HCP Vaccinations
Issue Background

Mandatory Healthcare Personnel Vaccination

The Center for Disease Control and Prevention (CDC) reports that influenza infections result in more than 200,000 hospital admissions. In addition, annual influenza epidemics account for thousands of deaths each year, 3.1 million days of hospitalization, and 31.4 million outpatient visits.

APIC believes annual influenza vaccination of HCP offers an important method for preventing transmission of influenza to patients, especially those that are high‐risk. Evidence supports the fact that influenza vaccine is effective, cost efficient and successful in reducing morbidity and mortality. Evidence also demonstrates that the current policy of voluntary vaccination has not been effective in achieving acceptable vaccination rates.  

APIC supports efforts by legislators to encourage acute care hospitals, long‐term care, and other facilities that employ HCP to require an annual influenza immunization as a condition of employment unless there are evidence‐ based medical contraindications. Mandatory vaccination policies have proven successful in many ways including:

  • Multifaceted mandatory influenza vaccination programs have been found to be the single most effective strategy to increase HCP vaccination rates, with multiple facilities and systems achieving vaccination coverage of more than 95%;
  • Several studies demonstrate that HCP influenza vaccination reduces patient mortality.  
  • Institutions that have implemented a mandatory policy have dramatically reduced employee absenteeism as well as healthcare‐associated influenza, thereby improving patient safety and reducing healthcare costs.  
  • Influenza vaccines are safe. The most common side effects of the injectable vaccine include temporary soreness, redness, or swelling at the site of injection.