Category: Policies-Position Papers

Groups representing doctors, nurses call for mandatory vaccination of health-care workers

France, Italy and Greece will make vaccinations mandatory for health-care workers

Nick Boisvert

The Canadian Medical Association (CMA) and the Canadian Nurses Association (CNA) are jointly calling for COVID-19 vaccinations to be made mandatory for health-care workers.

The two organizations today joined a growing number of calls to make vaccines a mandatory condition of employment in the health care sector.

“As health providers, we have a fundamental duty of care towards our patients and the public. There is significant evidence that vaccines are safe and effective and as health professionals who are leading the vaccination campaigns, it is the right call and an appropriate step,” said CMA president Dr. Ann Collins. . . continue reading

Joint statement in support of COVID-19 vaccine mandates for all workers in health and long-term care

News Release

For immediate release
Contact: APHA Media Relations, 202-777-3913

American Public Health Association

Due to the recent COVID-19 surge and the availability of safe and effective vaccines, our health care organizations and societies advocate that all health care and long-term care employers require their workers to receive the COVID-19 vaccine. This is the logical fulfillment of the ethical commitment of all health care workers to put patients as well as residents of long-term care facilities first and take all steps necessary to ensure their health and well-being.

Because of highly contagious variants, including the Delta variant, and significant numbers of unvaccinated people, COVID-19 cases, hospitalizations and deaths are once again rising throughout the United States.1 Vaccination is the primary way to put the pandemic behind us and avoid the return of stringent public health measures.

Unfortunately, many health care and long-term care personnel remain unvaccinated. As we move toward full FDA approval of the currently available vaccines, all health care workers should get vaccinated for their own health, and to protect their colleagues, families, residents of long-term care facilities and patients. This is especially necessary to protect those who are vulnerable, including unvaccinated children and the immunocompromised. Indeed, this is why many health care and long-term care organizations already require vaccinations for influenza, hepatitis B, and pertussis.

We call for all health care and long-term care employers to require their employees to be vaccinated against COVID-19.

We stand with the growing number of experts and institutions that support the requirement for universal vaccination of health workers.2,3 While we recognize some workers cannot be vaccinated because of identified medical reasons and should be exempted from a mandate, they constitute a small minority of all workers. Employers should consider any applicable state laws on a case-by-case basis.

Existing COVID-19 vaccine mandates have proven effective.4,5 Mandates are an essential policy to increase vaccination rates in health care and long-term care settings and protect the health care workforce and the patients and residents we serve. Simultaneously, we recognize the historical mistrust of health care institutions, including among many in our own health care workforce. We must continue to address workers’ concerns, engage with marginalized populations, and work with trusted messengers to improve vaccine acceptance.

As the health care community leads the way in requiring vaccines for our employees, we hope all other employers across the country will follow our lead and introduce effective policies to encourage vaccination. The health and safety of U.S. workers, families, communities, and the nation depends on it.

SIGNATORIES (listed alphabetically)

Academy of Managed Care Pharmacy
American Academy of Ambulatory Care Nursing
American Academy of Child and Adolescent Psychiatry
American Academy of Family Physicians
American Academy of Nursing
American Academy of Ophthalmology
American Academy of PAs
American Academy of Pediatrics
American Association of Allergy, Asthma & Immunology
American Association of Clinical Endocrinology
American Association of Colleges of Pharmacy
American Association of Neuroscience Nurses
American College of Clinical Pharmacy
American College of Physicians
American College of Preventive Medicine
American College of Surgeons
American Epilepsy Society
American Medical Association
American Nursing Association
American Pharmacists Association
American Psychiatric Association
American Public Health Association
American Society for Clinical Pathology
American Society for Radiation Oncology
American Society of Health-System Pharmacists
American Society of Hematology
American Society of Nephrology
American Thoracic Society
Association for Clinical Oncology
Association for Professionals in Infection Control and Epidemiology
Association of Academic Health Centers
Association of American Medical Colleges
Association of Rehabilitation Nurses
Council of Medical Specialty Societies
HIV Medicine Association
Infectious Disease Society of America
LeadingAge
National Association of Indian Nurses of America
National Association of Pediatric Nurse Practitioners
National Council of State Boards of Nursing
National Hispanic Medical Association
National League for Nursing
National Medical Association
National Pharmaceutical Association
Nurses Who Vaccinate
Organization for Associate Degree Nursing
Pediatric Infectious Diseases Society
Philippine Nurses Association of America, Inc
Society of Gynecological Oncology
Society for Healthcare Epidemiology of America
Society of Hospital Medicine
Society of Infectious Diseases Pharmacists
Society of Interventional Radiology
Texas Nurses Association
The John A. Hartford Foundation
Transcultural Nursing Society
Virgin Islands State Nurses Association
Wound, Ostomy, and Continence Nurses Society

REFERENCES

1. Centers for Disease Control and Prevention. Covid Data Tracker Weekly Review.
2. Weber, D., Al-Tawfiq, J., Babcock, H., Bryant, K., Drees, M., Elshaboury, R., et al. (2021). Multisociety Statement on COVID-19 Vaccination as a Condition of Employment for Healthcare Personnel. Infection Control & Hospital Epidemiology, 1-46. doi:10.1017/ice.2021.322
3. American Hospital Association. AHA Policy Statement on Mandatory COVID-19 Vaccination of Health Care Personnel
4. Hospitals in DC, across the nation follow Houston Methodist in requiring vaccination for workers (USA Today)
5. More Nursing Homes Are Requiring Staff COVID-19 Vaccinations (AARP)

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The American Public Health Association champions the health of all people and all communities. We are the only organization that combines a nearly 150-year perspective, a broad-based member community and the ability to influence federal policy to improve the public’s health. Learn more at www.apha.org.

Mental illness should never be a death sentence

National Newswatch

Margaret Eaton

Anyone living with mental illness knows it can absolutely be grievous and even unbearable. However, what sets mental illness apart from all other types of suffering is that there always remains the hope of recovery. That’s why the Senate’s amendment to C-7, the assisted dying bill, is so concerning.

People with a mental health problem or illness need assistance to live and thrive, not hasten death. . . [Full text]

Navigating Vaccine Ethics

CMDA’s The Point

Reproduced with permission

Jonathon Imbody

CMDA Senior Vice President for Bioethics and Public Policy Dr. Jeff Barrows and I recently wrote a piece for The Public Discourse, “Is Receiving the Pfizer-BioNTech COVID-19 Vaccine Ethical?” that suggested principles to consider as we navigate ethical issues related to COVID-19 vaccines. I’ve included brief highlights below; more from the original article and also new observations will be published in an upcoming edition of CMDA Today (previously known as Today’s Christian Doctor).  

CMDA has approved an ethics statement that can help guide individuals’ analyses of immunizations and the potential for moral complicity with evil:

  1. “Using technology developed from tissue of an intentionally aborted fetus, but without continuing the cell line from that fetus, may be morally acceptable.
  2. “Continued use of a cell line developed from an intentionally aborted fetus poses moral questions and must be decided as a matter of conscience, weighing the clear moral obligation to protect the health of our families and society against the risk of complicity with evil.
  3. “Using a vaccine that requires the continued destruction of human life is morally unacceptable.”

Deciding which COVID-19 vaccine poses the least ethical concerns hinges in part on the implication of abortion in (a) the initial design of the vaccine, (b) the confirmatory testing of the vaccine and (c) the ongoing production of the vaccine. Vaccines that continue to use the abortion-derived cell line in ongoing production pose the most obvious ethical barrier to use by pro-life individuals. This category includes vaccines by AstraZeneca–University of Oxford and by Janssen–Johnson & Johnson. In fact, these vaccines employ abortion-related cell lines in all three stages—design, confirmation and production.

While still ethically concerning, the fact that this remote and limited interaction with abortion does not involve the continuing use of an aborted fetal cell line makes it less ethically problematic compared to its competitors that use these cell lines for ongoing vaccine production.

Unlike the aforementioned COVID-19 vaccine candidates that rely on abortion-derived cells for their ongoing production, the Pfizer-BioNTech vaccine used the HEK-293 cell line from a 1972 abortion only to confirm that messenger RNA was properly coding for the spike protein of the SARS-CoV-2 virus. While still ethically disconcerting, the fact that this remote and limited interaction with abortion does not involve the continuing use of an aborted fetal cell line makes it less ethically problematic compared to its competitors than use these cell lines for ongoing vaccine production.

A consideration of the harm to others that can come without vaccination goes to the heart of Christian ethics in a way that virtually every believer understands: Vaccinating yourself and those who depend on you is an important component of following the command to love thy neighbor.

We recognize that each individual must weigh ethical considerations before making a vaccine decision. When we examine the Pfizer-BioNTech vaccine in light of ethical principles of (a) loving our neighbor by protecting them through our own vaccination, (b) the distance in time from an abortion connection and (c) the fact that the vaccine does not continue to use cell lines derived from an abortion, we find these factors considerable in mitigating the ethical concerns and opening the door to receiving the vaccine in good conscience.

Physician  freedom of conscience in Saskatchewan

Sean Murphy*

Abstract

Physician Assisted Dying adequately accommodates both physician freedom of conscience and patients’ access to services. It demonstrates that the College of Physicians and Surgeons of Saskatchewan could have taken the same approach to freedom of conscience in relation to other procedures and produced a satisfactory policy on conscientious objection.

Conscientious Objection is ambiguous with respect to effective referral and polemical in its treatment of a physician’s traditional obligation to render assistance in an emergency. It demonstrates the authors’ intention to suppress physician freedom of conscience by compelling them to provide or facilitate morally contested procedures, as well as the intricate wordplay necessary to achieve that end. . . [Full text]