Resources and Readings The list of resources and recommended readings provides additional, detailed information about influenza transmission and vaccination among health care workers. In addition, some of the links offer educational materials for use with employees.  Tip: Refer to these resources before meeting with your management. Consider providing the list to others who will be involved with planning the employee immunization program. Internet Resources National Foundation for Infectious Diseases (NFID) As part of a comprehensive initiative to educate the health care community about the need to improve the dismally low influenza immunization rates among health care workers, NFID has developed two specific reports that are available online: Call to Action: Influenza Immunization Among Health Care Workers Improving Influenza Vaccination Rates in Health Care Workers: Strategies to Increase Protection for Workers and Patients  www.nfid.org Centers for Disease Control and Prevention (CDC) The CDC’s Morbidity and Mortality Weekly Report (MMWR) provides public information about issues related to influenza, including vaccination recommendations, surveillance reports, and vaccine supply updates. www.cdc.gov Also available through the CDC’s National Immunization Program are template health care worker education materials and additional information for health care providers. http://www.cdc.gov/nip/ Additional Readings Bridges CB, Kuehnert MJ, Hall CB. Transmission of influenza: implications for control in health care settings. Clin Infect Dis.2003;37(8):1094-101. Bridges CB, Thompson WW, Meltzer MI, et al. Effectiveness and cost-benefit of influenza vaccination of healthy young working adults: a randomized controlled trial. JAMA. 2000;284:1655-63. Bryant KA, Stover B, Cain L, et al. Improving influenza immunization rates among health care workers caring for high risk pediatric patients. Infec Control Hosp Epidemiol. In press. Cunney RJ, Bialachowski A, Thornley D, Smaill FM, Pennie RA. An outbreak of influenza A in a neonatal intensive care unit. Infect Control Hosp Epidemiol. 2000;21(7):449-51. Harrison J, Abbott P. Vaccination against influenza: UK health care workers not on-message. Occup Med. 2002;52(5):277-9. Horcajada JP, Pumarola T, Martinez JA, et al. A nosocomial outbreak of influenza during a period without influenza epidemic activity. Eur Respir J. 2003;21(2):303-7. Lundstrom T, Pugliese G, Bartley J, Cox J, Guither C. Organizational and environmental factors that affect worker health and safety and patient outcomes. Am J Infect Control. 2002;30:93-106. Malavaud S, Malavaud B, Sanders K, et al. Nosocomial outbreak of influenza virus A (H3N2) infection in a solid organ transplant department. Transplantation. 2001;72(3):535-7. Nichol KL. Cost-benefit analysis of a strategy to vaccinate healthy working adults against influenza. Arch Intern Med. 2001;161:749-59. Nichol KL, Hauge M. Influenza vaccination of healthcare workers. Infect Control Hosp Epidemiol. 1997;18:189-94. Nichol KL, Lind A, Margolis KL, et al. The effectiveness of vaccination against influenza in healthy working adults. N Engl J Med. 1995;333:889-93. Potter J, Stott DJ, Roberts MA, et al. Influenza vaccination of health care workers in long-term-care hospitals reduces the mortality of elderly patients. J Infect Dis. 1997;175:1-6. Prislin R, Sawyer MH, DeGuire M, et al. Missed opportunities to immunize: psychosocial and practice correlates. Am J Prev Med. 2002:22(3):165-9. Salgado CD, Farr BM, Hall KK, Hayden FG. Influenza in the acute hospital setting. Lancet. 2002;2(3):145-55. Sartor C, Zandotti C, Romain F, et al. Disruption of services in an internal medicine unit due to a nosocomial influenza outbreak. Infect Control Hosp Epidemiol. 2002;23(10):615-9.