We appreciate the comments by Dr Sim and Dr Wiwanitkit on our article,1 where they raised some important issues regarding mandatory health care worker influenza vaccination programs. Although evidence suggests that mandatory vaccination policies increase health care worker vaccination rates in acute care settings,2–5 we note that there is a lack of evidence regarding the effectiveness of mandatory policies in long-term care settings and that there are legal and ethical challenges to mandatory vaccination.
Health care worker influenza vaccination in Oregon nursing homes: Correlates of facility characteristics
Campbell, LJ., & Li, Q. (2014). Health care worker influenza vaccination in Oregon nursing homes: Correlates of facility characteristics. Journal of the American Medical Directors Association, 15(11), 847-848. https://doi.org/10.1016/j.jamda.2014.08.001