Flu vaccines: an annual challengeBMJ 2018; 361 doi: https://doi.org/10.1136/bmj.k2705 (Published 27 June 2018) Cite this as: BMJ 2018;361:k2705
All rapid responses
I completely agree that it is an annual challenge, but I would suggest that the procedural elements of implementing this campaign is an evergrowing challenge too, which is delivered annually in its most part by UK General Practice (with a huge huge effort from Public Health bodies each year in this too).
The complexity of the different types of vaccines, the age groups, the tri vs quardivalent vaccines, healthy kids, at-risk kids, allergies, ordering, storing, publicising, manning the workforce etc is a minefield. Compounded by the fluctuating public perception where some years you will have to fight the queues to get into work yourself vs some you'd have to chase people depending on who they've believed that year...
You have to try and do Shingles vaccines for ever-moving age groups (oh and they are live attenuated vaccines so you have to make sure they don't have any contraindications!) and Pneumococcal vaccine, etc, etc.
The point of the whole story is that we are forgetting the toll of turning this complex almost military exercise on a system that was set up to deliver annual simple one jab in the arm (if you wanted) for at-risk people. And before someone points out we get paid for it - well actually never signed up for what its become and is morphing into. I realise the huge benefits but if it's that beneficial let us also spare a thought for the system that serves the purpose to make sure it survives.
Too young to retire, too old to change
Competing interests: No competing interests