Skip main navigation

Military Health System

Clear Your Browser Cache

This website has recently undergone changes. Users finding unexpected concerns may care to clear their browser's cache to ensure a seamless experience.

Surveillance Snapshot: Influenza Immunization Among U.S. Armed Forces Health Care Workers, August 2018–April 2023

Image of 3Snapshot. Influenza Immunization Among U.S. Armed Forces Health Care Workers, August 2018-April 2023.

The U.S. Advisory Committee on Immunization Practices recommends vaccination for all health care personnel against influenza to protect both themselves and their patients.1 The Joint Commission’s standard for infection control emphasizes that individuals infected with influenza virus are contagious to others before any signs or symptoms appear. The Joint Commission mandates 90% influenza vaccination for health care personnel, and health care organizations provide influenza vaccination programs for their practitioners and staff. Within the Department of Defense, seasonal influenza immunization is mandatory for all uniformed and health care personnel who provide direct patient care, and is recommended for all others (excluding those medically exempt).2-5

This graph comprises three lines oriented on the horizontal, or x-, axis, each connecting five discrete data points oriented along the vertical, or y-, axis. These three lines represent the health care worker populations within the U.S. Army, Navy, and Air Force active components. The y axis of the graph charts the annual percent of those Armed Forces health care workers who received an influenza vaccination. The horizontal, or x-, axis demarcates the preceding five influenza seasons, which begin in August and conclude in April, from August 2018 through April 2023. Influenza vaccination rates among health care workers have remained above 91.0%, but declined steadily over the five years among Air Force personnel, from 97.0% to 93.7%; dropped within the last year from 95.5% to 92.8% among Navy personnel; Army rates were fairly consistent, and lower, than the other two services until declining to the absolute lowest rate, 92.0%, in 2021-2022 but the Army rebounded to its normal range of 93.8% in the 2022-2023 season.

This Surveillance Snapshot covers a 5-year surveillance period (August 2018–April 2023) and presents the documented percentage of compliance for the influenza immunization requirement among active component health care personnel of the Army, Navy, and Air Force. In general, these health care personnel include health care specialists (DOD occupation code=13) and health care officers (DOD ocupation code=26), but exclude veterinary medicine, environmental health, biomedical equipment maintenance and repair, and health services administration and logistics personnel. In the 2022-2023 influenza season, compliance rates ranged from 92.8% among Navy health care personnel to 93.8% among Army health care personnel (Figure).

References

  1. Advisory Committee on Immunization Practices, Centers for Disease Control and Prevention. Immunization of health-care personnel: recommendations of the Advisory Committee on Immunization Practices. MMWR Recomm Rep. 2011;60(RR-7):1-45.
  2. Headquarters, Departments of the Army, Navy, Air Force, and Coast Guard. Army Regulation 40-562, BUMEDINST 6230.15B, AFI 48-110_IP, CG COMD-TINST M6230.4G. Medical Services: Immunizations and Chemoprophylaxis for the Prevention of Infectious Diseases. Oct. 7, 2013.
  3. Assistant Secretary of Defense (Health Affairs). Policy for Mandatory Seasonal Influenza Immunization for Civilian Health Care Personnel Who Provide Direct Patient Care in Department of Defense Military Treatment Facilities. Health Affairs Policy 08-005. Apr. 4, 2008.
  4. Assistant Secretary of Defense (Health Affairs). Addition of Pandemic Influenza Vaccine or Novel Influenza Vaccine to the Policy for Mandatory Seasonal Influenza Immunization for Civilian Health Care Personnel Who Provide Direct Patient Care in Department of Defense Military Treatment Facilities. Health Affairs Policy 11-010. Jul. 28, 2011.
  5. Defense Health Agency. Procedural Instruction 6025.34. Guidance for the DOD Influenza Vaccination Program. Aug. 21, 2020.

You also may be interested in...

Article
Mar 1, 2022

Brief Report: Refractive Surgery Trends at Tri-Service Refractive Surgery Centers and the Impact of the COVID-19 Pandemic, Fiscal Years 2000–2020

Cadet Saverio Macrina, U.S. Military Academy West Point, receives corneal cross-linking procedure at Fort Belvoir Community Hospital, Va., Nov. 21, 2016. (DoD photo by Reese Brown)

Since the official introduction of laser refractive surgery into clinical practice throughout the Military Health System (MHS) in fiscal year 2000, these techniques have been heavily implemented in the tri-service community to better equip and improve the readiness of the U.S. military force.

Article
Mar 1, 2022

Brief report: Using syndromic surveillance to monitor MIS-C associated with COVID-19 in Military Health System beneficiaries

Air Force 1st Lt. Anthony Albina, a critical care nurse assigned to Joint Base Andrews, Md., checks a patient’s breathing and heart rate during an intubation procedure while supporting COVID-19 response operations in Cleveland, Jan. 20, 2022.

SARS CoV-2 and the illness it causes, COVID-19, have exacted a heavy toll on the global community. Most of the identified disease has been in the elderly and adults. The goal of this analysis was to ascertain if user-built ESSENCE queries applied to records of outpatient MHS health care encounters are capable of detecting MIS-C cases that have not ...

Article
Mar 1, 2022

Update: Malaria, U.S. Armed Forces, 2021

Mosquitos – like this one, collected as part of a military study in North Carolina – were used during USAMRDC’s initial RTS,S vaccine studies nearly 40 years ago. (Photo courtesy: AFC Kimberly Barrera)

Malaria infection remains an important health threat to U.S. service members who are located in endemic areas because of long-term duty assignments, participation in shorter-term contingency operations, or personal travel. In 2021, a total of 20 service members were diagnosed with or reported to have malaria.

Article
Mar 1, 2022

Obesity prevalence among active component service members prior to and during the COVID-19 pandemic, January 2018–July 2021

Maintaining a healthy weight is important for military members to stay fit to fight. The body mass index is a tool that can be used to determine if an individual is at an appropriate weight for their height. A person’s index is determined by their weight in kilograms divided by the square of height in meters. (U.S. Air Force photo illustration by Airman 1st Class Destinee Sweeney)

This study examined monthly prevalence of obesity and exercise in active component U.S. military members prior to and during the COVID-19 pandemic. These results suggest that the COVID-19 pandemic had a small effect on the trend of obesity in the active component U.S. military and that obesity prevalence continues to increase.

Article
Mar 1, 2022

Surveillance Snapshot: Medical Separation from Service Among Incident Cases of Osteoarthritis and Spondylosis, Active Component, U.S. Armed Forces, 2016–2020

Marines hike to the next training location during Exercise Baccarat in Aveyron, Occitanie, France, Oct.16, 2021. Exercise Baccarat is a three-week joint exercise with Marines and the French Foreign Legion that challenges forces with physical and tactical training. Photo By: Marine Corps Lance Cpl. Jennifer Reyes

Osteoarthritis (OA) is the most common adult joint disease and predominantly involves the weight-bearing joints. This condition, including spondylosis (OA of the spine), results in significant disability and resource utilization and is a leading cause of medical separation from military service.

Article
Dec 1, 2021

Update: Osteoarthritis and Spondylosis, Active Component, U.S. Armed Forces, 2016–2020

Osteoarthritis (OA) knee . film x-ray AP ( anterior - posterior ) and lateral view of knee show narrow joint space, osteophyte ( spur ), subchondral sclerosis, knee joint inflammation. Photo by: iStockPhoto

Osteoarthritis (OA), the most com­mon adult joint disease, is primarily a degenerative disorder of the entire joint organ, including the subchondral bone, synovium, and periarticular structures (e.g., tendons, ligaments, bursae). Spondylosis, often referred to as OA of the spine, is characterized by degenerative changes in the vertebral discs, joints, ...

Skip subpage navigation
Refine your search
Last Updated: December 01, 2023
Follow us on Instagram Follow us on LinkedIn Follow us on Facebook Follow us on X Follow us on YouTube Sign up on GovDelivery