Evidence map›Paper›PMID 31635299›Full record

ReviewInternational journal of environmental research and public health2019

To Be or Not to Be Vaccinated? The Ethical Aspects of Influenza Vaccination among Healthcare Workers.

Wim Leo Celina Van Hooste, Micheline Bekaert

Registry-linked trialAbstract readReview
In one paragraph

Review in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05521763 (Seasonal Influenza Vaccine Uptake Among Health Care Workers Following Awareness and Availability of Influenza Vaccine Supply in Tertiary Care Hospitals, Bangladesh), which is not on this map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05521763 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Seasonal Influenza Vaccine Uptake Among Health Care Workers Following Awareness and Availability of Influenza Vaccine Supply in Tertiary Care Hospitals, Bangladesh

TypeinterventionalSponsorInternational Centre for Diarrhoeal Disease Research, BangladeshRan2022 to 2023Enrolled3,000ConditionsInfluenza VaccinesArmsensuring the availability of influenza vaccine supply & developing influenza vaccine awareness
3 · Its place in the literature

Who cites it

25 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Supporting healthcare workers in vaccination efforts.Human vaccines & immunotherapeutics · 2023
    Article
  9. Article
  10. The issue of vaccine refusal: the study of a risky behavior.Clinical and experimental vaccine research · 2023
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. COVID-19 and Influenza Vaccination Campaign in a Research and University Hospital in Milan, Italy.International journal of environmental research and public health · 2022
    Article
  17. Debate on mandatory COVID-19 vaccination.Ethics, medicine, and public health · 2022
    Article
  18. Article
  19. Ethical review of COVID-19 vaccination requirements for transplant center staff and patients.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2022
    Article
  20. Influenza Vaccination Programs for Healthcare Personnel: Organizational Issues and Beyond.International journal of environmental research and public health · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Wim Leo Celina Van HoosteOccupational Health Services-External Service for Prevention and Protection at Work, Opvoedingstraat 143, B-9000 Gent, Belgium. wim.vanhooste@mediwet.be.ORCID 0000-0001-8901-115X
Micheline BekaertOccupational Health Services-External Service for Prevention and Protection at Work, Opvoedingstraat 143, B-9000 Gent, Belgium. micheline.bekaert@mediwet.be.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Influenza is a highly contagious airborne disease with a significant morbidity and mortality burden. Seasonal influenza (SI) vaccination has been recommended for healthcare workers (HCWs) for many years. Despite many efforts to encourage HCWs to be immunized against influenza, vaccination uptake remains suboptimal. Sometimes there is a significant sign of improvement, only if numerous measures are taken. Is 'the evidence' and 'rationale' sufficient enough to support mandatory influenza vaccination policies? Most voluntary policies to increase vaccination rates among HCWs have not been very effective. How to close the gap between desired and current vaccination rates? Whether (semi)mandatory policies are justified is an ethical issue. By means of a MEDLINE search, we synthesized the most relevant publications to try to answer these questions. Neither the 'clinical' Hippocratic ethics (the Georgetown Mantra: autonomy, beneficence, non-maleficence, and justice), nor the 'public health' ethics frameworks resolve the question completely. Therefore, recently the 'components of justice' framework was added to the ethical debate. Most options to increase the uptake arouse little ethical controversy, except mandatory policies. The success of vaccination will largely depend upon the way the ethical challenges like professional duty and ethics (deontology), self-determination, vaccine hesitance, and refusal ('conscientious objector') are dealt with.

Indexed as

Attitude of Health PersonnelHealth PersonnelDecision MakingHumansImmunization ProgramsInfluenza, HumanInfluenza VaccinesPolicyPublic HealthSocial JusticeVaccinationInfluenza Vaccinesemployeesethicsfluhealthcare workersimmunizationinfluenzamandateoccupational medicinevaccinationworkplace

Identifiers

PMID31635299
PMCPMC6844122

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.