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I Say "No" to Mandatory Flu Vaccines for Health Care Workers

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Google the word "flu," and you will be bombarded with scare tactics (and guilt tactics) to influence you to get a flu shot. In addition, there are many pieces of writing out there right now trying to influence public opinion about making flu shots mandatory for all health care workers. The idea of making the flu shot mandatory for anyone is disturbing to me. And if you think you don't have to worry because you're not a health care worker, think again. It's a very slippery slope.

I'm not here to tell you that you shouldn't get a flu shot; but I am here to tell you that flu shots should NOT be mandatory for health care workers or anyone else. Let's start with an analogy (because I love analogies, and I don't get to mention them half as much as I would like to).

The flu is like an impending hurricane or snow-storm (depending on what part of the country you are from).

You see, the media loves a good impending hurricane or snowstorm. They can be tracked for days (even weeks) before they ever actually hit, causing everyone to panic and purchase all the necessities for the "just in case" scenario. Now, I'm not saying you shouldn't be prepared for these possible storms, but fear and over-preparation are rarely helpful. And although much of the time they get it wrong, the media still loves a good weather threat.

Let's just say the media was reporting a 10-20 percent chance the storm was going to hit your neighborhood. What would be your level of concern? Personally, I live in Florida, and if there was a 10-20 percent chance of a hurricane hitting, I'm not even worried enough to get bottled water at that point.

So, how does the flu come into this analogy? Well, I'm trying to find out at what point you become concerned about your chances of catching the flu this winter? How high would your chances of getting the flu have to be before you got a flu vaccine? Do you even know how high your chances are of getting the flu in any given year? With all the hype about getting a flu vaccine, it must be pretty high, right? Well, I guess that depends on what you consider high. Is a 50 percent chance of getting the flu high enough? What about 40 percent?

Now, what if your chances of getting the flu (without taking a vaccine) was between 5 to 20 percent? And yes, that is the actual percentage (from the CDC) of people who develop the flu in a given year. Would you get the vaccine then?

Like I said, I'm not telling anyone not to get the flu vaccine, just that it should be a decision each person makes for themselves and their family (based on the facts).

And for the number crunchers among us ...

We all know the flu vaccine is not 100% effective at protecting anyone from the flu. But did you know this?

In any given year an estimated 10 to 20 percent of vaccinated people will still get the flu. So, even if every person in the country was vaccinated, each year between 10 and 20 percent of people would still get the flu. That's not much different than 5 to 20 percent of non-vaccinated people. It seems to me that statistically speaking, the fear quotient is a lot higher than it should be based on the actual numbers. What do you think?

Even if you believe the risk of catching the flu to be low, it's still YOUR choice to decide whether or not to get vaccinated. And I believe that this choice should NOT be taken away from you or health care workers.

From the AP -- Group backs mandatory flu shots for health care workers.

In a new policy statement released Wednesday, the American Academy of Pediatrics says voluntary vaccination programs just haven't worked. Too many health workers still shun annual flu

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Catherine Morgan 5 pts

I think that sounds like a reasonable compromise as well. Although, many cancer patients (especially if they are being hospitalized and receiving chemo) have severely compromised immune systems. As far as I'm concerned, these patients should have all nursing staff (regardless of whether or not they have had a flu vaccine) wearing masks, gloves (even gowns) because the tiniest cold or virus can put these patients at great risk.

Thanks for your comment.

Contributing Editor Catherine Morgan
Also at Catherine-Morgan.com ( http://catherine-morgan.com/ )

Shannon Des Roches Rosa 5 pts

From Orac at Respectful Insolence, a cancer researcher (from http://scienceblogs.com/insolence/2010/10/barbara_... ( http://scienceblogs.com/insolence/2010/10/barbara_... )):

"Basically, at our cancer center, anyone involved with patient contact, from physicians to nurses to aides to receptionists, is required to be vaccinated against the seasonal flu. [...] Anyone who refuses will be required to wear a mask during any time they are in patient care areas or otherwise anyplace where they might interact with patients. To me this seemed a reasonable compromise between the health care imperative that leads us to protect not just ourselves but our patients and personal freedom. The only thing I would have added to it is to require anyone refusing the vaccine to wear gloves as well."

Shannon Des Roches Rosa
Squidalicious.com ( http://www.squidalicious.com/ ) parenting first, autism second
CanISitWithYou.org ( http://www.canisitwithyou.org/ ) real tales of schoolyard terror and triumph

Catherine Morgan 5 pts

Hi Amy...While I appreciate your personal experience with the health care system, I still don't believe making a vaccine mandatory for health care workers is the answer. In fact, when universal precautions are not followed, there are much more serious infections to worry about than the flu.

Thanks for your comment.

Contributing Editor Catherine Morgan
Also at Catherine-Morgan.com ( http://catherine-morgan.com/ )

Catherine Morgan 5 pts

Thanks for your comment, I'm happy you liked the post.

Contributing Editor Catherine Morgan
Also at Catherine-Morgan.com ( http://catherine-morgan.com/ )

Catherine Morgan 5 pts

Thanks for your comment. I agree, choice is the key.

Contributing Editor Catherine Morgan
Also at Catherine-Morgan.com ( http://catherine-morgan.com/ )

Amy_in_StL 5 pts

Yeah, you can say what you want about health care laws but my experience tells a different story. I'm sure there are health care providers that wash/sanitize/glove their hands - my boyfriend who is a paramedic is one of those. However, my experience has been that when there's a sink in the room they neither wash their hands before seeing the patient nor after. Now I realize it's possible for someone to wash before entering my room in another room and then after leaving my room in another room; but a routine is the norm. I'm not saying all of them do this and honestly it's worse at the doctor's offices than it is in the ER. Yes, they often have sanitizer stations in the hall; but I've never seen a person using one of those either so I assume they don't. (For the record my parents are elderly so we're at a medical facility several times a month at minimum)

We all know that rules and practice are often two different things. Very different - no matter how often the authorities visit.

For the record, my boyfriend avoids getting the vaccine as well.

kitvond 5 pts

I've always wondered why they make the flu sound like such a big deal. Yes, it sucks and it can knock you on your butt for several days, but so what? I've survived the flu several times, so I usually opt not to get the vaccine.

I have several friends and family members who work in health care and I think they have just as much right to choose what goes into their bodies as anyone else does.

Thanks for a great article!

spiritrefreshed 5 pts

As a generally healthy person who has survived many years with and without any flu vaccines, I say freedom to choose is key. I tend to listen to my body and allow it to guide me as to what it needs to stay as strong as possible.

I've gotten flu vaccines in the past, when I chose to do so. As a healthcare worker for a major HMO, a few years ago, we were "strongly urged" to get vaccinated as a particularly nasty strain of virus was expected to sweep through LA that year. I did, and it did, and I stayed flu-free all year.

Most years I do not get the shot, and still stay flu free because I keep my physical and energetic immune system strong year-round. Although not superhuman, I do occasionally get sick, but tend to recover quickly without meds.

Unfortunately, insurance companies are think they went to medical school these days and want to play doctor to "encourage" a healthier population and deter sick people (also known as clients) from eating into their profits. I disagree with any manditory innoculations, particularly being a guine pig for some new vaccination.

MiChelle Jeneen  www.spiritrefreshed.blogspot.com ( http://www.spiritrefreshed.blogspot.com )

Catherine Morgan 5 pts

My comment about the percentage of people who would still get the flu (even if they were vaccinated) was meant to show the similarities in risks whether or not a person is vaccinated. The fact that makers of the vaccine can never be 100% certain if they've targeted the correct viruses, only makes me more interested in taking my chances without the vaccine.

But the main purpose of my post is to advocate for choice. I don't believe that anyone should be forced to get a vaccine that prevents a virus that our bodies are capable of fighting off on it's own.

Contributing Editor Catherine Morgan
Also at Catherine-Morgan.com ( http://catherine-morgan.com/ )

Catherine Morgan 5 pts

Thanks for your comment. This person is clearly not concerned with spreading infection (or even germs and bacteria)to her clients. In her case, I would not feel more (or less) comfortable with her care giving, regardless of whether or not she took a flu vaccine. But I definitely don't think that every health care worker should be vaccinated because of a few bad apples.

Contributing Editor Catherine Morgan
Also at Catherine-Morgan.com ( http://catherine-morgan.com/ )

jillu 5 pts

As someone "in the field" I feel I need to correct some slightly flawed logic here. You stated that if every person was vaccinated, 10-20% of people would still get the flu every year. Likely if every person were vaccinated influenza would be circulating at such a low level, if at all, that the statement would not be accurate. Vaccinated people who still catch the flu likely were not infected from another vaccinated individual. Additionally, it is important to keep in mind that at any given time more than one virus that causes influenza may be ciculating. Companies that make flu shots have to choose which viruses they will target that year, based on suspected illness severity and likelihood of outbreaks. Therefore, flu shots do not protect against all strains and the fact that vaccinated people still get the flu is not necessarily due to the failure of the vaccine.

That being said, I am not arguing for or against mandatory flu shots. But I sure am glad that my 3-month-old's pediatrician requires it of all staff there!

Dora-isothegoldenegg.blogspot.com 5 pts

My experiences with health care professionals has been much like Amy's. My ex is disabled and was hospitalized several times when we were together. I saw so many who were lax about hand washing and gloves. One incident that had me blowing my top, was when I confronted a home care nurse about not changing her gloves between cleaning the BEDPAN and giving a sponge bath. She told me she was trained to change her gloves only if she came into contact with blood. She seemed to think the gloves were primarily to protect HER. She was baffled why I was so angry when she didn't change gloves after contact with feces. So, yes, I think she should get a flu shot or go into a different line of work.

Catherine Morgan 5 pts

Great Facebook page, thanks for linking to my post.

Contributing Editor Catherine Morgan
Also at Catherine-Morgan.com ( http://catherine-morgan.com/ )

mrs snappy 5 pts

Great blog. I shared this on the FB page, Health Care Workers Against Mandatory Vaccination. Thanks
http://www.facebook.com/profile.php?id=1324279358#!/group.php?gid=153929824632399

Catherine Morgan 5 pts

I agree, getting sick is part of life. And I think that using vaccines to prevent (non-life threatening) illnesses that our bodies are capable of fighting off on their own is unnecessary.

Contributing Editor Catherine Morgan
Also at Catherine-Morgan.com ( http://catherine-morgan.com/ )

Catherine Morgan 5 pts

Thank you for sharing your story. I agree 100%.

Contributing Editor Catherine Morgan
Also at Catherine-Morgan.com ( http://catherine-morgan.com/ )

tipytop 5 pts

Getting sick is a part of life, so I'm with you Amy in STL.

Lo MAC 5 pts

Sounds like you have had some bad experiences but I think it is hardly fair to say that health care providers rarely abide by their training and rules.

I also live in STL and my husband is a nurse and I am a medical secretary. I know from my experience that there are some hard core health care laws that state that a health care provider must comply with sanitary codes. The health department shows up in my husbands ER at random all the time.

It is highly unlikely that the health care workers at a respectable hospital/clinic are not washing their hands or using gloves appropriately. You may not see them wash them in the room but I am sure they are washing their hands.

We actually have a nurse in my hospital that everyone calls the hand washing police because she will make you wash your hands over if she thinks that you did not do it thoroughly enough. And trust me, the hand washing health care workers give themselves is nothing like the hand washing you give yourself. There are actually text books on how to do it properly and it is a thorough washing.

I actually can not get a flu vaccine because of a medical condition. With me the vaccine is likely to cause more harm then good. I just learned of this condition this year and realized that had I gotten a vaccine last year, which my employer was trying to force on me, I could have died.

Now, I know that I am a rarity, and most people will be fine if they have a flu shot but, I will take my risk at the flu.

People are just too terrified of getting sick these days. Sometimes you just get sick and have to stay in bed for a day or so. Your job and life will be there when you are done being sick. Suck it up and deal. However, that could start a whole other rant so, I won't go there.

Sorry for the crazy soap box. It happens. What can you do?!

Amy_in_StL 5 pts

"The hospital staff is trained to wash their hands before and after contact with a patient. Hospital staff is also more likely to be taking the additional precaution of using gowns, masks, and gloves. As per universal precautions, health care staff is already doing all of this and more."

I'm sure they're trained to do this but in my experience they rarely do. I can't tell you how many times a year I'm at the hospital/clinic/urgent care/emergency room/doctor's office alone or with my elderly parents and have someone come into the room and try to begin care without washing their hands. I'll speak up and ask if I don't see them do it (they could lie, I guess) and at least half the time they begrudgingly put on gloves or wash their hands after I ask if they've done it.

As an office worker I use hand sanitizer and wash my hands at least 10 times a day while at work during cold season. I'm sure they get tired of washing their hands, but if they're going to be touching me they should be clean. It's been my experience that nurses and doctors today are very lax in this regard. I think they should get flu shots so that they are less likely to carry the virus around since they seem to be unable to keep themselves clean.

JennaHatfield 10 pts

My husband (fire/medic) refuses despite the WOE!FLU! being shoved down their throats every year at this time.

Contributing Editor Jenna Hatfield (@FireMom ( http://twitter.com/FireMom )) blogs at Stop, Drop and Blog ( http://stopdropandblog.com ) and The Chronicles of Munchkin Land ( http://thechroniclesofmunchkinland.com ). She is a freelance writer and newspaper photographer.