H3N8 subtypes, or of the avian H5N1, H7N2, H1N7, H7N3, H13N6, H5N9, H11N6, H3N8, H9N2, H5N2, H4N8, H10N7, H2N2, H8N4, H14N5, H6N5, H12N5 subtypes.”
As you may recall, the first swine flu case in Mexico didn’t emerge until mid-March, 2009, and the mixture of human-avian-swine viruses was considered to be quite an anomaly and not likely to occur through natural mutation…
There is a law suits against Baxter saying that they created the virus so they can have a profit from the vaccine.
I know, it is sounds a bit paranoid, but I'll wait till the end of this storyLast edit by happydrunkcat on Oct 6, '09
- 0Oct 6, '09 by mcknisMy body is simply that..."MY BODY." No one is going to force me to do anything that I do not want, and if I am uncomfortable with something, then I will not allow anyone to do anything to me. I do not feel ok with the H1N1 vaccine and no matter what others may state, it is not tested, and has not been proven to be safe! I know 'they' say it is safe, but 'they' include professionals who are paid to say a certain thing and who are the vaccines produced by? Pharmaceutical companies. Period. And, we all know that they don't get paid. Tis the reason why we no longer get our 'free' pens, but if we still could, I can imagine a "H1N1: the shot that will save your backside, maybe."
- 0Oct 6, '09 by classicdame GuideAnnual TB vaccines is no longer required by CDC except in high risk areas/situations (jails, etc)
As for flu - we are following CDC guidelines. If you are symptomatic you go home and you stay there till you are 24 hours without fever OR meds. With H1N1 that could be a month without pay
- 0Oct 6, '09 by D.R.A.I totally agree that it is difficult to accept that the vax is safe when we haven't had a chance to study it for a longer period to determine if there will be long term implications. When you add to that the fact that they mention that they are unsure if 1 or 2 vax's are needed, it just makes people MORE uneasy. Afterall, the public, including med pro's, see over and over medications deemed 'SAFE' being recalled due to serious injury or death. In my opinion, having a vax IS a serious medical decision, and the choice should remain with the individual. Once again, if your sick, stay home, and ALWAYS practice standard precautions.
- 1Oct 6, '09 by lamazeteacherI just listened to Dr. Auwaerter's comments on Medscape. He states that mandatory flu vaccine administration is in the same category as the obligatory wearing of automobile safety belts, and Child Passenger Safety Seats. Hmmmm
I'd say that a form for those declining the vaccine, is appropriate, and that those who refuse it, take a mandatory educational program/video with a test at the end, which includes the techniques for prevention of transmission of communicable disease; and actual research for safety of the vaccine accentuated.
Those who answer 80% of the questions on the test correctly, could work, unless s/s of flu are detected; and be closely observed, with daily throat checks by Occupational Health permitted. If that is refused, or more than 20% of the test questions are incorrect, (with the opportunity to retake the program and test at least 3 times, given) those health care workers (not just nurses, but including doctors, and all others who come in contact with patients or equipment used in their care), should be placed on administrative leave until the number of H1N1 cases reported to the CDC diminishes to an acceptable (?) level.Last edit by lamazeteacher on Oct 6, '09 : Reason: name spelling correction
- 1Oct 7, '09 by AreennNo they should not be mandatory. But they are in a few places and it is spreading. Soon nurses will have to stand together and all turn in resignations to fight it or take them. Our patiets have the right to refuse medical care but we do not. As we work with the public, it has been deterimined the public good outweighs our individual rights. Heil......who?
- 2Oct 7, '09 by Yin Yanglamazeteacher- that seems pretty ridiculous. Likening a mandatory flu vaccine to mandatory seatbelt laws is laughable at best. A requirement to wear a mask is closer to having to wear a seatbelt.
As far as taking the vaccine goes, I'll take my chances with getting the flu itself. I work in a busy ER and had about 10 positive Type A flus in 1 shift. I sure haven't gotten sick yet. I attribute it to 2 things. First, if you even have one symptom as an incoming patient, the PATIENT gets a mask as well as some education on transmission. Second, I wash my hands thoroughly almost constantly. It's bad enough that hospitals are forcing employees to get seasonal flu vaccines...there comes a point when we have to draw a line in the sand. My line is drawn right on top of the H1N1 vaccine. Good luck finding nurses to replace those of us who refuse, if they make it mandatory!
- 4Oct 7, '09 by lamazeteacher"A survey conducted in mid-September by the Harvard School of Public Health found that 53% of adults intended to get the H1N1 vaccine for themselves, but only 40% of adults were "absolutely certain" they would. Of the adults who did not intend to get the vaccine, or who were otherwise uncertain, 30% cited possible adverse effects as the reason, while 20% worried about contracting influenza from the vaccine.
Likewise, only 51% of parents were "absolutely certain" that they will have their children vaccinated, and of the remaining parents, 38% cited adverse effects, and 33% were concerned their child might contract another major illness from the vaccine.
Dr. Frieden repeated earlier CDC assertions that the new vaccine is safe. "It's made in the same way that seasonal vaccine is made each year by the same manufacturers using the same methods in the same facilities." And the safety track record of the seasonal flu vaccine, he said, is excellent.
He also addressed a misconception that H1N1 influenza is a benign illness that does not necessarily require vaccination. "The flu isn't always mild," said Dr. Frieden. "It can kill you." Quote from Medscape
I gave you a "kudo", Yin Yang, as a thank you. However I don't agree with you! It seemed rather arbitrary/strange that you have "drawn a line in the sand" after seasonal flu vaccination, but before H1N1 vaccination. I believe that a rationale is essential when making decisions that effect my/your life and/or the lives of others.
Being an independant woman who hates being told how to run my personal life, I question any dicta from on high, regarding that. However in my professional life, I do what is best for me and my patients and family. I have a newborn granddaughter and want to have the H1N1 vaccine early, in order to keep her safe; and have recommended it to my son and daughter-in-law, her main caregivers (not that they'll take my advice, as the "twig doesn't fall far from the tree").
I have read the research studies performed on H1N1 vaccine, and feel certain that it is no more dangerous than seasonal flu vaccine. I have taken the seasonal vaccine yearly for the past 20 years without ill effect (other than a sore arm and a few muscle aches). I am well and working when others fall sick during the season when flu occurs; and now that I've retired, my friends who refuse the vaccine get sick, develop pneumonia, and I sail on, unscathed.
I went to a clinic last May when I thought I had H1N1 (2 days into it), but the test given then was neg. I took the Tamiflu ordered, as well as doxycycline and was well within a week (which you could say was the normal course of any bug). However I believe I took the safest course to protect me and others.