Slashdot Mirror
For Some Medical Workers, a Flu Shot Or Possible Job Loss
theodp writes "Want to work at Winthrop Hospital? Roll up your sleeve, and we'll talk. TIME reports that every employee at the Long Island hospital — from doctors and nurses who care for patients to the administrative, housekeeping and food-service personnel — must be vaccinated against both seasonal and H1N1 flu or face termination. The mandate comes from the health department of New York, the first state to require all health-care workers to be vaccinated against influenza. Meanwhile, two-thirds of parents say they'll avoid flu shots for their little ones like, well, the flu. So who should you believe — Dr. Bill Frist or 'Dr.' Bill Maher? Before you decide, perhaps a consultation with Dr. Google is in order."
Aggressive vaccinations are a good thing. Think we could have practically wiped out polio or smallpox in this country if we just kicked back and waited to see what happened? Of course the flu isn't the same, and I know it's not going anywhere. But if you think for a second that every healthcare worker shouldn't get the flu shot, you don't know a lot about healthcare. This sort of thing isn't to protect the workers, it's to protect the immunocompromised people in the hospital. They need our healthy immune systems to protect them, too.
Let's see; people who have a very good chance of coming into direct contact with those infected with H1N1 flu on a daily basis and then subsequently coming into contact with others who may be in high-risk groups for said virus being required to get vaccinated against it? Madness, I say. This is what happens when you let government have control over health care. Socialism. Communists. Sky...falling etc.
Now termination may be a bit harsh, but removal from front-line duties for those who refuse the vaccination seems more than reasonable to me. H1N1 may not be the epic disaster that was predicted, but that doesn't mean we should just ignore it entirely.
Maybe my tin foil hat isn't adjusted right, but of all the vaccines out there, the flu shot (or mist as most people get it these days) is about as safest of them all. Incredibly low side effect rate, very effective, and a guarantee that you're going to get a mild version of the flu before everybody else does. Plus, if you are working in a medical care facility, you won't be an oxygen-burning flu contamination source, making it possible to keep the spread of these viruses down to a minimum.
Yes, the Swine Vaccine in the 70's was very poorly executed and there were many problems. But holy cow folks, it's been over 30 years and medicine has come just a short distance since. For the last 18 years getting a flu shot has been a federally mandated condition of my employment and I don't even work in a health care related field--what the heck is the big deal with getting a flu shot?
Starting next week, all passwords will be entered in morse code.
Maher's a funny guy, and I like a lot of what he stands for. However, his stances on things like medicine and nutrition are total whack-job, and that's putting it kindly. I saw the Maher interview with Frist the other night. All I can say is that if even one person is influenced to NOT take the H1N1 vaccine based on Bill's foolish, uninformed, hippie opinion on the matter, and subsequently that person gets infected and dies, then IMO Bill is culpable. All available data strongly supports the safety and effectiveness of vaccination. Not vaccinating based on superstition is grossly irresponsible.
If you've got a compromised immune system, then working at a hosipital is the last thing that you want to do. Getting fired would probably save your life.
I only know Maher from youtube clips, he is a smart and funny guy but every now and then he demonstrates he hasn't quite got the hang of the critical thinking thing and comes out with "alternative" health advise that makes me groan. I once heard him repeat the 1990's greenpeace meme that putting clorine in the water to kill bugs was a BadThing(TM), never mind that it is probably the single biggest public health improvement of the 20th century in terms of lives saved.
And did you exchange a walk on part in the war for a lead role in a cage? - Pink Floyd.
On construction sites: hard hat, steel-toed boots, and when appropriate, gloves and safety glasses
At hospitals and other health-care facilities: immunization for the kinds of diseases that are likely to come through the door, especially those with the potential for arrival en masse.
Of course it is within your rights to refuse. But no safety equipment? No, you aren't allowed on-site in the areas where the relevant hazards exist. If that precludes you working, tough.
Seems reasonable to me. It's still a choice, even if it is a harsh one. But anyone who chose to work in health care should have realized years ago what might sometimes be necessary to do the job.
That was essentially Maher's ploy.
By interviewing Frist, a former Senator who was the Senate Republican leader during part of his time in office, instead of some other well-known physician, Maher interposed wholly unrelated politics into the discussion about whether or not to get an H1N1 vaccination. The end result is to convince some people who disagree with Frist on other issues to accept what is essentially a "reductio ad Hitlerum" argument: that if Bill Frist believes you should get a flu shot, then clearly, that's reason enough not to.
Nice try, but squalene and other adjuvants are forbidden in U.S. vaccines by the FDA. With regards to the mercury, if it's that big of a concern to you, I hope you are on a tuna-free diet because there is more mercury in a tuna sandwich than in the thiomersal of any vaccine available in the U.S..
As for your scary-sounding list, yes, it's a list of possible adverse effects that a person may experience - but it is not an indication of likelihood. No medication is without risk, but in general, people take the medication because the benefits outweigh the risks by a significant margin.
To put it in a grossly exaggerated, probably flawed slashdot-style analogy, the documented possible side effects of flying in a plane are motion sickness, legionnaire's disease, food poisoning, lice infestation, mental anguish, deep vein thrombosis, alcohol abuse, insomnia, halitosis, delayed departure, poverty, or becoming part of a suicide mission that turns your plane into a bomb. But more likely than any of those you'll get to your destination with very little lasting impact on your personal health or safety - as long as you remember that stupid 4-1-1 rule.
And you've apparently not been educated in immunology, or contagion. If a disease is moderately virulent (like the common cold, or the flue), but the vaccine is prevalent (such as 90% or better of school children, who are incredibly susceptible), outbreaks are very small and likely not to spread. If the vaccine is rare, the disease can still spread as a serious contagion: a plague, if the disease is dangerous enough.
AIDS is a fascinating example. It takes serious work to get AIDS: blood-to-blood transfer is unusual. But the idiots who first got it spread it _virulently_ through the susceptible group, so broadly that it's entered the general population in places like South Africa. And a hospital is a festering ground for infection: the sick people go there, otherwise healthy people get the disease and spread it to other patients unless their clean procedures are ver, very good, and the same staff person may see many other patients or clean many other rooms or handle many other cafeteria trays and spread the disease wildly among otherwise weakened people. They _should_ be vaccinated, for the safety of the patients.