Almost all employees who had children less than 10 years of age reported that their children were up to date on routine childhood immunizations. However, far fewer had their children immunized against influenza in the prior year.
At our institution, there is an extensive campaign launched every fall to provide education about influenza and vaccine to all employees. We also provide around-the-clock vaccine availability free of charge. Although immunization is not yet mandatory at our hospital, we ask all employees who decline vaccine to fill out and sign a declination form. Typically, a high number of our health care workers are immunized against the seasonal flu; last year, 85% were immunized with 11% signing declinations. We would like to reach 100%.
Our study found that many myths and misconceptions remain regarding influenza immunization. These myths and misconceptions make it likely that many people will refuse influenza immunization even if it is offered free of charge in a program that includes education. Eighty-five percent coverage may be as good as it gets with voluntary programs.
In this unprecedented year of pandemic H1N1 influenza activity, the success of efforts to control the spread of disease and the resulting morbidity and mortality will depend on achieving good immunization coverage. Based on our national numbers, this is unlikely through voluntary programs. Firm mandates may be necessary.