scholarly journals Mandate or Not Mandate: Knowledge, Attitudes, and Practices of Italian Occupational Physicians towards SARS-CoV-2 Immunization at the Beginning of Vaccination Campaign

Vaccines ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. 889
Author(s):  
Matteo Riccò ◽  
Pietro Ferraro ◽  
Simona Peruzzi ◽  
Federica Balzarini ◽  
Silvia Ranzieri
Keyword(s):  
Vaccination Campaign ◽  
Vaccine Hesitancy ◽  
Occupational Physicians ◽  
Vaccination Rates ◽  
Attitudes And Practices ◽  
Immunization Rates ◽  
Vaccination Campaigns ◽  
The Impact ◽  
Occupational Settings ◽  
Knowledge Attitudes And Practices

Vaccinations used to prevent coronavirus disease (COVID-19)—the disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)—are critical in order to contain the ongoing pandemic. However, SARS-CoV-2/COVID-19 vaccination rates have only slowly increased since the beginning of the vaccination campaign, even with at-risk workers (e.g., HCWs), presumptively because of vaccine hesitancy. Vaccination mandates are considered instrumental in order to rapidly improve immunization rates (but they minimize the impact of vaccination campaigns). In this study, we investigated the acceptance (i.e., knowledge, attitudes, and practices) from occupational physicians (OPs)) in regard to SARS-CoV-2/COVID-19 vaccination mandates. A total of 166 OPs participated in an internet-based survey by completing structured questionnaires. Adequate, general knowledge of SARS-CoV-2/COVID-19 was found in the majority of OPs. High perception of SARS-CoV-2 risk was found in around 80% of participants (79.5% regarding its occurrence, 81.9% regarding its potential severity). SARS-CoV-2/COVID-19 vaccination was endorsed by 90.4% of respondents, acceptance for SARS-CoV-2 vaccine was quite larger for mRNA formulates (89.8%) over adenoviral ones (59.8%). Endorsement of vaccination mandates was reported by 60.2% of respondents, and was more likely endorsed by OPs who exhibited higher concern for SARS-CoV-2 infection occurrence (odds ratio 3.462, 95% confidence intervals 1.060–11.310), who were likely to accept some sort of payment/copayment for SARS-CoV-2/COVID-19 vaccination (3.896; 1.607; 9.449), or who were more likely to believe HCWs not vaccinates against SARS-CoV-2 as unfit for work (4.562; 1.935; 10.753). In conclusion, OPs exhibited wide acceptance of SARS-CoV-2/COVID-19 vaccinations, and the majority endorsed vaccination mandates for HCWs, which may help improve vaccination rates in occupational settings.

Ethical Considerations and Practical Implications in Romanian Covid-19 Vaccination Campaign

2021 ◽  
Vol 66 (Special Issue) ◽  
pp. 156-157
Author(s):  
Petru Sandu ◽  
◽  
Maria Aluaș ◽  
Răzvan M. Cherecheș ◽  
◽  
...  
Keyword(s):  
Public Health ◽  
Vaccination Campaign ◽  
European Countries ◽  
Ethical Considerations ◽  
Vaccination Rates ◽  
One Year ◽  
High Level ◽  
Vaccination Campaigns ◽  
The Impact ◽  
Practical Implications

"Besides its undoubtable significant contribution to morbidity and mortality worldwide, the COVID-19 pandemic has had numerous political, social, economic, and public health implications. Vaccination, an already long debated public health ethics theme, has reoccurred in force, as the efforts of the scientific community to curb the pandemic resulted in a viable vaccine less than one year since COVID-19 was declared a pandemic. High-level, international negotiations dictated states’ COVID-19 vaccine availability in the first few months, therefore each national Government had to develop and deploy vaccination campaigns prioritizing certain population categories. This paper aims to present Romanian COVID-19 vaccination campaign, from its inception to the present days, by focusing on the ethical considerations (e.g. prioritization, coercion, non-discrimination) and their practical implications ( e.g. vaccination hesitancy, rates, fake news). Like most countries in the European Community, Romania has initially adopted a Rawlsian approach to vaccination, prioritizing the older adults and the individuals with chronic conditions. However, unlike other European countries, coercion was not considered in any form (e.g. extended mobility facilities for the vaccinated), more recently incentives such as food vouchers being discussed. The impact of these decisions on the vaccination rates and hesitancy are discussed in the context of other European countries examples of vaccination campaigns. "

Voluntary to Mandatory: Evolution of Strategies and Attitudes toward Influenza Vaccination of Healthcare Personnel

2012 ◽  
Vol 33 (1) ◽  
pp. 63-70 ◽  
Author(s):  
Kathleen Quan ◽  
David M. Tehrani ◽  
Linda Dickey ◽  
Eugene Spiritus ◽  
Denise Hizon ◽  
...  
Keyword(s):  
Influenza Vaccination ◽  
Vaccination Campaign ◽  
Vaccine Uptake ◽  
Healthcare Personnel ◽  
Vaccination Policy ◽  
Vaccination Rates ◽  
Hospital Policies ◽  
Mandatory Vaccination ◽  
Vaccination Campaigns ◽  
The Impact

Background.Assessing the relative success of serial strategies for increasing healthcare personnel (HCP) influenza vaccination rates is important to guide hospital policies to increase vaccine uptake.Objective.To evaluate serial campaigns that include a mandatory HCP vaccination policy and to describe HCP attitudes toward vaccination and reasons for declination.Design.Retrospective cohort study.Methods.We assessed the impact of serial vaccination campaigns on the proportions of HCP who received influenza vaccination during die 2006–2011 influenza seasons. In addition, declination data over these 5 seasons and a 2007 survey of HCP attitudes toward vaccination were collected.Results.HCP influenza vaccination rates increased from 44.0% (2,863 of 6,510 HCP) to 62.9% (4,037 of 6,414 HCP) after institution of mobile carts, mandatory declination, and peer-to-peer vaccination efforts. Despite maximal attempts to improve accessibility and convenience, 27.2% (66 of 243) of die surveyed HCP were unwilling to wait more than 10 minutes for a free influenza vaccination, and 23.3% (55 of 236) would be indifferent if they were unable to be vaccinated. In this context, institution of a mandatory vaccination campaign requiring unvaccinated HCP to mask during the influenza season increased rates of compliance to over 90% and markedly reduced the proportion of HCP who declined vaccination as a result of preference.Conclusions.A mandatory influenza vaccination program for HCP was essential to achieving high vaccination rates, despite years of intensive vaccination campaigns focused on increasing accessibility and convenience. Mandatory vaccination policies appear to successfully capture a large portion of HCP who are not opposed to receipt of die vaccine but who have not made vaccination a priority.Infect Control Hosp Epidemiol 2012;33(1):63-70

scholarly journals The long-term success of mandatory vaccination laws at implementing the first vaccination campaign in 19th century rural Finland

2020 ◽  
Author(s):  
Susanna Ukonaho ◽  
Virpi Lummaa ◽  
Michael Briga
Keyword(s):  
Vaccination Coverage ◽  
Vaccination Campaign ◽  
Vaccine Hesitancy ◽  
Childhood Infections ◽  
Health Practitioners ◽  
Mandatory Vaccination ◽  
Vaccination Campaigns ◽  
Public Health Practitioners ◽  
The Impact

In high income countries, childhood infections are on the rise, a phenomenon in part attributed to persistent hesitancy towards vaccines. To combat vaccine hesitancy, several countries recently made vaccinating children mandatory, but the effect of such vaccination laws on vaccination coverage remains debated and the long-term consequences are unknown. Here we quantified the consequences of vaccination laws on the vaccination coverage monitoring for a period of 63 years rural Finland's first vaccination campaign against the highly lethal childhood infection smallpox. We found that annual vaccination campaigns were focussed on children up to 1 year old, but that their vaccination coverage was low and declined with time until the start of the vaccination law, which stopped the declining trend and was associated with an abrupt coverage increase of 20 % to cover >80 % of all children. Our results indicate that vaccination laws had a long-term beneficial effect at increasing the vaccination coverage and will help public health practitioners to make informed decisions on how to act against vaccine hesitancy and optimise the impact of vaccination programmes.

scholarly journals Strategies that make vaccination easy and promote autonomy could increase COVID-19 vaccination in those who remain hesitant.

2021 ◽  
Author(s):  
Ingrid Eshun-Wilson ◽  
Aaloke Mody ◽  
Khai Hoan Tram ◽  
Cory Bradley ◽  
Alexander Scheve ◽  
...  
Keyword(s):  
Waiting Times ◽  
Vaccination Campaign ◽  
Vaccine Hesitancy ◽  
Public Preferences ◽  
Black African ◽  
Vaccination Rates ◽  
The Public ◽  
The Us ◽  
Vaccine Distribution ◽  
Vaccination Campaigns

The COVID-19 vaccination campaign in the US has been immensely successful in vaccinating those who are receptive, further increases in vaccination rates however will require more innovative approaches to reach those who remain hesitant, deliberative or indifferent. Phenomena such empty mass vaccination sites and wasted vaccine doses in some regions suggest that in addition to dispelling misinformation and building trust, developing more person-centered vaccination strategies, that are modelled on what people want could further increase uptake. To inform vaccine distribution strategies that are aligned with public preferences for COVID-19 vaccination campaign features we conducted a survey and discrete choice experiment among a representative sample of 2,895 people in the US, between March 15 and March 22, 2021. We found that on average the public prioritized ease, preferring single to two dose vaccinations, vaccinating once rather than annually and reduced waiting times at vaccination sites - for some these were the primary preference drivers. Vaccine enforcement reduced overall vaccine acceptance, with a trend of increasing control aversion with increasing vaccine hesitancy, particularly among those who were young, Black/African American or Republican. These data suggest that making vaccination easy and promoting autonomy by offering the public choices of vaccination brands and locations may increase uptake, and that vaccine mandates could compromise autonomy and increase control aversion in those who are hesitant - reducing vaccination in such groups and potentially undermining the goals of COVID-19 vaccination campaigns.

scholarly journals Using geospatial models to map zero-dose children: factors associated with zero-dose vaccination status before and after a mass measles and rubella vaccination campaign

2021 ◽  
Author(s):  
Rohan Arambepola ◽  
Yangyupei Yang ◽  
Kyle Hutchinson ◽  
Francis D Mwansa ◽  
Julie Ann Doherty ◽  
...  
Keyword(s):  
Vaccination Campaign ◽  
Fine Scale ◽  
Healthcare Facilities ◽  
Factors Associated ◽  
Catchment Areas ◽  
Before And After ◽  
Childhood Vaccines ◽  
A Prospective Study ◽  
Vaccination Campaigns ◽  
The Impact

Introduction: Despite gains in global coverage of childhood vaccines, many children remain undervaccinated. Vaccination campaigns also known as Supplemental Immunization Activity (SIA) are commonly conducted to reach those who are undervaccinated. However, reaching these children even during an SIA is challenging. We evaluated the effectiveness of an SIA in reaching zero dose children. Methods: We conducted a prospective study in 10 health center catchment areas in Southern province, Zambia in November 2020. About 2 months before the measles and rubella SIA we developed aerial satellite maps which were then used to enumerate and survey households. Zero dose children were identified during this exercise. After the SIA, households with zero dose children identified before the SIA were targeted for mop up vaccination and to assess if they were vaccinated during the SIA. A Bayesian geospatial model was used to identify factors associated with zero-dose status before the campaign and produce fine-scale prevalence maps. Models were used to identify factors associated with measles zero-dose children reached in the campaign and identify optimal locations for additional vaccination sites. Results: Before the vaccination campaign, 4% of children under 9 months were DTP zero-dose and 17% of children 9-60 months were measles zero-dose. Of the 461 measles zero-dose children identified before the vaccination campaign, 338 (73.3%) were vaccinated during the campaign, 118 (25.6%) were reached by a targeted mop-up activity. The presence of other children in the household, younger age, greater travel time to health facilities, and living between health facility catchment areas were associated with zero-dose status. Mapping zero-dose prevalence revealed substantial heterogeneity, both within and between catchment areas. Several potential locations were identified for additional vaccination sites. Conclusion: Fine-scale variation in zero-dose prevalence and the impact of accessibility to healthcare facilities on vaccination coverage were identified. Geospatial modeling can aid targeted vaccination activities.

scholarly journals PENGETAHUAN, SIKAP DAN PRAKTEK KONSERVASI LAHAN PADA AGROFORESTRY ILENGI

2019 ◽  
Vol 2 (1) ◽  
pp. 40
Author(s):  
Abdul Samad Hiola ◽  
Dian Puspaningrum
Keyword(s):  
Land Conservation ◽  
Conservation Practices ◽  
Attitudes And Practices ◽  
Knowledge And Attitudes ◽  
Attitudes And Perceptions ◽  
Level Of Knowledge ◽  
Educational Factors ◽  
The Impact ◽  
Knowledge Attitudes And Practices

AbstrackInformation on farmers' knowledge about land conservation practices in limited agroforestry is a barrier to the application of agroforestry. Land conservation practices and their adaptation by farmers in Modelidu Village by exploring their knowledge, attitudes, and perceptions in agroforestry. The purpose of this study was to determine the knowledge, attitudes and practices of land conservation in agroforestry of Ilengi.The results showed the level of knowledge and attitudes of respondents in Modelidu Village regarding the application of land conservation in agroforestry were in the low category (43% and 46%) to moderate (37% and 34%). So that the impact on practice is in the low category (66%) to moderate (28%). While the educational factors and attitudes of farmers influence the practice of applying land conservation in agroforestry of ilengi.  RingkasanInformasi pengetahuan yang terbatas tentang praktik konservasi lahan di agroforestri ilengi menjadi penghalang bagi penerapan agroforestri secara luas. Praktek konservasi lahan dan adaptasinya oleh  petani di Desa Modelidu dengan mengeksplorasi pengetahuan, sikap, dan persepsi mereka di agroforestri  ilengi. Tujuan penelitian ini untuk mengetahui pengetahuan, sikap dan praktek konservasi lahan di agroforestri  ilengi.Hasil penelitian menunjukan tingkat pengetahuan dan sikap sebagian besar petani responden di Desa Modelidu mengenai penerapan konservasi lahan di agroforestri  ilengi  berada  pada  kategori  buruk (43% dan 46%)  sampai dengan   sedang (37% dan 34%).  Sehingga berdampak pada praktik   berada pada kategori buruk (66%) sampai dengan sedang (28%).  Sedangkan faktor tingkat pendidikan dan sikap petani responden yang  mempengaruhi  praktik  penerapan konservasi lahan di agroforestri  ilengi.

scholarly journals Seroprevalence of anti-SARS-CoV-2 antibodies six months into the vaccination campaign in Geneva, Switzerland

2021 ◽  
Author(s):  
Silvia Stringhini ◽  
María-Eugenia Zaballa ◽  
Nick Pullen ◽  
Javier Perez-Saez ◽  
Carlos de Mestral ◽  
...  
Keyword(s):  
Vaccination Campaign ◽  
Age Groups ◽  
Credible Interval ◽  
Population Based ◽  
Vaccine Hesitancy ◽  
Socioeconomically Disadvantaged ◽  
Cross Sectional ◽  
Vaccination Rates ◽  
Health Measures ◽  
Random Samples

Background: Up-to-date seroprevalence estimates are critical to describe the SARS-CoV-2 immune landscape in the population and guide public health measures. We aimed to estimate the seroprevalence of anti-SARS-CoV-2 antibodies 15 months into the COVID-19 pandemic and six months into the vaccination campaign. Methods: We conducted a population-based cross-sectional serosurvey between June 1 and July 7, 2021, recruiting participants from age- and sex-stratified random samples of the general population. We tested participants for anti-SARS-CoV-2 antibodies targeting the spike (S) or nucleocapsid (N) proteins (Roche Elecsys immunoassays). We estimated the anti-SARS-CoV-2 antibodies seroprevalence following vaccination and/or infection (anti-S antibodies), or infection only (anti-N antibodies). Results: We included 3355 individuals, of which 1814 (54.1%) were women, 697 (20.8%) were aged <18 years and 449 (13.4%) were aged ≥65 years, 2161 (64.4%) tested positive for anti-S antibodies, and 906 (27.0%) tested positive for anti-N antibodies. The total seroprevalence of anti-SARS-CoV-2 antibodies was 66.1% (95% credible interval, 64.1-68.0). Considering the presence of anti-N antibodies, we estimated that 29.9% (28.0-31.9) of the population developed antibodies after infection; the rest having developed antibodies only via vaccination. Seroprevalence estimates were similar across sexes, but differed markedly across age groups, being lowest among children aged 0-5 years (20.8% [15.5-26.7]) and highest among older adults aged ≥75 years (93.1% [89.6-96.0]). Seroprevalence of antibodies developed via infection and/or vaccination was higher among participants with a higher educational level. Conclusions: Most adults have developed anti-SARS-CoV-2 antibodies, while most teenagers and children remain vulnerable to infection. As the SARS-CoV-2 Delta variant spreads and vaccination rates stagnate, efforts are needed to address vaccine hesitancy, particularly among younger individuals and socioeconomically disadvantaged groups, and to minimize spread among children.

Practical Approaches to Optimize Adolescent Immunization

2018 ◽  
pp. 146-165
Author(s):  
Henry H. Bernstein ◽  
Joseph A. Bocchini
Keyword(s):  
American Academy ◽  
Health Care Providers ◽  
Vaccine Hesitancy ◽  
Clinical Report ◽  
Immunization Schedule ◽  
Vaccination Rates ◽  
Immunization Rates ◽  
Parental Concerns ◽  
Control And Prevention ◽  
Adolescent Vaccination

With the expansion of the adolescent immunization schedule during the past decade, immunization rates notably vary by vaccine and by state. Addressing barriers to improving adolescent vaccination rates is a priority. Every visit can be viewed as an opportunity to update and complete an adolescent’s immunizations. It is essential to continue to focus and refine the appropriate techniques in approaching the adolescent patient and parent in the office setting. Health care providers must continuously strive to educate their patients and develop skills that can help parents and adolescents overcome vaccine hesitancy. Research on strategies to achieve higher vaccination rates is ongoing, and it is important to increase the knowledge and implementation of these strategies. This clinical report focuses on increasing adherence to the universally recommended vaccines in the annual adolescent immunization schedule of the American Academy of Pediatrics, the American Academy of Family Physicians, the Centers for Disease Control and Prevention, and the American Congress of Obstetricians and Gynecologists. This will be accomplished by (1) examining strategies that heighten confidence in immunizations and address patient and parental concerns to promote adolescent immunization and (2) exploring how best to approach the adolescent and family to improve immunization rates.

Association of Presence of a School Nurse With Increased Sixth-Grade Immunization Rates in Low-Income Arizona Schools in 2014–2015

2019 ◽  
Vol 36 (5) ◽  
pp. 360-368
Author(s):  
J. Mac McCullough ◽  
Rebecca Sunenshine ◽  
Ramona Rusinak ◽  
Patty Mead ◽  
Bob England
Keyword(s):  
Low Income ◽  
Communicable Disease ◽  
Sixth Grade ◽  
School Nurse ◽  
School Nurses ◽  
School Level ◽  
Licensed Practical Nurse ◽  
Vaccination Rates ◽  
Immunization Rates ◽  
The Impact

School nurses often play large roles in implementation of school vaccination requirements aimed at controlling the spread of communicable disease. We analyzed the association between the presence of a school nurse and school-level vaccination rates in Arizona. Using school-level data from Arizona sixth-grade schools ( n = 749), we regressed average sixth-grade school-level immunization rates on presence of a school nurse (registered nurse [RN] or licensed practical nurse [LPN]) and school-level socioeconomic status (SES), controlling for other school- and district-level characteristics. Schools with a nurse had higher overall vaccination rates than those without a nurse (96.1% vs. 95.0%, p < .01). For schools in the lowest SES quartile, the presence of a school nurse was associated with approximately 2 percentage point higher immunization rates. These findings add to the growing literature that defines the impact of school nurses on student health status and outcomes, emphasizing the value of school nurses, especially in lower SES schools.

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