Accounting for the Spread of Vaccination Behavior to Optimize Influenza Vaccination Programs

Author(s):  
Dor Kahana ◽  
Dan Yamin

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0252510
Author(s):  
Dor Kahana ◽  
Dan Yamin

Vaccination is the most efficient means of preventing influenza infection and its complications. While previous studies have considered the externalities of vaccination that arise from indirect protection against influenza infection, they have often neglected another key factor–the spread of vaccination behavior among social contacts. We modeled influenza vaccination as a socially contagious process. Our model uses a contact network that we developed based on aggregated and anonymized mobility data from the cellphone devices of ~1.8 million users in Israel. We calibrated the model to high-quality longitudinal data of weekly influenza vaccination uptake and influenza diagnoses over seven years. We demonstrate how a simple coupled-transmission model accurately captures the spatiotemporal patterns of both influenza vaccination uptake and influenza incidence. Taking the identified complex underlying dynamics of these two processes into account, our model determined the optimal timing of influenza vaccination programs. Our simulation shows that in regions where high vaccination coverage is anticipated, vaccination uptake would be more rapid. Thus, our model suggests that vaccination programs should be initiated later in the season, to mitigate the effect of waning immunity from the vaccine. Our simulations further show that optimally timed vaccination programs can substantially reduce disease transmission without increasing vaccination uptake.



2018 ◽  
Vol 4 (1) ◽  
pp. 41 ◽  
Author(s):  
Nirma Khatri Vadlamudi ◽  
Fawziah Marra

Background: Many studies report vaccine uptake among young adults aged 18 to 49 years is low. In Canada, the National Advisory Committee on Immunization (NACI) recommends influenza vaccination for adults in contact with young children, however vaccination rates for this specific population are missing. An estimate is required to identify appropriate public health interventions. The objective of this study was to describe recent trends in influenza vaccination uptake among Canadian adults aged 18 to 49 years old living with or without young children.Methods: The Canadian Community Health Survey (2013-2014) dataset, available for public use was used after grouping individuals by influenza vaccination uptake within the past year in adults aged 18 to 49 years.  The relationship between living in a household with young children and influenza vaccination uptake was examined using a multivariable logistic regression model.Results: Among Canadian adults aged 18 to 49 years, the influenza vaccination uptake was 24.1% in adult household contacts with young children compared to 18.2% in those without young children (p<.0001). After adjusting for socio-demographic characteristics and self-perceived health, we determined that vaccine uptake was associated with living in a household with young children (adjusted OR: 1.30 [95%CI: 1.17-1.44]). While socio-demographic characteristics and self-perceived health greatly influenced influenza vaccination uptake, we also found marital status was a strong influencer of influenza vaccine uptake (adjusted OR:  1.31 [95%CI: 1.16-1.48]). Conclusion: Overall, influenza vaccination uptake among caregiving adults is low. Increased vaccine uptake was associated with living in a household with one or more young children. Targeted education and vaccination programs are required to improve uptake of the influenza vaccine in this age group.



2018 ◽  
Vol 31 (5) ◽  
pp. 214-217 ◽  
Author(s):  
Nikolija Lukich ◽  
Michael Kekewich ◽  
Virginia Roth

Each year, many healthcare organizations deal with low influenza immunization rates among staff. Mandatory influenza vaccination programs may be considered in order to address this issue. These types of programs have caused controversy in the past, as staff has argued that they infringe upon their liberties and right to autonomy. However, if viewed from a public health perspective, mandatory vaccination programs are beneficial for both employees and patients and can be justified. When individuals make the decision to work in the medical field, it is assumed that their values align with those of the organization for which they work. This overrides their right to autonomy, since they are expected to put the safety of their patients ahead of their own personal interests. Although some may argue that receiving a flu shot is unsafe, evidence has demonstrated the opposite, and the minimal discomfort that may result from a vaccine is not enough to negate the responsibilities that healthcare workers have toward the patients they serve.



2007 ◽  
Vol 28 (12) ◽  
pp. 1398-1400 ◽  
Author(s):  
Gwen Borlaug ◽  
Alexandra Newman ◽  
John Pfister ◽  
Jeffrey P. Davis

Hospitals and nursing homes were surveyed in 2006 to obtain information on employee influenza vaccination programs and baseline rates of influenza vaccination among employees. Results were used to make recommendations for improving employees' 2007 influenza vaccination rates. Facilities should continue to provide convenient and free vaccination programs, offer education to promote vaccination, and use signed declination forms.



2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Byung-Kwang Yoo ◽  
Stanley J. Schaffer ◽  
Sharon G. Humiston ◽  
Cynthia M. Rand ◽  
Nicolas P. N. Goldstein ◽  
...  


2012 ◽  
Vol 15 (4) ◽  
pp. 758-763 ◽  
Author(s):  
K. T. Bond ◽  
K. Jones ◽  
D. C. Ompad ◽  
D. Vlahov


2011 ◽  
Vol 7 (8) ◽  
pp. 864-867 ◽  
Author(s):  
Christopher S. Ambrose ◽  
Frangiscos Sifakis


2012 ◽  
Vol 8 (3) ◽  
pp. 312-322 ◽  
Author(s):  
Norberto Giglio ◽  
Angela Gentile ◽  
Lydia Lees ◽  
Paula Micone ◽  
Judith Armoni ◽  
...  


Medical Care ◽  
1986 ◽  
Vol 24 (5) ◽  
pp. 438-453 ◽  
Author(s):  
Daniel E. Montano


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