Users Online: 83 Home Print this page Email this page Small font sizeDefault font sizeIncrease font size
 

 

Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
     

 Table of Contents  
LETTER TO THE EDITOR
Year : 2013  |  Volume : 57  |  Issue : 1  |  Page : 48-49  

Acceptance of vaccination against the 2009 pandemic influenza a among health-care workers in Pune, Maharashtra


1 PG Resident, Department of Community Medicine, Armed Forces Medical College, Pune, India
2 Professor, Department of Community Medicine, Armed Forces Medical College, Pune, India
3 Asst Professor, Department of Community Medicine, Armed Forces Medical College, Pune, India
4 Consultant, Inamdar Hospital, Pune, India
5 Statistician, Department of Community Medicine, Armed Forces Medical College, Pune, India
6 Senior Advisor, Department of Community Medicine, Colonel Health Jaipur, India

Date of Web Publication4-May-2013

Correspondence Address:
Ravishekar N Hiremath
PG Resident, Department of Community Medicine, Armed Forces Medical College, Pune - 40, Maharashtra
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-557X.111383

Rights and Permissions

How to cite this article:
Hiremath RN, Atul Kotwal S M, Kunte R, Hiremath S, Basannar D, Bhalla S. Acceptance of vaccination against the 2009 pandemic influenza a among health-care workers in Pune, Maharashtra. Indian J Public Health 2013;57:48-9

How to cite this URL:
Hiremath RN, Atul Kotwal S M, Kunte R, Hiremath S, Basannar D, Bhalla S. Acceptance of vaccination against the 2009 pandemic influenza a among health-care workers in Pune, Maharashtra. Indian J Public Health [serial online] 2013 [cited 2019 Sep 15];57:48-9. Available from: http://www.ijph.in/text.asp?2013/57/1/48/111383

Sir,

Maharashtra was one of India's worst-hit states, because of highest number of Influenza A (H1N1) casualties in Maharashtra. As per Press Information Bureau, 9952 cases with 926 deaths had been reported from Maharashtra till 31 st Oct 2010, the highest in the country [1] and Pune was the epicenter. Influenza vaccines are one of the measures to protect people from contracting illness during influenza epidemics and pandemics. The potential benefits of influenza vaccination for Health Care Workers (HCW) are three fold namely personal protection, protection of patients, and reduction of absenteeism. [2]

As per Directorate of Health Services, Maharashtra, multi-dose injectable vaccine had low response from medical and paramedical staff, who refused to get vaccinated ever since the vaccine was made available in March. In view of above a cross-sectional study, with a convenience sample of 200 HCWs was conducted in Pune during October 2010. Participants comprised of PG residents (50), Interns (50), Nurses (50) and Paramedics (50) working in the Government Hospital who were selected randomly after Informed consent. Approximately, 70% of study population had the experience of handling HINI case.

A pretested, structured, self-administered, and anonymous questionnaire was used to collect the data. Majority of the respondents regarded themselves as being at increased risk of infection (83.5%) and considered pandemic (H1N1) 2009 to be a mild disease (81.5%). All participants (100%) stated that vaccinations are important for the protection of public health, and in particular for HCW. However, overall acceptance of pandemic influenza vaccine was only 26.0% (95% confidence interval: 20.1% −32.7%) mainly because of lack of proper guidelines about vaccine efficacy and safety. The analysis by occupational category showed higher acceptance among Post Graduate residents than Interns, nurses and paramedical staff.

[Figure 1] and [Figure 2] showed the factors for acceptance and refusal for the vaccine among study participants. Most of the frequent fear was of Guillain-Barrés syndrome (GBS), however, as per Centers for Disease Control and Prevention, Atlanta, the risk of GBS is rare following influenza (swine flu) vaccination (approximately 1 additional case per 100,000 people who received the swine flu vaccine). 33% participants perceived their information about pandemic influenza vaccine safety as sufficient and knowledge regarding vaccination was directly proportional to the acceptance of the vaccine.
Figure 1: Details for accepting vaccine as per category of respondents

Click here to view
Figure 2: Details for not accepting vaccine as per category of respondents

Click here to view


Source of information on vaccine safety was newspapers/magazines (59%) followed by television and radio stations (57.5%), internet/medical Journal (43.5%), hospital infections control committee (28.5%). In particular, negative attitude towards the vaccination due to fear of side-effects was seen among HCWs who had received information about pandemic influenza vaccine safety from television and radio, while those who received information on the vaccine's safety from medical journals, the internet, hospital infection control committees had a decreased risk of reporting fear over vaccine safety.

Given the low rates of acceptance of pandemic vaccination among HCWs, as found in this study, public health bodies and policy makers should consider our findings in order to improve the vaccination strategy for HCWs in future vaccination campaigns as plain orders have been shown to be ineffective. Mass media also played a disproportionate role in the information sources on the safety of pandemic influenza vaccines, which should be addressed. Evidence based and comprehensible information about possible adverse effects besides the advantages of vaccine should be included in educational campaigns concerning HCWs. [2],[3]

 
   References Top

1.Weekly Data of Influenza a H1N1 (for the week ending 31 st October 2010). Ministry of Health and Family Welfare, 2010. Available from http://www.pib.nic.in/newsite/erelease.aspx?relid=66715. [Accessed on 2010 August 10].  Back to cited text no. 1
    
2.Jordan R, Hayward A. Should healthcare workers have the swine flu vaccine? BMJ 2009;339:b3398.  Back to cited text no. 2
    
3.Lautenbach E, Saint S, Henderson DK, Harris AD. Initial response of health care institutions to emergence of H1N1 influenza: Experiences, obstacles, and perceived future needs. Clin Infect Dis 2010;50:523-7.  Back to cited text no. 3
    


    Figures

  [Figure 1], [Figure 2]


This article has been cited by
1 Knowledge, attitudes, and practice of healthcare workers toward influenza vaccination at Al Jalila Children’s Specialty Hospital (AJCH) – Dubai, UAE
Walid Abuhammour,Samar Al-Saleh
International Journal of Pediatrics and Adolescent Medicine. 2019;
[Pubmed] | [DOI]
2 Knowledge, Attitude, Awareness, and Barriers Toward Influenza Vaccination Among Medical Doctors at Tertiary Care Health Settings in Peshawar, Pakistan–A Cross-Sectional Study
Iftikhar Ali,Muhammad Ijaz,Inayat U. Rehman,Afaq Rahim,Humera Ata
Frontiers in Public Health. 2018; 6
[Pubmed] | [DOI]
3 Knowledge, attitude and awareness among healthcare professionals about influenza vaccination in Peshawar, Pakistan
Tahir Mehmood Khan,Aziz Ullah Khan,Iftikhar Ali,David Bin-Chia Wu
Vaccine. 2016;
[Pubmed] | [DOI]
4 Community awareness, use and preference for pandemic influenza vaccines in Pune, India
Neisha Sundaram,Vidula Purohit,Christian Schaetti,Abhay Kudale,Saju Joseph,Mitchell G Weiss
Human Vaccines & Immunotherapeutics. 2015; 11(10): 2376
[Pubmed] | [DOI]



 

Top
 
 
  Search
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this article
    References
    Article Figures

 Article Access Statistics
    Viewed1252    
    Printed29    
    Emailed0    
    PDF Downloaded193    
    Comments [Add]    
    Cited by others 4    

Recommend this journal