2020-21 Influenza vaccination campaign strategy as a model for the third COVID-19 vaccine dose?
Keywords:
Influenza vaccine, Vaccination Strategy, HCW vaccinationAbstract
Background and aim: Seasonal influenza exerts a deep and multi-level impact on population and public health systems. Among at risk groups, healthcare workers (HCWs) represent a crucial one due to the threat of absenteeism and consequent disruption of healthcare services (and economic losses). Also in this group vaccine hesitancy is a well known issue, therefore innovative and 360-degree strategies are urgently needed to overcome the problem.
Methods: in the 2020-21 influenza vaccination campaign in a research and teaching hospital in Milan, Italy, the working group implemented three different strategies: the offer of vaccination through both an ad hoc ambulatory and several itinerant (on site) vaccinating teams, a promotional and educational communication campaign, a gaming strategy
Results: vaccinated employees nearly doubled (2103 vs 1153 in 2019-20 flu vaccination campaign), reaching a comprehensive vaccination coverage rate (VCR) of 43,1%. A highly significant increase in the 40-59 age group was registered. While physicians and nursing staff confirmed to be the most represented categories among vaccinated subjects, administrative and auxiliary staffs performed the greatest increase compared to the previous campaign. The on site vaccination was clearly preferred than the ad hoc one (1693 HCWs, 80,5% vs 410, 19,5%). Vaccinated for the first time registered a significant increase (40,2% vs 36,2% in 2019-20 campaign).
Conclusions: such meaningful results confirm the effectiveness of the strategies implemented in the present campaign, suggesting their possible application in the debated COVID19-third-dose vaccination campaign.
References
Evaluation of influenza vaccination efficacy in reducing influenza-related complications and excess mortality inNorthern Italy (2014-2017) Marano, Giuseppe; Boracchi, Patrizia; Luconi, Ester; Pariani, Elena; Pellegrinelli, Laura; Galli, Cristina; Gandolfi Cecilia E; Magoni, Michele; Piro, Antonio; Scarcella, Carmelo; Castaldi, Silvana; Biganzoli, Elia M ISSN: 1476-0584 , 1744-8395; DOI: 10.1080/14760584.2021.1874927 Expert Review of Vaccines , 2021, Vol.20(1), p.73-81Hartley-Blossom ZJ, Healey TT. Percutaneous thermal ablation for lung cancer: an update. Surg Technol Int 2019; 34: 359-64.
Gianino MM, Politano G, Scarmozzino A, Stillo M, Amprino V, Di Carlo S, et al. Cost of Sickness Absenteeism during Seasonal Influenza Outbreaks of Medium Intensity among Health Care Workers. Int J Environ Res Public Health 2019;16(5). https://doi.org/10.3390/ijerph16050747
REPORT OF THE SAGE WORKING GROUP ON VACCINE HESITANCYhttps://www.who.int/immunization/sage/meetings/2014/october/1_Report_WORKING_GROUP_vaccine_hesitancy_final.pdf. 1 October 2014 [Consulted on 23/07/2021]
MacDonald NE; SAGE Working Group on Vaccine Hesitancy. Vaccine hesitancy: Definition, scope and determinants. Vaccine. 2015 Aug 14;33(34):4161-4. doi: 10.1016/j.vaccine.2015.04.036. Epub 2015 Apr 17. PMID: 25896383.
Betsch C, Böhm R, Chapman GB. Using Behavioral Insights to Increase Vaccination Policy Effectiveness. Policy Insights from the Behavioral and Brain Sciences. 2015;2(1):61-73.
MacDonald NE; SAGE Working Group on Vaccine Hesitancy. Vaccine hesitancy: Definition, scope and determinants. Vaccine. 2015 Aug 14;33(34):4161-4. doi: 10.1016/j.vaccine.2015.04.036. Epub 2015 Apr 17. PMID: 25896383.
World Health Organization Regional Office for Europe. Tailoring Immunization Programmes for SeasonalInfluenza (TIP FLU) A Guide for Increasing Health Care Workers’ Uptake of Seasonal Influenza Vaccination; WHO Regional Office for Europe: Copenhagen, Denmark, 2015.
Mustafa, M.; Al-Khal, A.; Al Maslamani, M.; Al Soub, H. Improving influenza vaccination rates of healthcareworkers: A multipronged approach in qatar. East. Mediterr. Heal. J. 2017, 23, 303–310.
Brunelli L, Antinolfi F, Malacarne F, Cocconi R, Brusaferro S. A Wide Range of Strategies to Cope with Healthcare Workers' Vaccine Hesitancy in A North-Eastern Italian Region: Are They Enough? Healthcare (Basel). 2020 Dec 23;9(1):4. doi: 10.3390/healthcare9010004. PMID: 33374510; PMCID: PMC7822214.
Dini G, Toletone A, Sticchi L, Orsi A, Bragazzi NL, Durando P. Influenza vaccination in healthcare workers: A comprehensive critical appraisal of the literature. Hum Vaccin Immunother. 2018 Mar 4;14(3):772-789. doi: 10.1080/21645515.2017.1348442. Epub 2017 Oct 20. PMID: 28787234; PMCID: PMC5861785.
Rashid H, Yin JK, Ward K, King C, Seale H, Booy R. Assessing Interventions To Improve Influenza Vaccine Uptake Among Health Care Workers. Health Aff (Millwood). 2016 Feb;35(2):284-92. doi: 10.1377/hlthaff.2015.1087. PMID: 26858382.
https://www.policlinico.mi.it/chi-siamo/organigramma/comunicazione-customer-care.
MacDonald NE; SAGE Working Group on Vaccine Hesitancy. Vaccine hesitancy: Definition, scope and determinants. Vaccine. 2015 Aug 14;33(34):4161-4. doi: 10.1016/j.vaccine.2015.04.036. Epub 2015 Apr 17. PMID: 25896383.
Betsch C, Böhm R, Chapman GB. Using Behavioral Insights to Increase Vaccination Policy Effectiveness. Policy Insights from the Behavioral and Brain Sciences. 2015;2(1):61-73. doi:10.1177/2372732215600716.
World Health Organization Regional Office for Europe. Tailoring Immunization Programmes for Seasonal Influenza (TIP FLU) A Guide for Increasing Health Care Workers’ Uptake of Seasonal Influenza Vaccination; WHO Regional Office for Europe: Copenhagen, Denmark, 2015.
Mustafa, M.; Al-Khal, A.; Al Maslamani, M.; Al Soub, H. Improving influenza vaccination rates of healthcare workers: A multipronged approach in qatar. East. Mediterr. Heal. J. 2017, 23, 303–310.
Maffeo M, Luconi E, Castrofino A, Campagnoli EM, Cinnirella A, Fornaro F, Gallana C, Perrone PM, Shishmintseva V, Pariani E, Castaldi S. 2019 Influenza Vaccination Campaign in an Italian Research and Teaching Hospital: Analysis of the Reasons for Its Failure. Int J Environ Res Public Health. 2020 May 30;17(11):3881.
Costantino C, Restivo V, Gaglio V, Lanza GLM, Marotta C, Maida CM, Mazzucco W, Casuccio A, Torregrossa MV, Vitale F. Effectiveness of an educational intervention on seasonal influenza vaccination campaign adherence among healthcare workers of the Palermo University Hospital, Italy. Ann Ig. 2019 Jan-Feb;31(1):35-44.
Dini G, Toletone A, Sticchi L, Orsi A, Bragazzi NL, Durando P. Influenza vaccination in healthcare workers: A comprehensive critical appraisal of the literature. Hum Vaccin Immunother. 2018 Mar 4;14(3):772-789.
Influenza Vaccination in Italian Healthcare Workers (2018–2019 Season): Strengths and Weaknesses. Results of a Cohort Study in Two Large Italian Hospitals. Panatto, Donatella; Lai, Piero Luigi; Mosca, Stefano; Lecini, Elvina; Orsi, Andrea; Signori, Alessio; Castaldi, Silvana; Pariani, Elena; Pellegrinelli, Laura; Galli, Cristina; Anselmi, Giovanni; Icardi, Giancarlo ISSN: 2076-393X , 2076-393X; DOI: 10.3390/vaccines8010119 Vaccines. , 2020, Vol.8(1), p.119
H1N1 influenza pandemic in Italy revisited: has the willingness to get vaccinated suffered in the long run? Ludolph, Ramona; Nobile, Marta; Hartung, Uwe; Castaldi, Silvana; Schulz, Peter J ISSN: 2279-9028 , 2279-9036; DOI: 10.4081/jphr.2015.559 Journal of public health research. , 2015, Vol.4(2), p.142-147
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