title: Healthcare worker influenza immunization vaccinate or mask policy: strategies for cost effective implementation and subsequent reductions in staff absenteeism due to illness.
abstract: BACKGROUND
  A new policy requiring staff in clinical areas to vaccinate or wear a mask was implemented in British Columbia (BC) in the 2012/13 winter. This review assessed the impact of the policy on absenteeism in health care workers.
  
  
  METHODS
  A retrospective cohort study of full-time HCW that worked prior to and during the 2012/13 influenza season in a health authority in BC. The rate of absenteeism due to all cause illness was compared between vaccinated and unvaccinated staff controlling for behaviors outside influenza season.
  
  
  RESULTS
  Of the 10079 HCW, 77% were vaccinated. By comparison to absenteeism rates in the pre-influenza season, unvaccinated staff in winter had twice the increase in absenteeism due to all-cause illness than vaccinated staff.
  
  
  CONCLUSIONS
  After controlling for baseline differences between those vaccinated and unvaccinated, influenza vaccination was associated with reduced absenteeism, saving the Health Authority substantial money. Having regular staff in attendance increases the quality of care.
authors: Fraser Health Authority, 13450 102nd Avenue, Surrey, Canada. Electronic address: pjvb@iinet.net.au.
authors: P G
authors: PG
authors: Van Buynder
authors: Fraser Health Authority, 13450 102nd Avenue, Surrey, Canada.
authors: S
authors: S
authors: Konrad
authors: Fraser Health Authority, 13450 102nd Avenue, Surrey, Canada.
authors: F
authors: F
authors: Kersteins
authors: Fraser Health Authority, 13450 102nd Avenue, Surrey, Canada.
authors: E
authors: E
authors: Preston
authors: Fraser Health Authority, 13450 102nd Avenue, Surrey, Canada.
authors: P D
authors: PD
authors: Brown
authors: Fraser Health Authority, 13450 102nd Avenue, Surrey, Canada.
authors: D
authors: D
authors: Keen
authors: Fraser Health Authority, 13450 102nd Avenue, Surrey, Canada.
authors: N J
authors: NJ
authors: Murray
mesh_terms: D000041:Absenteeism; D000328:Adult; D001955:British Columbia; D015331:Cohort Studies; D003362:Cost-Benefit Analysis; D005260:Female; D006282:Health Personnel / Q000191:economics; D006291:Health Policy / Q000191:economics; D006801:Humans; D017589:Immunization Programs / Q000191:economics; D007251:Influenza, Human / Q000517:prevention & control*; D008297:Male; D008397:Masks; D012189:Retrospective Studies; D012621:Seasons; D014611:Vaccination / Q000191:economics*
keywords: Cost-effectiveness; Healthcare worker; Influenza; Mask; Policy; Vaccination