A Longitudinal Study
of Attitudes and Adverse Reactions of Influenza Vaccination among Health
Kriti A Patel1*,
J.D. Naik2, S.S. Rajderkar3, Sanjay K Jathar4
of Community Medicine, Government Medical College, Miraj (MS) INDIA.
Associate Prof., 3 Prof. & Head of Dept., Dept. of Community
Medicine, Government Medical College, Miraj (MS) INDIA.
Academic Editor: Dr.
pandemics are caused by emergence of, Re-assorted Novel Influenza A H1N1
viruses that have recently adapted to humans. It continues to be a
significant cause of morbidity and mortality globally. Health Care
Personnel (HCP), the backbone of health care delivery system, have been
identified as an important source of influenza for patients. Vaccination
is a useful but underused means of preventing the illness and deaths but
the coverage is lower than expected among HCP. Influenza vaccination
programs for HCP have not met wide acceptance and it is important to
explore their attitudes behind vaccine uptake. Objectives: To
study the attitudes/beliefs behind vaccination. To study the
frequency and pattern of adverse reactions following influenza
vaccination in HCP. Materials and Methods: A longitudinal study
was conducted in 130 HCP, working in Govt. Medical College & Hospital (Miraj
& Sangli), participating voluntarily, who had taken influenza vaccine (Nasovac
or Injectable). They were followed for 1 year period (Aug�2010 to July
�2011) from the day of vaccination. The relevant information was
recorded in predesigned proforma, after informed consent. Results:
Mean age group of the participants was 33.8�10.2 years. 87(67%) of
the total subjects had procured the vaccine from private source but
91(70%) preferred Govt. hospital for vaccination. 78(60%) of the total
subjects gave the reason for vaccination as personal protection. 71.5%
participants took nasal vaccine, of which 52(56%) subjects told the
reason for its selection being the ease of administration. The overall
incidence of side reactions after vaccination was 40%. No significant
difference was found between adverse reactions following Nasal or
Injectable vaccine. Most of the reactions were mild & seen during first
3 days of vaccination which was statistically significant.
Conclusion: Govt. hospital was the preferred place for vaccination
by HCP. Vaccination of both types of vaccine is associated with mild
adverse reactions during first 3 days with declining frequency over 1
year. The uptake of influenza vaccine is poor among HCP.