Feb 13, 2006 (CIDRAP News) – The Centers for Disease Control and Prevention (CDC) issued new recommendations last week in an effort to push the percentage of healthcare workers who receive influenza shots above the 40% range, where it has been stalled for years.Among other things, the agency recommended that healthcare facilities offer free flu shots annually to workers on every shift, monitor flu vaccination coverage regularly during the flu season, and obtain signed forms from those who give nonmedical reasons for refusing a shot.”The new recommendations provide strategies to make vaccine more accessible to healthcare workers and to help facilities better determine coverage rates and the reasons their staff have for not getting vaccinated,” the CDC said in a news release.In the interest of protecting both patients and workers, the CDC routinely includes healthcare workers in the general flu immunization recommendations it issues each year. The new recommendations are intended to help healthcare facility administrators, infection control professionals, and occupational health specialists boost immunization rates in their institutions.Flu immunization coverage among healthcare workers was only about 10% as recently as 1989, the report says. The rate improved to roughly 40% in the ensuing few years, but it has remained “relatively constant” since 1997, it states. One of the government’s health objectives is to raise flu-shot coverage among healthcare workers to 60% by 2010.The new recommendations were prepared by the Healthcare Infection Control Practices Advisory Committee and the Advisory Committee on Immunization Practices. They recommend that healthcare facilities:Educate employees about the benefits of flu immunization and the risks of flu for themselves and their patientsOffer vaccine each year to all eligible employees in order to protect them, their patients, and family members and to reduce absenteeismProvide free flu shots on site during all shifts and use strategies such as mobile carts and modeling and support by leadersObtain a signed “declination form” from employees who refuse a flu shot for reasons other than medical contraindicationsMonitor flu vaccination coverage and refusals at regular intervals during the flu season and provide staff and administrators with information on rates by wards, units, and specialtiesUse flu immunization rates “as one measure of a patient safety quality program”The CDC document cites various studies to support most of the recommendations. But it says that the effect of signed declination statements on immunization rates has not been studied. Using such forms, the agency says, can help facilities identify workers “who might require targeted education or other interventions to overcome barriers to vaccine acceptance.” The practice would also help facilities monitor how many employees are offered vaccine.How many healthcare facilities currently offer free flu shots or ask for signed refusal forms is unclear. The CDC, the Association for Professionals in Infection Control and Epidemiology, and the Minnesota Department of Health (MDH) all said they were unable to provide such information.Doug Schultz, a spokesman for the MDH, said the department sent a flu-shot declination form to healthcare facilities last fall and plans to do a follow-up survey to find out how many used the form.The percentage of facilities that offer free shots “is probably something we need to get a handle on, because of the CDC recommendations and because we do want healthcare workers to get vaccinated,” Schultz said.Researchers have found that the leading reason healthcare workers refuse flu shots is fear of side effects, followed by inconvenience and perceived ineffectiveness of the vaccine, according to the CDC report.The report says that as of January 2005, 13 states had passed laws concerning flu immunization for staff members in long-term-care facilities. But the effects of the laws are not yet clear, because only one state, Pennsylvania, has monitored them, the agency says.Last October the federal government began requiring nursing homes that serve Medicare and Medicaid recipients to offer flu shots to all residents. But the rule did not require vaccination of staff members.CDC. Influenza vaccination of health-care personnel: recommendations of the Healthcare Infection Control Practices (HICPAC) and the Advisory Committee on Immunization Practices (ACIP). MMWR 2006 Feb 9 (early online release) [Full text]See also:Feb 9 CDC news releasehttp://www.cdc.gov/media/pressrel/r060209.htm
Arsenal fans mock Jesse Lingard after Manchester United’s FA Cup defeat to Wolves PLAY Did Lingard dance tonight ?— EHAB (@EJAfc) March 16, 2019 Video Settings Read More Raul Jimenez scored in Wolves’ 2-1 win against Manchester United (Getty Images) Visit Advertiser website GO TO PAGE Skip Full Screen Where’s LINGARD now!Where’s your wanky dance now!You little #Prick 😂😂😂😂😂😂😂😂😂— Joseph Farrugia (@josephfarrugia7) March 16, 2019 Read More Skip Ad Metro Sport ReporterSaturday 16 Mar 2019 10:37 pmShare this article via facebookShare this article via twitterShare this article via messengerShare this with Share this article via emailShare this article via flipboardCopy link819Shares About Connatix V67539 More: Manchester United FCRio Ferdinand urges Ole Gunnar Solskjaer to drop Manchester United starNew Manchester United signing Facundo Pellistri responds to Edinson Cavani praiseEx-Man Utd coach blasts Ed Woodward for two key transfer errors 1/1 Read More Read More Rio Ferdinand tells Ole Gunnar Solskjaer to drop struggling by Metro Advertisement Arsenal fans took pleasure in Jesse Lingard’s struggled against Wolves (AMA/Getty Images)Arsenal fans were quick to fire digs at Jesse Lingard after Manchester United were dumped out of the FA Cup by Wolves on Saturday evening.Second-half goals from Raul Jimenez and Diogo Jota put Wolves two in front before Marcus Rashford scored a consolation goal for United in the final stages of extra time.Lingard struggled to make an impact at Molineux and was substituted late on as Ole Gunnar Solskjaer attempted to salvage the quarter-final tie.The England international angered Arsenal fans in the fourth round of the FA Cup after he moonwalked on the pitch at the Emirates Stadium during United’s 3-1 win against the Gunners in January.ADVERTISEMENT / Coming Next Manchester United captain Harry Maguire Moonwalk on that Lingard you twat— Nanda (@JulianNanda2000) March 16, 2019 Top articles Read More SPONSORED Ole Gunnar Solskjaer has lost back-to-back games with United for the first time (Getty Images)And Arsenal fans didn’t forget Lingard dancing on their home turf as United were sent crashing out of the FA Cup. Comment 1 min. story Advertisement
Julian Rivers – Jubilee Centre – volume 21 number 3 September 2012The Government’s proposal to introduce same-sex marriage seems to rest on reasons of equality, stability and convenience. But on closer inspection, these are respectively incomplete, speculative and negligible. As currently defined, marriage secures the equal value of men and women. It also promotes the welfare of children. By contrast, the new definition of marriage will unavoidably call into question its exclusivity, its permanence and even its sexual nature. Such an unravelling of marriage is too high a price to pay for a proposal which fulfils no practical legal need.READ MORE http://www.jubilee-centre.org/redefining-marriage-the-case-for-caution/
Press Association Forster underwent knee surgery after falling awkwardly in the 2-0 victory over Burnley a week ago and estimates for his comeback have ranged from four to 12 months. Koeman is reluctant to give a more precise time frame for the England international and views Kelvin Davis as a capable deputy, although he admits he may be forced to bolster his goalkeeping options if Forster’s recovery is delayed. Southampton boss Ronald Koeman will wait for a more accurate date for Fraser Forster’s return before deciding whether an additional goalkeeper must be signed in the summer. “Fraser is down, of course. I spoke to him last week,” Koeman said at his press conference ahead of Saturday’s Barclays Premier League trip to Everton. “The operation he had last week went okay, but he will be out for a long time – at least for this season. We have to wait to see how long he will be out for, it’s difficult at this moment. “Fraser is a fantastic goalkeeper. He was and is the number one for us. But as for every player you need good substitutes for each position. “Kelvin Davis is a very experienced goalkeeper who played very well against Burnley. “He made some fantastic saves and has a lot of experience, which is important for our last eight games of the season. “We have to make a decision on the goalkeepers at the end of the season and if Fraser is out for a longer time, a new goalkeeper is an option.” Striker Jay Rodriguez has been missing for a year to rehabilitate his own knee complaint and Koeman has revealed that he could be back before the end of the season. “Jay has been training with the group and should be ready to play in four or five weeks,” Koeman said. Midfielder Steven Davis is a doubt to face Everton because of a groin injury he sustained on international duty for Northern Ireland.