Vaccination, time lost from work, and COVID-19 infections: a Canadian healthcare worker retrospective cohort study
The COVID-19 pandemic highlighted hurdles for healthcare delivery and personnel globally. Vaccination has been an important tool for preventing severe illness and death in healthcare workers (HCWs) as well as the public at large. However, vaccination has resulted in some HCWs requiring time off work...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-08-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1214093/full |
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| author | Arnold I. Okpani Arnold I. Okpani Karen Lockhart Jennifer M. Grant Jennifer M. Grant Stephen Barker Jocelyn A. Srigley Jocelyn A. Srigley Annalee Yassi Annalee Yassi |
| author_facet | Arnold I. Okpani Arnold I. Okpani Karen Lockhart Jennifer M. Grant Jennifer M. Grant Stephen Barker Jocelyn A. Srigley Jocelyn A. Srigley Annalee Yassi Annalee Yassi |
| author_sort | Arnold I. Okpani |
| collection | DOAJ |
| description | The COVID-19 pandemic highlighted hurdles for healthcare delivery and personnel globally. Vaccination has been an important tool for preventing severe illness and death in healthcare workers (HCWs) as well as the public at large. However, vaccination has resulted in some HCWs requiring time off work post-vaccination to recover from adverse events. We aimed to understand which HCWs needed to take time off work post-vaccination, for which vaccine types and sequence, and how post-vaccination absence impacted uptake of booster doses in a cohort of 26,267 Canadian HCWs. By March 31, 2022, more than 98% had received at least two doses of the approved COVID-19 vaccines, following a two-dose mandate. We found that recent vaccination and longer intervals between doses were associated with significantly higher odds of time-loss, whereas being a medical resident and receiving the BNT162b2 vaccine were associated with lower odds. A history of lab-confirmed SARS-CoV-2 infection was associated with lower odds of receiving a booster dose compared with no documented infection, aOR 0.61 (95% CI: 0.55, 0.68). Similarly, taking sick time following the first or second dose was associated with lower odds of receiving a booster dose, aOR 0.83 (95% CI: 0.75, 0.90). As SARS-CoV-2 becomes endemic, the number and timing of additional doses for HCWs requires consideration of prevention of illness as well as service disruption from post-vaccination time-loss. Care should be taken to ensure adequate staffing if many HCWs are being vaccinated, especially for coverage for those who are more likely to need time off to recover. |
| first_indexed | 2024-03-12T17:00:50Z |
| format | Article |
| id | doaj.art-605f221820704081a1149ae85a9eba8a |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-03-12T17:00:50Z |
| publishDate | 2023-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-605f221820704081a1149ae85a9eba8a2023-08-07T13:04:33ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-08-011110.3389/fpubh.2023.12140931214093Vaccination, time lost from work, and COVID-19 infections: a Canadian healthcare worker retrospective cohort studyArnold I. Okpani0Arnold I. Okpani1Karen Lockhart2Jennifer M. Grant3Jennifer M. Grant4Stephen Barker5Jocelyn A. Srigley6Jocelyn A. Srigley7Annalee Yassi8Annalee Yassi9School of Population and Public Health, University of British Columbia, Vancouver, BC, CanadaMedical Practitioners Occupational Safety and Health, Vancouver Coastal Health, Vancouver, BC, CanadaSchool of Population and Public Health, University of British Columbia, Vancouver, BC, CanadaMedical Practitioners Occupational Safety and Health, Vancouver Coastal Health, Vancouver, BC, CanadaDepartment of Pathology and Laboratory Medicine, Faculty of Medicine, University of British Columbia, Vancouver, BC, CanadaSchool of Population and Public Health, University of British Columbia, Vancouver, BC, CanadaDepartment of Pathology and Laboratory Medicine, Faculty of Medicine, University of British Columbia, Vancouver, BC, CanadaBC Children’s and Women’s Hospital Research Institute, Vancouver, BC, CanadaSchool of Population and Public Health, University of British Columbia, Vancouver, BC, CanadaMedical Practitioners Occupational Safety and Health, Vancouver Coastal Health, Vancouver, BC, CanadaThe COVID-19 pandemic highlighted hurdles for healthcare delivery and personnel globally. Vaccination has been an important tool for preventing severe illness and death in healthcare workers (HCWs) as well as the public at large. However, vaccination has resulted in some HCWs requiring time off work post-vaccination to recover from adverse events. We aimed to understand which HCWs needed to take time off work post-vaccination, for which vaccine types and sequence, and how post-vaccination absence impacted uptake of booster doses in a cohort of 26,267 Canadian HCWs. By March 31, 2022, more than 98% had received at least two doses of the approved COVID-19 vaccines, following a two-dose mandate. We found that recent vaccination and longer intervals between doses were associated with significantly higher odds of time-loss, whereas being a medical resident and receiving the BNT162b2 vaccine were associated with lower odds. A history of lab-confirmed SARS-CoV-2 infection was associated with lower odds of receiving a booster dose compared with no documented infection, aOR 0.61 (95% CI: 0.55, 0.68). Similarly, taking sick time following the first or second dose was associated with lower odds of receiving a booster dose, aOR 0.83 (95% CI: 0.75, 0.90). As SARS-CoV-2 becomes endemic, the number and timing of additional doses for HCWs requires consideration of prevention of illness as well as service disruption from post-vaccination time-loss. Care should be taken to ensure adequate staffing if many HCWs are being vaccinated, especially for coverage for those who are more likely to need time off to recover.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1214093/fullCOVID-19healthcare workersvaccinationoccupational healthside effects |
| spellingShingle | Arnold I. Okpani Arnold I. Okpani Karen Lockhart Jennifer M. Grant Jennifer M. Grant Stephen Barker Jocelyn A. Srigley Jocelyn A. Srigley Annalee Yassi Annalee Yassi Vaccination, time lost from work, and COVID-19 infections: a Canadian healthcare worker retrospective cohort study Frontiers in Public Health COVID-19 healthcare workers vaccination occupational health side effects |
| title | Vaccination, time lost from work, and COVID-19 infections: a Canadian healthcare worker retrospective cohort study |
| title_full | Vaccination, time lost from work, and COVID-19 infections: a Canadian healthcare worker retrospective cohort study |
| title_fullStr | Vaccination, time lost from work, and COVID-19 infections: a Canadian healthcare worker retrospective cohort study |
| title_full_unstemmed | Vaccination, time lost from work, and COVID-19 infections: a Canadian healthcare worker retrospective cohort study |
| title_short | Vaccination, time lost from work, and COVID-19 infections: a Canadian healthcare worker retrospective cohort study |
| title_sort | vaccination time lost from work and covid 19 infections a canadian healthcare worker retrospective cohort study |
| topic | COVID-19 healthcare workers vaccination occupational health side effects |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1214093/full |
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