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Oral Healthcare Practitioners as Vaccine Administrators
abstract
This abstract is available on the publisher's site.
Access this abstract now Full Text Available for ClinicalKey SubscribersBefore the start of the COVID-19 pandemic, 4 states—Illinois, Louisiana, Minnesota, and Oregon—authorized dentists to administer the influenza vaccine. During the pandemic, in response to the urgent need and high demand for widespread vaccinations and poor access to health care services, all US states authorized dentists to administer the COVID-19 vaccine to patients. The authorization of dentists to administer vaccines during the public health emergency indicated that dentists were equipped to serve as vaccinators after completing proper training, thus establishing their role in the prevention of communicable diseases. When COVID-19 public health emergency orders were lifted, dentists were no longer authorized to administer the COVID-19 vaccine. However, several states, including California, Illinois, Indiana, Minnesota, New Jersey, Oregon, and Wisconsin, passed legislation that authorized dentists to administer vaccines irrespective of public health emergency status. Similarly, the state dental boards of Kentucky, Louisiana, Massachusetts, and Mississippi approved the administration of vaccines by dentists. In addition, the authority to provide influenza vaccines in these states was extended to dentists, increasing vaccine accessibility. In Massachusetts, dental hygienists, along with dentists, are authorized to administer vaccines, thereby expanding the number of qualified health care professionals who can now contribute to vaccination efforts. Legislation allowing dentists to vaccinate in Missouri, Nevada, and New York is pending. As discussions continue, it is anticipated that more states will pass laws to permit dentists to administer vaccines.
Additional Info
Oral health care practitioners as vaccine administrators: The scenario in the United States
J Am Dent Assoc 2024 Jul 01;155(7)556-558.e1, A Villa, M Saremi, JD Klausner, ME MurphyFrom MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.
This commentary begins by pointing out that, during the COVID-19 public health emergency, all states authorized dentists to provide COVID-19 vaccines; but, when the public health emergency ended, dentists in most states were no longer authorized to provide these vaccines. However, dentists demonstrated the willingness and ability to administer vaccines, leading a few states to pass legislation permitting dentists to administer a variety of vaccines. The authors advocate that more states should follow this path.
The authors make a strong case that dentists in all states should be authorized to administer the human papillomavirus (HPV) vaccine, as HPV is known to cause at least 70% of all oropharyngeal cancers. They point out that dentists are already very knowledgeable about oropharyngeal cancers and dedicated to oral cancer prevention and that potential recipients of the HPV vaccine may be more likely to visit a dentist than other healthcare providers, making such vaccines more accessible. Such an approach could reduce the incidence of HPV-related oropharyngeal cancers, which have increased markedly in recent years.
To facilitate the wider use of dentists for administering HPV and other vaccines, the authors emphasize that adequate training must be readily available to dentists and that dental insurance should provide coverage for vaccinations administered in dental offices.