Factors and considerations for establishing and improving seasonal influenza vaccination of health workers: Report from a WHO meeting, January 16-17, Berlin, Germany
Factors and considerations for establishing and improving seasonal influenza vaccination of health workers: Report from a WHO meeting, January 16-17, Berlin, Germany
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DOI：
10.1016/j.vaccine.2019.07.079
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发表时间：
2019-10-08
期刊：
影响因子：
5.5
通讯作者：
Morales, Kathleen
中科院分区：
文献类型：
--
作者：
Cherian, Thomas;Morales, Kathleen F.;Morales, Kathleen
卫生工作者是季节性流感疫苗接种的一个重要目标群体，因为他们感染的风险增加，而且在卫生保健环境中有将感染传播给脆弱患者的风险。此外，卫生工作者的季节性疫苗接种有助于防范大流行病。然而，许多国家，特别是非洲和亚洲国家，没有为卫生工作者接种流感疫苗的政策。在存在这种政策的国家，疫苗接种覆盖率往往很低。世界卫生组织（世卫组织）正在编写一份手册，指导卫生工作者接种季节性流感疫苗。一个就手册内容向世卫组织提供咨询的独立外部咨询小组（IEAG）举行会议，讨论与卫生工作者疫苗接种相关且往往是独特的问题。本会议报告概述了讨论的主要问题和讨论结果。这些问题包括政策考虑，包括支持卫生工作者接种疫苗的证据;卫生工作者的分类和优先次序;疫苗接种战略的选择;将其纳入更广泛的卫生工作者疫苗接种和职业健康政策;疫苗接种的规划和管理，特别是沟通和产生需求的方法;以及监测和评价卫生工作者疫苗接种的挑战，特别是在低收入和中等收入国家。
Health workers represent an important target group for seasonal influenza vaccination because of their increased risk of infection as well as the risk of transmitting infection to vulnerable patients in the health care setting. Moreover, seasonal vaccination of health workers contributes to pandemic preparedness. However, many countries, especially in Africa and Asia, do not have policies for health worker influenza vaccination. In countries where such policies exist, vaccination coverage is often low. The World Health Organization (WHO) is developing a manual to guide the introduction of seasonal influenza vaccination of health workers. An Independent External Advisory Group (IEAG) that is advising WHO on the content of the manual met to discuss issues that are relevant and often unique to health worker vaccination. This meeting report summarizes the main issues that were discussed and the outcomes of the discussion. The issues include policy considerations, including the evidence in support of health worker vaccination; categorization and prioritization of health workers; the choice of vaccination strategy; its integration into broader health worker vaccination and occupational health policies; planning and management of vaccination, particularly the approaches for communication and demand generation; and the challenges with monitoring and evaluation of health worker vaccination, especially in low and middle-income countries.