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Draft 1: ACPM Resolution on
Mandatory Flu Vaccination for Healthcare Workers
Introduced by: ACPM
Subject: Mandatory Flu Vaccination for
Healthcare Workers
Whereas, Influenza infection is a
serious illness causing significant morbidity and
mortality and adversely affecting the public health
each year; and
Whereas, Influenza-infected
health-care personnel can transmit the deadly virus to
vulnerable patients; and
Whereas, Influenza-related
absenteeism among health-care personnel can cause
significant reductions in a health care organization’s
capacity to deliver care, especially during the time
of an epidemic or pandemic; and
Whereas, The Centers for Disease
Control and Prevention’s Healthcare Infection Control
Practices Advisory Committee and Advisory Committee on
Immunization Practices recommend that all health-care
personnel be vaccinated annually against influenza and
that facilities that employ health-care personnel
provide vaccine to their staff by using evidence-based
approaches that maximize vaccination rates (http://www.cdc.gov/mmwr/preview/mmwrhtml/rr55e209a1.htm);
and
Whereas, Influenza vaccination
coverage among health-care personnel remains low (<
50%) (http://www.cdc.gov/mmwr/preview/mmwrhtml/rr55e209a1.htm);
and
Whereas, Voluntary educational
campaigns have failed to achieve optimal vaccination
rates among health-care personnel; and
Whereas, The need to achieve a
very high influenza vaccination rate among health-care
personnel is a patient safety issue; and
Whereas, AMA policy indicates
that “Frontline physicians have an increased ethical
obligation to avail themselves of safe and effective
protective and preventive measures (for example,
influenza vaccine)” (CEJA Report 1, I-05; Policy
H-140.873); and
Whereas, The Association for
Professionals in Infection Control and Epidemiology
has endorsed mandatory influenza vaccination for
health-care professionals who have direct patient
contact (http://www.apic.org/Content/NavigationMenu/Press/NewsReleases/mand_flu_vaccination.pdf);
therefore be it
RESOLVED, That our American
Medical Association encourage health care
organizations to require influenza vaccination for all
health care personnel with direct patient contact
(except in the case of medical contraindications), as
long as such mandatory programs are not prohibited by
state law or contractual obligations; and be it
further
RESOLVED, That our AMA encourage
healthcare organizations to provide incentives for
health care personnel to receive an influenza
vaccination when mandatory programs cannot be
implemented.
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