Thursday , July 29 2021

Vaccination hurts less than hospitals



Ljubljana – In mid-October, a case of influenza A virus (H1N1) pdm09 was confirmed in Slovenia, but it is still isolated. Influenza season has not yet begun, now is time to vaccinate. The example was given yesterday by the Minister for Health Only Fakin, like vaccinated journalists. "I recommend vaccination to all Slovenians," he said.

"In particular, I recommend vaccination to elderly people and to all those working in healthcare institutions, as it will only prevent the flu epidemic," said the minister, who believes that vaccination against influenza is also in the interests of the economy. "The amount of vaccination is ridiculously low compared with the amount to be paid for sick leave due to flu."

The EU's target is 75 percent of the elderly who are most vulnerable to flu. It is reached by the Netherlands, Northern Ireland and Scotland; The EU's average influence in the EU is 46 percent. Slovenia is far behind this area. With a population of 4.1% of the population and 11.7% overwhelming over 65 years, Slovenians are among the least separated in the EU.

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In 16 EU countries, they pay for the elderly (in some cases over 50 years) their health insurance system. In some countries, it is also paid to other groups at risk: chronically ill, pregnant women, children and healthcare professionals. We have self-pay with us. Vaccinations for chronically ill and over 65 years of age cost seven, and for other people, fourteen euros. Some companies pay vaccinations to their employees, which encourages them to vaccinate. For the third year in a row, flu vaccination is paid to hospital workers. For the ministers and officials they have hid him from health care work.

About a tenth of people get ill every year for influenza in Slovenia. The protection against this highly contagious disease, resulting in the death of 1079 patients enrolled at the hospital, is approximately two weeks after vaccination.

The effect of influenza vaccine depends on whether the World Health Organization is well defined by the virus targeting the vaccine. Each year, the influenza virus changes slightly and it's hard to know how to proceed. In healthy adults, the effect of the vaccine is usually about 60% and in the elderly 50%, the epidemiologist Ondina Jordan Markovich from the National Institute of Public Health (NIJZ). Vaccination is recommended because the influenza vaccine either prevents or relieves.

If the vaccinated person becomes ill, it usually occurs in a milder form with minor complications. But if a patient with chronic disease, cancer, pregnant woman or an elderly person is less resistant to the flu, it may take her to the hospital. According to NIJZ, about 200,000 people are ill in Slovenia every year, of which 1 079 in hospitals last year. On average, six days spent on hospital care, and their treatment costs two million euros.


Experts recommend vaccination against influenza. PHOTO: Jože Suhadolnik / Delo.

The interest in vaccination against influenza has fallen over the last decade, until last year, when Slovenia, due to a vaccination campaign in health care facilities, once again recorded an increase in the number of immunizations. An example of good practice is UKC Ljubljana, which, on the initiative of the Clinical Institute for Occupational Health, Transport and Sport, and its internal services for the prevention of hospital infections for employees, organizes for the third consecutive year a vaccination campaign against influenza, whose costs are borne by the employer. In two years, they have increased the occupancy rate by 100 percent.

The flu vaccinated now is 21 percent, or one fifth of more than 8,000 employees. This is still a bit – international standards for healthcare professionals require more than 60 percent attention, but considering that only 10 percent of UKC Ljubljana employees were vaccinated in 2015-2016, this is a big success, says dr. Nataša Dernovšček Hafner with KIMDPŠ. "Health workers are a very vulnerable population. On the one hand, they can become ill themselves, and on the other hand, they tolerate the disease in patients or relatives. Research from the rest of the world indicates that the patient's mortality decreased in the ward, where Dernovschek Hafner was where the occupancy was high enough Also at UKC Maribor, employees have been granted free vaccination for many years.

Information on the economic disadvantage of sick leave due to influenza is not collected at national level. According to gross estimates of the Slovenian Institute for Health Care (ZZZS), 100,000 working days will disappear due to flu. The average sick leave is 60.2 euros per day. This assessment does not cover sick leave, the cause of which is an influenza that is not officially confirmed because patients do not visit a doctor. It is also only an approximate assessment by the health insurance institution that respiratory diseases – flu is just one of many diagnoses in this group – employers cost around 19 million euros annually. The average duration of hospital stock in respiratory diseases is less than eight days. By 2016, women were absent 7.54 days due to respiratory disease from the workplace, men 7.89 days.

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As regards health prevention, companies have different strategies for influenza vaccination. Some, due to their specific working conditions, require mandatory vaccination of employees – in such cases, they provide and pay as well as a credit rating – Others promote voluntary vaccination for which it covers costs or not. The third is not specifically addressed to this question. Hofer cites, for example, vaccination against influenza, which he also pays on his website, as one of many benefits for his employees. Since 2005 Krka has prepared a recommendation for vaccination against the influenza autumn each year, including a list of jobs where the likelihood of influenza infection due to the nature of the work is more likely. Employees in these workplaces recommend vaccination, but not mandatory. If the person decides for him, the cost of Krka is paid.

Information on the economic disadvantage of sick leave due to influenza is not collected at national level. According to gross estimates of the Slovenian Institute for Health Care (ZZZS), 100,000 working days will disappear due to flu. The average sick leave is 60.2 euros per day. This assessment does not cover sick leave, the cause of which is an influenza that is not officially confirmed because patients do not visit a doctor. It is also only an approximate assessment by the health insurance institution that respiratory diseases – flu is just one of many diagnoses in this group – employers cost around 19 million euros annually. The average duration of hospital stock in respiratory diseases is less than eight days. By 2016, women were absent 7.54 days due to respiratory disease from the workplace, men 7.89 days.

As regards health prevention, companies have different strategies for influenza vaccination. Some, due to their specific working conditions, require mandatory vaccination of employees – in such cases, they provide and pay as well as a credit rating – Others promote voluntary vaccination for which it covers costs or not. The third is not specifically addressed to this question. Hofer cites, for example, vaccination against influenza, which he also pays on his website, as one of many benefits for his employees. Since 2005 Krka has prepared a recommendation for vaccination against the influenza autumn each year, including a list of jobs where the likelihood of influenza infection due to the nature of the work is more likely. Employees in these workplaces recommend vaccination, but not mandatory. If the person decides for him, the cost of Krka is paid.


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