Health promotion at the workplace: integrating vaccinations among health surveillance protocols

Purpose of review Vaccination is a key measure for protecting workers against infectious diseases. Immunization schedules are adapted to age, health status, and occupational risks, yet global vaccination coverage remains suboptimal. Declining interest, hesitancy, and refusal contribute to insufficient uptake. In occupational settings, the feasibility and effectiveness of workplace vaccination programs are increasingly explored. Expanding vaccine offerings and providing free access for all workers could substantially improve coverage. The main aim of the article was to reflect on various aspects of vaccination at work in the current era of growing global problems with acceptance, questioning and refusal of vaccination and possibility of occupational health professionals to contributing to improving employee's vaccination. Recent findings Adult vaccination rates remain low despite recommendations from health authorities. Most studies focus on healthcare workers, but recent research examines delivery systems, attitudes, and barriers influencing vaccination among broader worker populations. Workplace-based vaccination and determinants of hesitancy are key areas of interest. The most frequently studied vaccines are for influenza, COVID-19, and diseases resurging due to declining childhood immunization. New directions include cancer prevention, especially through HPV vaccination. Summary Employers and occupational health services should comply with legal health protection duties while promoting voluntary health initiatives, including routine vaccination of adults. Workplace vaccination programs, particularly those organized or supported by employers, are effective strategies to increase immunization coverage and contribute to improved employee health and well being.