Background: Influenza is a disease caused by four types of viruses and causes annual outbreaks. An outbreak of a new type of Influenza virus (A/H1N1) was declared as a pandemic by the World Health Organization (WHO) in 2009. Recently, there has been a lot of focus on the development of the COVID-19 vaccine but the Influenza vaccine, which has been available for a long time and has proven efficacy, is not being optimally utilized in India. Objective: The study aimed at assessing the awareness and attitude about Influenza and its vaccine amongst Indian doctors so as to analyze reasons for Influenza vaccine hesitancy in India. Method: An online questionnaire-based survey was undertaken between September 2020 and December 2020. 1000 doctors with valid Indian medical graduation (Bachelor of Medicine and Bachelor of Surgery, MBBS) or above were invited to participate. Results: The survey revealed that most doctors believed in Influenza vaccination as the best strategy to prevent infection, but lacked adequate awareness about the common facts regarding the appropriate season, diseases covered and the requirement of the influenza vaccine during pregnancy. Doctors opined that lack of patient awareness, casual counseling, few prescriptions by physicians, misconceptions about safety, and high cost of Influenza vaccine were the key reasons for vaccine hesitancy in patients. Conclusion: There is incomplete awareness amongst doctors regarding Influenza vaccination which might be a roadblock in the widespread acceptance of Influenza vaccines in India. Moreover, there is a need for patient-to-patient education through social media and the deployment of digital tools to address vaccine hesitancy in the country.
Published in | International Journal of Infectious Diseases and Therapy (Volume 6, Issue 3) |
DOI | 10.11648/j.ijidt.20210603.11 |
Page(s) | 83-89 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2021. Published by Science Publishing Group |
Influenza, Vaccine, Hesitancy, Doctor-survey, India
[1] | Influenza (Seasonal) [Internet]. World Health Organization. 2018 [cited 2021 May 12]. Available from: https://www.who.int/news-room/fact-sheets/detail/influenza-(seasonal). |
[2] | Longo DL. Influenza. In: Harrison's principles of internal medicine. 20th ed. New York: McGraw-Hill; 2018. |
[3] | Spreeuwenberg P, Kroneman M, Paget J. Reassessing the Global Mortality Burden of the 1918 Influenza Pandemic. Am J Epidemiol. 2018 Dec 1; 187 (12): 2561-2567. doi: 10.1093/aje/kwy191. PMID: 30202996; PMCID: PMC7314216. |
[4] | World Health Organization. Ten things you need to know about pandemic influenza (update of 14 October 2005). Wkly Epidemiol Rec. 2005 Dec 9; 80 (49-50): 428-31. English, French. PMID: 16372665. |
[5] | Jilani TN, Jamil RT, Siddiqui AH. H1N1 Influenza. 2020 Nov 30. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan–. PMID: 30020613. |
[6] | Chan M. World now at the start of 2009 influenza pandemic [Internet]. 2009 [cited 2021 May 12]. Available from: https://www.who.int/mediacentre/news/statements/2009/h1n1_pandemic_phase6_20090611/en/#:~:text=The%20world%20is%20now%20at,right%20at%20the%20very%20beginning. |
[7] | Chadha MS, Hirve S, Dawood FS, Lele P, Deoshatwar A, Sambhudas S et al. Burden of seasonal and pandemic influenza-associated hospitalization during and after 2009 A (H1N1) pdm09 pandemic in a rural community in India. PLoS One. 2013 May 15; 8 (5): e55918. doi: 10.1371/journal.pone.0055918. PMID: 23690913; PMCID: PMC3654970. |
[8] | Bui C, Narasimhan P, MacIntyre R. Infectious Disease Outbreaks in India- Challenges and opportunities [Internet]. School of Population Health. 2016 [cited 2021 May 11]. Available from: https://sph.med.unsw.edu.au/infectious-diseases-blog/infectious-disease-outbreaks-india-challenges-and-opportunities. |
[9] | Narayan VV, Iuliano AD, Roguski K, Bhardwaj R, Chadha M, Saha S et al. Burden of influenza-associated respiratory and circulatory mortality in India, 2010-2013. J Glob Health. 2020 Jun; 10 (1): 010402. doi: 10.7189/jogh.10.010402. PMID: 32373326; PMCID: PMC7182391. |
[10] | Vaccine use [Internet]. World Health Organization. 2020 [cited 2021 May 12]. Available from: https://www.who.int/influenza/vaccines/use/en/. |
[11] | Vaccines against influenza WHO position paper – November 2012. Wkly Epidemiol Rec. 2012 Nov 23; 87 (47): 461-76. English, French. PMID: 23210147. |
[12] | Hollmeyer HG, Hayden F, Poland G, Buchholz U. Influenza vaccination of health care workers in hospitals--a review of studies on attitudes and predictors. Vaccine. 2009 Jun 19; 27 (30): 3935-44. doi: 10.1016/j.vaccine.2009.03.056. Epub 2009 Apr 8. PMID: 19467744. |
[13] | Davis MM, McMahon SR, Santoli JM, Schwartz B, Clark SJ. A national survey of physician practices regarding influenza vaccine. J Gen Intern Med. 2002 Sep; 17 (9): 670-6. doi: 10.1046/j.1525-1497.2002.11040.x. PMID: 12220362; PMCID: PMC1495108. |
[14] | Ma Y, Li T, Chen W, Chen J, Li M, Yang Z. Knowledge, Attitudes and Practices (KAP) toward seasonal influenza vaccine among young workers in South China. Hum Vaccin Immunother. 2018 May 4; 14 (5): 1283-1293. doi: 10.1080/21645515.2017.1423157. Epub 2018 Feb 12. PMID: 29308971; PMCID: PMC5989888. |
[15] | Alshammari TM, Yusuff KB, Aziz MM, Subaie GM. Healthcare professionals' knowledge, attitude and acceptance of influenza vaccination in Saudi Arabia: a multicenter cross-sectional study. BMC Health Serv Res. 2019 Apr 15; 19 (1): 229. doi: 10.1186/s12913-019-4054-9. PMID: 30992004; PMCID: PMC6469139. |
[16] | Levi M, Bonanni P, Biffino M, Conversano M, Corongiu M, Morato P et al. Influenza vaccination 2014-2015: Results of a survey conducted among general practitioners in Italy. Hum Vaccin Immunother. 2018 Jun 3; 14 (6): 1342-1350. doi: 10.1080/21645515.2018.1430543. Epub 2018 Mar 30. PMID: 29451834; PMCID: PMC6037480. |
[17] | Bali NK, Ashraf M, Ahmad F, Khan UH, Widdowson MA, Lal RB et al. Knowledge, attitude, and practices about the seasonal influenza vaccination among healthcare workers in Srinagar, India. Influenza Other Respir Viruses. 2013 Jul; 7 (4): 540-5. doi: 10.1111/j.1750-2659.2012.00416.x. Epub 2012 Aug 2. PMID: 22862774; PMCID: PMC5781001. |
[18] | Hadaye RS, Manapurath RM, Gadapani BP. Awareness and acceptance of H1N1 vaccination among physicians: Experience of 2017 vaccination campaign. J Educ Health Promot. 2019 Apr 24; 8: 82. doi: 10.4103/jehp.jehp_356_18. PMID: 31143799; PMCID: PMC6512216. |
[19] | Koul PA, Bali NK, Ali S, Ahmad SJ, Bhat MA, Mir H et al. Poor uptake of influenza vaccination in pregnancy in northern India. Int J Gynaecol Obstet. 2014 Dec; 127 (3): 234-7. doi: 10.1016/j.ijgo.2014.05.021. Epub 2014 Jul 17. PMID: 25085688. |
[20] | Lindley MC, Horlick GA, Shefer AM, Shaw FE, Gorji M. Assessing state immunization requirements for healthcare workers and patients. Am J Prev Med. 2007 Jun; 32 (6): 459-65. doi: 10.1016/j.amepre.2007.02.009. PMID: 17533060. |
[21] | Canning HS, Phillips J, Allsup S. Health care worker beliefs about influenza vaccine and reasons for non-vaccination--a cross-sectional survey. J Clin Nurs. 2005 Sep; 14 (8): 922-5. doi: 10.1111/j.1365-2702.2005.01190.x. PMID: 16102143. |
APA Style
Hrishi Logani, Rajesh Kumar. (2021). Awareness About Influenza and the Influenza Vaccine: A Doctor Survey to Assess Reasons for Influenza Vaccine Hesitancy in India. International Journal of Infectious Diseases and Therapy, 6(3), 83-89. https://doi.org/10.11648/j.ijidt.20210603.11
ACS Style
Hrishi Logani; Rajesh Kumar. Awareness About Influenza and the Influenza Vaccine: A Doctor Survey to Assess Reasons for Influenza Vaccine Hesitancy in India. Int. J. Infect. Dis. Ther. 2021, 6(3), 83-89. doi: 10.11648/j.ijidt.20210603.11
AMA Style
Hrishi Logani, Rajesh Kumar. Awareness About Influenza and the Influenza Vaccine: A Doctor Survey to Assess Reasons for Influenza Vaccine Hesitancy in India. Int J Infect Dis Ther. 2021;6(3):83-89. doi: 10.11648/j.ijidt.20210603.11
@article{10.11648/j.ijidt.20210603.11, author = {Hrishi Logani and Rajesh Kumar}, title = {Awareness About Influenza and the Influenza Vaccine: A Doctor Survey to Assess Reasons for Influenza Vaccine Hesitancy in India}, journal = {International Journal of Infectious Diseases and Therapy}, volume = {6}, number = {3}, pages = {83-89}, doi = {10.11648/j.ijidt.20210603.11}, url = {https://doi.org/10.11648/j.ijidt.20210603.11}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijidt.20210603.11}, abstract = {Background: Influenza is a disease caused by four types of viruses and causes annual outbreaks. An outbreak of a new type of Influenza virus (A/H1N1) was declared as a pandemic by the World Health Organization (WHO) in 2009. Recently, there has been a lot of focus on the development of the COVID-19 vaccine but the Influenza vaccine, which has been available for a long time and has proven efficacy, is not being optimally utilized in India. Objective: The study aimed at assessing the awareness and attitude about Influenza and its vaccine amongst Indian doctors so as to analyze reasons for Influenza vaccine hesitancy in India. Method: An online questionnaire-based survey was undertaken between September 2020 and December 2020. 1000 doctors with valid Indian medical graduation (Bachelor of Medicine and Bachelor of Surgery, MBBS) or above were invited to participate. Results: The survey revealed that most doctors believed in Influenza vaccination as the best strategy to prevent infection, but lacked adequate awareness about the common facts regarding the appropriate season, diseases covered and the requirement of the influenza vaccine during pregnancy. Doctors opined that lack of patient awareness, casual counseling, few prescriptions by physicians, misconceptions about safety, and high cost of Influenza vaccine were the key reasons for vaccine hesitancy in patients. Conclusion: There is incomplete awareness amongst doctors regarding Influenza vaccination which might be a roadblock in the widespread acceptance of Influenza vaccines in India. Moreover, there is a need for patient-to-patient education through social media and the deployment of digital tools to address vaccine hesitancy in the country.}, year = {2021} }
TY - JOUR T1 - Awareness About Influenza and the Influenza Vaccine: A Doctor Survey to Assess Reasons for Influenza Vaccine Hesitancy in India AU - Hrishi Logani AU - Rajesh Kumar Y1 - 2021/08/02 PY - 2021 N1 - https://doi.org/10.11648/j.ijidt.20210603.11 DO - 10.11648/j.ijidt.20210603.11 T2 - International Journal of Infectious Diseases and Therapy JF - International Journal of Infectious Diseases and Therapy JO - International Journal of Infectious Diseases and Therapy SP - 83 EP - 89 PB - Science Publishing Group SN - 2578-966X UR - https://doi.org/10.11648/j.ijidt.20210603.11 AB - Background: Influenza is a disease caused by four types of viruses and causes annual outbreaks. An outbreak of a new type of Influenza virus (A/H1N1) was declared as a pandemic by the World Health Organization (WHO) in 2009. Recently, there has been a lot of focus on the development of the COVID-19 vaccine but the Influenza vaccine, which has been available for a long time and has proven efficacy, is not being optimally utilized in India. Objective: The study aimed at assessing the awareness and attitude about Influenza and its vaccine amongst Indian doctors so as to analyze reasons for Influenza vaccine hesitancy in India. Method: An online questionnaire-based survey was undertaken between September 2020 and December 2020. 1000 doctors with valid Indian medical graduation (Bachelor of Medicine and Bachelor of Surgery, MBBS) or above were invited to participate. Results: The survey revealed that most doctors believed in Influenza vaccination as the best strategy to prevent infection, but lacked adequate awareness about the common facts regarding the appropriate season, diseases covered and the requirement of the influenza vaccine during pregnancy. Doctors opined that lack of patient awareness, casual counseling, few prescriptions by physicians, misconceptions about safety, and high cost of Influenza vaccine were the key reasons for vaccine hesitancy in patients. Conclusion: There is incomplete awareness amongst doctors regarding Influenza vaccination which might be a roadblock in the widespread acceptance of Influenza vaccines in India. Moreover, there is a need for patient-to-patient education through social media and the deployment of digital tools to address vaccine hesitancy in the country. VL - 6 IS - 3 ER -