Acceptability of pandemic A(H1N1) influenza vaccination by Essential Community Workers in 2010 Alicante (Spain), perceived seriousness and sources of information

Objective. Describe acceptability of pandemic A(H1N1) influenza vaccination by Essential Community Workers (ECWs) from Alicante province (Spain) in January 2010. Evaluate the correlation with attitudes, beliefs, professional advice and information broadcasted by media. Method. In this cross-sectional study, face-to-face interviews were conducted with 742 ECWs to assess their attitudes towards vaccination against the pandemic influenza strain. A multivariable regression model was made to adjust the Odds Ratios (ORs). Results. Some ECWs reported having been vaccinated with seasonal vaccine, 21.5% (95%IC 18.6–24.9); only 15.4% (95%IC 12.8–18.4) with the pandemic one. ECWs vaccinated regularly against seasonal flu (OR 5.1; 95%IC 2.9–9.1), those who considered pandemic influenza as a severe or more serious disease than seasonal flu (OR 3.8; 95%IC 2.1–6.7) and those who never had doubts about vaccine safety (OR 3.7; 95%IC2.1–6.7) had a better acceptance of pandemic vaccine. Finally, 78.7% (95%IC 75.1–81.4) had doubts about pandemic vaccine's effectiveness. Conclusion. The vast amount of information provided by the media did not seem to be decisive to prevent doubts or to improve the acceptability of the vaccine in ECWs. Professional advice should be the focus of interest in future influenza vaccination campaigns. These results should be taken into account by health authorities.

Current Problems Involving the Dismantle of Asbestos- Cement Sheets in Buildings. The Case of Central Market in Alicante

The project and the works described in this article mainly deal with the removal of the current asbestos-cement covering of the roof of the Central Market in Alicante and its replacement with zinc diamond-shaped scales, similar to the originals which were implemented in 1921 when the building was put into service. These upgrades were necessary to avoid the causes (and consequences) of rainwater infiltration, as described in an earlier report in 2006, also drafted by the author of this article. The article illustrates the difficulties involving the practical application of Spanish Code RD 396/2006 (minimum safety and health requirements for work with risk of exposure to asbestos) in a complex case such as this, especially with regard to aspects such as economic (increasing costs), technical (increased difficulty of implementation), and the total duration of the work (total increase in duration due to interference with other trades).