{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T22:28:14Z","timestamp":1780093694789,"version":"3.54.0"},"reference-count":46,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2022,8,28]],"date-time":"2022-08-28T00:00:00Z","timestamp":1661644800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vaccines"],"abstract":"<jats:p>Background: Monkeypox virus re-surged in May 2022 as a new potential global health threat, with outbreaks bursting in multiple countries across different continents. This study was conducted in Saudi Arabia during the first month following the WHO announcement of the Monkeypox outbreak, to assess healthcare workers (HCWs) perceptions of, worries concerning, and vaccine acceptance for, Monkeypox, in light of the resolving COVID-19 pandemic. Methods: A national cross-sectional survey was conducted between 27 May and 10 June 2022, in Saudi Arabia. Data were collected on: HCWs\u2019 sociodemographic and job-related characteristics; COVID-19 infection status; and worries concerning Monkeypox, compared to COVID-19 and its sources; as well as their perceptions and awareness of, and advocacy for, supporting Monkeypox vaccination. Results: A total of 1130 HCWs completed the survey, of which 41.6% have already developed COVID-19. However, 56.5% were more concerned about COVID-19 compared to Monkeypox, while the rest were more worried about Monkeypox disease. The main cause for concern among 68.8% of the participants was the development of another worldwide pandemic, post-COVID-19, followed by their concern of either themselves or their families contracting the infection (49.6%). Most HCWs (60%) rated their level of self-awareness of Monkeypox disease as moderate to high. Males, and those who had previously developed COVID-19, were significantly less likely to worry about Monkeypox. The worry about Monkeypox developing into a pandemic, and the perception of Monkeypox being a severe disease, correlated significantly positively with the odds of high worry concerning the disease. The major predictors of participants\u2019 advocacy for vaccination against Monkeypox disease were: those who had developed COVID-19 previously; and those who supported tighter infection control measures (than those currently used) to combat the disease. A total of 74.2% of the surveyed HCWs perceived that they needed to read more about Monkeypox disease. Conclusions: Approximately half of the HCWs in this study were more concerned about Monkeypox disease than COVID-19, particularly regarding its possible progression into a new pandemic, during the first month following the WHO\u2019s Monkeypox international alert. In addition, the majority of participants were in favor of applying tighter infection prevention measures to combat the disease. The current study highlights areas requiring attention for healthcare administrators regarding HCWs\u2019 perceptions and preparedness for Monkeypox, especially in the event of a local or international pandemic.<\/jats:p>","DOI":"10.3390\/vaccines10091408","type":"journal-article","created":{"date-parts":[[2022,8,31]],"date-time":"2022-08-31T02:09:36Z","timestamp":1661911776000},"page":"1408","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["Healthcare Workers\u2019 Worries and Monkeypox Vaccine Advocacy during the First Month of the WHO Monkeypox Alert: Cross-Sectional Survey in Saudi Arabia"],"prefix":"10.3390","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8404-6652","authenticated-orcid":false,"given":"Fadi","family":"Aljamaan","sequence":"first","affiliation":[{"name":"College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia"},{"name":"Critical Care Department, King Saud University Medical City, King Saud University, Riyadh 11362, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7049-0960","authenticated-orcid":false,"given":"Shuliweeh","family":"Alenezi","sequence":"additional","affiliation":[{"name":"College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia"},{"name":"Department of Psychiatry, College of Medicine, King Saud University Medical City, King Saud University, Riyadh 11362, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4291-8536","authenticated-orcid":false,"given":"Khalid","family":"Alhasan","sequence":"additional","affiliation":[{"name":"College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia"},{"name":"Pediatric Department, King Saud University Medical City, King Saud University, Riyadh 11362, Saudi Arabia"},{"name":"Pediatric Kidney Transplant Section, Organ Transplant Center of Excellence, King Faisal Specialist Hospital and Research Center, Riyadh 11411, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4682-5927","authenticated-orcid":false,"given":"Basema","family":"Saddik","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, College of Medicine, University of Sharjah, Sharjah 27272, United Arab Emirates"},{"name":"Sharjah Institute of Medical Research, College of Medicine, University of Sharjah, Sharjah 27272, United Arab Emirates"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2126-7874","authenticated-orcid":false,"given":"Ali","family":"Alhaboob","sequence":"additional","affiliation":[{"name":"College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia"},{"name":"Pediatric Department, King Saud University Medical City, King Saud University, Riyadh 11362, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esraa","family":"Altawil","sequence":"additional","affiliation":[{"name":"College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia"},{"name":"Clinical Pharmacy Services, Pharmacy Department, King Saud University Medical City, Riyadh 11362, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatimah","family":"Alshahrani","sequence":"additional","affiliation":[{"name":"College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia"},{"name":"Division of Infectious Diseases, Department of Internal Medicine, King Saud University Medical City, King Saud University, Riyadh 11362, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulkarim","family":"Alrabiaah","sequence":"additional","affiliation":[{"name":"College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia"},{"name":"Pediatric Department, King Saud University Medical City, King Saud University, Riyadh 11362, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Alaraj","sequence":"additional","affiliation":[{"name":"Department of Medicine, Qassim University, Qassim 51452, Saudi Arabia"},{"name":"Department of Medicine, Al-Habib Hospital, Riyadh 12214, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khaled","family":"Alkriadees","sequence":"additional","affiliation":[{"name":"Pediatric Department, King Saud University Medical City, King Saud University, Riyadh 11362, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8961-0259","authenticated-orcid":false,"given":"Yousef","family":"Alshamlani","sequence":"additional","affiliation":[{"name":"College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6144-513X","authenticated-orcid":false,"given":"Homood","family":"Alharbi","sequence":"additional","affiliation":[{"name":"College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4051-6592","authenticated-orcid":false,"given":"Amr","family":"Jamal","sequence":"additional","affiliation":[{"name":"College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia"},{"name":"Department of Family and Community Medicine, King Saud University Medical City, Riyadh 11362, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rabih","family":"Halwani","sequence":"additional","affiliation":[{"name":"Sharjah Institute of Medical Research, College of Medicine, University of Sharjah, Sharjah 27272, United Arab Emirates"},{"name":"Department of Clinical Sciences, College of Medicine, University of Sharjah, Sharjah 27272, United Arab Emirates"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fahad","family":"AlZamil","sequence":"additional","affiliation":[{"name":"College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia"},{"name":"Pediatric Department, King Saud University Medical City, King Saud University, Riyadh 11362, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3128-5921","authenticated-orcid":false,"given":"Sarah","family":"Al-Subaie","sequence":"additional","affiliation":[{"name":"College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia"},{"name":"Pediatric Department, King Saud University Medical City, King Saud University, Riyadh 11362, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2274-007X","authenticated-orcid":false,"given":"Mazin","family":"Barry","sequence":"additional","affiliation":[{"name":"College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia"},{"name":"Division of Infectious Diseases, Department of Internal Medicine, King Saud University Medical City, King Saud University, Riyadh 11362, Saudi Arabia"},{"name":"Division of Infectious Diseases, Faculty of Medicine, University of Ottawa, Ottawa, ON K1H 8M5, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5099-0714","authenticated-orcid":false,"given":"Ziad","family":"Memish","sequence":"additional","affiliation":[{"name":"Research and Innovation Center, King Saud Medical City, Ministry of Health & College of Medicine, Alfaisal University, Riyadh 11533, Saudi Arabia"},{"name":"Hubert Department of Global Health, Emory University, Atlanta, GA 30322, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5752-2235","authenticated-orcid":false,"given":"Jaffar","family":"Al-Tawfiq","sequence":"additional","affiliation":[{"name":"Specialty Internal Medicine and Quality Department, Johns Hopkins Aramco Healthcare, Dhahran 34465, Saudi Arabia"},{"name":"Infectious Disease Division, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA"},{"name":"Infectious Disease Division, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21218, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4389-9322","authenticated-orcid":false,"given":"Mohamad-Hani","family":"Temsah","sequence":"additional","affiliation":[{"name":"College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia"},{"name":"Pediatric Department, King Saud University Medical City, King Saud University, Riyadh 11362, Saudi Arabia"},{"name":"Prince Abdullah bin Khaled Coeliac Disease Research Chair, King Saud University, Riyadh 11362, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,8,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"102364","DOI":"10.1016\/j.tmaid.2022.102364","article-title":"International outbreaks of Monkeypox virus infection with no established travel: A public health concern with significant knowledge gap","volume":"49","author":"Barry","year":"2022","journal-title":"Travel Med. Infect. Dis."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"102362","DOI":"10.1016\/j.tmaid.2022.102362","article-title":"The never-ending global emergence of viral zoonoses after COVID-19? The rising concern of monkeypox in Europe, North America and beyond","volume":"49","author":"Pachar","year":"2022","journal-title":"Travel Med. Infect. Dis."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1038\/d41586-022-01421-8","article-title":"Monkeypox goes global: Why scientists are on alert","volume":"606","author":"Kozlov","year":"2022","journal-title":"Nature"},{"key":"ref_4","unstructured":"(2022, August 01). Meeting of the International Health Regulations (2005) Emergency Committee Regarding the Multi-Country Monkeypox Outbreak. Available online: https:\/\/www.who.int\/news\/item\/25-06-2022-meeting-of-the-international-health-regulations-(2005)-emergency-committee--regarding-the-multi-country-monkeypox-outbreak."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"102426","DOI":"10.1016\/j.tmaid.2022.102426","article-title":"Monkeypox caused less worry than COVID-19 among the general population during the first month of the WHO Monkeypox alert: Experience from Saudi Arabia","volume":"49","author":"Temsah","year":"2022","journal-title":"Travel Med. Infect. Dis."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Al-Tawfiq, J.A., and Temsah, M.H. (2022). Perspective on the challenges of COVID-19 facing healthcare workers. Infection, in press.","DOI":"10.1007\/s15010-022-01882-z"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1038\/d41586-022-01587-1","article-title":"Monkeypox vaccination begins-can the global outbreaks be contained?","volume":"606","author":"Kozlov","year":"2022","journal-title":"Nature"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"2200499","DOI":"10.2807\/1560-7917.ES.2022.27.27.2200499","article-title":"A shift from travel-associated cases to autochthonous transmission with Berlin as epicentre of the monkeypox outbreak in Germany, May to June","volume":"27","author":"Selb","year":"2022","journal-title":"Eurosurveillance"},{"key":"ref_9","first-page":"2200471","article-title":"Monkeypox outbreak predominantly affecting men who have sex with men, Madrid, Spain, 26 April to 16 June","volume":"27","year":"2022","journal-title":"Eurosurveillance"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"e569","DOI":"10.1016\/S2589-7500(22)00127-3","article-title":"Early human judgment forecasts of human monkeypox, May 2022","volume":"4","author":"McAndrew","year":"2022","journal-title":"Lancet Digit. Health"},{"key":"ref_11","unstructured":"World Health Organization (WHO) (2022). Vaccines and Immunization for Monkeypox: Interim Guidance, 14 June 2022, World Health Organization."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"963","DOI":"10.1017\/ice.2022.167","article-title":"Development and deployment of tools for rapid response notification of Monkeypox exposure, exposure risk assessment and stratification, and symptom monitoring","volume":"43","author":"Simpson","year":"2022","journal-title":"Infect. Control Hosp. Epidemiol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"E203","DOI":"10.1017\/S0950268820001958","article-title":"Knowledge, Attitudes, and Practices of Healthcare Workers during the Early COVID-19 Pandemic in a Main, Academic Tertiary Care Centre in Saudi Arabia","volume":"148","author":"Temsah","year":"2020","journal-title":"Epidemiol. Infect."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"877","DOI":"10.1016\/j.jiph.2020.05.021","article-title":"The psychological impact of COVID-19 pandemic on health care workers in a MERS-CoV endemic country","volume":"13","author":"Temsah","year":"2020","journal-title":"J. Infect. Public Health"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"686958","DOI":"10.3389\/fpubh.2021.686958","article-title":"SARS-CoV-2 B.1.1.7 UK Variant of Concern Lineage-Related Perceptions, COVID-19 Vaccine Acceptance and Travel Worry among Healthcare Workers","volume":"9","author":"Temsah","year":"2021","journal-title":"Front. Public Health"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"5762","DOI":"10.1016\/j.vaccine.2021.08.083","article-title":"COVID-19 vaccine uptake among healthcare workers in the fourth country to authorize BNT162b2 during the first month of rollout","volume":"39","author":"Barry","year":"2021","journal-title":"Vaccine"},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Alhasan, K., Aljamaan, F., Temsah, M.H., Alshahrani, F., Bassrawi, R., Alhaboob, A., Assiri, R., Alenezi, S., Alaraj, A., and Alhomoudi, R.I. (2021). COVID-19 Delta Variant: Perceptions, Worries, and Vaccine-Booster Acceptability among Healthcare Workers. Healthcare, 9.","DOI":"10.3390\/healthcare9111566"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1092","DOI":"10.1001\/archinte.166.10.1092","article-title":"A brief measure for assessing generalized anxiety disorder: The GAD-7","volume":"166","author":"Spitzer","year":"2006","journal-title":"Arch. Intern. Med."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1186\/s12991-017-0155-1","article-title":"An arabic translation, reliability, and validation of Patient Health Questionnaire in a Saudi sample","volume":"16","author":"AlHadi","year":"2017","journal-title":"Ann. Gen. Psychiatry"},{"key":"ref_20","unstructured":"(2022, August 01). Monkeypox. Available online: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/monkeypox."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/j.ijid.2018.11.008","article-title":"Monkeypox-Enhancing public health preparedness for an emerging lethal human zoonotic epidemic threat in the wake of the smallpox post-eradication era","volume":"78","author":"Petersen","year":"2019","journal-title":"Int. J. Infect. Dis."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"105450","DOI":"10.1016\/j.actatropica.2020.105450","article-title":"Confidence in managing human monkeypox cases in Asia: A cross-sectional survey among general practitioners in Indonesia","volume":"206","author":"Harapan","year":"2020","journal-title":"Acta Trop."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1080\/20477724.2020.1743037","article-title":"Knowledge of human monkeypox viral infection among general practitioners: A cross-sectional study in Indonesia","volume":"114","author":"Harapan","year":"2020","journal-title":"Pathog. Glob. Health"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"6800","DOI":"10.1016\/j.vaccine.2020.08.034","article-title":"Acceptance and willingness to pay for a hypothetical vaccine against monkeypox viral infection among frontline physicians: A cross-sectional study in Indonesia","volume":"38","author":"Harapan","year":"2020","journal-title":"Vaccine"},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Graham, F. (2022). Daily briefing: Why scientists are worried about monkeypox. Nature, in press.","DOI":"10.1038\/d41586-022-01455-y"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"102119","DOI":"10.1016\/j.ajp.2020.102119","article-title":"Mental health problems faced by healthcare workers due to the COVID-19 pandemic-A review","volume":"51","author":"Spoorthy","year":"2020","journal-title":"Asian J. Psychiatr."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"638975","DOI":"10.3389\/fpubh.2021.638975","article-title":"Gender Differences in Psychological and Behavioral Responses of Infected and Uninfected Health-Care Workers during the Early COVID-19 Outbreak","volume":"9","author":"Huang","year":"2021","journal-title":"Front. Public Health"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1016\/j.jpsychires.2021.03.014","article-title":"Gender differences in mental health problems of healthcare workers during the coronavirus disease 2019 outbreak","volume":"137","author":"Liu","year":"2021","journal-title":"J. Psychiatr. Res."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1007\/s40596-021-01454-7","article-title":"Prevalence of Depression and Anxiety among Medical Students and House Staff during the COVID-19 Health-Care Crisis","volume":"45","author":"Gupta","year":"2021","journal-title":"Acad. Psychiatry"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1016\/j.medmal.2020.10.001","article-title":"COVID-19 outpatient management: Shorter time to recovery in Healthcare workers according to an electronic daily symptoms assessment","volume":"51","author":"Breugnon","year":"2021","journal-title":"Infect. Dis. Now"},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Trumello, C., Bramanti, S.M., Ballarotto, G., Candelori, C., Cerniglia, L., Cimino, S., Crudele, M., Lombardi, L., Pignataro, S., and Viceconti, M.L. (2020). Psychological Adjustment of Healthcare Workers in Italy during the COVID-19 Pandemic: Differences in Stress, Anxiety, Depression, Burnout, Secondary Trauma, and Compassion Satisfaction between Frontline and Non-Frontline Professionals. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17228358"},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Buselli, R., Corsi, M., Baldanzi, S., Chiumiento, M., Del Lupo, E., Dell\u2019Oste, V., Bertelloni, C.A., Massimetti, G., Dell\u2019Osso, L., and Cristaudo, A. (2020). Professional Quality of Life and Mental Health Outcomes among Health Care Workers Exposed to SARS-CoV-2 (COVID-19). Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17176180"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1016\/j.bbi.2020.04.048","article-title":"Affective temperament, attachment style, and the psychological impact of the COVID-19 outbreak: An early report on the Italian general population","volume":"87","author":"Moccia","year":"2020","journal-title":"Brain Behav. Immun."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1177\/1757177420911511","article-title":"Fear, explanation and action\u2014The psychosocial response to emerging infections","volume":"21","author":"Loveday","year":"2020","journal-title":"J. Infect. Prev."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"644","DOI":"10.1016\/j.vaccine.2019.10.049","article-title":"Co-administration of tecovirimat and ACAM2000\u2122 in non-human primates: Effect of tecovirimat treatment on ACAM2000 immunogenicity and efficacy versus lethal monkeypox virus challenge","volume":"38","author":"Russo","year":"2020","journal-title":"Vaccine"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"1002","DOI":"10.3201\/eid2805.220292","article-title":"Imported Monkeypox from International Traveler, Maryland, USA, 2021","volume":"28","author":"Costello","year":"2022","journal-title":"Emerg Infect Dis"},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Barry, M., Temsah, M.H., Alhuzaimi, A., Alamro, N., Al-Eyadhy, A., Aljamaan, F., Saddik, B., Alhaboob, A., Alsohime, F., and Alhasan, K. (2021). COVID-19 vaccine confidence and hesitancy among health care workers: A cross-sectional survey from a MERS-CoV experienced nation. PLoS ONE, 16.","DOI":"10.1371\/journal.pone.0244415"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"1978795","DOI":"10.1080\/21645515.2021.1978795","article-title":"How has COVID-19 pandemic changed flu vaccination attitudes among an Italian cancer center healthcare workers?","volume":"18","author":"Bertoni","year":"2022","journal-title":"Hum. Vaccines Immunother."},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"P\u00e9rez-Rivas, F.J., Gallego-Lastra, R.D., Marques-Vieira, C.M.A., L\u00f3pez-L\u00f3pez, C., Dom\u00ednguez-Fern\u00e1ndez, S., Rico-Bl\u00e1zquez, M., and Ajejas Baz\u00e1n, M.J. (2022). The Attitude towards Vaccination of Health Sciences Students at a Spanish University Improved over the First 18 Months of the COVID-19 Pandemic. Vaccines, 10.","DOI":"10.3390\/vaccines10020237"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"6705305","DOI":"10.1155\/2018\/6705305","article-title":"Attitude and Vaccination Status of Healthcare Workers against Hepatitis B Infection in a Teaching Hospital, Ethiopia","volume":"2018","author":"Akibu","year":"2018","journal-title":"Scientifica"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"734","DOI":"10.15585\/mmwr.mm7122e1","article-title":"Use of JYNNEOS (Smallpox and Monkeypox Vaccine, Live, Nonreplicating) for Preexposure Vaccination of Persons at Risk for Occupational Exposure to Orthopoxviruses: Recommendations of the Advisory Committee on Immunization Practices\u2014United States, 2022","volume":"71","author":"Rao","year":"2022","journal-title":"Morb. Mortal. Wkly. Rep."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"878159","DOI":"10.3389\/fpubh.2022.878159","article-title":"SARS-CoV-2 Omicron Variant: Exploring Healthcare Workers\u2019 Awareness and Perception of Vaccine Effectiveness: A National Survey During the First Week of WHO Variant Alert","volume":"10","author":"Temsah","year":"2022","journal-title":"Front. Public Health"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"e048586","DOI":"10.1136\/bmjopen-2020-048586","article-title":"Adenovirus and RNA-based COVID-19 vaccines\u2019 perceptions and acceptance among healthcare workers in Saudi Arabia: A national survey","volume":"11","author":"Temsah","year":"2021","journal-title":"BMJ Open"},{"key":"ref_44","doi-asserted-by":"crossref","unstructured":"Temsah, M.H., Alenezi, S., Alarabi, M., Aljamaan, F., Alhasan, K., Assiri, R., Bassrawi, R., Alshahrani, F., Alhaboob, A., and Alaraj, A. (2022). Healthcare Workers\u2019 SARS-CoV-2 Omicron Variant Uncertainty-Related Stress, Resilience, and Coping Strategies during the First Week of the World Health Organization\u2019s Alert. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19041944"},{"key":"ref_45","unstructured":"Second Meeting of the International Health Regulations (IHR) (2022, August 01). Emergency Committee Regarding the Multi-Country Outbreak of Monkeypox. Available online: https:\/\/www.who.int\/news\/item\/23-07-2022-second-meeting-of-the-international-health-regulations-(2005)-(ihr)-emergency-committee-regarding-the-multi-country-outbreak-of-monkeypox."},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Nash, D., Qasmieh, S., Robertson, M., Rane, M., Zimba, R., Kulkarni, S.G., Berry, A., You, W., Mirzayi, C., and Westmoreland, D. (2022). Household factors and the risk of severe COVID-like illness early in the U.S. pandemic. PLoS ONE, 17.","DOI":"10.1371\/journal.pone.0271786"}],"container-title":["Vaccines"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2076-393X\/10\/9\/1408\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:19:03Z","timestamp":1760141943000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2076-393X\/10\/9\/1408"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,28]]},"references-count":46,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2022,9]]}},"alternative-id":["vaccines10091408"],"URL":"https:\/\/doi.org\/10.3390\/vaccines10091408","relation":{"has-preprint":[{"id-type":"doi","id":"10.1101\/2022.08.02.22278317","asserted-by":"object"}]},"ISSN":["2076-393X"],"issn-type":[{"value":"2076-393X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,8,28]]}}}