Lyon A K, Davies T, Tahir M, Spraggett B
South Birmingham PCT, Birmingham B38 8SR, UK.
J Public Health (Oxf). 2008 Sep;30(3):245-50. doi: 10.1093/pubmed/fdn046. Epub 2008 Jun 19.
English Primary Care Trusts (PCTs) immunized the poultry worker population with the seasonal influenza vaccine in the 2007 winter season.
In Warwickshire, the provision of vaccinations progressed in two phases: four weekday evening clinics were offered initially, then one weekend clinic was offered, plus on-site vaccination at three farms and vaccination in general practice.
There were 253 registered premises in Warwickshire. Eighty-eight persons were vaccinated in five clinics; 131 persons were immunized on-site. Nobody attended their general practice for vaccination; the overall uptake rate was 32%, far exceeding the expected 20%.
On-site vaccination during working hours was by far the most effective method of vaccinating this population; community clinics were not cost-effective, nor were general practices apparently accessed. The number of workers recorded in the contact list of registered poultry premises provided by DEFRA/DH has been shown to be unreliable; this has implications for the future implementation and evaluation of this programme. Immigrant workers within the poultry worker population make communication about the benefits of vaccination and access to primary care an issue, both factors which impact on uptake. Strategies for engaging smaller farms, immigrant and non-registered workers need to be developed.
英国初级保健信托基金（PCTs）在2007年冬季为家禽业工人接种了季节性流感疫苗。
在沃里克郡，疫苗接种分两个阶段进行：最初提供四个工作日晚间诊所，然后提供一个周末诊所，外加在三个农场进行现场接种以及在全科医疗中进行接种。
沃里克郡有253个注册场所。在五个诊所中有88人接种了疫苗；131人在现场接种。没有人前往全科医疗诊所接种；总体接种率为32%，远远超过预期的20%。
工作时间内的现场接种是为该人群接种疫苗迄今为止最有效的方法；社区诊所不具有成本效益，全科医疗诊所显然也无人前往。已证明环境、食品和农村事务部/卫生部提供的注册家禽场所联系人名单中记录的工人数量不可靠；这对该计划未来的实施和评估有影响。家禽业工人中的移民工人使得关于疫苗接种益处的沟通以及获得初级保健成为问题，这两个因素都影响接种率。需要制定针对较小农场、移民和未注册工人的参与策略。
