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Vaccination, time lost from work, and COVID-19 infections: a Canadian healthcare worker retrospective cohort study

The COVID-19 pandemic highlighted hurdles for healthcare delivery and personnel globally. Vaccination has been an important tool for preventing severe illness and death in healthcare workers (HCWs) as well as the public at large. However, vaccination has resulted in some HCWs requiring time off work...

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Autores principales: Okpani, Arnold I., Lockhart, Karen, Grant, Jennifer M., Barker, Stephen, Srigley, Jocelyn A., Yassi, Annalee
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10440376/
https://www.ncbi.nlm.nih.gov/pubmed/37608982
http://dx.doi.org/10.3389/fpubh.2023.1214093
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author Okpani, Arnold I.
Lockhart, Karen
Grant, Jennifer M.
Barker, Stephen
Srigley, Jocelyn A.
Yassi, Annalee
author_facet Okpani, Arnold I.
Lockhart, Karen
Grant, Jennifer M.
Barker, Stephen
Srigley, Jocelyn A.
Yassi, Annalee
author_sort Okpani, Arnold I.
collection PubMed
description The COVID-19 pandemic highlighted hurdles for healthcare delivery and personnel globally. Vaccination has been an important tool for preventing severe illness and death in healthcare workers (HCWs) as well as the public at large. However, vaccination has resulted in some HCWs requiring time off work post-vaccination to recover from adverse events. We aimed to understand which HCWs needed to take time off work post-vaccination, for which vaccine types and sequence, and how post-vaccination absence impacted uptake of booster doses in a cohort of 26,267 Canadian HCWs. By March 31, 2022, more than 98% had received at least two doses of the approved COVID-19 vaccines, following a two-dose mandate. We found that recent vaccination and longer intervals between doses were associated with significantly higher odds of time-loss, whereas being a medical resident and receiving the BNT162b2 vaccine were associated with lower odds. A history of lab-confirmed SARS-CoV-2 infection was associated with lower odds of receiving a booster dose compared with no documented infection, aOR 0.61 (95% CI: 0.55, 0.68). Similarly, taking sick time following the first or second dose was associated with lower odds of receiving a booster dose, aOR 0.83 (95% CI: 0.75, 0.90). As SARS-CoV-2 becomes endemic, the number and timing of additional doses for HCWs requires consideration of prevention of illness as well as service disruption from post-vaccination time-loss. Care should be taken to ensure adequate staffing if many HCWs are being vaccinated, especially for coverage for those who are more likely to need time off to recover.
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spelling pubmed-104403762023-08-22 Vaccination, time lost from work, and COVID-19 infections: a Canadian healthcare worker retrospective cohort study Okpani, Arnold I. Lockhart, Karen Grant, Jennifer M. Barker, Stephen Srigley, Jocelyn A. Yassi, Annalee Front Public Health Public Health The COVID-19 pandemic highlighted hurdles for healthcare delivery and personnel globally. Vaccination has been an important tool for preventing severe illness and death in healthcare workers (HCWs) as well as the public at large. However, vaccination has resulted in some HCWs requiring time off work post-vaccination to recover from adverse events. We aimed to understand which HCWs needed to take time off work post-vaccination, for which vaccine types and sequence, and how post-vaccination absence impacted uptake of booster doses in a cohort of 26,267 Canadian HCWs. By March 31, 2022, more than 98% had received at least two doses of the approved COVID-19 vaccines, following a two-dose mandate. We found that recent vaccination and longer intervals between doses were associated with significantly higher odds of time-loss, whereas being a medical resident and receiving the BNT162b2 vaccine were associated with lower odds. A history of lab-confirmed SARS-CoV-2 infection was associated with lower odds of receiving a booster dose compared with no documented infection, aOR 0.61 (95% CI: 0.55, 0.68). Similarly, taking sick time following the first or second dose was associated with lower odds of receiving a booster dose, aOR 0.83 (95% CI: 0.75, 0.90). As SARS-CoV-2 becomes endemic, the number and timing of additional doses for HCWs requires consideration of prevention of illness as well as service disruption from post-vaccination time-loss. Care should be taken to ensure adequate staffing if many HCWs are being vaccinated, especially for coverage for those who are more likely to need time off to recover. Frontiers Media S.A. 2023-08-07 /pmc/articles/PMC10440376/ /pubmed/37608982 http://dx.doi.org/10.3389/fpubh.2023.1214093 Text en Copyright © 2023 Okpani, Lockhart, Grant, Barker, Srigley and Yassi. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Okpani, Arnold I.
Lockhart, Karen
Grant, Jennifer M.
Barker, Stephen
Srigley, Jocelyn A.
Yassi, Annalee
Vaccination, time lost from work, and COVID-19 infections: a Canadian healthcare worker retrospective cohort study
title Vaccination, time lost from work, and COVID-19 infections: a Canadian healthcare worker retrospective cohort study
title_full Vaccination, time lost from work, and COVID-19 infections: a Canadian healthcare worker retrospective cohort study
title_fullStr Vaccination, time lost from work, and COVID-19 infections: a Canadian healthcare worker retrospective cohort study
title_full_unstemmed Vaccination, time lost from work, and COVID-19 infections: a Canadian healthcare worker retrospective cohort study
title_short Vaccination, time lost from work, and COVID-19 infections: a Canadian healthcare worker retrospective cohort study
title_sort vaccination, time lost from work, and covid-19 infections: a canadian healthcare worker retrospective cohort study
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10440376/
https://www.ncbi.nlm.nih.gov/pubmed/37608982
http://dx.doi.org/10.3389/fpubh.2023.1214093
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