Predictors of acceptance of H1N1 influenza vaccination by FDNY firefighters and EMS workers.
Glaser-MS; Chui-S; Webber-MP; Gustave-J; Lee-R; McLaughlin-MT; Ortiz-V; Prezant-D; Kelly-K
Vaccine 2011 Aug; 29(34):5675-5680
BACKGROUND: There is a widely recognized need for vaccination of health care workers (HCWs). We undertook this study to assess the 2009-2010 H1N1 vaccination rates in ~14,000 firefighters and emergency medical service (EMS) workers at the Fire Department of New York (FDNY) and to determine predictors of H1N1 vaccine acceptance. METHODS: After 9/11/01, FDNY developed a bio-preparedness drill where units are dispatched to FDNY-BIOPOD (biologic points of distributions) for rapid distribution of medications/vaccines in the event of a biological disaster. Since 2005, FDNY offers free, voluntary seasonal influenza vaccination during routine medical monitoring/treatment examinations and at FDNY-BIOPOD. In 2009, FDNY-BIOPOD instead offered the H1N1 vaccine. We report on FDNY H1N1 vaccination rates and on predictors of acceptance using bivariate and multivariable techniques. RESULTS: Overall, 10,612 (77%) FDNY workers were offered H1N1 vaccination, of whom 5831 (55%) accepted. Acceptance was 57.2% during FDNY-BIOPOD compared with 34.4% during medical monitoring/treatment exams (p=0.0001). Workers who accepted prior seasonal influenza vaccinations were 4 times more likely to accept H1N1 vaccination (AOR=4.4, CI(95)=4.0-4.8). CONCLUSION: FDNY offered H1N1 vaccination to 77% of its workforce during the 2009-2010 season. Prior seasonal vaccine acceptance and vaccination in a group setting such as FDNY-BIOPOD dramatically increased acceptance of the H1N1 vaccine. However, within a voluntary program, additional strategies are needed to further increase vaccine acceptance in first responders and other HCWs.
Infectious-diseases; Emergency-response; Emergency-responders; Fire-fighters; Rescue-workers; Vaccines; Disease-control; Infection-control; Medical-rescue-services; Seasonal-factors; Health-care-personnel; Viral-infections;
Author Keywords: H1N1 vaccination; Influenza; Firefighters; Health care workers; Occupational health
Mayris P. Webber, Bureau of Health Services, Fire Department of the City of New York, 9 Metrotech Center, Brooklyn, NY 11201, USA
Cooperative Agreement; Grant
Cooperative-Agreement-Number-U10-OH-008242; Cooperative-Agreement-Number-U10-OH-008243; Grant-Number-R01-OH-007350
New York City Fire Department