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Choice, vaccine effectiveness, patient safety, distrust of the pharmaceutical industry, distrust of the government or public health, alternatives to vaccine, and concerns about side effects are the seven most frequentlyappearing themes in our analysis. doi:10.1371/journal.pone.0129993.gtransmission as well as the ability of HCWs to tolerate wearing masks for the duration of their shifts. “I agree it is a good qhw.v5i4.5120 bmjopen-2015-010112 idea for healthcare workers to get vaccinated. However people have fought a long time for the right to decide what happens to their own body, this is not your [employer’s] choice. Where does it stop if we give our employer these [rights] to our bodies? Women must have tubes tied after 1 child otherwise they are away from work too long if they have more children? Or maybe hospital workers must have [tattoos] to explain their entire medical history to comfort patients. Same argument. Your body your choice.” “Dr. Grand”, in response to http://www.cbc.ca/news/canada/thunder-bay/story/2013/01/30/tby-hospital-flushot-debate-thunderbay.html. Vaccine effectiveness. The second most common theme (221 comments) was vaccine effectiveness, with many commenters questioning the effectiveness of influenza vaccines. Some commenters rejected the concept of immunization in general, while many supported vaccines for other infectious diseases such as polio, measles, mumps, rubella, and smallpox. Those who discussed vaccine effectiveness frequently referred to sources such as the Cochrane Collaboration and the University of Minnesota Centre for Infectious Disease Research and Policy (R848 site CIDRAP). A smaller group of commenters believed that seasonal influenza vaccines are effective in preventing influenza and its spread. Commenters questioned the credibility of sources that others on the online boards had used to support their claims. Allegations of bias in sources were frequent, and some commenters stated that more information and research on influenza vaccines was needed.PLOS ONE | DOI:10.1371/journal.pone.0129993 June 18,6 /Perceptions of Mandatory Influenza Vaccination of Healthcare Workers”Get the shot, wear a mask, or go home. You are working with sick people, many with compromised immune systems. The shot takes only a moment, and you’re done. If you have a problem with needles, perhaps you shouldn’t be in mainstream public healthcare. It’s not draconian, only a responsible reaction on the part of the hospital administration.” “Dendrast”, in response to http://www.cbc.ca/news/canada/thunder-bay/story/2013/01/30/tby-hospital-flushot-debate-thunderbay.html. “As an RN I am offended by comments that suggest refusing the shot translates to a crappy nurse. Until peer reviewed research confirms I am a risk to patients, I will NOT get the shot and I am happy to stay home without pay. What other profession demands the worker to knowingly chemically alter their body with potentially insidious risks? Anyone care to know how the “shot” is made? Based on predictions they throw a cocktail together. EVERY year they have missed the mark, yet they still bully workers into having it. For you know-it-all, believe everything you hear people, I remind you of one of thousands of medical blunders. the thalidomide tragedy–a “wonder drug” S28463 structure endorsed by physicians, encouraged by health authorities and permitted to kill and deform babies for 10 years before discontinued. The drug was developed and used in Nazi prison camps and fed to Canadians post war. Minus the prison camp–is.Choice, vaccine effectiveness, patient safety, distrust of the pharmaceutical industry, distrust of the government or public health, alternatives to vaccine, and concerns about side effects are the seven most frequentlyappearing themes in our analysis. doi:10.1371/journal.pone.0129993.gtransmission as well as the ability of HCWs to tolerate wearing masks for the duration of their shifts. “I agree it is a good qhw.v5i4.5120 bmjopen-2015-010112 idea for healthcare workers to get vaccinated. However people have fought a long time for the right to decide what happens to their own body, this is not your [employer’s] choice. Where does it stop if we give our employer these [rights] to our bodies? Women must have tubes tied after 1 child otherwise they are away from work too long if they have more children? Or maybe hospital workers must have [tattoos] to explain their entire medical history to comfort patients. Same argument. Your body your choice.” “Dr. Grand”, in response to http://www.cbc.ca/news/canada/thunder-bay/story/2013/01/30/tby-hospital-flushot-debate-thunderbay.html. Vaccine effectiveness. The second most common theme (221 comments) was vaccine effectiveness, with many commenters questioning the effectiveness of influenza vaccines. Some commenters rejected the concept of immunization in general, while many supported vaccines for other infectious diseases such as polio, measles, mumps, rubella, and smallpox. Those who discussed vaccine effectiveness frequently referred to sources such as the Cochrane Collaboration and the University of Minnesota Centre for Infectious Disease Research and Policy (CIDRAP). A smaller group of commenters believed that seasonal influenza vaccines are effective in preventing influenza and its spread. Commenters questioned the credibility of sources that others on the online boards had used to support their claims. Allegations of bias in sources were frequent, and some commenters stated that more information and research on influenza vaccines was needed.PLOS ONE | DOI:10.1371/journal.pone.0129993 June 18,6 /Perceptions of Mandatory Influenza Vaccination of Healthcare Workers”Get the shot, wear a mask, or go home. You are working with sick people, many with compromised immune systems. The shot takes only a moment, and you’re done. If you have a problem with needles, perhaps you shouldn’t be in mainstream public healthcare. It’s not draconian, only a responsible reaction on the part of the hospital administration.” “Dendrast”, in response to http://www.cbc.ca/news/canada/thunder-bay/story/2013/01/30/tby-hospital-flushot-debate-thunderbay.html. “As an RN I am offended by comments that suggest refusing the shot translates to a crappy nurse. Until peer reviewed research confirms I am a risk to patients, I will NOT get the shot and I am happy to stay home without pay. What other profession demands the worker to knowingly chemically alter their body with potentially insidious risks? Anyone care to know how the “shot” is made? Based on predictions they throw a cocktail together. EVERY year they have missed the mark, yet they still bully workers into having it. For you know-it-all, believe everything you hear people, I remind you of one of thousands of medical blunders. the thalidomide tragedy–a “wonder drug” endorsed by physicians, encouraged by health authorities and permitted to kill and deform babies for 10 years before discontinued. The drug was developed and used in Nazi prison camps and fed to Canadians post war. Minus the prison camp–is.

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