IAC is recognizing the stellar examples of influenza vaccination mandates in healthcare settings.

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Vaccination programs are therefore an essential component of infection prevention and control.

Preventing health care-associated transmission of influenza and other infectious diseases can protect patients, HCP, and local communities. NACCHO urges healthcare employers and local health departments (LHDs) to require influenza vaccination for all staff as a condition of employment.

This would be a reasonable accommodation barring undue hardship (significant difficulty or expense).

Similarly, under Title VII of the Civil Rights Act of 1964, once an employer receives notice that an employee’s sincerely held religious belief, practice, or observance prevents him from taking the influenza vaccine, the employer must provide a reasonable accommodation unless it would pose an undue hardship as defined by Title VII (“more than de minimis cost” to the operation of the employer’s business, which is a lower standard than under the ADA).

Refer to the position statements of these leading medical organizations to guide you in developing and implementing a mandatory influenza vaccination policy at your healthcare institution or medical setting.

The AAFP supports annual mandatory influenza immunization for health care personnel (HCP) except for religious or medical reasons (not personal preferences).

Additionally, strong leadership commitment that takes into account and collaboratively addresses concerns by employees and the organizations representing them is essential to providing the necessary support and resources to implement such a comprehensive program.

Because healthcare personnel (HCP) work in an environment where contact with patients or infective material from patients is routine, HCP are at risk for exposure to vaccine-preventable diseases and possible transmission to patients, their families, and other HCP.

Strongly recommends that institutions that train health professionals, deliver health care, or provide laboratory or other medical support services require immunizations for personnel at risk for contracting or transmitting vaccine-preventable illnesses.

Encourages institutional, employer, and public health policy to require influenza vaccination of all health workers as a precondition of employment and thereafter on an annual basis, unless a medical contraindication recognized in national guidelines is documented in the worker's health record.

To protect the lives and welfare of patients and hospital employees, the AHA's Board of Trustees recently approved a policy supporting mandatory patient safety policies that require either influenza vaccination or wearing a mask in the presence of patients across health care settings during flu season.