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Thoughts on employer mandatory Flu vaccine...
And who is more likely to transmit the flu to them the person that is vaccinated or the unvaccinated one?
Well if the person who is vaccinated is only marginally protected from 3 strains of the virus, I don't know. If you're a patient and are concerned about it, then get the flu shot. It shouldn't be forced on anyone.
Well if the person who is vaccinated is only marginally protected from 3 strains of the virus, I don't know. If you're a patient and are concerned about it, then get the flu shot. It shouldn't be forced on anyone.
For a healthy young adult getting the flu shot can confer an immunity of up to 90+%. It varies widely from year to year, but the average seems to between 50-80+% for healthy young adults which most nurses would fall into this category.
Influenza vaccines are a proven way to protect patients and reduce mortality, if you don't want the flu shot then find a job/state where it isn't mandatory and/or profession where EBP is not needed as much.
For a healthy young adult getting the flu shot can confer an immunity of up to 90+%. It varies widely from year to year, but the average seems to between 50-80+% for healthy young adults which most nurses would fall into this category.Influenza vaccines are proven way to protect patients and reduce mortality, if you don't want the flu shot then find a job/state where it isn't mandatory and/or profession where EBP is not needed as much.
Where are you getting that information from? The CDC doesn't even say that.
EBP? Seriously? 50-60% Have you also looked at the studies where it shown that patients 65% had 9% immunity?
Where are you getting that information from? The CDC doesn't even say that.EBP? Seriously? 50-60% Have you also looked at the studies where it shown that patients 65% had 9% immunity?
Yes, I have and I even posted one of the literature reviews on flu vaccine effectiveness on another thread you are subscribed to.
When you look at the different age groups then you will understand the difference in flu vaccine effectiveness.
"Lancet Infect Dis. 2012 Jan;12(1):36-44. doi: 10.1016/S1473-3099(11)70295-X. Epub 2011 Oct 25.
[h=1]Efficacy and effectiveness of influenza vaccines: a systematic review and meta-analysis.[/h]Osterholm MT, Kelley NS, Sommer A, Belongia EA.
[h=3]Author information[/h]
[h=3]Erratum in[/h]
[h=3]Abstract[/h][h=4]BACKGROUND:[/h]No published meta-analyses have assessed efficacy and effectiveness of licensed influenza vaccines in the USA with sensitive and highly specific diagnostic tests to confirm influenza.
[h=4]METHODS:[/h]We searched Medline for randomised controlled trials assessing a relative reduction in influenza risk of all circulating influenza viruses during individual seasons after vaccination (efficacy) and observational studies meeting inclusion criteria (effectiveness). Eligible articles were published between Jan 1, 1967, and Feb 15, 2011, and used RT-PCR or culture for confirmation of influenza. We excluded some studies on the basis of study design and vaccine characteristics. We estimated random-effects pooled efficacy for trivalent inactivated vaccine (TIV) and live attenuated influenza vaccine (LAIV) when data were available for statistical analysis (eg, at least three studies that assessed comparable age groups).
[h=4]FINDINGS:[/h]We screened 5707 articles and identified 31 eligible studies (17 randomised controlled trials and 14 observational studies). Efficacy of TIV was shown in eight (67%) of the 12 seasons analysed in ten randomised controlled trials (pooled efficacy 59% [95% CI 51-67] in adults aged 18-65 years). No such trials met inclusion criteria for children aged 2-17 years or adults aged 65 years or older. Efficacy of LAIV was shown in nine (75%) of the 12 seasons analysed in ten randomised controlled trials (pooled efficacy 83% [69-91]) in children aged 6 months to 7 years. No such trials met inclusion criteria for children aged 8-17 years. Vaccine effectiveness was variable for seasonal influenza: six (35%) of 17 analyses in nine studies showed significant protection against medically attended influenza in the outpatient or inpatient setting. Median monovalent pandemic H1N1 vaccine effectiveness in five observational studies was 69% (range 60-93).
[h=4]INTERPRETATION:[/h]Influenza vaccines can provide moderate protection against virologically confirmed influenza, but such protection is greatly reduced or absent in some seasons. Evidence for protection in adults aged 65 years or older is lacking. LAIVs consistently show highest efficacy in young children (aged 6 months to 7 years). New vaccines with improved clinical efficacy and effectiveness are needed to further reduce influenza-related morbidity and mortality."
Efficacy and effectiveness of influenza va... [Lancet Infect Dis. 2012] - PubMed - NCBI
Curr Top Microbiol Immunol. 2009;333:43-82. doi: 10.1007/978-3-540-92165-3_3.
[h=1]"Seasonal influenza vaccines.[/h]Fiore AE, Bridges CB, Cox NJ.
[h=3]Author information[/h]
[h=3]Abstract[/h]Influenza vaccines are the mainstay of efforts to reduce the substantial health burden from seasonal influenza. Inactivated influenza vaccines have been available since the 1940s and are administered via intramuscular injection. Inactivated vaccines can be given to anyone six months of age or older. Live attenuated, cold-adapted influenza vaccines (LAIV) were developed in the 1960s but were not licensed in the United States until 2003, and are administered via nasal spray. Both vaccines are trivalent preparations grown in eggs and do not contain adjuvants. LAIV is licensed for use in the United States for healthy nonpregnant persons 2-49 years of age.Influenza vaccination induces antibodies primarily against the major surface glycoproteins hemagglutinin (HA) and neuraminidase (NA); antibodies directed against the HA are most important for protection against illness. The immune response peaks at 2-4 weeks after one dose in primed individuals. In previously unvaccinated children
Seasonal influenza vaccines. [Curr Top Microbiol Immunol. 2009] - PubMed - NCBI
Well if the person who is vaccinated is only marginally protected from 3 strains of the virus, I don't know. If you're a patient and are concerned about it, then get the flu shot. It shouldn't be forced on anyone.
Not all patients can be immunized. All patients have the right to expect that health care providers will adhere to standard of practice in reducing the spread of disease.
wtbcrna, MSN, DNP, CRNA
5,128 Posts
And who is more likely to transmit the flu to them the person that is vaccinated or the unvaccinated one?