CDC conducts science-based investigations, research, and public health surveillance both nationally and internationally. CDC adopts
recommendations that are made by the Advisory Committee for Immunization Practices. These recommendations may be considered
by state and other Federal agencies when making or enforcing laws. CDC also has infection control recommendations for health care
settings. However, CDC does not issue any requirements or mandates for state agencies, health systems, or health care workers
regarding infection control practices, including influenza vaccination or the use of masks.
However, some employers require certain immunizations. Hospitals, for example, may require some staff to get the flu vaccine or
hepatitis B vaccine or take other precautions such as the use of masks.
To find out more about the laws in your state, contact your state health department through Public Health Resources: State Health
Departments.
State Immunization Laws for Healthcare Workers and Patients and Vaccines and Immunizations: Basics and Common Questions
National Center for Immunization and Respiratory Diseases have more information. For more information, updates, and access to free
materials to assist with educating staff and patients about the impact of influenza and the benefits of vaccination, visit CDC Seasonal
Influenza (Flu) or call the National Immunization Hotline at (800) 232-2522 (English), (800) 232-0233 (español), or (800) 243-7889 (TTY).
Special Consideration Regarding Egg Allergy
The recommendations for vaccination of people with egg allergies have changed for 2016-2017.
People with egg allergies can receive any licensed, recommended age-appropriate influenza vaccine and no longer have to be
monitored for 30 minutes after receiving the vaccine. People who have severe egg allergies should be vaccinated in a medical setting
and be supervised by a health care provider who is able to recognize and manage severe allergic conditions.
More Information
Influenza Vaccination Coverage Among Health Care Personnel — United States, 2013–14 Influenza Season. MMWR Morb Mortal Wkly
Rep 2014;63:805-11
Influenza Vaccination Performance Measurement Among Acute Care Hospital-Based Health Care Personnel — United States, 2013–14
Influenza Season. MMWR Morb Mortal Wkly Rep 2014; 63:812-5
Health Care Personnel and Flu Vaccination, Internet Panel Survey, United States, November, 2013
Influenza Vaccination Coverage Among Health-Care Personnel — United States, 2012–13 Influenza Season. MMWR Morb Mortal Wkly
Rep 2013;62(38);781-786
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Ahmed F, Lindley M, Allred N, Weinbaum C, Grohskopf L. Effect of Influenza Vaccination of Health Care Personnel on Morbidity and
Mortality Among Patients: Systematic Review and Grading of Evidence. Clin Infect Dis 2013; epublished ahead of print.
2
Griffin MR. Influenza Vaccination of Health Care Workers: Making the Grade for Action. Clin Infect Diseases 2013; epublished ahead
of print.
Thomas RE, Jefferson T, Lasserson TJ. Influenza vaccination for healthcare workers who care for people aged 60 or older living in long-
term care institutions. Cochrane Database of Systematic Reviews 2013, Issue 7. Art. No.: CD005187. DOI:
10.1002/14651858.CD005187.pub4.
Health Care Personnel Flu Vaccination, Internet Panel Survey, United States, November, 2012
CDC. Influenza Vaccination Coverage Among Health-Care Personnel – 2011-12 Influenza Season, United States. MMWR 2012:61:753-
757.
CDC COCA Conference Call. Update on Influenza Vaccination for Health Care Personnel: Recent Coverage, Recommendations,
Reporting, and Resources. November 15, 2011.
CDC. Influenza Vaccination Coverage Among Health-Care Personnel—United States, 2010-11 Influenza Season. MMWR 2011;60:1073-
1077.
CDC. Telebriefing on Influenza Vaccination Among Health Care Personnel and Pregnant Women. Thursday, August 18, 2011.
Vanhems P, Voirin N, Roche S, Escuret V, Regis C et al. Risk of influenza-like illness in an acute health care setting during community
influenza epidemics in 2004-2005, 2005-2006, and 2006-2007: a prospective study. Arch Intern Med 2011; 171(2);151-17.