Introduction: Vaccination against seasonal influenza is recommended for all healthcare workers including physicians in Slovenia to protect vulnerable individuals and reduce transmission of influenza viruses. The aim of our study is to determine the uptake of seasonal influenza vaccination among Slovenian physicians, to identify factors associated with that vaccination and assess their attitudes and beliefs regarding vaccination and vaccine-preventable diseases. Methods: A cross-sectional survey was performed among physician members of the Slovenian Medical Chamber. The link to the anonymous web-based questionnaire was sent to 8,297 physicians. We estimated the overall proportion of physicians who vaccinate against influenza, while the possible associations with collected explanatory variables were explored in univariate analyses. Results: The response rate to the survey was 10.8%. 75.9% (95% CI: 73.1–78.7%) physicians vaccinate themselves against influenza (regularly or occasionally) and 24.1% (95% CI: 21.2–26.8%) do not vaccinate (not any more or never). In univariate analysis only, the area of work was statistically significant when associated with vaccinating against influenza (p=0.002). Among physicians who expressed some misconceptions regarding vaccination and vaccine-preventable diseases (it is better to overcome disease naturally as vaccines pose a higher risk than disease) the proportion of vaccinated against influenza was low (43.2%; 95% CI: 27.9–58.4%, 27.3%; 95% CI: 7.1–47.5%). Conclusion: Not trusting in vaccination or professional recommendations regarding vaccination and some misconceptions regarding vaccination and vaccine-preventable diseases may influence the decision to be vaccinated against seasonal influenza among Slovenian physicians.

Aim Scepticism and negative attitudes toward vaccination are growing, generating the risk of decreasing vaccination coverage, with potential impact on the individual and community. Our aim was to obtain the first reliable national assessment of attitudes regarding the effectiveness, safety, and importance of vaccination among Slovenia’s general population and explore their socio-demographic determinants. Subject and methods A cross-sectional survey was performed in a random sample of the general population. We used multivariable logistic regression analysis to identify factors independently associated with positive attitudes toward the effectiveness, safety, and importance of vaccination. Results In our survey, 8590 individuals aged 25–74 years participated; the overall response rate was 55%. Approximately two-thirds of participants expressed positive attitudes toward the effectiveness and importance of vaccination (64.9% and 67.6%, respectively). However, almost one-third (31.0%) of them expressed a fear of vaccination because of side effects. Two predictors for positive attitudes toward the effectiveness and importance of vaccination were higher social class and participation in preventive examinations. Factors associated with lower odds for a positive attitude toward the safety of vaccination included female sex, minors in the household, and average assessment of health status. Conclusion Our study contributed an important insight into the Slovenian attitude toward vaccination among the general population. It showed that there are some socio-demographic determinants that are related to attitudes regarding the effectiveness, safety, and importance of vaccination. There is a need to address public concerns regarding vaccination in order to increase and maintain optimal coverage rates by implementing comprehensive communication strategies.

Poliovirus wastewater surveillance (WWS) is an important complementary system to acute flaccid paralysis surveillance and a substitute surveillance for enteroviruses in stool samples of children, within global poliovirus eradication efforts. However, current guidelines provide limited data on sampling schemes for polio-free countries. This study aims to provide a summary of sampling schemes used for poliovirus WWS in studies done in countries of European Union (EU), together with an analysis of their objectives and a comparison with studies done in other countries. The study selection for this literature review was based on three sources: a World Health Organisation literature review, the PubMed database, and a systematic literature review of WWS of communicable disease agents. From 1446 studies, 72 studies published between 1 January 1995 and 5 September 2024 were included in the qualitative analysis. These studies were analysed by country of origin, objective, sampling site, catchment population size, sampling frequency, sampling method and sample volume. The results indicate that most studies from EU countries had conducted poliovirus WWS directly in line with World Health Organisation recommendations, despite these being primarily designed for developing countries. Our review may encourage countries to optimise their poliovirus WWS systems based on their own risks for poliovirus introduction and circulation.