Every year there are numerous circulating strains of influenza that are not included in the vaccine.
In years where the antigenic match is good, the vaccine only provides protection against the 3 strains in the formulation.
OSHA is the primary federal agency charged with protecting health care workers.
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The inactivated killed vaccines include Polio (IPV), and Hepatitis A.
The Toxoid, which is an inactivated toxin, is part of the DTa P combined immunization of Diphtheria and Tetanus.
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For the past three years I have been director of the Homestead Rehabilitation Institute (and still am as of this writing).
At this time, OSHA believes there is insufficient evidence for the federal government to promote mandatory influenza vaccination programs that may result in employment termination.” The National Vaccine Advisory Committee (NVAC) recommendations were drafted by its Healthcare Personnel Influenza Vaccination Subgroup.