Healthcare worker influenza immunization vaccinate or mask policy: Strategies for cost effective implementation and subsequent reductions in staff absenteeism due to illness

AbstractBackgroundA 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.MethodsA 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.ResultsOf 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.ConclusionAfter 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

How much does the presence of a competitor modify the within-canopy distribution of ozone-induced senescence and visible injury?

Many natural vegetation species have been shown to be negatively affected by ozone. This study has investigated how the presence of competing species in a community affects two common responses to ozone: visible injury and senescence. Monocultures and mixtures of Trifolium repens and Lolium perenne were grown in large containers and were exposed in solardomes to either a rural episodic ozone profile (AOT40 of 12.86 ppm h) or control conditions (AOT40 of 0.02 ppm h) for 12 weeks. The proportion of ozone-injured or senesced leaves was different in the different regions of the canopy. The highest proportions of injured/senesced leaves were in the plant material growing at the edge of the canopy and the upper canopy, with a significantly lower proportion of injured leaves in the inner canopy. The presence of L. perenne increased the proportion of ozone-injured leaves in T. repens at the final harvest, whilst the presence of T. repens decreased the proportion of senesced leaves in L. perenne. In L. perenne, the proportion of injured leaves at the edge and inner canopy decreased significantly when grown in competition, whilst for T. repens the reverse effect occurred in the inner canopy only. Different mechanisms appeared to influence the interaction between response to ozone and competitors in these two species. In L. perenne the response to ozone may have been related to nitrogen supply, whereas in T. repens canopy structure was more important