[MCOH-EH] masking unvaccinated HCWs; who is the real vector?
Buchta, William G., M.D.
Buchta.William at mayo.edu
Fri Jan 23 12:58:50 PST 2015
Diane,
If patient protection is really your goal, then you should re-think your masking policy. By masking the small percentage of unvaccinated employees, particularly this flu season with the exceptionally poor match with circulating strains, you are falsely reassuring/protecting your patients by unleashing the far larger reservoir of unmasked virus-spreaders who think they are virus-free by getting the vaccine. Work the numbers; it is impressive.
Perhaps a more practical approach of treating vaccine as one of several effective influenza control measures rather than the end-all would achieve the end goal of minimizing the spread of influenza without wasting resources and stigmatizing employees. I am afraid the we in occupational health have been caught up in the zeal of misguided infection control personnel and lost sight of our mission to protect workers.
Bottom line is that we need a better vaccine; then everyone will get it. Until then, let's be reasonable.
Just my thoughts,
Bill Buchta
William G. Buchta, MD, MS, MPH
Assistant Professor, Mayo Clinic College of Medicine
Mayo Clinic, Division of Preventive, Occupational, and Aerospace Medicine
200 First St,SW,Rochester, MN 55905
Phone: 507-266-0354 Fax: 507-284-4251
Mayo Clinic, a mission-driven worldwide leader in health care for 150 years
http://150years.mayoclinic.org
-----Original Message-----
From: Diane Shaw [mailto:diane.shaw at tuality.org]
Sent: Thursday, January 22, 2015 3:04 PM
To: mcoh-eh at mylist.net
Subject: Re: [MCOH-EH] MCOH-EH Digest, Vol 250, Issue 6
We require proof of vaccination or titers for Rubeola, Rubella, and Varicella for all and Hep B for anyone with patient contact. The employee can decline but if an outbreak of any disease as above would be told to stay home without pay because of no immunity.
They may also decline Influenza, but would have to wear a mask if we institute our mandatory masking policy, due to increased evidence of flu in our community.
Diane M. Shaw, RN, BSN, CIC
Tuality Healthcare
Employee Health Services
335 S.E. 8th Ave
Hillsboro, OR 97123
Phone: 503.681.1444
Fax: 503.681.4170
Tues.-Fri. 0730-1700 hours
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From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of mcoh-eh-request at mylist.net
Sent: Thursday, January 22, 2015 6:31 AM
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Subject: MCOH-EH Digest, Vol 250, Issue 6
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Today's Topics:
1. Mandatory Immunizations and Accommodations (Sharon Petersen)
2. Re: Mandatory Immunizations and Accommodations (Wagner, Amanda)
3. Re: Mandatory Immunizations and Accommodations
(OWilliams at mcleodhealth.org)
4. Re: Mandatory Immunizations and Accommodations
(Roberts, Margaret J)
5. Re: Mandatory Immunizations and Accommodations
(Jenkins, Maribeth)
----------------------------------------------------------------------
Message: 1
Date: Thu, 22 Jan 2015 01:35:05 +0000
From: Sharon Petersen <Sharon.Petersen at imail.org>
To: "mcoh-eh at mylist.net" <mcoh-eh at mylist.net>
Subject: [MCOH-EH] Mandatory Immunizations and Accommodations
Message-ID:
<51B019A2E362D245BCE056A67A359EC7194F9431 at TX-EXMBN02.CO.IHC.COM>
Content-Type: text/plain; charset="us-ascii"
Dear List Serve Members,
Do you have a mandatory immunization policy in your organization and if so what accommodations do you offer to employees who have an exemption or waiver? (such as: required to mask during certain times, etc.) Thank-you in advance.
Sharon Petersen, MHA, BSN, RN, COHN/CM
Intermountain Healthcare
Director, Employee Health Operations
sharon.petersen at imail.org<mailto:sharon.petersen at imail.org>
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Message: 2
Date: Thu, 22 Jan 2015 13:23:14 +0000
From: "Wagner, Amanda" <Amanda.Wagner at seaworld.com>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Mandatory Immunizations and Accommodations
Message-ID:
<E72408DA7E441F49B26173AD45336BB11210491B at FTCSEAP4003.nam.int.local>
Content-Type: text/plain; charset="us-ascii"
All of our vaccinations are voluntary.
Amanda Wagner RN | Supervisor Health Services ________________________________________
SeaWorld Orlando, Aquatica and Discovery Cove
7007 SeaWorld Drive | Orlando, FL 32821
(407) 363-2171 Phone | (407) 363-2143 Fax Amanda.Wagner at seaworld.com<mailto:Jean.Zambrano at seaworld.com> | www.seaworld.com
Inspiring people, through the power of entertainment, to celebrate, connect and care for the natural world we share.
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Sharon Petersen
Sent: Wednesday, January 21, 2015 8:35 PM
To: mcoh-eh at mylist.net
Subject: [MCOH-EH] Mandatory Immunizations and Accommodations
Dear List Serve Members,
Do you have a mandatory immunization policy in your organization and if so what accommodations do you offer to employees who have an exemption or waiver? (such as: required to mask during certain times, etc.) Thank-you in advance.
Sharon Petersen, MHA, BSN, RN, COHN/CM
Intermountain Healthcare
Director, Employee Health Operations
sharon.petersen at imail.org<mailto:sharon.petersen at imail.org>
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Message: 3
Date: Thu, 22 Jan 2015 09:08:28 -0500
From: OWilliams at mcleodhealth.org
To: MCOH/EH <mcoh-eh at mylist.net>
Cc: MCOH-EH <mcoh-eh-bounces+owilliams=mcleodhealth.org at mylist.net>,
MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Mandatory Immunizations and Accommodations
Message-ID:
<OFC84FBCCD.B7E3E71C-ON85257DD5.004DA5BD-85257DD5.004DAE4A at mcleodhealth.org>
Content-Type: text/plain; charset="us-ascii"
All of our vaccinations are voluntary also.
Octavia Williams-Blake
AVP, Occupational Health
McLeod Health
(843) 777-5355
From:
"Wagner, Amanda" <Amanda.Wagner at seaworld.com>
To:
MCOH/EH <mcoh-eh at mylist.net>
Date:
01/22/2015 08:23 AM
Subject:
Re: [MCOH-EH] Mandatory Immunizations and Accommodations Sent by:
"MCOH-EH" <mcoh-eh-bounces+owilliams=mcleodhealth.org at mylist.net>
All of our vaccinations are voluntary.
Amanda Wagner RN | Supervisor Health Services ________________________________________
SeaWorld Orlando, Aquatica and Discovery Cove
7007 SeaWorld Drive | Orlando, FL 32821
(407) 363-2171 Phone | (407) 363-2143 Fax Amanda.Wagner at seaworld.com | www.seaworld.com
Inspiring people, through the power of entertainment, to celebrate, connect and care for the natural world we share.
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Sharon Petersen
Sent: Wednesday, January 21, 2015 8:35 PM
To: mcoh-eh at mylist.net
Subject: [MCOH-EH] Mandatory Immunizations and Accommodations
Dear List Serve Members,
Do you have a mandatory immunization policy in your organization and if so what accommodations do you offer to employees who have an exemption or waiver? (such as: required to mask during certain times, etc.) Thank-you in advance.
Sharon Petersen, MHA, BSN, RN, COHN/CM
Intermountain Healthcare
Director, Employee Health Operations
sharon.petersen at imail.org
---------------------------------------
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Message: 4
Date: Thu, 22 Jan 2015 14:15:21 +0000
From: "Roberts, Margaret J" <mjroberts at emhs.org>
To: 'MCOH/EH' <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Mandatory Immunizations and Accommodations
Message-ID: <7679799CD775664581EFB498E5E5B9EF02B161 at MATARA.me.emh.org>
Content-Type: text/plain; charset="us-ascii"
I work in the health care field and our state, Maine requires proof of vaccination or titers for MMR and Varicella for all and Hep B for anyone with patient contact. The employee can decline but if an outbreak of any disease as above would be told to stay home without pay because of no immunity.
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of OWilliams at mcleodhealth.org
Sent: Thursday, January 22, 2015 9:08 AM
To: MCOH/EH
Cc: MCOH-EH; MCOH/EH
Subject: Re: [MCOH-EH] Mandatory Immunizations and Accommodations
All of our vaccinations are voluntary also.
Octavia Williams-Blake
AVP, Occupational Health
McLeod Health
(843) 777-5355
From:
"Wagner, Amanda" <Amanda.Wagner at seaworld.com<mailto:Amanda.Wagner at seaworld.com>>
To:
MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Date:
01/22/2015 08:23 AM
Subject:
Re: [MCOH-EH] Mandatory Immunizations and Accommodations
Sent by:
"MCOH-EH" <mcoh-eh-bounces+owilliams=mcleodhealth.org at mylist.net<mailto:mcoh-eh-bounces+owilliams=mcleodhealth.org at mylist.net>>
________________________________
All of our vaccinations are voluntary.
Amanda Wagner RN | Supervisor Health Services ________________________________________
SeaWorld Orlando, Aquatica and Discovery Cove
7007 SeaWorld Drive | Orlando, FL 32821
(407) 363-2171 Phone | (407) 363-2143 Fax Amanda.Wagner at seaworld.com<mailto:Jean.Zambrano at seaworld.com> | www.seaworld.com
Inspiring people, through the power of entertainment, to celebrate, connect and care for the natural world we share.
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Sharon Petersen
Sent: Wednesday, January 21, 2015 8:35 PM
To: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>
Subject: [MCOH-EH] Mandatory Immunizations and Accommodations
Dear List Serve Members,
Do you have a mandatory immunization policy in your organization and if so what accommodations do you offer to employees who have an exemption or waiver? (such as: required to mask during certain times, etc.) Thank-you in advance.
Sharon Petersen, MHA, BSN, RN, COHN/CM
Intermountain Healthcare
Director, Employee Health Operations
sharon.petersen at imail.org<mailto:sharon.petersen at imail.org>
---------------------------------------
The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
List membership is free, but only subscribers may post to the list.
To post send messages to: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>
To become a subscriber, or to change your subscription options (turn off email while you're on vacation, etc): http://www.mcoh-eh.net<http://www.mcoh-eh.net/>
MediTrax / Occupational Health Systems, Inc. provides financial support to ensure the list remains a free resource for the occupational health community.
---------------------------------------
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---------------------------------------
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Message: 5
Date: Thu, 22 Jan 2015 08:31:11 -0600
From: "Jenkins, Maribeth" <mjenkins at hendrickhealth.org>
To: MCOH/EH <mcoh-eh at mylist.net>
Cc: MCOH-EH <mcoh-eh-bounces+owilliams=mcleodhealth.org at mylist.net>
Subject: Re: [MCOH-EH] Mandatory Immunizations and Accommodations
Message-ID:
<10B5ED9217444E41B0FF36663A9B79E90116504A7B9B at EMAIL.hhs.hendrickhealth.org>
Content-Type: text/plain; charset="us-ascii"
MMR and Tb are mandatory- all others are voluntary, but require signature of declination and reason as medical or religious. If the employee declines a flu shot, they are required to mask while in patient care.
Maribeth Jenkins, MSN, RN, LMT, CWC
Employee Wellness Manager
Hendrick Medical Center
1900 Pine Street
Abilene, TX 79601
Phone: (325) 670-3010
Fax: (325) 670-3051
mjenkins at hendrickhealth.org<mailto:mbunn at hendrickhealth.org>
www.ehendrick.org
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of OWilliams at mcleodhealth.org
Sent: Thursday, January 22, 2015 8:08 AM
To: MCOH/EH
Cc: MCOH-EH; MCOH/EH
Subject: Re: [MCOH-EH] Mandatory Immunizations and Accommodations
All of our vaccinations are voluntary also.
Octavia Williams-Blake
AVP, Occupational Health
McLeod Health
(843) 777-5355
From:
"Wagner, Amanda" <Amanda.Wagner at seaworld.com<mailto:Amanda.Wagner at seaworld.com>>
To:
MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Date:
01/22/2015 08:23 AM
Subject:
Re: [MCOH-EH] Mandatory Immunizations and Accommodations
Sent by:
"MCOH-EH" <mcoh-eh-bounces+owilliams=mcleodhealth.org at mylist.net<mailto:mcoh-eh-bounces+owilliams=mcleodhealth.org at mylist.net>>
________________________________
All of our vaccinations are voluntary.
Amanda Wagner RN | Supervisor Health Services ________________________________________
SeaWorld Orlando, Aquatica and Discovery Cove
7007 SeaWorld Drive | Orlando, FL 32821
(407) 363-2171 Phone | (407) 363-2143 Fax Amanda.Wagner at seaworld.com<mailto:Jean.Zambrano at seaworld.com> | www.seaworld.com<http://cp.mcafee.com/d/5fHCN8e6hASyMCyqemnNPZPtPqdTAnChMVNYSztV5VAsZtMSztV5VAsessdETujhovd7b3VJkh-1mka0EDY48OIl9_FYOv00jpfU8hBoGj_jVA-00CQnCbESovW_fL9FTd7fnKnjhoLOadS7NR-mKzp55mVEVpVkffGhBrwqrhdICXYyUqenAkmkXL6XCODk_j5oDEsKrmypEttxNyXaq7zzBrl9B_9BO5mUm-walb7OFfwqrhpvhudwLQzh0qmNIi30nbzgndbFEw6ZwxIWNb6y0dllrx8kSsGMEq8dwwq812OWJkdDaIa6TT3pl9D8u1o>
Inspiring people, through the power of entertainment, to celebrate, connect and care for the natural world we share.
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Sharon Petersen
Sent: Wednesday, January 21, 2015 8:35 PM
To: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>
Subject: [MCOH-EH] Mandatory Immunizations and Accommodations
Dear List Serve Members,
Do you have a mandatory immunization policy in your organization and if so what accommodations do you offer to employees who have an exemption or waiver? (such as: required to mask during certain times, etc.) Thank-you in advance.
Sharon Petersen, MHA, BSN, RN, COHN/CM
Intermountain Healthcare
Director, Employee Health Operations
sharon.petersen at imail.org<mailto:sharon.petersen at imail.org>
---------------------------------------
The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
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