Background: Influenza (flu) is a contagious illness that can cause morbidity and mortality among patients. Influenza can rapidly spread among health care workers (HCWs). Therefore, Seasonal influenza vaccination is recommended for healthcare workers (HCWs). However, the rate of influenza vaccination among HCWs is known to be low and may be due to misconceptions about influenza vaccination.

Aim: To identify the awareness, knowledge, and attitude towards influenza immunization among Health Care Professionals’.

Methods: A cross-sectional study conducted at Security Forces Hospital in Riyadh, Saudi Arabia.350 anonymous questionnaires were distributed to physicians and nurses during the 2017–2018 influenza season.

Results: A total of 350 survey sheets were distributed and 303 (86.6%) were completed. Of the total respondents, 127 (41.9%) were physicians, 176 (58.1%) were nurses, The overall influenza vaccination rate was 40% in physicians, and 60% in nurses. The most common reasons given by physicians and nurses for not getting vaccinated was not everyone is familiar with influenza vaccination. In addition, fear of its adverse effects and safety concerns to get vaccinated for influenza. Almost 60 % of physicians and nurses were aware of effectiveness of vaccine in disease prevention.

Conclusion: The rate of influenza vaccination among HCWs was low at our hospital and familiar with influenza vaccination were the most common reason for not having the vaccine among the healthcare workers.

Keywords: Influenza vaccine, Knowledge, Attitude, Health care workers.

1. Dominguez, Angela, Pere Godoy, Jesus Castilla, Nuria Soldevila, Diana Toledo, Jenaro Astray, José MarIa Mayoral, Sonia Tamames, Susana Garcla-Gutiérrez, Fernando Gonzalez-Candelas, Vicente Martin, José Diaz, and Nuria Torner. “Knowledge of and Attitudes to Influenza Vaccination in Healthy Primary Healthcare Workers in Spain, 2011-2012.” PLoSONE 8.11(2013).
2. Alshammarj, Thamir M., Lama S. Alfehaid, Joud K. Alfraih, and Hisham S. Aljadhey. “Healthcare professionals’ awareness of, knowledge about and attitude to influenza vaccination.”Vaccine 32.45 (2014): 5957-961.
3. AI-Tawfiq, Jaffar A., Amalraj Antony, and Mahmoud S. Abed. “Attitudes towards influenza vaccination of multi-nationality health-care workers in Saudi Arabia.” Vaccine 27.40 (2009):5538-54 1.
4. Abu-Gharbieh, Eman. “Influenza Vaccination: Healthcare Workers Attitude in Three Middle East Countries.” International Journal of Medical Sciences (2010): 319.
5. Khazaeipour, Zahra, Neda Ranjbarnovin, and Najmesadat Hoseini. “Influenza immunizationrates, knowledge, attitudes and practices of health care workers in Iran.” The Journal of Infection in Developing Countries 4.10 (2010):
6. Seale, Holly, Julie Leask, and C. Raina Macintyre. “Attitudes amongst Australian hospitalhealthcare workers towards seasonal influenza and vaccination.” Influenza and Other RespiratoryViruses 4.1 (2010): 41-46.
7. Mytton, O. T., E. M. O’moore, T. Sparkes, R. Baxi, and M. Abid. “Knowledge, attitudes and beliefs of health care workers towards influenza vaccination.” Occupational Medicine 63.3(2013): 189-95.
8. An Advisory Committee Statement (ACS).  National Advisory Committee on Immunization (NACI). Supplementary statement on influenza vaccination: continued use of Fluviral influenza vaccine in the 2000-2001 season. Can Commun Dis Rep. 2001;27:1-3
9. Kruy SL, Buisson Y, Buchy P. Asia: avian influenza H5N1. Bull Soc Pathol Exot. 2008;101:238-242
10. Goodwin K, Viboud C, Simonsen L. Antibody response to influenza vaccination in the elderly: a quantitative review. Vaccine. 2006;24:1159-1169
11. Saxen H, Virtanen M. Randomized, placebo-controlled double blind study on the efficacy of influenza immunization on absenteeism of health care workers. Pediatr Infect Dis J. 1999;18:779-783
12. Rehmani, Rifat, and Javed I. Memon. “Knowledge, attitudes and beliefs regarding influenza vaccination among healthcare workers in a Saudi hospital.” Vaccine 28.26 (2010): 4283-287.
13. Salgado CD, Giannetta ET, Hayden FG, Farr BM. Preventing nosocomial influenza by improving the vaccine acceptance rate of clinicians. Infect Control Hosp Epidemiol 2004;25:923-928
14. Fiore AE, Shay DK, Broder K, Iskander JK, Uyeki TM, Mootrey G, Bresee JS, Cox NJ. Prevention and control of seasonal influenza with vaccines: recommendations of the Advisory Committee on Immunization Practices (ACIP), 2009. MMWR Recomm Rep. 2009;58:1-52.
15. Centers for Disease Control, Prevention (CDC). Estimated influenza vaccination coverage among adults and children--United States, September 1, 2004-January 31, 2005. MMWR Morb Mortal Wkly Rep.2005;54:304-307
16. UAE circular No (67/09). Health Authority Abu Dhabi. http://www.haad.ae/HAAD/LinkClick.aspx?fileticket=9FldxjJeTX4%3d&tabid=207&language=en-US
17. Nishi K, Mizuguchi M, Ueda A. Effectiveness of influenza vaccine in healthcare workers. Kansenshogaku Zasshi. 2001;75:851-855
18. Piccirillo B, Gaeta T. Survey on use of and attitudes toward influenza vaccination among emergency department staff in a New York metropolitan hospital. Infect Control Hosp Epidemiol. 2006;27:618-622.

Dr Nasser AL-Mazariqah

Family and Community Department, Security Forces Hospital Program (SFHP)