Abstract
The aim of this study was to solicit opinions from healthcare workers (HCWs) as to their attitude to working during a pandemic. A cross-sectional survey of HCWs using a self-administered, anonymous survey was conducted between February 2007 and April 2007. The setting was a large Victorian metropolitan health service, employing over 10 000 staff. Sixty-seven percent of HCWs stated they would be available to work during a pandemic, 26% stated they would stay at home to care for their children, whereas 10% admitted they would stay away because of fear of catching influenza. The majority of employees expected to be provided with personal protective equipment, antivirals and vaccine (92%, 90% and 89%, respectively). HCWs also believed that family members should be supplied with antivirals and vaccine (64% and 63%, respectively), 20% believed they needed a place of residence while working, 45% were prepared to be relocated to another site, and 36% were prepared to change to another duty. The survey highlights several areas that need attention in preparing for a pandemic. Targeted education is required now for all those HCWs who will be expected to work during a pandemic. How we cope with the next inevitable pandemic depends on the depth of our preparation.
References
- 1.Beveridge W. The chronicle of influenza pandemics. Hist Philos Life Sci. 1991;13:223–234. [PubMed] [Google Scholar]
- 2.World Health Organization. Cumulative number of confirmed human cases of avian influenza A/(H5N1) reported to WHO. Geneva: World Health Organization; 2007. Available online at: http://www.who.int/csr/disease/avian-influenza/country/cases-table-2007-05-16/en/index.html [accessed May 2007].
- 3.Quereshi K., Gershon R., Sherman M., Straub T., Gebbie E., McCollum M. Health care workers’ ability and willingness to report to duty during catastrophic disasters. J Urban Health. 2005;82:378–388. doi: 10.1093/jurban/jti086. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 4.Stuart R.L., Gillespie E.E. Hospital pandemic preparedness: health care workers’ opinions on working during a pandemic. Med J Aust. 2007;187:676. doi: 10.5694/j.1326-5377.2007.tb01472.x. [DOI] [PubMed] [Google Scholar]
- 5.Anonymous. World is ill-prepared for “inevitable” flu, pandemic. Bull World Health Organ. 2004;82:317–318. [PMC free article] [PubMed] [Google Scholar]
- 6.Meltzer M., Cox N., Fukuda K. The economic impact of pandemic influenza in the United States: priorities for intervention. Emerg Infect Dis. 1999;5:659–661. doi: 10.3201/eid0505.990507. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 7.Zhang X., Meltzer M., Wortley P. Centers for Disease Control and Prevention, US Department of Health and Human Services; Atlanta: 2005. FluSurge 2.0. A manual to assist state and local public health officials and hospital administrators in estimating the impact of an influenza pandemic on hospital surge capacity. [Google Scholar]
- 8.Singer P.A., Benatar S.R., Bernstein M., Daar A.S., Dickens B.M., MacRae S.K. Ethics and SARS: lessons from Toronto. BMJ. 2003;327:1342–1344. doi: 10.1136/bmj.327.7427.1342. doi:10.1136/bmj.327.7427.1342. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9.Bartlett J.G. Planning for avian influenza. Ann Intern Med. 2006;145:141–144. doi: 10.7326/0003-4819-145-2-200607180-00133. [DOI] [PubMed] [Google Scholar]
- 10.Ferguson N.M., Cummings D.A.T., Fraser C., Cajka J.C., Cooley P.C., Burke D.S. Strategies for mitigating an influenza pandemic. Nature. 2006;442:448–452. doi: 10.1038/nature04795. doi:10.1038/nature04795. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 11.Australian Government, Department of Health and Ageing . Commonwealth of Australia; Canberra: 2006. Australian health management plan for pandemic influenza. [Google Scholar]
- 12.Brankston G., Gitterman L., Hirji Z., Lemieux C., Gardam M. Transmission of influenza A in human beings. Lancet Infect Dis. 2007;7:257–265. doi: 10.1016/S1473-3099(07)70029-4. doi:10.1016/S1473-3099(07)70029-4. [DOI] [PubMed] [Google Scholar]
- 13.Reid L. Diminishing returns? Risk and the duty to care in the SARS epidemic. Bioethics. 2005;19:348–361. doi: 10.1111/j.1467-8519.2005.00448.x. doi:10.1111/j.1467-8519.2005.00448.x. [DOI] [PubMed] [Google Scholar]
- 14.Hsin D., Macer D. Heroes of SARS: professional roles and ethics of health care workers. J Infect. 2004;49:210–215. doi: 10.1016/j.jinf.2004.06.005. doi:10.1016/j. jinf.2004.06.005. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 15.Barnett D., Balicer R., Blodgett D., Everly G.S., Jr., Omer S.B., Parker C.L. Applying risk perception theory to public health workforce preparedness training. J Public Health Manag Pract. 2005;11(Suppl 6):S33–S37. doi: 10.1097/00124784-200511001-00006. [DOI] [PubMed] [Google Scholar]
- 16.Takayanagi I., Cardoso M., Costa S., Araya M., Machado C. Attitudes of health care workers to influenza vaccination: why are they not vaccinated? Am J Infect Control. 2007;35:56–61. doi: 10.1016/j.ajic.2006.06.002. doi:10.1016/j. ajic.2006.06.002. [DOI] [PubMed] [Google Scholar]
- 17.Starr I. Influenza in 1918: recollections of the epidemic in Philadelphia. Ann Intern Med. 2006;145:138–140. doi: 10.7326/0003-4819-145-2-200607180-00132. [DOI] [PubMed] [Google Scholar]
- 18.Balicer R., Omer S., Barnett D., Everly G. Local public health workers’ perceptions toward responding to an influenza pandemic. BMC Public Health. 2006;6:99. doi: 10.1186/1471-2458-6-99. doi:10.1186/1471-2458-6-99. [DOI] [PMC free article] [PubMed] [Google Scholar]