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Can Med Assoc J. 1984 September 1; 131(5): 449–452.
PMCID: PMC1483462

Absenteeism among hospital staff during an influenza epidemic: implications for immunoprophylaxis.


The 1980-81 epidemic of influenza A/Bangkok 79 was responsible for increased absenteeism (1.7 times the rate for the corresponding period of the subsequent nonepidemic year) among selected hospital staff in Winnipeg's Health Sciences Centre. Retrospective study of employment records for 25 of the centre's largest departments showed excess sick-leave costs of about $24 500 during the 2-week period of peak absenteeism that included the epidemic. Although the centre was sampling prospectively for the virus the first positive results became available too late for chemoprophylactic measures to have been effective. The greater increase in absenteeism among nursing staff caring for patients with chronic respiratory disease and nurses working on general medical or pediatric acute infection/isolation wards suggested that these groups be targeted for influenza vaccination in hospitals.

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Selected References

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  • Muldoon RL, Stanley ED, Jackson GG. Use and withdrawal of amantadine chemoprophylaxis during epidemic influenza A. Am Rev Respir Dis. 1976 Apr;113(4):487–491. [PubMed]
  • BLUMENFELD HL, KILBOURNE ED, LOURIA DB, ROGERS DE. Studies on influenza in the pandemic of 1957-1958. I. An epidemiologic, clinical and serologic investigation of an intrahospital epidemic, with a note on vaccination efficacy. J Clin Invest. 1959 Jan;38(1 Pt 2):199–212. [PMC free article] [PubMed]
  • Hall CB, Douglas RG., Jr Nosocomial influenza infection as a cause of intercurrent fevers in infants. Pediatrics. 1975 May;55(5):673–677. [PubMed]
  • McDougal BA, Hodges GR, Lewis HD, Davis JW, Caldwell SA. Nosocomial influenza A infection. South Med J. 1977 Aug;70(8):1023–1024. [PubMed]
  • Bauer CR, Elie K, Spence L, Stern L. Hong Kong influenza in a neonatal unit. JAMA. 1973 Mar 12;223(11):1233–1235. [PubMed]
  • Meibalane R, Sedmak GV, Sasidharan P, Garg P, Grausz JP. Outbreak of influenza in a neonatal intensive care unit. J Pediatr. 1977 Dec;91(6):974–976. [PubMed]
  • Kapila R, Lintz DI, Tecson FT, Ziskin L, Louria DB. A nosocomial outbreak of influenza A. Chest. 1977 May;71(5):576–579. [PubMed]
  • Eickhoff TC. Immunization against influenza: rationale and recommendations. J Infect Dis. 1971 Apr;123(4):446–454. [PubMed]
  • Glezen WP, Couch RB. Interpandemic influenza in the Houston area, 1974-76. N Engl J Med. 1978 Mar 16;298(11):587–592. [PubMed]
  • Frank AL, Taber LH, Wells CR, Wells JM, Glezen WP, Paredes A. Patterns of shedding of myxoviruses and paramyxoviruses in children. J Infect Dis. 1981 Nov;144(5):433–441. [PubMed]
  • Glezen WP. Serious morbidity and mortality associated with influenza epidemics. Epidemiol Rev. 1982;4:25–44. [PubMed]
  • Goodman RA, Orenstein WA, Munro TF, Smith SC, Sikes RK. Impact of influenza A in a nursing home. JAMA. 1982 Mar 12;247(10):1451–1453. [PubMed]
  • Barker WH, Mullooly JP. Influenza vaccination of elderly persons. Reduction in pneumonia and influenza hospitalizations and deaths. JAMA. 1980 Dec 5;244(22):2547–2549. [PubMed]
  • Glezen WP, Couch RB, Six HR. The influenza herald wave. Am J Epidemiol. 1982 Oct;116(4):589–598. [PubMed]
  • Marine WM, McGowan JE, Jr, Thomas JE. Influenza detection: a prospective comparison of surveillance methods and analysis of isolates. Am J Epidemiol. 1976 Sep;104(3):248–255. [PubMed]

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