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COVID-19 Vaccination of Health Care Personnel as a Condition of EmploymentA Logical Addition to Institutional Safety Programs

Educational Objective
To identify the key insights or developments described in this article
1 Credit CME

The consequences of the SARS-CoV-2 pandemic have been far-reaching, particularly among health care personnel (HCP) and within health care settings. HCP have been directly affected, sustaining occupationally acquired COVID-19 infections, and indirectly through a substantial alteration in health care delivery. With the advent of highly effective and safe SARS-CoV-2 vaccines, case rates and hospitalization rates are declining, and the promise of a return to some semblance of pre–COVID-19 health care is growing. Recently, several medical centers have announced a requirement for SARS-CoV-2 vaccination of all HCP (allowing for medical and religious exemptions), and the impending licensure of the mRNA SARS-CoV-2 vaccines (following the previous Emergency Use Authorization [EUA]) will move many other centers to consider a similar policy. A recent outbreak in a skilled nursing facility attributed to an unvaccinated HCP member clearly illustrates the risk unvaccinated HCP can pose to their patients and other HCP.1

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Article Information

Corresponding Author: Thomas R. Talbot, MD, MPH, Vanderbilt University Medical Center, 1161 21st Ave S, A2200 Medical Center North, Nashville, TN 37232 (tom.talbot@vumc.org).

Published Online: June 7, 2021. doi:10.1001/jama.2021.8901

Conflict of Interest Disclosures: None reported.

References
1.
Cavanaugh  AM , Fortier  S , Lewis  P ,  et al.  COVID-19 outbreak associated with a SARS-CoV-2 R.1 lineage variant in a skilled nursing facility after vaccination program—Kentucky, March 2021.   MMWR Morb Mortal Wkly Rep. 2021;70(17):639-643. doi:10.15585/mmwr.mm7017e2PubMedGoogle ScholarCrossref
2.
Rakita  RM , Hagar  BA , Crome  P , Lammert  JK .  Mandatory influenza vaccination of healthcare workers: a 5-year study.   Infect Control Hosp Epidemiol. 2010;31(9):881-888. doi:10.1086/656210PubMedGoogle ScholarCrossref
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Centers for Disease Control and Prevention. Influenza vaccination coverage among health care personnel—United States, 2019-20 influenza season. Accessed March 8, 2021. https://www.cdc.gov/flu/fluvaxview/hcp-coverage_1920estimates.htm#anchor_1600364528791
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Perl  TM , Talbot  TR .  Universal influenza vaccination among healthcare personnel: yes we should.   Open Forum Infect Dis. 2019;6(4):ofz096. doi:10.1093/ofid/ofz096PubMedGoogle Scholar
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Health Affairs Blog. The “must do” list: certain patient safety rules should not be elective. Published August 20, 2015. Accessed May 17, 2021. https://healthaffairs.org/blog/2015/08/20/the-must-do-list-certain-patient-safety-rules-should-not-be-elective/
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Shah  ASV , Gribben  C , Bishop  J ,  et al  Effect of vaccination on transmission of COVID-19: an observational study in healthcare workers and their households.   medRxiv. Preprint posted March 21, 2021. doi:10.1101/2021.03.11.21253275Google Scholar
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Milman  O , Yelin  I , Aharony  N ,  et al  SARS-CoV-2 infection risk among unvaccinated is negatively associated with community-level vaccination rates.   medRxiv. Preprint posted March 31, 2021. doi:10.1101/2021.03.26.21254394Google Scholar
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AMA CME Accreditation Information

Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00  AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:

  • 1.00 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program;;
  • 1.00 Self-Assessment points in the American Board of Otolaryngology – Head and Neck Surgery’s (ABOHNS) Continuing Certification program;
  • 1.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program;
  • 1.00 Lifelong Learning points in the American Board of Pathology’s (ABPath) Continuing Certification program; and
  • 1.00 credit toward the CME [and Self-Assessment requirements] of the American Board of Surgery’s Continuous Certification program

It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.

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