Tuesday, July 27, 2021

The VA and Joint Medical Statement In Support Of Mandatory COVID Vaccination Of HCWs


Credit ACIP/CDC 

#16,087

Despite the COVID vaccine's good safety record and rising COVID cases across the nation, yesterday's announcement by the VA Administrator, and a joint statement by 56 professional organizations - all supporting the mandatory vaccination of Healthcare Workers - are likely to face considerable opposition and court challenges. 

While it baffles me why anyone would want to work in healthcare without the protective benefits of the vaccine, there are obviously a lot of HCWs unwilling to get the jab.  

Since this is a legal minefield, which must balance individual rights and the good of the community, this could take some time to wend its way through the courts. 

Right now the momentum - and I suspect public sentiment - lean heavily towards mandating COVID vaccines for HCWs, as evidenced by the VA statement and the Joint Statement of Medical Organizations I've posted below. 

VA mandates COVID-19 vaccines among its medical employees including VHA facilities staff

WASHINGTON — July 26 Department of Veterans Affairs Secretary Denis McDonough announced he will make COVID-19 vaccines mandatory for Title 38 VA health care personnel — including physicians, dentists, podiatrists, optometrists, registered nurses, physician assistants, expanded-function dental auxiliaries and chiropractors — who work in Veterans Health Administration facilities, visit VHA facilities or provide direct care to those VA serves.

VA is taking this necessary step to keep the Veterans it serves safe.

Each employee will have eight weeks to be fully vaccinated.

“We’re mandating vaccines for Title 38 employees because it’s the best way to keep Veterans safe, especially as the Delta variant spreads across the country,” McDonough said. “Whenever a Veteran or VA employee sets foot in a VA facility, they deserve to know that we have done everything in our power to protect them from COVID-19. With this mandate, we can once again make — and keep — that fundamental promise.”

The department’s decision is supported by numerous medical organizations including the American Hospital Association, America’s Essential Hospitals and a Multisociety group of the leading Infectious Disease Societies. The American Medical Association, American Nurses Association, American College of Physicians, American Academy of Pediatrics, Association of American Medical Colleges, and National Association for Home Care and Hospice also endorsed mandating COVID-19 vaccination for health care workers.

In recent weeks, VA has lost four employees to COVID-19 — all of whom were unvaccinated. At least three of those employees died because of the increasingly prevalent Delta variant. There has also been an outbreak among unvaccinated employees and trainees at a VA Law Enforcement Training Center, the third such outbreak during the pandemic.

All VA employees are eligible to be vaccinated at no personal expense at any of our facilities. Employees will also receive four hours of paid administrative leave after demonstrating they have been vaccinated. Information in these FAQs or clinician and Veteran videos has details about the vaccine, its safety and effectiveness.

The safety and wellbeing of our Veterans and personnel is paramount.



Joint Statement in Support of COVID-19 Vaccine Mandates forAll Workers in Health and Long-Term Care

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 towards 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 longterm 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 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 implement effective policies to encourage vaccination. The health and safety of U.S. workers, families, communities, and the nation depends on it. 

 SIGNATORIES (Listed Alphabetically)