At the Department of Veterans Affairs, where thousands of workers who interact with patients were supposed to be fully vaccinated by Oct. 8, officials have taken a dim view of such exemptions. Since the department issued a vaccine mandate for its 115,000 frontline health care workers this past summer, about 88 percent of the 380,000 employees covered by the mandate have had at least one dose, falling short of officials’ hopes for nearly full vaccination.
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In hospitals or nursing homes with particularly vulnerable populations, “I think that there will be a point there where it is an undue burden on us to ensure safety in the provision of health care,” said Denis McDonough, the secretary of the department, “at which point we’re going to have to deny religious exceptions.”
Vaccine reluctance in the military and the Department of Veterans Affairs mirrors that of civilian society, where vaccine rates are largely lower without such mandates. Some people have embraced vaccine conspiracy theories or have been fearful of possible side effects, or do not see themselves at risk for the virus.
Over the summer, as the Delta variant surged, military officials became alarmed at the growing number of deaths; more active duty members died from the virus in the fall than in all of 2020, and none of them were vaccinated. In total, 71 service members have died. The Navy has led the charge with vaccinations, and roughly 99 percent in the service have had at least one shot ahead of the deadline to be fully vaccinated by the end of the month. Sailors were made acutely aware of the dangers of the virus early in the pandemic when an outbreak occurred on an aircraft carrier deployed to the Pacific Ocean. The captain, who pleaded with the Pentagon for help, was later fired.
There is a “common understanding that we often work in congregate settings such as shipboard environments and it is understood that in these settings, infectious diseases can spread very rapidly,” said Capt. Robert Hawkins, who leads the Navy Medicine’s Commander’s Action Group. “Immunizations have played a large role in readiness to conduct our mission for a long time, so we have had an understanding of their role in protecting our health and mission.”
In the Marines and the Army, about 93 percent of all active-duty troops have been at least partially vaccinated. Each service branch set its own deadlines and complex disciplinary procedures for those who decline shots, including extensive counseling sessions with clergy and commanders.