Rao Rohan, Koehler Abigail, Beckett Katrina, Sengupta Soma
Department of Neurology and Rehabilitation Medicine, University of Cincinnati College of Medicine, Cincinnati, OH 45267, USA.
Department of Health Administration, University of Cincinnati, Cincinnati, OH 45221, USA.
Vaccines (Basel). 2022 Aug 30;10(9):1425. doi: 10.3390/vaccines10091425.
Healthcare workers (HCWs) need to be vaccinated against COVID-19 because they care for vulnerable patients. Hesitation to receiving the COVID-19 vaccine stems from the argument of bodily autonomy, novel mRNA vaccine technology, and conspiracy theories. However, vaccinations may prevent thousands of hospitalizations and deaths. HCWs have previously complied with other required vaccinations to care for children, elderly, and immunocompromised patients. Yet, COVID-19 vaccination mandates in the healthcare setting have been faced with resistance and subsequent staffing shortages. As HCWs display their hesitation to the vaccine, the community loses trust in its efficacy and safety. Speculation on pharmaceutical profiteering has also contributed to vaccine mistrust. As the pandemic continues, the healthcare field must decide on a course of action: adhere to vaccination mandates and cope with decreased staffing, repeal vaccination mandates to recover staff, rely on personal protective equipment (PPE) alone for protection, or do nothing and expect survival through herd immunity. To date, the United States has chosen to mandate COVID-19 vaccinations for any healthcare worker employed by Medicare and/or Medicaid-accepting facilities, allowing allergy and religious exemptions. This COVID-19 vaccination mandate for HCWs ethically protects the vulnerable people who HCWs vow to care for.
医护人员需要接种新冠疫苗,因为他们要照顾易感染的患者。对接种新冠疫苗的犹豫源于身体自主权的争论、新型信使核糖核酸(mRNA)疫苗技术以及阴谋论。然而,接种疫苗可以预防数千例住院和死亡情况。医护人员此前曾遵守其他规定的疫苗接种要求,以照顾儿童、老年人和免疫功能低下的患者。然而,医疗机构中新冠疫苗强制接种面临着抵制以及随之而来的人员短缺问题。由于医护人员对疫苗表现出犹豫,公众对疫苗的有效性和安全性失去了信任。对制药行业暴利的猜测也导致了对疫苗的不信任。随着疫情的持续,医疗领域必须决定采取何种行动方针:坚持疫苗强制接种并应对人员减少的情况,废除疫苗强制接种规定以恢复人员,仅依靠个人防护装备(PPE)进行防护,或者什么都不做,寄希望于通过群体免疫实现生存。迄今为止,美国已选择对任何受雇于接受医疗保险和/或医疗补助设施的医护人员强制接种新冠疫苗,允许有过敏和宗教豁免情况。医护人员的这种新冠疫苗强制接种规定在伦理上保护了医护人员承诺要照顾的弱势群体。