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Letters
October 27, 2010

Vaccination Mandates vs Opt-Out Programs and Rates of Influenza Immunization

JAMA. 2010;304(16):1786. doi:10.1001/jama.2010.1478

To the Editor: The Research Letter by Dr Chapman and colleagues1 demonstrated that an opt-out strategy for influenza immunization significantly improved vaccination rates compared with an opt-in approach. Influenza immunization rates for health care workers have historically been low,2 despite strong recommendations from national organizations. Any method that will improve these rates is potentially useful.

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