Health workers are among the COVID vaccine hesitant. Here’s how we can support them safely

AP Photo/Damian Dovarganes

Holly Seale, UNSW; Margie Danchin, Murdoch Children’s Research Institute, and Ruby Biezen, The University of MelbourneGiven the caring nature of their profession, the general public might assume there isn’t any vaccine hesitancy among health workers. It can surprise (and anger) the community when health workers protest the introduction of COVID vaccine mandates.

In France, around 3,000 health workers have been suspended because they were not vaccinated. In Greece, health workers have protested against mandatory vaccination plans. Similar scenes have played out in Canada and New York State.

In Australia, health workers have reportedly joined protests in Melbourne and Perth. A small number of unvaccinated staff members are challenging vaccination mandates in the NSW Supreme Court. Beyond the hospital sector, there are reports of staff members leaving the aged care sector following the introduction of mandates.

Hesitancy among health workers broadly reflects concerns in the wider community. But the risks of being unvaccinated in health settings mean we should acknowledge these concerns and support informed decision-making.

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A range of concerns

Over 90% of health workers in NSW and Victoria have received a COVID vaccine. But there remains a small percentage of people who work at hospitals and other clinical settings who are vaccine hesitant or want to choose the vaccine they receive.
NSW health figures suggest that currently about 7% (or 7,350 staff members) remain unvaccinated.

Internationally, prevalence of COVID vaccination hesitancy in health workers ranges from 4.3 to 72% (average 23%).

In the US, one in four hospital workers in direct contact with patients had not received a single dose of a COVID vaccine by the end of May.

A study conducted in the first few months of this year found while most health workers intended to accept a COVID vaccine, 22% were unsure or did not intend to vaccinate. These findings tallied with a study in Italy that found 33% of health workers were unsure or did not intend to vaccinate.

The top three reasons for health workers to be hesitant echo the same concerns expressed by some in the wider community: vaccine safety, efficacy and side effects.

Earlier surveys overseas showed less than a third of health workers felt they had enough information around COVID vaccines. And, just like the wider community, health workers are vulnerable to misinformation and sometimes have insufficient understanding about how vaccines are developed.

A group who identified themselves as health workers staged a peaceful protest in Melbourne.

The risks

While hospital patients are more likely to be the source of hospital COVID outbreaks, unvaccinated health and aged care workers still pose a risk to patient and resident safety. Transmission of COVID to or between unvaccinated health workers poses a risk to the wider community including their families and friends.

Beyond the risk of transmission, there is also the impact vaccine-hesitant health workers have on wider vaccine confidence. Health workers are seen as credible sources of information and are trusted by the community.

There are videos on social media, YouTube and TikTok of individual health workers speaking about the COVID vaccines, often repeating misinformation regarding the safety or effectiveness of the vaccines or expressing uncertainty. The potential impact of these viral videos may be heightened compared to those featuring speakers who don’t work in health professions. University of Washington researcher Rachel Moran, who examines internet misinformation, says such health workers are

leveraging the credibility of medical professionals to create a false impression that there is considerable debate about COVID vaccines among doctors and nurses when, in reality, there is a consensus about their efficacy and safety.

In New York, crowds rallied last week against city-wide COVID vaccine mandates for public school teachers and state-wide mandates for health-care workers.
EPA/JUSTIN LANE

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How can we all stay safe?

Moving forward, we must acknowledge three things when it comes to health workers and vaccine hesitancy:

1. Don’t judge

While there is a moral imperative and duty of care for health workers to receive the COVID vaccine, we should ensure unvaccinated staff members have the opportunity to discuss vaccines in a non-judgemental way.

As with the general public, we need to find out who health workers trust and connect them with trusted resources to alleviate their fears. This might be done via hospital websites, discussions with their primary health-care providers or evidence-based information.

2. Work out what works

Unlike the community setting, there has been a gap in funding to develop and test resources and interventions focused on supporting health and aged care worker vaccine uptake.

Understanding the specific strategies that work to support vaccine uptake, without having to move directly to mandates, is important from not only a patient safety perspective but an occupational health and safety lens.

These findings are relevant for COVID and other occupational vaccine programs.

3. Ensure supply and access

Prior to introducing a mandate, there needs to be adequate supply and equitable access to vaccines. We need to ensure people have the opportunity to review vaccine safety and effectiveness data and to get the vaccine of their free will.

Careful planning, consultation and communication with key groups can improve acceptability of mandates.

In the coming weeks, more health workers are likely to resign or be dismissed for failing to comply with the COVID mandates. There will be those in social media who will call out the situation as the “right move”. But some health workers will become privately or publicly vocal on the issue and will cast doubt on the vaccine. It is important we prepare for these situations, especially in regional areas where there may be fewer voices and greater trust in long-serving health workers.

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Read more:
The 9 psychological barriers that lead to COVID-19 vaccine hesitancy and refusal

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Holly Seale, Associate professor, UNSW; Margie Danchin, Paediatrician at the Royal Childrens Hospital and Associate Professor and Clinician Scientist, University of Melbourne and MCRI, Murdoch Children’s Research Institute, and Ruby Biezen, Research Fellow, The University of Melbourne

This article is republished from The Conversation under a Creative Commons license. Read the original article.

Christians in Turkey Acquitted of ‘Insulting Turkishness’

But court heavily fines them for dubious conviction of collecting personal data.

ISTANBUL, October 19 (CDN) — After four years of legal battle in a Turkish court, a judge acquitted two Christians of insulting Turkey and its people by spreading Christianity, but not without slapping them with a hefty fine for a spurious charge.

Four years ago this month, Turan Topal, 50, and Hakan Tastan, 41, started a legal battle after gendarmerie officers produced false witnesses to accuse them of spreading their faith and allegedly “insulting Turkishness, the military and Islam.”

At the Silivri court an hour west of Istanbul, Judge Hayrettin Sevim on Thursday (Oct. 14) acquitted the defendants of two charges that they had insulted the Turkish state (Article 301) and that they had insulted its people (Article 216) by spreading Christianity. Sevim cited lack of evidence.

He found them guilty, however, of collecting information on citizens without permission (Article 135) and sentenced them to seven months of imprisonment each. The court ruled that the two men could each pay a 4,500 lira (US$3,170) fine instead of serving time, said their lawyer Haydar Polat.

Tastan expressed mixed feelings about the verdicts.

“For both Turan and I, being found innocent from the accusation that we insulted the Turkish people was the most important thing for us, because we’ve always said we’re proud to be Turks,” Tastan said by telephone. “But it is unjust that they are sentencing us for collecting people’s information.”

At the time of their arrests, Topal and Tastan were volunteers with The Bible Research Center, which has since acquired official association status and is now called The Association for Propagating Knowledge of the Bible. The two men had used contact information that individuals interested in Christianity had volunteered to provide on the association’s website.

Administrators of the association stated openly to local authorities that their goal was to disseminate information about Christianity.

The two men and their lawyer said they will be ready to appeal the unjust decision of the court when they have seen the official statement, which the court should issue within a month. Polat said the appeal process will take over a year.

“Why should we have to continue the legal battle and appeal this?” asked Tastan. “We are not responsible for the information that was collected. So why are they fining us for this? So, we continue our legal adventure.”

Still, he expressed qualified happiness.

“We are free from the charges that we have insulted the Turkish state and the people of Turkey and we’re glad for that, but we are sorry about the court’s sentence,” Tastan said. “We’re happy on one hand, and sorry on the other.”

The court hearing lasted just a few minutes, said Polat.

“The judges came to the court hearing ready with their decision,” Polat said. “Their file was complete, and there was neither other evidence nor witnesses.”

Polat was hesitant to comment on whether the decision to convict the men of collecting private data without permission was because they are Christians. He did underline, however, that the court’s decision to fine the men was unjust, and that they plan to appeal it after the court issues an official written verdict.

“This was the court’s decision,” said Polat, “but we believe this is not fair. This decision is inconsistent with the law.”

 

Christianity on Trial

The initial charges in 2006 against Tastan and Topal were based on “a warning telephone call to the gendarme” claiming that some Christian missionaries were trying to form illegal groups in local schools and making insults against Turkishness, the military and Islam.

In March 2009 the Turkish Ministry of Justice issued a statement claiming that approval to try the two men’s case under the controversial Article 301came in response to the “original” statement by three young men that Topal and Tastan were conducting missionary activities in an effort to show that Islam was a primitive and fictitious religion that results in terrorism, and to portray Turks as a “cursed people.”

Two of the three witnesses, however, stated in court that they didn’t even know Topal and Tastan. The third witness never appeared in court. Prosecutors were unable to produce any evidence indicating the defendants described Islam in these terms. At the same time, they questioned their right to speak openly about Christianity with others.

Polat and his legal partners had based their defense on the premise that Turkey’s constitution grants all citizens freedom to choose, be educated in and communicate their religion, making missionary activities legal.

“This is the point that really needs to be understood,” Polat told Compass last year. “In Turkey, constitutionally speaking, it is not a crime to be a Christian or to disseminate the Christian faith. However, in reality there have been problems.”

The lawyer and the defendants said that prosecuting lawyers gave political dimensions to the case by rendering baseless accusations in a nationalistic light, claiming that missionary activities were carried out by imperialistic countries intending to harm Turkey.

Tastan and Topal became Christians more than 15 years ago and changed their religious identity from Muslim to Christian on their official ID cards.

Initially accompanied by heavy media hype, the case had been led by ultranationalist attorney Kemal Kerincsiz and a team of six other lawyers. Kerincsiz had filed or inspired dozens of Article 301 court cases against writers and intellectuals he accused of insulting the Turkish nation and Islam.

Because of Kerincsiz’s high-level national profile, the first few hearings drew several hundred young nationalist protestors surrounding the Silivri courthouse, under the eye of dozens of armed police. But the case has attracted almost no press attention since Kerincsiz was jailed in January 2008 as a suspect in the overarching conspiracy trials over Ergenekon, a “deep state” operation to destabilize the government led by a cabal of retired generals, politicians and other key figures. The lawyer is accused of an active role in the alleged Ergenekon plot to discredit and overthrow Turkey’s ruling Justice and Development Party government.

Ergenekon has been implicated in the cases of murdered priest Andreas Santoro, Armenian editor Hrant Dink, and the three Christians in Malatya: Necati Aydin, Ugur Yuksel and Tilmann Geske.

In a separate case, in March of 2009 Tastan and Topal were charged with “illegal collection of funds.” Each paid a fine of 600 Turkish lira (US$360) to a civil court in Istanbul. The verdict could not be appealed in the Turkish legal courts. This ruling referred to the men receiving church offerings without official permission from local authorities.

Report from Compass Direct News

Muslim Teachers in Pakistan Allegedly Abuse Christian Students

Derogatory remarks, beatings, pressure to convert to Islam drive two girls to drop out.

SARGODHA, Pakistan, May 19 (CDN) — Muslim teachers at a girls school here have derided Christian students for their faith, beat them, pressured them to convert to Islam and forced them to clean school bathrooms and classrooms after class hours, according to area Christians.

Muslim teachers at Government Higher Secondary School in village No. 79-NB (Northern Branch), Sargodha, in Punjab Province, have so abused Christian students that two of the dozens of Christian girls at the school have dropped out, said a 16-year-old student identified only as Sana.

“Christian students are teased and mocked by radical Muslim, female teachers from the start of the school day to the end,” she said. “Due to the contemptuous behavior on religious grounds by the fanatical Muslim principal and staff, Christian students feel dejected, depressed and frustrated. I am totally broken-hearted because of the intolerance and discrimination.”

Rebecca Bhatti, a 16-year-old grade 10 student, told Compass she left the government school because her main teacher, along with an Islamic Education & Arabic Language teacher identified only as Sumaira, a math teacher identified only as Gullnaz, other Muslim teachers and Ferhat Naz, the principal, would call Christian girls in to the staff room at recess and demand that they polish their shoes or wash their undergarments and other clothes. 

“If any girl turned down the orders of any of the Muslim teachers, they were punished,” Bhatti said as she spilled tears. “The Muslim school teachers ordered us to wash lavatories daily and clean the school compound and classrooms, even though there is staff to keep the school clean.”

She said that the school also denied Christian students certificates of completion when they had finished their studies.

“This was to bar Christian students from gaining admission to other educational institutions or continue their education,” she said.

The principal of Christian Primary School in the village, Zareena Emmanuel, said that Naz and Sumaira subjected Christian students to beatings. Emmanuel also said that Muslim teachers at the secondary school derided Christian students for their faith.

“I regret that it is the only government school of higher education for girls at the village and adjoining areas,” Emmanuel said, “and therefore Christian girls have to experience such apathy, religious discrimination and bitterness each day of their schooling, which is supposed to be a time of learning and imagination.”

Christian residents of the village said they have been longing to bring abuse at the school to light. The Rev. Zaheer Khan of Maghoo Memorial United Presbyterian Church and Emmanuel of the primary school have asked education department officials of Sargodha Region to investigate, he said.

Khan also said that Naz and Muslim teachers including Gullnaz, Sumaira and Muzammil Bibi have treated Christian students contemptuously and have frequently asked them to convert to Islam.

“The attitude of the Arabic & Islamic Education teacher, Sumaira, toward the Christian students is beyond belief,” he said, “as she has forced the Christian girls to wash toilets, classrooms and clean the school ground, saying they must not be hesitant to do sanitation work because it’s the work of their parents and forefathers handed down to them.”   

Questioned about the abuses, Naz told Compass that she would immediately take note of such incidents if they had occurred.

“Any of the teachers held responsible of forcing Christian students convert to Islam will be punished according to the departmental rules and regulations,” Naz said. “A few Christian girls have abandoned their education because of their domestic problems, but even then I’ll carry out a departmental inquiry against the accused teachers, and no one will be spared if found guilty.”

Naz said the inquiry would focus especially on the accusations against Sumaira, Muzammil and Gullnaz.

Protesting residents gathered outside Naz’s office last week said she had no real intention of investigating the alleged abuses; some said she was making weak excuses to defend her staff members. They urged an independent investigation of Sumaira, Gullnaz, Muzammil and Naz.

“This cannot be tolerated, as it’s a matter of their girls’ careers and education,” said one protestor.

Noureen Austin, a 19-year-old Christian student in grade 12, described the school environment as discriminatory, depressed, gloomy and agitated.”

“No Christian student can get a quality education there,” she said. “Most of the school faculty are fanatical female Muslims who would not waste any chance to target Christian girls because of their belief in Christ.”

Report from Compass Direct News 

India Finally Allows EU to Visit Orissa – But No Fact-Finding

After months of asking, delegation wins clearance to enter Kandhamal district.

NEW DELHI, January 29 (CDN) — Weary of international scrutiny of troubled Kandhamal district in Orissa state, officials yesterday finally allowed delegates from the European Union (EU) to visit affected areas – as long as they do no fact-finding.

A team of 13 diplomats from the EU was to begin its four-day tour of Kandhamal district yesterday, but the federal government had refused to give the required clearance to visit the area, which was wracked by anti-Christian violence in 2008. A facilitator of the delegation said that authorities then reversed themselves and yesterday gave approval to the team.

The team plans to visit Kandhamal early next month to assess the state government’s efforts in rehabilitating victims and prosecuting attackers in the district, where a spate of anti-Christian violence in August-September 2008 killed over 100 people and burned 4,640 houses, 252 churches and 13 educational institutions.

When the federal government recommended that Orissa state officials allow the delegation to visit the area, the state government agreed under the condition that the diplomats undertake no fact-finding, according to the Press Trust of India (PTI) news agency. The government stipulated to the EU team, led by the deputy chief of mission of the Spanish embassy, Ramon Moreno, that they are only to interact with local residents. The delegation consented.

Delegates from the EU had also sought a visit to Kandhamal in November 2009, but the government denied permission. The diplomats from Denmark, Sweden, Norway, Iceland and Finland were able to make it only to the Orissa state capital, Bhubaneswar, at that time.

Ironically, three days before the government initially denied permission to the EU team, the head of the Hindu nationalist Rashtriya Swayamsevak Sangh (RSS), Mohan Bhagwat, visited Orissa and addressed a huge rally of its cadres in Bhubaneswar, reported PTI on Tuesday (Jan. 26).

While Bhagwat was not reported to have made an inflammatory speech, many Christians frowned on his visit. It is believed that his organization was behind the violence in Kandhamal, which began after a leader of the Vishwa Hindu Parishad (World Hindu Council or VHP), Swami Laxmanananda Saraswati, was killed by Maoists (extreme Marxists) on Aug. 23, 2008. Hindu extremist groups wrongly blamed it on local Christians in order to stir up anti-Christian violence.

On Nov. 11, Orissa Chief Minister Naveen Patnaik told the state assembly House that 85 people from the RSS, 321 members of the VHP and 118 workers of the Bajrang Dal, youth wing of the VHP, were rounded up by the police for the attacks in Kandhamal.

EU’s Indictments

It is believed that New Delhi was hesitant to allow EU’s teams into Kandhamal because it has indicted India on several occasions for human rights violations. Soon after violence broke out in Kandhamal, the European Commission, EU’s executive wing, called it a “massacre of minorities.”

Indian Prime Minister Dr. Manmohan Singh, who was attending the ninth India-EU summit in France at the time of the violence, called the anti-Christian attacks a “national shame.” French President Nicolas Sarkozy, head of the European Council, and Jose Manuel Barroso, president of the European Commission, took up the issue “strongly with Singh,” reported The Times of India on Sept. 30, 2008.

On Aug. 17, 2009, the EU asked its citizens not to visit Kandhamal in an advisory stating that religious tensions were not yet over. “We therefore advise against travel within the state and in rural areas, particularly in the districts of Kandhamal and Bargarh,” it stated.

The EU’s advisory came at a time when the state government was targeting the visit of 200,000 foreign tourists to Orissa, noted PTI.

Kandhamal Superintendent of Police Praveen Kumar suggested that the advisory was not based on truth.

“There is no violence in Kandhamal since October 2008,” he told PTI. “The people celebrated Christmas and New Year’s Day as peace returned to the tribal dominated district.”

Before denying permission to the EU, the Indian government had restricted members of a U.S. panel from coming to the country. In June 2009, the government refused to issue visas for members of the U.S. Commission on International Religious Freedom (USCIRF) to visit Orissa. The panel then put India on its “Watch List” for the country’s violations of religious freedom.

Tensions Remain

Local human rights activist Ajay Singh said that while the state government had made some efforts to rehabilitate the victims, a lot more needed to be done.

An estimated 300 families are still living in private relief camps in Kandhamal, and at least 1,200 families have left Kandhamal following the violence, he said. These families have not gone back to their villages, fearing that if they returned without converting to Hinduism they would be attacked, he added.

Singh also said that authorities have asked more than 100 survivors of communal violence living in an abandoned market complex known as NAC, in G. Udayagiri area of Kandhamal, to move out. He said it is possible they were asked to leave because of the intended visit of the EU team.

Of the more than 50,000 people displaced by the violence, around 1,100 have received some compensation either from the government or from Christian and other organizations, he added.

Additionally, the state administration has to do much more in bringing the attackers to justice, said a representative of the Christian Legal Association. Of the total 831 police cases registered, charges have been filed in around 300 cases; 133 of these have been dropped due to “lack of evidence,” said the source.

Report from Compass Direct News 

CANADIAN LAW PROHIBITING POLYGAMY FACES CHALLENGE

Canada’s anti-polygamy law will likely be facing a legal challenge now that the leaders of the controversial polygamous sect in Bountiful, near Cranbrook, British Columbia, have been arrested. Winston Blackmore, the “bishop” of the Fundamentalist Church of Jesus Christ of Latter-day Saints, and James Oler are facing criminal charges for practicing polygamy, reports Hilary White, LifeSiteNews.com.

Wally Oppal, BC’s Attorney General, announced at a press conference that Blackmore and Oler were arrested yesterday by eight plainclothes RCMP officers. The two men were later released on their own cognizance after being charged. The two cooperated with the arrest and agreed to the release conditions that they surrender their passports, stay in British Columbia and not enter into or perform any “plural marriages.”

The two men are scheduled to make their first court appearance January 21. They are the first men to be charged with polygamy since the 1800s, even though police have known of the situation in Bountiful for more than 60 years.

Up until now law-enforcement officials have been hesitant to arrest practitioners of polygamy under fears that the law would not survive a challenge under the Canadian Charter of Rights and Freedoms. On at least two previous occasions the RCMP have recommended that arrests be made, but the Crown denied the recommendation, saying that the ban on polygamy would likely be struck down.

The estimated population of Bountiful in 1998 was 600 and has since grown to about 800. Most of the residents are descended from only half a dozen men who practice what is called in the breakaway Mormon sect “multiple marriage” or “celestial marriage.” Blackmore claims to have had 26 wives and more than 108 children. The mainstream Mormon church formally renounced polygamy more than a century ago.

In 2006, the Vancouver Sun released information stating that Utah’s Attorney General is collaborating with British Columbia’s Attorney General in attempting to deal with polygamy and the alleged abuse in Bountiful. But pressure has been growing in Parliament, especially since the institution of homosexual “marriage,” to change the law to allow for polygamy.

In 2007, Richard Peck, a criminal lawyer and BC special prosecutor reviewed the results of a police investigation and concluded that there was insufficient evidence to charge the group with sexual abuse or exploitation. He warned that the defendants would likely claim religious freedom as a defense. Peck recommended that the BC Attorney General petition the courts to determine if Canada’s ban on polygamy is constitutional.

Pro-family advocates have long warned that the erosion of legal marriage in Canada, as well as in other western countries, starting with no-fault divorce and most recently with the institution of homosexual “marriage” and civil unions, would lead to the legalisation of polygamy. Indeed, following the invention of same-sex “marriage” in Canadian law, the federal Justice Department under the Liberal government produced a report suggesting the legalisation of polygamy.

Report from the Christian Telegraph