Mandatory vaccination is effective in increasing the overall participation of medical workers in receiving vaccines compared to systems without mandated vaccinations. Non-mandatory health care services in Australia during 2013, had only 56% of their health care workers vaccinated against influenza. (Heinrich-Morrison, McLellan, McGinnes, Carroll, Watson, Bass, Cheng, 2015). However, the healthcare worker influenza vaccination program located in the National Institutes of Health Clinical Center obtained a 100% participation with either successful vaccination or justified exemption. Other mandatory influenza vaccination programs also receive high participation-on average 95%-99% percent (Poland, et. al, 2008). Likewise, mandatory vaccination
