ワクチン打つ医療従事者は１割か２割？（ＵＫ）

ＵＫの当局が、医療従事者に新型インフルエンザワクチンを「ちゃんと打つよう」呼びかけています。　「打てるようになりました」「打つ権利があります」という呼びかけの間違いではありません。「ちゃんと打つよう」呼びかけ。

その理由には、医療従事者が、基礎疾患もつ人に感染させたら大変なことになるとか、感染ピーク時に医療スタッフが足りなくなったら云々とか、ごく常識的なことが書いてあります。

どれにしてもなぜ・・・
大多数が嫌がっているというのです。

• ある病院長がＧｕａｒｄｉａｎ紙に語ったところによれば、病院スタッフが新型インフルワクチン接種受けるのは１０～２０％にとどまるだろうと見通し。ワクチンが任意で強制力が無いからと。
• また、都市部の”Ｈｏｔｓｐｏｔ”に所在するある病院スタッフは「このまま状況が変わらなければ、接種受けるのは１０～２０％ぐらいだろう。そして、感染したスタッフは患者にうつしてしまい、うつされた患者が亡くなるということも起こるだろう。数は少ないけれど

  One chief executive of a busy urban hospital in one of the swine flu "hotspots" said: "At the moment in my hospital if nothing changes then it could be that 10%-20% of staff have the swine flu jab … Staff could have the virus and pass it on to patients, a proportion of whom will die, albeit a very small proportion."

• 感染したスタッフの欠勤で、スタッフ不足から患者に危険が及ぶことも考えられる。こちらの方が患者に感染させることよりもっと恐ろしい。

• ＮＨＳ医療スタッフの井戸端会議では、ワクチンはアカン。そんなもんに惑わされたらアカンということになっている（The word on the street in NHS staff circles is that the vaccine is no good and you shouldn't bother with it）。医者が打つ割合は１０～１５％だろう。

• Ｎｕｒｓｉｎｇ Times（看護師の専門誌）のアンケート調査によれば、ワクチンを接種しないと答えた割合は８月時点の３１％から４７％に増加し、必ず打つと答えた割合は３５％から２３％に低下。（ 31% in August to 47%, while those who definitely will has fallen from 35% to 23%.）

ＵＫの新型インフルエンザワクチン接種はまもなく始まりますが、医者も打たない、看護師も打たない。感染したスタッフが院内で患者に感染させ、基礎疾患もつ患者が重症化して亡くなり、スタッフ不足の病棟で患者が危険にさらされる・・・これが近々、イングランドで、スコットランドで、北アイルランドで展開する光景になるのでしょうか。

ソースは10月１１日付Guardian↓
http://www.guardian.co.uk/world/2009/oct/11/swine-flu-pandemic-vaccine-nhs
Swine flu fears grow as NHS staff shun vaccine

こんな悪夢のようなシナリオを強制力（クビをちらつかせる！！）でもって避けようとする所もあります。
大西洋の向こう、NY市です。NYで臨床されている日本人の方のブログに詳細載っているので参照ください。
http://soulfulife.exblog.jp/12052893/
ところが、9月に入ってNY州から医療に従事する者にお触れが出たんです。一般のインフルエンザの予防接種とH1N1（新型インフル）の予防接種を必ず受けるようにと。絶対命令が下されたんです。
で、実際、NY市の病院ではどのようにお触れが出ているかというと・・・11月30日までに両方の予防接種を受けていない者は2週間の無給停職、その2週間の間に接種を受けなかった場合は退職を迫られるんです。ええ、クビです、クビ。厳しいですねえ!!!
↑ソースは　「セラピスト万葉NYをゆく」

とにかく一筋縄ではゆかぬワクチン問題。日本も検討必要なのではないでしょうか。

Swine flu fears grow as NHS staff shun vaccine

• Health department urges frontline staff to get jab
• Inoculation vital in efforts to contain pandemic

• Buzz up!
• Digg it

• Denis Campbell, health correspondent
• guardian.co.uk, Sunday 11 October 2009 22.39 BST

The Department of Health has ordered NHS bosses across England to ensure that frontline staff get immunised against swine flu amid growing signs that many doctors and nurses intend to shun the vaccine.

Chief executives and boards who run hospitals, primary care trusts and strategic health authorities have been told to urgently maximise the number of workers having the jab. Leading DH figures including Sir Liam Donaldson, the chief medical officer, have written to them six times in the last five weeks stressing the need for action before the second wave of the pandemic causes major problems.

Ian Dalton, the NHS's national director of flu resilience, last week warned that vaccination of nurses, doctors and other frontline staff was "absolutely critical" and that widespread take-up of the jabs "will help us to save lives".

The DH's letters stress that patients' health could be put at risk and the NHS left seriously short-staffed through virus-related absenteeism if senior managers do not overcome "perceived obstacles" to the vaccination of workers. Swine flu's threat is so great that the NHS must avoid only small numbers of personnel getting immunised, as usually happens with seasonal flu every winter, the letters add.

They stress that vulnerable patients could be endangered if staff decide not to heed repeated urgings from Donaldson and other senior figures to have the vaccine. There are growing signs that large numbers of workers will shun the jabs because they see them as unnecessary and potentially unsafe.

Dalton wrote to the chief executives of local NHS organisations in England on 10 September telling them: "We all know that uptake of the seasonal flu vaccine among NHS staff is traditionally low. It is an NHS board responsibility that we do not find ourselves in this position with the swine flu vaccine."

But hospital chief executives have told the Guardian that they expect as few as 10%-20% of their staff to get vaccinated and cannot fulfil the DH's demands because the jabs, which are due to begin within days, are entirely voluntary.

One chief executive of a busy urban hospital in one of the swine flu "hotspots" said: "At the moment in my hospital if nothing changes then it could be that 10%-20% of staff have the swine flu jab … Staff could have the virus and pass it on to patients, a proportion of whom will die, albeit a very small proportion."

He added: "The other consequence is that if loads of staff go off with swine flu that will leave us short-staffed, which is dangerous to patients. That's a bigger danger than transmission."

Another hospital chief executive said: "Ideally it should be 100% of frontline staff having the swine flu vaccine. But it obviously isn't going to be. I hope we'll get at least the 50% we usually get for seasonal flu. This is important because although this strain of swine flu is mild in most people, if it's contracted by someone with an underlying health condition that can be serious."

One medical director at another hospital added: "The word on the street in NHS staff circles is that the vaccine is no good and you shouldn't bother with it. Nurses in particular worry that there may be side-effects, that corners have been cut in producing the vaccine and that the generally mild nature of the virus means they don't need to take it. As few as 10%-15% of doctors may have it because we doctors believe ourselves to be above such trivial things as infections."

A poll by Nursing Times magazine last week showed that the proportion of nurses who do not intend to get vaccinated has risen from 31% in August to 47%, while those who definitely will has fallen from 35% to 23%.

Dame Christine Beasley, the chief nursing officer for England, responded by stressing that the vaccine is "as safe as a vaccine can be" and adding: "Nothing in life is risk-free. I can well understand people being worried. I can well understand people thinking it's only a mild illness and why should I bother? I do understand all that, I think you wouldn't be human if you didn't think that." Beasley wants directors of nursing to act as role models to allay concerns among frontline nurses.

Hospital chief executives say privately that Donaldson's repeated reminders of the mild nature of swine flu's effects in those who contract it, and recent claim that the UK is "tantalisingly close" to beating the virus, may be leading staff to believe that vaccination is not important.

The health department said: "Frontline healthcare workers will be absolutely crucial in the height of a pandemic – without them, patient care will suffer, and the NHS will be stretched. Getting the swine flu vaccine will protect them and their patients."

It added: "All NHS organisations will be working hard to ensure that all eligible staff have the choice to protect themselves and their patients from swine flu by having the vaccine."