Healthcare Workers Have More Frequent and Less Severe Influenza-Like Illness Than Non-healthcare Workers: Findings From the PAIVED Study - Summary - MDSpire

Healthcare Workers Have More Frequent and Less Severe Influenza-Like Illness Than Non-healthcare Workers: Findings From the PAIVED Study

  • By

  • Ryan Liberg

  • Kat Schmidt

  • Christina Schofield

  • Anuradha Ganesan

  • Wesley Campbell

  • David Hrncir

  • Tahaniyat Lalani

  • Tyler Warkentien

  • Katrin Mende

  • Ana E Markelz

  • Catherine M Berjohn

  • Laurie Housel

  • Jitendrakumar R Modi

  • Adam Saperstein

  • Alan Williams

  • Bruce McClenathan

  • Christina Spooner

  • Srihari Seshadri

  • Ryan C Maves

  • John H Powers

  • Robert J O’Connell

  • Mark P Simons

  • Simon D Pollett

  • Christian L Coles

  • Rhonda E Colombo

  • Timothy Burgess

  • Stephanie A Richard

  • January 12, 2026

  • 0 min

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Objective:

To compare the incidence, severity, and duration of influenza-like illness (ILI) between healthcare workers (HCWs) and non-healthcare workers (non-HCWs) in the PAIVED study, with a focus on understanding the implications for vaccination strategies.

Key Findings:
  • HCWs reported a higher incidence of ILI (24.1%) compared to non-HCWs (17.4%), P < .01, with a relative risk of 1.16 (95% CI 1.08, 1.24).
  • HCWs experienced less severe ILI symptoms, with fewer days of fever (0.36 fewer days, 95% CI -0.60, -0.13) and missed work (0.28 more days, 95% CI 0.01, 0.55) compared to non-HCWs.
  • No significant differences in specific pathogen detection between HCWs and non-HCWs.
Interpretation:

Despite higher ILI incidence, HCWs reported less severe symptoms, suggesting a potential difference in illness experience or immune response compared to non-HCWs, which may inform future vaccination strategies.

Limitations:
  • The study may not account for all confounding factors influencing ILI incidence and severity, such as underlying health conditions or environmental exposures.
  • Data collected was based on self-reporting, which may introduce bias and affect the accuracy of symptom reporting.
Conclusion:

Healthcare workers experience more frequent but less severe influenza-like illnesses compared to non-healthcare workers, highlighting the need for further strategies to mitigate ILI risk in this population, including targeted vaccination efforts and education.

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