Physicians’ willingness to be vaccinated with a smallpox vaccine to prevent monkeypox viral infection: A cross-sectional study in Indonesia

Harapan, Harapan; Setiawan, Abdul Malik; Yufika, Amanda; Anwar, Samsul; Wahyuni, Sri; Asrizal, Febrivan Wahyu; Sufri, Muhammad R.; Putra, Reza P.; Wijayanti, Nanda Putri; Salwiyadi, Salwiyadi; Maulana, Razi; Khusna, Afriyani; Nusrina, Ina; Shidiq, Muhammad; Fitriani, Devi; Muharrir, Muharrir; Husna, Cut Asmaul; Yusri, Fitria; Maulana, Reza; Andalas, Mohd; Wagner, Abram L.; Mudatsir, Mudatsir

doi:10.1016/j.cegh.2020.04.024

Cited by 26 publications

(28 citation statements)

References 26 publications

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“…This results make sense knowing that healthcare workers are in the frontline in ghting any health threat and thus the risk of their contamination and thus they are prioritized in any vaccination strategy as it was the case of COVID-19. These results are in accordance with the results of previous studies conducted in Indonesia before the COVID-19 pandemic where the rate of acceptance could reach 96% [33,34] The second important results is the high rate of hesitancy among the general population especially in Romania were only 29% had a favorable attitude towards vaccination [26]. These low rates of acceptance/willingness go in the same direction with the rates obtained for COVID-19 vaccines especially in the rst months of their approvals.…”

Section: Discussionsupporting

confidence: 90%

Knowledge, awareness, and worry about human monkeypox and attitude toward its vaccination in non endemic countries: a concise critical review

Lounis

2022

Preprint

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Background: In May 2022, the world has seen the emergence of human monkeypox, a new zoonotic viral disease in multiple non endemic countries. This health threat has been associated with high worry especially after the COVID-19 catastrophe. Also, the population is exposed to a huge amounts of information making them exposed to false information which could lead to embracing conspiracy theories. Thus evaluating the level of knowledge and the attitude toward vaccination are of great importance to raise them for the categories with low levels of knowledge and acceptance. This scoping review was conducted using PRISMA guidelines with the aim to evaluate the level of knowledge and awareness about monkeypox and the attitude toward its vaccination by selecting studies. Results: The selection process allowed to include 16 studies in this review. These studies were conducted in 10 countries in Europe and Asia. 9 studies were exclusively related to monkeypox knowledge and awareness, 2 studies were exclusively related to monkeypox vaccines while 5 studies treated the two subjects. These studies were mainly conducted among healthcare workers or among the general population. Results showed an unsatisfactory level of knowledge and awareness with some categories including physicians and aged individuals as the most informed. Regarding vaccination, Results showed that vaccine hesitancy is still common for both healthcare workers except among Chinese healthcare workers where the rate of vaccine acceptance was estimated at 90.1%. Conclusions: This review could be helpful in the understanding of the knowledge and awareness and vaccines hesitancy in the first months of the emergence of the HMPX by comparing their evolution in the future studies.

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Section: Discussionsupporting

confidence: 90%

Knowledge, awareness, and worry about human monkeypox and attitude toward its vaccination in non endemic countries: a concise critical review

Lounis

2022

Preprint

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“…According to UNESCO Indonesia, the literacy rate of adults (aged 15 and above) was 95.98% (42) and previous studies using community samples found that at least 96% of the community graduated from primary school (26,43). As reported in other online studies in Indonesia (44)(45)(46)(47), selection bias could also be related to the sampling technique and differential access to internet infrastructure across the country, as some regions have better internet access than others. Finally, acceptance was assessed using a hypothetical vaccine, which may differ from the respondents' revealed preferences in a reallife situation.…”

Section: Discussionmentioning

confidence: 93%

Acceptance of a COVID-19 Vaccine in Southeast Asia: A Cross-Sectional Study in Indonesia

Harapan

Wagner

Yufika

et al. 2020

Front. Public Health

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Introduction: Several vaccine candidates are being clinically tested in response to the 2019 coronavirus disease (COVID-19) pandemic. This study was conducted to assess the acceptance of a 50 or 95% effective COVID-19 vaccine, when it becomes available in southeast Asia, among the general population in Indonesia. Methods: A cross-sectional online survey was conducted between March 25 and April 6, 2020. Participants were asked if they would accept a free vaccine which was 95 or 50% effective. Using a logistic regression model, we assessed the associations between sociodemographic characteristics, exposure to COVID-19 information, or perceived risk of infection with acceptance of a hypothetical COVID-19 vaccine. Results: Among 1,359 respondents, 93.3% of respondents (1,268/1,359) would like to be vaccinated for a 95% effective vaccine, but this acceptance decreased to 67.0% (911/1,359) for a vaccine with 50% effectiveness. For a 95% effective vaccine, being a healthcare worker and having a higher perceived risk of COVID-19 infection were associated with higher acceptance, adjusted odds ratio (aOR): 2.01; 95%CI: 1.01, 4.00 and aOR: 2.21; 95%CI: 1.07, 4.59, respectively; compared to civil servants, being retired was associated with less acceptance (aOR: 0.15; 95%CI: 0.04, 0.63). For a 50% effective vaccine, being a healthcare worker was also associated with greater acceptance, aOR: 1.57; 95%CI: 1.12, 2.20. Conclusion: Acceptance of a COVID-19 vaccine was highly influenced by the baseline effectiveness of the vaccine. Preparing the general population to accept a vaccine with relatively low effectiveness may be difficult.

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“…However, the attitude toward vaccination was positive, despite concerns expressed by the WHO in 2019 about vaccine hesitation, which was ranked among the 10 threats to global health. In Indonesia, even before the COVID-19 pandemic, over 90% of doctors participating in a cross-sectional study about the attitude toward monkeypox vaccination were willing to be vaccinated [ 32 ].…”

Section: Resultsmentioning

confidence: 99%

“…One asymptomatic HCW showed laboratory evidence of recent Orthopoxvirus infection, which was possibly attributable to either a recent infection or smallpox vaccination. Harapan 2020a [ 32 ] Indonesia Cross-sectional study Knowledge and attitudes of physicians toward monkeypox virus Among 407 Indonesian doctors, 96% expressed acceptance of a free vaccination. Those 30 years old or younger had 2.94 times greater odds of vaccine acceptance compared to those who were older.…”

Section: Table A1mentioning

confidence: 99%

Prevention, Risk Exposure, and Knowledge of Monkeypox in Occupational Settings: A Scoping Review

et al. 2022

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With ongoing climate change, which alters the conditions for pathogens and vectors, zoonotic diseases such as monkeypox virus will become a challenge and a great threat impacting global health in future decades. A current outbreak of monkeypox is occurring in over 125 countries, with a report of thousands of cases in countries where this virus has never appeared. Occupational exposure to the monkeypox virus has recently been identified as an issue of major concern for occupational health, especially in healthcare settings. A scoping review following the PRISMA guidelines was performed, aiming to analyze the effects that the current monkeypox outbreak has in workplaces, given the potential exposure of healthcare workers to the virus, the possible spread of the virus in occupational settings, and the preventive measures that are necessary to implement. At the end of the selection process, 21 studies were included in the review. Healthcare workers are considered at a high risk, and similar preventive measures to those adopted during the SARS-CoV-2 pandemic must be implemented in all healthcare settings. The main recommendations for preventing and managing monkeypox in occupational settings are the vaccination of exposed workers, the prompt identification and isolation of infected individuals, and good hygiene practices. Education and specific training are necessary in non-endemic countries to make healthcare workers able to recognize the disease and prevent further contagions. Although monkeypox seems unlikely to reach the pandemic spread of COVID-19, an approach to global health even to avoid future zoonotic epidemics is required by all stakeholders.

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Physicians’ willingness to be vaccinated with a smallpox vaccine to prevent monkeypox viral infection: A cross-sectional study in Indonesia

Cited by 26 publications

References 26 publications

Knowledge, awareness, and worry about human monkeypox and attitude toward its vaccination in non endemic countries: a concise critical review

Knowledge, awareness, and worry about human monkeypox and attitude toward its vaccination in non endemic countries: a concise critical review

Acceptance of a COVID-19 Vaccine in Southeast Asia: A Cross-Sectional Study in Indonesia

Prevention, Risk Exposure, and Knowledge of Monkeypox in Occupational Settings: A Scoping Review

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