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There has been an interesting discussion of the 2010 SHEA position paper on mandated influenza vaccination in the US on the Controversies in Hospital Infection Control blog (http://haicontroversies.blogspot.com.au/). The key blog posts are from Jan 29th, Feb 5th and Feb 6th.
For those who do not regularly follow this blog, it is an interesting debate. It is a discussion on evidence vs opinion for prescription of practice.
I agree with the original blog author: it is fine to state opinion and plausibility to recommend something, but if we want to mandate something, there needs to be clear evidence.
Would be interested to hear other ICP’s opinion on this topic.
Cheers
MichaelMichael Wishart
Infection Control CoordinatorA 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
[cid:image001.png@01D01926.61F1C2B0] [cid:image003.png@01D28116.0DC5DBE0]
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Agree completely with you ML.
Also often distressed by pushback from clinicians and even IPs who use the phrase “evidence-based” as a cop out for adopting measures that make biological or even plausible sense. It’s not like the global infection control community has endless time, money or intellectual capacity to create the evidence yet it’s an easy cop-out.
Look at other professions/ industries like law/ aviation/ mining/ food preparation where specific important matters are mandated not on evidence but on good common sense and reasonable consideration of potential for harm/ risk mitigation and/ or remediation. Yet in healthcare we so often flim-flam and procrastinate or put up an immediate brick wall to any hint of mandating and meanwhile poor practice, events which should be never and patient harm are tolerated.
Politics and finance are major drivers of infection prevention practice at every level but increasing I hope our profession can become more open to leading efforts to prevent infection rather than making excuses about why we should or shouldn’t support specific aspects.
Many may find this comment offensive or inflammatory and I am sorry of you interpret it as such – my intention is to provoke further thought and deeper consideration of how we can make sustainable improvements.
Respectfully
Cath
Cathryn Murphy MPH PhD CIC
Chief Executive Officer & Creative Director
Infection Control Plus Pty Ltd
PO Box 3079
Burleigh Town 4220
OLD, AustraliaE: Cath@infectioncontrolplus.com.au
M: +61 428 154154
W: infectioncontrolplus.com.auMichael
There are several evidential factors that should make HCWs accept annual vaccination:
1. flu can be transmitted at least 24 hours before symptoms,
2. flu can be present even when a case is asymptomatic
3. flu can be easily transmitted while symptomatic during just tidal breathing
4. Flu particles can travel 2.6 metres
There is evidence to back up all of these that makes mandatory vaccination every HCW’s patient safety duty.M-L
Professor Epidemiology Healthcare Associated Infection and Infectious Disease ControlSent from my iPhone
On 8 Feb 2017, at 9:19 pm, Michael Wishart <Michael.Wishart@SVHA.ORG.AU> wrote:
[Posted on behalf of Giulietta Pontivivo – Moderator]Hi Michael
The draft update of the MoH NSW Occupational Assessment, Screening and Vaccination Against Specific Infectious Diseases PD stipulates “HCW’s in Category A high risk groups will be mandated to be vaccinate before 31st may each year. If unvaccinated the HCW maybe deployed permanently to other low risk working environments”.
Personally I would have liked to see all HCW’s in category A be mandated to have a seasonal flu vaccine. Given that in NSW there were over 270 HC facilities that experienced influenza outbreaks last year with low rates of HCW influenza vaccination in such facilities then mandatory vaccination must be seen as a patient safety requirement.
Regards Giulietta
Giulietta Pontivivo CICP RN/RM/MPH| NM Infection Prevention Management and Staff Health Services- St Vincent’s Hospital (Unit Level 6, DeLacy Building), 390 Victoria Street Darlinghurst NSW 2010
Contact Details: t: 61 2 8382 3284 | f: 61 2 8382 3892 |M-0457 533 452 e: Giulietta.Pontivivo@svha.org.auThere has been an interesting discussion of the 2010 SHEA position paper on mandated influenza vaccination in the US on the Controversies in Hospital Infection Control blog (http://haicontroversies.blogspot.com.au/). The key blog posts are from Jan 29th, Feb 5th and Feb 6th.
For those who do not regularly follow this blog, it is an interesting debate. It is a discussion on evidence vs opinion for prescription of practice.
I agree with the original blog author: it is fine to state opinion and plausibility to recommend something, but if we want to mandate something, there needs to be clear evidence.
Would be interested to hear other ICP’s opinion on this topic.
Cheers
MichaelMichael Wishart
Infection Control CoordinatorA 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.auP Please consider the environment before printing this email
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Thank you Cath and M-L for your contributions.
I agree that there is enough evidence already present without having to spend more precious resources trying to provide proof positive.
I and many colleagues spend far too much time trying to convince HCWs of the value of vaccination as it is. Improved patient safety is apparently not enough of a reason…
RegardsLincoln Fowler
Infection Prevention Nurse ConsultantBairnsdale Regional Health Service
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Agree completely with you ML.
Also often distressed by pushback from clinicians and even IPs who use the phrase “evidence-based” as a cop out for adopting measures that make biological or even plausible sense. It’s not like the global infection control community has endless time, money or intellectual capacity to create the evidence yet it’s an easy cop-out.
Look at other professions/ industries like law/ aviation/ mining/ food preparation where specific important matters are mandated not on evidence but on good common sense and reasonable consideration of potential for harm/ risk mitigation and/ or remediation. Yet in healthcare we so often flim-flam and procrastinate or put up an immediate brick wall to any hint of mandating and meanwhile poor practice, events which should be never and patient harm are tolerated.
Politics and finance are major drivers of infection prevention practice at every level but increasing I hope our profession can become more open to leading efforts to prevent infection rather than making excuses about why we should or shouldn’t support specific aspects.
Many may find this comment offensive or inflammatory and I am sorry of you interpret it as such – my intention is to provoke further thought and deeper consideration of how we can make sustainable improvements.
Respectfully
Cath
Cathryn Murphy MPH PhD CIC
Chief Executive Officer & Creative Director
Infection Control Plus Pty Ltd
PO Box 3079
Burleigh Town 4220
OLD, AustraliaE: Cath@infectioncontrolplus.com.au
M: +61 428 154154
W: infectioncontrolplus.com.auMichael
There are several evidential factors that should make HCWs accept annual vaccination:
1. flu can be transmitted at least 24 hours before symptoms,
2. flu can be present even when a case is asymptomatic
3. flu can be easily transmitted while symptomatic during just tidal breathing
4. Flu particles can travel 2.6 metres
There is evidence to back up all of these that makes mandatory vaccination every HCW’s patient safety duty.M-L
Professor Epidemiology Healthcare Associated Infection and Infectious Disease ControlSent from my iPhone
On 8 Feb 2017, at 9:19 pm, Michael Wishart <Michael.Wishart@SVHA.ORG.AU> wrote:
[Posted on behalf of Giulietta Pontivivo – Moderator]Hi Michael
The draft update of the MoH NSW Occupational Assessment, Screening and Vaccination Against Specific Infectious Diseases PD stipulates “HCW’s in Category A high risk groups will be mandated to be vaccinate before 31st may each year. If unvaccinated the HCW maybe deployed permanently to other low risk working environments”.
Personally I would have liked to see all HCW’s in category A be mandated to have a seasonal flu vaccine. Given that in NSW there were over 270 HC facilities that experienced influenza outbreaks last year with low rates of HCW influenza vaccination in such facilities then mandatory vaccination must be seen as a patient safety requirement.
Regards Giulietta
Giulietta Pontivivo CICP RN/RM/MPH| NM Infection Prevention Management and Staff Health Services- St Vincent’s Hospital (Unit Level 6, DeLacy Building), 390 Victoria Street Darlinghurst NSW 2010
Contact Details: t: 61 2 8382 3284 | f: 61 2 8382 3892 |M-0457 533 452 e: Giulietta.Pontivivo@svha.org.auThere has been an interesting discussion of the 2010 SHEA position paper on mandated influenza vaccination in the US on the Controversies in Hospital Infection Control blog (http://haicontroversies.blogspot.com.au/). The key blog posts are from Jan 29th, Feb 5th and Feb 6th.
For those who do not regularly follow this blog, it is an interesting debate. It is a discussion on evidence vs opinion for prescription of practice.
I agree with the original blog author: it is fine to state opinion and plausibility to recommend something, but if we want to mandate something, there needs to be clear evidence.
Would be interested to hear other ICP’s opinion on this topic.
Cheers
MichaelMichael Wishart
Infection Control CoordinatorA 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.auP Please consider the environment before printing this email
______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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