title: Rabies preexposure vaccination among veterinarians and at-risk staff.
abstract: OBJECTIVE
  To measure rabies preexposure vaccination rate and identify factors potentially associated with lack of vaccination among veterinarians and at-risk staff.
  
  
  METHODS
  Cross-sectional survey.
  
  
  METHODS
  At-risk veterinary medical association (VMA) members, their staff members, and animal shelter and wildlife rehabilitation center personnel located in a California county.
  
  
  METHODS
  A questionnaire was mailed to VMA members and managers of animal shelters and wildlife rehabilitation centers. Respondents were requested to provide data on vaccination history and potential factors associated with vaccination status for themselves and their at-risk staff members. Vaccinated and unvaccinated individuals were compared by use of univariate and logistic regression analyses to identify factors associated with vaccination status.
  
  
  RESULTS
  Fifty-eight percent (79/137) of persons who received questionnaires responded; 74 were eligible for the study. Respondents provided data for 47.6% (219/460) of their staff members. The vaccination rate was greater among respondents (85.1 %) than among their staff members (17.5%). Among staff members, age and duration of employment were significantly associated with vaccination status.
  
  
  CONCLUSIONS
  A large proportion of at-risk staff members working in veterinary clinics, animal shelters, and wildlife rehabilitation centers in the study area did not receive rabies preexposure vaccination per the Centers for Disease Control and Prevention's published recommendations of the Advisory Committee on Immunization Practices (ACIP). The cost of the preexposure vaccine series may be a barrier, particularly for young employees who are commonly short-term, part-time, or volunteer workers. Efforts are needed to increase awareness of the ACIP recommendations and to increase access to vaccination through agencies such as public health clinics.
authors: Sonoma County Department of Health Services, Santa Rosa, CA 95404, USA.
authors: R T
authors: RT
authors: Trevejo
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D017750:Animal Technicians; D002140:California; D003430:Cross-Sectional Studies; D004651:Employment; D005260:Female; D006801:Humans; D007348:Insurance, Health; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009784:Occupational Diseases / Q000517:prevention & control*; D011818:Rabies / Q000517:prevention & control*; D011819:Rabies Vaccines / Q000008:administration & dosage*; D012044:Regression Analysis; D011795:Surveys and Questionnaires; D014611:Vaccination / Q000706:statistics & numerical data*; D018634:Veterinarians
chemical_list: D011819:Rabies Vaccines