Title : Vaccination and dilemmas in health professionals during the COVID 19- pandemic
Abstract:
Scope: Are there dilemmas about the vaccination process in health professionals and what are they? What were the first data results on the effectiveness of the vaccination process in health workers and are they reliable?
Materials and methods: Analytical studies published in The Lancet, PubMed, Elsevier and Medscape journals.
Results: Summary of quality estimates for 594 items. All sources were rated according to the AACODS21 checklist. The total number of deaths reported by HCW as of May 8, 2020 was 1413. This suggests that for every 100 HCWs that were infected, 1 died, 3600 deaths in the USA, 3090 from 64 countries of the world and 66 from Albania. 28 samples (n = 58,656) from 13 countries show that as the pandemic increased, the% of people intending to vaccinate decreased and the% of people intending to refuse vaccination increased. A comprehensive study found that, the prevalence of reluctance to vaccinate against COVID-19 worldwide in health care workers ranged from
- to 72% (average = 22.51% in all studies with 76,471 participants) . There were many dilemmas in male professionals for conspiratorial ideas of their sterilization. A very important study showed that the vaccine not only did not damage the process of spermatogenesis but, after the second dose of the vaccine, the average sperm concentration increased significantly to 30 million / ml (IQR, 21.5-40.5; P = .02) and average TMSC at 44 million (IQR, 27.5-98; P = .001). Sperm volume and sperm motility also increased significantly. Controlled Trials (RCTs) have shown that mRNA-based vaccines have an estimated efficacy of 95%. Studies show that vaccination reduces viral load by 1.6x to 20x in individuals who are positive for SARS-CoV-2. and that vaccination is not only important for the protection of the individual, but can reduce the transmission of viral load. Vaccinated individuals may be positive, they have lower viral load and therefore may be less contagious.
Conclusions. Vaccination is an important process in the emergency situation created by COVID - 19 and the protection of health professionals is a necessity for continuing and maintaining the quality of health care worldwide.
Keywords:Vaccination,, dilemmas, health professionals, COVID – 19.